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Sunday, March 27, 2011

ambik air tulang belakang????

a reader asked me to write about spinal puncture to take the cerebrospinal fluid sample...
so here it goes...

it becomes a big issue in our civilization in Malaysia.... spinal puncture - in view of general perception is so dangerous and will result in non reversible complication such as hemiplegia ( lumpuh )
which i totally disagree with.....

honestly , spinal puncture is not dangerous at all , if performed by a qualified doctors ( actually all doctors should be able to do it!  )
it's almost  no complication at all if performed in the correct way.

usually , doctors will ask for permission from the patient him/herself or the family member , before doing spinal puncture to take the cerebrospinal fluid ( CSF )
at most times , the CSF sample , is a vital part to get the final diagnosis in cases involving the infection at the center nervous system ... such as meningitis .... or infrequently tb spine...

i dont know where does the public get their source of information ... the public believe that spinal puncture is always associated with complication such as hemiplegia ( lumpuh ) ....
that will be the first question asked by family member when we asked for permission to do spinal puncture
so here me out here.... that is nonesence information and totally false about spinal puncture...

me myself , as an anaesthetist , i do spinal puncture almost everyday ..
when i give spinal anaesthesia for my patients who went for op ..
i did the same thing... the spinal puncture , then i could administer the heavy marcaine inside the spinal space..
it's the same procedure...
and thank you Allah ... so far none of patient become lumpuh!
so does my other colleague..

hence... please .. tell everyone..
a correctly performed spinal puncture will NOT cause penyakit lumpuh!

4 comments:

wnazi said...

tp mmg bahaya..doc is nt everything..smua buat ksilapan n kslpn demi kslpn mbuatkn doc 2 jd pkr..tp kslpn 2 hanya doc je y rsa sb dia je y tao. hw u feel if sumbody u love goes 4eva? it just a simple mistake that ruins a faithful heart

betty said...

ade juga yang mengatakan amek air tulang belakang ni amat menyakitkan.. atuk sedara saya pnh buat procedure ni, and die pesan x nak kasi anak cucu buat amek air tulang belakang,, is it true?? is the pain so painful and cannot be tolerated by a normal person??

Perempuan itu,Wawa said...

masa saye praktikal dulu,saye pernah tgk this doctor ambil air tulang belakang..6 kali cucuk tak dapat2 sampai ada jarum yg bengkoklah(real thing)..this lil girl dah menangis...tak sampai hati nak tgk..last skali,tugas doktor ni diambil alih oleh seorang lg doktor dengan skali cubaan je...pheww.lega terus.

aiNaSha said...

I just follow your blog recently..I really interested as I have passion on medical world..so, I am browsing your previous post..x sangka ada doc yg rajin blogging macam ni..huhu...

oklah..to comment on this post, actually i've gone thru the lumbar puncture procedure in 2001 at KPJ Johor..
due to severe migraine/headache sbb doc takut meningitis...
tapi alhamdulillah negatif...

mmg doc ada explain yg malay always believed this will led to lumpuh..then d0c advise to lie down flat with almost no movement for 6 hours after the procedure..
my positive parents agree..
plus rupanya my late father do invite his friend for Solat Hajat at home (I do not know this until I was discharge)

the procedure was really smooth..I only feel sort of ant-bite pain when doc started to insert needle for anesthetic..after that..no pain at all...alhamdulillah..

in my opinion...semua tu kerja Allah...mohon padaNya agar dipermudahkan...