Kodi NDPH ndi chiyani? Tiyeni timvetse mosavuta!
Mwachidule, mutu wa New Daily Persistent Headache (NDPH) ndi mtundu wa mutu womwe umayamba mwadzidzidzi ndipo umatenga miyezi ingapo, ndipo ukhoza kuyambira pakati mpaka wovuta kwambiri. Si vuto lalikulu, zomwe zikutanthauza kuti silikuika moyo pachiswe. Komabe, lingasokoneze kwathunthu zochita zanu za tsiku ndi tsiku komanso moyo wanu. Nthawi zambiri zimakhala zovuta kuchiza. Pali mitundu iwiri ikuluikulu ya NDPH: 1. NDPH yoyamba: Madokotala amatchanso kuti (idiopathic) NDPH . Izi zikutanthauza kuti palibe chifukwa chenicheni chomwe chingapezeke chifukwa chake chimachitika. 2. NDPH yachiwiri: Imachitika mogwirizana ndi kapena chifukwa cha matenda ena. Nthawi zambiri, imayamba chifukwa cha matenda opatsirana .Ndani amene akukhudzidwa kwambiri ndi vutoli la NDPH?
Matenda a NDPH amatha kufalikira mwa aliyense. Komabe, amapezeka kwambiri mwa akazi. Komanso, ngakhale kuti matendawa amapezeka kwambiri mwa ana ndi achinyamata, makamaka azaka zapakati pa 10 ndi 18, amatha kufalikira kwa aliyense wazaka zilizonse.Kodi NDPH ndi yofala bwanji?
Palibe kafukufuku wochuluka wokhudza momwe NDPH imakhalira yofala. Koma kutengera deta yomwe ilipo, ndi vuto losowa kwambiri. Kafukufuku wochokera kumayiko monga Norway ndi Spain akuwonetsa kuti limapezeka pakati pa 30 ndi 100 pa anthu 100,000 aliwonse. Chifukwa chake, mutha kuwona momwe izi zilili zachilendo.Kodi chimachitika ndi chiyani ku matupi athu kuchokera ku NDPH?
NDPH imakhudza kwambiri ubongo wanu. Komabe, ngati muli ndi zizindikiro zofanana ndi mutu waching'alang'ala , muthanso kumva kuwala, phokoso, chizungulire, nseru, kapena kusanza.Kodi zizindikiro za NDPH ndi ziti kwenikweni?
Zizindikiro za NDPH zitha kufanana ndi mutu wina uliwonse, koma uwu ndi wapadera.- Mutu umapitirira: Kuti dokotala adziwe matenda a NDPH, muyenera kukhala ndi mutu kwa miyezi itatu motsatizana.
- Ululuwu ndi wokhazikika: Malinga ndi akatswiri ambiri, ululuwu ukayamba, NDPH imakhala yosatha.
- Mukukumbukira tsiku limene izi zinayamba: ichi ndi chinthu chofunika kwambiri.Malinga ndi malangizo ovomerezeka a International Headache Society, kuti mupeze matenda a NDPH, muyenera kukumbukira tsiku lenileni, nthawi, komwe munali, ndi zomwe munkachita pamene mutu unayamba. Tangoganizirani, mukukumbukira mukunena kuti, "Ndinkagwira ntchito mu ofesi Lachiwiri m'mawa pamene mutu uwu unayamba mwadzidzidzi." Umu ndi momwe mukufunira kukumbukira bwino.
- Ululu nthawi zambiri umakhala wochepa mpaka wovuta: Anthu omwe ali ndi NDPH nthawi zambiri amakhala ndi ululu wochepa kapena wovuta. Ululu uwu umakhala wokhazikika, zomwe zimapangitsa kuti zikhale zovuta ngakhale kuchita zinthu wamba.
Zizindikiro za mutu wopweteka:
- Ululu mbali zonse ziwiri za mutu.
- Mukumva ngati mutu wanu ukukankhidwa kuchokera mkati, ngati kuti ukupumidwa.
- Ululu sukulirakulira kutengera zomwe mumachita.
Zizindikiro za mutu wa mutu wa migraine:
- Ululu mbali imodzi ya mutu.
