Kuvhara kwemutsipa wepelinha (kuvhara kwechimbaridzo) ndeimwe yenzira dzakaoma uye dzinogadzirisa yekuongorora. Pasinei nezita racho, rwonzi rwomusana wega haruna kukanganiswa, asi cerebrospinal fluid (CSF) inotorwa. Iyo nzira inosanganisira imwe njodzi, naizvozvo inongororwa chete kana pane zvakanyanya kudiwa, muchipatara uye nyanzvi.
Sei uchifanira kutora chironga chemutsipa wepelinha?
Chirwere chemusana wecinara inowanzoshandiswa kuongorora zvirwere ( meningitis ), kutsanangura mararamiro emaronda, kuongorora sarachnoidal kubuda ropa, multiple sclerosis, kuratidza kuvhiringidza kweuropi nemutsipa wepelinha, kuenzana nekudzvinyirira kweperesipinal fluid. Chirongwa chinogona kuitwawo kuti chiitirwe mishonga kana kusiyana kwevhidhiyo mune chidzidzo che X-ray kuti chigadzirise chinonzi intervertebral discs .
Mutsara wechipfuva unotorwa sei?
Penguva iyo nzira, murwere anotora nzvimbo yakamira parutivi rwake, achipfugama namabvi ake mudumbu, uye chidimbu chake kuchipfuva chake. Iyi nzvimbo inokubvumira kuti uwedzere zvishoma zvinyorwa zve vertebrae uye uite kuti kupindira kwetsono. Gara munzvimbo yekuvhara iyo yakasvibiswa neinodine uye newaini. Ipapo shandisai anesthesia munharaunda ine anesthetic (kazhinji kavovocaine). Kuzadza anesthesia haisi kupa anesthetic, saka murwere anofanira kutanga atanga kune mamwe maonero asingafadzi kuitira kuti arambe asina kukwana.
Kupisa kunogadziriswa nemhando inokosha isina nhengo kusvika 6 centimita refu. Vanoita chiganda munzvimbo yakakura, kazhinji pakati pechitatu nechechina vertebrae, asi nguva dzose pasi pemutsipa wepelinha.
Mushure mokunge tanga tutsanga mumugero wepasipinha, chirwere chemvura chinotanga kubuda mukati maro. Kazhinji inenge 10 maminara emvura inonzi cerebrospinal fluid inodiwa pakudzidza. Uyewo panguva yekutora rwonzi rwomusana, kupera kwekupera kwayo kunofungidzirwa. Mune munhu ane hutano, cerebrospinal fluid yakajeka uye haina ruvara uye inoyerera pachiyero che-1 dhi pamusi wechipiri. Mukuda kwekumanikidzwa kukuru, mutengo wekubuda kwemvura inowedzera, uye unogona kuderera kunyange nechinangwa.
Mushure mokuwana ivhu rakadikanwa remvura inotsvaga kutsvakurudza, nheyo inobviswa, uye nzvimbo yekuvhara iyo yakasimbiswa nematare asina kuchena.
Migumisiro yomutsara wemutsara
Mushure mokutora kwemaawa maviri okutanga, murwere anofanira kurara pamusana wake, pamwero wepamusoro (pasina mutezo). Mumaawa makumi maviri anotevera haubvumirwi kutora chigaro uye chigaro.
Mune varwere vanoverengeka, mushure mokunge vapiwa mushonga wepelinha kuputika, kuora mwoyo, kurwadziwa kwemigraine-sekurwadziwa, kurwadziwa mumusana, kushaya simba kunogona kuitika. Kune varwere vakadai, chiremba anoenda kunorondedzera kurwadziwa kunorwadza uye zvinorwisa zvinodhaka zvinodhaka.
Kana kuvharwa kuchiitwa nenzira yakarurama, saka haitakure migumisiro yakaipa, uye zviratidzo zvisingafadzi zvinonyangarika nokukurumidza.
Ndeipi njodzi yekuputika kwemutsipa wepelinha?
Nzira yepelinha inoputika yakagadzirwa kwemakore anopfuura zana, varwere vanowanzova nechisarudzo pamusoro pechinangwa chayo. Ngatimbokurukurai zvakadzama, kana kuvharwa kwemutsipa wepelinha kune ngozi, uye chii chinogona kukonzera.
Chimwe chezvinyorwa zvinowanzozivikanwa - paunenge uchiita chivharo, muromo wepelinha unogona kukuvara uye kupora simba kunogona kuitika. Asi, sezvakataurwa pamusoro apa, kuvhara kwemavara kunowanikwa munharaunda yechipfuva, pasi pemutsipa wepelinha, uye naizvozvo haigoni kuigunzva.
Uyewo, mungozi yehutachiona inofunganya, asi kazhinji kuvhara kunoitwa pasi pemamiriro ezvinhu akaipa. Ngozi yehutachiwana munyaya iyi inenge 1: 1000.
Zvimwe zvinetso zvinogona kuitika mushure mekunge musana wechipfuva uchiputika unosanganisira njodzi yekubuda ropa (epidural hematoma), njodzi yekuwedzera kusagadzikana kwevanorwara vane zvirwere kana zvimwe zvirwere zveuropi, pamwe nehutachiona hwekuputika kwemutsipa.
Nokudaro, kana chiremba anokwanisa achiita mutsara wemutsara, iyo ngozi haigoni uye haipfuuri pangozi yebiopsy yenhengo chero ipi zvayo.