Helu helu ʻo CSF

ʻO kahi helu pūnaewele CSF kahi hōʻike e ana i ka helu o nā ʻulaʻula a me nā keʻokeʻo keʻokeʻo i loko o ka wai cerebrospinal (CSF). He wai maopopo ka CSF ma kahi ākea e pili ana i ka iwi kuamoʻo a me ka lolo.

ʻO kahi lumbar puncture (spinal tap) ke ala maʻamau e hōʻiliʻili i kēia hāpana. Kākaʻikahi wale nō e hoʻohana ʻia nā ʻano hana ʻē aʻe no ka hōʻiliʻili ʻana iā CSF e like me:

• Pahu Cisternal
• Pahu hoʻokiwikā
• ʻO ka hemo ʻana o CSF ​​mai kahi ʻōmole i kū i ka CSF, e like me ka shunt a i ʻole ka ʻau ventricular.

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

Hiki ke kōkua i ka helu o ka CSF ʻike:

• Meningitis a me ka maʻi o ka lolo a i ʻole ka iwi kuamoo
• Tumor, abscess, a i ʻole kahi o ka make ʻana o nā ʻaʻa (infarct)
• Hoʻonā
• Kahe ʻana i loko o ka wai o ka iwi (Secondary to subarachnoid hemorrhage)

Aia ka helu maʻamau o ke koko keʻokeʻo ma waena o 0 a me 5. ʻO ka helu maʻamau o ke koko ʻulaʻula ʻo 0.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

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.

Hōʻike ka hoʻonui ʻana o nā hunaola keʻokeʻo i ka maʻi, ka mumū, a i ʻole ke kahe ʻana i ka wai o ka cerebrospinal. ʻO kekahi mau kumu i:

• Loaʻa ʻole
• ʻO Encephalitis
• Hemorrhage
• Meningitis
• Sclerosis lehulehu
• Nā maʻi ʻē aʻe
• Tumo

ʻO ka loaʻa ʻana o nā hunaola ʻulaʻula i ka CSF he hōʻailona paha ia o ke kahe ʻana. Eia nō naʻe, pili pū kekahi nā hunaola ʻulaʻula i ka CSF ma muli o ke kui kui kuʻikuʻi e ku ana i kahi kīʻaha koko.

ʻO nā kūlana hou aʻe e hiki ai i kēia hoʻāʻo ke kōkua i ke kuhi ʻana:

• Malformation Arteriovenous (cerebral)
• Aneisis cerebral
• Delirium
• ʻO Guillain-Barré Syndrome
• Hahau
• Neurosyphilis
• ʻO ka lymphoma mua o ka lolo
• Nā maʻi hopu, e like me ka maʻi epilepsy
• Tumo ʻōiwi

• Helu helu ʻo CSF

Bergsneider M. Shunting. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 31.

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.