Sɔntɛnde, yu nos kin rɔn ɛn yu nɔ kin gɛt kol. Ɔ yu kin fil ed we de at we yu kin fil lɛk se i go split we yu grap frɔm we yu ledɔm. Bɔku tɛm, wi nɔ kin pe atɛnshɔn tumɔs to dɛn tin ya. Bɔt dɛn tin ya kin bi sayn fɔ wan mɛrɛsin we yu nɔ bin ɛva tink bɔt, ɛn we kin rili siriɔs smɔl. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, we na wan Cerebrospinal Fluid (CSF) Leak.
Fɔ tɔk am simpul wan, wetin na CSF Lik?
Okay, mek wi tek likl trip insaid wi bodi fo andastan dis. Wi bren ɛn wi spɛnal kɔd na tu ɔgan dɛn we rili sɛnsitiv. So fɔ protɛkt dɛn, wi bɔdi dɔn mek wan fayn wata we tan lɛk kusɛn rawnd dɛn. Dɛn kɔl dis wata Sɛribrospinal Fluid (CSF) . dis CSF de insay wan kכva we dεn mek wit tri tin mεmbran dεm. Insay mɛrɛsin, wi kin kɔl dis di mɛninges.
Naw imajin se fɔ sɔm rizin, wan smɔl ol ɔ rɔtin kin kɔmɔt na dis mɛningɛl kɔva, mɔ na di tik layt we de na do pas ɔl, we na di dura mater . Dɔn, da prɛshɔ CSF fluid de bigin fɔ lik kɔmɔt smɔl smɔl. Na dat wi kin kɔl CSF Leak .
We wi lɔs dis wata nɔ fayn fɔ wi bren ɛn spɛshal kɔd, bikɔs i de lɔs di protɛkshɔn ɛn prɛshɔn balans we i de gi.
Tu kayn CSF lik de:
Dis lik kin sheb to tu men kayn we dipen pan usay i de apin.
1. Kranial CSF Lik: dis kin apin insay di ed, dat na arawnd di sכkul. Bɔku tɛm di wata we de lik frɔm ya kin kɔmɔt na di nos ɔ di yes.
2. Spinal CSF Lek: dis kin apin na di spεnal kכd, na di εria we de rawnd di spεnal kכd.
Di sayn dɛm wae wi kin si pan dɛn tu kayn sik ya kin difrɛn smɔl bak frɔm dɛnsɛf.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ CSF lik kin difrɛn difrɛn wan bay usay i de ɛn ɔmɔs wata de lik. Sɔntɛnde, if di lik rili smɔl, yu nɔ go notis ɛni sayn atɔl. Lɛ wi tek wan luk pan de kɔmɔn sayn dɛm wae gɛt fɔ du wit dɛn tu kayn sik ya.
| Di simptom dɛm fɔ wan Kranial CSF Lik | |
|---|---|
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
| Nɔs we de rɔn | Dis nɔto mɔkɔs. Na wata we klia, we gɛt wata, ɛn we nɔ de stika . Dis kin bi mɔ we yu bɛn yu ed fɔ go bifo. |
| Fluid we de kɔmɔt na di yes | Klin wata kin kɔmɔt na di yes, ɛn bak na di nos. |
| Ed de at | Wan ed we de at we nɔ de chenj kin apin. |
| I nɔ de smɛl igen | Di sɛns fɔ smɛl kin stɔp wantɛm wantɛm ɔ i kin dɔnawe wit am kpatakpata. |
| Nɛk pen ɔ stiffness | Filin fɔ tayt ɛn pen na di nɛk mɔsul dɛm. |
| Di simptom dɛm fɔ wan Spinal CSF Lik | |
|---|---|
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
| Pozishɔnal Ɛd-aks | Dis na di men ɛn impɔtant sayn. We a tinap ɔ sidɔm, mi ed kin at lɛk se i go split opin. Bɔt we a de ledɔm, di pen kin stɔp smɔl smɔl. |
| Diziz ɛn nɔys | Diziz ɛn nɔs. |
| Vishɔn kin chenj | Blɔr vishɔn ɛn dɛbul vishɔn kin apin. |
| Fɔ yɛri sawnd dɛn na di yes | Wan sawnd we de ring ɔltɛm insay di yes. |
| Bren Fɔg | Fɔ fil lɛk se i at fɔ tink klia wan, i at fɔ mɛmba. |
Wetin kin mek CSF lik?
