Yu bin de fred we a tɛl yu fɔ tek wata na yu spayna? (Lumbar Puncture / Spinal Tap) Lɛ wi fɛn ɔut ɛksaktɔli wetin dis na!

Yu don eva yehri boht ‘spinal tap’? Yu kin de tink se, "Wow, dis go mɔs bi big tin we de mek pɔsin fred." I ɔndastand se yu de fred smɔl we yu yɛri di nem. Bɔt na simpul tɛst we kin ɛp dɔktɔ dɛn fɔ no difrɛn difrɛn tin dɛn we gɛt fɔ du wit yu bren, yu nervɔs sistɛm, ɛn yu spayna. So, mek wi tok abaut dis ‘lumbar puncture’ tide, fo frenli we evribodi de tok abaut, fo Sinhala, okay?

Wetin mek dɛn kin du dis (Lumbar Puncture)? Wetin i de luk fɔ?

Fɔ tɔk am simpul wan, dis tɛst min fɔ tek smɔl smɔl wata we de rawnd yu spɛnal kɔd, insay yu spayna. dis wata dεn kכl am sεribrospεnal fכluid (CSF). I tan lɛk kusɛn we de protɛkt ɛn gi yu bren ɛn yu spɛnal kɔd tin fɔ it. So, dɔktɔ dɛn kin lan bɔku tin bay we dɛn chɛk wan sampul fɔ dis CSF.

Naw lɛ wi si us kes dɛm dɔktɔ dɛn kin advays fɔ du `(Lumbar Puncture)`:

• If yu sɔspɛkt se blɔd de kɔmɔt insay di bren (Intracranial Hemorrhage): Sɔntɛnde dis kin apin afta dɛn dɔn blo yu ed.
• Kɔndishɔn dɛm wae tan lɛk dis maynia sik: Luk fɔ sik dɛm wae kin mek yu nɔr de mɛmba smɔl smɔl.
• Chek fɔ di CSF fluid we pasmak na di bren.
• chεk fכ swεla εn inflameshn na di bren tisu (`(Encephalitis)`).
• Kansa kכndyushכn lεk lukimiya: Sכm kεnsar sεl dεm kin spre bak to di CSF.
• Infεkshכn dεm na di bren lεk mεningayt: Dis na imejensi. Di sayn dɛm kin bi fiva, ed we de at, ɛn stif nɛk.
• כtoimyun sik dεm lεk mכltipl sklεrosis: Dis na sik dεm we wi כwn imyun sistεm de wok agens di bכdi.
• kכndishכn dεm lεk inflameshn na di spεnal kכd (`(Myelitis)`).

Nɔto dis nɔmɔ, dɛn kin yuz Lumbar Puncture fɔ sɔm ɔda rizin dɛn:

• Gi anestezi fɔ ridyus pen: Yu go dɔn yɛri bɔt epidural. Na wan kayn anestezi bak we dɛn kin gi di spayna. Dɛn kin yuz rijinol anestezi fɔ ridyus di pen we dɛn de du ɔpreshɔn ɛn bɔn pikin.
• du spεshal εks-ray tεst (`(Myelogram)`): insay dis, dεn de injεkt spεshal likwid (day) insay di spεnal kכd εn tek εks-ray.
• Gi antikansa drɔgs ɔ mɔsul rilaksant dairekt insay di spɛshal wata.
• ridyus di ay prεshכn insay di bren (`(Intracranial Pressure)`): dis prεshכn kin ridyus bay we yu pul sכm pan di CSF fכluid.

Mɛmba se nɔto ɔl dɛn tin ya nid fɔ pank di lɔmba. Yu dɔktɔ go ɛksplen gud gud wan if yu nid dis tɛst ɛn wetin mek.

Aw a fɔ rɛdi fɔ dis tɛst?

