Yu dɔn gɛt ed we de at bak bikɔs ɔf wan spɛshal injuri? Lɛ wi lan bɔt dis spɛshal ed we de at!

Yu dɔn ɛva gɛt ed we nɔ go ebul fɔ bia, mɔ afta dɛn dɔn inj yu na yu bak? Ɔ yu kin fil se di pen kin wɔs we yu sidɔm ɔ tinap, ɛn i kin bɛtɛ we yu ledɔm? If na so, yu kin gɛt wan sik we dɛn kɔl Spinal Headache, we wi go tɔk bɔt tide. Nɔ wɔri, lɛ wi tɔk bɔt am ditayli .

Wetin na Spinal Ɛd-aks?

Fɔ tɔk am simpul wan, spɛshal ed pen na bad bad ed we kin kam bikɔs di wata we de na yu bren we de na di sɛribrospaynal fluid (CSF) , we na di wata we de rawnd yu bren, de go dɔŋ. Imajin se wi bren ɛn di spɛshal kɔd we de rɔn dɔŋ yu spayna, de protɛkt lɛk pilo we ful-ɔp wit dis wata we dɛn kɔl CSF. Dis wata de gi di bren tin fɔ it ɛn i de protɛkt di bren ɛn di spɛnal kɔd fɔ mek i nɔ muv wantɛm wantɛm.

So, if fכ sכm rizin dis CSF fכluid we de rawnd di bren de dכn, dat min se if i lik, di sכpכt fכ di bren de dכn. Dɔn di bren kin bigin fɔ sag smɔl. na dis tεm ya, di dilik tisu dεm εn di nεv dεm we kכnekt to di bren kin bigin fכ pul. Dat pul na wetin wi kin fil lɛk se na bad bad ed de at.

Dɛn kin kɔl dis bak:

• Di ed we de at afta dɛn dɔn pank am
• Epidural ed we de at
• Di ed we de at we nɔ gɛt bɔku prɛshɔn

Wetin mek dis spɛshal ed we de at kin apin?

di men rizin fכ dis na wan mεdikal prכsidכm we wi kכl "spinal tap." Dat min se, dɛn kin pank di lɔmba ɔ tap na di spɛnal .

Spinal Tap/Lumbar Puncture na di men tin we kin mek i apin

Dɔktɔ dɛn kin du lumbar pankchɔ fɔ bɔku rizin dɛn. Fɔ gɛt CSF sɛmpul fɔ no sɔm kɔndishɔn dɛn, ɔ fɔ gi dɛn anestezi. yu kin mɛmba di epidural anestesia we dɛn kin gi yu spayna fɔ ridyus di pen we yu de bɔn pikin. Na dat i de du fɔ.

Insay dis we aw dɛn de du dis, dɔktɔ kin put wan tint nidul insay yu spɛnal kanal, i kin pas na yu bɔdi we de dɔŋ ɔ fɔ gi yu anestezi ɔ fɔ tek wan sɛmpul pan CSF. כltu, sכmtεm sכmכl ol na di mεninges, di mεmbran we de rawnd di spεnal kכd, kin mek sכm CSF lik kכmכt.

we di CSF fluid dכn, di prεshכn we de rawnd di bren de dכn bak. Wi kin kɔl dis intrakranial haypɔtɛnshɔn . Dɔn i tan lɛk se di bren de hang dɔŋ smɔl. Na dat de mek di ed at.

stכdi dεm sho se dis kayn spεnal ed pen kin apin na lεk 10% to 40% pan di lכmba pankshכn dεm.

Yu tink se ɔda rizin dɛn de?

Yes, i nɔto jɔs wan spɛshal tap. sכm tεm, CSF lik kin mek spεnal ed pen bak bikoz fכ כda kכz dεm.

• Wan sist we tan lɛk wata blista nia yu spɛnal kɔd kin bɔs.
• wan tear na di protεktiv mεmbran dεm (meninges) we de rawnd di spεnal kכd.
• Siriɔs injury na di ed ɔ fes, lɛk we di skel brok.

Wetin na di sayn dɛm wae de sho se yu gɛt spɛshal ed pen?

Fɔ pɔsin we dɔn gɛt spɛshal tap, dɛn ed pen ya kin bigin insay tu to tri dez. Bɔt sɔntɛnde, dɛn kin apia sɔm mɔnt afta dat.