- Zikumveka ngati kupweteka kopweteka komanso kogunda.
- Kuopa kuwala: Kumva kupweteka mukayang'ana kuwala.
- Phonophobia: Kumva kupweteka pamene munthu akumva phokoso, kumva kupweteka pamene munthu akumva phokoso.
- Kusanza ndi kusanza .
- Chizungulire : Chizungulire .
- Ma aura owoneka: Kuona kuwala ndi mizere yosiyanasiyana pamaso.
Kodi zimayambitsa NDPH ndi ziti? N’chifukwa chiyani izi zimachitika?
Akatswiri sakudziwabe chifukwa chake NDPH imayamba. Komabe, akukayikira kuti zochitika zina ndi zochitika zina zimatha kuyambitsa . NDPH imakonda kukula panthawi yamavuto akulu. NDPH imathanso kukula pambuyo pa matenda ena. Komabe, palibe deta yokwanira yotsimikizira kuti izi ndi zomwe zimayambitsa NDPH. Chimodzi mwazomwe zimayambitsa matendawa ndi matenda . NDPH nthawi zambiri imayamba ngati pali kachilombo ka mavairasi kapena mabakiteriya. Nazi zitsanzo zina:- Kachilombo ka Epstein-Barr : Ichi ndiye chifukwa chachikulu cha matendawa chotchedwa mononucleosis (mono) .
- Salmonella
- E. coli
- Matenda a dengue:Izi n’zofala kwambiri m’dziko lathu, sichoncho?
- Covid-19 ( COVID-19 )
- Matenda a Meningitis kapena Encephalitis: Awa ndi mitundu ya matenda a muubongo.
- Kutuluka magazi m'thupi la Subarachnoid: Uku ndi kutuluka magazi m'maselo ozungulira ubongo. Nthawi zambiri kumayamba mwadzidzidzi ndi "mutu waukulu wa bingu."
- Kupanikizika Kochepa kwa Cerebrospinal Fluid (CSF) : Izi zimachitika chifukwa cha kutuluka kwa CSF kuchokera kwinakwake mu chigaza kapena msana. (CSF ndi madzi omwe amazungulira ndikuteteza ubongo wathu ndi msana.)
- Mutu umayambitsidwa ndi kuwonjezeka kwa CSF pressure.
- Mutu umene umachitika munthu akavulala (monga mutu utatha kupweteka mutu ).
- Kugwiritsa ntchito mankhwala mopitirira muyeso , makamaka pa mutu kapena mutu waching'alang'ala, kungayambitse vuto lotchedwa "mutu wobwerera m'mbuyo," zomwe zikutanthauza kuti mutu umakula kwambiri mutamwa mankhwalawo.
Kodi NDPH ndi matenda opatsirana?
Ayi, NDPH siimatenga munthu wina. Ngakhale kuti NDPH imatha kufalikira pambuyo pa matenda ena, si aliyense amene ali ndi matendawa amene adzadwala NDPH.Kodi dokotala amazindikira bwanji NDPH?
Kuzindikira NDPH ndi njira yodutsa magawo ambiri. 1. Gawo 1: Sonkhanitsani zambiri zokhudza zizindikiro zanu. Izi zikuphatikizapo nthawi yomwe mutu wanu wakhala ukupweteka, nthawi yomwe unayamba, ndi zomwe mukumva. 2. Gawo 2: Dziwani zina zomwe zimayambitsa mutu wanu. Pa gawo loyamba, dokotala wanu adzakufunsani mafunso ndikukuyesani. Akhozanso kuchita mayeso a mitsempha kuti awone ngati pali vuto lililonse ndi dongosolo lanu la mitsempha. Kenako, dokotala wanu adzafuna kutsimikiza kuti palibe chifukwa china. Zizindikiro za NDPH zimafanana ndi za matenda ena ambiri a mitsempha.Kupeza matenda musanafike miyezi itatu: Nthawi zambiri, anthu amafunafuna chithandizo chamankhwala musanafike miyezi itatu yomwe ikufunika kuti atsimikizire kuti NDPH yadutsa. Pa nthawi imeneyo, dokotala amatha kuchita mayeso ena onse ndikunena kuti "mwina NDPH" popanda kumaliza matendawo. Mukakhala ndi zizindikiro kwa miyezi itatu, dokotalayo amatha kuzindikira NDPH mwalamulo.
