Yu ɔ pɔsin we yu sabi go dɔn fil smɔl fɔ fred ɛn fred we dɔktɔ tɛl yu se yu nid fɔ gɛt lɔmba dreyn. Udat nɔ go fred we dɛn se, "Dɛn de put tiub na yu spayna," nɔto so? Bɔt nɔ wɔri. Tide, wi go tɔk rili simpul, lɛk se wi de tɛl wi padi, wetin dis rili bi, wetin mek dɛn de du am, ɛn aw i de wok.
Wetin na lumbar drein?
Fɔ tɔk am simpul wan, wi bren ɛn spɛshal kɔd we de rɔn dɔŋ di spayna nɔ jɔs de na wi bɔdi. Wan spɛshal wata we tan lɛk wata de rawnd dɛn fɔ protɛkt dɛn. wi kin kכl dis ‘Cerebrospinal Fluid’ , כ CSF fכ sכt. Tink bɔt am lɛk we yu put valyu tin insay bɔks ɛn put ɔda tin rawnd am fɔ protɛkt am. dis CSF likwid de protεkt wi bren εn spεnal kכd.
So, lumbar drein na wan rili tin, fleksibul tyub (kateta). I de insay yu lכw bכk, na di lכmba rijyכn, εn dεn de yuz am fכ drein sכm pan da CSF fכluid we a bin mεnshכn, כ fכ kכntrכl in prεshכn. Bɔku tɛm, dɛn kin du dis fɔ sɔm tɛm, fɔ sɔm dez.
Wetin mek yu nid fɔ du sɔntin lɛk dis?
Bɔku rizin dɛn de we mek dɔktɔ kin tɛl yu fɔ du sɔntin lɛk dis. Lɛ wi luk di men rizin dɛn.
| Rizin | Wan simpul ɛksplen |
|---|---|
| If CSF lik | Afta sɔm aksidɛnt ɔ fɔ ɔda rizin, dis CSF fluid kin lik kɔmɔt na in ples. Dɛn kin yuz dis dreyn fɔ ridyus di prɛshɔn ɛn ɛp di lik fɔ wɛl. |
| Na di kes fɔ haydrosɛfalɔs | dis na kכndishכn we tu mכch CSF fכluid de kכmכt insay di ed. dis kin mek di bren prεshכn we nכ nid (intracranial prεshכn). Dis nid fɔ pul da ɛkstra wata de ɛn kɔntrol di prɛshɔn. |
| Afta dɛn dɔn du di ɔpreshɔn | Dɛn kin yuz dis dreyn bak afta dɛn dɔn ɔpreshɔn di bren ɔ spɛnal fɔ ridyus di prɛshɔn we de na di say ɛn ɛp di wund fɔ wɛl kwik kwik wan. |
| Fɔ mek dɛn no di sik | Jɔs lɛk aw dɛn kin tek smɔl blɔd ɛn tɛst fɔ no if pɔsin gɛt sik, na so dɛn kin tek smɔl pan dis CSF wata ɛn tɛst fɔ no sɔm infɛkshɔn dɛn, sɛl dɛn we nɔ de wok, ɔ prɔtin dɛn. |
Aw a fɔ rɛdi fɔ dis prɔses?
Yu dɔktɔ go chɛk yu gud gud wan bifo i du dis.
- Tɔk bɔt yu kɔmplit mɛdikal istri .
- Dɛn kin aks yu fɔ mek dɛn du MRI ɔ CT skan . Dɛn skan ya kin mek di dɔktɔ si di rayt tin we de apin insay di bɔdi. Dɛn kin ɛp bak fɔ no di bɛst ɛn sef ples fɔ put di dreyn.
- Dɛn kin gi yu antibayɔtik fɔ mek yu nɔ gɛt di sik, ɛn dɛn kin gi yu mɛrɛsin bak fɔ kɔntrol di we aw CSF de mek.
Di tin we impɔtant pas ɔl na fɔ aks yu dɔktɔ ɛni kwɛstyɔn ɔ tin we de mɔna yu bɔt dis prɔsidyu we yu nɔ fɔ fred . Na yu rayt fɔ no klia wan wetin go apin, wetin go apin to yu, ɛn wetin go bɛnifit yu.
Wetin kin rili apin we dɛn put dreyn?
Pan ɔl we dis kin tan lɛk big tin, di wan ol tin kin tek lɛk 30 minit, ɛn dɛn kin du ɔltin fɔ mek shɔ se yu nɔ fil ɛni pen.
1. Fɔ ajɔst di pozishɔn: Fɔs, dɛn go tɔn yu to wan say na di bed, ɛn dɛn go pul yu ni dɛn nia yu chɛst ɛn mek yu ledɔm.
2. Fɔ klin di skin: Dɛn kin klin di say we de dɔŋ di bak usay dɛn put di dreyn fayn fayn wan wit antiseptik sɔlvushɔn.
3. Numbing: Neks, dεn kin gi sכm injεkshכn (local anesthetic) fכ numb di εria. So yu nɔ go fil ɛni pen. Yu kin fil se dɛn de prɛs yu smɔl.
