I ruhro (spinal injury) avanga lu na pawh i nei tawh em? He spinal headache hi i zir dawn teh ang!

A bik takin i hnungzang injection hnuah lu na tuar theih loh i nei tawh em? A nih loh leh, i ṭhut emaw, i ding emaw hian a na zual sauh va, i mut lai pawhin a na zawkin i hria em? Chutiang a nih chuan Spinal Headache tih natna i nei mai thei a, chu chu vawiin hian kan sawi dawn a ni. Ngaihtuah buai suh, chipchiar takin han sawi ila .

Spinal Headache tih hi eng nge ni?

A awlsam zawngin, spinal headache chu i thluak hual veltu tui cerebrospinal fluid (CSF) , a tlahniam avanga lu natna nasa tak a ni. Kan thluak leh i ruhro (spinal cord) chu he tui tak, CSF an tih hian pillow khata khat ang maia venhim a ni tih han ngaihtuah teh. He tui hian thluak a chawm a, thluak leh ruhro chu che nghal vat lo turin a venghim bawk.

Chuvangin, eng emaw chhan vanga thluak chhehvela he CSF fluid hi a tlahniam a nih chuan, chu chu a leak chuan thluak tana support a tlahniam tihna a ni. Tichuan thluak chu a tlahniam deuh tan ta a. Hetih lai hian thluak nena inzawm tissue leh nerve nalh tak takte chu an inhnukdawk tan ta a ni. Chu pulling chu lu natna nasa tak anga kan hriat chu a ni.

Hei hi an ti bawk:

• Post-dural puncture lu na
• Epidural lu na
• Low-pressure lu na

Engvangin nge he spinal headache hi a lo awm?

Hei hi a chhan ber chu "spinal tap" kan tih medical procedure a ni. Chu chu, lumbar puncture emaw, spinal tap emaw tihna a ni.

Spinal Tap/Lumbar Puncture hi a chhan ber a ni

Doctor te hian chhan hrang hrang avangin lumbar puncture an ti thin. Condition thenkhat hriat theihna tur CSF sample lak emaw, anesthesia pek emaw tur. Nau neih laiin natna tihziaawmna tura ruhroa epidural anesthesia pek thin kha i hre reng mai thei. Chu chu a tih chhan chu a ni.

Hetiang tihnaah hian doctor chuan i ruhro (spinal canal)-ah needle te tak te a dah a, chu chu i hnungzang hnuai lam kaltlangin emaw, anesthesia pek nan emaw, CSF sample lak nan emaw a dah a ni. Mahse, a chang chuan meninges, spinal cord vel membrane-a khur te tak te a awm chuan CSF thenkhat a leak chhuak thei a ni.

CSF fluid a tlahniam chuan thluak vel pressure pawh a tlahniam bawk. Hei hi intracranial hypotension kan ti a . Tichuan thluak chu a innghat deuh niin a lang. Chu chu lu natna thlentu a ni.

Zirna hrang hrangah chuan hetiang spinal headache hi lumbar puncture 10% atanga 40% vel ah a awm thei tih a tarlang.

Chhan dang a awm em?

Ni e, spinal tap mai a ni lo. A tlem berah chuan CSF leakage hi chhan dang vang pawh a awm thei a, chu chuan spinal headache a thlen thei a ni.

• I ruhro bula tui hring ang maia lang cyst chu a puak chhuak thin.
• Spinal cord chhehvela protective membrane (meninges) te a tear chhuak.
• Lu emaw hmai emawa hliam na tak, lu ruh tliak ang chi.

Spinal lu na hian eng symptoms nge a neih?

Spinal tap nei tawh tan chuan heng lu na hi ni hnih atanga ni thum chhungin a intan tlangpui. Mahse, a chang chuan thla engemaw zat hnuah an rawn lang thei.

A feature lian ber berte chu hengte hi an ni:

• Lu natna nasa tak, throbbing tak, hmai emaw lu hnunglam emaw atanga intan.
• I ṭhut emaw, i ding emaw hian a na a zual a, i mut chuan a tlahniam deuh bawk. Hei hi he lu na hi a langsar ber leh a danglamna ber a ni.
• Lu na hi i khuh emaw, i strain emaw, i bawlhhlawh chhuah tum emaw hian a zual sauh sauh thin.
• Luhai.
• Kawng na emaw, a khauh emaw.
• Luak chhuak thei.
• Mit hmuhna a inthlak danglam a, êng laka sensitivity, i.e. photophobia .

Chu bakah, a hnuaia symptoms te hi hmuh tur a awm tlem thei bawk:

• Beng chhunga ri ri hriat (Tinnitus) .
• Hriatna hloh.
• Kut a natna emaw, hriatna hloh emaw ang chi natna (Radiculopathy symptoms) .

Heng symptoms te hi eng chen nge a awm theih?

A tam zawkah chuan heng ruh natna hi darkar tlemte atanga ni engemaw zat thleng a awm thei. Mahse mi thenkhat tan chuan an daih rei thei hle. Darkar 24 aia rei heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.

Hengte hi tuin nge nei tam zawk? (Risk Factor hrang hrang) 1.1.

Mi thenkhat chuan heng spinal headaches te hi an nei tam zawk. Hei hi thil engemaw zat a awm a, chungte chu:

• Tui in tlem (dehydration).
• Taksa pum tichhe thei dinhmun, thisen sang leh khawsik te.
• Lu na fo thin mi nih.
• Taksa rihna hniam (Low body mass index - BMI) nei tan.
• Spinal tap atana hman tur needle chi. He risk hi needle chi hrang hrang (cutting emaw larger bore spinal needles) hman a nih chuan a sang zawk a ni.

