Nyocha CSF

Nyocha Cerebrospinal (CSF) bụ otu nyocha nke ụlọ nyocha nke na-atụle kemịkal na mmiri ọmụmụ. CSF bụ mmiri dị ọcha nke gbara gburugburu ma na-echebe ụbụrụ na ụbụrụ. Nyocha ndị ahụ nwere ike ịchọ protein, shuga (glucose) na ihe ndị ọzọ.

Achọrọ CSF ihe atụ. Mgbapu lumbar, nke a na-akpọkwa ọkpọkpụ azụ, bụ ụzọ kachasịsị esi achịkọta ihe nlele a. Commonzọ ndị a na-ahụkarị iji were nyocha mmiri gụnyere:

• Esemokwu mgbapu
• Mwepụ nke CSF site na tube nke dị na CSF, dị ka shunt, ventricular drain, ma ọ bụ mgbapụta mgbu
• Ventricular mgbapu

Mgbe ewerechara ihe nlele ahụ, a na-ezigara ya na laabu maka nyocha.

Dọkịta gị ga-agwa gị ka ị dina ala ma ọ dịkarịa ala otu awa mgbe mgbapu lumbar gasịrị. Nwere ike ịmalite isi ọwụwa mgbe mgbapu lumbar. Ọ bụrụ na o mee, ị drinkingụ ihe ọ cafụ cafụ caffeinated dị ka kọfị, tii ma ọ bụ soda nwere ike inyere aka.

Onye na-ahụ maka ahụike gị ga-agwa gị otu ị ga esi akwado maka mgbapu lumbar.

Nyocha nke CSF nwere ike inyere aka chọpụta ụfọdụ ọnọdụ na ọrịa. Ihe ndị a niile nwere ike ịbụ, mana ọ bụghị mgbe niile, ka a tụrụ na ihe atụ nke CSF:

• Ihe mgbochi na DNA nke nje virus
• Bacteria (gụnyere nke na-akpata syphilis, jiri ule VDRL)
• Cell ọnụ ọgụgụ
• Chloride
• Cryptococcal antigen
• Glucose
• Glutamine
• Lactate dehydrogenase
• Oligoclonal banding ịchọ protein dị iche iche
• Myelin protein bụ isi
  
• Mkpokọta protein
• Ma e nwere mkpụrụ ndụ cancer
• Nsogbu mmeghe
  

Nsonaazụ nkịtị gụnyere:

• Ihe mgbochi na DNA nke nje virus: Ọ dịghị
• Nje: Ọ dịghị nje na-etolite n'ọdịbendị ụlọ nyocha
• Mkpụrụ cancer na-arịa ọrịa kansa: Ọ dịghị mkpụrụ ndụ cancer ọ bụla dị
• Cell ọgụgụ: ihe na-erughị sel ọbara ọcha ise (ihe niile mononuclear) na mkpụrụ ndụ ọbara uhie 0
• Chloride: 110 ka 125 mEq / L (110 ruo 125 mmol / L)
• Ero: Onweghi
• Glucose: 50 ka 80 mg / dL ma ọ bụ 2.77 ka 4.44 mmol / L (ma ọ bụ kariri ụzọ abụọ n'ụzọ atọ nke ọkwa shuga)
• Glutamine: 6 ka 15 mg / dL (410.5 ka 1,026 micromol / L)
• Lactate dehydrogenase: ihe na-erughị 40 U / L.
• Oligoclonal band: 0 ma ọ bụ 1 ìgwè ndị na-adịghị na a kwekọrọ ekwekọ ọbara sample
• Protein: 15 ka 60 mg / dL (0.15 ruo 0.6 g / L)
• Mgbalite mmeghe: 90 ka 180? Mm nke mmiri
• Myelin protein bụ ihe na-erughị 4ng / mL

Usoro ntanetị dị iche iche nwere ike ịdịtụ iche n'etiti ụlọ nyocha dị iche iche. Gwa onye na - enye gị ọrụ gbasara ihe nyocha gị pụtara.

Ihe atụ ndị dị n'elu na-egosi nha nkịtị maka nsonaazụ maka ule ndị a. Fọdụ ụlọ nyocha na-eji nha dị iche iche ma ọ bụ nwee ike ịnwale ụdị dị iche iche.

Nsonaazụ nyocha CSF na-adịghị mma nwere ike ịbụ n'ihi ọtụtụ ihe dị iche iche, gụnyere:

• Ọrịa cancer
• Encephalitis (dika West Nile na Eastern Equine)
• Ọrịa ịba ọcha n'anya
• Ofufe Ọrịa
• Mbufụt
• Ọrịa Reye
• Ọrịa na-akpata site na nje bacteria, ero, ụkwara nta, ma ọ bụ nje
• Ọrịa multiple sclerosis (MS)
• Ọrịa Alzheimer
• Amyotrophic lateral sclerosis (ALS)
• Pseudotumor Cerebrii
• Nkịtị mgbali hydrocephalus

Nnyocha mmiri nke Cerebrospinal

• Ọkara CSF

Euerle BD. Ọkpụkpụ azụ na nyocha mmiri nke cerebrospinal. Na: Roberts JR, Custalow CB, Thomsen TW, eds. Usoro ọgwụgwọ Clinical nke Roberts na Hedges na Medicine Mberede na Nnukwu Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 60.

Griggs RC, Jozefowicz RF, Aminoff MJ. Agakwuru onye ọrịa nwere ọrịa neurologic. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, mmiri serous body, na ụdị ọzọ. Na: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management site na Labozọ Laboratory. 23 nke ed. St Louis, MO: Elsevier; 2017: isi 29.

Rosenberg GA. Brain edema na nsogbu nke cerebrospinal ọmụmụ mgbasa. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 88.