Spinal tap i hriat hian i hlau em? Spinal Tap (Lumbar Puncture) tih hi eng nge a nih chiang takin i zir ang u!

I doctor chuan nangmah emaw, i hriat mi emaw hnenah spinal tap nei turin a hrilh tawh em? Mi tam takin a hming an hriat hian tlem an hlauthawng thin hi thil pangngai tak a ni. "Spinal tap" tih thumal kan hriat hian hlauhna kan neih hi hriatthiam theih a ni. Mahse, eng nge ni tak tak? Engvangin nge he test hi tih a nih? A hlauhawm tak tak em? Ngaihtuah buai suh, vawiinah hian heng zawng zawng hi chiang tak leh awlsam takin kan sawi dawn a ni.

Spinal Tap (Lumbar Puncture) tih hi eng nge ni?

A awlsam zawngin sawi ila, Spinal Tap hi doctor-te tih test bik a ni. Hetah hian kan ruh hnuai lam, a dik tak chuan, kawr chhungah, needle te tak te dahin, kan thluak leh ruhro vel hualtu tui bik sample tlemte lak a ni. He tui hi Cerebrospinal Fluid (CSF) an ti a.

Kan thluak leh ruhro chhunga ruhro hi taksa peng nalh tak leh hlu tak pahnih an ni tih han ngaihtuah teh. He CSF fluid hian heng taksa peng hrang hrangte hi cushion angin hna a thawk a, chhiatna lakah a venghim bawk. He tui hi kan enfiah hian kan Central Nervous System-a natna tam tak chungchang kan hmu thei a ni. Chuvang chuan he test hi a chang chuan a pawimawh hle.

Engvangin nge he test hi i tih a ngaih?

Doctor-in he test hi a order theih chhan hrang hrang a awm. A chhan ber chu epilepsy ang chi natna thlentu lian tham dangte chu paih chhuah a ni .

Entirnan, mi pakhatin seizure a neih chuan a chhan chu thluak natna a ni em tih chhui chian a pawimawh.

• Meningitis: Hei hi thluak chhehvela membrane infection a ni.
• Encephalitis : Hei hian thluak ngeia natna hrik a kai tihna a ni.

Hetiang natna hi i vei em tih chiang taka hriat theih dan tha ber chu CSF fluid test hi a ni.

Test tih loh chhan dang

CSF fluid enfiah bakah hian chhan dang engemaw zat avangin spinal tap pawh tih theih a ni bawk.

• Thluak leh ruhro vel pressure chu teh rawh.
• Lu chhunga pressure tam lutuk tihtlem.
• Ruhro (spinal Anesthesia) tihreh nan damdawi inject thin ang che.
• X-ray ang chi test hmain dye bik dah hmasa phawt ang che.
• Damdawi thenkhat, entirnanBaclofen ang bawkin spinal cord-ah direct-in pe rawh.

Test hma leh test neih chhung hian eng nge thleng?

He test hma leh test chhunga thil thleng tur hriat chian hian i hlauhthawnna tihziaawmna kawngah kawng thui tak a zawh ang.

Test atana inbuatsaih dan tur

• Ei leh in: He test hma hian ei leh in i chawlhsan a ngai lo tlangpui a, mahse i doctor thupek zawm tur a ni.
• Damdawi i ei tur: Thisen tithianghlimtu (e.g., Aspirin, Clopidogrel) emaw damdawi dang emaw i ei a nih chuan i doctor hnenah hrilh ngei ang che . Test hma ni engemaw zat chhung chu ei tawh lo turin an ti mai thei che.
• Allergy: Latex emaw damdawi dang emaw allergy i neih chuan min hriattir hmasa phawt ang che.
• Transportation: Test zawhah direct-a lirthei khalh a tha lo a, chuvangin mi pakhatin in lama hruai che hi a tha ber a, a him ber bawk.

Test dan step by step khata tih dan tur

Hei hi ward emaw, room bik emaw-a khumah mut tir che a ni.

1. Position: Khum chungah i sir lamah mu turin an ti ang che, i khup chu i rilru hnaih thei ang bera dah la, i hmui chu inthup lut la, ball te tak te ang maia inher chhuak rawh. A nih loh leh, dawhkan chungah hmalam pan turin an ti ang che. Hetiang dinhmun hian i ruhro (spine) vertebrae inkar hmun a tipung a, chu chuan needle chu a dah awlsam phah a ni.

2. Faina: A dawtah doctor emaw nurse emaw chuan i hnungzang hnuai lam chu antiseptic solution hmangin uluk takin a tifai ang.

3. Numbness: Tichuan, needle an dahna hmunah chuan injection te tak te (local anesthetic) an inject a, a numb theih nan. Hetih lai hian kangmei chhuak tlem i nei mai thei. Hun engemaw chen hnuah chuan a hmun chu a nung vek tawh ang.

4. Needle dah dan: Numbing hnuah chuan ruhro hnuai lam vertebrae pahnih inkarah needle te tak te, hollow tak tak dah a ni. Hetih lai hian pressure tlem i nei mai thei. A pawimawh ber chu he needle hian ruhro chhunga ruhro (spinal cord) a tawk lo tih hi a ni. Chu chu ngaihtuah buai suh. Chu aia sang zawkah chuan spinal cord hi a awm a ni.

5. Aspiration: Needle chu a hmunah a awm tawh chuan CSF fluid chu zawi zawiin drop khat hnu drop khatin an la khawm thin. Hei hian minute engemaw zat a daih. Hetih hun chhung hian natna engmah i hre lovang.

6. Finishing: Tui mamawh zat an lak zawh hnuah needle chu la chhuakin plaster te tak te hmangin a hmunah an hnawih thin.

Test zawhah eng nge i tih thin?

Test zawh hnuah darkar engemaw zat chu medical supervision hnuaiah dah i ni ang. In lama i haw hmain nurse pakhatin in lama zawm tur thupek ziakin a pe ang che.

Side effect awm thei te chu engte nge ni?

Hei hi a tam zawkah chuan test him tak ni mahse, a chang chuan harsatna tenau te pawh a awm thei.

• Lu na: Hei hi a side effect tam ber a ni. Mi 10% - 20% velin lu na an nei thei. Hei hi ding emaw, mut emaw hian a pawi zawk. Mut lai hian a tlahniam thin.
• Infection: Hei hi thianghlim tak, hrik awm lohna hmuna tih a nih avangin natna kai theihna a tlem hle.
• Thisen chhuah: A chang chuan thisen kalna kawng te tak te a hliam thei a, chu chu a zung (needle) a luh chuan a hliam thei a ni. Chutiang a nih chuan thisen tlem a chhuak thei a, mahse enkawl bik a ngai lo.
• Natna: A tlangpuiin a na lo a, mahse stinger hian nerve a khawih chuan rei lo te chhung, electric ang maia natna i nei thei.

In lama i haw huna ngaihtuah tur thil

• Examination zawhah , doctor-in a tih hma loh chuan a theih ang anga muhil rawh.
• Ni khat emaw ni hnih emaw chhung chu exercise emaw, rit phurh emaw loh tur a ni.
• Tui tam tak in tur, tui leh thei tui te. Ni khata litre 2.5 vel in hian lu na a veng thei ang.
• Lu na i neih chuan a theih ang anga mu la, tui in tur a ni. Mahse lu na hi ni hnih emaw ni thum emaw aia rei a nih chuan doctor ko rawh.

Test result (report) a thlen theih nan ni khat emaw kar khat emaw pawh a ngai thei. I doctor chuan hei hi a hrilhfiah ang che.