Nang pawhin lu na i nei fo em? Lu natna chungchang zawng zawng hi a awlsam zawngin i zir vek ang u!

Lu na i nei fo em? A nih loh leh i hriatte hian he harsatna hi an nei em? Lu na hi a takah chuan a tam hle. Mi tam zawk chuan an dam chhungin vawi khat tal chu hetiang hi an tawng tawh a ni. A châng chuan, hei vang hian kan nitin nunphung a buai ṭhin a ni lawm ni? Chuvangin vawiinah hian lu na chu eng nge a nih, a chhan te, a chi hrang hrang te, a tih theih dan te kan sawi dawn nia.

Lu na chu eng nge ni?

A awlsam zawngin, lu na hi i lu emaw, i hmai emaw a na a ni. He natna hi a danglam thei hle. Mi thenkhat tan chuan lu chhunga pressure ang maiin a lang a , thenkhat tan chuan throbbing , constant , sharp pain like a stabbing pain , or a dull ache ang maiin a lang.

Lu na hi a awm fo thin. Dik tak chuan miten an tawrh nasat ber pakhat an ni. Mite sikul emaw hnathawh loh chhan ber an ni fo. Miten doctor an pan chhan ber pakhat an ni bawk.

A pawimawh ber chu lu na tam zawk hi a hlauhawm lo nain, chi thenkhat chu a hnuaia awm natna khirh tak chhinchhiahna a ni thei. Chuvangin lu na a lo awm hunah ngaihven a pawimawh hle.

Lu na chi hrang hrangte chu engte nge ni?

I hria em, lu natna chi hrang hrang 150 chuang a awm! Mahse an vai hian chi hnih lianah then theih an ni.

1. Lu natna bulpui ber

2. Secondary Lu na

Tunah chuan hengte hi a hranin han thlir ila.

Primary Headaches hi engte nge ni?

Heng lu natna chi hrang hrangte hi i lu natna hriatna hmunte hnathawh tam lutuk emaw, hnathawh that loh vang emaw a ni. Damdawi lam dinhmun hnuaia awm reng reng chhinchhiahna an ni lo. Mi thenkhat chuan genetic factors vangin hetiang lu na hi an nei tam zawk bawk.

Lu natna bulpui chi thenkhat chu hetiang hi a ni:

• Tension-type headaches: Hei hi lu natna chi khat a ni ber . Mi tam zawk chuan hei hi an dawng thin. Band pakhatin lu vel a tikhauh ang maiin a lang tlangpui.
• Migraine lu na: Hei hi mi tam takin harsatna an neih ve bawk a ni. Hemi chungchang hi a hnuah chipchiar zawkin kan sawi leh ang.
• Cluster headaches: Hengte hi a na hle a, mahse eng emaw chen chu a tlem hle. Mit vel ah natna hi a awm fo thin.
• New daily persistent headaches (NDPH): Hei hi lu natna a ni a, a intan nghal a, nitin deuhthaw a awm thin.

Lu natna bulpui thenkhat chu nunphung (Triggers) vang pawh a ni thei:

Ngaihtuah teh, kan lu natna thlentu thil engemaw zat a awm. `Triggers` kan ti thin.

• Zu, a bik takin red wine.
• Chaw thenkhat, entirnan sa processed meat-ah hian nitrates (`food-triggered headaches` tia hriat bawk) a awm a.
• Nicotine hman (`nicotine lu na`).
• Mut a inthlak, mut tlakchhamna.
• Posture tha lo tak.
• Taksa lam thil thenkhat, entirnan exercise (`exertion headaches`).
• Chaw ei loh (`riltam lu na`).
• Khuh, thawk hah, i hnar chak taka vuak, riltam laiin straining, nuih emaw, au chhuak emaw (`cough headaches`) te hian.

Heng lu natna bulpui berte hi nunna atana hlauhawm lo mah se, a na hle a, nitin kan hnathawh zawng zawng a tibuai thei a ni.

Secondary Headaches hi engte nge ni?

Hetiang lu natna hi damdawi lam dinhmun dang hnuaia awm vang a ni . Chu chu, he lu na hi chu damdawi lam dinhmun chhinchhiahna a ni tihna a ni.

