We di dɔktɔ tɛl yu se, "A nid fɔ tek sɔm wata na yu spayna ɛn tɛst am," yu kin fil fred ɛn fred wantɛm wantɛm, nɔto so? I rili kɔmɔn fɔ tink se, "O, a go gɛt nidul we stɔp na yu spayna." Pan ɔl we bɔku pipul dɛn kin fred we dɛn yɛri dis nem, fɔ tru, dis nɔto tɛst we de mek dɛn fred ɔ we de mek dɛn fil pen lɛk aw wi kin tink. So lɛ wi lan mɔ bɔt am tide.
Fɔ tɔk am simpul wan, wetin na lumbar pancture?
Insay Sinhala, wi kin kɔl dis "spinal tap." Dis na spɛshal tɛst we dɔktɔ kin du. Dis min se yu fɔ put wan rili fayn, tin nidul na yu bɔdi we de dɔŋ, bitwin tu bɛlɛ, ɛn tek smɔl smɔl wata we de rawnd yu bren ɛn yu spɛnal kɔd.
Dɛn kɔl dis wata we dɛn kin kɔl sɛribrospaynal fluid (CSF) . Dis wata tan lɛk kusɛn we de protɛkt wi bren ɛn spɛshal kɔd. So, we wi chɛk smɔl smɔl pan dis wata, wi kin no bɔku impɔtant tin dɛn bɔt difrɛn mɛrɛsin dɛn we kin afɛkt yu bren, yu nervɔs sistɛm, ɔ yu spɛnal kɔd.
Wetin mek dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku rizin dɛn de we mek dɛn kin du di lumbar pankchɔ. Sɔntɛnde dɛn kin yuz am fɔ no if pɔsin gɛt wan patikyula sik, ɛn ɔda tɛm dɛn kin yuz am fɔ gi pɔsin mɛrɛsin.
| Men rizin dɛn fɔ tɛst | Wan simpul diskripshɔn |
|---|---|
| Fɔ mek dɛn no di sik | If dɛn tink se wan mɛrɛsin de afɛkt di bren ɔ di spɛshal kɔd, dɛn kin du dis tɛst fɔ kɔnfirm am. |
| Infεkshכn na di bren (Meningitis) . | Dis na impɔtant tɛst fɔ chɛk fɔ baktri ɔ vayral infɛkshɔn lɛk mɛningaytis. |
| Swel na di bren tisu (Encephalitis) . | Fɔ no di sik dɛn we kin mek di bren tisu swel. |
| Ɛmoraji na di bren | Chek fɔ ɛni blɔd we de kɔmɔt na di bren. |
| Ɔtoimyun sik dɛm lɛk Multiple Sclerosis | Luk fɔ sik dɛn we di bɔdi in yon imyun sistɛm de pwɛl di nerv dɛn. |
| Di tin dɛn we kin mek pɔsin gɛt kansa | Chek fɔ si if di kansa sɛl dɛn lɛk lukimia dɔn go insay di wata we de na di bɔdi. |
| Fɔ tritmɛnt ɛn ɔda tin dɛn | |
| Fɔ gi mɛrɛsin fɔ mek pɔsin fil pen | Fɔ anestezi we dɛn kin yuz lɛk epidural, we kin mek di ɔda pat na di bɔdi nɔ gɛt bɛtɛ trɛnk we dɛn de du sɔm ɔpreshɔn. |
| Fɔ injɛkt mɛrɛsin | Sɔm mɛrɛsin dɛn lɛk mɛrɛsin fɔ mɛn kansa, dɛn kin gi am dairekt to di nervɔs sistɛm. |
| Fɔ spɛshal X-ray ɛgzamɛn | Injekt wan spɛshal day bifo yu du ɛkstrem rayt tɛst, lɛk maylogram. |
| Fɔ ridyus di prɛshɔn we de insay di skel | If di wata we de rawnd di bren dɔn bɔku ɛn i de mek pɔsin prɛshɔn, pul sɔm pan am fɔ mek di prɛshɔn nɔ bɔku. |
Mɛmba se nɔto ɔl dɛn rizin ya go apin to yu. Yu dɔktɔ go ɛksplen to yu di rizin fɔ dis tɛst.
