Thil engemaw i thawk em... a nih loh leh TV i en a... rang takin natna khirh tak, nasa tak chuan i lu-ah hmun khatah, ice pick ang maiin a rawn deng a, second tlemte chhungin a bo ta a ni em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? He thil tawn hi i hriat chian a nih chuan vawiinah hian i tana pawimawh tak tur thil pakhat kan sawi dawn a ni. He lu na hi eng nge a nih tak tak, engvangin nge a lo awm tih leh hlauh tur nge tih te hi awlsam takin han thlir ila.
He Ice Pick Lu natna hi eng nge ni?
Hei hi damdawi lam chuan `(Primary Stabbing Headache)` an ti a. Mahse keini ang mi pangngai zingah chuan `(Ice Pick Headache)` tia hriat a ni. A chhan chu he natna hi a hriat dan a ni. Mi pakhatin ice pick hmanga i lu a vuak ang maia lo thleng nghal mai, ngaihtuah theih loh khawpa natna khirh tak a ni .
He natna hi lu hmun khatah a awm tlangpui. A tam zawkah chuan hmai hnung lamah emaw, mit chungah emaw, beng sir lehlamah emaw a awm thin. Mahse, he natna hi lu khawi hmunah pawh a awm thei. A tha ber chu he natna hi second tlemte aia rei lo a ni . A lo kal ang bawkin a bo nghal vat. Mi thenkhat chuan ni khatah vawi khat an tawng thei a, thenkhat erawh chuan a zawnin vawi tam tak an tawng thei thung. A châng chuan, a natna awmna hmun hi a hun hunah a danglam thei a ni.
Hetiang dinhmun hi kum eng pawhah awm thei mah se, hmeichhia leh lu na chi dang, migraine ang chi nei te zingah a tam zawk.
Hei hi dinhmun hlauhawm tak a ni em? Kan hlau tur em ni?
Hei hi mi tam takin an harsatna lian ber a ni. A awlsam zawngin, a tam zawkah chuan he ``Ice Pick Headache`` hi a hlauhawm lo. A tlem hle a, thluaka thluak lama thluak lam natna (neurological disorder) chhinchhiahna a ni.
Mahse hlauhawm lo mahse, lu natna lo awm fo thin chu ngaihthah ngai lo tur a ni. A bik takin he lu na nen hian symptom dang i neih chuan luak chhuak, luak chhuak, mit tui, emaw hnar luang chhuak te hi i neih chuan i doctor hmu ngei tur a ni a, i hrilh ngei tur a ni.
Doctor chuan a enfiah thei che a, hei hi ``Ice Pick Headache'' pangngai emaw, natna dang chhinchhiahna emaw a nih leh nih loh chiang takin a hre thei ang .
Engvangin nge hetiang hian lu na kan neih?
Dik tak chuan doctor-te chuan hei hi 100% definitive cause an la hmu lo. Mahse a ngaihdan ber chu kan thluaka natna process tu nerve cell te chu hun eng emaw chen an thawh tam lutuk vang a ni. Chu chu, chu nerve cell-te chuan a hma aia nasa zawkin natna signal an thawn chhuak tihna a ni.
Hei hi nghawng nei thei tura ka ngaih thil dang tlemte a awm bawk:
- Hmai leh lu chhunga nerve thenkhat (`(Trigeminal and extratrigeminal nerves)`) harsatna emaw, compression emaw a awm.
- Migraine vei te hian heng lu na hi an nei tam zawk.
- Taksa chhunga inflammation awm.
- Nerve fibers hnathawh dan a inthlak danglam rei lo.
He natna tipungtu trigger te chu engte nge ni?
Thil \henkhat chuan heng lu na te hi a tizual thei a ni. Hengte hi ``Triggers'' kan ti thin. Mahse heng ``Triggers'' te hi mi hrang hrangah a danglam thei. I ``Triggers'' te hi eng nge an nih tih pawh tlem tal enfiahin i hre thei bawk.
| Ti per | A sawifiahna awlsam tak |
|---|---|
| Eng eng mawi tak | Ni êng chak tak hnuaia awm nghal emaw, êng êng tak tak en emaw. |
| Posture thlak danglam nghal mai | Tho emaw, thut emaw, lu hawi thuai emaw. |
| Taksa lama thawhrimna | Exercise hahthlak tak emaw, hna hahthlak tak emaw tih. |
Lungkhamna hi hei hi a ni em?
