Ngaba wakha wafakwa "inaliti yomqolo" ngelixa ubeletha umntwana okanye kwenye ivavanyo, waza waphathwa yintloko ebuhlungu ongenakukwazi ukuyinyamezela? Ingakumbi xa usukuma okanye uhlala phantsi, ngaba le ntlungu ibonakala isanda kwaye iyancipha xa ulele? Emva koko sithetha ngohlobo oluthile lwentloko ebuhlungu onokuba nayo. Oku sikubiza ngokuba 'yintloko ebuhlungu yomqolo'. Ungakhathazeki, le yimeko abantu abaninzi abayifumanayo kwaye inokuphiliswa. Masithethe ngayo ngokulula.
Ngamafutshane, yintoni iSpinal Headache?
Ukuze siqonde oku, kufuneka siqale siqonde kancinci malunga nendlela ezikhuselwe ngayo ingqondo yethu kunye nomqolo. Khawuthelekelele ukuba ingqondo yethu kunye nomqolo zifana nezinto ezixabisekileyo, ezidada kulwelo olukhuselayo. Ngokwezonyango, olu lwelo lubizwa ngokuba lulwelo lwe-cerebrospinal (CSF) . Olu lwelo luyondla ingqondo kunye nomqolo kwaye lubakhusele ekuthukeni nasekuchaphazelekeni.
Ngoku, xa unempompo yomqolo, oko kukuthi, xa ugqirha efaka inaliti kumjelo wakho womqolo aze afake amayeza (sikubiza oku ngokuba yi-epidural ), okanye xa bethatha inani elincinci lolo lwelo lwe-CSF ukuze baluvavanye (oku kubizwa ngokuba yi-lumbar puncture ), kwenziwa umngxuma omncinci apho inaliti ifakwe khona. Ngamanye amaxesha, olo lwelo luxabisekileyo lwe-CSF luqala ukuvuza kancinci kancinci ngalo mngxuma.
Xa i-CSF ivuza, ubuninzi bolwelo olujikeleze ingqondo buyancipha. Oku kubangela ukuba ingqondo ilahlekelwe yi-cushioning yayo, okanye umaleko wokukhusela, kwaye ingqondo iqala ukugoba. Oku kubangela ukuba imithambo-luvo kunye nezicubu ezidibene nengqondo zitsale. Oko kutsalwa yinto esiyivayo njengentloko ebuhlungu.
Ngamafutshane, intloko ebuhlungu yomqolo yintloko ebangelwa kukuncipha kolwelo lwe-CSF olujikeleze ingqondo.
Zithini iimpawu zale ntloko ibuhlungu? Uyibona njani?
Ezi mpawu zihlala zibonakala kwiintsuku ezimbini ukuya kwezintathu emva kokwenzakala komqolo. Nangona kunjalo, ngamanye amaxesha zinokubonakala emva kweenyanga. Uphawu olubalulekileyo noluqondakala lula yintloko ebuhlungu.
| Uphawu | Inkcazo |
|---|---|
| Intloko ebuhlungu kakhulu | Ingaqala ngaphambili okanye ngasemva kwentloko. Ingavakala ngathi kukho into ebethelwa ngento ebukhali, okanye ngathi intloko ibetha ngaphakathi. |
| Utshintsho ngesimo somzimba (uphawu oluphambili) | Intlungu iba mandundu xa uhleli okanye usukuma. Kodwa xa ulala (okanye ulala) ebhedini, intlungu iba ngcono okanye iphele ngokupheleleyo. |
| Izinto ezonyusa isicaphucaphu | Intloko ebuhlungu iba mandundu xa ukhohlela, uthimla, okanye utsala nzima (umz., xa ukhupha indle). |
| Ezinye iimpawu |
|
Intloko ebuhlungu ingahlala ixesha elingakanani?
Uninzi lwexesha, ezi ntloko zinokuhlala iiyure ezimbalwa ukuya kwiintsuku ezimbalwa. Nangona kunjalo , ukuba unale mpawu kangangeeyure ezingama-24 zilandelelana, qiniseka ukuba wazise ugqirha wakho.
Ziziphi izinto ezinokubangela ukuba intloko ebuhlungu yomqolo ibe yingozi?
Nangona oku kunokwenzeka nakubani na, abanye abantu banokuba nako.
- Ubudala: Idla ngokubonwa kubantu abaphakathi kweminyaka engama-20-40, ingakumbi abafazi abafumana i-epidural ngexesha lokubeleka.
- Ukuphelelwa ngamanzi emzimbeni: Umngcipheko uphezulu ukuba umzimba uphelelwe ngamanzi emzimbeni.
- Iintloko ezibuhlungu zangaphambili: Ukuba uneentloko ezibuhlungu rhoqo, kukho ithuba elincinci lokuba oku kuya kwenzeka.