Lu natna chi hnihna pawh a awm a, a tlangpuiin a hlauhawm lo va, a chhan bulpui enkawl a nih veleh a bo vek a ni:

• Dehydration headache: Hei hi taksain tui a hmuh tlem chuan a thleng thei.
• Sinus lu na: Hei hi sinus lama harsatna nei te zingah a awm fo thin.
• Damdawi hman tam lutuk lu na: Hetiang dinhmun hi damdawi thenkhat, natna tidamtu ang chi, i ei tam lutuk hian a lo awm thei a ni .

Mahse, secondary headaches thenkhat chu natna khirh tak, nunna atana hlauhawm tak a nihna chhinchhiahna a ni thei. Hengte hi kan fimkhur hle tur a ni:

• Spinal headaches: Hengte hi spinal tap hnuah a thleng fo thin a, chu chu spinal cord khuh tu membrane atanga spinal fluid a luang chhuak thin a ni. Hei hi a pawi hle thei a ni. A tam zawkah chuan in lama enkawlna hmangin an reh a, mahse enkawl loh chuan harsatna lian tak tak a thleng thei a ni. Entirnan, thluaka thisen zam (subdural hematoma) emaw, seizures emaw a awm thei.
• Thunderclap headaches: Hei hi natna rang tak , na tak, lightning ang maia hriat a ni! A natna hian minute khat chhungin a nasat ber a thleng a, minute nga tal a daih. A châng chuan pawi lo mah se, hetiang lu na i neih chuan damdawi lam pan vat tur a ni. Natna khirh tak chhinchhiahna a ni thei a, chu chu:
• A lu a hliam.
• A thluak thisen chhuak.
• Reversible cerebral vasoconstriction syndrome - Hei hi a buaithlak deuh a, mahse a awlsam zawngin sawi ila, thluaka thisen kalna kawngte chu a inzawm khawm nghal mai thin.
• Thisen sang sang lutuk, a sang lutuk.

Lu na leh migraine hi eng nge an danglamna?

Mi tam tak chuan an pahnih hi an ti buai hle.Migraine hi lu natna chi khat a ni bawk.

Migraine hi thluak lam natna tlanglawn tak a ni. Symptom hrang hrang a thlen thei. A lan chhuah dan ber chu lu sir khatah throbbing pain a ni. Migraine lai hian taksa thawhrimna, eng, thawm leh rim te hian a natna chu a tizual thei a ni. Darkar li tal a daih tlangpui a, mahse a chang chuan ni tam tak a daih thei bawk.

He lu na hi tuin nge vei?

Dik tak chuan tu pawhin lu na an nei thei. Naupang emaw, tleirawl emaw, puitling emaw i nih pawhin a pawi lo. Khawvel mihring 96% velin an dam chhungin vawi khat tal lu na an tawk tawh a ni!

Khawvel pumah mi 40% velin tension-type lu na an nei a, 10% velin migraine an nei bawk.

Lu na chhan ber chu eng nge ni?

Lu na hi i thluak, thisen kalna kawng leh a chhehvela nerve te inbiakpawhna dik lo vang a ni. Lu na i neih hian mechanism hrang hrangin i taksa ruh leh thisen kalna kawng tichhe thei nerve bikte a tichak a ni. Heng nerve te hian thluak ah natna signal an thawn a, chu chu lu na kan hriat lai a ni.

Lu natna hi thlahtute atanga lo chhuak a ni em?

Ni e, lu na, a bik takin migraine hi chhungkuaah a tlan thei a ni. Naupang migraine nei te hian nu leh pa pakhat tal an nei tam zawk a, chu pawh chu migraine nei ve tho a ni. Dik tak chuan naupang migraine nu leh pa nei te hi a let li velin an vei tam zawk a ni.

Chu mai a ni lo, chhungkaw member in khata an awm hian chu boruak a thil thenkhat chuan lu natna pawh a nghawng thei bawk. Entir nan:

• Chaw leh in tur thenkhat: caffeine, zu, chaw hmin, chocolate, leh cheese ang chi thil.
• Allergens awm thei te.
• Mi dangin an zuk laiin meikhu hip (secondhand smoke).
• In chhunga chemical emaw rimtui emaw atanga rim nam tak tak.

Lu na, emergency medical attention mamawhna chu engte nge ni?

