I ding emaw, i thut emaw hian lu na i nei em? (Positional Headache) chungchang hi han sawi ila!

A chang chuan lu na mak tak mai i nei thin em? Chu chu khum atanga i tho emaw, chair-a i thut emaw hian i lu hnung lamah na tak i nei em, i mut leh chuan a reh deuh ang tih hi a ni? Chutiang a nih chuan ``Positional Headache`` tih natna i nei mai thei. Ngaihtuah buai suh, he thu hi chipchiar takin kan sawi dawn a ni .

Hei hi eng nge ni `(Positional Headache)`?

A awlsam zawngin sawi ila, ``Positional Headache'' chu i dinhmun i thlak emaw, i thut emaw ang chi i lu na a zual a, i mut laiin a tlahniam leh thin. Hei hi ``Orthostatic Headache'' an ti bawk.``Orthostatic'' tih awmzia chu "dik taka ding" tihna a ni. A châng chuan, he lu na hi hmalam i kun emaw, i thawk hah emaw, thil khauh tak i tih emaw, thil rit tak i chawi emaw hian a awm thei bawk.

A na hi lu hnung lamah a awm tlangpui a, mahse lu chhung khawi hmunah pawh a awm thei. Ni a kal zel chuan a natna chu a zual zel niin a lang thei. Mi thenkhat chuan he lu na nen hian nausea leh kawr na tak tak an nei thei bawk.

Hei hi engtiang chiahin nge a hluar?

Positional Headache hi lumbar puncture (spinal tap tia hriat bawk) avanga side effect awm fo a ni. Mi tam tak chuan he test an neih atanga darkar 24 atanga darkar 48 chhungin hetiang lu na hi an nei thin.

`(Positional Headache)` hi a hlauhawm em?

``Positional Headache`` hi a chang chuan kan taksaah thil dik lo a awm tih hriattirna a ni thei. A châng chuan heng lu na hi hun eng emaw chen chauh a awm a, a mah chauhin a bo ṭhin. Amaherawhchu, i dinhmun i thlak laia lu na tak tak i neih tan chuan, ngaihthah mai mai lova doctor nena inbiakna neih a tha ber. Hei hi natna khirh tak chhinchhiahna a ni thei a, chu chu hnungzang lama tui tlakchhamna, thluaka natna hrik awm, emaw lu chhunga pressure inthlak danglamna te hi a ni thei. Chuvangin ngaihthah suh, okay?

`(Positional Headache)` a lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu lu na a ni. I natna lan chhuah dan thenkhat chu hetiang hi a ni:

• Ding emaw, ṭhut emaw hian lu na hi a zual sauh sauh a.
• A natna hi lu hnung lamah a hriat tam zawk tlangpui .
• Lu na chu electric shock ang maiin emaw, nghet taka hrual ang maiin emaw a awm thei .
• Ni a liam zel chuan a natna chu a zual zauh zauh a.
• Ka mut chuan a natna chu a reh thin.

He symptom lian ber bakah hian symptom dang pawh a awm thei bawk:

• Nausea leh Luak chhuak.
• Luak chhuak thei.
• Kawngkhar khauh tak.
• Shoulder blade inkar ah natna a awm.
• Tinnitus chu beng chhung atanga ri ri chhuak hriatna a ni.
• Taksa balance vawn that harsatna.
• Eng leh thawm êng tak laka sensitivity.
• Kut chhunga rilru hah emaw, kang emaw tih hriatna.
• Thil pakhata ngaihtuahna sen harsat, fog (Brain Fog) chhunga awm ang maia inhriat.

`(Positional Headache)` hi engte nge ni?

Hei hi chhan tam tak a awm thei. Mahse, a chhan langsar ber chu cerebrospinal fluid (CSF) volume a inthlak vang a ni. Hei hi CSF leak an ti bawk. CSF chu eng nge ni? Kan thluak, kan ruhro leh kan ruhro hualtu venna tui a ni. Car chhunga shock absorber emaw cushion emaw ang maiin a thawk a, kan central nervous system a venghim a ni.

`(Lumbar Puncture)` i nei tih han ngaihtuah teh. Tichuan i spinal cord atang hian `(CSF)` sample lak a ni a, test a ni. Tichuan i taksaa `(CSF)` awm zat chu a tlahniam deuh a. Tin, accident i neih chuan, i taksa chhungah cyst a puak a nih chuan, emaw, membrane (he `(CSF)` fluid vawngtu `(Dura Mater)`)-ah tear a awm a nih chuan, he `(CSF)` volume hi a danglam thei bawk.

