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

Doctor-in, "I ruhro aṭanga tui ka lak a ngai a, ka test a ngai" a tih che chuan hlauhna leh hlauhna a nei nghal a, a dik em? "Aw, i ruhroah hian needle ka tlakbuak dawn a ni," tih hi a awm fo thin. Mi tam tak chuan he hming hi an hriat hian hlau mah se, a takah chuan hei hi kan ngaihtuah angin fiahna hlauhawm leh hrehawm tak a ni lo. Chuvangin vawiin hian i zir belh leh ang u.

A awlsam zawngin, lumbar puncture tih hi eng nge ni?

Sinhala tawng chuan hei hi "spinal tap" kan ti tlangpui. Hei hi doctor-in a tih test bik a ni. Hei hian i hnungzang hnuai lam, vertebrae pahnih inkarah needle nalh tak, te tak te dah luh a, i thluak leh i ruhro vel a tui thianghlim leh tui tak sample tlemte lak a huam a ni.

He tui hi damdawi lam chuan cerebrospinal fluid (CSF) an ti a. He tui hi kan thluak leh kan ruhro (spinal cord) tana venhimna cushion ang mai a ni. Chuvangin, he tui sample tlemte kan enfiah hian i thluak, i nervous system emaw, i ruhro emaw nghawng thei damdawi lam dinhmun hrang hrang chungchangah thu pawimawh tak tak kan hmu thei a ni.

Engvangin nge doctor chuan he test hi a rawt ang?

Lumbar puncture tih theih chhan hrang hrang a awm. A chang chuan natna bik hriat nan hman a ni a, a chang chuan damdawi pek nan hman a ni bawk.

He test hma hian engtin nge ka inbuatsaih ang?

I doctor chuan test hmain eng nge i tih tur tih a hrilh tlangpui ang che. Thil pawimawh tak tak thenkhat chu:

• CT scan emaw MRI scan: A chang chuan, spinal tap hmain, thluak emaw, ruhro emaw-ah pressure a sang em tih en turin he scan hi ti turin an ti thei che a ni.
• Thisen test: Hei hi i thisen zam theihna chu a pangngai em tih hriat nan a pawimawh hle.
• I damdawi ei tur eng pawh doctor hnenah hrilh rawh: Thisen tihthianghlimna damdawi (Warfarin, Aspirin, Clopidogrel ang chi) i ei a nih chuan i doctor hnenah i hrilh ngei ang. Test hma ni engemaw zat hnuah heng damdawi te hi ei tawh lo turin an ti mai thei che. Doctor thurawn lo chuan ei kha bansan ngai suh.

Heng inbuatsaihna te hian test hi him takin i ti thei ang a, a tul lo taka harsatna i thlen loh nan a pui bawk ang che.

Test neih chhung hian eng nge thleng?

Hei hi mi tam takin an hlauh ber part chu a ni. Chuvangin step khat hnu step khatin i sawi dawn nia.

1. Position: A hmasa berin khumah mu turin siam i ni ang. A tlangpuiin, i veilam sir lama mu turin siam i ni ang. Tichuan, i khup ben a, i rilru hnaih tir turin an ti ang che , i curling up ang maiin. A châng chuan, ṭhutphah-a ṭhuin, dawhkan chungah hmalam pan tûrin an ti che a ni. Hetiang dinhmun hi a nuam lo deuh nachungin i vertebrae inkar hmun a tipung ang a, needle dah a awlsam phah ang. Chuvangin, a theih ang anga muang taka awm reng a pawimawh hle.

2. Faina leh numbing: A dawtah chuan doctor chuan i hnungzang hnuai lam uluk takin a tifai ang a, local anesthetic tlem a inject ang a, a numb ang. Injection i pek hian stinging sensation tlem i nei thei. Mahse, hun engemaw chen hnuah chuan a hmun chu a hring vek dawn a ni.

3. Needle dah dan: I hnungzang a tihlum hnuah doctor chuan uluk takin i vertebrae pahnih (a tlangpuiin hnungzang hnuai lam) inkarah needle te tak te a dah ang. Hetih lai hian natna engmah i nei lovang, mahse pressure engemaw zat i nei thei.

4. Tui sample lak: Nadele chu hmun dik takah a awm tawh chuan cerebrospinal fluid (CSF) chu a tla thla khatin a lo chhuak ang. Doctor chuan a mamawh zat chu bottle te tak te engemaw zatah a khawlkhawm ang. Hei hian minute engemaw zat a la ngai dawn a ni.

5. Removal and Bandage: Sample lak zawh hnuah uluk takin needle lakchhuah a ni a, needle dahna hmunah hian bandage emaw plaster te tak te te an hnawih thin.

Test pumpui hi minute 15 leh 30 inkar a ni tlangpui . Needle chu i hnungzang ah minute tlemte chauh a awm.

Hetih lai hian min mut tir thei ang em?

No. General anesthesia pek i ni lovang. Local anesthesia chauh pek i ni ang a, chuvangin i conscious kim tawh ang. Mahse, hrehawmna engmah i nei lovang.

Test zawhah eng nge ka tih ang?

Exam zawhah doctor chuan instruction set khat a pe ang che. Anmahni zawm dik a pawimawh hle.

• Mut rawh: Test zawhah darkar khat tal, darkar engemaw zat pawh khumah mu turin an ti ang che. Hei hian a hnua lu natna awm thei zawng zawng a veng thei ang.
• Tui tam tak in rawh: Nitin tui leh thei in tur ang chi tui tam tak in thin ang che. Hei hian taksa atanga tui hloh chu a tipung leh thei dawn a ni.
• Thiltih pumpelh: Darkar 24 chhung lirthei khalh emaw, machine rit tak tak hman emaw loh tur. Tin, ni khat emaw ni hnih emaw chhung chu thil hahthlak tak tak, rit phurh emaw, exercise emaw tih loh tur a ni.
• Chawlh hahdam: A theih ang anga chawlh hahdam rawh.

Lumbar puncture hnua lu na hi thil pangngai a ni em?

Ni e, hei hi he test hnua side effect awm thei tam ber a ni. Mi zawng zawngin an vei vek lo a, mahse zaa sawm (10%) velin he lu na hi an nei thei a ni.

Hei hi lu na pangngai ang a ni lo. Lu na hi i ṭhut emaw, i ding emaw chuan a zual sauh a, i mut lai pawhin a ṭha lehzual bawk. Test atanga darkar tlemte chhung emaw, ni engemaw zat emaw chhungin a tan thei. He lu natna hi natna, tachycardia, hypotension ang chi thilte nen pawh a inzawm thei bawk.

Doctor i hmuh hun tur chu engte nge ni?

Test zawhah harsatna lian tham a awm lo tlangpui. Mahse, a hnuaia symptoms te hi i neih chuan i doctor hnenah i biak nghal tur a ni .

Hei hian ka ruhro a tichhe dawn em ni?

Ni lo, hei hi mi tam tak hlauh ber a ni. Lumbar puncture tih hian needle hi spinal cord level aiin a hniam zawk hle. Chuvangin ruhro (spinal cord) a chhiat theihna chance a awm lo. Hei hi test him tak a ni.