Nangmah emaw, i fa emaw hian heng symptoms te hi i neih chuan doctor thurawn la nghal rawh. Heng thilte hi ngaihthah suh!

• Lu natna rang tak, thar, tuar theih loh.
• Lu natna ruala khawsik, thawk harsa, kawr khauh, emaw vun hring emaw i neih chuan.
• Lu hliam hnua lu na.
• Kum 55 hnu lama lu natna thar, danglam tak.

Tin, i lu na hian heng ang neurological symptoms a zui a, chu pawh chu a hlauhawm hle a nih chuan doctor pan nghal rawh:

• Chaklohna.
• Luak chhuak thei.
• Balance hloh nghal emaw, tlak emaw.
• Ke ruh leh ke ruh (limbs) emaw, tingling emaw.
• Paralysis ang chi dinhmun.
• Thusawi harsatna.
• Rilru buai, hriat lohna famkim dinhmun.
• Seizures a awm thin.
• Nungchang emaw mize/nungchang dik lo lama inthlak danglamna lian tak tak.
• Mit a inthlak danglam (e.g. mitdel, mit pahnih emaw mitdel emaw).

Engtin nge dik taka hriat theih ang a, lu na i neih leh neih loh hriat theih ang? (Evaluation leh Diagnosis) 1.1.

Lu na i neih fo chuan, emaw, i lu na lutuk a nih chuan doctor pan ngei ngei tur a ni. Eng ang lu na nge i neih tih chiang taka i hriat chauhvin, i rilru hahdamna rang thei tur enkawlna dik tak i tan thei ang.

Doctor chuan taksa a enfiah hmasa ang a, medical history a la ang a, chutah chuan i lu na symptoms chungchang a sawipui ang che. He inbiakna hi lu natna hriatchhuahna atan a pawimawh hle.

Doctor hnena zawhna zawh tur

Hetih lai hian doctor chuan hetiang hi a zawt thei che a ni:

• "I lu chu engtin nge a awm? (A khat, a throbbing, a throbbing?)".
• "Engzat nge lu na i neih?"
• "Vawikhat i lo kal chuan eng chen nge i neih?"
• "Engtiang chiahin nge a na? I tuar thei em?"
• "Eng ei leh in, in tur, thil thleng nge lu natna thlentu nia i hriat?"
• "Ni khatah tea leh coffee (caffeine) engzat nge i in thin?"
• "Engtin nge i stress level?"
• "Engtin nge i mut dan chu? I mut tawk em?"

Heng thilte hi hriat chian chuan i doctor tan lu natna chi hrang hrang hriat a awlsam phah ang:

• Engtik lai khan nge lu na hi a lo intan?
• Lu na chi khat, a nih loh leh lu na chi hrang hrang i nei em?
• I strain emaw exercise emaw i tih hian natna a tipung em?
• Chhungkuaa mi dangin hetiang hian lu na an nei em?
• Lu na i neih loh lai hian symptom dang a awm em?

Heng zawng zawng hi i neih zawh chuan i doctor chuan taksa enfiahna leh thluak lam enfiahna a nei ang a, chu chuan i lu natna thlentu tur thil dang, khawsik, natna hrik, thisen sang, taksa chak lohna, emaw, mit lama harsatna te a enfiah ang.

Heng zawng zawng hi uluk taka a enfiah hnuah i doctor chuan eng ang lu na nge i neih tih te, natna khirh tak avanga lo awm a nih leh nih loh te, test dang neih belh a ngai em tih te a hre thei ang. A châng chuan, lu natna lama mithiamte hnênah refer i ni thei bawk.

Lu na tan eng test nge tih thin?

A tlangpuiin, scan ang chi test hian migraine, cluster, tension-type lu natna hriat theihna kawngah a pui vak lo. Mahse, i doctor-in i lu na hi natna khirh tak dang avanga lo awm nia a rinhlelh chuan, hetiang test hi a ti thei ang:

• CT scan emaw MRI scan: Heng test te hian i thluak cross-sectional image an la a, thluak chhunga thil danglam, tumor emaw thisen chhuah emaw te chu an zawng chhuak thin. Chûngte chu thil hlauhawm dangte tihbo nâna tih a ni ber.

Lu na hi engtin nge kan enkawl ang?

