Tlhahlobo ea CSF

Tlhahlobo ea Cerebrospinal fluid (CSF) ke sehlopha sa liteko tsa laboratori tse lekanyang lik'hemik'hale ka mokelikeli oa cerebrospinal. CSF ke mokelikeli o hlakileng o pota-potileng le ho sireletsa boko le mokokotlo. Liteko li ka sheba liprotheine, tsoekere (tsoekere) le lintho tse ling.

Mohlala oa CSF oa hlokahala. Ho phunya lumbar, eo hape e bitsoang pompong ea mokokotlo, ke eona tsela e atileng haholo ea ho bokella sampole ena. Mekhoa e sa tloaelehang ea ho nka sampole ea mokelikeli e kenyelletsa:

• Ho phunngoa ha seliba
• Ho tlosoa ha CSF pompong e seng e ntse e le CSF, joalo ka pompo ea shunt, ventricular, kapa pompo ea bohloko
• Pente ea moea

Kamora hore sampole e nkuoe, e romelloa laboratoring bakeng sa tlhahlobo.

Ngaka ea hau e tla u kopa hore u robale fatše bonyane hora e le 'ngoe ka mor'a ho phunya lumbar. U ka ba le hlooho e opang kamora ho hlaba lumbar. Haeba ho etsahala, ho noa lino tse nang le k'hafeine tse kang kofi, tee kapa soda ho ka thusa.

Mofani oa hao oa tlhokomelo ea bophelo o tla u joetsa mokhoa oa ho itokisetsa ho koaloa lumbar.

Tlhatlhobo ea CSF e ka thusa ho fumana maemo le mafu a itseng. Tsena tsohle tse latelang li ka lekanyetsoa ka sampole ea CSF, empa ha se kamehla.

• Masole a mmele le DNA ya divaerase tse tlwaelehileng
• Bacteria (ho kenyelletsa le e bakang syphilis, o sebelisa tlhahlobo ea VDRL)
• Palo ea sele
• Chloride
• Antigen ea Cryptococcal
• Tsoekere
• Glutamine
• Lactate dehydrogenase
• Sehlopha sa Oligoclonal ho batla liprotheine tse itseng
• Myelin protheine ea mantlha
  
• Kakaretso ea protheine
• Hore na ho na le lisele tse nang le mofetše tse teng
• Khatello ea ho qala
  

Liphetho tse tloaelehileng li kenyelletsa:

• Masole a mmele le DNA ya divaerase tse tlwaelehileng: Ha ho letho
• Bacteria: Ha ho libaktheria tse holang moetlong oa laboraka
• Lisele tsa mofetše: Ha ho lisele tse nang le mofetše tse teng
• Palo ea lisele: lisele tse tšoeu tsa mali tse ka tlase ho 5 (kaofela mononuclear) le lisele tse khubelu tsa mali tse 0
• Chloride: 110 ho isa ho 125 mEq / L (110 ho isa ho 125 mmol / L)
• Fungus: Ha e eo
• Glucose: 50 ho isa ho 80 mg / dL kapa 2.77 ho ea ho 4.44 mmol / L (kapa ho feta karolo ea bobeli borarong ea tsoekere ea mali)
• Glutamine: 6 ho isa ho 15 mg / dL (410.5 ho isa ho 1,026 micromol / L)
• Lactate dehydrogenase: ka tlase ho 40 U / L.
• Lihlopha tsa Oligoclonal: lihlopha tse 0 kapa tse 1 tse seng ka har'a sampole e tšoanang ea serum
• Liprotheine: 15 ho isa ho 60 mg / dL (0.15 ho ea ho 0.6 g / L)
• Khatello ea ho qala: 90 ho isa ho 180? Mm ea metsi
• Myelin protheine ea mantlha: Ka tlase ho 4ng / mL

Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.

Mehlala e kaholimo e bonts'a litekanyo tse tloaelehileng bakeng sa liphetho bakeng sa liteko tsena. Li laboratori tse ling li sebelisa litekanyo tse fapaneng kapa li ka leka mefuta e fapaneng.

Sephetho se sa tloaelehang sa tlhahlobo ea CSF se ka bakoa ke lisosa tse ngata tse fapaneng, ho kenyelletsa:

• Kankere
• Encephalitis (joalo ka West Nile le Eastern Equine)
• Boloetse ba lefu la sebete
• Tšoaetso
• Ho ruruha
• Lefu la Reye
• Meningitis ka lebaka la baktheria, fungus, lefuba kapa vaerase
• Multiple sclerosis (MS)
• Lefu la Alzheimer
• Amyotrophic lateral sclerosis (ALS)
• Pseudotumor Cerebrii
• Khatello e tloaelehileng ea hydrocephalus

Tlhahlobo ea mokelikeli oa cerebrospinal

• Khemistri ea CSF

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Griggs RC, Jozefowicz RF, Aminoff MJ. Atamela mokuli ea nang le lefu la methapo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, maro a 'mele oa serous le mefuta e meng. Ka: McPherson RA, Pincus MR, bahlophisi. Henry's Clinical Diagnosis le Tsamaiso ka Mekhoa ea Laboraro. La bo23 la ed. St Louis, MO: Elsevier; 2017: khaolo ea 29.

Rosenberg GA. Edema ea boko le mathata a tsamaiso ea mokelikeli oa cerebrospinal. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 88.