Naute i neih lai emaw, test dang emaw atan "spinal injection" i nei a, chutah chuan i tuar theih loh lu na nasa tak i nei tawh em? A bik takin i ding emaw, i ṭhut emaw hian, i mut lai hian he natna hi a pung a, a tlahniam niin a lang em? Tichuan lu natna chi khat bik i neih theih tur chungchang kan sawi a ni. Hei hi ‘spinal headache’ kan ti a. Lungngai suh, hei hi mi tam takin an lo neih tawh leh tihdam theih a ni. A awlsam zawngin sawi ila.
A awlsam zawngin, Spinal Headache hi eng nge ni?
Hei hi hrethiam tur chuan kan thluak leh ruhro venhim dan hi tlem kan hriatthiam hmasak a ngai a ni. Kan thluak leh kan ruhro chu thil hlu tak ang mai, venhimna tuiah a leng ang maiin han ngaihtuah teh. Damdawi lam hawi chuan he tui hi cerebrospinal fluid (CSF) an ti a. He tui hian thluak leh ruhro (spinal cord) te a chawm a, shock leh impact lakah a venghim bawk.
Tunah chuan, spinal tap i neih chuan, chu chu doctor-in i spinal canal-ah needle a thun a, damdawi a inject hian (hei hi epidural kan ti a), emaw, chu CSF fluid tlemte chu test-na atan an lak chuan (hei hi lumbar puncture an ti a ), needle dahna hmunah chuan khur te tak te a siam a ni. A châng chuan, chu CSF fluid hlu tak chu he khur aṭang hian tlem tlemin a chhuak ṭan ṭhin.
CSF a leak chuan thluak vel a tui awm zat a tlahniam thin. Hei hian thluak chu a cushioning, a nih loh leh protective layer a hloh a, thluak chu a tlahniam tan ta a ni. Hei hian thluak nena inzawm nerve leh tissue te chu a ti chhuak thin. Chu pulling chu lu natna nasa tak anga kan hriat chu a ni.
A awlsam zawngin sawi ila, spinal headache hi thluak chhehvela CSF fluid tlahniam avanga lu natna a ni.
He lu na hi eng chhinchhiahna nge ni? Engtin nge i hriat chian?
Heng symptoms te hi spinal injury atanga ni hnih atanga ni thum chhungin a lang tlangpui. Mahse, a chang chuan thla engemaw zat hnuah an rawn lang thei. A chhinchhiahna pawimawh ber leh hriat awlsam ber chu lu na hi a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Lu na na tak | Lu hmalam emaw hnunglam emaw atangin a intan thei. Thil pakhat chu thil hrual hrual hmanga vuak ang maiin a awm thei a, a chhung lam atanga lu a rawn beng ang maiin a lang thei bawk. |
| Posture nena inthlak danglam (main feature) . | I thut emaw, i ding emaw hian a na zual sauh sauh thin. Mahse khumah i mut (or i mut) chuan a natna chu a reh emaw, a bo vek emaw a ni. |
| Nausea tipung thei thil | Lu na hi i khuh, i thawk hah emaw, i strain (e.g., i bawlhhlawh paih laiin) a na zual thin. |
| Thil dang pawh a awm |
|
He lu na hi eng chen nge a awm theih ang?
A tam zawkah chuan heng lu na hi darkar tlemte atanga ni engemaw zat thleng a awm thei. Mahse , darkar 24 aia tam a zawna heng symptoms te hi i neih chuan i doctor hnenah hriattir ngei ang che.
Spinal Headache vei theihna tur risk factors te chu engte nge ni?
Hetiang hi tu chungah pawh thleng thei mah se, mi thenkhat chuan an nei tam zawk.
- Kum: Kum 20-40 inkar, a bik takin hmeichhia nau neih laiin epidural dawng thinte zingah hmuh tur a awm tlangpui.
- Dehydration: Taksa a tui tlakchham chuan a hlauhawmna a sang zawk.
- Lu na hmasa: Lu na i neih fo chuan hei hi a lo awm theihna chance tlemte a awm.
