সংজ্ঞা
Lumbar puncture is a test of the fluid around your spine and brain. This fluid is called cerebrospinal fluid (CSF). It provides protection and nutrition to the brain and nerve cells. CSF also helps to remove waste products from the brain.
পদ্ধতির কারণ
The test is done to look for abnormalities in the spinal fluid. It may be done to help diagnose conditions such as:
- Brain infection, or infection of the layers around the brain
- মাল্টিপল স্ক্লেরোসিস (MS)
- Any disorder affecting the nervous system
- Certain types of cancer
- Bleeding in the brain or spinal cord
- Excess CSF in the brain
The procedure may also be done to:
- Administer dye for imaging studies
- Drain CSF to lower pressure within the brain
- Give medicine directly to the spine such as chemotherapy, antibiotics, and anesthesia
সম্ভাব্য জটিলতা
If you are planning to have a lumbar puncture, your doctor will review a list of possible complications. Complications may include:
- মাথাব্যথা
- পিঠব্যথা
- Bleeding, which can compress the nerve roots or spinal cord
- Pain or abnormal burning, pricking, or tingling sensations in legs
- Allergic reaction to anesthetic
- সংক্রমণ
কি আশা করা যায়
পদ্ধতির আগে
Your doctor may order a CT scan of the head before the procedure. A CT scan makes detailed pictures of your brain.
Just before the procedure, your doctor will clean the site where the needle will be inserted.
এনেস্থেশিয়া
Local anesthesia will be used most often. It numbs just a small area. The medicine is injected with a needle.
পদ্ধতির বর্ণনা
You will lie on your side with your knees drawn up in front. Some punctures may be done while you sit on the edge of the bed. A needle will be inserted into the spinal canal through the lower back. The doctor will take a sample of CSF through the needle.
During the procedure, your doctor will make a note of the pressure of the CSF. If you have discomfort, the needle may need to be repositioned. It may take several minutes to collect the fluid needed. The needle will be removed. A dressing will be placed over the puncture.
অবিলম্বে প্রক্রিয়া পরে
You will lie down for 10-15 minutes. In most cases you will be able to go home after the procedure. If you have a severe headache or require immediate treatment, you may need to stay longer.
কতক্ষণ এটা লাগবে?
About 30-45 minutes from setup to completion
এটা আঘাত করবে?
Discomfort is minimal to moderate. The anesthetic will sting when first injected.
পোস্ট-প্রক্রিয়া যত্ন
যখন আপনি বাড়িতে ফিরে after the procedure, do the following to help ensure a smooth recovery:
- Drink extra fluids for the next 24 hours.
- Rest and remain quiet for at least 24 hours.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
আপনার ডাক্তারকে কল করুন
বাড়িতে পৌঁছানোর পরে, নিম্নলিখিতগুলির মধ্যে যে কোনও একটি ঘটলে আপনার ডাক্তারের সাথে যোগাযোগ করুন:
- Severe headache or headache lasting for more than 24 hours
- বমি বমি ভাব বা বমি হওয়া
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- Redness, swelling, increasing pain, bleeding, or discharge from the lumbar puncture site
- Numbness, tingling, or pain in your lower back or legs
- Weakness in your lower legs or difficulty walking
- Problems with urination or defecation
- A stiff neck
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।