Lu natna enkawl dan hi lu na chi hrang hrang a zirin a inang lo.

Primary headaches enkawlna atana pawimawh ber chu i lu natna thlentu, a nih loh leh eng thilin nge a thlen tih hriat hi a ni. He `trigger` hmuh theihna kawng tha ber pakhat chu lu natna log emaw diary emaw vawn hi a ni. Chumi awmzia chu i lu na i neih ni leh hun, chutih laia i ei leh in, i thil tih leh eng chen nge a daih tih te ziak chhuak tihna a ni. Hun a kal zel a, i lu natna thlentu chu i hrethiam tan ang.

I trigger i hmuh hnu chuan i doctor chuan i tana tha ber tur treatment plan a design thei ang. Entirnan, i stress emaw, i lungkham emaw laiin lu na i neih chuan counselling leh stress management technique te hian a pui thei a ni. I stress tihziaawmna hian lu natna a veng thei a ni.

Lu na zawng zawng hian damdawi a mamawh vek lo. Enkawlna kawng hrang hrang a awm. Lu na i neih chi hrang hrang, a lo awm fo dan leh a chhan a zirin heng enkawlna zinga pakhat hi i thlang thei ang:

• Stress management: Hei hian stressful situations hmachhawn dan leh relaxation technique te a zirtir a ni. Thâwk thûk tak, taksa ruh tih hahdam, leh music ngaihthlâk ang chi thilte hian hei hi a ṭanpui thei a ni.
• Biofeedback: Hei hi a chiang deuh deuh a ni. Hetah hian i taksain stress a tihpun hun (e.g., heart rate, muscle tension) a neih lai hriat turin zirtir i ni. Heng thilte hi i taksaa sensor dah hmanga teh dan leh control dan i zir thin.
• Damdawi: Hemi chungchang hi chipchiar deuhin han sawi ila.
• A hnuaia awm/a chhan enkawl dan: Hei hi secondary headaches-a a pawimawh ber a ni.

Lu natna damdawi

• Over-the-counter pain reliever (e.g. paracetamol, ibuprofen) hi a chang chuan tension lu na tan chuan a tawk tlangpui. Mahse , heng damdawi te hi hman fo a tha lo. Chutianga i tih chuan damdawi hman tam lutuk lu na i nei thei!
• Lu na fo, na tak i neih chuan i doctor chuan lu natna damdawi a pe thei che a ni. Entirnan, migraine natna damdawi triptans an tih te hi a awm a. Hengte hian lu na tan vela ei a nih chuan a na zual hmain a titawp thei a ni.
• A châng chuan, thisen sâng, rilru hahna, emaw, lungngaihna enkawlna atâna hman damdawi ṭhenkhat pawh hian migraine lu na tam lutuk tihziaawmna kawngah a ṭanpui thei bawk. Chungte chu `preventive medications` an ti a.

Secondary headaches-ah chuan enkawlna hian a hnuaia awm dinhmun (underlying condition) a ngaih pawimawh ber a ni. Entirnan, secondary cough lu natna thlentu structural problem a awm chuan operation neih a ngai mai thei.

In lama lu natna tihziaawmna kawng awlsam tak takte chu engte nge ni?

Lu na, a chang chuan natna tidam thei damdawi (over-the-counter painkillers) ei bakah hian in lamah pawh heng thilte hi i enchhin thei bawk:

• Lu chungah lumna (tui lum bottle towel-a khuh) emaw, lum (ice pack) emaw hnawih.
• Kawr leh kekawrte ang chi hmun hrang hranga stretching exercise tih fo thin.
• Lu, kawr leh hnungzang massage a ni.
• A theih chuan i mit khap la, pindan thim leh reh takah chawlh hahdam rawh.
• A châng chuan pawn lama kal mai mai hian a ṭanpui ṭhin.

Lu na leh migraine te hi a dam kim thei em?

Lu natna thlentu hriselna dinhmun hnuaia awm ṭhenkhat, thisen sang ang chite chu uluk taka enkawl theih a ni a, lu na chu a bo vek thei a ni. Lu natna thlentu thil thar zawng turin zirchiangtute chuan nasa takin hma an la mek a ni.

