Ngaba uphathwa ziintloko xa usukuma okanye uhlala phantsi? Masithethe nge-(Intloko Ebuhlungu Ekwimeko Yakho)!

Ngaba ngamanye amaxesha ukhe ube nentloko ebuhlungu engaqhelekanga? Oko kukuthi, xa uphuma ebhedini okanye uhleli esitulweni, ngaba uziva intlungu ebukhali ngasemva kwentloko yakho, kwaye xa ulala phantsi kwakhona, ibonakala ngathi iyaphela kancinci? Ukuba kunjalo, usenokuba nemeko ebizwa ngokuba yi-"Positional Headache". Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha .

Yintoni le `(Intloko Ebuhlungu Ekwindawo)`?

Ngamafutshane, "Intloko Ebuhlungu Ekwindawo" kuxa intloko yakho iba mandundu xa utshintsha indawo yakho, njengaxa umi okanye uhleli, ize inciphe xa ulala. Oku kukwabizwa ngokuba yi "Orthostatic Headache." "Orthostatic" kuthetha "ukuma ume nkqo." Ngamanye amaxesha, le ntloko inokuba nkulu xa ugoba phambili, uthimla, wenza into enzima, okanye uphakamisa into enzima.

Intlungu idla ngokuvela ngasemva kwentloko, kodwa inokwenzeka naphi na entlokweni. Intlungu ingabonakala isanda njengoko usuku luqhubeka. Abanye abantu banokuba nesicaphucaphu kunye nentamo eqinileyo kunye nale ntloko ibuhlungu.

Kuqheleke kangakanani oku?

Intloko ebuhlungu ekwindawo ethile sisiphumo esiqhelekileyo sokubhobozwa kwe-lumbar (ekwaziwa ngokuba yi-spinal tap). Abantu abaninzi bafumana olu hlobo lwentloko ebuhlungu kwiiyure ezingama-24 ukuya kuma-48 emva kokwenza olu vavanyo.

Ingaba `(Intloko Ebuhlungu Ekwindawo)` iyingozi?

"Intloko Ebuhlungu Ekwindawo" ngamanye amaxesha inokuba luphawu lokuba kukho into engalunganga emizimbeni yethu. Ngamanye amaxesha ezi ntloko zibuhlungu zezokwexeshana kwaye ziyaphela zodwa. Nangona kunjalo, ukuba ngequbuliso uqala ukuziva intloko ebuhlungu xa utshintsha indlela oma ngayo, kungcono ukuthetha nogqirha ngaphandle kokuyityeshela. Oku kungaba luphawu lwemeko enzima, njengokunqongophala kolwelo emqolo, ithumba lobuchopho, okanye utshintsho kuxinzelelo ngaphakathi entlokweni. Ngoko ke musa ukuyithatha lula, kulungile?

Zithini iimpawu ze-`(Intloko ebuhlungu)`?

Uphawu oluphambili yintloko ebuhlungu. Nazi ezinye zeempawu onokuzifumana:

• Intloko iba mandundu xa umi okanye uhleli.
• Intlungu idla ngokuvakala ngakumbi ngasemva kwentloko .
• Intloko ebuhlungu ingavakala ngathi kukubetheka ngombane okanye ngathi icinezelwa ngokuqinileyo .
• Intlungu iyanda kancinci kancinci njengoko usuku luhamba.
• Intlungu iyaphela xa ndilala phantsi.

Ukongeza kolu phawu luphambili, ezinye iimpawu zinokuvela kunye nalo:

• Isicaphucaphu kunye nokugabha.
• Isiyezi.
• Intamo eqinileyo.
• Intlungu phakathi kwamagqabi egxalaba.
• I-Tinnitus yimvakalelo yesandi esivakala ngaphakathi ezindlebeni.
• Ubunzima bokugcina ibhalansi yomzimba.
• Uvakalelo ekukhanyeni okukhanyayo nengxolo.
• Ukuziva ngathi izandla zindindisholo okanye zitshile.
• Ubunzima bokugxila kwinto ethile, uzive ngathi ukwinkungu (Brain Fog).

