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What is spinal fluid extraction?
مقاله تخصصی

What is spinal fluid extraction?

3 months ago
446 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

**What does it mean to draw water from the waist?** To extract spinal fluid in English, the term Lumbar Puncture or its abbreviation LP is used.... Lumbar means back or lower back and puncture means piercing.... Why?... Spinal fluid extraction is done from the lower back; For this reason, in the language of the people, cerebrospinal fluid is also called lumbar fluid... It is also good to mention other terms that people use: spinal fluid, cerebrospinal fluid and lumbar fluid, which may be more than the others... Anyway, cerebrospinal fluid or lumbar fluid is produced inside the brain... This fluid goes around the spinal cord and its lower parts... One of the most important tasks of cerebrospinal fluid is to physically protect the body's central nervous system. is.. To take samples of cerebrospinal fluid or spinal fluid, a needle is inserted between two lumbar vertebrae at the bottom of the spine.. In this way, the doctor can draw a small amount of spinal fluid that surrounds the spinal fluid into the spinal cord. They are diagnosed by drawing the spinal fluid..Also, sometimes the LP test is used to detect bleeding or some central nervous system treatments are also used to perform some cancers of the central nervous system.. For example, the same LP method is used to inject anesthetic drugs or chemotherapy drugs into the cerebrospinal fluid.. **What is the spinal fluid test for?** Sampling of the spinal fluid, which is also called a lumbar puncture, is done to diagnose and investigate a variety of infections, inflammations, and diseases of the central nervous system... This test can be useful for identifying various disorders such as meningitis, MS, and some types of brain and spinal cord cancer. In addition, sampling of the cerebrospinal fluid allows doctors to measure the pressure of the spinal fluid, which can help evaluate problems such as hydrocephalus or High intracranial blood pressure helps.. This method is also used to perform specialized imaging such as myelography (imaging of the spinal cord using contrast material) or cisternography (radiological imaging using radioactive materials). - Bleeding around the brain (**subechnoid hemorrhage**) Certain types of cancer that affect the brain or spinal cord - Some inflammatory diseases of the nervous system such as MS or Guillain Barre - Autoimmune disease of the nervous system - Alzheimer's disease and other types of dementia **Complications of spinal fluid sampling** ### Headache after drawing spinal fluid One of the most common side effects of spinal fluid removal is headache, which occurs in about a quarter of patients. This headache is caused by the leakage of spinal fluid from the injection site into the surrounding tissues and usually begins a few hours to two days after the puncture. Headache may be accompanied by symptoms such as nausea, vomiting, nausea, vomiting, nausea, vomiting, nausea, nausea, nausea, vomiting, or dizziness. Standing or sitting... This Headaches sometimes improve within a few hours, but in some cases, it may take several weeks.... ### Back pain Back pain is another common complication that may occur after cerebrospinal fluid sampling.. This pain may extend to lower areas such as the thigh and can last for several days.. ### Bleeding at the injection site. following the extraction of spinal fluid in patients with brain tumors or other brain tumors. Similar risks exist for infants, but since infants are unable to express pain, they may show symptoms by crying and restlessness.. Before drawing the spinal fluid (spinal puncture), it is very important to prepare carefully for this test. The first step is a full consultation with a specialist doctor so that the patient can be informed about the reason for the test, additional procedures and the patient's health status. Any medical problems, such as infection or heart and lung problems... Also, for a better and less painful test, the patient may need to rest before the piercing.. If the patient is anxious, relaxation with breathing techniques and psychological counseling before the test can help reduce anxiety. Warfarin, clopidogrel, and apixaban are some of these drugs.. Also, if the patient is allergic to a drug or has previously encountered problems during local anesthesia, he must discuss these issues with the treatment staff... **how to draw spinal fluid** Sampling of spinal fluid can be done both in the clinic and in the hospital.... Normally, the treatment staff will talk to the patient about the complications of cerebrospinal fluid drainage and other complications of spinal fluid sampling.... It is necessary for the patient to share his concerns and questions about LP with the doctor or nurse.... room... in other cases when this is not usually possible.... however, you can ask the medical staff about this... ### **before going outside cerebrospinal fluid** The patient is asked to wear clothes similar to what patients wear in the operating room... although in some cases there is no need to change clothes and the patient wears his/her own clothes... the patient's body must be in a certain position to perform the CSF sampling... different