Cisternogram Scan: thluak chhunga tui luang chhuak thlirletna special test chungchang hi i zir dawn teh ang!

Chibai! Vawiin hian test pakhat kan sawi dawn a, a hmingah chuan a buaithlak deuh a, mahse kan thluak leh kan ruhro atan a pawimawh hle. Hei hi Cisternogram Scan an ti a. He thu hi Doctorin a hrilh che a ni mai thei, a nih loh leh khawi emaw laiah i lo hre tawh a ni mai thei. Chuvangin, eng nge a nih, engvangin nge a tih, engtin nge a tih tih chu a awlsam zawngin i en ang u? Ngaihtuah buai suh, i hriatthiam theih tur zawngin ka sawifiah ang.

Cisternogram tih hi eng nge ni?

A awlsam zawngin, kan lu chhungah leh kan ruhro (spinal cord)-ah tui ang chi tui bik a luang chhuak a ni. He tui hi damdawi lam chuan Cerebrospinal Fluid (CSF a tawi zawngin) tia hriat a ni. He CSF fluid hian kan taksa tan hna pawimawh tak tak engemaw zat a thawk a ni.

Hetiang hian han ngaihtuah teh:

• He `CSF` hi kan thluak leh ruhroah ei leh in, chu chu nutrients rawn kengtu ang a ni .
• He `CSF` fluid hian kan central nervous system (CNS) chu a hnathawh that theih nan a pui thin.
• Chutiang bawkin he tui hian thluak leh ruhro tissue atanga thil duh loh leh toxins te chu a tifai a, a paih chhuak bawk .
• Thil pawimawh dang chu, car-a shock absorbers ang bawkin, cushion angin an thawk a, thluak an venghim , kan thluak hi khawi emaw laiah a tlak chuan concussion ang chi thil awm theihna chance a ti tlem a ni.

Chuvangin, he test cisternogram an tih hi i thluak chhungah leh i ruhro (spinal cord)-ah CSF fluid a luang tha em tih te, khawi emaw laiah blockage a awm em tih te, khawi emaw laiah leak a awm em tih te chiang taka enfiah nan tih a ni.

Hei hi a takah chuan scan chi khat ``Nuclear Medicine Imaging'' tih a ni. Chuvangin ``Radionuclide Cisternogram'' an ti \hin a ni.Hetah hian thil thleng chu i ruhroah radioactive material tlemte chauh a inject a ni. Ngaihtuah buai suh, a ti na vak lo ang che, a him tawk chauh hman a ni . He material avang hian doctor chuan scan laiin ``CSF'' fluid kalna kawng chu chiang takin a hmu thei a ni.

Engtikah nge he scan hi a mamawh?

Tunah chuan, "Okay, chuti a nih chuan hetiang natna nei hian eng ang harsatna nge cisternogram a neih ang?" A tlangpuiin, doctor-in i thluak emaw, i ruhroah emaw CSF fluid a leak (CSF leak) (i thluak/spine-a pressure a tlahniam tihna a ni), emaw, he CSF fluid hi a khawlkhawm tam lutuk a, a block tihna a ni (i thluak/spine-a pressure a sang tihna a ni) a rinhlelh chuan he scan hi a tha hle.

Heng symptoms te pawh hi i nei em tih en rawh:

• I kal lai hian i balance hloh ang maiin i inhria em?
• I lu a buai fo em ?
• Ngaihtuah theih loh khawpinLu na i nei em? I ding chhuah chuan a natna chu a zual zel ang tih i hre mai thei.
• Hriatthiam lohna tlem i nei niin i hria em ? A nih loh leh i beng bulah ri bengchheng ang chi i hre em?
• Nausea leh luak chhuak i nei em ?
• Kawng na i nei em, i rilru a na em?
• Eng êng tak emaw, thawm ri nasa tak emaw lakah sensitivity i nei em?
• Ngaihtuah chiang emaw, ngaihtuahna seng emaw i nei lo niin i hria em ? I hriatrengna hi a tlahniam deuh niin a lang em?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan i doctor chuan cisternogram scan neih a ngaihtuah thei ang.

Hemi atan hian engtin nge ka inbuatsaih ang? Doctor hnenah eng nge ka hrilh ang?

A tam zawkah chuan a hma ni khata cisternogram scan atana inbuatsaih tur a awm lo. Mahse, a chang chuan i doctor chuan scan hmain ei leh in tur chungchangah thupek bik a pe ang che (entir nan darkar tlemte chaw nghei). Hengte hi zawm dik tur a ni.