Ndi mayeso ati omwe amachitidwa kuti adziwe NDPH?
Palibe mayeso enieni omwe angazindikire mwachindunji NDPH.M'malo mwake, mayeso amachitidwa kuti apeze matenda ena omwe ali ndi zizindikiro zofanana, makamaka omwe ali oopsa kapena oopsa. Ena mwa matendawa ndi awa:- Kujambula kwa Computerized Tomography (CT).
- Kujambula kwa Magnetic Resonance (MRI).
- Kuboola msana (Lumbar Puncture): Izi zimaphatikizapo kutenga madzi a m'mitsempha ya ubongo (CSF) pang'ono kuchokera kumbuyo kwa khosi, komwe kumazungulira msana, ndikuyesa. Izi zingathandize kuzindikira zinthu monga matenda ndi kupanikizika kwa ubongo.
- Kuyezetsa magazi: Kufufuza ngati muli ndi matenda.
Kodi NDPH imachiritsidwa bwanji? Kodi imatha kuchiritsidwa kwathunthu?
Nthawi zambiri NDPH ndi vuto lovuta kuchiza. Nthawi zina, makamaka omwe ali ndi zizindikiro zofanana ndi mutu waching'alang'ala, amatha kuthandizidwa mosavuta. Komabe, NDPH yokhala ndi zizindikiro zofanana ndi kupsinjika maganizo sichitha kuyankha chithandizo. Nthawi ndi yofunika kwambiri. Chithandizo choyambirira chimakhala chothandiza kwambiri kuposa zaka zambiri zizindikiro zitayamba. Mankhwala ndiye chithandizo chachikulu cha NDPH. Komabe, kupeza mankhwala oyenera a vutoli kungakhale kovuta. Nazi zina mwa mankhwala omwe angagwiritsidwe ntchito:- Mankhwala Oletsa Kuvutika Maganizo: Mankhwala monga (Amitriptyline), (Nortriptyline), ndi (Venlafaxine) nthawi zina angathandize ndi NDPH chifukwa amathandizanso kuchepetsa ululu.
- Mankhwala oletsa kugwidwa ndi khunyu: Mankhwala monga Gabapentin kapena Topiramate .
- Jakisoni wa poizoni wa botulinum: Wodziwika ndi ambiri kuti Botox® , izi zimaletsa zizindikiro za mitsempha, kuphatikizapo zizindikiro za ululu. Mankhwala ena oletsa mitsempha angathandizenso.
- Mankhwala oletsa mutu waching'alang'ala: Beta-blockers (monga Propranolol) ndi Angiotensin-II receptor blockers (monga Candesartan).
- Mankhwala oletsa kuvutika maganizo/oletsa kuvutika maganizo: Ketamine, mankhwala amphamvu oletsa kuvutika maganizo, ikugwiritsidwa ntchito mu kafukufuku pochiza matenda monga kuvutika maganizo omwe sakuyankha chithandizo. Izi nthawi zina zingathandizenso ndi NDPH.
Mavuto kapena zotsatirapo zoyipa za chithandizo
Mavuto ndi zotsatirapo zake zimadalira zinthu zambiri, kuphatikizapo mtundu wa mankhwala omwe amagwiritsidwa ntchito. Lankhulani ndi dokotala wanu za chithandizo chomwe chili chabwino kwa inu, zotsatirapo zake, komanso momwe mungapewere kapena kuchepetsa.Kodi ndimadzisamalira bwanji kapena ndimatha bwanji kuthana ndi zizindikiro?
