Nang emaw i hriat mi emaw chuan doctor-in lumbar drain i neih a ngai tih a hrilh che chuan i hlauthawng deuh a, i hlauthawng deuh mai thei. "I ruhroah tube an dah a ni," an tih hian tu nge hlau lo ang, a dik em? Mahse, lungngai suh. Vawiin hian awlsam takin kan sawi dawn a, kan thianpa hnenah, hei hi eng nge a nih tak tak, engvangin nge a tih tih leh engtin nge a hnathawh tih kan hrilh ang maiin kan sawi dawn a ni.
Lumbar drain tih hi eng nge ni?
A awlsam zawngin, kan thluak leh ruhro, ruhro hnuai lama tlante hi kan taksaah chauh a awm lo. Anmahni venhimna atan tui ang chi, tui bikin a hual vel a ni. Hei hi ‘Cerebrospinal Fluid’ , a tawi zawngin CSF kan ti a. Thil hlu tak chu bawm chhunga dah a, a chhehvela thil dang dahin a humhim ang maiin han ngaihtuah teh. He CSF liquid hian kan thluak leh kan ruhro a venghim a ni.
Chuvangin, lumbar drain chu tube (catheter) te tak te, flexible tak a ni. I hnungzang hnuai lam, lumbar region-ah dah a ni a, chu CSF fluid ka sawi tawh thenkhat chu paih chhuah nan emaw, a pressure control nan emaw hman a ni. Hei hi hun eng emaw chen, ni engemaw zat chhung atan tih a ni tlangpui.
Engvangin nge hetiang thil hi i tih a ngaih?
Doctor-in hetiang thil hi a rawt theih chhan hrang hrang a awm. A chhan berte han thlir ila.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| CSF leak a awm chuan | Accident engemaw zat hnuah emaw, thil dang vang emaw chuan he CSF fluid hi a hmun atangin a leak chhuak thei a ni. He drain hi pressure tihhniam nan leh leak tihdam nan hman a ni. |
| Hydrocephalus natna a nih chuan | Hei hi lu chhunga CSF fluid tam lutuk a awm khawmna condition a ni. Hei hian thluak ah a tul lova pressure (intracranial pressure) a thlen thin. Hei hi chu extra fluid chu paih chhuah nan leh pressure control nan a tul a ni. |
| Operation hnuah | He drain hi thluak emaw ruhro surgery hnuah pawh hman a ni a, chu chuan a hmuna pressure tihziaawmna leh hliam chu a dam thuai theih nan a pui bawk. |
| Diagnosis atan chuan | Thisen tlemte lak a, natna hriat theih nan test a nih ang bawkin, he CSF fluid tlemte hi lak a, test theih a ni a, natna hrik thenkhat, cell pangngai lo emaw, protein emaw hriat theih a ni. |
Hetiang kalphung atan hian engtin nge ka inbuatsaih ang?
Hei hi i tih hmain i doctor chuan uluk takin a enfiah ang che.
- I medical history kimchang tak sawi rawh .
- MRI emaw CT scan emaw neih tir i ni thei bawk . Heng scan te hian doctor chuan taksa chhunga thil thleng dik tak chu a hmu thei a ni. Drain dahna tur hmun tha ber leh him ber tur pawh an hriat theih nan an pui bawk.
- Infection laka inven nan antibiotics pek i ni thei a, CSF siamchhuahna control na tur damdawi pawh pek i ni thei bawk.
A pawimawh ber chu he procedure chungchanga zawhna emaw ngaihtuahna emaw i neih apiang chu hlau lovin i doctor hnenah zawt la . Eng nge thleng dawn tih chiang taka hriat chu i dikna a ni a, a hlauhawmna tur leh a hlawkna tur chu i dikna a ni.
Drain dah a nih hian eng nge thleng tak tak?
Hei hi thil lian tak angin a lang thei a, mahse a kalphung zawng zawng hi minute 30 vel a ni tlangpui a, engkim hi natna i neih loh nan tih a ni.
1. A dinhmun siamrem dan: A hmasa berin khum sir khatah i hawi ang a, i khup chu i rilru hnaihah i hrual ang a, i mut tir ang.
2. Skin cleansing: A hnungzang hnuai lam, drain dahna hmun chu antiseptic solution hmangin uluk takin silfai thin a ni.
3. Numbing: A dawtah chuan injection te tak te (local anesthetic) hmangin a hmun chu a numb thin. Chuvang chuan engmah hrehawm i nei lovang. Pressure tlem i nei mai thei.
