Sɔntɛnde yu kin gɛt bad bad ed we yu tinap ɔ stret yu ed? Bɔt yu tink se di pen kin stɔp we yu ledɔm fɔ sɔm tɛm? Ɔ yu gɛt wata we de kɔmɔt na yu nos ɔ yu yes fɔ natin? Ivin if yu tink se dɛn tin ya na jɔs ɔda kol ɔr kɔmɔn ed pen, sɔmtɛm dis kin bi wan sik wae nid fɔ pe atɛnshɔn smɔl. Tide wi de tכk bכt wan pan dεn kayn kכndyushכn ya, we na ‘sεribrospεnal fכluid lik’ ( CSF lik).
Wetin na sεribrospεnal fכluid (CSF) lik?
Fɔ tɔk am simpul wan, wi bren ɛn di spɛnal kɔd we de rɔn dɔŋ di bak pat na wi nɛk, na tu ɔgan dɛn we rili dilik. Fɔ mek dɛn nɔ pwɛl dɛn, dɛn kin put klia wata rawnd dɛn. I tan lɛk se yu put sɔntin we nɔ kin pwɛl insay pilo we ful-ɔp wit wata. Dɛn kɔl dis wata Sɛribrospinal Fluid (CSF) .
fכ mek dis valyu wata nכ lik kכmכt, i de insay wan strכkchכ we lεk sak we dεn mek wit wan strכng mεmbran we dεn kכl dura mater. if fכ sכm rizin ol כ tכch de na dis mεmbran, di CSF fכluid go lik kכmכt sכmtεm. Na dat wi de kɔl CSF lik.
Dis lik kin apin tu men we dɛn:
1. Kranial CSF lik: dis kin apin we di CSF mεmbran insay di sכkul , we de rawnd di bren, de pwεl. Dis kin bi bikɔs ɔf sɔntin lɛk we pɔsin in skel brok.
2. Spinal CSF Lik: if dis mεmbran lik enisay along di spεnal kכd .
we wata lik aut dis we, di kushכn we de rawnd di bren de dכn, εn di prεshכn insay di sכkul de dכn bak. dis dεn kכl am ``Intracranial hypotension.'' Dis kin mek di bren sag sכmtεm, we kin mek di ed pen . If dis sik kɔntinyu, di dilik blɔd vesel dɛn na di bren kin strɛch ɛn rɔtin, we kin mek pɔsin gɛt wan siriɔs sik we dɛn kɔl sabdural ɛmatoma.
Bɔt nɔ wɔri, CSF lik na wan tin we nɔ kin apin so ɔltɛm. I kin apin to lɛk fayv pipul dɛn pan ɛvri ɔndrɛd tawzin. E kin bɔrku pan pipul dɛm wae ol 30-40 ia.
Wetin kin mek CSF lik?
Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni patikyula rizin. Dɔktɔ dɛn kɔl dis ‘spontaneous’ CSF lik. Bɔt bɔku tɛm, sɔm patikyula tin dɛn de we kin mek dis apin.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Di we aw dɛn kin du mɛrɛsin | Bikɔs ɔf tin dɛn lɛk fɔ pank di lumbar, fɔ injɛkshɔn na di epidural fɔ anestezi , ɛn fɔ put kateshɔn na di spayna. |
| Di ɔpreshɔn dɛn we dɛn kin du | כpεrayshכn dεm na di spεnal, lεk transsphenoidal כpεrayshכn fכ pul di tכmכro dεm na di bren. |
| Shɔk | Siriɔs injury na di ed, nɛk, ɔ spayna. |
| Prɛshɔn we de go ɔp na di skel | di intrakranial haypatεnshכn we dεn nכ trit kin mek di prεshכn go כp pan di mεmbran εn mek i rכp. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Kכnektiv tisu sik dεm lεk Ehlers-Danlos εn Marfan sεndrכm, εn bon spur dεm. |
Wetin na di sayn dɛm fɔ CSF lik?
Di men ɛn di men sayn we de sho se CSF lik na di ed we wi bin tɔk bɔt fɔs, bɔt bɔku ɔda sayn dɛn kin de bak.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɔrku tɛm, dɛn kin si sayn dɛm | |
| Speshal ed pen | Di ed we de at kin wɔs we yu sidɔm ɔ tinap. I kin fil fri we yu ledɔm. Dis na di men sayn we de sho se yu gɛt dis sik. |
| Nos/yes we de rɔn | Wan klia wata, we tan lɛk wata pas mכkus, we de flɔ mɔ we di ed tilt. |
| Wan mɛtal teys we de na di mɔt | I de te lɛk mɛtal na yu mɔt. |
| Di chenj dɛn we de apin na di we aw pɔsin de si tin | Blɔr vishɔn, dabl vishɔn. |
| Ɔda tin dɛn we de apin | |
| Fɔ gɛt sɛnsitiviti | Sɛnsitiviti to brayt layt ɛn sawnd. |
| Prɔblɛm fɔ yɛri | Ring na di yes, lכs fכ bεlε (balans ishu dεm). |
| Pen | Stif ɛn pen na di nɛk, pen bitwin di sholda blad dɛm. |
| Ɔda | Nɔs, vɔmit, nɔ de smɛl. |
Aw dɛn kin du di diagnosis?
