Khuh na tak hnuah lu na (splitting headache) i nei em? A nih loh leh i nuih zawh hnu lawkah lu na i nei em? Hei hi mi thenkhat chunga thleng fo thin a ni. Vawiin hian he natna ‘cough headache’ an tih hi kan sawi dawn a ni. Hei hi thil pangngai nge hlauh tur thil tih chiang takin i hrethiam ang u.
He ‘Cough Headache’ hi eng nge ni?
A awlsam zawngin sawi ila, ‘khuh lu na’ tih hi i khuh, i hnim, i nuih a, i thil rit tak tak i chawi a, i lu na nghal mai a ni. He natna hi second tlemte atanga minute 30 vel a ni tlangpui. Mahse a chang chuan darkar hnih thleng a daih thei. Hei hi lu na tak a ni lo. A tam zawkah chuan a hlauhawm lo hle a, mahse a chang chuan chhan lian tak a awm thei.
‘Khuh lu na’ hi chi hnih a awm a, chungte chu:
Hetiang lu na i neih chuan eng chi nge tih hriat a pawimawh hle a, a chhan chu a enkawl dan tur chu a innghat dawn a ni.
| Lu na chi hrang hrang | A awlsam zawngin... |
|---|---|
| Primary Cough Lu na | Hei hi a tam ber, hlauhawm lo chi a ni. Natna hnuaia awm a awm lo. |
| Secondary Cough Lu na | Hei hi thluak emaw, ruhro emaw a natna khirh tak dang a awm vang a ni. Khuh lu na nei zinga a chanve vel chuan hetiang chi hi an nei a ni. |
Chuvang chuan hetiang ang lu na i tawk a nih chuan a chhan dik tak hriat chian nan doctor pan a pawimawh hle.
He lu na hi eng chhinchhiahna nge ni?
‘Khuh lu na’ chhinchhiahna hi a chi hrang hrang a zirin a inang lo deuh thei.
Symptom hmuh tam ber
- Lu na , khuh emaw, straining emaw atanga tan nghal a, rei vak lo hnuah a reh thin.
- Lu ah chuanNatna hi a sir lehlamah emaw, a sir khatah emaw a awm thei (primary headaches hi lu hma leh sir lamah a awm fo a, secondary headaches erawh chu lu hnung lamah a awm fo thung).
- A natna chu a na hle thei a, a hliam thei a, a dull thei bawk .
Chutiang common features chu a ni lo
- Luak chhuak emaw, i taksa thunun theih loh emaw.
- Fainting a awm lo.
- Kut pahnih a natna (hei hi secondary headaches-ah chauh hmuh theih symptom a ni).
Engvangin nge hetiang lu na hi a lo awm?
He lu na hi hetiang thil tih hnuah hian a intan nghal a ni:
- Khuh laiin
- Crocodile a inhawng chuan
- I hnar i vuak nasat chuan
- Straining laiin (e.g., bathroom kal hunah, thil rit tak chawi lai) .
- I nuih chhuah ringawt chuan
- Tap lai chuan
Lu natna thlentu ber
Dik tak chuan primary cough headaches awm chhan dik tak hi hriat a la ni lo. Mahse mithiamte chuan hetiang hian an ngaihtuah a: Kan khuh hian kan rilru leh kan pum chhunga pressure a sang nghal zung zung a. He pressure hian thluak chhunga pressure chu direct-in a tipung a ni. Hetianga pressure sang tak hi he natna thlentu nia rin a ni.
Secondary headaches thlen thei dinhmun khirh tak tak
Hetah hian kan ngaihtuahna kan dah pawimawh a ngai a ni. Secondary headaches hi thluaka structural defect emaw medical condition dang emaw avanga lo awm a ni.
- Chiari malformation type I: Hei hi a chhan tam ber a ni. A awlsam zawngin, hei hi kan luruh hnung lama awm thluak thenkhatin ruhro (spinal cord) kaltlangin a hnuai lam a nawr lai a ni. Hei hi kan taksa balance control tu area a ni.