Zithini izizathu ze-`(Intloko Ebuhlungu Ekwindawo)`?

Zininzi izizathu zoku. Nangona kunjalo, eyona nto ixhaphakileyo kukutshintsha komthamo wolwelo lwe-cerebrospinal (CSF). Oku kukwabizwa ngokuba kukuvuza kwe-CSF. Yintoni i-CSF? Lulwelo olukhuselayo olujikeleze ingqondo yethu, umqolo, kunye nomqolo. Lusebenza njengesithinteli sokutshona okanye umqamelo emotweni, lukhusela inkqubo yethu yemithambo-luvo ephakathi.

Khawuthelekelele ukuba une-`(Lumbar Puncture)`. Emva koko isampuli ye-`(CSF)` ithathwa kwi-spinal cord yakho ize ivavanywe. Emva koko ubungakanani be-`(CSF)` emzimbeni wakho buyehla kancinci. Kwakhona, ukuba unengozi, ukuba i-cyst iyaqhuma ngaphakathi emzimbeni wakho, okanye ukuba kukho ukukrazuka kwi-membrane (`(Dura Mater)`) ephethe olu lwelo lwe-`(CSF)`, umthamo wale `(CSF)` unokutshintsha.

Cinga ngengqondo yethu njenge-buoy edada emanzini. Xa silala phantsi size sime, olu lwelo lubizwa ngokuba yi-`(CSF)` lunceda ingqondo ukuba ihambe kancinci ukuze ihambelane naloo ndawo. Kodwa xa ivolumu ye-`(CSF)` yehla, olu `(CSF)` lokuncamathisela ingqondo luyehla. Emva koko, xa usukuma, ingqondo iyehla ize ibethe kwiinwebu ezibuthathaka ekhakhayini. Kulapho ke intloko yakho iqala ukuba buhlungu khona. Xa ulala phantsi, ingqondo iyadada kwakhona, ukuze impembelelo inciphe kwaye intlungu inciphe. Uyaqonda?

Ukongeza koku kuvuza kwe-`(CSF)`, kunokubakho ezinye izizathu ezininzi:

• Imeko ebizwa ngokuba yi-"Postural Orthostatic Tachycardia Syndrome - POTS".
• I-Spontaneous Intracranial Hypotension (SIH) kukwehla ngequbuliso koxinzelelo ngaphakathi entloko.
• Izifo zomqolo wesibeleko (iimeko ezichaphazela iidiski, amalungu, izihlunu, kunye nezicubu ezinxibelelanayo phakathi kwamathambo omqolo).
• Ingxaki yokuzalwa ebizwa ngokuba yi-``Chiari Malformation```.
• Izifo ezenza buthathaka izicwili ezidityanisiweyo, ezifana ne-`(Ehlers-Danlos Syndrome)`.
• Ukuba nethumba okanye i-cyst egcwele ulwelo emnqonqweni.

Ngubani osengozini enkulu yoku?

Usemngciphekweni omkhulu wokuba ``Intloko Ebuhlungu`` ukuba:

• Ukuba usandul' ukwenza uvavanyo lwe-`(Lumbar Puncture)`.
• Ukuba ukhe wehlelwa yingozi (ingakumbi entloko okanye emqolo).
• Ukuba unayo nayiphi na ingxaki yomqolo.

Ziziphi iingxaki ezinokubakho ze-`(Intloko ebuhlungu)`?