Ni e, mi thenkhat chuan stress emaw lungkhamna nasa tak an neih hian ice pick headache an nei thei. A nih loh leh a natna chu a zual thei bawk. Ni stress na takah pawh hetiang lu natna hi i nei tih i hriat chuan i doctor nen sawiho rawh. Stress tihreh dan tur a fuih thei che a ni.
Engtin nge doctor hian hei hi a hriat chian?
Doctor i hmuh hunah i natna lan chhuah dan chu ngun takin a ngaithla ang.
- Engtin nge a natna chu a lo thlen?
- Eng chen nge a lo awm tawh?
- Ni khatah vawi engzat nge i lo kal?
- Symptom dang a awm em?
Hetiang zawhna hi an zawt ang che a, taksa enfiahna an nei ang. A tam zawkah chuan he thu hriatna chauh hian ``Ice Pick Headache'' a ni tih a hril ang .Tih theih a ni. Mahse, a châng chuan, chutiang chhinchhiahna thlentu natna khirh tak dang a awm loh leh awm loh hriat chian nân MRI scan ang chi thil neih a rawt mai thei bawk.
Hemi atana enkawlna leh chhawmdawl dante chu engte nge ni?
A chhan chu he natna hi a lo thlen ang bawkin a reh thuai thin a, a tam zawkah chuan natna tidamtu damdawi kan ei pawhin a reh thin. Chuvangin, a tlangpuiin enkawl bik a ngai lo.
Mahse, heng lu na hi i neih fo a, nitin hnathawh a tibuai a nih chuan , a thunun thei damdawi a awm a ni. Doctor chuan a enfiah thei che a, a tul chuan damdawi a pe thei che a, chungte chu:
- Indomethacin hmanga siam a ni
- Melatonin a ni
- Botulinum toxin `(Botulinum toxin chi A)` tih a ni
- Gabapentin `(Gabapentin)` tih a ni
- Tricyclic hmanga tihdam theih a ni
Heng damdawi te hi i hman hmain i doctor hnenah an side effects te zawh hmasak a pawimawh hle.
In lama damdawi hman tur
Natna a lo thlen chuan heng thil thenkhat hi i lo enchhin ve thei a ni. Hahdamna engemaw chen i nei mai thei.
- A natna hmun chu massage fo thin ang che.
- Tui lum emaw, tui lum emawa hnim hmin compress chu a natna hmunah dah la.
- Room lum leh thim takah chawlh hahdam la.
- Tui tam tak in thin ang che. I taksa chu hydrated takin awm tir rawh.
He lu na hi ven theih a ni em?
Lu natna chi dang venna atana kan tih dan tha tak takte hian hei pawh hi a pui dawn a ni.
- Ei leh in tha: Ei leh in inthlau tak ei rawh.
- Mut tawk rawh: I taksa chu chawlh hahdam leh a mamawh mut pe rawh.
- Caffeine leh zu tih tlem: Tea, coffee leh zu hman tlem.
- Stress management: Exercise, yoga, leh meditation ang chi thil hmangin i rilru ti hahdam rawh.
- Meizial in loh tur: Meizial leh zuk leh hmuam thil dangte lakah inthiarfihlim vek rawh.
Engtikah nge doctor i hmuh ngei ang?
Hei hi a pawimawh ber a ni. A hnuaia tarlan symptoms te hi lu na tak tak nen i neih chuan doctor lam pan nghal rawh. A tul chuan i hnai ber damdawi in Emergency Department (ETU) ah kal hreh suh.
| Red Flag atanga a lan chhuah dan | |
|---|---|
| Taksa balance lama harsatna a awm | Kal laiin staggering, ding tha thei lo. |
| Luak chhuak thei | Spinning , spinning tih te hi a ni . |
| Nausea leh luak chhuak | Nausea leh luak chhuak. |
| Vision a danglam thin | Double vision, blurred vision, emaw, mit hmuh loh nghal mai emaw. |
Take-Home Thuchah a ni
- ``Ice Pick Headache'' chu lu na, a na tak, a hliam na tak, second tlemte chhungin a bo vek a ni. A tam zawkah chuan dinhmun hlauhawm tak a ni lo.
- Mahse heng lu na hi a lo awm fo a nih chuan, emaw, a lan dan dang, luak chhuak, luak chhuak, mit hmuh dan danglam te nen a awm chuan doctor i pan ngei tur a ni.
- Mahni natna hi hriatchhuah tum ngai suh. Lu na i neih chuan Doctor nen inbia a, a chhan dik tak hriatchhuah a him ber.
- Hetiang hi a thleng fo a nih chuan enkawlna a awm a, chuvangin ngawi renga tuar a ngai lo. I doctor nen inbia la, i tana tha tur solution chu la rawh.
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