- Thluak natna (brain tumor) a awm
- Thluak leh ruhroa cerebrospinal fluid (CSF) pressure tlahniam
- Hei hi CSF leak (Cerebrospinal fluid leak) a ni.
- Thluak chhunga CSF tui awm tam lutuk (hydrocephalus) .
- Cerebral aneurysm (thluaka thisen kalna kawng chak lo) .
- Thluak tissue pawn lama thisen lakkhawm (subdural hematoma) .
Hei hian eng harsatna nge a thlen theih?
Primary tension lu natna hian nitin hnathawhna a tibuai thei a, natna awm reng hian rilru lam pawh a nghawng thei bawk.
Mahse, secondary cough lu natna thlentu dinhmunte chu a na hle thei a, a châng chuan nunna atana hlauhawm pawh a ni thei tih hre reng ang che . Chuvangin chhan awm lova lu a na thut a nih chuan Doctor pan nghal rawh.
Engtin nge doctor hian hei hi a hriat chian?
Doctor i hmuh chuan a enfiah ang che a, i symptoms te a zawt ang che. Entirnan, engtikah nge a natna chu a lo awm a, eng chen nge a awm tawh a, engtiang chiahin nge a nasat tih te.
Tichuan, hei hi secondary headache a nih leh nih loh hriat nan test thenkhat an order ang.
- Lumbar puncture (thil ruh atanga tui lakchhuahna test) .
- CT scan (computed tomography scan) hmanga enfiah a ni.
- MRI (magnetic resonance imaging) hmanga enfiah a ni
- Thisen test a ni
He lu na hi eng damdawi nge ni?
Lu na chi hrang hrang a zirin enkawl dan a inang lo.
Lu natna bulpui ber enkawlna
A tam zawkah chuan he lu na chi hi minute 30 vel chhungin a mah chauhin a bo vek thin. Chuvangin damdawi ei a ngai reng reng lo. Mahse, hetiang lu na i neih fo a, tuar harsa i tih chuan i doctor chuan a ven nan nitin ei tur damdawi a pe mai thei. Entir nan:
- Acetazolamide hmanga siam a ni
- Indomethacin hmanga siam a ni
- Propranolol a ni
- Topiramate a ni
Heng damdawi te hi i ei tan hmain i doctor chuan an side effects te chu a hrilhfiah ang che.
Secondary lu natna enkawlna
Hetiang enkawlna hian lu natna ngei pawh a enkawl lo va, a chhan bulpui (underlying medical condition) a enkawl zawk a ni. Thil tam takah chuan thluaka structural problem siam\hat nan operation neih a ngai mai thei.
Hetiang dinhmun hi ven theih a ni em?
Khuh leh thawk hah hi kan titawp vek thei lo a ni lawm ni? Mahse lu na chhan berte chu thunun kan tum thei a ni.
- I khuh fo (e.g. Asthma, allergy) i neih chuan Doctor pan la, inenkawlna mumal tak la rawh.
- Bathroom kal hunah i doctor nen stool softeners chungchang sawipui la, chu chuan straining a awm loh nan.
- Tuna i damdawi ei mek zingah khuh hi a side effect a nih leh nih loh i doctor zawt rawh.
- Weight lifting ang chi exercise hahthlak tak tak lakah hian inthiarfihlim a tha ber.
Take-Home Thuchah a ni
- Khuh, thawk hah emaw, rilru hah emaw avanga lu na nghal mai chu ‘khuh lu na’ an ti.
- A chi hnih a awm a, chungte chu ‘primary’ type, a bulpui natna nei lo leh ‘secondary’ type, thluak natna khirh tak avanga lo awm a ni.
- Primary type hi kum 40 chunglam ah a tam zawk a, secondary type hi kum 40 hnuai lam ah a tam zawk bawk.
- Secondary headaches hi dinhmun hlauhawm tak avanga lo awm thei a nih avangin, hetiang lu na i neih chuan,Hun khawhral lova doctor pan a pawimawh hle.
- MRI leh CT ang chi test te hian lu na chhan dik tak hriat theih nan a pui thei a ni.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh