Yu dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi fɔ gɛt spɛshal tap? Na nɔmal tin fɔ mek bɔku pipul dɛn fred smɔl we dɛn yɛri di nem. Di fred we wi kin gɛt we wi yɛri di wɔd "spinal tap" na sɔntin we wi kin ɔndastand. Bɔt wetin na in rili? Wetin mek dɛn kin du dis tɛst? Yu tink se i rili denja? Nɔ wɔri, wi go tɔk bɔt ɔl dis klia wan ɛn simpul wan tide.
Wetin na Spinal Tap (Lumbar Puncture)?
Fɔ tɔk am simpul wan, Spinal Tap na spɛshal tɛst we dɔktɔ dɛn kin du. insay dis, dεn kin put wan tint nidul insay di lכw pat pan wi spayna, fכ bi εksεkt, na di wεst, εn dεn kin tek sכm sכm sכm sכm spεshal wata we de rawnd wi bren εn spεnal kכd. Dɛn kɔl dis wata Sɛribrospinal Fluid (CSF) .
Imajin se wi bren ɛn di spɛshal kɔd we de insay di spayna na tu ɔgan dɛn we rili dilik ɛn we gɛt valyu. dis CSF fluid de wok lεk kushכn rawnd dεn כgan dεm ya εn i de protεkt dεm frכm harm. We wi chɛk dis wata, wi kin fɛn infɔmeshɔn bɔt bɔku sik dɛn na wi Sɛntral Nɛvɔs Sistɛm. Na dat mek sɔntɛnde dis tɛst kin rili impɔtant.
Wetin mek yu nid fɔ du dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go ɔda dis tɛst. Di men rizin na fɔ pul ɔda siriɔs tin dɛn we kin mek pɔsin gɛt sik lɛk ɛpilepshi .
Fɔ ɛgzampul, if pɔsin gɛt sik we de mek i sik, i impɔtant fɔ chɛk if di tin we mek i gɛt sik na in bren.
- Meningitis: Dis na infεkshכn na di mεmbran dεm we de rawnd di bren.
- Ɛnsɛfalaytis : Dis min se na infɛkshɔn na di bren insɛf.
Di bɛst we fɔ no fɔ tru if yu gɛt dis kayn infekshɔn na fɔ tɛst di CSF fluid.
Di tin we impɔtant pas ɔl na dat, dis tɛst kin ɛp fɔ no if wetin tan lɛk ɛpilepshi rili kɔmɔt frɔm wan sik we nid fɔ gɛt tritmɛnt kwik kwik wan, lɛk mɛningaytis.
Ɔda rizin dɛn apat frɔm tɛst
apat frכm we dεn de egzamin CSF fluid, dεn kin du spεnal tap fכ sεvεra כda rizin dεm.
- mכsu di prεshכn we de rawnd di bren εn di spεnal kכd.
- Ridyus di prɛshɔn we pasmak insay di ed.
- Injekt mɛrɛsin fɔ mek di spayna nɔ gɛt bɛtɛ trɛnk (Spinal Anesthesia).
- Put spɛshal day bifo yu du tɛst lɛk ɛkstrem rayt.
- Sɔm mɛrɛsin dɛn, fɔ ɛgzampulGi dɛn, lɛk Baclofen, dairekt insay di spɛshal kɔd.
Wetin kin apin bifo ɛn we dɛn de du di tɛst?
If yu no wetin go apin bifo ɛn we yu de du dis tɛst, dat go ɛp yu fɔ mek yu nɔ fred.
Aw fɔ rɛdi fɔ di tɛst
- Fɔ it ɛn drink: Bɔku tɛm yu nɔ nid fɔ stɔp fɔ it ɛn drink bifo dis tɛst, bɔt fala wetin yu dɔktɔ tɛl yu fɔ du.
- Di mɛrɛsin dɛn we yu de tek: If yu de tek tin dɛn we de mek yu blɔd tan (e.g., Aspirin, Clopidogrel) ɔ ɛni ɔda mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ . Dɛn kin aks yu fɔ stɔp fɔ tek dɛn sɔm dez bifo di tɛst.
- Alɛji: If yu gɛt ɛni alɛji fɔ lɛtɛks ɔ ɛni ɔda mɛrɛsin, duya tɛl wi bifo tɛm.
- Transpɔt: Bikɔs i nɔ fayn fɔ drayv dairekt afta di tɛst, i bɛtɛ ɛn i go sef fɔ mek pɔsin drayv yu go na os.
Aw fɔ du di tɛst stɛp bay stɛp
Dɛn kin du dis bay we dɛn mek yu ledɔm na bed na wɔd ɔ spɛshal rum.
1. Pozishɔn: Dɛn go tɛl yu fɔ ledɔm na yu sayd na di bed, wit yu ni dɛn we de nia yu chɛst as yu ebul, ɛn yu chin tuck in. Kɔl ɔp lɛk smɔl bɔl. Ɔ, dɛn go tɛl yu fɔ ledɔm bifo pan tebul. dis posishכn de mek di spεs bitwin di vεrbra dεm na yu spayna bכku, we de mek i izi fכ put di nidul.