N'zovuta kwambiri kuchiza NDPH nokha, makamaka ngati simunapezeke ndi matenda. Izi zili choncho chifukwa vutoli nthawi zambiri limakhalapo.Sichiyankha mankhwala ofala a mutu. Izi zikutanthauza kuti si mankhwala okhawo omwe amaperekedwa ndi dokotala, komanso mankhwala ambiri omwe dokotala wapereka sangathe kuletsa NDPH.Chofunika Kwambiri: Simuyenera kudziyesa nokha kapena kudzipatsa chithandizo cha NDPH. Izi zili choncho chifukwa mutu wopweteka pang'ono kapena woopsa ukhoza kukhala chizindikiro cha sitiroko . Siroko imayamba chifukwa cha kutsekeka kapena kutsekeka kwina kwa mtsempha wamagazi muubongo. Zimatenga nthawi yayitali kuti mupeze chithandizo chamankhwala zizindikiro zitayamba, ndiye kuti vutoli silidzatha. Pamapeto pake, sitiroko ingayambitse kuwonongeka kwa ubongo kwamuyaya kapena imfa.Ngati inu kapena munthu amene muli naye ali ndi zizindikiro izi, makamaka pamodzi ndi zizindikiro zina za sitiroko, imbani 911 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo. Kumbukirani izi kuti muzindikire zizindikiro za sitiroko: FAST
- F - Nkhope: Uzani munthuyo kuti amwetulire. Yang'anani mbali imodzi kapena zonse ziwiri za nkhope zomwe zagwa. Izi zitha kukhala chizindikiro cha kufooka kwa thupi (facial hemiplegia) kapena kufooka kwa minofu.
- A - Mkono: Munthu wolumala nthawi zambiri amakhala ndi kufooka kwa minofu kapena dzanzi mbali imodzi. Pemphani munthuyo kuti akweze manja onse awiri. Ngati pali kufooka kwatsopano kapena dzanzi mbali imodzi, mkono winawo udzagwa pansi mkono umodzi ukakwezedwa, kapena sizingatheke kuukweza konse.
- S - Kulankhula: Kufa ziwalo nthawi zambiri kungayambitse kulephera kulankhula. Kulankhula kumatha kusokonekera ndipo mawu sangasankhidwe bwino.
- T - Nthawi: Nthawi ndi yofunika kwambiri, choncho musazengereze kupeza thandizo! Ngati n'kotheka, yang'anani nthawi ndipo kumbukirani nthawi yomwe zizindikiro zanu zinayamba. Kuuza dokotala nthawi yomwe zizindikiro zanu zinayamba kungathandize kusankha chithandizo chomwe chili chabwino kwa inu.
Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?
Mwatsoka, palibe njira yodziwira kuti ndi mankhwala ati omwe angagwire ntchito kapena ayi. Nthawi zambiri mankhwala ambiri sagwira ntchito pa NDPH. Nthawi zambiri, dongosolo lothandizira limatenga milungu isanu ndi umodzi mpaka isanu ndi itatu kuti ligwire ntchito. Dokotala wanu angakupatseni upangiri wabwino kwambiri wa momwe mankhwala - ngati akugwira ntchito - angagwire ntchito mwachangu. Iye adzakuuzaninso choti muchite ngati chithandizocho sichikuyenda bwino.Kodi pali njira yochepetsera kapena kuletsa kupangika kwa NDPH?
Mwatsoka, NDPH imachitika mwanjira yosayembekezereka. Izi zikutanthauza kuti palibe njira yopewera. Popeza zinthu zambiri zomwe zimayambitsa izi zimachitika mosayembekezereka, palibe njira yothandiza yochepetsera chiopsezo.Ngati ndili ndi NDPH, ndiyenera kuyembekezera chiyani?
Ngati muli ndi NDPH, mutha kuyembekezera kumva mutu wopweteka pang'ono mpaka woopsa. Mutu uwu umakhalapo kwa miyezi itatu, umakhalapo nthawi zonse, ndipo susinthasintha.Anthu ena amapeza mpumulo chifukwa cha chithandizo, koma ambiri sapeza mpumulo.Kodi NDPH idzakhalapo kwa nthawi yayitali bwanji?