If yu tink se yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm.I rili impɔtant. Di dɔktɔ go aks yu bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam.
- Dɛn kin aks yu fɔ bɛn bifo ɛn si if ɛni wata de kɔmɔt na yu nos. If i de, dɛn go tek wan sampul ɛn sɛn am na di lab fɔ kɔnfɔm se na CSF.
- Dɛn kin du ɛndoskopi, we min se dɛn kin put smɔl tiub wit kamɛra insay di nos.
- Yu kin chɛk yu yes.
Apat frɔm dat, dɛn kin du bɔku tɛst dɛn fɔ tek pikchɔ dɛn na di bren ɛn di spayna fɔ no usay di lik de.
- ` CT skan`
- ` MRI `
- Myelography (wan spɛshal imej tɛst fɔ di spayna) .
- `Cisternography` (imej tɛst fɔ di bren ɛn spayna)
Sɔntɛnde dɛn kin mistek no se dis sik na maygren ɔ saynsaytis . So, if yu gɛt ed we de at we yu de tinap ɛn we de bɛtɛ we yu de ledɔm, mek shɔ se yu tɛl yu dɔktɔ bɔt am.
if dεn nכ trit di bכdi, i kin spre to di mεmbran dεm we de rawnd di bren εn mek i gεt siriכs infεkshכn lεk mεninjayt. So, fɔ no di sik ɛn fɔ trit am rili impɔtant.
Us tritmɛnt opshɔn dɛn de?
Di tritmɛnt dipen pan usay di lik de, di tin we mek i lik, ɛn aw i siriɔs.
Fɔs tritmɛnt
Bɔku tɛm, mɔ if di lik na bikɔs sɔntin lɛk wata de go insay yu bak, di dɔktɔ go tɛl yu fɔ tray sɔm simpul tin dɛn fɔs.
- Jɔs de na bed ɛn rɛst fɔ sɔm dez.
- Fɔ drink bɔku wata ɛn wata .
- Fɔ drink kafin (ti, kɔfi).
Bɔku tɛm, dɛn simpul tin ya go mɛn di lik fɔ dɛnsɛf.
Speshal tritmɛnt dɛn
If di lik nɔ stɔp wit di fɔs tritmɛnt, di dɔktɔ go yuz ɔda tritmɛnt dɛn.
- Fɔ Spinal CSF Lik:
- Epidural Blood Patch: Dis na di we we dɛn kin yuz mɔ ɛn we kin wok fayn. Yu tek smɔl pan yu yon blɔd ɛn injekt am na yu spayna usay yu tink se di lik de. Di blɔd kin klɔt ɛn sidɔm di ol.
- Sɔntɛnde, dɛn kin du ɔpreshɔn fɔ lɔk di ol wit stich ɔ fat/ mɔsul graft .
- Fɔ Kranial CSF Lik:
- Bɔku tɛm, dɛn tin ya kin nid ɔpreshɔn. Dɛn kin lɔk dis ol wit ɛndoskopi na di nos ɔ ɔpreshɔn na di yes.
- Klos di ol.Dɛn kin yuz sintetik graft, wan pat pan yu yon bɔdi tisu , spɛshal ɔspitul glu , ɔ bon siment .
Tin dɛn we yu fɔ tek tɛm wit afta yu dɔn trit yu
afta tritmεnt fכ CSF lik, yu nid fכ tek tεm bכku insay di tεm we yu de rεkכva, we na lεk 4-6 wik, biכs di mεmbran nid tεm fכ hεl.
- Nɔ es wet we ebi pas 10 pawn (4.5 kg).
- Nɔ tin dɛn lɛk fɔ bɛn fɔ go bifo, fɔ es wet, ɛn fɔ twist .
- Nɔ strɛch we yu de pul dɔti. If nid de, aks yu dɔktɔ fɔ mek i sɔft yu stɔl .
- We yu de kɔf ɔ sniz, kip yu mɔt opin . dis go ridyus di prεshכn we de bכku na di sכkul.
- If yu nos de rɔn, nɔ pik yu nos tumɔs.
- Nɔ yuz straw fɔ drink.
- Ɔltɛm kip yu bak stret we yu de wok. If yu fɔ bɛn, bɛn na yu ni ɛn hip.
Mɛsej we dɛn kin kɛr go na os
- Di men sayn we de sho se CSF lik na ed we de at we de wɔs we yu tinap ɛn we de dɔŋ we yu ledɔm.
- If yu gɛt klia wata we de kɔmɔt na yu nos ɔ yu yes fɔ natin, ɔ if yu gɛt mɛtal teist na yu mɔt, dat kin bi sayn fɔ denja.
- If yu gɛt sɔm kayn sik lɛk dis, nɔr tink se na nɔmal tin ɛn fɔ tru, go to dɔktɔ.
- Nɔ wɔri. Mɔs pan di CSF lik kin wɛl wit rɛst, wata, ɔ simpul tritmɛnt.
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