Tirinta unugyada CSF

Tirinta unugyada CSF waa baaritaan lagu cabbirayo tirada unugyada dhiigga cas iyo caddaanka ah ee ku jira dareeraha maskaxda (CSF). CSF waa dheecaan cad oo ku jira booska ku wareegsan laf-dhabarka iyo maskaxda.

Dalool lumbar (laf-dhabarka laf-dhabarka) ayaa ah habka ugu caamsan ee loo soo qaado shay-baarkan. Marar dhif ah, habab kale ayaa loo adeegsadaa ururinta CSF sida:

• Daloolinta godka
• Daloolida Hawada
• Ka saarida CSF tuubada horeyba ugu jirtay CSF, sida shuntida ama qashinka wadnaha.

Ka dib sambalka la qaado, waxaa loo diraa shaybaar si loo qiimeeyo.

Tirinta unugyada CSF ayaa laga yaabaa inay gacan ka geysato ogaanshaha:

• Qoorgooyaha iyo infekshinka maskaxda ama laf-dhabarka
• Buro, barar, ama aagga unugyada u dhinta (infarct)
• Caabuq
• Dhiig ku qulqulaya dheecaanka laf-dhabarka (labaadna dhiig-baxa subarachnoid)

Tirada caadiga ah ee unugyada dhiigga cad waxay udhaxaysaa 0 iyo 5. Tirada unugyada dhiigga cas ee caadiga waa 0.

Fiiro gaar ah: Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal dhakhtarkaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Tusaalooyinka kor ku xusan waxay muujinayaan cabirka guud ee natiijooyinka imtixaanadan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan.

Kordhinta unugyada dhiigga cad waxay muujinayaan infekshin, caabuq, ama dhiig bax ku dhaca dheecaanka maskaxda. Sababaha qaar waxaa ka mid ah:

• Digo
• Cudurka Encephalitis
• Dhiigbax
• Qoorgooyaha
• Cudurka 'sclerosis' oo badan
• Infekshannada kale
• Buro

Helitaanka unugyada dhiigga cas ee CSF waxay astaan ​​u noqon kartaa dhiig bax. Si kastaba ha noqotee, unugyada dhiigga cas ee CSF ayaa sidoo kale laga yaabaa inay sabab u tahay cirbadda laf-dhabarka ee garaaca xididdada dhiigga.

Xaaladaha dheeraadka ah ee tijaabadani ay ka caawin karto baaritaanka waxaa ka mid ah:

• Cilad-darrada wadnaha (cerebral)
• Cudurka maskaxda ee maskaxda ku dhaca
• Delirium
• Xanuunka Guillain-Barré
• Faalig
• Neurosyphilis
• Xuubka maskaxda ee aasaasiga ah
• Qalalaasaha qalalka, oo ay ku jiraan qalalka
• Burooyinka lafdhabarta

• Tirinta unugyada CSF

Bergsneider M. Shunting. Gudaha: Winn HR, ed. Youmans iyo Qalliinka neerfaha ee Winn. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 31.

Griggs RC, Jozefowicz RF, Aminoff MJ. U dhowaanshaha bukaanka qaba cudurka neerfaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, dheecaannada jirka ee daran, iyo tijaabooyinka kale. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 29.