Nānā CSF

ʻO Cerebrospinal fluid (CSF) ka hōʻuluʻulu kahi hui o nā hoʻokolohua hoʻokolohua e ana i nā kemika i loko o ka wai cerebrospinal. ʻO CSF kahi wai maopopo e hoʻopuni a pale i ka lolo a me ka iwi kuamoo. Nānā paha nā hōʻike i nā protein, kō (glucose), a me nā mea ʻē aʻe.

Pono kahi laʻana o CSF. ʻO kahi lumbar puncture, i kapa ʻia hoʻi ʻo ke kuamoʻo, ʻo ia ke ala maʻamau e hōʻiliʻili i kēia hāpana. Nā ala liʻiliʻi e lawe ai i kahi laʻana wai e komo pū me:

• Pahu Cisternal
• ʻO ka hemo ʻana o CSF ​​mai kahi paipu i hiki i ka CSF, e like me kahi shunt, ventricular drain, a i ʻole pain pain
• Pahu hoʻokiwikā

Ma hope o ka lawe ʻia ʻana o kahi laʻana, hoʻouna ʻia i ka hale hana no ka loiloi.

E noi aku kāu kauka iā ʻoe e moe pālahalaha no hoʻokahi hola ma hope o ka lumbar puncture. Hiki paha iā ʻoe ke hoʻomohala i ka ʻeha o ke poʻo ma hope o ka puncture lumbar. Inā hiki ia, inu paha i nā mea inu inu ʻona e like me ke kope, tī a soda paha.

E haʻi aku kāu mea mālama ola iā ʻoe pehea e hoʻomākaukau ai no ka lumbar puncture.

Hiki i ke kālailai ʻana o CSF ​​ke kōkua i ka ʻike ʻana i kekahi mau ʻano a me nā maʻi. Hiki i kēia mau mea āpau ke, akā ʻaʻole mau, ana ʻia i kahi hāpana o CSF:

• Nā Antibodies a me DNA o nā virus maʻamau
• ʻO bacteria (me ia ka mea e kumu ai ka syphilis, e hoʻohana ana i kahi hōʻike VDRL)
• Helu helu
• Kloride
• ʻO antigen Cryptococcal
• Glucose
• ʻO Glutamine
• Lactate dehydrogenase
• ʻO ka hoʻopiʻi Oligoclonal e nānā i nā protein ponoʻī
• ʻO ka protein kumu kumu Myelin
  
• Huina protein
• Aia paha he mau maʻi maʻi maʻi i loaʻa i kēia manawa
• Puʻe wehe
  

Loaʻa nā hopena maʻamau:

• Nā Antibodies a me DNA o nā virus maʻamau: ʻAʻohe
• ʻO ke koʻohune: ʻAʻole ulu nā bacteria i kahi moʻomeheu lab
• Nā hunaola maʻi ʻaʻai: ʻAʻohe o nā huna ʻea i loaʻa
• Helu helu: ma lalo o 5 mau keʻokeʻo koko (nā mononuclear āpau) a me nā ʻulaʻula koko ʻulaʻula
• Chloride: 110 a 125 mEq / L (110 a 125 mmol / L)
• Fungus: ʻAʻohe
• Glucose: 50 a 80 mg / dL a i ʻole 2.77 a 4.44 mmol / L (ʻoi aku paha ma mua o ʻelua hapakolu o ke kō kō kō.
• Glutamine: 6 a 15 mg / dL (410.5 a 1,026 micromol / L)
• Lactate dehydrogenase: emi ma mua o 40 U / L
• Nā pēpē Oligoclonal: 0 a i ʻole 1 mau kaula i kū ʻole ma kahi laʻana serum i kūlike ʻia
• Protein: 15 a 60 mg / dL (0.15 a 0.6 g / L)
• Kaomi hoʻomaka: 90 a 180? Mm o ka wai
• ʻO ka protein kumu kumu Myelin: Ma lalo o 4ng / mL

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike nā hiʻohiʻona ma luna i nā ana maʻamau no nā hopena no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.

Ma muli o kekahi mau kumu like ʻole he hopena hopena hopena CSF, e like me:

• Kanesa
• Encephalitis (e like me West Nile a me Eastern Equine)
• Hepatic encephalopathy
• Maʻi kīnā
• Hoʻonā
• Reye maʻi maʻi
• ʻO ka meningitis ma muli o ka bacteria, fungus, tuberculosis, a i ʻole ka maʻi maʻi
• Sclerosis maha (MS)
• Maʻi Alzheimer
• ʻO Amyotrophic lateral sclerosis (ALS)
• ʻO Pseudotumor Cerebrii
• ʻO ka hydrocephalus kaomi maʻamau

Nānā wai Cerebrospinal

• Kemika CSF

Euerle BD. ʻO ka puncture a me ka nānā ʻana i ka wai cerebrospinal. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 60.

ʻO Griggs RC, Jozefowicz RF, Aminoff MJ. Hele i ka mea maʻi me ka maʻi neurologic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 396.

ʻO Karcher DS, McPherson RA. Cerebrospinal, synovial, wai serous kino, a me nā mea i koho ʻia. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 29.

ʻO Rosenberg GA. ʻO ka edema lolo a me nā maʻi o ka holo ʻana o ka wai cerebrospinal. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 88.