- Body mass index (BMI) hniam neih): Mi thau deuhte hian an vei tam zawk.
- Needle hman chi hrang hrang: He hlauhawmna hi doctor-in needle a hman lian leh te a zirin a danglam thei bawk.
Hei hi engtin nge enkawl a nih?
Thu lawmawm tak chu a tam zawkah chuan heng ruh natna hi enkawlna bik awm lovin a reh thin. Mahse chumi atan chuan in thlawpna hi a pawimawh hle.
In lama i tih theih thilte
A hmasain, doctor chuan heng thil awlsam tak takte hi ti turin a fuih che a ni.
1. A theih ang anga rilru hahdam takin awm rawh: Khumah awm la, muhil rawh. Tho la, thu rawh, lu na a zual zel dawn avangin, a theih ang anga chawlh hahdam rawh.
2. Tui in tam: Tui leh thei in tur tam tak in thin ang che. Hei hian taksa CSF fluid a tipung leh thei a ni.
3. Caffeine awmna in tur in rawh: Tea leh coffee ang chi thil in hian lu natna lakah eng emaw chen a ti hahdam thei. Caffeine hian thluaka thisen kalna kawng a tikhawlo a, natna tihziaawmna atan a pui bawk.
4. Painkillers: I doctor-in a tih angin paracetamol ang chi general painkillers i ei thei.
A pawimawh ber chu heng thil zawng zawng hi i tih hmain, a bik takin nu hnute pe thin i nih chuan i doctor rawn hmasa phawt tur a ni.
Doctor enkawl dan chu
In lama damdawi hmanga lu na a reh loh a, ni eng emaw zat a na a awm chuan doctor chuan enkawlna dang a rawt thei bawk.
Epidural Blood Patch tih a ni. He thu i hriat hian hlau suh. A awlsam khawp mai.
- Hei hian eng nge a tih? Doctor chuan i kut vein pakhat atang hian i thisen tlemte (milliliter 10-20 vel) a la ang.
- Tichuan, thisen chu a hmaa hnungzang lama an injectna hmunah khan an inject leh a ni.
- Chutah chuan thil thleng chu chutah chuan thisen chu a inzawm khawm a, CSF fluid chhuahna khur chu a khar a, "plaster" dah ang maiin a khar a ni.
- Mi tam zawk chuan he enkawlna atanga darkar 24 chhungin an lu na atang hian an hahdam vek tawh mai.
A tlem hle a, heng hmanrua te hian a puih loh chuan a khur khar nan operation neih a ngai mai thei.
Engtikah nge damdawi lam thurawn kan zawn nghal ang?
Spinal headache hi hlauhawm lo mahse, harsatna awm lo mahse na tak tak thenkhat a awm thei. Chuvangin a hnuaia symptoms te hi i neih chuan Doctor pan nghal la, damdawi in Emergency Department (ETU) ah kal nghal bawk ang che.
- Lu na nen zun harsatna.
- Hnunglam emaw ke emawa hriatna hloh emaw, rilru hahna emaw.
- Luak chhuak nasa tak, seizures, emaw hriatna hloh emaw.
- Kawng na tak leh khawsik na tak.
Hengte hi symptoms hmuh tur awm lo tak tak ni mahse, fimkhur a pawimawh hle.
Take-Home Thuchah a ni
- Spinal Headache hi lumbar puncture/epidural hnua thluak vel a CSF fluid a leak avanga lu na a ni.
- A lan chhuah dan ber chu i ding chuan lu na a zual a, i mut chuan a tlahniam bawk.
- Hei hi ni engemaw zat chhungin a reh tlangpui a, thil awlsam tak (chawlhna, tui, natna tidamtu) hmangin a reh thin.
- Lu na hi darkar 24 aia rei emaw, a nasat emaw chuan doctor hnenah hriattir ngei ngei tur a ni.
- Lu na ruala zun harsatna leh ke ruh tliak ang chi symptom na tak tak i neih chuan damdawi in pan nghal tur a ni.
- Hei hi enkawl theih a nih avangin a tul lovah hlauthawng suh la, damdawi lam thurawn dik tak zawm rawh.
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