I lu emaw, i hnungzang emaw atang hian tui ang chi tui a chhuak em? Hei hi cerebrospinal fluid leak (CSF leak) a ni em?

A chang chuan i hnar atanga tui luang chhuak ang chi tui thianghlim tak mai i nei thin em? A nih loh leh, i ding emaw, i lu i nghat emaw, i mut emaw a lo awm thin lu na i nei em? Chûngte chu khawsik pangngai emaw, thil dang emaw mai mai niin i ngai mai thei. Mahse, a châng chuan hei hi ngaihtuahawm tak a ni thei. Vawiin hian kan sawi dawn a, chutiang bawka symptoms nei thei, mahse a tam vak lo, mahse fimkhur a pawimawh hle. Chu chu cerebrospinal fluid leak , emaw, doctor-te’n an tih angin (Cerebrospinal Fluid Leak) , emaw, a tawi zawngin (CSF Leak) emaw a ni.

Cerebrospinal fluid (CSF) hi eng nge ni? Engvangin nge a leak?

A awlsam zawngin, cerebrospinal fluid, a nih loh leh CSF hi kan thluak leh kan ruhro hualtu leh humhimtu tui bik a ni . Tui ang maiin a thianghlim a ni. CSF hian hna pawimawh engemaw zat a nei a:

1. Nourishing: He tui hian kan thluak mamawh nutrients a pai a.

2. Invenna pe: Car shock absorber ang bawkin he tui hian kan thluak leh ruhro (spinal cord) chu vibration leh shock avanga chhiatna lakah a venghim a ni. Tin, thluak chu a float theihna tur medium a pe bawk.

Hetiang hian han ngaihtuah teh. Grape pakhat chu glass bottle-ah dahin chak takin kan vawrh chuan eng nge thleng ang? Grape chu a chhe thei a, a chhe thei bawk, ​​a dik em? Chu chu CSF tel lo chuan kan thluak ah a thleng thin. Amaherawhchu, chu bottle chu tuiin kan khat a, grape chu kan dah a, kan han vawrh chuan, chu tui chuan grape chu nasa takin a ti nghing ang a, chuvangin harsatna lian tham a thlen lo ang. Chutiang chuan CSF hian kan thluak a venghim a ni.

Chuvangin, he (CSF) hi a awmna tur hmun atanga leak chhuak hi (CSF Leak) an ti a ni. He leak hi a lian a nih chuan symptom na tak a thlen thei che a ni. Nitin hna thawh a harsat phah thei hial a ni.

Hetiang dinhmun (CSF Leak) hian tute nge a nghawng nasa ber?

Hei hi tu chungah pawh lo awm thei mah se, mi thenkhat chuan an vei duh zawk.

• Kum 30 chunglam, a bik takin kum 42 vel te hian a chhan hriat lohvin mahni duhthua CSF leak an nei tam zawk.
• Hmeichhia pawhin mipa aiin he natna hi an nei tam zawk.

CSF Leak hi a awm fo em?

Dik tak chuan CSF leak hian lu chhunga fluid pressure a tihhniam phah a ni. Hei hi Intracranial Hypotension an ti a . "Intracranial" tih hian "luruh chhung" tihna a ni a, "Hypotension" tih hian "pressure pangngai aia hniam" tihna a ni. He natna hi Intracranial Hypotension tia hriat a ni a, a natna hi a tlem hle. Mi 100,000 zinga 5 vel ah a awm thin.

Mahse, mithiamte chuan CSF leak hi a tam zawk niin an ngai . A chhan chu an hriat chian harsat vang a ni. A châng chuan, doctor-te pawhin natna dang, migraine ang chi angin an ngai sual ṭhîn .Sinus infection hi allergy anga ngaih theih a ni .

He dinhmun hian engtin nge ka taksa a nghawng?

CSF leak a awm chuan thluak vel a tui awm zat a tlahniam thin. Hei hian thluak venhimna leh buoyancy a ti tlem a ni.

• If the leak is small , danglamna lian tham i hmu lo mai thei. A nih loh leh, symptoms i nei a, mahse thil dangah i ngai mai thei bawk.
• Mahse, leak chu a lian tawk a nih chuan , intracranial hypotension a thlen chuan i thluak chu i luruh chhungah a tla hniam tan ang. Hei hian i thluak hnuai lam chu a tul lovah pressure a siam a ni. Hei hian chutiang hmunte hnathawh a tibuai thei a, chhinchhiahna tenau, hriat theih loh atanga chhinchhiahna na tak, tuar theih loh thlengin a thlen thei a ni.

