Na kaj morajo biti bolniki pozorni pri lumbalni punkciji

Pri nekaterih vrstah bolnikov z levkemijo, da bi opazili, ali so celice levkemije infiltrirane v osrednji živčni sistem in jih pravočasno pozdravili, če prizadenejo centralni živčni sistem, jim je treba narediti lumbalno punkcijo. Za uspeh lumbalne punkcije je zelo pomembno sodelovanje pacienta. Pri lumbalni punkciji morajo biti bolniki pozorni na naslednje točke:

(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

, zaužitje tako majhne količine cerebrospinalne tekočine ne bo vplivalo na telo. Zdravila za kemoterapijo se včasih vbrizgajo v cerebrospinalno tekočino z namenom zdravljenja. Ta zdravila so bila izbrana vnaprej in so na splošno zdravila z očitnimi učinki in manj stranskimi učinki.

(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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