Yu dɔktɔ kin dɔn gi yu ‘Cisternogram Scan’. Yu go dɔn fred smɔl we yu yɛri di nem, nɔto so? "Wetin na dis strenj nem skan? Wai dem de du am? I at?" Sɔntɛm yu go de wɔnda. Nɔ wɔri. Na nɔmal tin fɔ gɛt kwɛstyɔn dɛn lɛk dis. Tide, wi go tɔk bɔt dis tɛst insay wan rili simpul we, insay wan we we yu go ɔndastand, lɛk se yu de tɔk to yu tayt padi.
Wetin rili na Cisternogram Scan?
Bifo wi ɔndastand dis, lɛ wi lan smɔl bɔt sɔntin we rili impɔtant na wi bɔdi. Imajin se wi bren ɛn wi spɛnal kɔd tan lɛk tin dɛn we gɛt valyu we dɛn mek wit glas. Fɔ protɛkt dɛn valyu tin ya, wata de kɔba dɛn, we na kusɛn, rawnd dɛn. insay mεdikal, wi kin kכl dis ‘sεribrospεnal fכluid’ כ Sεribrospεnal Fluid (CSF) . dis CSF fluid de du sεvεra rili imכtant wok dεm fכ wi bכdi.
- I de gi it: Dis wata de gi it to wi bren ɛn di spɛshal kɔd we de rɔn along di spayna.
- I de ɛp fɔ wok: Dis impɔtant fɔ mek wi Sɛntral Nɛvɔs Sistɛm (CNS) wok fayn fayn wan.
- I de pul di pɔyzin dɛn: I de ɛp fɔ pul ɛn klin di pɔyzin dɛn we yu nɔ want we kin gɛda na di tisu dɛn we de rawnd am.
- I de protɛkt wi: We wi de rɔn, jomp, ɔ nak wi ed sɔnsay, i de wok lɛk kusɛn we de protɛkt di bren fɔ mek i nɔ shɔk.
So, wetin dis cisternogram skan de du na fɔ chɛk if di CSF fluid na yu bɔdi de flɔ fayn, if blok de sɔmsay, ɔ if lik de sɔmsay.
Dis na wan kayn tɛst we dɛn kɔl nyuklia mɛrɛsin imej . Dis min se dɛn kin put smɔl redioaktiv tin na yu spayna. Nɔ wɔri, i nɔ go du yu bad. dis mεtirial de alaw fכ si di rod fכ CSF fכluid klia wan, in kכla, pan di skan imej dεm.
Insay us kes dɛn dis tɛst nid fɔ de?
Fɔ tɔk am simpul wan, dɛn kin ɔda dis tɛst if yu dɔktɔ sɔspɛkt se yu CSF wata de lik frɔm sɔmsay (CSF lik) ɔ se tumɔs pan am de insay yu bren (CSF buildup). Dɛn tu tin ya kin mek yu gɛt di sem kayn sik.
Chek di tebul we de dɔŋ fɔ si if yu gɛt ɛni wan pan dɛn sik ya.
| Di sayn we de sho se di sik de | Aw dis kin fil? |
|---|---|
| Ɛd we de at | Wan bad bad ed we de at we kin wɔs, mɔ we yu tinap ɔ grap. I kin tan lɛk se i kin izi smɔl we yu de ledɔm. |
| Diziz & Balans prɔblɛm dɛn | Fɔ fil lɛk se yu nɔ ebul fɔ tinap ɛn de muv, fil lɛk yu ed de tɔn. |
| Nɔs ɛn vɔmit | Fɔ fil se yu bɛlɛ de rɔn ɛn vɔmit. |
| Nek de pen | Stif ɔ pen na di bak pat na di nɛk. |
| Di sɛnsitiviti we de go ɔp | Fɔ sɛnsitiv pasmak to ivin ɔdinari layt ɛn sawnd dɛn. Dis min se ivin brayt layt ɔ smɔl sawnd kin at fɔ bia. |
| I nɔ de yɛri fayn igen | Yu nɔ de yɛri ɔ yu de yɛri difrɛn sawnd dɛn na yu yes. |
| Trobul fɔ tink | I nɔ izi fɔ pe atɛnshɔn pan sɔntin, fɔ fil lɛk se yu maynd nɔ klia. |
If yu gɛt dɛn sik ya, yu dɔktɔ kin tɛl yu fɔ du dis tɛst fɔ no di rayt tin we mek yu gɛt dis sik.
Aw a fɔ pripia bifo di tɛst?
Bɔku tɛm, dis nɔ kin nid ɛni spɛshal pripia. Bɔt i rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɔ ɔspitul dɔn gi yu di rayt we.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred. Nɔ shem fɔ se, "A de fred bɔt dis, dɔktɔ."