Mahse a pawimawh ber chu scan zawhah mi pakhatin in lama hruai che hi a ni . A chhan chu a chang chuan test zawhah i rilru a hah deuh mai thei a, lu na ang maiin i awm thei a, chuvang chuan mahni chauha car khalh hi a tha lo.

Thil dang pakhat chu, heng thilte hi i doctor nen in sawipui ngei tur a ni, engmah thup lovin :

• Numbing damdawi, local anesthetics emaw anesthesia emaw ang chi allergy i nei tawh em?
• Naupai emaw, naupai emaw i nih chuan doctor hnenah i hrilh ngei tur a ni a, a chhan chu he test hian radioactive substance a hmang a ni.
• I damdawi ei zawng zawng (doctor-in a pek chauh ni lovin, natna tidamtu, vitamin, herbal remedies, leh damdawi dawr atanga i lei supplement te pawh) i doctor hnenah hrilh rawh. A bik takin thisen tihthianghlimna damdawi aspirin emaw warfarin emaw i ei a nih chuan doctor hrilh a pawimawh hle. Damdawi thenkhat chuan thisen chhuah theihna a tipung thei a ni. Chutiang a nih chuan i doctor chuan scan hma ni engemaw zat chu ei tawh loh turin a ti thei che a ni.

Engtin nge he cisternogram scan hi tih a nih? Tlem a chipchiar deuhin han thlir ila.

Okay, tunah chuan he test hi engtin nge kan tih ang tih i en ang. Ngaihtuah buai suh, awlsam takin ka sawifiah ang. Step tlemteah tihfel a ni.

Step khatna: I hnungzang atanga tui in ang mai a ni - chu chu lumbar puncture chu a ni.

A hmasa ber chu `Spinal Tap` a ni. `Lumbar Puncture` kan ti bawk. Mi thenkhat chuan hei hi ``spine atanga tui lak`` an ti bawk.Mahse hetah hian tui an la lo va, chu special liquid chu an inject mai thin.

Hei hi a ni:

• A hmasain, i hnungzang hnuai lam, needle dahna tur chu uluk takin tihfai a ni ang a, local anesthetic inject a ni ang a, chu chu a rilru a buai ang . Hei hian natna engmah i neih loh nan a veng ang. Mi thenkhat chu an rilru hahdamna tur leh an lungkhamna tihziaawmna turin sedative pek an ni thei bawk. A tlem hle a, a bik takin, general anesthetic hmangin an rilru a buai vek ang.
• Chumi hnuah chuan exam table-ah hmai hnuai lam hawia mu turin an ti ang che a, a nih loh leh i khup chu i rilru thlenga hrual chungin i sir lamah mu turin an ti ang che, i inkhuh ang maiin Hei hian i ruhro inkar ah hmun tam zawk a siam thei a ni.
• A dawtah chuan doctor chuan i ruhroah hian needle te tak te, hollow tak tak a dah lut a. Hei hi vertebrae kaltlangin, CSF fluid awmna hmun (subarachnoid space an tih) chhungah a hruai lut a ni. Hei hi fluoroscopy (X-ray image live hmuh theihna method) an tih technique hmanga tih a ni. Chuvangin needle chu hmun dik loah a kal dawn tih ngaihtuah a ngai lo.
• Chu needle hmang chuan a hmaa kan sawi tawh radioactive substance tlemte chu i CSF fluid ah a inject a ni .
• Chu hna chu an thawh zawh chuan a zung chu uluk takin an la chhuak a, chu hmunah chuan plaster te tak te an dah a ni.

Tichuan scanning a ni ta

Lumbar puncture tih zawh a, radioactive material inject a nih hnuah CSF kaltlangin thluak thlenga kal turin hun engemaw chen i pek a ngai a ni. Chuvangin darkar khat vel khumah i mu a ngai ang a , a theih ang anga i ngawi reng ang . A châng chuan i lu chu a sir lam hawi lo turin thurawn i dawng thei bawk.

Then, usually between one and six hours later , doctor chuan i ruh leh lu chu a scan tan ang. Hei hian camera bik (`Gamma Camera`) hmangin radioactive material awmna hmun a hre thei a ni. Heng thlalak te hi `CT scan (Computed Tomography)` emaw `MRI (Magnetic Resonance Imaging`) atanga lak a ni thei a, hei hian a chhunga `CSF` fluid luang chhuak chiang takin a tarlang a ni.

