So wosuro bere a wote akyi berɛmo mu tap ho asɛm no? Momma yensua nea Spinal Tap (Lumbar Puncture) yɛ ankasa!

So wo duruyɛfo aka akyerɛ wo anaa obi a wunim no sɛ ɔwɔ akyi berɛmo mu tap? Ɛyɛ ade a ɛfata sɛ nnipa pii suro kakra bere a wɔte din no. Ehu a yenya bere a yɛte asɛmfua "spinal tap" no yɛ nea ntease wom. Nanso dɛn ne no ankasa? Dɛn nti na wɔyɛ sɔhwɛ yi? So asiane wom ankasa? Mma ɛnhaw wo, yɛbɛka eyinom nyinaa ho asɛm pefee na ɛnyɛ den nnɛ.

Dɛn ne Akyi berɛmo mu Tap (Lumbar Puncture)?

Sɛ yɛbɛka no tiawa a, Spinal Tap yɛ sɔhwɛ titiriw bi a nnuruyɛfo yɛ. Wɔ eyi mu no, wɔde ade teateaa bi hyɛ yɛn akyi berɛmo no ase, sɛ yɛbɛka no pɛpɛɛpɛ a, wɔ asen mu, na wɔfa nsu titiriw bi a atwa yɛn amemene ne yɛn akyi berɛmo ho ahyia no ketewaa bi. Wɔfrɛ saa nsu yi Cerebrospinal Fluid (CSF) .

Fa no sɛ yɛn amemene ne akyi berɛmo a ɛwɔ akyi berɛmo no mu no yɛ akwaa abien a ɛyɛ mmerɛw yiye na ɛsom bo. Saa CSF nsu yi yɛ adwuma te sɛ ntama a ɛtwa akwaa yi ho hyia na ɛbɔ ho ban fi asiane ho. Sɛ yɛhwehwɛ saa nsu yi mu a, yebetumi ahu nyarewa pii a ɛwɔ yɛn Central Nervous System no mu ho nsɛm. Ɛno nti na ɛtɔ mmere bi a sɔhwɛ yi ho hia paa no.

Dɛn nti na ɛsɛ sɛ woyɛ sɔhwɛ yi?

Nneɛma pii nti na oduruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi. Nea enti titiriw ne sɛ wobeyi nneɛma afoforo a anibere wom a ɛde tebea bi te sɛ akisikuru ba no afi hɔ .

Sɛ nhwɛso no, sɛ obi renya akisikuru a, ɛho hia sɛ wɔhwehwɛ mu sɛ ebia nea ɛde ba no fi amemene mu yare bi anaa.

• Meningitis: Eyi yɛ ɔyare mmoawa a ɛba ntini a atwa amemene no ho ahyia no mu.
• Encephalitis : Eyi kyerɛ sɛ ɔyare mmoawa a ɛwɔ amemene no ankasa mu.

Ɔkwan pa a wobɛfa so ahu no yiye sɛ wowɔ saa ɔyare mmoawa yi ne sɛ wobɛsɔ CSF nsu no ahwɛ.

Ntease afoforo a ɛka sɔhwɛ ho

Wɔ CSF nsu a wɔhwehwɛ mu akyi no, wobetumi ayɛ akyi berɛmo mu tap esiane nneɛma afoforo pii nti.

• Susuw nhyɛso a atwa amemene ne akyi berɛmo no ho ahyia no.
• Tew nhyɛso a ɛboro so a ɛwɔ ti no mu no so.
• Fa nnuru gu mu na ama akyi berɛmo no ayɛ mmerɛw (Spinal Anesthesia).
• Fa aduru titiriw bi hyɛ mu ansa na woayɛ nhwehwɛmu te sɛ X-ray.
• Sɛ nhwɛso no, nnuru biFa wɔn, te sɛ Baclofen, kɔ akyi berɛmo no mu tẽẽ.

Dɛn na ɛba ansa na sɔhwɛ no aba ne bere a wɔreyɛ sɔhwɛ no?

Sɛ wuhu nea ɛbɛba ansa na sɔhwɛ yi aba ne bere a woreyɛ saa a, ɛbɛboa kɛse ma wo suro no so atew.

Sɛnea wobesiesie wɔn ho ama sɔhwɛ no

• Adidi ne anonne: Mpɛn pii no, ɛho nhia sɛ wugyae adidi ne anom ansa na wɔayɛ nhwehwɛmu yi, nanso di wo duruyɛfo akwankyerɛ akyi.
• Nnuru a worenom: Sɛ worenom nnuru a ɛma mogya yɛ mmerɛw (sɛ nhwɛso no, Aspirin, Clopidogrel) anaa nnuru foforo biara a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo . Ebia wɔbɛka akyerɛ wo sɛ gyae wɔn nom nna kakraa bi ansa na wɔayɛ sɔhwɛ no.
• Allergies: Sɛ wowɔ allergy biara wɔ latex anaa nnuru foforo biara ho a, yɛsrɛ sɛ di kan ma yɛnhu.
• Kar: Esiane sɛ ɛnyɛ papa sɛ wobɛka kar tẽẽ wɔ sɔhwɛ no akyi nti, eye na ahobammɔ wom sɛ wobɛma obi de wo akɔ fie.

