Cisternogram Scan test chungchang hi i zir dawn nia.

I doctor chuan ‘Cisternogram Scan’ a rawn pe che a ni mai thei. A hming i hriat khan i hlau deuh mai thei, a dik em? "He scan hming mak tak mai hi eng nge ni? Engvangin nge tih a nih? A harsa em?" I ngaihtuah mai thei. Lungngai suh. Hetiang zawhna neih hi thil pangngai a ni. Vawiin hian he test chungchang hi a awlsam em em a, i hriatthiam theih tur angin, i thian hnai tak nen in inbia ang maiin kan sawi dawn a ni.

Cisternogram Scan hi eng nge ni tak tak?

Hei hi kan hriatthiam hma hian kan taksaa thil pawimawh tak tak hi tlem han zir ila. Kan thluak leh kan ruhro hi glass thil hlu tak ang maiin han ngaihtuah teh. Heng thil hlu tak takte venhim nan hian an chhehvelah hian tui khuh, cushion, a awm a. Damdawi lamah chuan hei hi ‘cerebrospinal fluid’ emaw Cerebrospinal Fluid (CSF) emaw kan ti thin. He CSF fluid hian kan taksa tan hna pawimawh tak tak engemaw zat a thawk a.

• Chaw tha a pe: He tui hian kan thluak leh ruhro (spinal cord) te chu ei tur a pe a, chu chu ruhro (spinal cord) a ni.
• Hnathawh kawngah a pui: Hei hi kan Central Nervous System (CNS) hrisel taka hnathawhna atan a pawimawh hle.
• Toxins a paih chhuak: A chhehvel tissue-a toxins duh loh awmkhawmte paih chhuah leh tihfai nan a pui thin.
• Vênhimna a pe: Khawi emaw laiah kan tlan emaw, kan zuang emaw, kan lu kan vuak hian, thluak chu mak tihna laka humhimtu cushion angin a thawk a ni.

Chuvangin, he cisternogram scan hian a tih chu i taksaa CSF fluid chu a luang tha em tih te, khawi emaw laiah blockage a awm em tih te, khawi emaw laiah leak a awm em tih te a enfiah thin.

Hei hi test chi khat a ni a , chu chu nuclear medicine imaging an ti a . Chumi awmzia chu i ruhroah radioactive material tlemte a inject tihna a ni. Lungngai suh, a ti na lovang che. He material hian CSF fluid kalna tur chu chiang takin, rawng hrang hrangin, scan images-ah a hmu thei a ni.

Eng dinhmunah nge he test hi a tul?

A awlsam zawngin, i doctor-in i CSF fluid chu khawi emaw lai aṭanga a leak (CSF leak) emaw, i thluak chhungah a tam lutuk (CSF buildup) emaw a rinhlelh chuan he test hi tih tur a ni. Heng dinhmun pahnihte hian symptom inang an nei thei a ni.

A hnuaia table hi en la, heng symptoms te hi i nei em tih en rawh.

Heng symptoms te hi i neih chuan i doctor chuan a chhan dik tak hriat nan he test hi a rawt thei ang.

Test hmain engtin nge ka inbuatsaih ang?

A tam zawkah chuan hei hi inbuatsaihna bik a ngai lo. Amaherawhchu, i doctor emaw damdawi in emaw thupek dik taka zawm a pawimawh hle.

Test hmain heng thilte hi doctor hnenah hriattir hmasa phawt ang che:

• Allergy: Local anesthetics emaw anesthesia damdawi dang emaw allergy i neih chuan sawi tel ngei ngei tur a ni.
• Naupai: Naupai emaw, nau hnute i pe emaw a nih chuan doctor hrilh hmasak a pawimawh hle a, he test hian radioactive substance a hmang a ni.
• Damdawi i ei tur: I doctor hnenah damdawi, vitamin, herbal remedies leh supplement i ei zawng zawngte hrilh rawh. Damdawi thenkhat, thisen tithianghlimtu (aspirin leh warfarin ang chi) , test hma ni engemaw zat chu tihtawp a ngai mai thei.
• Thurawn tangkai: Test zawhah lirthei khalh harsa i ti mai thei. Chuvang chuan mi pakhat tal hruai ila a tha khawp mai. Tin, test hi ni engemaw zat chhunga neih a nih avangin, chutiang chuan i thiltih tur ruahman rawh.

Test neih chhung hian eng nge thleng?

He test hi step lian pahnih a awm a, pakhatnaah chuan ruhroah needle dah a, chutah chuan scan image lak a ni.

