Kulawa da matsa lamba ta intracranial

Kulawar intracranial (ICP) tana amfani da na'urar da aka sanya a cikin kai. Mai saka idanu yana jin matsin lamba a cikin kwanyar kuma yana aika ma'auni zuwa na'urar rakodi.

Akwai hanyoyi guda uku don kula da ICP. ICP shine matsin lamba a kwanyar kai.

CATHETER INTRAVENTRICULAR

Maganin intraventricular shine mafi ƙarancin hanyar saka idanu.

Don saka bututun ƙarfe na intraventricular, ana huda rami ta cikin kwanyar. An saka catheter ta cikin kwakwalwa zuwa cikin gefen hagu. Wannan yanki na kwakwalwa yana dauke da sinadarin kwakwalwa (CSF). CSF wani ruwa ne wanda ke kare kwakwalwa da laka.

Hakanan za'a iya amfani da catheter na intraventricular don magudanar ruwa ta cikin catheter.

Catheter na iya zama da wahala a shiga cikin sa yayin da matsawar intracranial tayi yawa.

SUBDURAL SCREW (BOLT)

Ana amfani da wannan hanyar idan saka idanu yana buƙatar yin nan take. An saka dunƙulen rami ta ramin da aka huda a cikin kwanyar. Ana sanya shi ta cikin membrane wanda ke kare ƙwaƙwalwa da ƙashin baya (dura mater). Wannan yana bawa firikwensin damar yin rikodin daga cikin sararin samaniya.

EPIDURAL SENSOR

An saka firikwensin epidural tsakanin kwanyar da jijiyar jikin mutum. Ana sanya firikwensin epidural ta ramin da aka huda a cikin kwanyar. Wannan aikin ba shi da tasiri fiye da sauran hanyoyin, amma ba zai iya cire ƙari CSF ba.

Za a yi wa Lidocaine ko wani maganin sa maye a wurin da za a yi yankan. Da alama za ku sami maganin kwantar da hankali don taimaka muku shakatawa.

• Da farko an aske wurin kuma an tsabtace shi tare da maganin kashe kwayoyin cuta.
• Bayan yankin ya bushe, ana yin tiyata. Ana jan fatar baya har sai an ga kwanyar.
• Daga nan sai ayi amfani da rawar soja domin yankewa ta kashi.

Mafi yawan lokuta, ana yin wannan aikin yayin da mutum yake cikin ɓangaren kulawar gaggawa na asibiti. Idan kana farka kuma ka sani, mai ba ka kiwon lafiya zai yi bayanin hanya da kuma kasada. Dole ne ku sanya hannu a takardar izini.

Idan aka yi aikin ta amfani da maganin sa rigakafin gabaɗaya, za ku yi barci kuma ba za ku ji ciwo ba. Lokacin da kuka farka, zaku ji tasirin cutar maganin sa barci na yau da kullun. Hakanan zaka sami ɗan rashin kwanciyar hankali daga yankewar da akayi a kwanyar ka.

Idan aka yi aikin a karkashin maganin sa rigakafin cikin gida, za ku farka. Za a yi allurar maganin ƙyama a wurin da za a yi yankan. Wannan zai ji kamar naushi a fatar kan ku, kamar ƙudan zuma. Kuna iya jin motsa jiki yayin da aka yanke fata kuma aka ja da baya. Za ku ji sautin rawar soja yayin da yake yanke ta cikin kwanyar. Yawan lokacin da wannan zai dauka zai dogara ne akan nau'in rawar da ake amfani da shi. Hakanan zaku ji daɗa kamar yadda likitan likita yake satar fatar baya tare bayan aikin.

Mai ba ku sabis na iya ba ku magungunan sauƙi na sauƙi don sauƙaƙa damuwar ku. Ba zaku sami magungunan ciwo mai ƙarfi ba, saboda mai ba ku sabis zai so ya bincika alamun aikin kwakwalwa.

Ana yin wannan gwajin don auna ICP. Yana iya yi yayin da akwai mummunan rauni a kai ko cutar ƙwaƙwalwa / cuta. Hakanan za'a iya yin shi bayan tiyata don cire ƙari ko gyara lalacewar jijiyoyin jini idan likitan ya damu game da kumburin kwakwalwa.

Ana iya kula da babban ICP ta hanyar ɗora CSF ta cikin catheter. Hakanan za'a iya magance shi ta:

• Canza saitunan samun iska don mutanen da suke kan numfashi
• Bada wasu magunguna ta jijiyoyin jini (intravenously)

A yadda aka saba, ICP ya fito ne daga 1 zuwa 20 mm Hg.

Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka.

Babban ICP yana nufin cewa duka tsarin mai juyayi da ƙwayoyin jijiyoyin jini suna cikin matsi. Idan ba a magance shi ba, wannan na iya haifar da lahani na dindindin. A wasu lokuta, yana iya zama barazanar rai.

Risks daga hanya na iya haɗawa da:

• Zuban jini
• Herarfafawar ƙwaƙwalwa ko rauni daga ƙaruwar matsi
• Lalacewa ga ƙwanƙolin ƙwaƙwalwa
• Rashin iya nemo wajan kwakwalwa da sanya catheter
• Kamuwa da cuta
• Risks na maganin rigakafi na gaba ɗaya

Kulawar ICP; Kulawar matsa lamba na CSF

• Kulawa da matsa lamba ta intracranial

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Oddo M, Vincent J-L. Kulawa da matsa lamba ta intracranial. A cikin: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Littafin rubutu na Kulawa mai mahimmanci. 7th ed. Philadelphia, PA: Elsevier; 2017: chap E20.

Rabinstein AA, Fugate JE. Ka'idojin kulawa da rashin kulawa. 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 55.

Robba C. Kulawa da matsin lamba na cikin gida. A cikin: Prabhakar H, ed. Neuromonitoring Dabaru. 1st ed. Philadelphia, PA: Elsevier; 2018: babi na 1.