Kungani Umgudu Wokugcoba Ungadinga Ngayo Ezinganeni Noma Ezizwini
Ukukhishwa kwe-lumbar, eyaziwa nangokuthi i-LP noma ithempini yomgogodla, yinkqubo odokotela abayisebenzisayo ukuqoqa umthambo wesipelingi. Ngesikhathi se-LP, inaliti ifakwa emkhatsini wamathambo e-back back kanye nasekholini lomgogodla. Inani elincane lomkhuhlane wamagogasi bese likhishwa bese inaliti ihoxiswa.
Umcabango wephepheni lomgogodla ungasabisa abantu abaningi, umqondo wawo ongakhula kuphela uma ingane ibandakanyeka.
Kodwa, eqinisweni, uma kwenziwa ochwepheshe abanolwazi lwezingane, ngokuvamile kuvame ukwedlula ukhathazeka.
Izinkomba zoHlelo Lokugwinya Emantwaneni
Ama-punctures amaningi angama-lumbar ezinganeni asetshenziselwa ukuhlola i-meningitis, ukutheleleka kwezingqimba eziqondisa ubuchopho kanye nekholomu yomgogodla (ebizwa ngokuthi i-meninges). I-Meningitis iyisifo esiyingozi kakhulu, futhi kuphela umpompi ophepheni ungagcina ngokucacile ukugula.
Abazali abaningi bayamangala lapho bezwa ukuthi ingane yabo idinga umthamo wokugwinya komgogodla, ikakhulukazi uma ingane ingabonakali konke okugulayo. Kodwa ukuhlolwa kubhekwa njengokubalulekile njengoba kubangelwa izimbangela ezithile ze-meningitis, iqembu elifana ne- B lihlukanisa amabhaktheriya , alibonakali njalo ngezibonakaliso zakudala zesifo.
Futhi, lokhu kubalulekile ngoba ukungabi khona kwezimpawu akusho ukuthi lesi simo singathí sina. Ngokwenza i-LP, udokotela angasheshe aqinisekise ukuxilongwa futhi anikeze indlela efanele yokwelapha.
Ngokungezelela ekutheni i-meningitis, amathinta omgogodla angase asetshenziswe njengendlela yokwelapha kunokuba ahlolwe. Lokhu kuhlanganisa ukwelapha isimo esibizwa ngokuthi i-hydrocephalus lapho i-fluid iqoqa khona ebuchosheni, ikakhulukazi ezinsaneni ezinegazi elibi kakhulu. Ezimweni ezinjalo, odokotela bangase basebenzise iphepheni yomgogodla ukuze bachithe igazi elidlulele futhi lishintshe ukuze livimbele noma liphuze isidingo sokushukela.
Izinzuzo nezinkinga
Ukukhishwa kwe-lumbar kuyindlela encane efuna ukubonisana ngokucophelela ukuqinisekisa ukuthi kokubili kufanelekile futhi kuphephile, ikakhulukazi ezinganeni zangaphambi kwesikhathi. Ukunquma ukuthi ungenzani noma awukwenzi lokho akuyona into elula.
Izinzuzo zokukhishwa kwe-lumbar zihlanganisa:
- Amathinta omgogodla angakwazi ukuhlola ngokushesha izifo ezinzima nezingozi zokuphila.
- I-Meningitis ingatholwa kuphela ngokuthinta umgogodla.
- Imiphumela yompompo wokugwinya ingavimbela ingane ukuthi ingaboniswa imithi engalungile noma engalungile.
Izingozi ezingenzeka zingabandakanya:
- Amathonti omgogodla angakhathazeki futhi abacindezelekile ngokomzwelo kubazali.
- Ukutheleleka kuyingozi yokuthi kunoma iyiphi inqubo engavamile.
- Ngezinye izikhathi ukuphathwa ikhanda nokuphuza kungenzeka.
- Izinsana ezandulele noma ezigulayo zingase zithole isilinganiso senhliziyo esinciphile noma isilifiketi se-oksijeni phakathi nenqubo futhi idinga oksijini okungeziwe.
Yeka ukuthi Ithebhu Yomgogodla Yenziwe Kanjani
Kuye ngesimo, umzali angakwazi noma angavunyelwa ekamelweni ngesikhathi seLP. Inqubo ithatha cishe imizuzu engama-30 futhi ihilela ukungena kwenaliti encane phakathi kwamathambo omgogodla ophansi.
Amantombazane avame ukuma ezinhlangothini zawo ngamadolo abo athambile ngaphansi kwengane yabo. Izinsana zingase zihlezi zibeke endaweni efanele.
Lapho ingane isethelwe kahle, indawo ephansi yomgogodla izohlanzwa nge-antiseptic. Udokotela owenza le nqubo uzogqoka amagilavu angenayo ukuvimbela ukutheleleka.
Kuzokwenziwa isikhumba esincane esikhunjeni se-back back, futhi ukujola okuketshezi oluketshezi kuyolinywa ukuze kunciphise ubuhlungu. I-cream engumunyu ingasetshenziswa futhi ngaphambi kokuba umjovo unganciphisi kahle.
> Umthombo:
> Srinivasan, L .; UHarris, uM .; kanye no-Shah, S. "I-Lumbar ibambezela ku-Neonate: Izinselele ekuKwenzeni Izinqumo nangokuchazwa." Ama-Seminars ePerinatology . 2012; 36 (5): 445-53. I-DOI: 10.1053 / j.mpumalanga.2012.06.007.