Lu na damdawi i ei reng em? Tichuan he lu na thar hi zir rawh! (Rebound Lu na / Damdawi hman tam lutuk Lu na)

Lu na i hmachhawn fo thin em? Chutiang hunah chuan damdawi emaw, natna tidamtu emaw kan ei hi thil pangngai tak a ni. Mahse, a chang chuan, painkiller hman tam lutuk leh tam lutuk hian lu natna a tizual thei a, lu natna chi thar a tan thei tih i hria em? Chuvangin damdawi lam chuan ‘Medication Overuse Headaches’ kan ti a ni. Mahse common parlance-ah chuan hei hi ‘Rebound Headaches’ tia hriat a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila.

‘Rebound Headaches’ tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, ‘Rebound Headaches’ hi lu natna chi khat a ni a, i lu na damdawi ei tam lutuk hian a lo awm thei a ni. Hei hi secondary condition a ni tlangpui. Chumi awmzia chu lu na chi dang, cluster headaches ang chi i neih tawh chuan chu lu na damdawi ei tam lutuk atang chuan ‘Rebound Headache’ i nei thei tihna a ni. Hetiang dinhmun hi migraine vei te tan a tam hle.

Hei hi a lo awm dan avang hian ‘Rebound’ an ti a. Hetiang hian han ngaihtuah teh: lu natna damdawi i ei hian a natna chu a reh a, hahdamna i nei thin. Mahse, damdawi a reh deuh deuh chuan a natna chu a "rebound" leh ta a ni. Vawi tam tak , a natna chu a hma aiin a na zawk a, a na zawk bawk. Chuvangin 'Rebound Headache' an ti a ni.

Hetiang dinhmun hi migraine natna damdawi eng pawh pek a nih vang a ni thei. Chu chu damdawi prescription chauh ni lovin, over-the-counter painkillers hmang pawhin a thleng thei tihna a ni. Mahse, damdawi thenkhat, a bik takin controlled substance ``Opioids`` leh ``Barbiturates`` te hian heng ``Rebound Headaches`` te hi a thlen tam zawk.

Heng ‘rebound headaches’ te hi engtiang chiahin nge a awm?

Rebound lu na hi a tam vak lo a, mahse khawvel hmun hrang hranga mite zingah a awm fo. Mithiamte chuan khawvel mihring 1% velin he natna hi an vei niin an chhut. Report thenkhat chu 0.5% atanga 2.6% thlenga sang thlengin a awm. He natna hi hmeichhiaah a tam zawk.

‘Rebound Headaches’ natna lan chhuah dan chu engte nge ni?

Rebound headaches hi migraine emaw tension-type headache nei te tan a awm fo thin. Heng rebound headaches symptoms te hi a hmaa i lu na symptoms te nen hian a awm bawk. Chung zingah chuan:

• Lu na na tak.
• Nauseous tih hriatna.
• Chauhna, hahna.
• Thil pakhata ngaihtuahna seng harsa.
• Memory lama harsatna a awm.
• Depression, lungkhamna, emaw panic attack emaw a awm thei.

He lu natna hi pattern pakhat a awm bawk:

• He natna hi zing i thawh hian emaw, i harh hnu rei vak lovah emaw a lo awm thin.
• Damdawi ka ei chuan rei vak lo a reh a, mahse damdawi a lo chhe tawh chuan a natna chu a lo let leh thin.
• Damdawi a reh hnua natna lo lang leh chu a hma aiin a na zawk mai thei.
• Chutiang a nih chuan damdawi i ei tam pawhin hlawkna a nei tam lovang.

Ngaihtuah teh, Kamala hian migraine a vei fo thin. Zing tin a harh chuan a lu a rit a, a na bawk. Damdawi a ei chuan rei vak lo a reh a, mahse damdawi a lo reh chuan a natna chu a hma aia nasa zawkin a lo let leh thin. Kamala hian ‘Rebound Headache’ tih natna a nei thei bawk.

Engvangin nge heng ‘rebound headaches’ te hi a lo awm? A chhante chu engte nge ni?

‘Rebound Headaches’ hi i lu na damdawi i hman tam lutuk hian a awm a, a tam zawkah chuan a tam lutuk. Lu natna damdawi eng pawhin he natna hi a thlen thei a, mahse damdawi thenkhat chuan a thlen rang zawk a ni.

Hengte hi ‘rebound headaches’ thlen thei damdawi chi hrang hrang te chu an ni:

• `(Opioids)` (Opioids) leh opioids awmna damdawi inzawmkhawm te.
• Damdawi inzawmkhawm, `(Barbiturate)` awmna.
• Ergotamine leh damdawi inzawmkhawm, ergotamine awmna.
• Acetaminophen-aspirin-caffeine damdawi inkawp hmanga siam a ni.
• Triptan hi ruihhlo chi khat a ni.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) te pawh a awm bawk. Entirnan: ibuprofen, diclofenac tih te hi a ni.
• Acetaminophen (Panadol® ang chi brand hming hmanga hriat lar).
• `(Calcitonin gene nena inzawm peptide (CGRP) antagonists)` (Calcitonin gene nena inzawm peptide antagonists) tih hi a ni.