Sɛnea wɔyɛ sɔhwɛ no anammɔn biara

Wɔyɛ eyi denam mpa a wɔma woda mpa so wɔ ward anaa dan titiriw bi mu no so.

1. Gyinabea: Wɔbɛka akyerɛ wo sɛ da wo nkyɛn wɔ mpa no so, na wo nkotodwe bɛn wo moma so sɛnea wubetumi, na wo hwene bɛhyɛ mu, woabɔ wo ho ban te sɛ bɔɔl ketewaa bi. Anaasɛ, wɔbɛka akyerɛ wo sɛ fa wo ho to w’anim wɔ pon bi so. Saa gyinabea yi ma baabi a ɛda w’akyi berɛmo no akyi berɛmo ntam no yɛ kɛse, na ɛma ɛyɛ mmerɛw sɛ wode ade no bɛhyɛ mu.

2. Ahotew: Afei, oduruyɛfo anaa ɔyarehwɛfo no de aduru a ekum ɔyare mmoawa bɛhohoro w’akyi fam yiye.

3. Ayɛ a ɛyɛ mmerɛw: Afei, wɔde aduru ketewaa bi (aduru a wɔde kum nipadua no) gu baabi a wɔde ade no guu mu de ma ɛyɛ mmerɛw. Ebia wobɛte nka sɛ wo ho ayɛ wo hyew kakra wɔ saa bere yi mu. Bere bi akyi no, beae no bɛyɛ mmerɛw koraa.

4. Ade a wɔde hyɛ mu: Bere a wɔayɛ no mmerɛw akyi no, wɔde ade a ɛyɛ tratraa yiye a ɛyɛ tokuru hyɛ akyi berɛmo no akyi akyi berɛmo a ɛwɔ fam no abien ntam. Saa bere yi de, ebia wobɛte nhyɛso kakra nka. Nea ɛho hia sen biara ne sɛ saa ade yi mmɔ akyi berɛmo a ɛwɔ akyi berɛmo no mu no. Mma ɛno nhaw wo ho koraa. Akyi berɛmo no wɔ soro sen saa koraa.

5. Aspiration: Sɛ ade no si baabi a, wɔde nkakrankakra boaboa CSF nsu no ano nsu a ɛtɔ gu fam. Eyi gye simma kakraa bi. Worente ɛyaw biara nka wɔ saa bere yi mu.

6. Nea wɔde wie: Sɛ wɔnom nsu dodow a wɔhwehwɛ wie a, woyi ade no na wɔde plaster ketewaa bi gu beae no.

Dɛn na woyɛ wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ nhwehwɛmu no wie a, wɔde wo bɛto nnuruyɛfo a wɔhwɛ wo so nnɔnhwerew kakraa bi. Ansa na wobɛkɔ fie no, ɔyarehwɛfo bi bɛma wo akwankyerɛ a wɔakyerɛw a ɛsɛ sɛ wudi akyi wɔ fie.

Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?

Ɛwom sɛ eyi yɛ sɔhwɛ a ahobammɔ wom wɔ nsɛm dodow no ara mu de, nanso ɛtɔ mmere bi a ɔhaw nketenkete betumi aba.

• Tiyɛ: Eyi ne ɔhaw a ɛtaa ba. Nnipa bɛyɛ 10% - 20% betumi anya tiyɛ. Eyi yɛ bɔne kɛse bere a wogyina hɔ anaa woda fam no. Ɛtew bere a ɔda fam no.
• Nyarewa: Asiane a ɛwɔ hɔ sɛ obi benya ɔyare no sua koraa efisɛ wɔyɛ eyi wɔ ɔkwan a ɛho tew yiye a mmoawa nnim so.
• Mogya a ɛretu: Ɛtɔ mmere bi a, mogya ntini ketewaa bi betumi apira bere a wɔde ade no hyɛ mu no. Sɛ eyi ba a, mogya kakra betumi atu, nanso enhia ayaresa titiriw biara.
• Ɛyaw: Mpɛn pii no ɛnyɛ yaw, nanso sɛ stinger no ka ntini bi a, ebia wobɛte ɛyaw bere tiaa bi a ɛte sɛ anyinam ahoɔden.

Nneɛma a ɛsɛ sɛ wohwɛ so bere a worekɔ fie no

• Sɛ woyɛ nhwehwɛmu wie a , da fam sɛnea wubetumi biara kosi sɛ oduruyɛfo no bɛka akyerɛ wo.
• Kwati sɛ wobɛteɛteɛ w’apɔw mu anaasɛ wobɛma nneɛma a emu yɛ duru so da koro anaa nnanu.
• Nom nsu pii te sɛ nsu ne nnuaba mu nsu. Sɛ wonom bɛyɛ lita 2.5 da biara a, ɛbɛboa ma woasiw tiyɛ ano.
• Sɛ wo ti yɛ wo yaw a, da fam sɛnea wubetumi biara na nom nsu. Nanso sɛ tiyɛ no kyɛ bɛboro nnansa anaa nnansa a, frɛ wo duruyɛfo.

Ebia ebegye da koro anaa dapɛn biako mpo ansa na sɔhwɛ no aba (amanneɛbɔ ahorow) aba. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo.