Hnar tui tla hi lu natna thlentu a ni em? CSF Leak (Cerebrospinal Fluid Leak) chungchang hi i zir dawn a ni.

A châng chuan khawsik nei lovin hnar a luang chhuak thei bawk. A nih loh leh, mut aṭanga i tho chhuah chuan a inṭhen ang maia lu na i nei thei bawk. Heng thilte hi kan ngaihven vak lo tlangpui. Mahse hengte hi i ngaihtuah ngai loh damdawi lam dinhmun chhinchhiahna a ni thei a, chu chu a pawi deuh thei bawk. Vawiin hian chutiang dinhmun pakhat, Cerebrospinal Fluid (CSF) Leak chungchang kan sawi dawn a ni.

A awlsam zawngin CSF Leak chu eng nge ni?

Okay, hei hi hrethiam turin kan taksa chhungah hian tlem tal i zin kual ang u. Kan thluak leh ruhro hi taksa peng pahnih, sensitive tak tak pahnih an ni. Chuvangin anmahni humhim turin kan taksa chuan an chhehvelah cushion ang chi tui mak tak a siam a ni. He tui hi Cerebrospinal Fluid (CSF) an ti a. He CSF hi membrane te tak te pathum atanga siam khuhna chhungah a awm a. Damdawi lamah chuan hei hi meninges kan ti a.

Tunah chuan eng emaw chhan vangin he meningeal covering-ah hian khur te tak te emaw, hrual emaw a lo awm tih han ngaihtuah teh, a bik takin pawn lam thuk ber, dura mater -ah chuan. Tichuan, chu CSF fluid hlu tak chu zawi zawiin a chhuak tan ta a ni. Chu chu CSF Leak kan tih chu a ni.

He tui hloh hian kan thluak leh ruhro tan a tha lo, a chhan chu a venhimna leh pressure balance a pek thin chu a hloh a ni.

CSF leak hi chi hnih a awm a, chungte chu:

He leak hi a awmna hmun a zirin chi hnih ah then theih a ni.

1. Cranial CSF Leak: Hei hi lu chhungah a awm a, chu chu luruh vel a ni. Heta tang hian tui luang chhuak hi hnar emaw beng emaw hmangin a chhuak thei fo thin.

2. Spinal CSF Leak: Hei hi ruhro (spinal cord)-ah a awm a, chu chu ruhro (spinal cord) vel a ni.

Heng chi hnih a symptom kan hmuh te pawh hi a danglam deuh hlek a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

CSF leak symptoms hi a awmna hmun leh fluid leak zat a zirin a inang lo. A chang chuan leak a tlem hle a nih chuan symptom engmah i hmu lo thei. Heng chi hnih nena inzawm symptoms tlanglawn tak takte hi han thlir ila.

Eng thilin nge CSF leak a thlen?

A tam zawkah chuan CSF leak hi hliam emaw accident emaw avanga lo awm a ni .

• Lu emaw hnungzang emawa vuak na tak.
• A kawng a inher nghal zung zung (severe whiplash).
• Thil hriam tak avanga hliam, chil chhak ang chi.

Hetiang dinhmun hi damdawi lam enkawlna thenkhat hnuah pawh a awm thei bawk.

• Thluak emaw ruhro emaw surgery neih a ni.
• Beng, hnar leh beng zai te.
• Lumbar puncture emaw epidural emaw ang chi thil hnuah.

Mahse a tlem hle a, heng leak te hi chhan hriat lohvin a thleng thei. Hengte hi ‘spontaneous leaks’ kan ti thin. A châng chuan, he hlauhawmna hi pianpui natna, Marfan syndrome , kan taksaa connective tissue tichak lo ang chite pawhin a tipung thei bawk.

Hei hi nunna atana hlauhawm a ni thei ang em?