Okay, mek wi se yu don disayd fo geht lumbar pancture. Bifo dat, di dɔktɔ go aks yu sɔm kwɛstyɔn dɛn ɛn luk yu wɛlbɔdi istri. I kin aks yu bak fɔ du tin dɛn lɛk:

• Gεt CT skan (`(CT scan)`) כ MRI skan (`(MRI)`): Dis kin gεt gud pikchכ fכ di spayna εn di εria dεm we de rawnd am.
• Gɛt blɔd tɛst: Chɛk tin dɛn lɛk aw yu blɔd ebul fɔ klɔt.
• Tɛl yu dɔktɔ bɔt yu mɛrɛsin dɛn: If yu de tek tin dɛn we de mek yu blɔd tan lɛk Warfarin ɔ Aspirin, yu fɔ rili tɛl yu dɔktɔ . I kin aks yu fɔ stɔp fɔ tek sɔm pan dɛn mɛrɛsin ya ɔ chenj di doz sɔm dez bifo di tɛst. Bɔt mɛmba se, nɔ stɔp ɔ chenj ɛni wan pan yu mɛrɛsin dɛn te yu dɔktɔ tɛl yu fɔ du dat, okay?

Dɛn prɛparashɔn ya go ɛp di dɔktɔ we de du di tɛst fɔ ɔndastand yu sik klia wan, fɔ du di tɛst sef wan, ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn we nɔ nid fɔ apin. Yu dɔktɔ go tɛl yu bak if i gɛt ɛni spɛshal instrɔkshɔn fɔ yu.

Wetin kin apin we a gɛt Lumbar Puncture? Yu tink se i go mek i fil bad?

Dis na di say we bɔku pipul dɛn kin fred. Bɔt yu nɔ kin rili fil ɛni pen . Yu kin fil smɔl prɛshɔn, smɔl smɔl swɛt, bɔt i nɔ kin pen.

Na dis na wetin kin apin:

1. Pozishɔn: Dɛn go tɔn yu na yu lɛft say na bed ɛn aks yu fɔ ledɔm. Dɔn, dɛn go pul yu ni dɛn nia yu chɛst as yu ebul, lɛk smɔl bɔl. Ɔ, sɔntɛnde, dɛn go aks yu fɔ sidɔm na chia, ledɔm bifo tebul, ɛn rɛst yu ed ɛn an dɛn na di tebul. Dis pozishɔn kin fil bad fɔ sɔm tɛm, bɔt i impɔtant fɔ de stil as yu ebul . Dɛn kin aks yu fɔ chenj yu pozishɔn smɔl we yu de du di tɛst.

2. Klin ɛn Numbing: Dɔn, dɛn go klin yu lɔwa bak, rayt usay dɛn go put di nidul, fayn fayn wan ɛn dɛn go injɛkt smɔl lokal anestetik fɔ mek di say nɔ gɛt bɛtɛ trɛnk. We dɛn injɛkt di anestetik , yu go fil smɔl bɔn fɔ sɔm sɛkɔn , lɛk se ant de sting. Na dat. Dɔn di eria go swɛ kpatakpata.

. Dis na jɔs ɔp yu bɔdi. di nidul de insay di spεs (di subarachnoid spεs) bitwin di protεktiv mεmbran dεm (di mεninges) we de rawnd di spεnal kכd εn we fulכp wit CSF. Sɔntɛnde, dɛn kin yuz spɛshal ɛkstrem rayt mashin we dɛn kɔl fluoroscopy fɔ mek shɔ se di nidul de na di rayt ples.

4. Fɔ tek CSF fluid: .We di nidul dɔn de na di rayt ples, di dɔktɔ kin fɔs mɛzhɔ di prɛshɔn we di CSF wata gɛt. Dɔn, dɛn kin gɛda wan smɔl sampul (sɔm mililita). Dis kin tek sɔm minit dɛn.

5. Fɔ dɔn: Afta dɛn dɔn tek di sampul, di dɔktɔ kin pul di nidul ɛn put smɔl plasta ɔ bandej pan di say.

Na dat nɔmɔ kin apin. Di wan ol tɛst kin tek bitwin 15 ɛn 30 minit. Bɔt di nidul de na yu bak fɔ sɔm minit nɔmɔ.

