Hōʻike glucose CSF

Kuhi ʻia kahi hōʻike glucose CSF i ka nui o ke kō (glucose) i ka wai cerebrospinal (CSF). He wai maopopo ka CSF e kahe ana i kahi e puni ana i ka iwi kuamoʻo a me ka lolo.

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.

ʻAʻole hoʻohana iki ʻia nā ʻano hana ʻē aʻe no ka hōʻiliʻili ʻana iā CSF, akā paipai ʻia paha i kekahi mau hihia. Pākuʻi ʻia lākou:

• 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

Hoʻouna ʻia kahi laʻana i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.

Hana ʻia kēia hōʻike e kuhikuhi ai:

• Nā Tumors
• Nā maʻi ʻino
• ʻO ka hoʻowahāwahā o ka ʻōnaehana waena
• Delirium
• Nā kūlana neurological a me nā olakino ʻē aʻe

ʻO ka pae glucose i ka CSF he 50 a 80 mg / 100 mL (a ʻoi aku paha ma mua o 2/3 o ke kiʻekiʻe o ke kō o ke kō.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu mea mālama ola 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.

Loaʻa nā hualoaʻa kūpono ʻole i nā pae glucose kiʻekiʻe a haʻahaʻa. Nā hopena kūpono ʻole ma muli o:

• Maʻiʻaʻai (koʻohune a fungus)
• ʻO ka hoʻowahāwahā o ka ʻōnaehana waena
• Tumo

Hōʻike Glucose - CSF; Hōʻike glucose glucose wai Cerebrospinal

• Lumbar puncture (iwi kuamoʻo tap)

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, Józefowicz 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 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.