Nānā i nā Sclerosis Multiple: Pehea e hana ai ka Lumbar Puncture

Anter

• Ka mea nui o ka hoʻāʻo ʻana
• He aha ka pāpapa ʻōiwi?
• No ke aha e kiʻi ai i ka lolo uila?
• He aha ka mea e manaʻo ai i kahi lumbar puncture
• He aha ka lumbar puncture i hiki ke hōʻike
• Ka paʻakikī i ka hōʻailona
• Outlook

Kānāwai MS

ʻImi i kahi mau sclerosis (MS) he mau kapuwai. ʻO kekahi o nā kaʻina mua kahi loiloi olakino laulā e komo pū paha:

• he hoʻokolohua kino
• kahi kūkākūkā o nā ʻōuli
• kou mōʻaukala olakino

Inā manaʻo kāu kauka he MS kāu, pono paha ʻoe e lawe hou i nā hoʻokolohua. Hoʻopili kēia i kahi hoʻāʻo lumbar puncture, i ʻike ʻia ma ke ʻano he kuʻiwi.

Ka mea nui o ka hoʻāʻo ʻana

Māhele ʻo MS i nā ʻōuli me nā pilikia olakino ʻē aʻe, no laila pono i kāu kauka e hoʻoholo inā ʻo MS ke kumu o kāu mau hōʻailona a ʻaʻole kahi kūlana ʻē aʻe.

Nā hoʻokolohua ʻē aʻe e hana ai kāu kauka e kāpae a hōʻoia paha i kahi kuhi o MS me:

• hoʻāʻo koko
• MRI, a i ʻole kiʻi kiʻi resonance ʻume mākenēki
• hoʻāʻo hōʻike hoʻāʻo

He aha ka pāpapa ʻōiwi?

Hoʻopili kahi lumbar puncture, a i ʻole ke kola ʻōiwi, i ka hoʻāʻo ʻana i kāu wai o ka iwi maha no nā hōʻailona o MS. E hana pēlā, e hoʻokomo kāu kauka i kahi nila i ka ʻaoʻao haʻahaʻa o kou kua e hoʻoneʻe ai i ka wai o ka iwi kuamoʻo.

No ke aha e kiʻi ai i ka lolo uila?

Wahi a ka Cleveland Clinic, ʻo kahi lumbar puncture ke ala hoʻokahi e kuhikuhi pololei a pololei hoʻi i ka nui o ka mumū i kāu ʻōnaehana waena. Hōʻike pū ia i ka hana o kāu ʻōnaehana pale maʻi i kēia mau ʻāpana o kou kino, he mea nui ia no ka diagnose MS.

He aha ka mea e manaʻo ai i kahi lumbar puncture

I ka wā o ka lumbar puncture, huki ʻia ka wai o ke kuamoʻo mai waena o kāu kolu a me ka hā o ka lumbar i kou kuamoʻo lalo e hoʻohana ana i kahi kui kuamoʻo. E hōʻoia kāu kauka i ke kui kele i hoʻonohonoho ʻia ma waena o kou iwi kuamoʻo a me ke uhi o ke kaula, a i ʻole nā ​​meninges, ke kahakiʻi wai.

He aha ka lumbar puncture i hiki ke hōʻike

Hiki i kahi kuʻi ʻōiwi ke haʻi iā ʻoe inā kiʻekiʻe ka nui o nā protein, nā keʻokeʻo koko keʻokeʻo, a myelin paha i loko o kāu wai o ka iwi. Hiki iā ia ke hōʻike inā loaʻa ka wai i loko o kou iwi i kahi pae maʻamau o nā antibodies.

Ke hōʻike nei i kāu wai o ke kuamoʻo i hiki ke hōʻike i kāu kauka inā he kūlana ʻē aʻe kāu a ʻaʻole ʻo MS. Hiki i kekahi mau virus ke hana i nā hōʻailona a me nā ʻōuli e like me MS.

Pono e hāʻawi ʻia kahi lumbar puncture me nā hoʻokolohua ʻē aʻe e hōʻoia i kahi kuhi. Hiki i ke kaʻina hana ke hōʻike i nā pilikia me kāu ʻōnaehana autoimmune, akā ʻo nā kūlana ʻē aʻe e hoʻopili i kāu ʻōnaehana hopohopo, e like me ka lymphoma a me ka maʻi Lyme, hiki ke hōʻike i nā kiʻekiʻe o nā antibodies a me nā protein i loko o kāu wai o ka iwi, no laila pono e hōʻoia i kahi hōʻailona me nā hoʻokolohua hou aʻe.

Ka paʻakikī i ka hōʻailona

He paʻakikī pinepine ʻo MS i nā kauka no ke kuhi ʻana no ka mea ʻaʻole hiki i kahi kuʻikuʻi wale nō ke hōʻoia inā he MS kāu. I ka ʻoiaʻiʻo, ʻaʻohe hōʻike hoʻokahi e hiki ke hōʻoia a hōʻole paha i kahi kuhi.

ʻO nā hoʻokolohua ʻē aʻe e pili ana i kahi MRI e ʻike ai i nā leona ma kou lolo a i ʻole ka iwi kuamoʻo, a me kahi hoʻāʻo e hoʻāʻo ʻia e kōkua ai e ʻike i ka hōʻino o nā nerve.

Outlook

ʻO kahi lumbar puncture kahi hōʻike maʻamau i hoʻohana ʻia e ʻike pono ai iā MS, a he hōʻike maʻalahi maʻalahi e hana. ʻO ka mea maʻamau ka hana mua i ka hoʻoholo inā he MS kāu inā e hōʻike nei ʻoe i nā ʻōuli. E hoʻoholo kāu kauka inā pono nā hōʻoia hou e hōʻoia i kahi hōʻailona.