Di men tin dɛn we dɛn kin du na dɛn tin ya:

• Na bad bad ed we de at we kin bigin na di fɔɛd ɔ bak na di ed.
• Di pen kin bɔku we yu sidɔm ɔ tinap, ɛn i kin stɔp smɔl we yu ledɔm. Dis na di men tin we de sho se dis ed de at.
• Di ed we de at kin wɔs we yu kɔf, strɛch, ɔ tray fɔ pul dɔti.
• Vɔmit.
• Nɛk pen ɔ stiffness.
• Diziz we pɔsin kin gɛt.
• di vishכn de chenj εn di sεnsitiviti to layt, i.e. fכtofobia .

Apat frɔm dat, dɛn nɔ kin si dɛn sik ya bak:

• Fɔ yɛri wan ring na yu yes (Tinnitus) .
• I nɔ de yɛri fayn igen.
• Simptom dɛm lɛk fɔ nɔr de fil fayn ɔr nɔr de fil fayn na yu an (Radiculopathy symptoms) .

Aw lɔng dɛn sayn ya kin te?

Bɔrku tɛm, dɛn spɛshal ed pen ya kin te frɔm sɔm awa to sɔm dez. Bɔt fɔ sɔm pipul dɛn, dɛn kin las fɔ lɔng tɛm. If yu gɛt dɛn sik ya fɔ pas 24 awa, yu fɔ rili go to dɔktɔ.

Udat dɛn kin gɛt dɛn tin ya mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Sɔm pipul dɛn kin gɛt dɛn spɛshal ed pen ya. Bɔku tin dɛn de we kin mek dis apin:

• Fɔ drink smɔl wata (dehydration).
• Kɔndishɔn dɛn we kin afɛkt di wan ol bɔdi, lɛk ay blɔd prɛshɔn ɛn fiva.
• Fɔ bi pɔsin we kin gɛt ed pen ɔltɛm.
• Fɔ di wan dɛn we gɛt smɔl bɔdi wet (Lɔw bɔdi mas indeks - BMI).
• Di kayn nidul we dɛn kin yuz fɔ di spɛshal tap. dis risk kin bכku we dεn yuz sכm kayn nidul dεm (kכt כ big bore spεnal nidul dεm).

Bɔku tɛm, dɛn kin si dɛn spɛshal ed pen ya pan uman dɛn we ol bitwin 20 ɛn 40 ia we kin gɛt epidural anestezi fɔ dɛn bak we dɛn de bɔn pikin.

Aw dɔktɔ go no fɔ tru se dis na spɛshal ed we de at?

Dɔktɔ go no if na spɛshal ed pen bay di kwɛstyɔn dɛn we yu aks (yu mɛdikal istri) ɛn di sayn dɛm we yu gɛt. If yu dɔn gɛt spɛshal tap i nɔ tu te yet, dat na, insay 14 dez, di diagnosis kin rili klia. If na so i bi, dɛn nɔ nid fɔ du ɔda tɛst dɛn.

Bɔt if yu nɔ gɛt spɛshal tap, yu dɔktɔ kin ɔda fɔ mek dɛn du MRI (Magnetic Resonance Imaging) skan fɔ no wetin mek yu ed de at. dis kin tek wan klos luk pan yu bren εn spεnal kכd fכ si if eni lik de fכ CSF fכluid.

Wetin na di tritmɛnt dɛm fɔ dis?

Bɔku tɛm, dɔktɔ dɛn kin se dɛn tin ya fɔ mɛn pɔsin we gɛt ed we de at na in spayna:

Tin dɛn we yu kin du na os

• Ledɔm na flat ples ɛn ledɔm. I bɛtɛ fɔ lɛ yu ledɔm as yu ebul, bikɔs we yu tinap ɛn sidɔm, dat kin mek yu fil pen mɔ.
• Drink bɔku wata ɛn wata. Ɛspɛshali drink dɛn we gɛt kafin, lɛk kɔfi, ti, ɛn sɔm sɔft drink dɛn kin mek pɔsin fil fayn.
• Yuz ɔva-di-kɔnta pen rilif/analjɛsik dɛm we yu kin gɛt frɔm di famasi.

