Aia kekahi wai e like me ka wai e kahe ana mai kou poʻo a i ʻole kou kua? He kahe wai cerebrospinal (CSF leak) anei kēia?

I kekahi manawa, loaʻa iā ʻoe kahi wai moakaka e like me ka wai e kahe ana mai kou ihu? A i ʻole he ʻeha poʻo kou e kū mai ana i kou kū ʻana, e hoʻokiʻekiʻe i kou poʻo, a e moe paha? Manaʻo paha ʻoe he anu maʻamau wale nō kēia a i ʻole kekahi mea ʻē aʻe. Eia nō naʻe, i kekahi manawa he mea kēia e hopohopo ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kūlana e hiki ai ke hana i nā hōʻailona like, akā ʻaʻole maʻamau loa, akā he mea nui loa ia e makaʻala. ʻO ia ka leaka wai cerebrospinal , a i ʻole e like me ke kapa ʻana o nā kauka (Cerebrospinal Fluid Leak) , a i ʻole (CSF Leak) no ka pōkole.

He aha ka wai cerebrospinal (CSF)? No ke aha e liki ai?

I ka ʻōlelo maʻalahi, ʻo ka wai cerebrospinal, a i ʻole CSF, he wai kūikawā ia e hoʻopuni ana a pale i ko mākou lolo a me ke kaula spinal . He moakāka ia e like me ka wai. He nui nā hana nui a ka CSF:

1. Hoʻouluulu: Aia i loko o kēia wai nā meaolaola e pono ai ko kākou lolo.

2. Ke hāʻawi nei i ka palekana: E like me nā mea hoʻopau haʻalulu o ke kaʻa, pale kēia wai i ko mākou lolo a me ke kaula iwi kuamoʻo mai ka pōʻino i hana ʻia e nā haʻalulu a me nā haʻalulu. Hāʻawi pū ia i kahi waena no ka lolo e lana ai.

E noʻonoʻo i kēia ʻano. He aha ka mea e hana ʻia inā hoʻokomo mākou i kahi hua waina i loko o kahi ʻōmole aniani a lūlū ikaika? Hiki i ka hua waina ke kuʻi ʻia, kuʻi ʻia, ʻeā? ʻO ia ka mea e hana ʻia i ko mākou lolo me ka ʻole o CSF. Eia naʻe, inā hoʻopiha mākou i kēlā ʻōmole me ka wai, hoʻokomo i ka hua waina i loko, a lūlū, e hoʻoluliluli ka wai i ka hua waina me ka ikaika, no laila ʻaʻole ia e hōʻeha nui. Pēlā ka pale ʻana o CSF ​​i ko mākou lolo.

No laila, ʻo kēia (CSF) e kahe ana mai kahi e pono ai ua kapa ʻia ʻo (CSF Leak) . Inā nui kēia leak, hiki iā ia ke hōʻeha i nā hōʻailona koʻikoʻi. Hiki iā ia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi (CSF Leak)?

ʻOiai hiki ke ulu kēia i loko o kekahi, ʻoi aku ka maʻalahi o kekahi poʻe i ia.

• ʻO ka poʻe ma luna o 30 mau makahiki, ʻoi aku hoʻi ma kahi o 42 mau makahiki, ʻoi aku ka nui o ka ʻike ʻana i nā leaka CSF kūlohelohe me ke kumu ʻole.
• ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine ma mua o nā kāne.

He maʻi maʻamau anei ka CSF Leak?

ʻO ka ʻoiaʻiʻo, ʻo ka leaka CSF ke kumu o ka emi ʻana o ke kaomi wai i loko o ke poʻo. Ua kapa ʻia kēia ʻo Intracranial Hypotension . ʻO "Intracranial" ke ʻano "i loko o ke poʻo," a ʻo "Hypotension" ke ʻano "haʻahaʻa ma mua o ke kaomi maʻamau." ʻO kēia kūlana, i kapa ʻia ʻo Intracranial Hypotension, he kūlana kakaikahi. Loaʻa ia ma kahi o 5 o 100,000 mau kānaka.