doctors may suggest different positions... the position most doctors use is that the patient is lying on their side and the patient is strapped to the side... more than a hard object such as on the table surface... in this Sometimes, the back is bent and the distance between the lumbar vertebrae is maximized and facilitates the extraction of the lumbar fluid.... In this case, the injection site is washed, disinfected and then covered with a sterile cover... The procedures for using the spinal fluid include the following.... - A needle is inserted between the two lumbar vertebrae of the spine and passes through the outer membrane of the spinal cord to the spinal canal.... At this stage, the patient may feel pressure.... - When the needle is placed in this area, the patient is asked to change his body position... .... - The pressure of the cerebrospinal fluid is measured... A small amount of lumbar fluid is drawn into the syringe... The pressure of the cerebrospinal fluid is measured again... - The needle from the back It is removed and a dressing is placed over the injection site.. lie on him after a while at the end of this.... To collect spinal fluid in infants and children, ultrasound may be used to observe the passage of the LP needle.. Extraction of spinal fluid** Rest and medication are two important things in care after spinal fluid extraction.... Many of these cares are the same as care after lumbar disc surgery.... **Rest after spinal fluid extraction** On the day that LP is performed, the patient should not participate in any vigorous physical activity... provided that on the same day of LP, if his work is not accompanied by physical activity, he can go to work... Be sure to consult with the medical staff about physical activities before leaving the clinic or hospital... A common pain reliever such as acetaminophen can be sufficient to reduce headache and back pain to reduce headache and talk in the main part of fluids after taking fluids.. Insurance and supplementary medical insurance in As for whether the cost of the LP test is covered... Almost all major insurances, such as Social Security and most supplemental insurances, cover the cost of a spinal tap up to a certain limit... **Spinal fluid test results** The cerebrospinal fluid sample obtained from the LP is sent to a medical diagnostic laboratory.. The laboratory technician examines and tests the cerebrospinal fluid for the following reasons... - The general appearance of the cerebrospinal fluid is almost clear and colorless... Disease) If the cerebrospinal fluid is more than 45 mg/dL, it is more likely to be an infection or another inflammatory reaction... - The number of white blood cells in the cerebrospinal fluid up to 5 per microliter is considered normal It is taken.... If the number of white blood cells is more, one should think about infection or inflammation.... - If sugar or glucose in cerebrospinal fluid is a sign of strong infection or cancer is also low. It suggests the presence of a brain tumor or a **spinal cord tumor**... It is obvious that the information obtained during the consumption of spinal fluid, such as the pressure of the cerebrospinal fluid, completes the LP test result... ** How many days does the result of the spinal fluid test take?** It is not easy to answer this question... normally, according to some sources like this scientific article, it takes a few days for the result of the LP test to be known... sometimes it takes longer... contact the laboratory about the time to receive the result of the spinal fluid test... when you go to the doctor to check the result of the LP test, it is better to ask the questions you have: - According to the obtained result, what is the next step? - What should the patient do or observe? - Is it necessary to repeat the LP test during the treatment process? Global statistics on the use of cerebrospinal fluid testing The amount of use of this treatment in different regions of the world is different based on the level of easy access to medical equipment. For example, in the United States, according to the resources available on the Plus One site, in 2010, this test was used nearly 362,718 times, while in non-developed countries, this statistic is unofficially close to one tenth. Based on the available statistics, it can be said that the higher the level of access to ideal treatment options, the easier and faster patients benefit from medical services such as spinal fluid extraction, spinal fluid testing. Our country understands We did not... **learn more about spinal fluid extraction** We found out that spinal fluid extraction is done on an outpatient basis and it is enough to lie down to start the work by anesthetizing the desired area to remove the spinal fluid, and after removal, the specified area is well bandaged... The duration of receiving the results of the spinal fluid test also does not have a specific time interval, and you may contact the patient in some cases. Complications after this procedure, such as: headache, back pain, etc., have been considered in the latest studies on the process of extracting spinal fluid using up-to-date equipment. It reduces the distance and has the ability to control the flow, maintain optimal spinal fluid and increase the speed of CSF...
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