Na šta pacijenti treba da obrate pažnju prilikom lumbalne punkcije

Kod nekih tipova obolelih od leukemije, da bi se uočilo da li su ćelije leukemije infiltrirane u centralni nervni sistem i da bi se na vreme lečili ako zahvate centralni nervni sistem, treba im uraditi lumbalnu punkciju. Saradnja pacijenta je od velikog značaja za uspeh lumbalne punkcije. Pacijenti treba da obrate pažnju na sljedeće tačke kada rade lumbalnu punkciju:

(1) Don't be too nervous before doing lumbar puncture. The lumbar puncture operation simply inserts a very thin needle through the skin and muscle into the space between the vertebrae, and extracts a small amount of cerebrospinal fluid for biochemical and cytological examination. The main components of cerebrospinal fluid are inorganic salts and small amounts of sugars and proteins

, uzimanje tako male količine cerebrospinalne tečnosti neće imati nikakvog efekta na organizam. Hemoterapijski lijekovi se ponekad ubrizgavaju u cerebrospinalnu tekućinu u svrhu liječenja. Ovi lijekovi su odabrani unaprijed i općenito su lijekovi sa očiglednim efektima i manje nuspojava.

(2) The patient's body should be in a flexed position as much as possible during lumbar puncture. The knee joint is as close to the chest as possible to fully expose the space between the vertebrae so that the doctor can smoothly insert the needle. Once the lumbar puncture needle is inserted into the human body, the patient should try to avoid coughing and postural changes, so as to avoid discomfort caused by the displacement of the lumbar puncture needle and touching the paraspinal nerve.

(3) After the lumbar puncture, the patient should generally lie down for about 6 hours. The purpose of lying supine is to prevent the patient's headache due to changes in intracranial pressure after lumbar puncture.

In addition, the patient should keep the local skin clean and dry to prevent infection at the puncture site. As long as the patient can understand the above precautions and actively cooperate with the doctor, the lumbar puncture examination will not cause pain to the patient, nor will it affect the patient's body.

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