4. Fɔ put di nidul: Dɔn di dɔktɔ tek tɛm put wan spɛshal nidul insay di say we di CSF wata de (subarachnoid space) . Sɔntɛnde, dɛn kin du dis wit di ɛp we dɛn kin yuz ɛkstrem rayt fɔ si di rayt say.
5. we yu put di kateshכn: dεn de put di tכn we de fכm di tכb we de fכm tru di nidul.
6. Fɔ pul di nidul: Afta di tiub dɔn de, dɛn kin tek tɛm pul di nidul.
7. Kɔnekt to di kɔlekɛshɔn bag:di כta εnd fכ di tכb de kכnekt to wan spεshal bag usay dεn de kכlekt CSF.
8. Fɔ fiks di skin: Fɔ dɔn, dɛn kin tay di tiub na di skin wit plasta ɔ sɔntɛm smɔl smɔl stich dɛn fɔ mek i nɔ fɔdɔm, ɛn dɛn kin put bandej fɔ mek di say klin.
A go gɛt fɔ de na bed afta dɛn dɔn put di dreyn?
Yɛs, yu go gɛt fɔ de na di ɔspitul fɔ sɔm dez afta di dreyn dɔn. Ɛn dɛn go tɛl yu fɔ rɛst na bed bɔku tɛm. Fɔs, dɛn go mek yu ledɔm na yu sayd ɔ na yu bɛlɛ.
Di tin we impɔtant pas ɔl: Bifo yu grap, bifo yu grap na bed , yu fɔ rili tɔk to di wan dɛn we de wok na di nɔs. Bikɔs, we yu grap, yu nid fɔ kɔntrol di wata we de kɔmɔt na di dreyn. If nɔto dat, tumɔs wata kin kɔmɔt ɛn mek prɔblɛm lɛk fɔ gɛt siriɔs ed pen. So fala dɛn instrɔkshɔn dɛn di rayt we.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dis kin apin?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn smɔl smɔl prɔblɛm dɛn de.
| Men Bɛnifit dɛn | Kɔmplikɛshɔn dɛn we kin apin |
|---|---|
| Stɔp di CSF lik. | Baktri infεkshכn dεm. |
| Kɔntrol prɛshɔn pan di bren ɛn mek i nɔ pwɛl. | Ɛd we de at, nɔs ɛn vɔmit. |
| Fɔ gi rili impɔtant infɔmeshɔn fɔ no if pɔsin gɛt di sik. | Blɔd we de kɔmɔt na di say we dɛn put di tiub. |
| Sɔntɛm i go ivin sev pɔsin in layf. | Eksɛs drenaj fɔ CSF fluid (ɔva-drenaj). |
| Fɔ mek di rod fɔ ɔda ɔpreshɔn ɔ tritmɛnt dɛn. | Di tiub kin muf ɔ kɔmɔt na in ples. |
Bɔt yu mɛdikal tim go du ɔl wetin dɛn ebul fɔ ridyus di risk fɔ dɛn kayn prɔblɛm ya, so i impɔtant fɔ fala dɛn instrɔkshɔn dɛn gud gud wan.
Aw lɔng di dreyn go de na in ples? Wetin kin apin afta dat?
Dɛn kin lɛf am fɔ sɔm dez, bɔt bɔku tɛm dɛn nɔ kin lɛf am pas 5 dez. Dis na bikɔs di risk fɔ gɛt di sik kin bɔku if dɛn lɛf am fɔ lɔng tɛm pas dat. We yu CSF lɛvɛl ɛn prɛshɔn dɔn stebul, yu dɔktɔ go pul di dreyn kpatakpata. Afta dɛn dɔn pul am, dɛn go aks yu fɔ ledɔm fɔ sɔm tɛm. Dis go ɛp fɔ mek yu nɔ gɛt ed pen. Ivin afta yu dɔn go na os, yu nɔ fɔ es ebi ebi tin ɔ du wok we tranga te yu dɔktɔ tɛl yu fɔ du dat.
If yu gɛt ɛni nyu pen, yu ed pen bad bad wan, ɔ yu nɔs we yu de na ɔspitul, tɛl di wan dɛn we de wok de wantɛm wantɛm. Dɔn bak, if yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- lכmba dreyn na wan tin tכb we dεn kin yuz fכ pul כ egzamin di εkstra wata (CSF) we de rawnd di bren εn di spεnal kכd.
- Dɛn kin du dis bay we dɛn de gi yu mɛrɛsin fɔ mek yu nɔ fil pen so dat yu nɔ go fil ɛni pen.
- I rili impɔtant fɔ rɛst na ɔspitul ɛn fala di mɛrɛsin instrɔkshɔn dɛn insay di sɔm dez afta dɛn dɔn put di dreyn.
- Dis kin gi bɔku impɔtant bɛnifit dɛn, lɛk fɔ stɔp CSF lik, fɔ kɔntrol prɛshɔn na di bren, ɛn sɔntɛnde i kin ivin ɛp fɔ sev pipul dɛn layf.
- If yu gɛt sɔm sayn dɛn lɛk yu ed we de at bad bad wan, yu nɔs, yu gɛt fiva, ɔ yu de rɛd ɔ swel na di say we dɛn de pul wata afta yu dɔn go na os, tɛl yu dɔktɔ wantɛm wantɛm.
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