Ukuba unobangela we-`(Positional Headache)` kukuvuza kwe-`(CSF)`, ukulahleka kolu lwelo olujikeleze ingqondo kunye nomqolo kunokuba yingozi. Kuba, xa ukhuseleko lwe-`(CSF)` lulahlekile, ingqondo yethu inokuba sengozini yokwenzakala. Ukuvuza kwe-`(CSF)` okunganyangwanga kunokubangela ezi ngxaki zilandelayo:

• Intloko ebuhlungu rhoqo.
• Intlungu yentamo.
• Iingxaki zokuva, mhlawumbi kwanokulahlekelwa kukuva.
• Ukuncipha kwemvakalelo yokuvumba nencasa.
• Iintsholongwane (umzekelo, i-meningitis - imeko ebangela ukudumba kwengqondo).
• Ukopha ngaphakathi engqondweni.

Ungayiqaphela njani `(Intloko Ebuhlungu Ekwindawo)`?

Ugqirha uza kukuxilonga (`(Uvavanyo lomzimba)`, `(Uvavanyo lwe-Neurological)`, kwaye ukuba kuyimfuneko, wenze ezinye iimvavanyo ukuqinisekisa le meko. Uvavanyo lomfanekiso (ngamazwi alula, kuthathwa umfanekiso okhethekileyo wangaphakathi lomzimba) ofana `(MRI)` okanye `(CT scan)` lunokukunceda ufumane unobangela weempawu zakho.

Ugqirha uza kukubuza nangembali yakho yempilo nokuba ngaba ukhe waba neengozi kutshanje.

Ukuba usandul’ ukuba ne-lumbar puncture, ugqirha wakho uhlala elindele intloko ebuhlungu ngolu hlobo. Ukuba iimpawu aziqhubeki, akukho mfuneko yovavanyo olongezelelweyo.

Ungayisusa njani `(Intloko Ebuhlungu Ekwimeko Embi)`? / Zithini iindlela zonyango?

Ukuba ufuna ukufumana isiqabu kwangoko kwintloko ebuhlungu, eyona nto ilungileyo onokuyenza kukulala phantsi. Kodwa khumbula, esi sisisombululo sexeshana nje. Asiyi kuyinyanga ngokupheleleyo `(Intloko Ebuhlungu Ekwindawo)`.

Ugqirha uza kufumanisa unobangela wentloko yakho aze akunike unyango olufanelekileyo. Oku kuthetha ukuba intloko iya kunyangwa ngaxeshanye nemeko engundoqo. Izinto onokuzenza ngaphandle kwamayeza ziquka:

• Ukulala kamnandi ebusuku.
• Ukusela amanzi aneleyo (ukuhlala unamanzi aneleyo).
• Ukusela isiselo esine-caffeine (njengekofu okanye iti) okanye ukuthatha isongezelelo se-caffeine (le yinto omele uyenze emva kokubonisana nogqirha).

Ukuba ufumana "Intloko Ebuhlungu Engasemva" njengesiphumo esingesihle se "Lumbar Puncture", ugqirha wakho uya kukuxelela ukuba uphumle iintsuku ezimbalwa. Oku kunokuquka:

• Hlala uphumle kangangoko unako.
• Sela amanzi amaninzi.
• Nxiba impahla yokucinezela okanye ibhanti elilingana kakuhle nesisu.
• Sela amayeza okudambisa iintlungu (i-Analgesics) njengoko ugqirha wakho ekuyalele.

Eyona nto ibalulekileyo kukuba ukuba unentloko ebuhlungu kangangeeyure ezingaphezu kwama-48 emva kokuhlatywa kwe-lumbar, ngokuqinisekileyo kufuneka wazise ugqirha wakho .

Ukuba "intloko ebuhlungu" ebangelwa kukuvuza kwe-"CSF" ayiphucuki ngezinye iindlela ezilula zonyango, oogqirha banokwenza inkqubo ebizwa ngokuba yi-"epidural blood patch." Oku kuquka ukuthatha inxalenye yegazi lakho uze ulifake kwakhona "kwindawo ye-epidural" (indawo egcwele ulwelo phakathi kwe-"dura mater" kunye ne-vertebrae). Oku kunokuyivala "i-CSF" ukuvuza kwaye kuyimise.

