Binciken CSF

Binciken Cerebrospinal fluid (CSF) rukuni ne na gwaje-gwajen dakunan gwaje-gwaje waɗanda ke auna sinadarai a cikin ruwar sanyin jiki. CSF shine ruwa mai tsabta wanda ke kewaye da kare kwakwalwa da laka. Gwajin na iya neman sunadarai, sukari (glucose), da sauran abubuwa.

Ana buƙatar samfurin CSF. Hutun lumbar, wanda kuma ana kiransa da lakabin kashin baya, ita ce hanyar da aka fi dacewa don tara wannan samfurin. Ananan hanyoyi da yawa don ɗaukar samfurin ruwa sun haɗa da:

• Harshen wutar lantarki
• Cire CSF daga bututun da ya rigaya a cikin CSF, kamar shunt, magudanar iska, ko famfo mai zafi
• Ventricular huda

Bayan an dauki samfurin, ana tura shi zuwa dakin gwaje-gwaje don kimantawa.

Likitanku zai nemi ku yi kwance a ƙalla na awa ɗaya bayan hujin lumbar. Kuna iya samun ciwon kai bayan hujin lumbar. Idan hakan ta faru, shan abubuwan sha mai sha kamar kofi, shayi ko soda na iya taimakawa.

Mai ba ku kiwon lafiya zai gaya muku yadda za ku shirya don hujin lumbar.

Nazarin CSF na iya taimakawa gano wasu yanayi da cututtuka. Duk waɗannan masu zuwa na iya zama, amma ba koyaushe bane, ana auna su a cikin samfurin CSF:

• Antibodies da DNA na ƙwayoyin cuta gama gari
• Kwayar cuta (gami da abin da ke haifar da cutar sankara, ta amfani da gwajin VDRL)
• Countidayar salula
• Chloride
• Antigen na Cryptococcal
• Glucose
• Glutamine
• Lactate dehydrogenase
• Oligoclonal banding don neman takamaiman sunadarai
• Myelin na asali
  
• Jimlar furotin
• Ko akwai kwayoyin cutar kansa
• Matsalar buɗewa
  

Sakamako na al'ada sun haɗa da:

• Antibodies da DNA na ƙwayoyin cuta gama gari: Babu
• Kwayoyin cuta: Babu wata kwayar cuta da ke girma a cikin al'adun lab
• Kwayoyin Cansrous: Babu ƙwayoyin kansa masu cutar kansa
• Countidayar salula: ƙasa da fararen ƙwayoyin jini 5 (duk mononuclear) da 0 jajayen ƙwayoyin jini
• Chloride: 110 zuwa 125 mEq / L (110 zuwa 125 mmol / L)
• Naman gwari: Babu
• Glucose: 50 zuwa 80 mg / dL ko 2.77 zuwa 4.44 mmol / L (ko sama da kashi biyu bisa uku na matakin sukari na jini)
• Glutamine: 6 zuwa 15 mg / dL (410.5 zuwa 1,026 micromol / L)
• Lactate dehydrogenase: ƙasa da 40 U / L.
• Ligungiyoyin Oligoclonal: orungiyoyin 0 ko 1 waɗanda ba su a cikin samfurin magani wanda ya dace
• Protein: 15 zuwa 60 mg / dL (0.15 zuwa 0.6 g / L)
• Gwanin buɗewa: 90 zuwa 180? Mm na ruwa
• Myelin na asali mai gina jiki: Kasa da 4ng / mL

Jeri na darajar yau da kullun na iya ɗan bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka.

Misalan da ke sama suna nuna ma'aunai gama gari don sakamako ga waɗannan gwaje-gwajen. Wasu dakunan gwaje-gwaje suna amfani da ma'aunai daban-daban ko na iya gwada samfuran daban.

Sakamakon bincike na CSF mara kyau na iya zama saboda dalilai daban-daban, gami da:

• Ciwon daji
• Cutar Encephalitis (kamar Yammacin Nilu da Gabashin Equine)
• Ciwon hanta
• Kamuwa da cuta
• Kumburi
• Ciwan Reye
• Cutar sankarau saboda kwayoyin cuta, fungus, tarin fuka, ko kwayar cuta
• Mahara sclerosis (MS)
• Alzheimer cuta
• Amyotrophic na gefe sclerosis (ALS)
• Amintaccen Cerebrii
• Matsalar al'ada hydrocephalus

Nazarin ruwa mai kwakwalwa

• CSF sunadarai

Euerle BD. Raunin jijiyoyin jikin mutum da kuma gwajin ruwa na mahaifa. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: babi na 60.

Griggs RC, Jozefowicz RF, Aminoff MJ. Gabatarwa ga mai haƙuri da cutar neurologic. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, serous ruwan jiki, da madadin samfurori. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 29.

Rosenberg GA. Mawaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 88.