A tam zawkah chuan heng ruh natna hi hmeichhia kum 20 leh 40 inkar, nau an pai laiin an hnungzang tan epidural anesthesia dawng thinte zingah hmuh tur a ni.

Engtin nge doctor chuan hei hi ruh natna a ni tih chiang taka a hriat theih ang?

Doctor chuan i zawhna (i medical history) leh i symptoms te a zirin spinal headache a nih leh nih loh a rel ang. Tun hnaia spinal tap i neih tawh chuan, chu chu ni 14 chhungin i diagnosis a chiang hle. Chutiang a nih chuan test dang neih belh a ngai tawh lo.

Mahse, spinal tap i neih loh chuan i doctor chuan i lu na chhan hriat tumin MRI (Magnetic Resonance Imaging) scan turin a ti thei ang. Hei hian i thluak leh i ruhro (spinal cord) te ngun zawkin a enfiah thei a, CSF fluid a leak em tih a enfiah thei a ni.

Hei hi eng enkawlna nge ni?

Doctor-te chuan ruh natna enkawl nan a hnuaia mi hi an rawt fo thin:

In lama i tih theih thilte

• Lei zau takah mu la, mu rawh. A theih ang anga mut a tha ber a, ding leh ṭhut hian natna a thlen belh thei a ni.
• Tui leh tui tam tak in thin ang che. A bik takin caffeine awmna in tur, coffee, tea, leh soft drink thenkhat te hian hahdamna a pe thei a ni.
• Damdawi dawr atanga i hmuh theih tur over-the-counter pain reliever/analgesics hmang rawh.

Doctor hmanga enkawl

A chang chuan a chunga enkawlna te hian a pui lo. Ni engemaw zat hnuah pawh lu na i la nei a nih chuan, i doctor chuan epidural blood patch tih ang chi tih a rawt thei ang. Hei hian nangmah ngeiin i thisen thenkhat chu CSF a leakna khur chhungah i inject a ngai a ni. Thisen hian a tikhawlo a, a khur chu a seal bawk. Hei hian mi tam tak chu an dam thuai theih nan a pui a ni.

A tlem hle a, CSF leak siamthat nan operation neih a ngai thin.

Spinal headache hi a veng thei ang em?

Hei hi venna tur hian engmah tih theih a awm lo tak zet. Mahse, doctor-te chuan he hlauhawmna hi tihziaawmna turin spinal tap an tih hian needle chi khat bik (non-cutting needle) an hmang a, chu chu a hring thei ang bera hman a ni.

Hei hi engtiang chiahin nge a dam thuai ang? (Prognosis) tih a ni.

Heng spinal headaches te hi hlauh tur a awm lo. A tam zawk (85%) vel chu enkawl ngai lovin an kal bo ang. A hmaa kan sawi tawh ang khan epidural blood patch treatment hi kan hmang a nih chuan 60% atanga 70% velah darkar 24 chhungin lu na hi a bo vek ang.

Mahse, a tlem berah chuan, natna khirh tak tak a awm thei...

Hei hi a tlem hle nachungin, ruh natna awm reng, na tak chuan harsatna a thlen thei a, chungte chu:

• Cerebral venous sinus thrombosis – Thluak thisen kalna kawng hrang hranga thisen zam.
• Subdural hematoma – thluak vel a thisen awmkhawm.
• Seizures a awm thin.
• Hypopituitarism – pituitary gland hnathawh tlahniam.
• Syringomyelia – Spinal cord chhunga tuiin a khat cavities siam.
• Brain herniation – pressure tam lutuk avanga thluak hmun thenkhat atanga rawn chhuak.
• Coma state ah a awm.
• Thihna pawh a thleng thei (mahse hei hi a tlem hle ).

He thu hi i hlauhthawn nan kan sawi lo a, mahse hetiang dinhmun hi hriat chian a tha. Chuvangin i lu na a nasat a, a awm reng a nih chuan doctor pan ngei ngei tur a ni kan ti.

Engtikah nge Doctor ka hmuh ang?

Spinal tap hnua lu na nasa tak i neih a, darkar 24 aia rei i neih chuan doctor i pan ngei ngei tur a ni.

Tin, zun harsatna i neih chuan, emaw, i hnungzang emaw, i ke emaw a sensation hloh ang maia i hriat chuan, harsatna lian tak a awm tih chhinchhiahna a ni thei bawk. Hetiang a nih chuan damdawi in pan nghal tur a ni.

Take-Home Thuchah a ni

Chhan hrang hrang avangin a chang chuan lu na kan nei vek a. Mahse, spinal headache hi i lu natna pangngai a ni lo. Spinal tap emaw epidural emaw hnua lu na tak i neih chuan doctor hnenah hrilh rawh. A tam zawkah chuan heng lu na te hi a reh mai ang a, mahse enkawlna i mamawh mai thei a, chu chu epidural blood patch ang chi hi a ni. Chuvang chuan mahni chauha thutlukna i siam hmain damdawi lam thurawn lak hmasak phawt a pawimawh.

` Spinal lu na, ruhro tap, lu na, lumbar puncture, epidural, CSF, cerebrospinal fluid