Ingabe uphathwa yikhanda uma usukuma noma uhlala phansi? Ake sixoxe nge- (Ikhanda Elibuhlungu Elisesikhundleni) !

Ingabe ngezinye izikhathi uthola ikhanda elibuhlungu elingajwayelekile? Okusho ukuthi, uma uvuka embhedeni noma uhlala esihlalweni, uzizwa ubuhlungu obubukhali ngemuva kwekhanda lakho, futhi uma ulala phansi futhi, kubonakala sengathi buyaphela kancane? Uma kunjalo, ungase ube nesimo esibizwa ngokuthi "Ikhanda Elibuhlungu Eliphezulu Eliphezulu". Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe .

Kuyini lokhu (Ikhanda Elibuhlungu Lesikhundla)?

Kalula nje, "Ikhanda Elibuhlungu Elisesikhundleni" yilapho ikhanda lakho liba libi kakhulu lapho ushintsha indawo yakho, njengalapho umi noma uhlala, bese lincipha lapho ulala phansi. Lokhu kubizwa nangokuthi "Ikhanda Elibuhlungu Elisesikhundleni." "Ikhanda Elibuhlungu Elisesikhundleni" lisho "ukuma uqonde phezulu." Ngezinye izikhathi, leli khanda lingase livele nalapho ugoba phambili, uthimula, wenza okuthile okunzima, noma uphakamisa into esindayo.

Ubuhlungu buvame ukwenzeka ngemuva kwekhanda, kodwa bungenzeka noma kuphi ekhanda. Ubuhlungu bungase bubonakale bukhula njengoba usuku luqhubeka. Abanye abantu bangase babe nesicanucanu kanye nentamo eqinile kanye naleli khanda elibuhlungu.

Kuvamile kangakanani lokhu?

Ikhanda Elibuhlungu Elibangelwa Yisimo Sendawo liwumphumela ovamile we-lumbar puncture (owaziwa nangokuthi i-spinal tap). Abantu abaningi babhekana nalolu hlobo lwekhanda elibuhlungu zingakapheli amahora angama-24 kuya kwangu-48 ngemva kokuhlolwa.

Ingabe (Ikhanda Elibuhlungu Elisesikhundleni) liyingozi?

"Ikhanda Elibuhlungu Elisesikhundleni" ngezinye izikhathi lingaba uphawu lokuthi kukhona okungahambi kahle emizimbeni yethu. Ngezinye izikhathi lezi khanda zingokwesikhashana futhi ziyanyamalala zodwa. Kodwa-ke, uma ngokuzumayo uqala ukuzwa ikhanda elibuhlungu lapho ushintsha ukuma kwakho, kungcono ukukhuluma nodokotela ngaphandle kokulishaya indiva. Lokhu kungaba uphawu lwesimo esibucayi, njengokuntuleka koketshezi emhlane, isimila sobuchopho, noma ushintsho ekucindezelekeni ngaphakathi kwekhanda. Ngakho ungakuthathi kalula, kulungile?

Ziyini izimpawu ze-(Ikhanda Elibuhlungu Elisesikhundleni)?

Uphawu oluyinhloko ikhanda elibuhlungu. Nazi ezinye zezimpawu ongase uzizwe:

• Ikhanda liyaba libi kakhulu uma umile noma uhleli.
• Ubuhlungu buvame ukuzwakala kakhulu ngemuva kwekhanda .
• Ikhanda elibuhlungu lingazwakala sengathi lishaywe ugesi noma sengathi licindezelwa kakhulu .
• Ubuhlungu buyanda kancane kancane njengoba usuku luhamba.
• Ubuhlungu buyaphela uma ngilala phansi.