CSF Leak a nih chuan eng symptoms nge a neih?

Leak a tlem chuan symptoms i nei lo mai thei. Chutiang a nih loh chuan thil dangah i ngai mai thei. Mahse leak a lian a, thluaka pressure hniam (intracranial hypotension) a thlen chuan symptoms i nei tan ang.

A lan chhuah dan ber leh langsar ber chu postural headache a ni.

Hei hi thil thleng chu a ni:

• I lu na hi i ding emaw i thut emaw hian a zual sauh sauh thin .
• I inbeng emaw, i mut emaw chuan lu na chu a tlahniam emaw, a bo vek emaw a ni.

Leak awmna hmun azirin symptoms a inang lo.

Symptom thenkhat chu leak awmna hmun azirin a danglam thei. Cerebrospinal fluid (CSF) leak theihna hmunpui pahnih chu i sinus leh i hnar hi a ni . Engti kawng pawhin, i hnar aṭangin tui chhuak chiang tak i nei thei (rhinorrhea) . Hei hi khawsik pangngai a ni lo. A chi hnih a awm a, chungte chu:

1. I hnar tissue hmanga i silfai chuan mucus pangngai a vawt chuan tissue chu a hrual deuh a, a nghet deuh bawk . Mahse a vawt (CSF) chuan tissue chu chutiang chuan a awm lo .

2. He hnar atanga chhuak hi a chang chuan thil awmdan bik ah a awm thei. Entîr nân, hma lam i kun emaw, lei aṭanga thil i lak emaw, i pheikhawk hrui i khih emaw hian .

CSF leakage hian symptoms a thlen theihna hmun dang chu beng chhungah a ni . Beng atanga tui thianghlim chhuak (Otorrhea) pawh hi CSF leak chhinchhiahna a ni. Amaherawhchu, hei hi a thleng tlem zawk a ni. Chutiang a nih theih nan chuan i beng bulah khur (Tympanic Membrane) i neih a ngai bawk ang.

CSF Leak avanga symptom dang awm thei te

• Hrisel lohna (Anosmia): Hei hi hmai hliam avanga cerebrospinal fluid (CSF) leak a awm hian a thleng tlangpui.
• Blurred vision emaw double vision (Diplopia): Hei hi thluak a tlak dawna mit nerve-a pressure awm vang a ni thei.
• Hriatna inthlak danglam emaw, hriatna hloh emaw: A chunga kan sawi tawh ang khan hei hi dinhmun thlak danglam huna beng nena inzawm nerve-te pressure vang pawh a ni thei.
• Pulsatile Tinnitus: Instrument engmah tel lova mahni thinlung thawk ri hriat .
• Seizures: Hengte hi leak lian (CSF) emaw, natna khirh tak (Intracranial Hypotension) emaw a awm chuan a thleng tam zawk.
• Kawng na leh a khauh.
• Chaw chu a thlum lo.
• Lu na: A chang chuan hei hi a na hle thei a, tuar theih loh a ni thei bawk.
• Luak chhuak emaw, i chhehvela inher chhuak tih hriatna (Vertigo).
• Nausea leh luak chhuak.
• Photophobia (eng en thiam lohna).
• Kal laiin balance leh gait lama harsatna a awm.

CSF Leak awm chhante chu engte nge ni?

Mithiamte chuan CSF leak 90% vel chu hliam vang a ni an ti . A bak 10% chu a takin emaw, a chhan hriat loh emaw avanga thleng a ni.

Hliam vanga CSF Leak awm

Hliam chi hrang hrang vangin CSF leak a awm thei. Entirnan:

• Hmai, lu, kawr, a nih loh leh ruhro hliam: Entirna tlangpui chu car accident te hi a ni. Hnar, sinus, beng, beng hnung, emaw luruh hnuai lama hliam te hian hetiang hi a thlen tam zawk. Whiplash hian ruhro vel ah cerebrospinal fluid (CSF) a leak thei bawk.
• Hliam lut thei: chemte hmanga vuak, kah ang chi.
• Thluak surgery avanga hliam tuar.
• Damdawi lam enkawlna avanga hliam, beng leh hnar (ENT procedures) nena inzawm.
• Spine nena inzawm damdawi lam enkawlna: Entirnan, epidural anesthesia pek hunah , lumbar puncture tih hian , emaw ruhro atanga tui lak hunah (spinal tap)

Hliam ni lo chhan dang

10% vel chu CSF leak chhan dik tak hriat a ni lo. Mahse, mithiamte chuan he harsatna hi damdawi lam thil dang thenkhat nen a inzawm tih an hmuchhuak a ni. Heng dinhmunte hian CSF leak a thlen em tih erawh hriat chian a la ni lo a, mahse he thil chungchangah hian zirchianna neih mek a ni.

