Kodi mutu umapweteka mukaimirira kapena mukakhala pansi? Tiyeni tikambirane za (Positional Headache) !

Kodi nthawi zina mumamva mutu wachilendo? Ndiko kuti, mukatuluka pabedi kapena kukhala pampando, kodi mumamva kupweteka kwambiri kumbuyo kwa mutu wanu, ndipo mukagonanso, kumaoneka ngati kukuchepa pang'ono? Ngati ndi choncho, mwina muli ndi vuto lotchedwa Positional Headache. Musadandaule, tidzakambirana izi mwatsatanetsatane .

Kodi (Mutu Wapamalo) uwu ndi chiyani?

Mwachidule, "Mutu Wopweteka" ndi pamene mutu wanu umakula kwambiri mukasintha malo anu, monga mukamayimirira kapena kukhala pansi, kenako n’kuchepa mukagona. Izi zimatchedwanso "Mutu Wopweteka." "Mutu Wopweteka" umatanthauza "kuima molunjika." Nthawi zina, mutu uwu ukhozanso kuchitika mukawerama patsogolo, kuyetsemula, kuchita chinthu cholimba, kapena kunyamula chinthu cholemera.

Ululu nthawi zambiri umapezeka kumbuyo kwa mutu, koma ukhoza kuchitika kulikonse m'mutu. Ululuwo ungawoneke ngati ukuwonjezeka tsiku lonse likamapita. Anthu ena amathanso kumva nseru komanso kuuma khosi limodzi ndi mutu uwu.

Kodi izi ndizofala bwanji?

Mutu Wopweteka Pamalo ndi zotsatira zofala za kubowoledwa kwa lumbar (komwe kumadziwikanso kuti spinal tap). Anthu ambiri amakumana ndi mutu wamtunduwu mkati mwa maola 24 mpaka 48 kuchokera pamene adayesedwa.

Kodi (Positional Headache) ndi yoopsa?

"Mutu Wopweteka Kwambiri" nthawi zina ungakhale chizindikiro chakuti pali vuto m'thupi lathu. Nthawi zina mutu uwu umakhala wakanthawi ndipo umatha wokha. Komabe, ngati mwadzidzidzi mwayamba kumva mutu ukasintha kaimidwe kanu, ndi bwino kulankhula ndi dokotala popanda kungonyalanyaza. Izi zitha kukhala chizindikiro cha vuto lalikulu, monga kusowa kwa madzi kumbuyo, chotupa cha muubongo, kapena kusintha kwa kuthamanga kwa magazi mkati mwa mutu. Choncho musatenge mopepuka, chabwino?

Kodi zizindikiro za (Positional Headache) ndi ziti?

Chizindikiro chachikulu ndi mutu. Nazi zina mwa zizindikiro zomwe mungakumane nazo:

• Mutu umakula kwambiri mukakhala kapena kuyimirira.
• Ululu nthawi zambiri umamveka kwambiri kumbuyo kwa mutu .
• Mutu umatha kumveka ngati wagwidwa ndi magetsi kapena ngati ukufinyidwa mwamphamvu .
• Ululu umawonjezeka pang'onopang'ono pamene tsiku likupita.
• Ululu umachepa ndikagona pansi.

Kuwonjezera pa chizindikiro chachikulu ichi, zizindikiro zina zingabwere limodzi ndi izi:

• Kusanza ndi Kusanza.
• Chizungulire.
• Khosi lolimba.
• Ululu pakati pa masamba a mapewa.
• Tinnitus ndi kumva phokoso lochokera m'makutu.
• Kuvuta kusunga bwino thupi.
• Kuzindikira kuwala kowala ndi phokoso.
• Kumva dzanzi kapena kutentha m'manja.
• Kuvutika kuyang'ana pa chinthu china, kumva ngati muli mu chifunga (Brain Fog).

Kodi zimayambitsa (Positional Headache) ndi ziti?

Pakhoza kukhala zifukwa zambiri za izi. Komabe, chifukwa chofala kwambiri ndi kusintha kwa kuchuluka kwa madzi a m'mitsempha (CSF). Izi zimatchedwanso kutayikira kwa CSF. Kodi CSF ndi chiyani? Ndi madzi oteteza omwe amazungulira ubongo wathu, msana, ndi msana. Amagwira ntchito ngati choyatsira mantha kapena khushoni m'galimoto, kuteteza dongosolo lathu la mitsempha.

Tangoganizani kuti muli ndi (Lumbar Puncture). Kenako chitsanzo cha (CSF) chimatengedwa kuchokera ku msana wanu ndikuyesedwa. Kenako kuchuluka kwa (CSF) m'thupi lanu kumachepa pang'ono. Komanso, ngati mwachita ngozi, ngati cyst yaphulika mkati mwa thupi lanu, kapena ngati pali kung'ambika mu nembanemba ((Dura Mater)) yomwe imasunga madzi a (CSF) awa, kuchuluka kwa (CSF) iyi kumatha kusintha.

Taganizirani ubongo wathu ngati boti loyandama m'madzi. Tikagona pansi ndikuyimirira, madzi awa otchedwa (CSF) amathandiza ubongo kuyenda pang'onopang'ono kuti ugwirizane ndi malo amenewo. Koma pamene voliyumu ya (CSF) yachepa, (CSF) iyi yotetezera ubongo imachepa. Kenako, mukayimirira, ubongo umatsika ndikugunda nembanemba zomwe zili mu chigaza. Pamenepo mutu wanu umayamba kupweteka. Mukagona pansi, ubongo umayandamanso, kotero kuti kugwedezeka kumachepa ndipo ululu umachepa. Kodi mukumvetsa?

Kuwonjezera pa kutayikira kwa (CSF) kumeneku, pakhoza kukhala zifukwa zina zingapo:

• Matenda otchedwa Postural Orthostatic Tachycardia Syndrome - POTS''.
• Kuthamanga kwa magazi m'mutu (SIH) ndi kuchepa mwadzidzidzi kwa kuthamanga kwa magazi m'mutu.
• Matenda a msana wa m'khosi (matenda omwe amakhudza ma disc, mafupa, minofu, ndi minofu yolumikizana pakati pa vertebrae).
• Matenda obadwa nawo otchedwa Chiari Malformation.
• Matenda omwe amafooketsa minofu yolumikizana, monga (Ehlers-Danlos Syndrome).
• Kukhala ndi chotupa kapena chotupa chodzaza madzi m'msana.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Muli pachiwopsezo chachikulu chokhala ndi "Mutu Wopweteka" ngati:

• Ngati mwangomaliza kumene mayeso a (Lumbar Puncture).
• Ngati mwachitapo ngozi yamtundu uliwonse (makamaka kumutu kapena kumbuyo).
• Ngati muli ndi vuto lililonse la msana.

Kodi mavuto omwe angakhalepo chifukwa cha (Positional Headache) ndi ati?

Ngati chifukwa cha (Positional Headache) ndi (CSF) kutuluka madzi, kutayika kwa madzi ozungulira ubongo ndi msana kungakhale koopsa. Chifukwa, chitetezo cha (CSF) chikatayika, ubongo wathu umakhala ndi mwayi wovulala. Kutuluka madzi kwa (CSF) kosathandizidwa kungayambitse mavuto awa:

• Kupweteka mutu pafupipafupi.
• Kupweteka kwa khosi.
• Mavuto akumva, mwina ngakhale kutaya kumva.
• Kuchepa kwa fungo ndi kukoma.
• Matenda (monga meningitis - vuto lomwe limayambitsa kutupa kwa ubongo).
• Kutuluka magazi mkati mwa ubongo.

Kodi mungazindikire bwanji (Positional Headache)?

Dokotala adzakuyesani ((Kuyezetsa thupi), (Kuyezetsa mitsempha), ndipo ngati kuli kofunikira, achite mayeso ena kuti atsimikizire vutoli. Kuyezetsa zithunzi (mwachidule, chithunzi chapadera cha mkati mwa thupi) monga (MRI) kapena (CT scan) kungathandize kupeza chomwe chimayambitsa zizindikiro zanu.

Dokotala adzakufunsaninso za mbiri yanu ya thanzi komanso ngati mwakhalapo ndi ngozi zilizonse posachedwapa.

Ngati mwangoyamba kumene kuvulala m'chiuno, dokotala wanu nthawi zambiri amayembekezera mutu wonga uwu. Ngati zizindikiro sizikupitirira, sipangakhale chifukwa choyezetsa kwina.

Kodi mungachotse bwanji (Positional Headache)? / Kodi mankhwala ake ndi otani?

Ngati mukufuna kupeza mpumulo nthawi yomweyo ku mutu, chinthu chabwino kuchita ndikugona pansi. Koma kumbukirani, iyi ndi njira yakanthawi chabe. Sichidzachiritsa kwathunthu (Positional Headache).

Dokotala adzadziwa chomwe chimayambitsa mutu wanu ndikukupatsani chithandizo choyenera. Izi zikutanthauza kuti mutuwo udzachiritsidwa nthawi yomweyo ndi vuto lomwe limayambitsa. Zinthu zomwe mungachite popanda mankhwala ndi izi:

• Kugona bwino usiku.
• Kumwa madzi okwanira (kukhalabe ndi madzi okwanira).
• Kumwa chakumwa chokhala ndi caffeine (monga khofi kapena tiyi) kapena kumwa mankhwala owonjezera a caffeine (izi ndi zomwe muyenera kuchita mutakambirana ndi dokotala).

Ngati mukumva "Positional Headache" ngati zotsatira zoyipa za "Lumbar Puncture", dokotala wanu adzakuuzani kuti mupumule kwa masiku angapo. Izi zingaphatikizepo:

• Khalani omasuka momwe mungathere.
• Imwani madzi ambiri.
• Valani chovala chopondereza kapena lamba chomwe chimakwanira bwino pamimba.
• Imwani mankhwala ochepetsa ululu (Analgesics) monga momwe dokotala wanu wanenera.