Usay dɛn kin du dis tɛst? Yu tink se i go mek a nɔ no natin?

Dis `(Lumbar Puncture)` kin bi sɔmtɛm na ɔspitul as `Outpatient Procedure`. Dis min se yu kin go na os di sem de. Ɔ, if yu na ɔspitul pɔsin, dɛn kin du am na di wɔd. If dɛn du am as ɔutpeshɛnt, sɔmbɔdi go nid fɔ de de fɔ kɛr yu go na os afta di tɛst.

Dɔn bak, yu nɔ go nɔ no natin atɔl we yu de du dis tɛst. Yu go jos giv yu wan numbing medicine. So yu go kɔnshɛns, bɔt yu nɔ go fil ɛni pen.

Wetin a fɔ du afta di tɛst?

Afta di tɛst dɔn, di dɔktɔ ɔ di nɔs go gi yu sɔm instrɔkshɔn dɛn. I rili impɔtant fɔ fala dɛn. Dɛn kin tɔk tin dɛn lɛk dis:

• Nɔ drayv ɔ yuz ebi ebi mashin fɔ 24 awa.
• Ledɔm na bed (ilɛksɛf na yu sayd ɔ na yu bak) fɔ wan ɔ tu awa, sɔntɛm fɔ lɔng tɛm pas dat. Dis kin ɛp fɔ ridyus di ed we de at.
• Nɔ du ɛnitin we de mek yu taya, lɛk fɔ du ɛksɛsayz, fɔ 24 to 48 awa.
• Rɛst fayn fayn wan.
• Drink bɔku wata ɛn wata fɔ mek yu nɔ gɛt wata na yu bɔdi.

If yu dɔktɔ gi yu permishɔn, yu kin ebul fɔ du yu nɔmal tin dɛn bak di sem de ɔ di nɛks de afta di tɛst.

Na nɔmal tin fɔ mek yu gɛt ed pen afta yu dɔn pank yu lumbar?

Yɛs, sɔm pipul dɛn kin gɛt ed we de at afta dis tɛst. Wi kin kɔl am `(Spinal Headache)`. Nɔto ɔlman kin gɛt am, lɛk 10% pan pipul dɛn kin gɛt dis .

Wetin kin apin pan dis kayn tin na dat yu kin gɛt bad bad ed we yu sidɔm ɔ tinap. I kin go we yu ledɔm. Dis kin bigin insay sɔm awa ɔ sɔm dez afta di tɛst. Bɔku tɛm, i kin bɛtɛ fɔ insɛf insay tu ɔ tri dez. Bɔt fɔ sɔm pipul dɛn, i kin las fɔ wan wik.

Dis `(Spinal Headache)` kin kam wit ɔda sayn dɛm lɛk:

• Di at rit we de go ɔp (Tachycardia) .
• Lɔw blɔd prɛshɔn (`(Hypotension)`)
• Vɔmit

Fɔ ɛp wit dis, fɔ tek mɛrɛsin fɔ mek yu fil pen we yu nɔ de bay, fɔ gɛt wata we yu de drink bɔku wata, ɛn fɔ drink sɔm drink dɛn we gɛt kafin lɛk kɔfi, kin ɛp. Yu dɔktɔ go advays yu bak.

Ɛni ɔda bad bad tin dɛn de we kin apin to pɔsin? Yu tink se i go pwɛl di spayna?

Siriɔs sayd ɛfɛkt dɛm frɔm dis tɛst nɔ kin bɔku. Bɔt, we nɔ kin apin so ɔltɛm, dɛn tin ya kin apin:

• Infεkshכn na di say we di nidul de
• Dat na rayt swelling.
• Blɔd we de kɔmɔt
• Di pen we de na di lɔwa bak

Mɛmba dis: If yu pank yu lɔmba, i nɔ go ambɔg yu spɛnal kɔd. dis na biכs dεn de put di nidul bכku bכku wan pas di lεvεl na di spεnal kכd. So nɔ fred am.