Ngamanye amaxesha, utyando lunokufuneka kwiingxaki zomqolo okanye ukuvuza kolwelo lomgogodla (CSF) okungakhange kuphucuke ngolunye unyango.

Iyintoni ikamva lale meko?

``Intloko Ebuhlungu`` idla ngokuba yeyokwexeshana. Nokuba intloko yakho ibuhlungu xa umile, ingaphela emva kokuba ulele malunga nemizuzu engama-30 kwaye uphumle. Nangona kunjalo, ukuba usebenza imini yonke ume kwaye uhamba, le ntlungu inokwanda.

Ezinye '(Intloko Ebuhlungu Ekwindawo Ethile)' ziya kuba ngcono ngokwazo. Nangona kunjalo,Ukuba unentloko ebuhlungu engaqhelekanga, nokuba yintoni na, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kuba ngamanye amaxesha unobangela oyintloko kufuneka unyangwe. Okukhona ufumanisa imeko ngokukhawuleza kwaye uqala unyango, kokukhona iziphumo zingcono.

Ngaba "Intloko Ebuhlungu Ekwimeko Efanelekileyo" ingathintelwa?

Enyanisweni, asinakukwazi ukuthintela zonke izizathu ze-`(Intloko Ebuhlungu Ekwindawo)`. Ukuba une-`(Intloko Ebuhlungu Ekwindawo)`, eyona nto ingcono onokuyenza ukuthintela iintloko ezibuhlungu kukuphumla ngokwaneleyo kwaye ulandele imiyalelo kagqirha wakho ngononophelo.

Ufanele uye nini kugqirha?

Ukuba intloko yakho ibuhlungu xa utshintsha indlela ohlala ngayo, njengokuma, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha wakho angakunceda ulawule imeko kwaye ufumane unobangela kwaye uyinyange. Kwakhona, ukuba intloko yakho iba mandundu xa ulele phantsi (oku kwahlukile "kwintloko ebuhlungu yendawo", kodwa ikwayinto ekufuneka uyixelele ugqirha wakho ), bona ugqirha.

Ukuba unezinye iimpawu (ezifana nesicaphucaphu kunye nesiyezi esithethe ngazo ngaphambili) kunye "neNkathazo yeNtloko ePhakathi", thetha nogqirha ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• "Kutheni ndifumana le `(Intloko Ebuhlungu Ekwimeko)`?"
• "Ndingaphumla ixesha elingakanani?"
• "Zeziphi izinto ezikhuselekileyo kunye nemisebenzi endinokuyenza emva kokwenza i-`(Lumbar Puncture)`?"
• "Undicebisa ukuba ndinyangwe ngaluphi unyango?"
• "Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?"
• "Ucinga ukuba ndiza kuba nale ntloko ibuhlungu ixesha elingakanani?"

Ukuphila nentloko ebuhlungu akulula, ingakumbi xa umi okanye uhlala phantsi, njenge "Positional Headache". Nangona oku kuqhelekile emva "kokubhaqwa kweLumbar", ngamanye amaxesha kunokuba luphawu lwengxaki ethile yempilo. Ngoko ke, ukuba unentloko ebuhlungu kakhulu kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla, qiniseka ukuba uxelele ugqirha. Banokufumana unobangela baze bawunyange ngendlela ekunika isiqabu.

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, ngoku uyazi okuninzi nge-`(Intloko Ebuhlungu Ekwindawo)`. Eyona nto iphambili kukuba yintloko ebuhlungu enxulumene nokuma. Iyanda xa umi okanye uhleli, kwaye iyancipha xa ulele. Nangona idla ngokubonakala emva kwe-`(Ukubhaqwa Kweengalo)`, ngamanye amaxesha kunokubakho isizathu esibalulekileyo emva kwayo. Ke ngoko, ukuba uneempawu ezinjalo, kububulumko ukungazithathi lula kwaye ufune iingcebiso zonyango. Ungakhathazeki, ngonyango olufanelekileyo nokuphumla, ungaphila kule meko.

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