A awlsam zawngin CSF hi thluak tichaktu venna tui a ni. He tui hi a tlem lutuk chuan thluak hian a buoyancy a hloh a, luruh chhungah a tlahniam tan thin. Hei hian thluak a tichhe thei a, chak lohna pawh a thlen thei bawk.

Chu aia hlauhawm zawk chu chu khuhna chhunga khur chuan thluaka natna hrik a luh tir thei a ni . He natna hrik hi thluak khuhna chhunga natna hrik luh atanga lo awm hi meningitis an ti a.Hei hi natna khirh tak a ni a, emergency medical treatment a ngai a ni.

Engtin nge hei hi i hmuh theih, Doctor?

CSF leak i neih nia i rinhlelh chuan in lamah i diagnose thei lo va, i enkawl thei lo bawk. Doctor i pan ngei ngei tur a ni.

Doctor chuan i natna lan chhuah dan chu ngun takin a ngaithla hmasa ang a, a enfiah ang che, chutah chuan i natna hriat chian nan test eng emaw zat a ti ang.

• Fluid test: I hnar emaw beng atanga tui sample lak a, protein pakhat beta-2 transferrin an tih chu test a ni a, chu chu CSF fluid-ah chauh a awm.
• Imaging Test: Leak awmna hmun dik tak hriat nan special scan CT scan , MRI scan , leh myelogram te hman a ni.

Hei hi eng enkawlna nge ni?

Enkawl dan chu leak chi hrang hrang, a awmna hmun leh a nasat danah a innghat a ni.

Enkawlna tlangpui leh Thurawn

Leak tenau thenkhat, a bik takin tui leak hnua lo awm te chu a mah chauhin a dam ang. I doctor chuan an enkawl dan tur thurawn engemaw zat a pe thei che a ni:

• Bed Rest: Ni engemaw zat mut la, chawlh hahdam turin an ti che a.
• Tui in tam: Taksaah tui level tha neih reng a pawimawh.
• Caffeine intake: A chang chuan coffee ang chi caffeine awmna in tur hian lu natna a tidam thei. Mahse hei hi doctor thurawn hnuaiah chauh tih tur a ni.
• Pressure tipung thei thilte chu pumpelh rawh: Hriak hah, khuh, thil rit chawi, leh bathroom-a kal tura inpek ang chi thilte hian CSF pressure a tisang thei a, leak damna a tikhawtlai thei bawk.

Enkawlna bikte

Chawlh hahdam ringawt hian a puih loh chuan doctor chuan hetiang enkawlna hi a hmang thei a ni.

Spinal CSF Leak tan chuan:

• Epidural Blood Patch: Hei hi enkawlna tha tak a ni. Heta i tih tur chu i kut atanga thisen tlem la chhuakin i ruhro hmuna leak i neihna hmunah i chil a ni. Chumi hnuah thisen chu a inzawm khawm a, plaster ang maiin a khur chu a seal ta a ni.
• Surgery: A tlem hle a, thisen chhuahna chu a hlawhtling lo a nih chuan a khur chu sew up turin operation a ngai mai thei.

Cranial CSF Leak tan chuan:

• Endoscopic hmanga siamthat a ni:Tunlai technology changkang tak hmang hian hnar atang hian camera te tak te dahin, a leak awmna hmun chu hmuchhuakin, luruh hawng lovin seal theih a ni.
• Open Surgery: Thil buaithlak thenkhatah chuan luruh hawn hmanga surgery tih theih a ni.

Engtikah nge doctor i hmuh ang? Engtikah nge ETU-ah hian i kal ang?

Hei hi a pawimawh hle. CSF leak symptoms i neih chuan doctor pan nghal rawh. Mahse, emergency thenkhatah chuan ETU (Emergency Treatment Unit) pan nghal a ngai mai thei.

CSF leak hi thil hlauhawm tak a ni thei a, mahse a hmaa hriat chhuah leh enkawl a nih chuan a dam kim thei fo. A pawimawh ber chu heng i taksain a pek che signal te te hi ngaihthah loh hi a ni.