N'ọnọdụ ahụike, a na-eme mkpọtụ lumbar ma ọ bụ ọkpụkpụ akwara iji dokwuo anya nyocha ahụ, nyochaa ọnyá mmiri ma ọ bụ mepụta ọgwụ n'ime ya. A na-ele usoro ahụ anya dị ka mkparịta ụka dị ntakịrị, ọ bụ ya mere a na-emekarị n'okpuru ọrịa nchịkwa mpaghara.
Na-emepụta usoro nke ịkụ ọkpụkpụ azụ
A na-eme ihe n 'ọdụ ma ọ bụ na-agha ụgha, ọtụtụ mgbe na nke ikpeazụ. Ụkwụ ụkwụ onye ọrịa ahụ ga-ehulata ma mee ka afọ juo ya afọ, a ga-agbakwa azụ azụ. Maka mma, ị nwere ike ijide aka gị.
A na-eme ihe oriri nke mmiri mkpụrụ osisi n'etiti 3 na 4 lumbar vertebrae na omimi nke 4-7 cm, olu ya ruru 120 ml. Ka a na-etinye nịnye ahụ, a na-edozi nchịkwa nke mpaghara na ngwọta nke novocaine (1-2%).
Mgbe usoro ahụ gasịrị, ị ga-edina na afo gị ma jide ọnọdụ a maka ihe dị ka awa 2. Mgbu na-egbu mgbu site na nhịahụ bụ mgbe 5-7 ụbọchị na-enweghị ọgwụgwọ pụrụ iche.
Ntughari maka ugbo ogwu
Emere ihe omume ahụ iji chọpụta ọrịa nke usoro nhụjuanya nke etiti:
- encephalitis ;
- neurosyphilis;
- meningitis;
- Neuroinfection nke dị iche iche;
- ọrịa na ọrịa na-ebute ọrịa;
- ọnọgha (subarachnoidal) gburugburu akpụkpọ ahụ nke ụbụrụ;
- Ọrịa Guillain-Barre;
- nkwupụta ụfụ nke usoro nhụjuanya dị n'etiti;
- otutu sclerosis ;
- ụbụrụ ọjọọ nke ụbụrụ na ụbụrụ.
A na-ejikwa nkwụsị akwara na-eji ọgwụ agwọ ọrịa eme ihe:
- ntinye ọgwụ ogwu na ọgwụ ogwu na-esi n'ime ya;
- belata nrụgide intracranial na hydrocephalus na-arịwanye elu nke na-aga n'ihu ma na-ebute ọbara ọbara na intracranial;
- ọnụ ọgụgụ buru ibu nke mkpụrụ mmiri cerebrospinal;
- mkpa ọ dị ịgwọ ọrịa nsị;
- nyochaa ihe mejupụtara na njupụta nke mmiri ọmụmụ ọka.
Nsogbu na ihe si na mgbagwoju anya
Mgbe onye ọkachamara na-enweghị uche na-eme usoro ahụ, akpụkpọ anụ epithelial nwere ike ịbanye n'ọkpụkpụ azụ. N'ihi nke a, post-puncture choleastom amalite.
Ọzọkwa, ụfọdụ ndị na-emesị na-eme ka isi ọwụwa, dizziness na ọgbụgbọ, jikọtara ya na vomiting. Mgbe ụfọdụ a na-agbakwụnye anụ ahụ na mpaghara nke ala na apata ụkwụ. Ngosipụta ọgwụ ndị dị otú ahụ anaghị eme ka ọgwụgwọ na-edozi ahụ, ha na-agafe onwe ha.