A hmasa ber atan: Lumbar puncture

He thu ka hriat hian ka hlauthawng viau nachungin hei hi doctor tawnhriat ngah tak hian uluk takin a ti thin.

1. Pakhatnaah chuan dawhkan chungah i mu ang a, i hmai hnuai emaw, i sir lamah emaw, i khup chu i rilru thlenga hrual chungin i mu ang.

2. Tichuan, i hnungzang a injection na hmun chu uluk takin i tifai ang a, chu hmunah chuan local anesthetic an inject ang. Hei hian a hmun chu a ti numb ang. Mi thenkhat chu an rilru hahdam nan sedative te tak te pek an ni bawk.

3. Tunah chuan doctor chuan uluk takin i ruh hnuai lam ruh pahnih inkarah needle te tak te a dah ang. Hetih lai hian real-time X-ray technique fluoroscopy an tih hmangin needle chu a hmun dik takah a awm em tih enfiah a ni ang.

4. Needle chu a awmna tur dik takah a awm tawh chuan a hmaa kan sawi tawh radioactive substance chu needle hmangin i CSF fluid-ah zawi zawiin a inject a.

5. Chumi hnuah chuan needle chu uluk takin la chhuakin plaster te tak te hmangin a hmunah an hnawih thin.

Step hnihna: Scanned Images lak

1. Needle an dah hnuah darkar khat vel muhil turin an ti ang che. Hei hi radioactive material chu CSF fluid kaltlangin a kal theih nan a ni.

2. I scan hmasa ber chu darkar khat atanga darkar ruk inkar a ni ang. Gamma camera bik nei scanner hnuaiah i mu ang. A chang chuan CT scan emaw MRI emaw pawh a rualin tih theih a ni.

3. Scan hmasa ber hnuah in lamah i haw thei ang. Mahse, darkar 24 hnuah scan dang neih leh a ngai dawn a ni , a chhan chu radioactive material hian thluaka cavities zawng zawng a thlen theih nan ni khat vel a ngai a ni.

4. Mi thenkhat chuan darkar 48 emaw 72 emaw hnuah scan an neih a ngai mai thei . Hei hi i doctor-in a rel ang.

Hei hian a ti na em? Side effect a awm em?

• Natna: Numbing damdawi i inject hian stinging sensation tlem i nei thei. I hnungzang chhunga needle dah a nih chuan pinch i nei thei a, mahse a na lutuk tur a ni lo . Natna i neih chuan doctor emaw nurse emaw hnenah hrilh nghal rawh. Scan ngei pawh hian a na lo tak zet.
• Side effects: Side effects awm tam ber chu natna tlem leh injection na hmuna lu na a ni. A châng chuan CSF tlemte chu ruhroah needle dahna hmun aṭangin a leak thei bawk. Hei hian thluaka pressure a tihhniam a, lu na na tak a thlen thei bawk. Hei hi darkar tlemte emaw ni hnih atanga ni thum chhungin a mah chauhin a reh tlangpui. Tui tam tak in leh chawlh hahdam hian a pui thei a ni.

Cisternogram test hian eng hlauhawmna nge a neih?

He test atanga harsatna lian tak tak lo thleng hi a tlem hle . Mahse, medical test dang ang bawkin hlauhawmna tenau tak tak a awm a, chuvangin kan hriat chian a ngai a ni.

• Radioactive material emaw anesthetics emaw avanga allergy awm thei .
• Thluak emaw, ruhro emaw atanga thisen chhuak (hemorrhage) .
• Needle dahna hmuna natna hrik awm .
• Nerve chhiatna hi a tlem hle.
• Brainstem herniation (hei hi thil awm lo tak a ni. Luruh chhunga pressure awm vangin thluak tissue chu nawr chhuah a ni).

Radioactive substance hman ni mah se, radiation dose tlemte chauh i tawk ang . A tul lovah hlau suh.

Results hian eng nge a sawi?

I scan hnuhnung ber atanga ni engemaw zat emaw, kar khat emaw chhungin i result (report) i dawng thei. I dawn hunah i doctor chuan i tana a awmzia a hrilhfiah ang che.

• Normal Results: I report chu a normal leh a nih chuan i CSF fluid chu i thluak leh i spinal cord vel ah normal takin a luang a, engmah tihbuai leh leak awm lovin a luang chhuak tihna a ni.
• Results pangngai lo: Results a dik lo a nih chuan a hnuaia dinhmun pakhat emaw a aia tam emaw a awm thei.