Chofunika kwambiri ndichakuti ngati mutu wanu ukupweteka kwa maola opitilira 48 mutatha kubowoledwa m'chiuno, muyenera kudziwitsa dokotala wanu .

Ngati "mutu wa m'malo" woyambitsidwa ndi kutuluka kwa "CSF" sukuyenda bwino ndi njira zina zosavuta, madokotala angachite njira yotchedwa "epidural blood patch." Izi zimaphatikizapo kutenga magazi anu ena ndikubwezeretsanso mu "epidural space" (malo odzaza madzi pakati pa "dura mater" ndi vertebrae). Izi zitha "kutseka" kutuluka kwa "CSF" ndikuyimitsa.

Nthawi zina, opaleshoni ingakhale yofunikira pa mavuto a msana kapena kutuluka kwa madzi m'mitsempha ya ubongo (CSF) komwe sikunasinthe ndi mankhwala ena.

Kodi chiyembekezo cha vutoli n'chiyani?

"Mutu Wopweteka Kwambiri" nthawi zambiri umakhala wakanthawi kochepa. Ngakhale mutu wanu utakhala wopweteka mukayimirira, ukhoza kutha mutagona kwa mphindi pafupifupi 30 ndikupuma. Komabe, ngati mugwira ntchito tsiku lonse mutaima ndi kuyenda, ululuwu ukhoza kuwonjezeka.

Mutu wina (Positional Headache) udzakhala bwino wokha. Komabe,Ngati mutu wanu umakhala wosazolowereka, kaya ndi wotani, muyenera kuonana ndi dokotala. Chifukwa nthawi zina chifukwa chake chimayenera kuchiritsidwa. Mukazindikira vutoli mwachangu ndikuyamba kulandira chithandizo, zotsatira zake zimakhala zabwino.

Kodi "Mutu Wopweteka Pamalo Omwe Uli ...

Ndipotu, sitingathe kuletsa zonse zomwe zimayambitsa (Positional Headache). Ngati muli ndi (Positional Headache), chinthu chabwino kwambiri chomwe mungachite kuti mupewe mutu ndi kupuma mokwanira ndikutsatira malangizo a dokotala wanu mosamala.

Kodi muyenera kupita kwa dokotala liti?

Ngati mutu wanu ukupweteka mukasintha malo, monga kuimirira, muyenera kuonana ndi dokotala. Dokotala wanu angakuthandizeni kuthana ndi vutoli ndikupeza chomwe chikuyambitsa ndikuchiza. Komanso, ngati mutu wanu ukukulirakulira mukagona (izi ndizosiyana ndi "mutu wa m'malo", komanso ndi chinthu chomwe muyenera kuuza dokotala wanu ), onani dokotala.

Ngati muli ndi zizindikiro zina (monga nseru ndi chizungulire zomwe takambirana kale) pamodzi ndi "Positional Headache", lankhulani ndi dokotala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• "N'chifukwa chiyani ndimamva izi (Positional Headache)?"
• "Ndiyenera kupuma nthawi yayitali bwanji?"
• "Ndi zinthu ziti zotetezeka ndi zochita ziti zomwe ndingachite nditachita (Lumbar Puncture)?"
• "Mukundilangiza chithandizo chanji?"
• "Kodi pali zotsatirapo zilizonse pa mankhwala awa?"
• "Mukuganiza kuti mutu wanga udzakhala wovuta chonchi mpaka liti?"

Kukhala ndi mutu wopweteka sikophweka, makamaka mukayimirira kapena kukhala pansi, monga "Positional Headache". Ngakhale izi zimachitika kawirikawiri mukatha "Lumbar Puncture", nthawi zina zimatha kukhala chizindikiro cha vuto linalake lachipatala. Chifukwa chake, ngati muli ndi mutu wopweteka kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku, onetsetsani kuti mwauza dokotala. Kenako angapeze chomwe chikuyambitsa ndikuchiza mwanjira yomwe imakupatsani mpumulo.

Pomaliza, zinthu zoti muzikumbukira

Kotero, tsopano mukudziwa zambiri zokhudza (Positional Headache). Chofunika kwambiri ndichakuti mutu ndi wokhudzana ndi kaimidwe ka thupi. Umawonjezeka mukamayimirira kapena kukhala pansi, ndipo umachepa mukagona. Ngakhale kuti nthawi zambiri umawoneka pambuyo pa (Lumbar Puncture), nthawi zina pangakhale chifukwa chachikulu chomwe chimayambitsa vutoli. Chifukwa chake, ngati muli ndi zizindikiro zotere, ndi bwino kusazitenga mopepuka ndikupempha upangiri kwa dokotala. Musadandaule, ndi chithandizo choyenera komanso kupuma, mutha kuchira ku vutoli.

Mutu , mutu wopweteka m'malo mwake, mutu wopweteka m'malo mwake, madzi a msana, kutuluka kwa CSF, madzi a m'mitsempha ya ubongo, mutu wopweteka, kaimidwe ka thupi, upangiri wa dokotala