Na dɔktɔ we de trit am

Sɔntɛnde, di tritmɛnt dɛm wae wi dɔn tɔk bɔt nɔr kin ɛp. If yu stil gɛt ed we de at afta sɔm dez, yu dɔktɔ kin tɛl yu fɔ du wan tin we dɛn kɔl epidural blood patch . Dis min se yu fɔ injɛkt sɔm pan yu yon blɔd na di ol usay di CSF de lik. Di blɔd kin klɔt ɛn sidɔm di ol. Dis kin ɛp bɔku pipul dɛn fɔ wɛl kwik kwik wan.

Na smɔl tɛm nɔmɔ, dɛn kin nid ɔpreshɔn fɔ mek di CSF lik.

Yu tink se yu go ebul fɔ mek yu nɔ gɛt ed we de at na yu spayna?

Natin nɔ de we yu go rili du fɔ mek dis nɔ apin. Bɔt dɔktɔ dɛn kin yuz spɛshal kayn nidul (nidul we nɔ de kɔt) we kin tan lɛk aw dɛn kin du we dɛn de du spɛshal tap fɔ ridyus dis prɔblɛm.

Aw dis go wɛl kwik kwik wan? (Prɔgnosis) .

Natin nɔ de fɔ fred bɔt dɛn spɛshal ed we de at. Bɔrku tɛm (lɛk 85%) dɛn go go fa ɛn nɔr gɛt ɛni tritmɛnt. If wi yuz di epidural blɔd pat tritmɛnt we wi bin dɔn tɔk bɔt, di ed we de at go dɔn ɔlsay insay 24 awa insay 60% to 70% pan di kes dɛm.

Bɔt, nɔto ɔltɛm, siriɔs kɔndishɔn kin apin...

Pan ɔl we dis nɔ kin apin so ɔltɛm, we kin kɔntinyu fɔ gɛt siriɔs ed pen na di spayna kin mek yu gɛt prɔblɛm dɛn lɛk:

• sεribra venכs sayn trombosis – Na bכdi we de kכlכt na di bכdi vεsul dεm na di bren.
• Subdural hematoma – na wan kכlekshכn fכ bכdi we de rawnd di bren.
• Di sik dɛn we kin mek pɔsin sik.
• haypopituitarism – di dכn fכnshכn fכ di pituitary gland.
• Syringomyelia – di fכmeshכn fכ di fכm we fulכp wit wata insay di spεnal kכd.
• di bren hεnia – na wan pat pan di bren we de kכmכt bikoz fכ di prεshכn we pasmak.
• Kɔma stet.
• Ivin day kin apin (bɔt dis nɔ kin apin so ɔltɛm ).

Wi nɔ de tɔk dis fɔ mek yu fred, bɔt i fayn fɔ no bɔt dis kayn tin. Na dat mek wi se if yu ed de at bad bad wan ɛn i nɔ de at, yu fɔ rili go to dɔktɔ.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt bad bad ed pen afta yu dɔn tap yu spɛnal ɛn i tek pas 24 awa, yu fɔ rili go to dɔktɔ.

Dɔn bak, if i nɔ izi fɔ yu fɔ pis, ɔ if yu fil lɛk se yu nɔ de fil fayn na yu bak ɔ yu leg, dat kin bi sayn fɔ se yu gɛt siriɔs prɔblɛm. If dis apin, yu fɔ go na ɔspitul wantɛm wantɛm.

Mɛsej we dɛn kin kɛr go na os

Wi ɔl kin gɛt ed pen wan wan tɛm fɔ difrɛn rizin dɛn. Bɔt spɛshal ed pen nɔto yu avrej ed pen. If yu gɛt siriɔs ed pen afta yu dɔn tap yu spɛnal ɔ yu dɔn du epidural, tɛl yu dɔktɔ. Bɔrku tɛm, dɛn ed pen ya go go fɔ dɛnsɛf, bɔt yu kin nid tritmɛnt, lɛk fɔ put blɔd pat pan di epidural. So, i impɔtant fɔ go to dɔktɔ bifo yu disayd fɔ du ɛnitin fɔ yusɛf.

` Spinal ed pen, spεnal tap, ed pen, lכmba pankshכn, epidural, CSF, sεribrospεnal fכluid