Bifo yu du di tɛst, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn tin ya:
- Alɛji: If yu gɛt ɛni alɛji to lokal anestetik ɔ ɔda anestezi mɛrɛsin, mek shɔ se yu tɔk bɔt am.
- Bɛlɛ: If yu kin gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ, i rili impɔtant fɔ tɛl yu dɔktɔ bifo tɛm, bikɔs dis tɛst de yuz redioaktiv tin.
- Di mɛrɛsin dɛn we yu de tek: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek blɔd tan (lɛk aspirin ɛn wɔfarin) , kin nid fɔ stɔp sɔm dez bifo dɛn du di tɛst.
- Advays we go ɛp yu: Sɔntɛm i nɔ go izi fɔ yu fɔ drayv afta yu dɔn du di tɛst. So, i go fayn fɔ mek yu kɛr pɔsin go wit yu. Dɔn bak, bikɔs di tɛst kin apin fɔ sɔm dez, plan wetin yu go du akɔdin to dat.
Wetin kin apin we dɛn de du di tɛst?
Dis tɛst gɛt tu men tin dɛn: fɔs, fɔ put nidul insay di spayna, dɔn fɔ tek skan pikchɔ dɛn.
Fɔs tin we yu fɔ du: Fɔ pank di lɔmba
Pan ɔl we a bin de fred we a yɛri dis, na dɔktɔ we gɛt bɔku ɛkspiriɛns kin tek tɛm du dis.
1. Fɔs, dɛn go mek yu ledɔm na tebul, yu fes dɔŋ ɔ yu sayd wit yu ni dɛn we dɛn drɔ te to yu chɛst.
2. Dɔn, dɛn go klin di say we dɛn injekt na yu bak fayn fayn wan ɛn dɛn go injɛkt wan lokal anestetik na di say. Dis go mek di eria nɔ gɛt bɛtɛ trɛnk. Dɛn kin gi sɔm pipul dɛn bak smɔl mɛrɛsin fɔ mek dɛn nɔ gɛt wanwɔd.
3. Naw di dɔktɔ go tek tɛm put wan tint nidul bitwin tu bon dɛn na yu spayna we de dɔŋ. Dis tɛm ya, dɛn go yuz wan rial-taym ɛkstrem rayt we dɛn kɔl fluoroscopy fɔ mek shɔ se di nidul de na di rayt ples.
4. we di nidul de na di kכrekt posishכn, dεn de injεkt di redioaktiv sכbstans we wi bin dכn tכk bכt sכmtεm insay yu CSF fכluid tru di nidul.
5. Dɔn dɛn kin tek tɛm pul di nidul ɛn put smɔl plasta pan di say.
Step Tu: Tek Pikchɔ dɛn we Dɛn Skan
1. Afta dɛn dɔn put di nidul, dɛn go aks yu fɔ ledɔm fɔ lɛk wan awa so. dis na fכ alaw di redioaktiv mεtirial fכ travul tru di CSF fכluid.
2. Yu fɔs skan go tek bitwin wan ɛn siks awa. Yu go ledɔm ɔnda wan skan we gɛt spɛshal gama kamɛra. Sɔntɛnde, dɛn kin du CT skan ɔ MRI di sem tɛm.
3. Yu kin go os afta di fɔs skan. Bɔt yu go nid fɔ kam bak fɔ ɔda skan afta 24 awa , bikɔs i kin tek lɛk wan de so fɔ mek di redioaktiv tin rich ɔl di say dɛn we de na di bren.
4. Sɔm pipul dɛn kin nid fɔ gɛt skan afta 48 ɔ 72 awa . Na yu dɔktɔ go disayd dis.
Di tin we impɔtant pas ɔl na dat yu nɔ nid fɔ put nidul na yu bak ɛvri tɛm we yu gɛt dis skan. Na di fɔs de nɔmɔ dɛn kin put di nidul insay. Di ɔda de dɛn, ɔl wetin yu fɔ du na fɔ kam ledɔm ɔnda di skan.
Yu tink se dis kin mek pɔsin fil bad? Ɛni bad bad tin dɛn de we kin apin to am?
- Pen: Yu kin fil smɔl we yu de injekt di mɛrɛsin we de mek yu nɔ fil fayn. Yu kin fil wan pinch we dɛn put di nidul na yu bak, bɔt i nɔ fɔ mek yu fil pen tumɔs . If yu fil ɛni pen, tɛl di dɔktɔ ɔ nɔs wantɛm wantɛm. Di skan insɛf nɔ de at atɔl.