Eia nō naʻe, manaʻoʻiʻo nā loea he ʻoi aku ka maʻamau o nā leaka CSF . ʻO ke kumu o kēia, he paʻakikī ke ʻike. I kekahi manawa, kuhihewa nā kauka iā lākou no nā kūlana ʻē aʻe, e like me ka migraines .Hiki ke kuhihewa ʻia nā maʻi sinus no nā allergies .

Pehea ka hopena o kēia maʻi i koʻu kino?

Ke kahe ka CSF, emi ka nui o ke wai a puni ka lolo. Hoʻemi kēia i ka pale a me ka lana ʻana o ka lolo.

• Inā liʻiliʻi ka leaka , ʻaʻole paha ʻoe e ʻike nui i ka ʻokoʻa. A i ʻole, loaʻa paha iā ʻoe nā hōʻailona akā manaʻo he mea ʻē aʻe lākou.
• Eia nō naʻe, inā nui ka leaka , e hoʻoulu ai i ka hypotension intracranial, e hoʻomaka ana kou lolo e piholo i lalo i loko o kou iwi poʻo. Hoʻokau kēia i ke kaomi pono ʻole ma nā ʻāpana haʻahaʻa o kou lolo. Hiki i kēia ke hoʻopilikia i ka hana o kēlā mau ʻāpana, e hana ana i nā hōʻailona e hiki ke ʻano mai nā hōʻailona liʻiliʻi, ʻike ʻole ʻia a hiki i nā hōʻailona koʻikoʻi, hiki ʻole ke hoʻomanawanui.

He aha nā hōʻailona o ka CSF Leak?

Inā liʻiliʻi ka leaka, ʻaʻohe ou hōʻailona. A i ʻole, manaʻo paha ʻoe he mea ʻē aʻe ia. Akā inā nui ka leaka a hoʻoulu i ke kaomi haʻahaʻa i loko o ka lolo (intracranial hypotension), e hoʻomaka ʻoe e ʻike i nā hōʻailona.

ʻO ka hōʻailona nui a maʻamau ka ʻeha poʻo postural.

Eia ka mea e hana ʻia:

• E ʻoi aku ka ʻino o kou ʻeha ke kū ʻoe a noho paha .
• Ke hilinaʻi ʻoe a moe paha i lalo, e emi ana ke poʻo a nalo loa paha.

ʻOkoʻa nā hōʻailona ma muli o ka wahi o ka leaka.

Hiki ke ʻokoʻa kekahi mau hōʻailona ma muli o kahi o ka leaka. ʻO nā wahi nui ʻelua e hiki ai i ka wai cerebrospinal (CSF) ke leaka ʻo kou sinuses a me kou ihu . ʻO kēlā me kēia ʻano, hiki iā ʻoe ke loaʻa kahi kahe wai maopopo mai kou ihu (rhinorrhea) . ʻAʻole kēia he anu maʻamau. ʻElua ʻano o ia mea:

1. Inā ʻoe e holoi i kou ihu me kahi ʻili pepa, ke maloʻo ka mucus maʻamau, lilo ka ʻiʻo i mea ʻāwili a paʻakikī . Akā ke maloʻo (CSF), ʻaʻole e lilo ka ʻiʻo i kēlā ʻano .

2. Hiki ke puka mai kēia kahe ihu i kekahi manawa i nā kūlana kikoʻī. Eia kekahi laʻana, ke kūlou ʻoe i mua, hāpai i kahi mea mai ka papahele, a nakinaki paha i kou mau kaula kāmaʻa .

ʻO kekahi wahi e hiki ai i ka leakage CSF ke hoʻoulu i nā hōʻailona ma nā pepeiao . ʻO ka wai maopopo e kahe ana mai ka pepeiao (Otorrhea) he hōʻailona nō hoʻi ia o ka leakage CSF. Eia nō naʻe, ʻaʻole hiki ke hana ʻia kēia. No ka hana ʻana i kēia, pono nō hoʻi ʻoe i kahi lua i loko o kou eardrum (Tympanic Membrane) .

