Pochita zachipatala, mphalapala kapena mphutsi yamtsempha imachitidwa pofuna kufotokozera matendawa, kufufuza chingwe chamtsempha kapena kuika mankhwala mmenemo. Ndondomekoyi imaonedwa kuti imakhala yochepa kwambiri ndipo imakhala ikuchitidwa pansi pa anesthesia.
Kuchita ndondomeko ya kupuma kwa msana
Kuponderezedwa kumachitidwa pokhala pansi kapena kumalo abodza, nthawi zambiri kumapeto. Miyendo ya wodwalayo iyenera kuyimitsidwa ndikuponyedwa m'mimba, ndipo kumbuyo kumakhala kozungulira. Kuti mumve mosavuta, mukhoza kugwirako mawondo anu ndi manja anu.
Kudya kwa cerebrospinal madzi kumapangidwa pakati pa 3 ndi 4 lumbar vertebrae pamtunda wa 4-7 masentimita, voliyumu yake imakwana 120 ml. Monga momwe singano imayikidwira, anesthesia ya kumidzi imayendetsedwa ndi yankho la novocaine (1-2%).
Pambuyo pa njirayi, muyenera kumagona m'mimba mwathu ndikugwira ntchitoyi kwa maola awiri. Kumva kupweteka chifukwa cha kusokoneza kumatha masiku 5-7 opanda mankhwala apadera.
Zisonyezo za kupuma kwa msana
Chochitikachi chakonzekera kuti apeze matenda a pakatikati a manjenje:
- encephalitis ;
- neurosyphilis;
- kupweteka;
- Zokwanira zosiyana siyana;
- matenda a fungal ndi mavairasi;
- kutaya magazi (subarachnoidal) kuzungulira nembanemba ya ubongo;
- Matenda a Guillain-Barre;
- zizindikiro zotupa za dongosolo lalikulu la mitsempha;
- multiple sclerosis ;
- zotupa zoipa za msana ndi ubongo.
Mphungu ya msana imagwiritsidwa ntchito pa mankhwala:
- kuyambitsa mankhwala osokoneza bongo ndi mankhwala a chemotherapeutic mu subshell;
- kuchepa kwa intracranial pressure ndi patsogolo normotensive hydrocephalus ndi intracranial matenda oopsa;
- kuchuluka kwa cerebrospinal fluid;
- kufunika kochita kupweteka kwa msana;
- kufufuza za chiwerengero ndi kuchuluka kwa cerebrospinal madzi.
Zovuta ndi zotsatira za kugwidwa kwa msana
Katswiri wina wosadziwa zambiri akamachita zimenezi, maselo a khungu amatha kulowa mu msana. Chifukwa chaichi, chimalachi chimayamba.
Komanso, anthu ena atatha kupweteka mutu, chizungulire ndi nseru, pamodzi ndi kusanza. Nthaŵi zina kugwilitsika khungu kwa khungu m'dera la kumbuyo ndi ntchafu kumaphatikizidwa. Mawonetseredwe oterewa samagwiritsanso ntchito mankhwala, iwo amadutsa okha.