Heng ‘rebound headaches’ te hi nei tur chuan thla khatah ni tlem berah heng damdawi te hi i hmang tawh tur a ni. Damdawi hrang hrangah ni zat a inang lo.

Pain signal control dan inthlak danglamna (Pain centralization) .

Hei hi thil buaithlak tak angin a lang thei a, mahse mithiamte chuan a chhanna awlsam tak chu kan taksain natna a hriat dan te, natna signal a thawn chhuah dan te hi a danglam niin an ngai. Chronic pain kan neih hian kan taksain pain signal a process dan a danglam thin. Hei hian natna signal lo awm a awlsam phah a, a nih loh leh natna kan hriat dan a danglam (a hma aia nasa zawkin a lang, emaw, hliam hmaa na lo thilte).

Tin, painkiller i ei fo hian i taksain natna signal a process dan pawh a danglam thin. Chuvangin damdawi chu tolerance i nei thei a, dose sang zawk i mamawh thei bawk. A nih loh leh i nervous system hian natna signal a process dan a thlak danglam thei bawk. Heng thilte hian lu natna (rebound headaches) a thlen em tih chiang taka hriat theih nan zirchianna tam zawk neih a ngai a ni.

Tute nge ‘rebound headaches’ vei theihna chance sang zawk?

Rebound headaches hi hmeichhiaah a tam zawk a, a bik takin kum 30 leh 50 inkar te hi an tam zawk a, a hnuaia mite hi an hlauhawm zawk bawk:

• `(Metabolic syndrome)` vei te.
• Ni khata caffeine milligram 200 aia tam ei thinte.
• Rilru lama harsatna nei, a bik takin lungngaihna, lungkhamna, panic disorder, leh post-traumatic stress disorder (PTSD) nei te.
• Mi zuk leh hmuam ruihhlo ngawlvei (Tobacco use disorder).
• Chhungkaw history-a ‘Rebound Headaches’ emaw substance use disorder/zu in chungchanga harsatna nei te.

Hetiang dinhmun hian eng harsatna nge a thlen?

‘Rebound headaches’ vang hian harsatna engemaw zat a awm thei a:

• Chronic migraines a lo ni ta.
• Damdawi, a bik takin controlled substance-a innghahna.
• Damdawi ei tam lutuk hian toxicity emaw overdose emaw a thlen thei.
• NSAIDs avanga harsatna awm thei, entirnan, pum ulcer leh upper gastrointestinal bleeding.
• ‘Rebound Headache’ symptoms hi a tam emaw, a na zual emaw a ni.

Engtin nge ‘rebound headaches’ hi kan hriat theih ang?

Doctor chuan International Classification of Headache Disorders criteria angin ‘Rebound Headaches’ a ti thei a ni. Heng tehfungte hi:

• Thla khatah ni 15 tal lu na neih, lu natna awm tawh nen khaikhin chuan.
• Thla thum tal lu natna enkawlna atana damdawi hman fo tawh.
• He lu na hi damdawi lam dinhmun dang emaw, a chhan dang emaw nen a inmil chiah lo.

Tunah hian 'rebound headaches' hriat theihna tur test bik a awm lo.

‘Rebound headaches’ hi engtin nge kan enkawl ang? Hei hi damdawi nghet tak a awm em?

Rebound headaches hi enkawl theih tak a ni. An tan "damdawi" chiang tak a awm loh laiin, enkawlna hian a titawp vek thei a ni.

Enkawlna kawng hrang hrangte chu:

1. Rebound headaches thlentu damdawi emaw damdawi emaw tihtawp: Hei hi rebound headaches enkawlna atana step pawimawh ber a ni. Hei hian a thawk tha tur chuan damdawi sawi tur hi tihtawp vek a ngai a ni. Damdawi thenkhat, a bik takin opioid emaw barbiturates emaw atan chuan i doctor chuan i dose chu a tihtlem zauh zauh ang a, hei hian withdrawal symptoms venna atan a pui ang.I doctor chuan he damdawi hi him taka i ei loh dan tur a kaihruai ang che.

2. Damdawi dang: I rebound headaches thlentu damdawi i tihtawp lai hian i lu na symptoms control nan damdawi dang i hmang thei bawk. Chungte chu bridge damdawi an ti a. Hengte hi i rebound lu natna thlentu damdawi aiin kawng danglam takin hna an thawk a ni. Entirnan, Onabotulinumtoxin A injection (Botox® tia hriat bawk), hun rei tak chhunga thawk thei NSAID (naproxen ang chi), emaw, antiseizure damdawi (topiramate ang chi) te hi a ni.