Aw a fɔ pripia bifo dis tɛst?
Bɔku tɛm, yu dɔktɔ go gi yu instrɔkshɔn bɔt wetin fɔ du bifo yu du di tɛst. Sɔm pan di tin dɛn we kin impɔtant na:
- CT skan ɔ MRI skan: Sɔntɛnde, bifo dɛn tap yu spɛnal, dɛn kin aks yu fɔ du dis skan fɔ si if prɛshɔn de go ɔp na yu bren ɔ yu spayna.
- Blɔd tɛst: Dis impɔtant fɔ si if yu blɔd klɔt abiliti nɔmal.
- Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek: If yu de tek mɛrɛsin we de mek yu blɔd tan (lɛk Warfarin, Aspirin, Clopidogrel), yu fɔ rili tɛl yu dɔktɔ. Dɛn kin aks yu fɔ stɔp fɔ tek dɛn mɛrɛsin ya sɔm dez bifo di tɛst. Nɔ ɛva stɔp fɔ tek dɛn if yu dɔktɔ nɔ advays yu.
Dɛn prɛparashɔn ya go ɛp yu fɔ du di tɛst sef wan ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn we nɔ nid.
Wetin kin apin we dɛn de du di tɛst?
Dis na di pat we bɔku pipul dɛn kin fred. So lɛ wi tɔk bɔt am stɛp bay stɛp.
1. Pozishɔn: Fɔs, dɛn go mek yu ledɔm na bed. Bɔku tɛm, dɛn go mek yu ledɔm na yu lɛft say. Dɔn, dɛn go aks yu fɔ bɛn yu ni dɛn ɛn briŋ dɛn nia yu chɛst , lɛk se yu de kɔl. Sɔntɛnde, dɛn kin aks yu fɔ sidɔm na chia ɛn ledɔm bifo tebul. pan ɔl we dis pozishɔn nɔ kin fayn smɔl, i go mek di spes bitwin yu vεrbra dɛn bɔku, we go mek i izi fɔ put di nidul. So, i rili impɔtant fɔ de stil as yu ebul.
2. Klin ɛn mek yu nɔ fil fayn: Dɔn, di dɔktɔ go klin yu ɔnda bak fayn fayn wan ɛn injɛkt smɔl lokal anɛstɛtik fɔ mek i nɔ fil fayn. Yu kin fil smɔl smɔl we dɛn gi yu di injɛkshɔn. Bɔt di eria go go swɛ kpatakpata afta sɔm tɛm.
3. Put di nidul: Afta yu dɔn numb yu bak, di dɔktɔ go tek tɛm put wan tint nidul bitwin tu pan yu vεrbra (bɔku tɛm na di lכw bak). Yu nɔ go fil ɛni pen dis tɛm, bɔt yu kin fil sɔm prɛshɔn.
4. fכ tek wata sεmpl: we di nidul de na di rayt ples, di sεribrospεnal fכluid (CSF) go kכmכt pan am dכp dכp. Di dɔktɔ go gɛda di mɔni we dɛn nid fɔ put am insay sɔm smɔl bɔtul dɛn. Dis go tek sɔm minit.
5. Rimov ɛn Bandej: Afta dɛn dɔn tek di sampul , dɛn kin tek tɛm pul di nidul ɛn put smɔl bandej ɔ plasta na di say we dɛn put di nidul.
Di wan ol tɛst kin tek bitwin 15 ɛn 30 minit . Di nidul de na yu bak fɔ jɔs sɔm minit.
Yu kin put mi na slip dis tɛm?
Nɔ, dɛn nɔ go gi yu jenɛral anestezi. Dɛn go jɔs gi yu lokal anestesia, so yu go ful-ɔp wit kɔnshɛns. Bɔt yu nɔ go fil ɛni pen.
Wetin a fɔ du afta di tɛst?
Afta di ɛgzam, di dɔktɔ go gi yu wan sɛt fɔ instrɔkshɔn. I rili impɔtant fɔ fala dɛn di rayt we.
