A chang chuan lu na kan nei a, rei vak lo hnuah a bo thin em? Pill i ei lai emaw, rei vak lo i mut lai emaw khan khawiah nge a natna kha i hre lo. Mahse, i lu sir khat chu non-stop a na tih han ngaihtuah teh... ni khat emaw ni hnih emaw chhung ni lovin, thla tam tak chhung. A châng chuan a natna chu tuar theih loh khawpin a awm ṭhin. Hei hi vawiin a kan sawi tur lu natna bik Hemicrania Continua tih awmzia chu a ni. Hei hi i hriat thiam loh hming ni mah se, kan khawtlang nunah hian he natna vei mi an awm. Chuvangin, hei hi hriat chian hi nang leh i hmangaih tak takte tan a pawimawh hle thei a ni.
A awlsam zawngin, Hemicrania Continua chu eng nge ni?
He hming hi a buaithlak deuhin a lang thei a, mahse a awmzia erawh a awlsam hle. Latin tawng pahnih atanga siam a ni. "Hemicrania" tih awmzia chu "lu chanve" tihna a ni. "Continua" tih awmzia chu "continua" tihna a ni. Chuvangin, a awlsam zawngin, "lu sir khata natna chhunzawm zel" a ni.
Doctor te chuan hei hi primary headache disorder an ti a . Hei hian lu natna thlentu damdawi lam thil (brain tumor emaw infection emaw ang chi) hnuaia awm a awm lo tihna a ni. Lu natna atanga intan condition a ni. Chuvangin hlauh tur a ni lo va, mahse hriatchhuah a, enkawl dan tur dik tak neih a pawimawh hle.
Hei hi chi hnih lian tak a ni.
Hemicrania Continua lu na hi chi hnih a awm thei.
- Chronic type: Hetiang type-ah hian lu na i nei reng a, a awm reng bawk. Natna chu a awm reng a, hahdamna a awm lo.
- Remitting type: Hetiang chi ah hian nitin thla ruk vel lu na a awm a, chutah chuan kar emaw thla emaw chhung chu natna awm lovin a kal thin. Lu na chu a intan leh ta. A lo kal a, a kal zel niin a lang.
He lu na hi eng chhinchhiahna nge ni?
He lu natna hi lu natna tlanglawn dangte nen a danglamna tur thil chiang tak tak engemaw zat a awm. An hriatthiam awlsam zawk nan hetiang dawhkanah hian ka dah ang.
| A mizia awm dan | Hrilhfiahna |
|---|---|
| A lan chhuah dan ber | |
| Khaw khatah natna | Natna hi lu leh hmai sir khatah a awm fo thin. Dinglamah a awm chuan dinglamah a awm reng a, veilam a nih chuan vei lamah a awm reng bawk. Side a switch lo. |
| Natna awm reng | He natna hi thla thum tal a awm tur a ni. Natna rilru na tak, dull tak angin a lang fo thin. |
| Natna nasa tak a thlen thin | Chu natna dull reng reng chungah chuan ni khatah vawi thum atanga vawi nga vel natna na tak, hliam na tak a awm bawk. Hei hi minute engemaw zat emaw darkar tlemte emaw chhung a daih thei. |
| Lu natna nena inzawm symptom dang (hengte pawh hi natna nen a sir khatah a awm bawk) . | |
| Mit nena inzawm natna lan chhuah dan | - Natna lam hawia mit sen. - Chu mit atang chuan mittui a luang chhuak a. - Mitmeng tlahniam (Ptosis). - Eng en harsa (photophobia). |
| Hnar nena inzawm natna lan chhuah dan | - Nasal lam hawia hnar congestion. - Chu lam atanga hnar luang chhuak. |
| Thil dang pawh a awm | - Nausea leh luak chhuak. - Thawm ri nasa tak hriat harsa. |
Eng dinhmunte nge natna a pun theihna tur?