Bɔku tɛm, CSF lik kin apin bikɔs ɔf sɔm kayn injuri ɔ aksidɛnt .
- Wan had blow to di ed ɔ bak.
- Wan twistin na di nɛk wantɛm wantɛm (severe whiplash).
- Wund we shap tin kin mek, lɛk wund we dɛn chuk am wit chukchuk.
Dis kכndyushכn kin apin bak afta sɔm mεdikal tritmεnt dεm.
- Dɛn kin du ɔpreshɔn pan di bren ɔ di spayna.
- Ɔpreshɔn fɔ yu yes, nos, ɛn trot.
- Afta tin dɛm lɛk lumbar pankchɔ ɔ epidural.
Bɔt na smɔl tɛm nɔmɔ, dɛn lik ya kin apin we nɔ gɛt ɛni rizin we klia. Wi kin kɔl dɛn tin ya ‘spontaneous leaks’. Sɔntɛnde, dis risk kin bɔku bak bay di tin dɛn we wi kin bɔn wit, lɛk Marfan syndrome , we kin mek di kɔnektiv tisu na wi bɔdi wik.
Yu tink se dis kin mek pɔsin in layf de pan denja?
Yɛs, sɔm bad bad CSF lik kin mek yu layf de pan denja, so if yu sɔspɛkt dɛn sik ya, nɔ ignore dɛn.
Fɔ tɔk am simpul wan, CSF na di wata we de protɛkt di bren we de mek di bren kɔntinyu fɔ flɔt. We dis wata tu smɔl, di bren nɔ kin ebul fɔ flay ɛn i kin bigin fɔ sag insay di skel. Dis kin mek yu bren pwɛl ɛn ivin mek yu gɛt disabled fɔ ɔltɛm.
Wetin denja pas ɔl na dat di ol we de na da kɔva de de mek jem dɛn go insay di bren . Dis infεkshכn we kin apin we jεm dεm go insay di kכba na di bren, dεn kכl am mεningaytis.Dis na wan bad bad sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.
Aw yu go fɛn dis, Dɔktɔ?
If yu sɔspɛkt se yu gɛt CSF lik, yu nɔ go ebul fɔ no ɔ trit am yusɛf na os. Yu fɔ rili go to dɔktɔ.
Di dɔktɔ go tek tɛm lisin to yu sik dɛn fɔs, i go chɛk yu, dɔn ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik.
- Fluid test: dεn tek sεmpl fכ wata frכm yu nos כ yu yes εn tεst fכ wan protin we dεn kכl beta-2 transferrin, we dεn de fכnshכn nכmכ insay CSF fluid.
- Imej Tɛst: Dɛn kin yuz spɛshal skan dɛn lɛk CT skan , MRI skan , ɛn maylogram fɔ no di rayt say we di lik de.
Mɛmba se nɔr fɔ no yusɛf bay wae yu de luk fɔ yu sik na intanɛt. I kin denja. Ɔltɛm, go to dɔktɔ we sabi du di wok.
Wetin na di tritmɛnt dɛm fɔ dis?
Di we aw dɛn de trit am dipen pan di kayn lik, usay i de, ɛn aw i siriɔs.
Jɛnɛral Tritmɛnt ɛn Advays
Sɔm smɔl smɔl lik, mɔ di wan dɛn we kin apin afta wata lik, go wɛl fɔ dɛnsɛf. Yu dɔktɔ kin gi yu sɔm advays bɔt aw fɔ trit dɛn:
- Bed Rɛst: Dɛn tɛl yu fɔ ledɔm ɛn rɛst fɔ sɔm dez.