Ngaphezu kwalesi sibonakaliso esiyinhloko, ezinye izimpawu zingase zivele kanye naso:

• Isicanucanu Nokuhlanza.
• Isiyezi.
• Intamo eqinile.
• Ubuhlungu phakathi kwamahlombe.
• I-tinnitus umuzwa womsindo ozwakala ngaphakathi ezindlebeni.
• Ubunzima bokugcina ibhalansi yomzimba.
• Ukuzwela ukukhanya okukhulu nomsindo.
• Umuzwa wokuba ndikindiki noma ukusha ezandleni.
• Ukuthola ubunzima bokugxila kokuthile, uzizwe sengathi usenkungwini (Brain Fog).

Yiziphi izimbangela ze-(Ikhanda Elibuhlungu Elisesikhundleni)?

Kungaba nezizathu eziningi zalokhu. Kodwa-ke, imbangela evame kakhulu ukushintsha komthamo woketshezi lwe-cerebrospinal (CSF). Lokhu kubizwa nangokuthi ukuvuza kwe-CSF. Kuyini i-CSF? Luwuketshezi oluvikelayo oluzungeze ubuchopho bethu, umgogodla, kanye nomgogodla. Lusebenza njengesithambisi noma umcamelo emotweni, luvikela uhlelo lwethu lwezinzwa oluphakathi.

Ake sithi une-(Lumbar Puncture). Bese kuthathwa isampula ye-(CSF) emgogodleni wakho bese ihlolwa. Bese inani le-(CSF) emzimbeni wakho lehla kancane. Futhi, uma usengozini, uma i-cyst iqhuma emzimbeni wakho, noma uma kukhona ukudabuka olwelwesini ((Dura Mater)) oluphethe lolu ketshezi lwe-(CSF), umthamo walolu (CSF) ungashintsha.

Cabanga ngobuchopho bethu njenge-buoy entanta emanzini. Uma silala phansi futhi sima, lolu ketshezi olubizwa ngokuthi (CSF) lusiza ubuchopho ukuthi buhambe kancane ukuze bufane naleyo ndawo. Kodwa lapho ivolumu (CSF) yehla, lokhu (CSF) okunamathelayo kobuchopho kuyehla. Bese kuthi, uma usukuma, ubuchopho buyehla bushaye ulwelwesi olubucayi ekhanda. Yilapho ikhanda lakho liqala khona ukuqaqamba. Uma ulala phansi, ubuchopho buyantanta futhi, ukuze umthelela unciphe futhi ubuhlungu bunciphe. Uyaqonda?

Ngaphezu kwalokhu kuvuza kwe-(CSF), kungaba nezinye izizathu eziningana:

• Isimo esibizwa ngokuthi "I-Postural Orthostatic Tachycardia Syndrome - POTS".
• I-Spontaneous Intracranial Hypotension (SIH) ukwehla okungazelelwe kwengcindezi ngaphakathi kwekhanda.
• Izifo zomgogodla wesibeletho (izimo ezithinta ama-disc, amalunga, imisipha, kanye nezicubu ezixhumanisayo phakathi kwamathambo).
• Isimo sokuzalwa esibizwa ngokuthi Chiari Malformation.
• Izifo ezenza buthaka izicubu ezixhumeneyo, njenge-(Ehlers-Danlos Syndrome).
• Ukuba nesimila noma i-cyst egcwele uketshezi emgogodleni.

Ubani osengozini enkulu yalokhu?

Usengozini enkulu yokuba nekhanda elibuhlungu uma:

• Uma usanda kuhlolwa (Lumbar Puncture).
• Uma uke waba nanoma yiluphi uhlobo lwengozi (ikakhulukazi ekhanda noma emhlane).
• Uma unesifo somgogodla.

Yiziphi izinkinga ezingaba khona ze-(Ikhanda Elibuhlungu Elisesikhundleni)?