Nā hōʻailona ʻē aʻe e hiki ke kū mai me ka CSF Leak

• Nalowale o ke ʻala (Anosmia): Hana pinepine kēia i ka wā e kahe ana ka wai cerebrospinal (CSF) ma muli o kahi ʻeha o ka maka.
• ʻIke pōwehiwehi a ʻike pālua paha (Diplopia): Hiki ke hana kēia ma muli o ke kaomi ʻana ma luna o nā aʻalolo o ka maka ke iho ka lolo.
• Nā loli o ka lohe a i ʻole ka nalowale o ka lohe: E like me ka mea i ʻōlelo ʻia ma luna, hiki ke hana ʻia kēia e ke kaomi ʻana ma nā aʻalolo e pili ana i nā pepeiao i ka wā e hoʻololi ai i nā kūlana.
• Pulsatile Tinnitus: Ke lohe ʻana i ke kani o ka puʻuwai ponoʻī me ka ʻole o nā mea kani.
• Nā hopu ʻana: ʻOi aku ka nui o kēia mau mea me kahi kahe nui (CSF) a i ʻole ke kūlana koʻikoʻi (Intracranial Hypotension).
• ʻEha a me ka ʻoʻoleʻa o ka ʻāʻī.
• ʻAʻohe ʻono o ka meaʻai.
• ʻEha ke poʻo: I kekahi manawa hiki ke koʻikoʻi loa kēia a hiki ʻole ke hoʻomanawanui.
• Ka poniuniu a i ʻole ka manaʻo o ka wili ʻana a puni ʻoe (Vertigo).
• Ka luaʻi a me ka luaʻi.
• Photophobia (hiki ʻole ke nānā aku i ka mālamalama).
• Nā pilikia kaulike a me ke ʻano hele wāwae i ka wā e hele ana.

He aha nā kumu o ka CSF Leak?

Wahi a nā loea, ma kahi o 90% o nā leaka CSF i hana ʻia e nā ʻeha . ʻO ke koena 10% e hana kūʻokoʻa a i ʻole no nā kumu i ʻike ʻole ʻia.

Nā Leaks CSF i hoʻokumu ʻia e ka ʻeha

Hiki ke loaʻa nā leaka CSF ma muli o nā ʻeha like ʻole. Nā laʻana:

• ʻO nā ʻeha ma ka maka, ke poʻo, ka ʻāʻī, a i ʻole ka iwi kuamoʻo: ʻO nā hiʻohiʻona maʻamau e pili ana i nā ulia kaʻa. ʻO nā ʻeha ma ka ihu, nā sinuses, nā pepeiao, ma hope o nā pepeiao, a ma lalo paha o ke poʻo ke kumu o kēia. Hiki i ka whiplash ke hana i kahi kahe o ka wai cerebrospinal (CSF) a puni ke kaula spinal.
• Nā ʻeha komo: e like me ke kuʻi ʻana me ka pahi, ke kī ʻia ʻana.
• Nā ʻeha i hana ʻia e ke ʻoki lolo.
• Nā ʻeha i hoʻokumu ʻia e nā lāʻau lapaʻau e pili ana i ka ʻāʻī, ka pepeiao, a me ka ihu (nā kaʻina hana ENT).
• Nā lāʻau lapaʻau e pili ana i ka iwi kuamoʻo: No ka laʻana, i ka wā e hāʻawi ana i ka anesthesia epidural , e hana ana i ka lumbar puncture , a i ʻole ka lawe ʻana i ka wai mai ka iwi kuamoʻo (spinal tap) .

Nā kumu ʻē aʻe ʻaʻole he mau ʻeha

Ma kahi o 10% o nā hihia, ʻaʻole ʻike ʻia ke kumu kikoʻī o nā leaka CSF. Eia nō naʻe, ua ʻike nā loea ua pili kēia pilikia me kekahi mau kūlana olakino ʻē aʻe. ʻAʻole maopopo loa inā paha ke kumu o kēia mau kūlana i nā leaka CSF, akā ke hana ʻia nei ka noiʻi e pili ana i kēia.