- Drink bɔku wata: I impɔtant fɔ mek yu gɛt gud wata na yu bɔdi.
- Fɔ it kafin: Sɔntɛnde, drink we gɛt kafinɛ lɛk kɔfi kin ɛp fɔ mek yu ed at. Bɔt dɛn fɔ jɔs du dis ɔnda di advays we dɔktɔ gi dɛn.
- Nɔ du tin dɛn we de mek prɛshɔn go ɔp: Tin dɛn lɛk fɔ sniz, fɔ kɔf, fɔ es di wet, ɛn fɔ strɛs fɔ go na di bafa kin mek di CSF prɛshɔn go ɔp ɛn mek di lik nɔ wɛl.
Speshal tritmɛnt dɛn
If fɔ rɛst nɔmɔ nɔ ɛp, di dɔktɔ kin yuz tritmɛnt dɛn lɛk dis.
Fɔ Spinal CSF Lik:
- Epidural Blood Patch: Dis na tritmɛnt we rili fayn. Wetin yu de du ya na fɔ tek sɔm blɔd frɔm yu yon an ɛn prik am na di say we yu spayna de usay yu tink se yu gɛt lik. Dɔn di blɔd kin klɔt ɛn sial di ol lɛk plasta.
- Ɔpreshɔn: Na smɔl tɛm nɔmɔ, if di blɔd pat nɔ wok fayn, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di ol sidɔm.
Fɔ Kranial CSF Lik:
- Ɛndoskopik Ripa: .Wit di advans teknɔlɔji tide, yu kin put smɔl kamɛra tru di nos, fɛn di lik ɛn sial am we yu nɔ opin di skel.
- Open Surgery: Insay sɔm kɔmpleks kes dɛm, dɛn kin du ɔpreshɔn bay we dɛn opin di skel.
Ustɛm yu fɔ go to dɔktɔ? Ustɛm yu fɔ go na di ETU?
Dis rili impɔtant. If yu gɛt sayn fɔ se CSF lik, go to dɔktɔ wantɛm wantɛm. Bɔt, we sɔm imejensi dɛn apin, yu kin nid fɔ go na ETU (Imergency Treatment Unit) wantɛm wantɛm.
| Chans | Ficha dɛn we yu fɔ luk fɔ |
|---|---|
| Ustɛm yu fɔ go to dɔktɔ? | |
| If dɛn tink se pɔsin in ed wund |
|
| If dɛn sɔspɛkt se spɛshal lik |
|
| Ustɛm fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm | |
| If pɔsin wund in ed |
|
| If na wan spɛshal lik |
|
CSF lik kin bi tin we de mek pɔsin fred, bɔt bɔku tɛm i kin wɛl ɔl if dɛn no bɔt am ɛn trit am kwik. Di impɔtant tin na fɔ nɔ ignore dɛn smɔl smɔl signal ya we yu bɔdi de gi yu.
Mɛsej we dɛn kin kɛr go na os
- If yu gɛt klia wata we de kɔmɔt na yu nos we nɔ gɛt kol, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm.
- Ed we de at we de wɔs we yu tinap frɔm we yu de ledɔm ɛn afta dat i de stɔp we yu ledɔm bak (pɔzishɔn ed pen) na wan big sayn we de sho se yu de lik na yu spaynal CSF.
- Nɔr tray fɔ no ɔr trit dis sik yusɛf na os. I kin denja.
- If yu trit am fayn (bɔku tɛm yu kin rɛst ɔ yu du smɔl tin), dis sik kin wɛl ɔl.
- If yu gɛt sɔm kayn sik lɛk se yu ed de at bad bad wan, yu nɔ go ebul fɔ tɔk, ɔ yu nɔ de no na wan say na yu bɔdi, go na ETU wantɛm wantɛm ɛn nɔ de te.
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