3. Damdawi hmang lo enkawlna: Hengte hian i taksa leh rilru chu enkawlna inthlak danglamnaah a insiamrem theih nan a pui thin. Hengte hi lungkhamna emaw, lungngaihna emaw ang chi symptom i neih chuan a pawimawh hle. Chung zingah chuan psychotherapy, biofeedback, hypnotherapy, leh relaxation training te pawh a tel. Mental health treatment, a bik takin i stress level tihziaawmna tura puitu te hian nakin lawkah rebound headaches a lo awm leh tawh loh nan a pui thei a ni.

A pawimawh ber chu, damdawi lam thurawn tel lo chuan i duh angin damdawi ei khap suh emaw, tan emaw suh. Doctor enkawlna hnuaiah engkim ti rawh.

Enkawlna avanga harsatna/side effects awmte chu engte nge ni?

Enkawlna avanga side effect awm thei pakhat chu lu natna symptoms rei lo te chhunga tihpun hi a ni. He side effect hi fimkhur tak leh zawi zawiin tuna i damdawi ei zat tihtlem (`tapering off`) hian tih tlem theih a ni. Tin, a hmaa kan sawi tawh ‘Bridge Medications’ emaw damdawi dang emaw hman hian hei hi a pui thei bawk.

I damdawi ei te hi addictive a nih chuan opioid emaw barbiturates emaw te hi i ei tawh loh chuan withdrawal symptoms i nei thei a ni. I doctor chuan i dose chu zawi zawiin a tihtlem avangin chutiang chu pumpelh turin a pui fo ang che.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Dam leh hun chhung hi damdawi i hman chi hrang hrang, i ei zat leh thil dang engemaw zatah a innghat a ni. I doctor chuan i dam leh hun tur leh i tih theih dan tur a sawifiah thei ber ang.

‘Rebound Headaches’ ka neih chuan eng nge thleng ang?

‘Rebound Headaches’ i neih chuan ‘Rebound’ thlentu damdawi i ei chhunzawm zel chhung chuan lu natna cycle a zual zel tur i beisei thei ang. Hetiang dinhmun hi tihdanglam tur chuan ‘Rebound Headaches’ thlentu damdawi emaw damdawi emaw hi tihtawp a pawimawh hle.

‘Rebound headaches’ hi eng chen nge a awm?

Rebound lu na hi a thlentu damdawi i ei chhung chuan a awm thei. Lu na a awm rei zawng hi a inang lo thei a, a rei zawng tidanglam thei thil tam tak a awm bawk. I lu natna atanga i beisei tur chu i doctor chuan a sawifiah thei ber ang.

‘Rebound headaches’ hi a reh theih nan eng chen nge a ngaih?

Mi tam zawk chuan an lu na rebound chu a reh ang a, thla hnih chhungin a tawp ang. A nasat zawkah chuan thla ruk vel a daih thei. Chutih chhung chuan i doctor chuan i natna lan chhuah dan tur a enkawl ang che a, i chunga nghawng a neih pawh a ti tlem ang. I enkawlna a thawk tha em tih enfiah turin a tul angin i symptoms te pawh an enfiah bawk ang.

‘Rebound Headaches’ hi eng nge a hmalam hun?

Rebound headaches awm theihna tur thlirna hi a tlangpuiin a tha a, a bik takin a hmaa i hriat chian a, enkawlna i hmuh chuan a tha hle.

Hetiang natna vei te tanpui nan hian enkawlna hi a hlawhtling tlangpui. Mahse, he natna hi ``a lo let leh thei'' a, lu na pawh a lo let leh thei bawk. Relapse nei nia i hriat chuan a rang thei ang bera doctor nena inbiakna neih a pawimawh. ‘Rebound headaches’ hi a hmaa enkawl hian dam lehna hun a ti tawi thei a, a awlsam phah thei bawk.

Enkawl loha dah a nih chuan, emaw, enkawlna tihkhawtlai a nih chuan hmalam hun a tha lo. Rebound headaches hian i nunphung a tichhe thei hle. Tin, i rebound lu natna thlentu damdawi i hman rei poh leh dam leh a harsa zawk ang. Hei vang hian natna hriat hmasak leh enkawl hi a pawimawh em em a ni.

Rebound Lu natna hi a ven theih em?

Ni e, ‘Rebound Headaches’ hi ven theih tak a ni. A pawimawh ber chu lu natna damdawi chi hrang hrang i hman zat tihtlem hi a ni.