• Nā maʻi pili o nā ʻiʻo e hoʻonāwaliwali i nā papa o nā ʻiʻo e paʻa ana i ka CSF: No ka laʻana, nā kūlana e like me Marfan Syndrome a me Ehlers-Danlos Syndrome .
• Hoʻonui ʻia ke kaomi i loko o ke poʻo (Intracranial Hypertension): Hiki i kēia ke hana i nā ʻiʻo a puni e haehae a hana i kahi liki.
• ʻO ka Pseudotumor Cerebri.
• Momona: ʻOi loa aku ka momona nui.
• Nā kīnā kūkulu hānau ʻia a i ʻole nā ​​kīnā i loaʻa i ke ʻano o ka hana ʻia ʻana o ka ihu, nā sinuses, a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke poʻo.

He maʻi lele anei kēia?

ʻAʻole. ʻAʻole he maʻi lele (CSF Leak).ʻAʻole hiki iā ʻoe ke hoʻolaha i kēia i kekahi, ʻaʻole hoʻi hiki iā ʻoe ke hoʻolaha aku i kekahi.

Pehea e ʻike ai nā kauka i kēia?

Hiki i ke kauka ke ʻike i kahi leaka CSF ma ka hana ʻana i kahi hoʻokolokolo kino, e nīnau e pili ana i kāu mau hōʻailona, ​​a e nīnau e pili ana i kou mōʻaukala olakino a me nā kūlana o kēia manawa. Hiki iā lākou ke hoʻohana i nā hoʻokolohua lab like ʻole a me nā scan kiʻi e hōʻoia a kāpae paha i kahi leaka CSF.

ʻO ke ʻano o nā hoʻokolohua āu e hana ai e hilinaʻi ia i kahi āu e manaʻo ai he leaka a inā he mau ʻeha mua kou (kahiko a hou paha).

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?

Aia kekahi mau hoʻokolohua e hiki ke hoʻohana ʻia e ʻike i kahi leaka CSF. ʻO ka hapa nui o kēia mau mea he mau hoʻokolohua kiʻi. ʻAe kēia i nā kauka e nānā i loko o kou poʻo a me kou iwi kuamoʻo e ʻike i kahi o ka leaka a me kekahi pōʻino e hiki ke hoʻokumu.

• Hoʻāʻo wai: Inā loaʻa iā ʻoe nā hōʻailona o ka ihu wai (ʻoi aku hoʻi mai ka ihu), makemake paha kāu kauka e hoʻāʻo i ka wai. ʻO ka hoʻāʻo nui no kēia ʻo ia ka hoʻāʻo beta-2 transferrin . Ke nānā nei kēia i kahi protein i kapa ʻia ʻo tau , aia i loko o ka CSF akā ʻaʻole i loko o nā huna ihu. ʻO kekahi hoʻāʻo e hana ʻia he hoʻāʻo glucose . ʻO kēia no ka mea ua like ka nui o ka glucose i loko o ka CSF me ka nui i loko o ke koko. Eia nō naʻe, haʻahaʻa loa ka nui o ka glucose i loko o nā huna ihu, a ʻaʻohe paha.

• Nā hoʻokolohua kiʻi a me nā hōʻoia diagnostics:
• Nā scan CT (Tomography Kamepiula)
• Nā scan MRI (Magnetic Resonance Imaging)
• ʻO ka Angiography Hoʻemi Kikohoʻe
• ʻO ka Myelography ( kahi X-ray e hoʻohana ana i kahi dye e hoʻokomo i ke kaula spinal)
• Cisternography ( kahi scan e nānā i nā ala o CSF)
• Lumbar Puncture / Spinal Tap: Eia nō naʻe, ʻaʻole kēia ka hoʻāʻo mua e hana ʻia ke manaʻo ʻia he CSF Leak.

Pehea e mālama ʻia ai nā CSF Leaks? Hiki ke ho'ōla ʻia?

ʻO ka hapa nui o ka manawa, ʻaʻole mālama pololei nā kauka i nā leaka CSF. ʻO kēia no ka mea e ho'ōla ponoʻī nā leaka CSF i hoʻokumu ʻia e nā ʻeha he nui i ka hala ʻana o ka manawa me ka hoʻomaha wale nō .

