I ruhro atanga tui lak tur ka tih khan i hlau em? (Lumbar Puncture / Spinal Tap) Hei hi eng nge a nih chiang takin i zawng chhuak ang u!

‘Spinal tap’ tih hi i hre ngai em? "Wow, hei hi thil lian tak, hlauhawm tak a ni ngei ang," tiin i ngaihtuah mai thei. A hming i hriat veleh i hlauthawng deuh hi hriatthiam theih a ni. Mahse test awlsam tak a ni a, doctor-te chuan i thluak, i nervous system leh i ruhro nena inzawm natna chi hrang hrang an hriat theih nan a pui thei a ni. Chuvangin, vawiin hian he ‘lumbar puncture’ hi han sawi ila, mi zawng zawngin an sawi thin ang chiah hian, Sinhala tawngin, okay?

Engvangin nge hetiang (Lumbar Puncture) hi tih a nih? Eng nge a zawn?

A awlsam zawngin, he test hi i ruhro vel, i ruhro chhunga tui awm sample tlemte lak a ni. He tui hi cerebrospinal fluid (CSF) an ti a. I thluak leh ruhro vengtu leh chawmtu cushion ang mai a ni. Chuvangin, doctor-te chuan he CSF sample pakhat enfiah hian thil tam tak an zir thei a ni.

Tunah chuan eng case-ah nge doctor-te’n `(Lumbar Puncture)` tih an rawt tih hi han en ila:

• Thluak chhunga thisen chhuak i rinhlelh chuan (Intracranial Hemorrhage): Hei hi a chang chuan lu-a vuak hnuah a thleng thei.
• Dementia ang chi natna: Zawi zawiin hriatrengna hloh thei natna zawng rawh.
• Thluaka CSF fluid tam lutuk a awm leh awm loh enfiah thin ang che.
• Thluak tissue (`(Encephalitis)`) a hring leh inflammation te enfiah thin ang che.
• Cancer natna leukemia ang chi: Cancer cell thenkhat chu CSF-ah pawh a darh thei bawk.
• Thluak natna hrik meningitis: Hei hi emergency a ni. A lan chhuah dan chu khawsik, lu na, leh kawr khauh te a ni thei.
• Multiple sclerosis ang chi autoimmune natna: Heng natnate hi kan taksa chakna (immune system) ngeiin taksa dodalna hna a thawhna natna a ni.
• Thil awmdan hrang hrang, ruhro (`(Myelitis)`) te.

Hei mai ni lovin Lumbar Puncture hi chhan dang engemaw zat avangin hman a ni:

• Natna tihziaawmna turin anesthesia pe rawh: Epidural tih i hre tawh mai thei. Tin, ruhro (spine)-a anesthesia pek chi khat a ni bawk. Regional anesthesia hi operation leh nau neih laia natna tihziaawmna atan hman a ni.
• X-ray test bik nei rawh (`(Myelogram)`): Hetah hian tui (dye) bik chu ruhroah inject a, X-ray lak a ni.
• Cancer dona damdawi emaw muscle relaxant emaw chu spinal fluid-ah direct-in pe rawh.
• Thluak chhunga pressure sang tihziaawm (`(Intracranial Pressure)`): He pressure hi CSF fluid thenkhat lakchhuah hian tihziaawm theih a ni.

Heng zawng zawng hi lumbar puncture a ngai lo tih hre reng ang che. I doctor chuan he test hi i mamawh leh mamawh loh leh a chhan chiang takin a hrilhfiah ang che.

He test atan hian engtin nge ka inbuatsaih ang?

Okay, lumbar puncture tih i tum ta ang u. Chumi hma chuan doctor chuan zawhna engemaw zat a zawt ang che a, i hriselna chanchin a lo en ang. Tin, hetiang thilte hi tih turin a ti thei bawk che a ni:

• CT scan (`(CT scan)`) emaw MRI scan (`(MRI)`) emaw la rawh: Hei hian ruhro leh a chhehvel hmunte thlalak tha tak a hmu thei a ni.
• Thisen test nei rawh: I thisen a zam theih dan ang chi thilte enfiah rawh.
• I damdawi ei chungchang doctor hnenah hrilh rawh: Thisen tithianghlimtu damdawi, Warfarin emaw Aspirin emaw i ei a nih chuan i doctor hnenah i hrilh ngei ang . Heng damdawi thenkhat hi ei tawh lo turin emaw, test hma ni engemaw zatah a dose thlak turin emaw a ti thei che a ni. Mahse, hre reng ang che, i doctor-in a tih hma loh chuan i damdawi ei zawng zawng kha titawp suh, thlak suh, okay?