4. Needle dah dan: Chumi hnuah doctor chuan uluk takin CSF fluid awmna hmunah (subarachnoid space) needle bik a dah lut a. A châng chuan X-ray hmangin a hmun dik tak hriat theih nân hei hi tih a ni.
5. Catheter dah luh: Tube te tak te, flexible tak chu needle hmangin dah a ni.
6. Needle lakchhuah: Tube chu a hmuna a awm hnuah uluk takin needle chu lakchhuah a ni.
7. Collection bag nena inzawm dan:Tube pawn lam tawp chu CSF lakkhawmna bag bik nen an inzawm a ni.
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Drain dah hnuah khumah ka awm a ngai dawn em ni?
Ni e, drain a awm hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Tin, a tam zawkah chuan khumah chawl turin an ti bawk ang che. Pakhatnaah chuan i sir emaw, i pum emawa mu turin siam i ni ang.
A pawimawh ber: I thawh hmain, khum atanga i tho hmain , nursing staff te nen in inbia ngei tur a ni. A chhan chu, i thawh hunah chuan drain atanga tui luang chhuak chu i control a ngai a ni. Chutiang a nih loh chuan tui tam lutuk a chhuak thei a, lu na tak ang chi harsatna a thlen thei bawk. Chuvângin, an thupêkte chu dik takin zawm rawh.
Hei hian hlawkna leh harsatna awm thei te chu engte nge ni?
Damdawi lam thil dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk.
| Hlawkna bulpui ber | Harsatna awm thei |
|---|---|
| CSF leak tihtawp. | Bacteria natna hrik kai. |
| Thluak chunga pressure control la, chhiatna lo thleng tur venna. | Lu na, luak chhuak leh luak chhuak. |
| Diagnosis atana information pawimawh tak tak pek. | Tube dahna hmun atanga thisen chhuak. |
| Nunna chhanhim pawh a ni mai thei. | CSF fluid tui chhuah tam lutuk (over-drainage). |
| Surgery dang emaw enkawlna dang emaw kawng hawnsak. | Tube chu a hmun atang chuan a che thei a, a lo chhuak thei bawk. |
Mahse i medical team chuan heng harsatna te hi tihziaawmna turin theihtawp an chhuah ang a, chuvangin an thupek dik taka zawm a pawimawh.
Eng chen nge drain chu a hmunah a awm ang? Chumi hnuah eng nge thleng?
Ni engemaw zat chhung dah luh a ni tlangpui a, mahse a tam zawkah chuan ni 5 aia rei lo. Hei hi a chhan chu chu aia rei a dah chuan natna kai theihna a sang chho zel a ni. I CSF level leh pressure a stabil tawh chuan i doctor chuan drain chu a la chhuak vek ang. A lak chhuah hnuah chuan rei vak lo mu turin an ti ang che. Hei hian lu na a veng thei dawn a ni. In i haw hnuah pawh doctor-in a tih hma loh chuan thil rit tak tak chawi emaw, hna hahthlak tak tak emaw tih loh tur a ni.
Damdawi ina i awm laiin natna thar, lu na na tak, emaw, rilru hahna i neih chuan thawktute hriattir nghal tur a ni. Tin, in lama i haw hnua heng symptoms te hi i neih chuan doctor i ko nghal tur a ni.
Take-Home Thuchah a ni
- Lumbar drain chu thluak leh ruhro vel a extra fluid (CSF) lakchhuah emaw enfiahna emaw atana hman thin tube te tak te a ni.
- Hetiang tih dan hi natna i hriat loh nan a hmuna numb turin damdawi pek a ni.
- Drain dah a nih hnu ni engemaw zat chhung hian damdawi inah chawlh hahdam a, damdawi lam thupek zawm a pawimawh hle.
- Hei hian hlawkna pawimawh tak tak a pe a, CSF leak tihtawp te, thluaka pressure control te, a chang chuan nunna chhanchhuahna kawngah pawh a pui thei bawk.
- In i haw hnua lu na nasa tak, luak chhuak, khawsik, emaw, drain site-a sen emaw, hring emaw ang chi symptoms i neih chuan doctor hnenah hriattir nghal rawh.











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