I lu i tihdik hian lu na na tak? Hei hi CSF Leak a ni em? (Cerebrospinal Fluid Leak) tih a ni.

I ding emaw, i lu i tihdik emaw hian a chang chuan lu na nasa tak i nei thin em? Mahse, rei vak lo i mut chuan a natna chu a reh em? A nih loh leh, chhan awm lovin i hnar emaw, i beng atang emaw hian tui chhuak i nei em? Heng thilte hi khawsik dang emaw, lu natna tlanglawn tak emaw chauh nia i ngaih pawhin, a châng chuan hei hi ngaihven deuh deuh ngai dinhmun a ni thei. Vawiin hian chutiang dinhmun pakhat, ‘cerebrospinal fluid leak’ ( CSF leak) chungchang kan sawi dawn a ni.

Cerebrospinal fluid (CSF) leak tih hi eng nge ni?

A awlsam zawngin kan thluak leh kan kawr hnunglam atanga tlan chhuak ruhro hi taksa peng pahnih nalh tak tak an ni. Chhiatna laka humhim turin tui thianghlim takin a hual vel a ni. Tui khat pillow chhunga thil chhe thei tak dah ang mai a ni. He tui hi Cerebrospinal Fluid (CSF) an ti a.

He tui hlu tak hi a chhuah loh nan, dura mater an tih, membrane chak tak atanga siam, sac ang maia awm chhungah a awm a ni. Eng emaw chhan vanga he membrane-ah hian khur emaw, tear emaw a awm chuan CSF fluid chu zawi zawiin a chhuak chhuak ang. Chu chu CSF leak kan tih chu a ni.

He leak hi kawng lian pahnih a awm thei a:

1. Cranial CSF leak: Hei hi luruh chhunga CSF membrane , thluak vel, a chhiat chuan a thleng thin. Hei hi luruh tliak ang chi thil vang a ni thei.

2. Spinal CSF Leak: He membrane hi spinal cord dung khawi hmunah pawh a leak a nih chuan .

Chutianga tui a chhuah chuan thluak vel cushioning chu a tlahniam a, luruh chhunga pressure pawh a tlahniam bawk. Hei hi ``Intracranial hypotension'' an ti a, hei hian thluak a ti tlahniam deuh a, lu na a thlen thin . Hetiang dinhmun hi a awm chhunzawm zel chuan thluaka thisen kalna kawng nalh tak takte chu a inzawm khawm thei a, a chhe thei bawk a, chu chuan natna khirh tak, subdural hematoma an tih chu a thlen thei a ni.

Eng thilin nge CSF leak a thlen?

A châng chuan, a chhan chiang tak hmuh tur a awm lo. Hei hi Doctor-te chuan CSF leak 'spontaneous' tiin an sawi. Mahse, a tam zawkah chuan hei hi a thlen chhan bik a awm a ni.

CSF leak a nih chuan eng symptoms nge a neih?

CSF leak chhinchhiahna ber leh langsar ber chu kan sawi hmasak ber lu na kha a ni a, mahse chhinchhiahna dang engemaw zat a awm thei bawk.

Engtin nge diagnosis hi siam a nih?

Heng symptoms te hi i neih i rinhlelh chuan doctor pan nghal rawh.A pawimawh hle mai. Doctor chuan i natna lan chhuah dan a zawt ang che a, taksa a enfiah ang che.

• I hnar atanga tui chhuak a awm leh awm loh en turin hmalam pan turin an ti mai thei che. A awm chuan sample lak a ni ang a, CSF a nih leh nih loh finfiah turin lab-ah thawn a ni ang.
• Endoscopy tih theih a ni a, chu chu hnar chhungah camera hmanga tube te tak te dah a ni.
• I beng i check thei ang.

Hei bakah hian test eng emaw zat tih theih a ni a, thluak leh ruhro thlalak lak a, a leak awmna hmun dik tak hriat theih a ni bawk.

• ` CT scan a ni` tih a ni
• ` MRI ` tih a ni
• Myelography (thil ruh (spine) atana specialized imaging test) 1.1.
• `Cisternography` (thluak leh ruhro enfiahna (imaging test) .

Enkawl loh chuan thluak chhehvel membrane-ah a darh thei a, natna khirh tak tak, meningitis ang chi a thlen thei a ni. Chuvangin diagnosis leh enkawl dan hi a pawimawh hle.

Eng enkawlna kawng nge awm?

Enkawlna chu a leak awmna hmun, a chhan leh a nasat danah a innghat a ni.

Enkawlna hmasa ber

A tam zawkah chuan, a bik takin leak hi i hnungzang chhunga tui lut ang chi thil avanga lo awm a nih chuan doctor chuan thil awlsam tlemte tih hmasak phawt turin a hrilh ang che.

• Khumah awm la, ni engemaw zat chawlh hahdam mai rawh .
• Tui leh tui tam tak in .
• Caffeine (tea, coffee) in thin.

Vawi tam tak chu heng thil awlsam tak takte hian anmahniin leak chu an tidam mai thin.

Enkawlna bik (specialized treatment) te pawh a awm bawk

Treatment hmasa berah leak hi a tawp lo a nih chuan doctor chuan enkawlna dang a hmang ang.

• Spinal CSF Leak tan chuan:
• Epidural Blood Patch: Hei hi hman tlanglawn ber leh hlawhtling ber a ni. I thisen tlemte i la a, i ruhroah leak awmna nia i ngaihna hmunah i inject a ni. Thisen hian a tikhawlo a, a khur chu a seal bawk.
• A châng chuan, a zung chu stitches emaw, fat/ muscle graft emaw hmanga khar nan surgery an ti ṭhin.

• Cranial CSF Leak tan chuan:
• Chungte chu zai a ngai tlangpui. He khur hi hnar endoscopy emaw beng surgery emaw hmangin khar a ni.
• A khur chu khar rawh.Synthetic graft, i taksa tissue piece , special surgical glue , emaw bone cement emaw hman a ni.

Enkawlna hnua fimkhur tur thilte

CSF leak enkawl hnuah chuan dam chhung hian fimkhur hle a ngai a, chu chu kar 4-6 vel a ni a, a chhan chu membrane hi a dam theih nan hun a mamawh a ni.

• Pound 10 (4.5 kg) aia rit chu chawi suh.
• Hmalam pan, thil rit chawi, leh twisting ang chi thilte chu pumpelh rawh .
• Efecation laiin straining tih loh tur. A tul chuan doctor hnenah stool softener dil rawh .
• Khuh emaw, thawk hah emaw hian i hmui chu hawng reng ang che . Hei hian luruh chhunga pressure build-up a tihziaawm ang.
• Hnar chhuak i neih chuan i hnar kha pick na lutuk loh tur.
• In tur straw hmang suh.
• Hnathawh laiin i hnungzang dinglam reng tur a ni. I ben a ngai a nih chuan i khup leh i hip-ah bend rawh.