Hemicrania Continua i neih chuan thil engemaw tak chuan i migraines chu a ti na zual nghal thei a ni. Thil pawimawh pahnih chu:
- Zu in a in thin
- Taksa tihchakna hahthlak tak tak tih
Ngaihtuah teh, lu natna chi dang hi chu stress a san chuan a zual fo thin a, a nih loh leh i mut that loh chuan a na zual fo thin a ni lawm ni? Mahse mak tak maiin heng thilte hian Hemicrania Continua lu natnaah hian nghawng a nei vak lo. Hei hi he lu natna chi hrang hrang hriat theihna atana puitu pawimawh tak a ni.
Engvangin nge hetiang lu na hi a lo awm?
Doctor-te chuan heng lu na hi eng nge a thlen tih chiang takin an la hre lo a , mahse zirchianna chuan thil engemaw zat a rawn tarlang a ni.
- Inflammation of the cavernous sinus: Hei hi kan thluak chhunga hmun pawimawh tak, thisen kalna kawng pawimawh tak tak, nerve leh pituitary gland ang chi thilte humhimtu a ni. He lai hmuna inflammation awm hi a chhan nia ngaih a ni.
- Widened arteries: Thluaka thisen petu thisen kalna kawngte chu a zau a, chu chuan nerve compression a thlen thei a ni.
- Trigeminal nerve hnathawh dan lama harsatna: Hei hi kan hmai atanga thluak thlenga sensation phurtu ber nerve a ni. He natna hi a hnathawh danah a thawh that loh vang a ni thei ang tih rinhlelh a ni.
Hetiang dinhmun hi tu pawhah awm thei mah se, hmeichhiaah a tam zawk .
Engtin nge doctor hian hei hi a hriat chian?
Heng symptoms neia doctor i pan dawnin a tih hmasak ber tur chu uluk taka a enfiah che a, i symptoms te a zawt che a ni. Khawiah nge a na tih te, eng chen nge a awm tawh tih te, eng ang nge a na tih te, eng chen nge a natna chu a nasat tih te a zawt ang che.
I doctor chuan i tanpui theih nan lu natna diary ziak turin a ti mai thei che. A pawimawh hle mai. A chhunga thil awmte hi ziak la:
- Lu na a awm ni leh a hun lai.
- Lu a nana hmun dik takah.
- Thil tih zawhah natna a zual em tih ka ngaihtuah thin.
- Natna nasa tak chu eng chen nge a awm?
- Lu na nen hian natna dang, luak chhuak emaw, mit tui emaw ang chi a awm em?
He information hmang hian i doctor chuan i dinhmun chu a hre chiang thei ang. Tin, i thluaka harsatna dang a awm loh nan CT scan (computed tomography scan) emaw MRI scan (magnetic resonance imaging scan) emaw an order thei bawk.
Hemicrania Continua enkawlna tha ber chu eng nge ni?
He lu na hi a tha ber chu a enkawlna tha tak a nei a ni. Hei hi damdawi ber leh tangkai ber chu Indomethacin a ni .
Indomethacin hi damdawi chi khata awm a ni a, nonsteroidal anti-inflammatory drugs (NSAIDs) an ti a. Taksa a inflammation leh natna tihziaawmna hmangin hna a thawk a ni.
A tlangpuiin doctor chuan he damdawi hi a tlem berah ni khatah vawi thum ei turin a hrilh ang che. He damdawi hi ei tur nen ei a pawimawh hle . Chutiang a nih loh chuan pum na ang chi thil a thleng thei a ni. Mak tak maiin he damdawi hi kan tan atanga ni khat emaw ni hnih emaw chhungin mi tam zawk natna chu a bo vek tawh mai. Kar khat chhungin result tha tak i beisei thei ngei ang.
I lu na chu a bo vek tawh chuan i doctor chuan i damdawi ei tur chu a tihtlem zauh zauh ang. A tum ber chu i symptoms control thei tur dose hniam ber pek che hi a ni.