Scan hmasa ber hnuah in lamah i haw thei tawh ang. Mahse, a tlangpuiin darkar 24 hnuah damdawi inah scan dang neih leh a ngai ang . Hei hi a chhan chu radioactive material chu thluak zawng zawngah (ventricles leh cisterns) a darh theih nan ni khat vel a ngai a ni. Mi thenkhat chuan darkar 48 emaw 72 emaw hnuah scan dang an nei leh thei bawk . I doctor chuan a rel ang. Mahse, lungngai suh, scan apiangin lumbar puncture i tih a ngai dawn lo . Ni khatnaah chauh tih a ni ang.

Hetianga i tih hian a na em?

Mi tam takin zawhna leh hlauhna lian tak an neih chu "A pawi ang em?" Dik tak chuan, local anesthetic chu i ruhroah an inject chuan , second engemaw zat chhung chu kang tlem ang maiin, a nih loh leh rulhut seh ang maiin a lang thei a ni . Chumi hnuah chuan a hmun chu a hring ang a, chuvangin lumbar puncture-a needle dah a nih chuan pressure tlem i nei ang, mahse natna tak tak a awm lo.Mi thenkhat chuan engmah an hre lo mai thei.

Scan chhung hian natna a awm lo tak zet a ni . Scanner khumah chuan i muhil mai tur a ni.

Side effect a awm em?

Medical test dang ang bawkin cisternogram hnuah pawh side effect tenau tak tak a awm thei. Mahse, an serious lo. Side effects awm tam ber chu:

• Ni engemaw zat chhung chu injection na hmun (back) ah hian natna emaw, hliam emaw tlem a awm thei.
• Lu na . A bik takin lumbar puncture an tihna hmun atanga CSF tlem a leak chhuak a nih chuan (hei hi post-lumbar puncture headache emaw spinal headache emaw an ti a) lu chhunga pressure chu a tlahniam deuh thei a, lu na nasa tak a thlen thei a ni. Hei hi i mut laiin a reh tlangpui a, i ding emaw, i ding emaw hian a pung bawk. Ngaihtuah buai suh, hei hi hun eng emaw chen atan a ni . Tui tam i in a, i chawlh chuan darkar tlemte emaw, ni engemaw zat emaw chhungin a mah chauhin a reh ang. I tuar thei lo a nih chuan i doctor hnenah hrilh la, a damdawi a awm.

Eng nge a hlauhawmna?

Cisternogram hnua harsatna lian tham tak tak chu a awm tlem hle a, chu chu a awm tlem tihna a ni . Mahse, hlauhawmna tenau ber pawh a lo awm thei tih hriat a tha. Tichuan hlauhna tul lo a awm tawh lovang.

• Radioactive material emaw, numbing/analgesic damdawi emaw ah hian allergic reaction (itching, rash ang chi) a awm thei. Mahse, hei pawh hi a tlem hle.
• A tlem hle a, `Brainstem Herniation` (lu chhunga pressure avanga thluak tissue chu a nawr chhuak tihna) tih hi thluaka pressure lama harsatna avanga lo awm thei a ni. Hemi chungchangah hian Doctor-te chuan an buai hle.
• Needle dahna hmun atanga thluak emaw, ruhro emaw-ah thisen a chhuak thei. Hei hi thisen tihthianghlimna damdawi ei thinte fimkhur tur thil a ni.
• Infection chu needle dahna hmunah a lut thei a ni. Chumi laka invenna tha ber chu uluk taka tihfai hi a ni.
• Very rarely , nerve chhiatna tenau te a awm thei.

He test hian radioactive substance a hmang a, chuvangin radiation tlemte i tawk a ni . Mahse, a dose tlem hle a, X-ray pangngai tlemte nen a inang deuh vek a ni . Hun rei tak chhunga chhiatna thlen theihna a tlem hle. Chuvang chuan naupai te chu nei lo turin an fuih thin.

Eng chen nge result a rawn luh theih? Engtin nge an sawi?

I scan hnuhnung ber hnuah specialist doctor (`Radiologist` emaw `Nuclear Medicine Physician`) chuan uluk takin thlalakte chu a enfiah ang a, report a ziak ang. Hei hian ni engemaw zat emaw kar khat emaw a daih thei . I doctor chuan result hmu tur chuan engtikah nge i luh a ngai tih a hrilh ang che.

Tunah chuan heng result-te hian eng nge a sawi tih i lo en ang u.

Results pangngai a nih chuan...