- Ukuba ne-low body mass index (BMI): Abantu abancinci banamathuba amaninzi okuba nayo.
- Uhlobo lwenaliti esetyenzisiweyo: Le ngozi inokwahluka ngokuxhomekeke kubukhulu kunye nohlobo lwenaliti esetyenzisiweyo ngugqirha.
Iphathwa njani le nto?
Iindaba ezimnandi zezokuba uninzi lwexesha, ezi ntloko zomqolo ziyaphela ngaphandle konyango olukhethekileyo. Kodwa inkxaso yakho ibaluleke kakhulu kuloo nto.
Izinto onokuzenza ekhaya
Okokuqala, ugqirha ukucebisa ukuba wenze ezi zinto zilula.
1. Hlala uphumle kangangoko unako: Hlala ebhedini, ulele. Vuka uhlale phantsi, njengoko intloko iya kuba mandundu, ngoko ke phumla kangangoko unako.
2. Sela ulwelo oluninzi: Sela amanzi amaninzi kunye neziselo zeziqhamo. Oku kunceda ekuzaliseni ulwelo lwe-CSF lomzimba.
3. Sela iziselo ezine-caffeine: Ukusela izinto ezifana neti nekofu kunokunika isiqabu kwiintloko ezibuhlungu. I-caffeine inciphisa imithambo yegazi engqondweni kwaye inceda ekunciphiseni iintlungu.
4. Iipilisi zokunciphisa iintlungu: Ungathatha amayeza okuthomalalisa iintlungu aqhelekileyo afana neparacetamol njengoko ugqirha wakho eyalele.
Eyona nto ibalulekileyo kukuba ngaphambi kokuba wenze nayiphi na kwezi zinto, ingakumbi ukuba ungumama oncancisayo, ngokuqinisekileyo kufuneka udibane nogqirha wakho.
Unyango lukagqirha
Ukuba intloko ayipheli ngamayeza asekhaya, kwaye intlungu iyaqhubeka kangangeentsuku ezininzi, ugqirha unokucebisa olunye unyango.
Ibizwa ngokuba yi- Epidural Blood Patch . Musa ukoyika xa usiva oku. Kulula kakhulu.
- Yintoni le iyenzayo? Ugqirha uza kuthatha igazi lakho elincinci (malunga ne-10-20 milliliters) kumthambo osengalweni yakho.
- Emva koko, igazi liphinda lifakwe kwindawo efanayo apho lalifakwe khona ngaphambili emqolo.
- Okwenzekayo ke kukuba igazi liyaqhekeka apho, livale umngxuma apho ulwelo lwe-CSF luvuza khona, ngokungathi "iplasta" ifakwe kuwo.
- Uninzi lwabantu lufumana isiqabu esipheleleyo kwiintloko zabo kwiiyure ezingama-24 emva kolu nyango.
Kunqabile kakhulu, ukuba ezi ndlela azincedi, kunokufuneka utyando ukuze kuvalwe umngxuma.
Kunini apho sifanele sifune khona ingcebiso yezonyango ngokukhawuleza?
Nangona intloko ebuhlungu yomqolo idla ngokungaba yingozi, ezinye iingxaki ezingaqhelekanga kodwa ezinzima zinokubakho. Ngoko ke, ukuba unezinye zezi mpawu zilandelayo, bona ugqirha ngokukhawuleza okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ubunzima bokuchama ngenxa yentloko ebuhlungu.
- Ukulahlekelwa kukuziva okanye ukuba ndindisholo emqolo okanye emilenzeni.
- Ukuhlanza kakhulu, ukuxhuzula, okanye ukulahlekelwa zingqondo.
- Intlungu ebuhlungu entanyeni kunye nomkhuhlane.
Nangona ezi ziimpawu ezingaqhelekanga, kubaluleke kakhulu ukuba uzazi.
Umyalezo Wokuya Ekhaya
- Intloko ebuhlungu yomqolo yintloko ebangelwa kukuvuza kolwelo lwe-CSF olujikeleze ingqondo emva kokubhobozwa kwe-lumbar/epidural.
- Uphawu oluphambili kukuba intloko iba mandundu xa usukuma kwaye iyancipha xa ulele.
- Oku kudla ngokuphela kwiintsuku ezimbalwa ngemilinganiselo elula (ukuphumla, ulwelo, iintlungu).
- Ukuba intloko ebuhlungu ihlala ixesha elingaphezu kweeyure ezingama-24 okanye inzima, qiniseka ukuba wazise ugqirha wakho.
- Ukuba uneempawu ezinzulu ezifana nobunzima bokuchama kunye nokuba ndindisholo kwemilenze yakho kunye nentloko ebuhlungu, kufuneka uye esibhedlele ngoko nangoko.
- Ekubeni le yimeko enokunyangeka, musa ukoyika ngokungeyomfuneko kwaye ulandele iingcebiso zonyango ezifanelekileyo.
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