- Ledɔm: Dɛn go aks yu fɔ ledɔm na bed fɔ at le wan awa, ɛn sɔntɛm fɔ sɔm awa, afta di tɛst. Dis go ɛp fɔ mek yu nɔ gɛt ɛni ed pen we go apin afta dat.
- Drink bɔku wata: Drink bɔku wata, lɛk wata ɛn frut drink, ɔl di de. Dis go ɛp fɔ ful-ɔp di wata we dɔn lɔs na di bɔdi.
- Nɔ du tin dɛn: Nɔ drayv ɔ yuz ebi ebi mashin fɔ 24 awa. Dɔn bak, nɔ du tin dɛn we de mek yu strɛs lɛk fɔ es wet ɔ fɔ du ɛksɛsayz fɔ wan ɔ tu dez.
- Rɛst: Gɛt bɔku rɛst as yu ebul.
Na nɔmal tin fɔ mek yu gɛt ed pen afta yu dɔn pank yu lumbar?
Yɛs, dis na di kɔmɔn sayd ɛfɛkt we kin apin afta dis tɛst. Nɔto ɔlman kin gɛt am, bɔt lɛk tɛn pasɛnt (10%) pipul dɛn kin gɛt dis ed pen.
Dis nɔ tan lɛk nɔmal ed we de at. Di ed we de at kin wɔs we yu sidɔm ɔ tinap, ɛn i kin bɛtɛ we yu ledɔm. I kin bigin insay sɔm awa ɔ sɔm dez afta di tɛst. Dis ed we de at kin kam bak wit tin dɛm lɛk nɔs, tachycardia, ɔr hypotension.
Dɛn ed pen ya kin dɔn fɔ dɛnsɛf insay sɔm dez. If yu rɛst bɔku, drink bɔku wata, ɛn drink tin we gɛt kafinɛ lɛk kɔfi, dat kin ɛp yu. Yu kin aks yu dɔktɔ bak bɔt aw fɔ tek wan mɛrɛsin we de mek yu fil pen lɛk paracetamol.
Wetin na di tɛm dɛn we yu fɔ go to dɔktɔ?
Bɔrku tɛm, no big prɔblɛm nɔr kin de afta di tɛst. Bɔt if yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm .
| Simptom dɛm fɔ wach fɔ | Tɔk bɔt |
|---|---|
| Rili bad bad ed pen | Wan bad bad ed pen we kin te fɔ pas sɔm dez ɛn we ɔdinari mɛrɛsin dɛn we de mek pɔsin fil pen nɔ kin pul am. |
| Somtin we de oozing frɔm di say we dɛn pank | If blɔd ɔ ɔda wata de lik frɔm di say we dɛn pier am. |
| Sayn dɛn we de sho se pɔsin gɛt infekshɔn | If di say we dɛn de chuk am rɛd, i swel, i fil wam, ɔ yu gɛt fiva. |
| Di leg dɛn kin swɛla ɔ wik | If yu fil wan ɔnusual tingling ɔ numbness na yu leg. |
Dis go pwɛl mi spɛnal kɔd?
Nɔ, dis na di tin we bɔku pipul dɛn kin fred pas ɔl. we dεn de du lכmba pankshכn, dεn kin put di nidul bכku bכku wan pas di lεvεl na di spεnal kכd. fכ dat, chans nכ de fכ damej di spεnal kכd. Dis na tɛst we rili sef.
Mɛsej we dɛn kin kɛr go na os
- Lumba pankchɔ nɔto natin fɔ fred. Na wan rili impɔtant tɛst fɔ no bɔt sik dɛn we gɛt fɔ du wit di bren ɛn di nervɔs sistɛm.
- Yu bak go numb bifo di test, so yu nɔ go fil ɛni pen, jɔs sɔm prɛshɔn.
- dis tεst nכ de mek yu spεnal kכd pwεl, biכs dεn de put di nidul bכku bכku wan pas am.
- Yu kin gɛt ed we de at afta di tɛst. Yu kin ebul fɔ kɔntrol dis bay we yu rɛst bɔku ɛn drink bɔku wata.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta di tɛst. If yu gɛt ɛnitin we nɔ kɔmɔn, tɛl di dɔktɔ wantɛm wantɛm.
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