- Sayd ɛfɛkt: Di sayd ɛfɛkt dɛn we kin apin pas ɔl na we yu kin fil pen smɔl ɛn yu ed kin at na di say we dɛn inj yu. sכmtεm sכmtεm sכm CSF kin lik frכm di εria we dεn bin put di nidul insay di spayna. Dis kin mek di prɛshɔn na di bren go dɔŋ smɔl ɛn mek yu ed at bad bad wan. Bɔku tɛm, dis kin sɔlv fɔ insɛf insay sɔm awa ɔ tu to tri dez. If yu drink bɔku wata ɛn rɛst, dat kin ɛp.
Wetin na di risk dɛm we pɔsin kin gɛt we i du sisternogram tɛst?
Siriɔs kɔmplikeshɔn dɛn we kin kam frɔm dis tɛst nɔ kin bɔku . Bɔt jɔs lɛk ɛni ɔda tɛst we dɛn kin du fɔ mɛn pipul dɛn, sɔm smɔl smɔl tin dɛn de we kin mek wi gɛt prɔblɛm, so wi fɔ no bɔt dɛn.
- Alɛji riakshɔn to redioaktiv matirial ɔ anestetik.
- Blɔd we de kɔmɔt na di bren ɔ spɛnal kɔd (ɛmoraji) .
- Infεkshכ n na di say we dεn put di nidul.
- Di nerve damej nɔ kin apin so ɔltɛm.
- di bren stεm hεnia (dis na wan kכndyushכn we nכ kin rili apin. Na kכndyushכn we dεn kin push di bren tisu kכmכt bikoz fכ prεshכn insay di sכkul).
Pan ɔl we dɛn yuz redioaktiv tin, yu go gɛt smɔl smɔl raytin . Nɔ fred am we yu nɔ nid fɔ fred.
Wetin di rizɔlt dɛn se?
Yu kin gɛt yu rizɔlt (ripɔt) insay sɔm dez ɔ wan wik afta yu las skan. We yu gɛt am, yu dɔktɔ go ɛksplen wetin i min fɔ yu.
- Nɔmal Rizɔlt: If yu ripɔt kam bak nɔmal, dat min se yu CSF fluid de flɔ nɔmal wan rawnd yu bren ɛn spɛshal kɔd we nɔ gɛt ɛnitin fɔ ambɔg ɔ lik.
- Rizult we nɔmal: If di rizɔlt nɔr nɔrmal, i kin sho wan ɔr mɔr pan dɛn tin ya.
| Abnɔmal kɔndishɔn (Kɔndishɔn) . | Fɔ ɛksplen am simpul wan |
|---|---|
| CSF lik | CSF fluid de lik frɔm sɔmsay. Dis kin apin afta pɔsin in ed wund bad bad wan, in skel brok, ɔ ɔpreshɔn. |
| Hydrocephalus we gɛt di sik | di CSF wata we de kכmכt pasmak insay di bren, we de mek di bren prεshכn. |
| Nɔmal-prɛshɔn haydrosɛfalɔs (NPH) . | wan spεshal kכndishכn we di prεshכn na di bren nכ de inkrεs pan כl we di CSF fכluid de kכmכt. |
| CSF shunt prɔblɛm dɛn | Prɔblɛm wit di wok we wan smɔl tiub (shunt) we dɛn put na di bren de du as tritmɛnt fɔ di kɔndishɔn we dɛn kɔl haydrosɛfalɔs. |
| Pseudotumor sɛribri we gɛt di sik | Wan prɛshɔn we de go ɔp pan di bren fɔ no rizin. Dɛn kin kɔl dis bak ‘pseudo-brain tumor’. |
Mɛsej we dɛn kin kɛr go na os
- Sisternogram skan na spɛshal skan we de chɛk aw di CSF wata de flɔ rawnd yu bren ɛn yu spayna.
- Dis kin ɛp fɔ no if di sayn dɛm lɛk ed pen ɛn diziz we kin wɔs we yu tinap na bikɔs CSF lik ɔ akumulɛshɔn.
- fכ dis tεst, dεn kin put wan tin nidul insay di spayna εn injεkt wan spεshal tin. Dɔn, dɛn kin tek skan pikchɔ dɛn sɔm awa ɛn sɔm dez afta dat.
- Dis nɔr kin rili pen, ɛn siriɔs kɔmplikeshɔn nɔ kin bɔku.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tɛst, tɔk to yu dɔktɔ opin wan bɔt am. If yu no di rayt tin fɔ no, dat kin ɛp fɔ mek yu nɔ fred we yu nɔ nid fɔ fred.
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