Heng inbuatsaihnate hian test titu doctor chuan i dinhmun chiang taka a hriatthiam theih nan a pui ang a, him takin test chu a ti thei ang a, a tul lo taka harsatna a thlen loh nan a pui bawk ang. I doctor pawhin i tan thupek bik a neih chuan a hrilh bawk ang che.

Lumbar Puncture ka neih hian eng nge thleng thin? A pawi dawn em ni?

Hei hi mi tam tak hlauhthawnna hmun a ni. Mahse hrehawmna i nei tak tak lo . Pressure tlem, squeezing tlem i nei mai thei, mahse a hrehawm lo.

Hetah hian thil thleng chu a awm:

1. Position: Khum pakhat i veilam sir lamah i hawi ang a, mu turin an ti ang che. Tichuan, i khup chu i rilru hnaih thei ang berin, ball te tak te ang maiin i hrual ang. A nih loh leh, a châng chuan, thutthlengah thuin, dawhkan chungah hmalam pan a, dawhkan chungah i lu leh kut nghah turin an ti ang che. He dinhmun hi hun engemaw chen chu nuam lo takin a awm thei a, mahse a theih ang anga awm reng a pawimawh . Test neih chhung hian i dinhmun tlem tal thlak turin an ti mai thei che.

. When the anesthetic is injected , second tlemte chhung chu kang deuhin i hria ang , rulhut hnim ang maiin. Chu chu a ni. Tichuan a hmun chu a hring vek tawh ang.

. Hei hi i hnute chungah chiah a awm. Needle hi spinal cord hualtu protective membrane (meninges) inkar space (the subarachnoid space) ah dahin CSF in a khat a ni. A châng chuan, X-ray machine bik, fluoroscopy an tih hmangin, needle chu a hmun dik takah a awm tih hriat theih a ni.

4. CSF fluid ei: 1.1.Needle chu a hmun dik takah a awm tawh chuan doctor chuan CSF fluid pressure a teh hmasa thin. Tichuan, sample te tak te (milliliter tlemte) an la khawm a. Hei hian minute engemaw zat a daih.

5. Finishing: Sample lak zawhah doctor chuan needle chu a la chhuak a, a hmunah chuan plaster emaw bandage te tak te a hnawih thin.

Chu chu a thleng vek a ni. Test pumpui hi minute 15 leh 30 inkar a ni. Mahse, needle chu i hnungzang ah minute tlemte chauh a awm.

Khawiah nge he test hi tih a nih? Ka hriatna a hloh tir dawn em ni?

He `(Lumbar Puncture)` hi a chang chuan damdawi inah `Outpatient Procedure` angin tih theih a ni. Chumi ni vek chuan in lamah i haw thei tihna a ni. A nih loh leh, damdawi ina awm i nih chuan ward-ah tih theih a ni. Outpatient anga tih a nih chuan test zawhah in lama hruai tur che mi a awm a ngai dawn a ni .

Tin, he test chhung hian i rilru a buai vek dawn lo bawk . Numbing damdawi chauh pek i ni ang. Chuvangin i conscious ang, mahse engmah hrehawm i nei lovang.

Test zawhah eng nge ka tih ang?

Test zawh hnuah doctor emaw nurse emaw chuan thupek engemaw zat a pe ang che. Anmahni zui hi a pawimawh hle. Hetiang hian an sawi tlangpui:

• Darkar 24 chhung chu lirthei khalh emaw, machine rit tak tak emaw hmang suh.
• Darkar khat emaw darkar hnih emaw chhung chu khumah (i sir emaw, i hnungzang emaw) mu rawh, a aia rei pawh a ni mai thei. Hei hian lu na tihziaawmna kawngah a pui thei a ni.
• Darkar 24 atanga 48 chhung chu exercise ang chi thil hahthlak tak tak ti suh.
• Chawlh tha rawh.
• Dehydration awm loh nan tui leh tui tam tak in thin ang che.

I doctor-in phalna a pek che chuan i thil tih dan pangngai chu test zawh ni vek emaw, a tuk emaw-ah i thawk leh thei ang.

Lumbar puncture hnua lu na hi thil pangngai a ni em?

Ni e, mi thenkhat chuan he test hnuah hian lu na an nei thei. `(Spinal Headache)` kan ti a. Mi zawng zawngin an hmu vek lo, mi 10% velin hetiang hi an tawng thin .