Kwa ena, NDPH ndi chinthu chomwe amakumana nacho kwa zaka zambiri, kenako chimatha pakapita nthawi. Kwa anthu omwe ali m'gululi, mutu nthawi zambiri umatha mkati mwa zaka zitatu. Kwa ena, mutu sumatha. Ngati NDPH sakulandira chithandizo ndipo satha yokha, vutoli likhoza kukhala lalikulu kwambiri moti lingasokoneze zinthu monga kupita kuntchito ndikuchita nawo zinthu zina. Pamene mukuphunzira kukhala ndi vutoli, mungafunike thandizo la akatswiri osiyanasiyana, monga alangizi azaumoyo . Ndikofunikira kufunafuna chithandizo cha zotsatira zamaganizo zomwe zimakhalapo chifukwa chokhala ndi ululu wosatha.Kodi chiyembekezo cha NDPH ndi chotani?
NDPH si vuto loopsa palokha. Komabe, kukhala ndi ululu wochepa mpaka woopsa kwambiri kumadziwika kuti kumakhudza thanzi la munthu m'maganizo ndi m'maganizo. Anthu omwe ali ndi ululu wosatha amakhala ndi mwayi waukulu wokhala ndi matenda amisala monga nkhawa ndi kuvutika maganizo . Pali zifukwa zingapo zomwe vutoli lingakhale lovuta kulizindikira:- Izi sizichitika kawirikawiri.
- Palibe mayeso enieni ozindikira matenda omwe angatsimikizire izi.
- Kawirikawiri ma scan sasonyeza kusintha kulikonse komwe kungayambitse zizindikiro.
Kodi ndingasamalire bwanji thanzi langa?
Ngati muli ndi NDPH, dokotala wanu angakupatseni malangizo okhudza zomwe mungachite kuti muthandize ndi vutoli. Nthawi zambiri, pali zochepa zomwe anthu ambiri angachite kuti athetse vutoli. Komabe, pali umboni wakuti kuyang'ana kwambiri thanzi lanu lonse ndi thanzi lanu kungapangitse kuti chithandizo china - makamaka mankhwala - chikhale chopambana. Kawirikawiri, zizolowezi zaumoyo zomwe zimaganiziridwa kuti ndizothandiza kwambiri ndi izi:- Idyani zakudya zabwino.
- Chitani masewera olimbitsa thupi nthawi zonse.
- Gonani nthawi zonse komanso mupumule mokwanira.
Kodi ndiyenera kupita kwa dokotala liti?
Kawirikawiri, ngati simunakhalepo ndi mutu, muyenera kuonana ndi dokotala ngati muli ndi mutu watsopano, wocheperako womwe ukukwaniritsa chilichonse mwa izi:- Ngati mankhwala ogulitsidwa kunja kwa sitolo sakuthandiza kapena akupitirira kuipa.
- Ngati ili mbali imodzi yokha ya mutu, kapena ngati pali kupweteka kopweteka kapena kugunda kwa mtima.
- Ngati muli ndi zizindikiro zina, monga nseru ndi kusanza kwambiri, kapena kuvutika ndi kuwala ndi phokoso.
Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?
Mutu waukulu womwe umabwera mwadzidzidzi, suchira, ndipo umakula pakapita nthawi ukhoza kukhala chizindikiro cha vuto lalikulu kapena loopsa. Pali zizindikiro zina zomwe zimasonyeza kuti muyenera kupita kuchipatala nthawi yomweyo. Izi zikuphatikizapo:- Kufooka, dzanzi, kapena kumva kuwawa mbali imodzi kapena zonse ziwiri za thupi.
- Kutaya masomphenya kapena kusokonezeka kwa masomphenya (monga kuwona zinthu molakwika, kuona zinthu ziwiri).
- Kumva kusokonezeka kapena kutopa kwambiri.
- Kuvuta kukhala ndi thanzi labwino kapena kulankhula bwino. (Kumbukirani kuti izi zitha kukhala zizindikiro za kufooka!)
Kodi NDPH ndi yosiyana ndi mitundu ina ya mutu, monga mutu waching'alang'ala ndi mutu wa m'magulu?
Inde, NDPH ndi yosiyana ndi mitundu ina ya mutu. Ngakhale kuti NDPH imatha kukhala ndi makhalidwe ofanana ndi mutu waching'alang'ala ndi mitundu ina ya mutu, ndi yosiyana mokwanira kotero kuti akatswiri amaiika m'gulu la mitundu ina.Kodi NDPH idzakhala bwino kwambiri?