• Connective Tissue CSF vawngtu tissue layer tichak lo thei natna: Entirnan, Marfan Syndrome leh Ehlers-Danlos Syndrome ang chi natna
• Luruh chhunga pressure sang (Intracranial Hypertension): Hei hian a chhehvel tissue te a tikehsawm thei a, leak a siam thei bawk.
• Pseudotumor Cerebri tih a ni.
• Thau lutuk: A bik takin thau lutuk.
• Hnar, sinus emaw, luruh hmun dang emaw siam danah congenital emaw acquired structural defects a awm.

Hei hi natna hrik kai theih a ni em?

Ni lo (CSF Leak) hi natna hrik kai theih a ni lo.Hei hi midang hnenah i thehdarh thei lo va, midang hnenah pawh i thehdarh thei hek lo.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor chuan CSF leak a hriat theih nan taksa enfiahna hmangin, i natna lan chhuah dan te zawtin, i medical history leh tuna i dinhmun te zawtin a hre thei a ni. Lab test hrang hrang leh imaging scan hmangin CSF leak a awm tih finfiah emaw, rule out emaw an hmang thei bawk.

Test chi hrang hrang i tih tur chu leak awmna i rinhlelhna leh a hmaa hliam (hlui emaw thar emaw) i neih leh neih lohah a innghat ang.

He natna hi hriat theih nan eng test nge tih thin?

CSF leak hriat theihna tur test eng emaw zat a awm a. Chung zinga a tam zawk chu imaging test a ni. Hengte hian doctor-te chu i lu leh i ruh chhung lam enin khawiah nge leak awm tih leh a thlentu chhiatna eng pawh a awm tih an hmu thei a ni.

• Fluid test: Hnar chhuak (a bik takin hnar atanga) symptom i neih chuan i doctor chuan fluid test a duh mai thei. Hei hi test ber chu beta-2 transferrin test a ni . Hei hian protein pakhat tau a zawng a, chu chu CSF-ah a awm a, mahse hnar atanga chhuakah erawh a awm lo. Test dang tih theih chu glucose test a ni . Hei hi a chhan chu CSF-a glucose awm zat leh thisen a awm zat nen a inang vang a ni. Mahse, hnar atanga chhuak glucose hi a tlem hle a, a awm lo pawh a ni thei.

• Imaging leh diagnostic test hrang hrang:
• CT scan (Computerized Tomography) hmanga enfiah a ni.
• MRI scan (Magnetic Resonance Imaging) hmanga enfiah a ni.
• Digital Subtraction Angiography hmanga tihchhuah a ni
• Myelography ( X-ray hmanga dye hmanga ruhro inject) .
• Cisternography ( CSF kalna kawng enfiahna scan) .
• Lumbar Puncture / Spinal Tap: Mahse, hei hi a tlangpuiin CSF leak nia rinhlelh a nih chuan test hmasa ber a ni lo.

CSF Leaks hi engtin nge enkawl a nih? Tihdam theih a ni em?

A tam zawkah chuan doctor-te hian CSF leak hi direct-in an enkawl ngai lo. Hei hi a chhan chu hliam tam tak avanga CSF leak te chu chawlh hahdam mai maiin hun kal zelah a mah chauhin a dam leh dawn a ni .

Mahse, CSF leak chu a mah chauhin a dam mai mai a rinawm loh emaw, a dam dawn lo tih hriat a nih chuan enkawlna hrang hrang a awm a, chu chuan a pui thei a ni. A tam zawkah chuan leak chu siamthat emaw, seal emaw theih a ni . Hei hian natna lan chhuah dan a titawp ang a, a lo awm tawh lo ang.

Natna khirh tak tak thenkhat, a bik takin (Marfan Syndrome) emaw (Ehlers-Danlos Syndrome) .Hetiang connective tissue disorder hi tihdam theih a ni lo. Hetiang dinhmun avang hian CSF leak a awm a, direct-a enkawl theih a nih loh chuan doctor-te chuan i symptoms te chu enkawl an tum ang.

Eng ang damdawi emaw, eng ang damdawi nge hman a nih?