Hetiang a nih chuan i thut emaw, i ding emaw hian lu na nasa tak i nei thin. I mut chuan a bo vek. Hei hi test atanga darkar tlemte emaw, ni engemaw zat emaw chhungin a intan thei a ni. A tam zawkah chuan ni hnih emaw ni thum emaw chhungin a mah chauhin a tha leh thin. Mahse mi thenkhat tan chuan kar khat thleng a daih thei.

He `(Spinal Headache)` hian natna dang a keng tel thei a, chungte chu:

• Lung chakna sang (Tachycardia) .
• Thisen sang hniam (`(Hypotension)`) .
• Luhai

Hei hi pui turin over-the-counter natna damdawi te, tui tam tak in avanga hydrated awm reng te, coffee ang chi caffeine awmna in tur thenkhat in te hian a pui thei a ni. I doctor pawhin thurawn a pe ang che.

Side effect dang a awm em? Spine a tichhe dawn em ni?

He test atanga side effect na tak tak a awm hi a tlem hle. Mahse, a tlem berah chuan a hnuaia mi hi a thleng thei a ni:

• Needle awmna hmunah natna hrik a awm
• Chu chu a dik swelling.
• Thisen chhuak
• Lower back na a awm

Hei hi hre reng ang che: Lumbar puncture hian i spinal cord a tichhe lovang. Hei hi a chhan chu needle hi spinal cord level aiin a hniam zawk hle a ni. Chuvangin hlau suh.

Eng result nge ka hmuh thin? Engtin nge an sawi?

I hnen atanga CSF sample lak chu lab-ah thawn a ni ang a, a hnuaia mite hi test a ni ang:

• Bacteria (`(Bacteria)`), fungi (`(Fungi)`), emaw, cell pangngai lo (cancer cell ang chi) emaw a awm em?
• I sugar (`(Glucose)`) level chu engtin nge a awm?
• Engtin nge protein chi hrang hrang leh level te hi a awm?
• Thisen var (white blood cells) hi eng chi hrang hrang leh engzat nge ni? (Hengte hian hri kai chungchang a sawi thei)

Heng result te hi i doctor-in damdawi lam dinhmun hrang hrang a nemnghet emaw, a paih chhuah emaw theihna tur a ni.

A result hriat nan eng chen nge hun a duh?

Test neih chhanah a innghat. Ni hnih atanga ni thum chhungin result a awm tlangpui. Mahse, thluaka thisen chhuak emaw, meningitis ang chi emergency condition emaw enfiah nan tih a nih chuan darkar tlemte chhung pawhin a result chu a hma zawk hle thei.

Results a dik lo a nih chuan eng nge tih leh tur?

Lumbar puncture hian thluak, nerve leh spinal cord nena inzawm natna tam tak a hriat theih avangin a rah chhuah chu a inang lo thei hle. Entirnan, i CSF-ah thisen var cell count a sang a nih chuan infection a awm tih a tilang thei. Chutiang a nih chuan natna hrik chu antibiotics hmangin i enkawl thei ang.

I doctor chuan result i hmuh awmzia a hrilhfiah ang che a, chu mi ang chuan eng enkawlna nge mamawh tih te, a hnua i tih tur te pawh a hrilh ang che.

Engtikah nge doctor ka hmuh leh ang?

Test zawhah heng symptoms te hi i neih chuan doctor hnenah hriattir ngei ang che:

• Lu na hi ni engemaw zat aia rei a nih a, a na hle a nih chuan.
• Needle awmna atanga thisen emaw tui dang emaw a chhuak a nih chuan.
• Infection chhinchhiahna (swelling, redness, fever) a awm chuan.

A tawp berah chuan hei hi hre reng ang che... (Take-Home Message)

Chuvangin, `(Lumbar Puncture)` emaw `(Spinal Tap)` emaw kan sawi kha hlauh tur a ni lo. Ni e, i ruhroah needle dah a nih hian tlem chuan shock leh nervousness tlem i neih hi thil pangngai a ni. Mahse, hei atang hian tuar theih loh hrehawmna i nei lovang. Tlemte nawr ang maiin a lang mai thei.

Hei hi test him tak a ni a, damdawi lam harsatna tam tak hriatchhuahna kawngah a pui thei a ni. Ruhroah chhiatna a thlen lo.

Hemi chungchangah hian zawhna dang emaw, ngaihtuahna dang emaw i neih chuan test hmain doctor nen sawiho hmasa phawt ang che. Chutiang chuan i rilru a hahdam zawk ang. Test zawhah lu na i neih chuan i doctor chuan a tihziaawm dan tur a hrilh mai thei che a ni. Chuvangin, hei hi damdawi lama test pawimawh dang angin ngaihtuah mai rawh!

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