NDPH imagwira ntchito kwa anthu ena, koma si kwa aliyense. Komabe, n'zosatheka kuneneratu nthawi yomwe izi zidzachitike kapena amene adzazipeze.Kodi ndiyenera kuda nkhawa liti ndi mutu wopweteka pafupipafupi?
Muyenera kuda nkhawa ndi mutu womwe umakhala wochepa kapena woopsa, womwe sumakhala bwino mukalandira chithandizo, kapena womwe sumatha wokha. Ngati mutu uli ndi mutu tsiku lililonse, ndi bwino kulankhula ndi dokotala wanu wamkulu. Ngakhale kuti nthawi zambiri mutu womwe umakhalapo tsiku lililonse umayamba chifukwa cha zifukwa zopanda vuto, monga kufunika magalasi kapena magalasi olumikizirana, ukhozanso kuchitika chifukwa cha zifukwa zina zoopsa kwambiri.Kodi ndi zachilendo kukhala ndi mutu pang'ono tsiku lililonse?
Ayi, si zachilendo kukhala ndi mutu tsiku lililonse. Ngati muli ndi mutu tsiku lililonse, ndi bwino kulankhula ndi dokotala. Iye akhoza kudziwa ngati mutu wanu umayamba chifukwa cha vuto lalikulu kapena ngati mukufuna kuonana ndi katswiri kuti akuthandizeni. Nthawi zambiri, dokotala angakuthandizeni kuchotsa matenda aakulu ndikupeza njira zoletsera mutu wanu kapena kuwachiza ngati atachitika.Uthenga Womaliza Wopita Nawo Kunyumba
Mutu Watsopano Wosatha wa Tsiku ndi Tsiku (NDPH)Ndi vuto losowa kwambiri. Ndi pamene munthu ali ndi mutu watsopano, wocheperako kapena woopsa womwe suchira pakapita nthawi ndipo umabwereranso. Zimakhala zovuta kuchiza, ndipo anthu ambiri akhala ndi ululu ndi zizindikiro zina kwa zaka zambiri. Nthawi zina mutu umatha wokha, koma izi zitha kuchitika mosayembekezereka. Ngakhale madokotala angapereke malingaliro a njira zochiritsira, kafukufuku wambiri amafunika kuti adziwe chifukwa chake vutoli limachitika komanso mankhwala omwe ndi othandiza kwambiri. Ngati muli ndi zizindikirozi, ndibwino kupita kwa dokotala kuti akupatseni upangiri. Musavutike nokha, pemphani thandizo. Mutu, Ululu Wosatha, NDPH, Mutu Watsopano Wosatha wa Tsiku ndi Tsiku, Migraine, Neuropathy, Zizindikiro👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (FAQ) kuchokera kwa Dokotala
💬 Madokotala, kodi mutu wa New Daily Persistent Headache (NDPH) ndi chiyani? Kodi uwu ndi matenda oopsa?
NDPH iyi ndi mutu womwe umayamba mwadzidzidzi ndipo umatenga miyezi ingapo. Ukhoza kukhala wochepa mpaka wovuta kwambiri. Koma musadandaule, si vuto lomwe lingawononge moyo wanu. Komabe, lingapangitse zochita zanu za tsiku ndi tsiku kukhala zovuta pang'ono.
💬 Dokotala, n’chifukwa chiyani ululu uwu umachitika? Ndani amakumana nawo pafupipafupi?
Funso labwino. Pali mitundu iwiri ikuluikulu ya NDPH. Nthawi zina palibe chifukwa chenicheni chomwe chimayambitsa vutoli, chomwe chimatchedwa 'primary NDPH.' Nthawi zina chimatha kuyambitsidwa ndi matenda ena, makamaka matenda opatsirana ndi mavairasi, omwe amatchedwa 'secondary NDPH.' Ngakhale kuti zingachitike kwa aliyense, zimachitika kwambiri mwa akazi ndi ana azaka zapakati pa 10 ndi 18.











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