Enkawlna i dawn tur chu CSF leak chhan leh a awmna hmun ang chi thilah a innghat ang.

• Conservative Treatment: Hei hi CSF Leaks enkawlna direct a ni lo. Hei hian khumah rei vak lo chawlh a huam a ni. Tin, hydrated taka awm reng . Natna leh vun natna damdawi pawh a tam hle. Leak vangin CSF pressure a tlahniam a nih chuan caffeine leh salt supplement ei tur a ni. Kar khat emaw kar hnih emaw hnuah pawh heng general treatment te hian a puih loh chuan i doctor chuan direct treatment tam zawk a rawt thei ang.

• Surgery leh a kaihhnawih kalphung: Surgery hi CSF leak siamthatna atana hman tlanglawn tak a ni. Leak hi hliam lian tak avanga lo awm a nih chuan surgery hmangin leak chu direct-in a seal thei a, a chhia chu siamthat theih a ni bawk. Surgery thenkhat chu luruh kaltlangin tih theih a ni. A dang erawh chu hnar emaw, hmui emaw hmanga tih theih a ni. Surgery chi hrang hrang chu a leak awmna hmun, a chhan leh a nasat danah a innghat a ni.

• Blood Patch Injection: CSF leak awm lohna tur surgery ni lo enkawlna lian ber pakhat chu Blood Patch . Hetah hian doctor chuan i hnungzang hnuai lam (lumbar section) ah needle a dah lut thin. A hmun dik takah a awm tawh chuan i thisen tlemte chu la in i ruhro vel CSF-ah i inject a ni. Chumi hnuah chuan thisen chuan leak chu a “patch” a, a nih loh leh a khar ta a ni. A chang chuan Blood Patch pakhat aia tam a ngai thei bawk. Mahse, mi tam zawk chuan a hmasa ber hnuah chuan hahdamna engemaw chen an nei thin.

• Damdawi: CSF leak a awm chuan damdawi chi hrang hrang a awm a. Ṭhenkhat chuan luruh chhunga pressure an tihziaawm. A dang erawh chu natna ang chi symptom na tak tak tan pek a ni. Antibiotics pawh pek theih a ni. CSF hmanga thluaka bacteria a luh chuan natna hlauhawm tak tak, meningitis leh encephalitis ang chi te a awm thei a ni.

Enkawlna avanga harsatna emaw, a side effect emaw chu engte nge ni?

Enkawlna avanga harsatna leh nghawng tha lo awmte chu i (CSF) leak awmna hmun, a nasat dan, a chhan leh enkawlna i dawn danah a innghat a ni. I doctor chuan i dinhmun bik atana harsatna leh side effect awm thei te leh chu chu tihtlem emaw, pumpelh emaw tura i tih theihte chu a hrilhfiah thei ang.

Engtin nge ka in enkawl/symptoms ka enkawl?

CSF leak hi mahni chauha i hriat theih emaw, i enkawl theih emaw a ni lo. Hetiang dinhmun hi i vei nia i rinhlelh chuan a rang thei ang bera doctor pan tur a ni.Hei hi a chhan chu he natna lan chhuah dan hi damdawi lam natna khirh tak tak, damdawi lam pan vat ngai nen a inang thei a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

Dam leh dam lehna hun chhung hi enkawl dan azirin a inang lo. Mi tam tak chuan mut leh chawlh hahdam mai mai hian hahdamna engemaw chen an nei a. Mahse, mi dangte tân chuan an dam leh theih nân ni tam tak, kar tam tak pawh a ngai thei.

Engtin nge he natna lo awm theihna hi ka tihtlem theih ang emaw, ka ven theih ang?

(CSF Leak) hi beisei loh taka thil thleng a ni. Chuvang chuan a veng kim thei lo. Mahse, leak thlen thei dinhmun emaw, dinhmun emaw laka inven i tum thei a ni. Mahse hei hi hliam avanga lo awm chhan atan chauh i ti thei.

Hliam atanga CSF leak awm loh nan i tih theih pawimawh ber chu invenna hmanrua bun hi a ni . Hmai, lu, kawng leh ruhro hliam hian hliam a thlen thei a, chu chuan CSF leak a thlen thei a ni. Hnathawh hmunah emaw, mimal nunah emaw i awm emaw, he hlauhawmna hi i tihziaawm thei a, chu chu invenna hmanrua leh hmanrua hmangin i ti tlem thei a ni.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei theih ang?