Mi thenkhat tan chuan lu na – a bik takin migraine (rebound lu na 80% vel a ni) – hi pumpelh theih a ni lo. Migraine vei tawh chuan dull ache mai mai an ni lo tih an hria. Anni chu mildly annoying atanga nunna atana hlauhawm thlengin an awm thei. Enkawlna tel lo chuan mi thenkhat chu migraine a reh hma loh chuan pindan thim leh reh takah an mu mai thin.

Rebound lu na hi thil tha a ni lo a, mahse migraine neih fo pawh hi a tha lo. Vanneihthlak takin enkawlna thar (a bik takin preventive treatment) chuan migraine venna emaw, a awm tam lohna tihtlem emaw kawng a hawng ta a ni. Heng enkawlnate hian migraine i neih zat tihtlem nan a pui thei a ni. I migraine thlentu doctor nen pawh i sawi thei a, i pumpelh thei bawk.

Hei hian i migraine tihtawp nan "rescue" meds i ei ngai zat a tihtlem phah ang. Chu chu rebound headaches venna atan a tawk mai thei.

Pawimawh: I damdawi ei zat leh ei tam dan chungchangah doctor thupek i zawm fo tur a ni. Hei hi ‘rebound headaches’ venna atana pui turin a pawimawh hle. I doctor-in a rawt aia tam damdawi ei suh – over-the-counter damdawi pawh.

Engtin nge ka in enkawl ang?

'Rebound headaches' i nei a nih chuan doctor-in a enkawl dan tur a tih angin i zawm a pawimawh. Chu enkawlnaah chuan thil pawimawh tak pakhat chu a tir atanga ‘rebound headaches’ thlentu damdawi emaw damdawi emaw hman tawh loh hi a ni. Chutianga tih chuan lu natna chu a reh thuai ang.

Engtikah nge ka doctor ka hmuh ang?

Rebound headaches enkawl dawnin doctor-in a rawt angin i hmu tur a ni. I lu na tam dan emaw, a lan chhuah dan emaw a inthlak danglam tih i hriat chuan emaw, i nitin hnathawh tibuai thei khawpa i natna lan chhuah dan a inthlak chuan doctor i pan tur a ni bawk.

Rebound lu na hi a mah chauhin a hlauhawm lo. Amaherawhchu, damdawi thenkhat, mi thenkhatin enkawl nana an ei thin te hi a hlauhawm thei hle.

‘Rebound headache’ hi eng ang nge a nih?

‘Rebound headaches’ hi a hmaa i lu na ang maiin i hria. Mahse, a hma aia nasa zawkin an awm fo thin. Tin, natna lan chhuahna dang, lungkhamna emaw, lungngaihna emaw i nei thei bawk.

Caffeine hian Rebound Lu natna a tizual em?

Ni e, ni khatah caffeine milligram 200 aia tam i ei chuan. Caffeine ei tlem hian i enkawlna hlawhtlinna chance a tipung thei a, ‘rebound headaches’ nasatzia pawh a tikhawtlai thei bawk.

Lu na tak emaw, a lo lang leh emaw, a pahnih hian lu na emaw, migraine emaw i neih chuan, chu chu enkawltu damdawi engmah neih loh ngaihtuahna chu tuar theih loh a ni thei. Mahse, i migraine enkawl dan dang a awm bawk. Hengte hian ‘rebound headaches’ thlen thei damdawi mamawhna a ti tlem thei a ni.

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

Thian duh tak, tunah chuan he natna ‘Rebound Headaches’ tih hi i hrethiam tawh ngei ka beisei. Lu natna damdawi ei reng reng hi tih dan tha a ni lo tih hre reng ang che. Chutianga tih chuan i lu natna awmsa chu a tizual thei a, heng ‘Rebound Headaches’ an tihte hi a thlen thei a ni.

• Lu na i nei fo a, ni eng emaw zat a zawnin damdawi i ei tawh a nih chuan doctor pan ngei ngei tur a ni.
• Damdawi hi tipung suh la, i duh aia tam ei loh tur a ni, i doctor-in a tih loh chuan.
• ‘Rebound headaches’ i nei tih hmuhchhuah a nih chuan hlauthawng suh. A enkawl dan tha tak tak a awm. A bulpui ber chu a thlentu damdawi ei tawh loh hi a ni.
• He natna hi damdawi lam thurawn angin enkawlna dang leh nunphung thlak danglam hmangin a dam kim thei a ni.

Enkawlna dik tak hmang chuan 'Rebound Headaches' tih hi i paih bo mai bakah, a thlentu damdawi te pawh i pumpelh thei bawk. Tichuan i hna i thawk thei a, i duh angin i nun i hmang thei a, i lu natna chhinchhiahnain a tihkhawtlai loh nan. Dam leh thuai turin duhsakna kan hlan e!

` Lu na, natna tidamtu, rebound lu na, migraine, damdawi hman sual, lu na, damdawi lam thurawn