Uma imbangela ye-(Positional Headache) iwukuvuza kwe-(CSF), ukulahleka kwalolu ketshezi oluzungeze ubuchopho nomgogodla kungaba yingozi. Ngoba, lapho isivikelo se-(CSF) silahleka, ubuchopho bethu bunamathuba amaningi okulimala. Ukuvuza kwe-(CSF) okungalashwanga kungabangela izinkinga ezilandelayo:

• Ubuhlungu bekhanda obuhlala bukhona.
• Ubuhlungu bentamo.
• Izinkinga zokuzwa, mhlawumbe ngisho nokulahlekelwa ukuzwa.
• Ukuncipha kwemizwa yokuhogela nokunambitha.
• Ukutheleleka (isibonelo, i-meningitis - isimo esibangela ukuvuvukala kobuchopho).
• Ukopha ngaphakathi ebuchosheni.

Ungayibona kanjani (Ikhanda Elibuhlungu Elisesikhundleni)?

Udokotela uzokuxilonga ((Ukuhlolwa komzimba), (Ukuhlolwa kwemizwa), futhi uma kudingeka, enze ezinye izivivinyo ukuqinisekisa lesi simo. Ukuhlolwa kwesithombe (ngamagama alula, kuthathwa isithombe esikhethekile sangaphakathi lomzimba) njenge-(MRI) noma (CT scan) kungasiza ekutholeni imbangela yezimpawu zakho.

Udokotela uzophinde akubuze ngomlando wakho wezempilo nokuthi ngabe uke waba nezingozi muva nje.

Uma usanda kuba nokubhoboza i-lumbar, udokotela wakho uvame ukulindela ikhanda elibuhlungu kanje. Uma izimpawu zingaqhubeki, kungase kudingeke ukuhlolwa okwengeziwe.

Ungasusa kanjani (Ikhanda Elibuhlungu)? / Yiziphi izindlela zokwelapha?

Uma ufuna ukuthola impumuzo esheshayo ekhanda elibuhlungu, into engcono kakhulu ongayenza ukulala phansi. Kodwa khumbula, lokhu kuyisixazululo sesikhashana nje. Ngeke kuphulukise ngokuphelele (Ikhanda Elibuhlungu Elisesikhundleni).

Udokotela uzonquma imbangela yekhanda lakho bese ekunikeza ukwelashwa okufanele. Lokhu kusho ukuthi ikhanda lizophathwa ngesikhathi esifanayo nesimo esiyisisekelo. Izinto ongayenza ngaphandle kwemithi zifaka:

• Ukulala kahle ebusuku.
• Ukuphuza amanzi anele (ukuhlala unamanzi anele).
• Ukuphuza isiphuzo esine-caffeine (njengekhofi noma itiye) noma ukuthatha isithasiselo se-caffeine (lokhu kuyinto okufanele uyenze ngemuva kokubonisana nodokotela).

Uma uzwa "Ikhanda Elibuhlungu" njengomphumela ongemuhle we-"Lumbar Puncture", udokotela wakho uzokutshela ukuthi uphumule izinsuku ezimbalwa. Lokhu kungafaka:

• Hlala uphumule ngangokunokwenzeka.
• Phuza amanzi amaningi.
• Gqoka ingubo yokucindezela noma ibhande elifanelana kahle nesisu.
• Phuza imithi yokubulala izinhlungu (ama-analgesics) njengoba udokotela wakho ekuyalele.

Into ebaluleke kakhulu ukuthi uma unekhanda elibuhlungu isikhathi esingaphezu kwamahora angu-48 ngemuva kokubhoboza i-lumbar, kufanele nakanjani wazise udokotela wakho .

Uma "ikhanda elibuhlungu lendawo" elibangelwa ukuvuza kwe-"CSF" lingathuthuki ngezinye izindlela zokwelapha ezilula, odokotela bangenza inqubo ebizwa ngokuthi "i-epidural blood patch." Lokhu kuhilela ukuthatha elinye legazi lakho bese ulifaka "esikhaleni se-epidural" (isikhala esigcwele uketshezi phakathi kwe-"dura mater" kanye nomgogodla). Lokhu kungavala "ukuvuza kwe-"CSF" futhi kumise.

Ngezinye izikhathi, ukuhlinzwa kungadingeka ngenxa yezinkinga zomgogodla noma ukuvuza koketshezi lomgogodla (i-CSF) okungakathuthuki ngezinye izindlela zokwelapha.