CSF leak hi a chang chuan hriat a harsa thei hle. Mahse, he dinhmun avang hian a result pum pui chu a tha hle . A lan chhuah dan chu a tibuai thei a, a na thei a, nitin hnathawhna a tibuai thei a, mahse, chu natna chu enkawl theih a ni tlangpui. CSF leak nei tam zawk hi chu leak tihfel a nih veleh an dam leh a, enkawlna emaw, operation emaw hmangin an dam leh thin.

CSF leak hi eng chen nge a awm?

CSF leak hi ni tam tak, kar tam tak, thla tam tak pawh a daih thei. Leak lian leh te leh a chhan danah a innghat. Enkawlna hian CSF leak avanga nghawng i hriat hun chu nasa takin a tihtlem thei a ni. He natna hian eng chen nge a nghawng dawn che tih leh i tanpui theih nan eng nge tih theih tih hre chiangtu chu i doctor a ni.

Hetiang dinhmun hi eng nge a thlir ang?

A pum puiin CSF leak awm theihna tur thlirna a tha hle . CSF leak vei zinga 98% vel chu an dam leh a, a chhan eng pawh ni se.

Engtin nge ka in enkawl ang?

CSF leak i neih chuan i doctor-in i in enkawl dan tur a hrilh angin i zawm tur a ni. I tih theih leh tih tur chungchanga hriat tur tha ber an ni. Tin, eng vaukhânna chhinchhiahna emaw, chhinchhiahna emaw i ngaihven tûr te, leh i pumpelh tûr te pawh an hrilh bawk ang che.

Engtikah nge ka doctor ka hmuh ang emaw, doctor thurawn ka lak ang?

CSF leak i neih nia i hriat chuan doctor i biak emaw, i hmuh emaw a ngai a ni. Hetiang dinhmun hian harsatna lian tham emaw, nunna atana hlauhawm emaw a thlen lo tlangpui a, mahse a lan chhuah dan chu emergency leh thil hlauhawm tak nen a inang a ni.

CSF leak i vei tih hmuhchhuah a nih chuan i doctor chuan i dam leh hunah enkawl turin follow-up visit a ruahman ang. I natna lan chhuah dan a na zual emaw, nitin nunah harsatna thar a thlen emaw i tih chuan doctor i pan tur a ni.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

CSF leak i neih chuan, lu na nghal, na tak, taksa ruh chak lo, ding harsa i neih chuan emergency room-ah i kal tur a ni . I taksa hmun dangah pawh, a bîk takin i kut, i ke, i ke, leh i ke ruhteah i rilru a buai emaw, i chak lohna emaw i neih chuan i hmu tûr a ni . Chûngte chu i ruhro hliam chhinchhiahna a ni thei a, chu chuan paralysis nghet tak pawh a thlen thei a ni.

Tin, stroke ang chi natna i neih chuan emergency medical attention i pan tur a ni . Chung zingah chuan:

• Taksa sir khatah chak lohna, rilru hahna emaw, paralysis emaw.
• Thusawi slurring emaw slurring emaw.
• Hmai sir khata tlak emaw, mit pakhata hmuh theih lohna emaw.
• Chaw ei harsat.
• Buaina, thinrimna, emaw, buaina emaw.
• Thil ngaihtuah harsa, ngaihtuahna, a nih loh leh hriatreng harsa.
• Lu na tak, na tak, a bik takin i thiltih pangngai tibuaitu a nih chuan.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Cerebrospinal fluid leak, a nih loh leh CSF leak hi sawi a ni fo lo a, mahse a chang chuan a natna lanchhuahna nuam lo tak leh na tak tak a thlen thei a ni. Mahse, hlauthawng suh. Tunlai damdawi leh thiamna changkang tak tak te chuan he harsatna hi Doctor ten rang leh awlsam zawkin an hmuchhuak thei ta a ni. Tin, tunah hian doctor-te pawhin he harsatna hi a hma aia tha zawkin an enkawl thei tawh bawk. Chuvangin, he dinhmun hi a hmalam hun tur chu a tha hle .

A pawimawh ber chu heng symptoms te hi i neih chuan doctor thurawn la nghal mai tur a ni a, guessing ai chuan . A châng chuan, chawlh hahdamna awlsam tak chuan a ṭanpui thei a ni. Chutiang a nih loh chuan inenkawlna mumal tak hmangin i dam thuai thei a ni. I doctor chuan kaihhruaina tha ber a pe ang che. Hrisel takin awm rawh!

` Cerebrospinal fluid, CSF leak, lu na, hnar luang, hnungzang na, neuropathy, thluak pressure