Eia nō naʻe, i ka wā ʻaʻole paha e ho'ōla ʻia kahi leaka CSF ma kāna iho, a i ʻole i ka wā i ʻike ʻia ʻaʻole ia e ho'ōla, aia nā ʻano lapaʻau like ʻole e hiki ke kōkua. I ka hapanui o nā hihia, hiki ke hoʻoponopono ʻia a hoʻopaʻa ʻia paha ka leaka . E hoʻōki kēia i nā hōʻailona mai ka ʻoi aku ka ʻino a i ʻole e hoʻōki iā lākou mai ka hanana ʻana.

ʻO kekahi mau maʻi mau loa, ʻoiai (Marfan Syndrome) a i ʻole (Ehlers-Danlos Syndrome)ʻAʻole hiki ke ho'ōla ʻia nā maʻi pili o nā ʻiʻo e like me kēia. Inā loaʻa kahi leaka CSF ma muli o kahi kūlana e like me kēia a ʻaʻole hiki ke mālama pololei ʻia, e hoʻāʻo nā kauka e mālama i kāu mau hōʻailona.

He aha ke ʻano o ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau e hoʻohana ʻia?

ʻO ka lāʻau āu e loaʻa ai e hilinaʻi ia i nā mea e like me ke kumu o ka leaka CSF a me kona wahi.

• Lapaʻau Kūpaʻa: ʻAʻole kēia he lāʻau lapaʻau pololei no nā CSF Leaks. Pili kēia i ka hoʻomaha ʻana ma kahi moe no kekahi manawa. Eia kekahi, e noho hydrated . He mea maʻamau nō hoʻi ka lāʻau lapaʻau no ka ʻeha a me ka pehu. Inā ua hoʻohaʻahaʻa ka leak i ke kaomi CSF, e aʻo ʻia paha ʻoe e lawe i ka caffeine a me nā mea hoʻohui paʻakai . Inā ʻaʻole kōkua kēia mau lāʻau lapaʻau maʻamau ma hope o hoʻokahi a ʻelua paha pule, hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau pololei.

• ʻO ke ʻoki kino a me nā kaʻina hana pili: ʻO ke ʻoki kino kahi ala maʻamau e hoʻoponopono ai i nā leaka CSF. Inā hana ʻia ka leaka e kahi ʻeha nui, hiki i ke ʻoki kino ke hoʻopaʻa pololei i ka leaka a hoʻoponopono paha i ka wahi i hōʻino ʻia. Hiki ke hana ʻia kekahi mau ʻoki kino ma o ke poʻo. Hiki ke hana ʻia kekahi ma o ka ihu a i ʻole ka waha. Aia ke ʻano o ke ʻoki kino ma kahi, ke kumu, a me ke koʻikoʻi o ka leaka.

• Nā Inikini ʻApili Koko: ʻO kekahi o nā lāʻau lapaʻau nui ʻole no nā leaka CSF ʻo ia ka ʻApili Koko . Ma kēia, hoʻokomo ke kauka i kahi nila i loko o kou kua haʻahaʻa (ʻāpana lumbar). Ke kau ʻia ma kahi kūpono, lawe ʻia kahi liʻiliʻi o kou koko ponoʻī a hoʻokomo ʻia i loko o ka CSF a puni kou kaula iwi kuamoʻo. A laila "pani" ke koko i ka leaka, a pani paha. I kekahi manawa e pono ai ma mua o hoʻokahi ʻApili Koko. Eia nō naʻe, ʻike ka hapa nui o ka poʻe i kahi hōʻoluʻolu ma hope o ka mea mua.

• Nā Lāʻau Lapaʻau: Aia kekahi mau ʻano lāʻau lapaʻau e hiki ke kōkua me ka leaka CSF. Hoʻemi kekahi i ke kaomi i loko o ke poʻo. Hāʻawi ʻia kekahi no nā hōʻailona koʻikoʻi e like me ka ʻeha. Hiki ke hāʻawi ʻia nā antibiotics . Inā komo ka bacteria i ka lolo ma o ka CSF, hiki ke loaʻa nā maʻi weliweli e like me ka meningitis a me ka encephalitis .