Mahse, tunah hian primary headaches - migraine leh tension headaches ang chi - tidam kim thei "magic bullet" a awm lo. Tuna enkawlnaah hian natna lan chhuah dan control te, natna tihziaawmna te, leh lu na lo awm leh tawh lo tura beih te hi a pawimawh ber a ni.

Lu na hi engtin nge kan ven theih ang?

Lu natna venna kawng tha ber leh pawimawh ber chu a chhan dik tak, a hmaa kan sawi tawh `triggers` te hriatchhuah hi a ni. Heng `triggers` te hi mi tin a inang lo hle. I tana lu natna thlentu chu midang tan chuan harsatna a ni lo mai thei.

I triggers i hriat chian hnuah a theih ang anga pumpelh tum la, a tlem berah chuan tih tlem tum ang che.

Entirnan, rimtui chak tak (perfume leh sahbawn rimtui ang chi) hian lu natna a thlen tih i hmuchhuak ta ang u. Chuvangin, chutiang thil hman i tihtlem chuan lu natna i nei tlem zawk ngei ang. Chutiang bawkin `trigger` dang - ei tur hrisel lo, mut tlem, leh dinhmun tha lo ang chi thil te pawh a ni.

Mahse, mi thenkhat tan chuan heng `triggers` te hi hriat chian a harsa hle a, a nih loh leh hriat chhuah ni mahse practically a pumpelh a harsa hle. Chutiang hunah chuan `lu natna specialist` nen inhmukhawmin, i duh ang anga enkawl dan tur leh kawng hrang hranga hmalakna tur ruahmanna siam a tha ber.

Lu na chungchangah engtikah nge doctor i hmuh ang?

Nangmah emaw i fa emaw hian heng symptoms emaw conditions emaw i neih chuan doctor hnenah thurawn dil rawh. Anmahni chu ngaihthah mai mai suh.

• Kar khatah vawi khat aia tam lu na i neih chuan.
• Lu na a zual zel a nih chuan, emaw, tihziaawm loha a chhunzawm zel chuan.
• I lu na tan painkiller i ei a ngai a nih chuan, i tih fo thin angin.
• Kar khatah vawi hnih emaw vawi thum emaw aia tam over-the-counter damdawi i ei a ngai a nih chuan i lu natna tihziaawm rawh.
• I strain, i khuh, i ben over emaw, thil hahthlak tak i tih laiin lu na i neih chuan.
• Lu na i lo nei tawh a, mahse tun hnaiah i lu natna awm dan leh a lan chhuah danah danglamna chiang tak a awm a nih chuan.

I lu na hian i nitin hnathawh emaw, i rilru put hmang emaw a nghawng a nih chuan doctor nena inbiakna neih a pawimawh hle. A theih chuan lu na i neih huna i rilru put hmang te, i natna lan chhuah dan te, leh eng chen nge i lo neih tawh tih te ziak rawh. Lu natna journal vawn hi i dinhmun doctor hnena i hrilhfiah hunah a \angkai hle .

I doctor-a i thil chipchiar tak takte hi i lu natna dik taka hriat theihna tur leh i tana enkawlna \ha ber bul tanna atana pawimawh ber a ni tih hre reng ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, vawiin khan lu natna chungchang kan sawi nasa hle a ni lawm ni?

• Lu na hi a tam hle nachungin, engtikah mah ngaihthah tur a ni lo.
• Chûngte chu chhan awlsam tak avânga lo awm a nih fo laiin, a châng chuan a hnuaia dinhmun khirh tak chhinchhiahna hmasa ber a ni thei bawk.
• Lu na i neih fo chuan, i lu natna lo awm danah danglamna danglam tak i neih chuan, emaw, a hmaa kan sawi tawh `red flag symptoms` i neih chuan hun khawhral suh la, doctor hnenah thurawn dil ngei ang che.
• I lu natna thlentu i hriat chian a, nunphung awlsam tak tak i tihdanglam a, a tul angin i doctor-in damdawi a pekte i ei hian nang pawhin heng lu natna tibuaitu tak takte hi i paih chhuak thei a ni. Lungngai suh, tanpuina a awm!

He thuziak hi i hlawkpui ngei ka beisei. Hrisel takin awm rawh!

` Lu na, Lu na, Migraine, Tension lu na, Cluster lu na, Primary lu na, Secondary lu na, Lu na chhan, Lu na enkawlna, Lu na