Indomethacin hian a side effects te pawh i hrechiang ang u.
Damdawi zawng zawng ang bawkin he damdawi hian side effect tenau te a nei thei a, mahse mi zawng zawngin an dawng vek lo.
| Indomethacin hian a nghawng tha lo a nei thei | |
|---|---|
| Side effect hmuh tur awm fo | |
| Ek khal | Kawthalo |
| Luak chhuak thei | Beng ah a ri chhuak |
| Luak chhuak | |
| Side effect na tak tak ngaihtuah a, doctor hnena report nghal tur | |
| Heart rate a sang chho zel | Hnung lam natna |
| Thâwk harsa (dyspnea) . | Khawsik |
| Zun chhuah laiin natna (dysuria) . | Skin rash , a hring, a hring chhuak |
| Pum natna nasa tak | Taksa a hring chhuak |
| Vision a danglam thin | |
Indomethacin hian hna a thawk lo a nih chuan duhthlan tur dang a awm em?
Indomethacin hian he natna hi a control thei fo thin. Mahse, mi thenkhat chuan side effects vangin an ei thei lo mai thei. Chutiang a nih chuan i doctor chuan damdawi dang a rawn rawt thei bawk.
- Amitriptyline hmanga siam a ni
- Corticosteroid hmanga tihdam theih a ni
- COX-2 inhibitor (e.g. celecoxib) te hi a tha hle.
- Gabapentin chuan a rawn ti a
- Melatonin a ni
- Topiramate a ni
- Naproxen a ni
Heng damdawi bakah hian a then phei chuan doctor chuan enkawlna dang, botulinum toxin-A injection leh vagus nerve stimulation te pawh a ngaihtuah thei bawk.
Hetiang dinhmun hi a hlauhawm em? Eng ang thlirna nge ni ang?
Hei hi a pawimawh ber a ni. Hemicrania Continua hi natna hlauhawm leh nunna atana hlauhawm a ni lo. Tin, natna khirh tak dang chhinchhiahna a ni lo bawk. Chuvangin hlau suh.
Amaherawhchu, hetianga hrehawmna reng reng tawk tawhte chauh hian nunpui a harsat zia an hre chiang hle. Nitin hna thawh leh ngaihtuahna fim tak chu a harsa thei hle. Natna tuar reng reng hian i rilru hriselna a nghawng thei bawk.
He hrehawmna awm reng nen hian nun hi thil lungchhiatthlak tak a ni thei. Khum ata tho leh, hnathawhna hmuna kal, a nih loh leh ṭhiante nêna nuih leh inbiakna neih chu i duh lo mai thei. Hna awlsam tak tak tih pawh hian natna i neih laiin a let hnih zeta thawhrim a ngai angin a lang thei.
Mahse thu lawmawm tak chu hei hi enkawl theih tak a ni . I doctor nen thawhhona tha tak leh i tana damdawi dik tak leh dose dik tak zawng chhuakin, i nun pangngaiah engmah tihbuai lohvin i awm leh thei ang.
Take-Home Thuchah a ni
- Hemicrania Continua hi lu sir khatah natna awm reng, throbbing na a ni. Attack na tak tak nen a inzawm thei bawk .
- Hemi nen hian natna sir lama mit sen, mittui tlak, leh hnar hrual te pawh hmuh tur a awm fo bawk.
- Hetiang dinhmun hi nunna atana hlauhawm a ni lo va, natna khirh tak dang chhinchhiahna pawh a ni lo.
- Hei hi a enkawlna ber leh tangkai ber chu damdawi Indomethacin a ni.
- Hetianga lu na reng reng i neih chuan ngaihthah suh la, doctor thiam tak, emaw i "doctor" emaw rawn la rawh. Diagnosis dik tak leh enkawl a nih chuan i dam kim thei ang.
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