2. Klin: Dɔn, di dɔktɔ ɔ nɔs go klin yu ɔnda bak fayn fayn wan wit wan antiseptik sɔlvushɔn.
3. Numbness: Dɔn, dɛn kin injekt smɔl injɛkshɔn (local anesthetic) na di say we dɛn put di nidul fɔ mek i nɔm. Yu kin fil lɛk se yu de bɔn smɔl na dis tɛm. Afta sɔm tɛm, di eria go swɛ kpatakpata.
4. insay di nidul: afta yu nכm, dεn de put wan nidul we rili tכn, we olo bitwin tu pan di lכw vεrbra dεm na di spayna. Dis tɛm ya, yu kin fil smɔl prɛshɔn. di tin we imכtant pas כl na dat dis nidul nכ de hit di spεnal kכd na di spayna. Nɔ wɔri bɔt dat atɔl. di spεnal kכd de fכm hכy pas dat.
5. Aspirashכn: we di nidul de insay in ples, dεn de kכlekt di CSF fluid sכmtεm dכp dכp. Dis kin tek sɔm minit dɛn. Yu nɔ go fil ɛni pen insay dis tɛm.
6. Fɔ dɔn: Afta dɛn dɔn tek di wata we dɛn nid, dɛn kin pul di nidul ɛn put smɔl plasta pan di say.
Wetin yu kin du afta di tɛst?
Afta di tɛst dɔn, dɛn go kip yu ɔnda di dɔktɔ in sɔpɔtishɔn fɔ sɔm awa. Bifo yu go na os, wan nɔs go gi yu instrɔkshɔn dɛn we yu rayt fɔ fala na os.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Pan ɔl we dis na tɛst we nɔ bad bɔku tɛm, sɔntɛnde, smɔl smɔl prɔblɛm dɛn kin apin.
- Ɛd pen: Dis na di sayd ɛfɛkt we kin apin pas ɔl. Na lɛk 10% - 20% pan pipul dɛn kin gɛt ed we de at. Dis kin wɔs mɔ we yu tinap ɔ ledɔm. I kin go dɔŋ we yu de ledɔm.
- Infεkshכn: Di risk fכ infεkshכn rili sכm biכs dεn kin du dis insay wan we we rili klin, we nכ gεt jεm.
- Blɔd: Sɔntɛnde, smɔl blɔd vesel kin wund we dɛn put di nidul. If dis apin, blɔd kin kɔmɔt smɔl, bɔt i nɔ nid ɛni spɛshal tritmɛnt.
- Pen: Bɔku tɛm i nɔ kin pen, bɔt if di stinga tɔch wan nerv, yu kin fil pen fɔ shɔt tɛm we tan lɛk ilɛktrik.
Tin dɛn we yu fɔ tek kia ɔf we yu go na os
- Afta di ɛgzam , ledɔm flat as yu ebul te di dɔktɔ tɛl yu fɔ du dat.
- Nɔ du ɛksɛsayz ɔ es wet fɔ wan ɔ tu dez.
- Drink bɔku wata lɛk wata ɛn frut jus. If yu drink lɛk 2.5 lita ɛvride, dat go ɛp yu fɔ mek yu nɔ gɛt ed pen.
- If yu gɛt ed we de at, ledɔm as yu ebul ɛn drink wata. Bɔt if di ed we de at pas tu ɔ tri dez, kɔl yu dɔktɔ.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Di sayn we de sho se di sik de | Tɔk bɔt |
| Somtin we de oozing frɔm di say we dɛn pank | If blɔd ɔ ɔda wata kɔmɔt na di say we dɛn pank am. |
| Fiva | If yu gɛt fiva ɔ yu fil kol. |
| Ed we de at we nɔ de chenj | If di ed we de at nɔ stɔp afta sɔm dez ɔ i de wɔs. |
| Pen we de mek pɔsin fil mɔ ɛn mɔ | If yu gɛt bak pen ɔ yu gɛt tingling na yu leg, di pen de wɔs. |
I kin tek wan de ɔ ivin wan wik fɔ mek di tɛst rizɔlt (ripɔt) kam. Yu dɔktɔ go ɛksplen dis to yu.
Mɛsej we dɛn kin kɛr go na os
- Spinal tap (lumbar pancture) nɔto natin fɔ fred. Na wan rili impɔtant ɛn sef tɛst we kin no bɔku sik dɛn, mɔ siriɔs infɛkshɔn lɛk mɛningayt.
- Dɛn kin tek tɛm du dis tɛst. Yu spɛshal kɔd nɔ go pwɛl.
- Di sayd ɛfɛkt we kin apin pas ɔl na we yu gɛt ed we de at, bɔku tɛm yu kin kɔntrol am if yu rɛst ɛn drink bɔku wata.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan bifo ɛn afta di tɛst.
- If yu notis ɛnitin lɛk fiva, bad bad ed we de at ɔltɛm, ɔ pus we de kɔmɔt na di say we dɛn inj yu, tɛl yu dɔktɔ wantɛm wantɛm.
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