Iyini ikusasa lalesi simo?

Ikhanda Elibuhlungu livame ukuba lesikhashana. Ngisho noma ikhanda lakho libuhlungu uma umile, lingase liphele ngemva kokulala phansi cishe imizuzu engama-30 nokuphumula. Kodwa-ke, uma usebenza usuku lonke umile futhi uhamba, lobu buhlungu bungakhula.

Ezinye '(Ikhanda Elibuhlungu Lesikhundla)' zizolunga ngokwazo. Kodwa-ke,Uma unekhanda elibuhlungu elingajwayelekile, kungakhathaliseki ukuthi liyini, kufanele nakanjani ubone udokotela. Ngoba ngezinye izikhathi imbangela eyinhloko idinga ukwelashwa. Uma usheshe uxilonge lesi simo bese uqala ukwelashwa, imiphumela iba ngcono.

Ingabe "Ikhanda Elibuhlungu Elisesikhundleni" lingavinjelwa?

Eqinisweni, asikwazi ukuvimbela zonke izimbangela ze-(Ikhanda Elibuhlungu Elisesikhundleni). Uma une-(Ikhanda Elibuhlungu Elisesikhundleni), into engcono kakhulu ongayenza ukuvimbela ikhanda elibuhlungu ukuthola ukuphumula okwanele nokulandela imiyalelo kadokotela wakho ngokucophelela.

Kufanele ubonane nini nodokotela?

Uma ikhanda lakho libuhlungu uma ushintsha izikhundla, njengokuma, kufanele nakanjani ubone udokotela. Udokotela wakho angakusiza ukuthi uphathe lesi simo futhi uthole imbangela bese uselapha. Futhi, uma ikhanda lakho liba libi kakhulu uma ulele phansi (lokhu kuhlukile "kubuhlungu bekhanda obusesikhundleni", kodwa futhi kuyinto okufanele uyitshele udokotela wakho ), bona udokotela.

Uma unezinye izimpawu (njengokucanuzela kwenhliziyo kanye nesiyezi esikhulume ngazo ngaphambili) kanye ne-"Positional Headache", khuluma nodokotela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• "Kungani ngithola lokhu (Ikhanda Elibuhlungu Lesikhundla)?"
• "Ngidinga ukuphumula isikhathi esingakanani?"
• "Yiziphi izinto eziphephile kanye nemisebenzi engingayenza ngemva kokuhlinzwa kwe-Lumbar Puncture?"
• "Ungincoma luphi ukwelashwa?"
• "Ingabe kukhona imiphumela emibi kulezi zindlela zokwelapha?"
• "Ucabanga ukuthi ngizoba naleli khanda kuze kube nini?"

Ukuphila nekhanda elibuhlungu akulula, ikakhulukazi uma umi noma uhlala phansi, njenge-"Positional Headache". Nakuba lokhu kuvamile ngemva kwe-"Lumbar Puncture", ngezinye izikhathi kungaba uphawu lwesimo sezokwelapha esingaphansi. Ngakho-ke, uma unekhanda elibuhlungu kakhulu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke, qiniseka ukuthi utshela udokotela. Bangathola imbangela bese beyelapha ngendlela ekunika impumuzo.

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, manje usuyazi okuningi nge-(Ikhanda Elibuhlungu Elisesikhundleni). Into eyinhloko ukuthi yikhanda elibuhlungu elihlobene nokuma. Liyanda uma umi noma uhleli, futhi liyancipha uma ulala phansi. Nakuba livame ukubonakala ngemva kwe-(Ukubhoboza I-Lumbar), ngezinye izikhathi kungaba nesizathu esingathi sína ngemuva kwalo. Ngakho-ke, uma unezimpawu ezinjalo, kuwukuhlakanipha ukungazithathi kalula bese ucela iseluleko sezokwelapha. Ungakhathazeki, ngokwelashwa okufanele nokuphumula, ungalulama kulesi simo.

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