ʻO Radionuclide cisternogram

ʻO kahi cisternogram radionuclide kahi hoʻāʻo scan nukelea. Hoʻohana ʻia ia e ʻike pono i nā pilikia me ke kahe o ka fluid spinal.

Hana mua ʻia kahi pihi ʻōiwi (lumbar puncture). Hoʻokomo ʻia nā mea liʻiliʻi o nā mea radioactive, i kapa ʻia he radioisotope, i loko o ka wai i loko o ka iwi kuamoo. Wehe ʻia ke kui kele ma hope koke o ka pahu kui.

E nānā ʻia ʻoe ma 1 a 6 mau hola ma hope o ka loaʻa ʻana o ka pahu kui. Lawe ʻia kahi pahu paʻi kiʻi kūikawā i nā kiʻi e hōʻike pehea e huakaʻi ai nā mea radioactive me ka wai cerebrospinal (CSF) ma o ka iwi kuamoʻo. Hōʻike pū ʻia nā kiʻi inā kulu ka wai ma waho o ka iwi kuamoʻo a i ʻole ka lolo.

E nānā hou ʻia ʻoe ma 24 mau hola ma hope o ka hoʻopili ʻana. Pono paha ʻoe i kahi scan hou aʻe ma 48 a 72 mau hola ma hope o ka hoʻopili ʻana.

ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e hoʻomākaukau no kēia hōʻike. Hāʻawi paha kāu kauka olakino iā ʻoe i lāʻau e hoʻomālie ai i kou aʻa inā nui hopohopo. E kau inoa ʻoe i kahi palapala ʻae ma mua o ka hoʻāʻo.

E komo ʻoe i ke kapa haukapila i ka manawa o ka scan e hiki ai i nā kauka ke komo i kou kuamoʻo. Pono ʻoe e hemo i nā mea hoʻonaninani a i nā mea hao paha ma mua o ka scan.

E kau ʻia ka lāʻau numbing ma kou kua i lalo ma mua o ka lumbar puncture. Eia nō naʻe, he nui ka poʻe e ʻike he ʻoluʻolu ʻole ka lumbar puncture. ʻO kēia pinepine ma muli o ke kaomi o ka iwi kuina ke hoʻokomo ʻia ka nila.

ʻAʻole ʻeha ka scanner, ʻoiai ke anuanu a paʻakikī paha ka papaʻaina. Hana ʻole ʻia kahi hōʻoluʻolu e ka radioisotope a i ʻole ka mīkini ʻimi.

Hana ʻia ka hoʻāʻo e ʻike i nā pilikia me ke kahe o ka wai ākea a me nā kahe wai o ka iwi. I kekahi mau hihia, aia paha kahi hopohopo e kahe ka wai cerebrospinal (CSF) ma hope o kahi trauma i ke poʻo a i ʻole kahi ʻoki ma ke poʻo. E hana ʻia kēia hoʻāʻo e hōʻike i ke kulu.

Kuhi kahi helu maʻamau i ka holo maʻamau o CSF ​​ma o nā ʻāpana āpau o ka lolo a me ka iwi kuamoʻo.

Kuhi kahi hopena maikaʻi ʻole i nā maʻi o ka holo ʻana o CSF. Pili pū paha kēia mau maʻi i:

• ʻO Hydrocephalus a i ʻole nā ​​wahi ākea i kou lolo ma muli o kahi ālai
• Kaha CSF
• ʻO ka hydrocephalus kaomi maʻamau (NPH)
• Inā wehe a pale ʻia kahi shunt CSF

Nā pōpilikia e pili pū ana me ka lumbar puncture:

• ʻEha ma ka pūnaewele kaha
• Kahena
• Maʻi kīnā

Aia kekahi manawa liʻiliʻi loa o ka hōʻino nerve.

ʻO ka nui o ka pāhawewe i hoʻohana ʻia i ka scan nukelea he liʻiliʻi loa ia. ʻAneʻane pau ka radiation i loko o kekahi mau lā. ʻAʻohe hihia i ʻike ʻia o ka radioisotope e hōʻeha ai i ke kanaka e loaʻa ana ka scan. Eia nō naʻe, e like me ka hōʻike ʻana o ka pāhawewe, ʻōlelo ʻia ke akahele inā hāpai ʻoe a hānai waiu paha.

I nā hihia maʻamau, loaʻa paha i kahi kanaka kahi maʻi maʻi i ka radioisotope i hoʻohana ʻia ma ka scan. Hoʻopili paha kēia i kahi hopena anaphylactic koʻikoʻi.

E moe pālahalaha ʻoe ma hope o ke kī ʻana o ka lumbar. Hiki i kēia ke kōkua i ke pale ʻana i ka ʻeha o ke poʻo mai ka lumbar puncture. ʻAʻole pono kahi mālama kūikawā ʻē aʻe.

ʻImi kahawai CSF; Cisternogram

• Pahu lumbar

ʻO Bartleson JD, DF ʻEleʻele, Swanson JW. ʻEha Cranial a me ka helehelena. I: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 20.

Mettler FA, Guiberteau MJ. ʻŌnaehana ʻōnaehana waena. I: Mettler FA, Guiberteau MJ, hua. Nā mea nui o ke kiʻi ʻana i nā lāʻau lapaʻau nukelea. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 3.