I cisternogram result chu ``Normal'' angin a rawn let leh ta ang tih han ngaihtuah teh. Chu chu thu lawmawm tak a ni! I ``CSF'' fluid chu i thluak leh i ruhro (spinal cord) kaltlangin, a tlan chakna dik takah a luang chhuak tihna a ni . Chu chu ``CSF'' leak a awm lo tihna a ni a, blockage a awm lo va, blockage a awm lo tihna a ni.

Eng thil nge a rah chhuah pangngai lo ni thei?

Tunah chuan result chu ``Abnormal'' tia a lo lang leh a nih chuan i doctor chu i symptoms awm chhan a hriat theih nan a pui a ni. Results pangngai lo chuan a hnuaia mi pakhat emaw, a aia tam emaw a tarlang thei a ni:

• CSF leak: Scan-ah hian CSF system atanga radioactive material a leak chhuak tih a lan chuan CSF leak an ti a. Hei hi traumatic brain injury (TBI), luruh ruh tliak emaw, spinal cord pawn lam khuhna (dura mater an tih) tihchhiat hnuah a thleng fo thin. Thluak surgery thenkhat emaw, damdawi dang emaw, lumbar puncture ang chi hnuah pawh a awm tlem hle thei bawk.
• CSF shunt chungchanga harsatna: Hydrocephalus (thluak chunga tui) enkawlna atan CSF fluid chu hmun danga chhuah tir turin thluak chhungah tube te tak te (shunt) dah a ni. Shunt a thawk tha lo a nih chuan, a block emaw, harsatna dang a neih emaw a nih chuan, he scan hian chu chu a hre thei bawk.
• Hydrocephalus: Hei hi thluaka ventricles-ah cerebrospinal fluid (CSF) a lo awm khawm a, chu chuan a ti lian a, thluak chungah pressure a siam a ni. "Hydrocephalus" kan ti mai mai a ni. Hei hi cisternogram-a CSF flow pattern en hian a nemnghet thei a ni.
• `Normal-Pressure Hydrocephalus (NPH): Hetiang a nih chuan `CSF` tui pawh hi thluak kawngkhar chhungah a pung khawm a, a zungte chu a lian zawk a, mahse thluak chhunga pressure chu sawi angin a pung lo. A hming ang bawkin "Normal-Pressure" a ni. Hetiang dinhmun hi kum upa lam zingah hmuh tur a awm. Kea kal harsatna, zun thunun harsa, hriatrengna hloh te ang chi natna lanchhuahna a awm thei.
• `Pseudotumor Cerebri`: Mi thenkhat chuan hei hi `false brain tumor` an ti bawk. Chu chu, thluak chhungah hian tumor tak tak awm lovin, a chhan hriat lohvin pressure a pung tihna a ni. Hei hi Doctor-te chuan `Idiopathic Intracranial Hypertension` an ti bawk. Hetiang a nih pawh hian cisternogram hian `CSF` flow chungchang ngaihtuahna a pe thei a ni.

Chuvangin, i doctor chuan heng result te, i symptoms te leh test report dangte hi a la khawm ang a, i dinhmun chu eng nge a nih leh eng nge tih ngai tih a hriat theih nan.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atang hian point pawimawh ber berte hi han recap leh ila:

• Cisternogram scan hi test bik a ni a, kan thluak leh ruhroa tui pawimawh tak `CSF` (cerebrospinal fluid) an tih chu a luang chhuak a, khawi hmunah pawh leakage emaw blockage emaw a awm leh awm loh enfiah a ni.
• Doctor-in hetianga ti turin a hrilh che a nih chuan CSF leak emaw fluid buildup emaw an rinhlelh vang pawh a ni thei. Chumi nena inzawm symptoms i nei thei bawk.
• He test hi lumbar puncture (ruh chhunga needle dah) a ni a, chumi hnuah ni khat emaw ni a aia tam emaw chhung scan hrang hrang neih a ni.
• Hrisel lohna tenau leh side effects awm thei mahse, hlauhawmna lian tak chu a tlem hle.

He test chungchangah hian zawhna, ngaihtuahna leh rinhlelhna dang i neih chuan engmah lo dang suh la, i doctor zawh pawh hlau suh. Engkim an hrilhfiah belh ang che.

Hetiang test i neih dawn a nih chuan dam thuai turin duhsakna ka hlan a che!

` Cisternogram, Cisternogram Scan, CSF, Cerebrospinal Fluid, Thluak Test, Ruh, Nervous System tih te