He aha nā pilikia a i ʻole nā ​​hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻO nā pilikia a me nā hopena ʻaoʻao o ka mālama ʻana e pili ana i kahi o kāu (CSF) leak, kona koʻikoʻi, ke kumu, a me ka mālama ʻana āu e loaʻa ai. Hiki i kāu kauka ke wehewehe i nā pilikia a me nā hopena ʻaoʻao e pili ana i kou kūlana a me nā mea hiki iā ʻoe ke hana e kaupalena a pale aku paha iā lākou.

Pehea wau e mālama ai iaʻu iho/hoʻokele i nā hōʻailona?

ʻAʻole hiki iā ʻoe ke ʻike a mālama paha i ka leaka CSF ma kāu iho. Inā kānalua ʻoe he maʻi kou, pono ʻoe e ʻike koke i ke kauka.ʻO kēia no ka mea hiki ke like nā hōʻailona o kēia ʻano me nā hōʻailona o nā kūlana olakino koʻikoʻi e pono ai ke kōkua koke ʻia e ke kauka.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

ʻOkoʻa ka manawa e hoʻōla ai a ʻoi aku ka maikaʻi ma muli o ka lāʻau lapaʻau. Nui ka poʻe e ʻike i kahi hōʻoluʻolu ma ka moe wale ʻana a me ka hoʻomaha ʻana. Akā no kekahi poʻe, hiki ke hala nā lā, a i ʻole nā ​​​​hebedoma, e hoʻōla ai.

Pehea e hiki ai iaʻu ke hōʻemi a pale aku paha i ka pilikia o kēia maʻi?

ʻO ka (CSF Leak) kahi mea e hiki koke mai ana. No laila, ʻaʻole hiki ke pale loa ʻia. Eia nō naʻe, hiki iā ʻoe ke hoʻāʻo e pale iā ʻoe iho mai nā kūlana a i ʻole nā ​​kūlana e hiki ai ke hoʻoulu i kahi leak. Akā hiki iā ʻoe ke hana i kēia no nā kumu i hoʻokumu ʻia e nā ʻeha.

ʻO ka mea nui loa hiki iā ʻoe ke hana e pale aku i ka leaka CSF mai kahi ʻeha, ʻo ia ke komo ʻana i nā lako pale . ʻO nā ʻeha ma ka maka, ke poʻo, ka ʻāʻī, a me ke kuamoʻo hiki ke hana i nā ʻeha e hiki ai ke alakaʻi i ka leaka CSF. Inā ʻoe ma ka hana a i ʻole ma kou ola pilikino, hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka hoʻohana ʻana i nā lako pale a me nā lako.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kēia maʻi?

Hiki i kekahi manawa ke paʻakikī ke ʻike i nā leaka CSF. Eia nō naʻe, maikaʻi ka hopena holoʻokoʻa no kēia kūlana . ʻOiai hiki i nā hōʻailona ke hoʻopilikia, koʻikoʻi, a hoʻopilikia paha i nā hana o kēlā me kēia lā, hiki ke mālama ʻia ke kūlana. Hoʻōla ka hapa nui o ka poʻe me nā leaka CSF ke hoʻoponopono ʻia ka leaka, me ka mālama ʻana a i ʻole ke ʻoki ʻana.

Pehea ka lōʻihi o ka liki ʻana o ka CSF?

Hiki i ka CSF leak ke mau no nā lā, nā pule, a i ʻole nā ​​mahina. Aia ia i ka nui o ka leak a me ke kumu. Hiki i ka lāʻau lapaʻau ke hōʻemi nui i ka manawa āu e ʻike ai i nā hopena o ka CSF leak. ʻO kāu kauka ke kanaka maikaʻi loa e ʻike i ka lōʻihi o kēia maʻi e pili ai iā ʻoe a me nā mea hiki ke hana ʻia e kōkua iā ʻoe.

He aha ka manaʻo no kēia kūlana?

Ma keʻano holoʻokoʻa, maikaʻi loa ka nānā ʻana no nā leaka CSF. Ma kahi o 98% o ka poʻe me nā leaka CSF e ho'ōla ʻia, me ka nānā ʻole i ke kumu.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe kahi leaka CSF, pono ʻoe e hahai i nā ʻōlelo a kāu kauka no ka mālama ʻana iā ʻoe iho. ʻO lākou ke kumu maikaʻi loa o ka ʻike e pili ana i nā mea hiki iā ʻoe ke hana a me nā mea e pono ai ke hana. E haʻi pū lākou iā ʻoe i nā hōʻailona a i ʻole nā ​​​​hōʻailona e makaʻala ai, a me nā mea e pale aku ai.