Kan thluak hi tuiah buoy leng ang maiin han ngaihtuah teh. Kan mut a, kan ding chhuak hian he tui `(CSF)` an tih hian chu dinhmun nena inmil turin thluak chu zawi zawiin a kal theih nan a pui thin. Mahse `(CSF)` volume a tlahniam chuan he thluak tana `(CSF)` cushioning hi a tlahniam ta a ni. Tichuan, i ding chuan thluak chu a tla thla a, luruh chhunga sensitive membrane te chu a rawn deng ta a ni. Chutah chuan i lu a na tan ta. I mut chuan thluak chu a float leh a, chutiang chuan a nghawng chu a tlahniam a, a natna pawh a reh bawk. I hrethiam em?

He `(CSF)` leak bakah hian chhan dang engemaw zat a awm thei bawk:

• A natna pakhat chu ``Postural Orthostatic Tachycardia Syndrome - POTS'' tih a ni.
• Spontaneous Intracranial Hypotension (SIH) hi lu chhunga pressure tlahniam nghal mai a ni.
• Cervical spine diseases (disc, joint, muscle, leh vertebrae inkar connective tissue te nghawng thei dinhmun).
• Pianpui atanga lo piang, ``Chiari Malformation`` an tih.
• Connective tissue tichak lo thei natna, `(Ehlers-Danlos Syndrome)` ang chi te.
• Spine-a tumor emaw fluid-filled cyst emaw awm.

Hemi atan hian tute nge hlauhawm ber?

``Positional Headache`` i vei theihna chance a sang zawk a, chu chu:

• Tun hnaia `(Lumbar Puncture)` test i neih chuan.
• Accident chi hrang hrang (a bik takin lu emaw hnungzang emaw) i tawk tawh a nih chuan.
• Spinal condition i neih chuan.

`(Positional Headache)` avanga harsatna awm thei te chu engte nge ni?

`(Positional Headache)` awm chhan chu `(CSF)` leak a nih chuan he thluak leh ruhro vel hualtu he tui hloh hi a hlauhawm thei hle. A chhan chu, `(CSF)` venhimna a bo chuan kan thluak hi a hliam a rinawm zawk. `(CSF)` leak enkawl loh chuan a hnuaia harsatnate hi a thlen thei a ni.

• Lu na fo thin.
• Kawng a na.
• Hriatna lama harsatna, hriatna hloh pawh a ni thei.
• Hriak leh thlum hriatna tlahniam.
• Infection (entir nan, meningitis - thluaka inflammation thlentu natna).
• Thluak chhunga thisen chhuak.

`(Positional Headache)` hi engtin nge kan hriat theih ang?

Doctor chuan a enfiah ang che (`(Physical exam)`, `(Neurological exam)`, a tul chuan he natna hi finfiah turin test dang a ti bawk ang. Imaging test (a awlsam zawngin taksa chhung lam thlalak bik lak a ni) `(MRI)` emaw `(CT scan)` emaw hian i natna lan chhuah chhan zawng turin a pui thei che a ni.

Doctor chuan i hriselna chanchin leh tun hnaia accident i tawh leh tawh loh a zawt bawk ang che.

Tun hnaia lumbar puncture i neih chuan i doctor chuan hetiang hian lu na a beisei tlangpui ang. Symptoms a awm reng loh chuan test dang neih belh a ngai tawh lo mai thei.

Engtin nge `(Positional Headache)` tih hi kan tihbo theih ang? / Enkawlnate chu engte nge ni?

Lu na atanga instant relief hmuh i duh chuan a tha ber chu muhil hi a ni. Mahse, hei hi hun rei lote chhunga chinfelna chauh a ni tih hre reng ang che. `(Positional Headache)` a tidam kim lovang.

Doctor chuan i lu na chhan a hriat chian ang a, a enkawl dan tur dik tak a pe ang. Chumi awmzia chu lu natna chu a hnuaia awm nen a rualin enkawl a ni dawn tihna a ni. Damdawi tel lova i tih theihte chu:

• Zan mut nuam tak neih.
• Tui tlem in (hydrated tha taka awm).
• Caffeine awmna in tur (coffee emaw tea ang chi) in emaw, caffeine supplement ei emaw (hei hi doctor i zawh hnua i tih tur a ni).

``Lumbar Puncture`` avanga side effect anga ``Positional Headache`` i neih chuan i doctor chuan ni engemaw zat chawlh hahdam turin a hrilh ang che. Hei hian a huam thei ang:

• A theih ang anga rilru hahdam takin awm rawh.
• Tui tam tak in thin ang che.
• Compression garment emaw belt emaw, pum chhunga in fit tha tak ha thin ang che.
• Doctor-in a tih angin painkillers (Analgesics) ei thin ang che.