Wetin na di rizulyt dɛn we a kin gɛt? Wetin dɛn kin se?

Dɛn go sɛn di CSF sampul we dɛn tek frɔm yu to lab ɛn tɛst fɔ dɛn tin ya:

• baktri dεm (`(Bacteria)`), fכn (`(Fungi)`), כ abnכmal sεl dεm (lεk kεnsar sεl dεm) de?
• Aw yu shuga (`(Glucose)`) lɛvɛl de?
• Aw di kayn protin dεm εn di lεvεl dεm de?
• Wetin na di kayn ɛn di amɔnt dɛn we di wayt blɔd sɛl dɛn gɛt? (Dεn kin tεl bכt infεkshכn)

Dɛn rizɔlt ya na dɛn wae de alaw yu dɔktɔ fɔ kɔnfirm ɔr nɔr gɛt difrɛn kayn mɛrɛsin.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

I dipen pan di rizin fɔ di tɛst. Bɔku tɛm, dɛn kin gɛt di rizɔlt insay tu to tri dez. Bɔt if dɛn du am fɔ chɛk fɔ si if pɔsin gɛt blɔd na in bren ɔ if i gɛt ɛni imejensi sik lɛk mɛningaytis, di rizɔlt kin kam kwik kwik wan, ivin insay sɔm awa.

Wetin fɔ du nɛks if di rizɔlt nɔ nɔmal?

Bikɔs we dɛn pank di lumbar kin no bɔku sik dɛn we gɛt fɔ du wit di bren, di nerv dɛn, ɛn di spɛnal kɔd, di tin dɛn we kin apin kin difrɛn. Fɔ ɛgzampul, if yu CSF gɛt bɔku wayt blɔd sɛl, i kin sho se yu gɛt di sik. If na so i bi, yu kin trit di infekshɔn wit antibayɔtik.

Yu dɔktɔ go ɛksplen wetin di rizɔlt we yu dɔn gɛt min, ɛn i go tɛl yu us tritmɛnt yu nid fɔ du dat, ɛn bak wetin fɔ du nɛks.

Ustɛm a fɔ go to di dɔktɔ bak?

If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn du di tɛst, mek shɔ se yu tɛl yu dɔktɔ:

• If di ed pen pas sɔm dez ɛn i rili bad.
• If blɔd ɔ ɔda wata de lik frɔm di say we di nidul de.
• If sayn dɛn de fɔ se yu gɛt di sik (we yu de swel, yu de rɛd, yu gɛt fiva).

Fɔ dɔn, mɛmba dis... (Tek-Home Message)

So, di `(Lumbar Puncture)` ɔ `(Spinal Tap)` we wi bin de tɔk bɔt nɔto sɔntin fɔ fred. Yɛs, i nɔmal fɔ fil smɔl fɔ shɔk ɛn fred we dɛn put nidul insay yu spayna. Bɔt, yu nɔ go fil pen we yu nɔ go ebul fɔ bia bikɔs ɔf dis. Sɔntɛm i go fil lɛk se dɛn push am smɔl.

Dis na test wae nɔr kin sef wae kin ɛp fɔ no bɔrku mɛdikal sik dɛm. I nɔ de mek ɛni damej pan di spayna.

If yu gɛt ɛni ɔda kwɛstyɔn ɔ wɔri bɔt dis, tɔk bɔt am wit yu dɔktɔ bifo yu du di tɛst. Da we de, yu go fil fri mɔ. If yu gɛt ed we de at afta di tɛst, yu dɔktɔ go mɔs tɛl yu aw fɔ pul am. So, jɔs tink bɔt dis as ɔda impɔtant tɛst na mɛrɛsin!

` lכmba pankshכn, spεnal tap, spεnal tap, sεribrospεnal fכluid, sεribrospεnal fכluid, CSF, bren sik, nyurolכjik sik, spayna, diagnosis, ed pen