Āhea wau e ʻike ai i kaʻu kauka a ʻimi paha i ke aʻo lapaʻau?

Inā manaʻo ʻoe he leaka CSF kou, pono ʻoe e kamaʻilio a ʻike paha i ke kauka. ʻOiai ʻaʻole kēia maʻi e hoʻoulu i nā pilikia koʻikoʻi a hoʻoweliweli paha i ke ola, ua like kona mau hōʻailona me nā hōʻailona o kahi pilikia a me ke kūlana weliweli.

Inā ua ʻike ʻia ʻoe me ka leaka CSF, e hoʻonohonoho kāu kauka i nā kipa hahai e nānā iā ʻoe i kou hoʻōla ʻana. Inā manaʻo ʻoe e ʻoi aku ka ʻino o kāu mau hōʻailona a i ʻole ke hoʻopilikia nei i kou ola o kēlā me kēia lā, pono ʻoe e ʻike i kāu kauka.

Āhea wau e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Inā loaʻa iā ʻoe kahi leaka CSF, pono ʻoe e hele i ka lumi pilikia inā loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi koke, nāwaliwali o nā ʻiʻo, a i ʻole ka paʻakikī ke kū . Pono ʻoe e ʻike iā lākou inā loaʻa iā ʻoe ka maneʻo a nāwaliwali paha ma kekahi wahi o kou kino, ʻoiai ma kou mau lima, nā wāwae, nā wāwae, a me nā lālā . He mau hōʻailona paha kēia o kahi ʻeha i kou kaula iwi kuamoʻo, hiki ke alakaʻi i ka maʻi lolo mau loa.

Eia kekahi, pono ʻoe e ʻimi i ke kōkua lapaʻau pilikia inā loaʻa iā ʻoe nā hōʻailona e like me ka hahau ʻana . ʻO kēia mau mea:

• Ka nāwaliwali, ka mae ʻole, a i ʻole ka lolo ma kekahi ʻaoʻao o ke kino.
• ʻŌlelo pahee a ʻōlelo pahee paha.
• Ke kulou ʻana o kekahi ʻaoʻao o ka maka a i ʻole ka nalowale ʻana o ka ʻike ma kekahi maka.
• Paʻakikī ke ale ʻana.
• Ka huikau, ka huhū, a i ʻole ka hoʻonāukiuki.
• Ka paʻakikī i ka noʻonoʻo ʻana, ... a i ʻole ka hoʻomanaʻo ʻana.
• ʻEha poʻo koʻikoʻi a koke, ʻoiai inā hoʻopilikia ia i kāu mau hana maʻamau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka leaka wai Cerebrospinal, a i ʻole ka leaka CSF, he kūlana i kamaʻilio pinepine ʻole ʻia, akā hiki i kekahi manawa ke hana i nā hōʻailona ʻoluʻolu ʻole a koʻikoʻi. Akā, mai hopohopo. Me ka holomua o ka lāʻau lapaʻau a me ka ʻenehana hou, ua hiki i nā kauka ke ʻike i kēia pilikia me ka wikiwiki a me ka maʻalahi. Eia kekahi, hiki i nā kauka ke mālama i kēia pilikia ma mua o ka wā ma mua. No laila, maikaʻi loa ka nānā ʻana no kēia kūlana .

ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ma mua o ke kuhi wale ʻana . I kekahi manawa, hiki i ka hoʻomaha maʻalahi ke kōkua. A i ʻole, hiki iā ʻoe ke hoʻōla koke me ka mālama kūpono. E hāʻawi kāu kauka iā ʻoe i ke alakaʻi maikaʻi loa. E noho olakino!

ʻO ka wai Cerebrospinal, ka leaka CSF, ka ʻeha poʻo, ka ihu wai, ka ʻeha kua, ka neuropathy, ke kaomi ma ka lolo