A pawimawh ber chu lumbar puncture hnu darkar 48 aia rei lu na i neih chuan i doctor hnenah i hriattir ngei tur a ni .

``CSF`` leak avanga ``positional headache`` awm chu enkawlna awlsam dang hmanga a tha lo a nih chuan doctor-te chuan ``epidural blood patch'' an tih dan an ti thei a ni.`` Hei hian nangmah thisen thenkhat lak a, ``epidural space`` (``dura mater`` leh vertebrae inkar fluid-a khat space)-ah inject leh a ngai a ni. Hei hian ``CSF`` leak chu a "seal" thei a, a titawp thei bawk.

A châng chuan, ruhro lama harsatna emaw, cerebrospinal fluid (CSF) leak, enkawlna dang nena ṭha lo emaw a awm chuan operation neih a ngai thei bawk.

Hetiang dinhmun hi eng nge a thlir ang?

``Positional Headache`` hi hun eng emaw chen atan a ni tlangpui. I ding laiin i lu a na a nih pawhin minute 30 vel i mut a, i chawlh hnuah a bo thei. Mahse, nilengin ding leh kea i thawh chuan he natna hi a zual thei a ni.

`(Positional Headache)` thenkhat chu a mah chauhin a dam ang. Engpawhnise,Lu na danglam tak i neih chuan eng pawh ni se, doctor pan ngei ngei tur a ni. A chhan chu a chang chuan a chhan bulpui ber chu enkawl a ngai thin. I natna i hriatchhuah thuai a, enkawl i tan poh leh i result a tha zawk.

``Positional Headache'' hi a veng thei ang em?

Dik tak chuan `(Positional Headache)` thlentu zawng zawng hi kan veng thei lo. `(Positional Headache)` i neih chuan lu na lo tura i tih theih tha ber chu chawlh hahdam leh doctor thupek uluk taka zawm hi a ni.

Engtikah nge doctor i hmuh ang?

I dinhmun i thlak hian i lu na a na a, ding chhuak ang chi hi doctor pan ngei ngei tur a ni. I doctor chuan i natna enkawl dan tur leh a chhan zawng chhuakin a enkawl thei ang che. Tin, i mut laiin i lu na a na zual a nih chuan (hei hi ``positional headache'' nen a danglam a, mahse i doctor hnena i hrilh tur thil a ni bawk), doctor pan rawh.

``Positional Headache'' nen hian symptom dang (kan sawi tawh ang khan natna leh luak chhuak ang chi) i neih chuan doctor nen inbia nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• "Engvangin nge he `(Positional Headache)` hi ka neih?"
• "Eng chen nge chawlh hahdam ka mamawh?"
• "`(Lumbar Puncture)` ka tih hnua ka tih theih tur thil him leh tih theihte chu engte nge ni?"
• "Eng treatment nge min rawt?"
• "Heng enkawlnate hian side effect a nei em?"
• "Hetiang lu na hi eng chen nge ka neih i rin?"

Lu natna neia nun hi thil awlsam a ni lo, a bik takin ding emaw, thut emaw hian, ``Positional Headache`` ang maiin. Hei hi ``Lumbar Puncture`` hnuah a awm fo laiin, a chang chuan damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei bawk. Chuvangin, nitin hna thawk thei lo khawpa lu na i neih chuan doctor hnenah hrilh ngei ang che. Chumi hnuah chuan a chhan chu an zawng chhuak thei a, hahdamna pe thei turin an enkawl thei bawk.

A tawp berah chuan thil hriat reng tur

Chuvangin, tunah chuan `(Positional Headache)` chungchang hi i hre tawh hle. A pawimawh ber chu posture nena inzawm lu na a ni. I ding emaw, i thut emaw hian a pung a, i mut hian a tlahniam bawk. `(Lumbar Puncture)` hnua hmuh tlanglawn tak ni mah se, a chang chuan a chhan lian tak a awm thei. Chuvangin, chutiang chhinchhiahna i neih chuan ngaihthah lova, damdawi lam thurawn lak hi a finthlak hle ang. Lungngai suh, enkawl dan dik leh chawlh hahdam chuan he natna atang hian i dam leh thei ang.

` Lu na, positional headache, orthostatic headache, spinal fluid, CSF leak, cerebrospinal fluid, lu na, posture, damdawi lam thurawn