Iloiloga CSF

Cerebrospinal suavai (CSF) auiliiliga o se vaega o suʻesuʻega falesuesue e fua vailaʻau i le cerebrospinal suavai. O le CSF o se vai manino e faʻataʻamiloina ma puipuia le faiʻai ma le uaula. E ono suʻesuʻe suʻega mo polotini, suka (suka), ma isi vailaʻau.

O se faʻataʻitaʻiga o le CSF e manaʻomia. O le lumbar puncture, e taʻua foi o le tapu, o le auala sili ona taatele e aoina ai lenei faʻataʻitaʻiga. Laʻititi masani auala e ave ai se suavai faʻataʻitaʻiga aofia ai:

• Tui Cisternal
• Aveʻesea o CSF ​​mai se paipa ua uma ona i totonu o le CSF, e pei o le shunt, ventricular alavai, poʻo pamu pamu
• Tui o le veni

A maeʻa ona ave le faʻataʻitaʻiga, ona lafo atu lea i le fale suesue mo le iloiloga.

O le a fai atu lau fomaʻi e te taʻoto faʻatasi mo le itiiti ifo ma le tasi le itula pe a uma le tui o le lumbar. Oe ono mafai ona tupu se ulu i le maeʻa o le lumbar puncture. A tupu, e mafai ona fesoasoani le inuina o mea inu e pei o le kofe, ti poʻo le soda.

O le a taʻu atu e lau tausi soifua maloloina ia te oe pe faʻapefea ona e sauniuni mo le tui o le lumbar.

O le suʻesuʻeina ole CSF e mafai ona fesoasoani e faʻatulaga ni tulaga ma faʻamaʻi. O mea uma e mafai ona i ai, ae le masani, fuaina i se faʻataʻitaʻiga o le CSF:

• Antibodies ma DNA o siama masani
• Siama (aofia ai ma le mea e mafua ai syphilis, faʻaaogaina o le VDRL suʻega)
• Faitauga o sela
• Chloride
• Cryptococcal antigen
• Kulukose
• Glutamine
• Lactate dehydrogenase
• Oligoclonal banding e vaʻai mo ni polotini
• Myelin faavae polotini
  
• Aofai porotini
• Pe i ai ni kanesa sela o iai
• Uunaiga amata
  

Iʻuga masani e aofia ai:

• Antibodies ma DNA o siama masani: Leai
• Siama: Leai ni siama e tupu i se fale aʻoga
• Sela kanesa: Leai ni kanesa kanesa o iai
• Fuafua numera: itiiti ifo i le 5 papaʻe toto sela (uma mononuclear) ma 0 mumu toto sela
• Chloride: 110 i le 125 mEq / L (110 i le 125 mmol / L)
• Fungus: Leai
• Glucose: 50 i le 80 mg / dL poʻo le 2.77 i le 4.44 mmol / L (pe sili atu i le lua vaetolu o le suka suka i le toto)
• Glutamine: 6 i le 15 mg / dL (410.5 i le 1,026 micromol / L)
• Lactate dehydrogenase: itiiti ifo i le 40 U / L
• Oligoclonal fusi: 0 pe 1 fusi e le o iai i se faʻataʻitaʻiga serum faʻataʻitaʻiga
• Polotini: 15 i le 60 mg / dL (0.15 i le 0.6 g / L)
• Uunaiga amata: 90 i le 180? Mm o le vai
• Myelin faavae porotini: Laititi atu i le 4ng / mL

E masani ona fesuisuiaʻi vaega eseese o tau masani ile falefaigaluega eseese. Talanoa i lau tautua e uiga i le uiga o au faʻapitoa suʻega iʻuga.

O faʻataʻitaʻiga i luga atu o loʻo faʻaalia ai fuataga masani mo iʻuga mo nei suʻega. O nisi potu suesue e faʻaaoga eseese fuataga pe ono suʻesuʻeina faʻataʻitaʻi eseese.

O se faʻaletonu CSF auiliiliga iʻuga ono mafua mai i le tele o mafuaʻaga eseese, aofia ai:

• Kanesa
• Encephalitis (pei o West Nile ma East Equine)
• Hepatic encephalopathy
• Siama
• Fula
• Reye syndrome
• Meningitis e mafua mai siama, fungus, tuberculosis, po o se siama
• Tele sclerosis (MS)
• Faamai Alzheimer
• Amyotrophic lateral sclerosis (ALS)
• Pseudotumor Cerebrii
• Faʻamalosi paʻu masani hydrocephalus

Cerebrospinal suavai suʻesuʻega

• Kemisi CSF

Euerle BD. Toso tuga ma tui cerebrospinal suavai suʻesuʻega. I totonu: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts ma Hedges 'Taualumaga Togafitiga i Faʻafuaseʻi Faʻafomaʻi ma Togafitiga. 7th ed. Filatelefia, PA: Elsevier; 2019: chap 60.

Griggs RC, Jozefowicz RF, Aminoff MJ. Faʻalatalata i le tagata maʻi ma faʻamaʻi neurologic. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 25th lomiga. Filatelefaia, PA: Elsevier Saunders; 2016: mata 396.

Karcher DS, McPherson RA. Cerebrospinal, synovial, serous tino o le vai, ma isi faʻataʻitaʻiga. I totonu: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management e le Laboratory Metotia. 23rd ed. St Louis, MO: Elsevier; 2017: mata 29.

Rosenberg GA. O le edema o le faiʻai ma faʻafitauli o le faʻasalalauina o le suavai o le cerebrospinal. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 88.