Wake wajova umgogodla ngesikhathi unengane noma kolunye uhlobo lokuhlolwa, wabe usuba nekhanda elibuhlungu obungenakulithwala? Ikakhulukazi uma usukuma noma uhlala phansi, ingabe lobu buhlungu bubonakala bukhula futhi buncipha uma ulele? Sikhuluma ngohlobo olukhethekile lwekhanda ongase ube nalo. Lokhu sikubiza ngokuthi 'ikhanda elibuhlungu lomgogodla'. Ungakhathazeki, lesi yisimo abantu abaningi abasitholayo futhi esingalapheka. Ake sixoxe ngakho kalula.
Kalula nje, kuyini i-Spinal Headache?
Ukuze siqonde lokhu, sidinga kuqala ukuqonda okuncane ngendlela ubuchopho bethu kanye nomgogodla wethu ovikelwe ngayo. Cabanga ukuthi ubuchopho bethu kanye nomgogodla wethu kufana nezinto eziyigugu, ezintanta oketshezini oluvikelayo. Ngokwezokwelapha, lolu ketshezi lubizwa ngokuthi uketshezi lwe-cerebrospinal (CSF) . Lolu ketshezi londla ubuchopho kanye nomgogodla futhi lubavikele ekushaqekeni nasekushayweni.
Manje, uma unempompi yomgogodla, okungukuthi, lapho udokotela efaka inalithi emgudwini wakho womgogodla bese efaka umuthi (lokhu sikubiza ngokuthi i-epidural ), noma lapho bethatha inani elincane lalolo ketshezi lwe-CSF ukuze baluhlole (lokhu kubizwa ngokuthi i-lumbar puncture ), kwenziwa imbobo encane lapho kwafakwa khona inalithi. Ngezinye izikhathi, lolo ketshezi oluyigugu lwe-CSF luqala ukuphuma kancane kancane ngale mbobo.
Uma i-CSF ivuza, inani loketshezi oluzungeze ubuchopho liyancipha. Lokhu kubangela ukuthi ubuchopho bulahlekelwe yi-cushion yayo, noma ungqimba oluvikelayo, bese ubuchopho buqala ukugoba. Lokhu kubangela ukuthi imizwa nezicubu ezixhunywe ebuchosheni zidonse. Lokho kudonsa yilokho esikuzwayo njengekhanda elibuhlungu kakhulu.
Kalula nje, ikhanda elibuhlungu lomgogodla liyikhanda elibangelwa ukwehla koketshezi lwe-CSF oluzungeze ubuchopho.
Ziyini izimpawu zaleli khanda elibuhlungu? Uzibona kanjani?
Lezi zimpawu zivame ukuvela zingakapheli izinsuku ezimbili kuya kwezintathu ngemuva kokulimala komgogodla. Kodwa-ke, ngezinye izikhathi zingavela ezinyangeni kamuva. Uphawu olubaluleke kakhulu nolubonakala kalula yikhanda elibuhlungu.
| Isibonakaliso | Incazelo |
|---|---|
| Ikhanda elibuhlungu kakhulu | Kungaqala ngaphambili noma ngemuva kwekhanda. Kungase kuzwakale sengathi kukhona okushaywa ngento ebuthuntu, noma sengathi ikhanda lishaya ngaphakathi. |
| Shintsha ngesimo somzimba (isici esiyinhloko) | Ubuhlungu buba bubi nakakhulu uma uhleli noma usukuma. Kodwa uma ulala phansi (noma ulala phansi) embhedeni, ubuhlungu buba ngcono noma buphele ngokuphelele. |
| Izinto ezandisa isicanucanu | Ikhanda liyaba libi kakhulu uma ukhwehlela, uthimula, noma uzikhandla (isib., uma ukhipha indle). |
| Ezinye izici |
|
Lokhu kukhanda kungahlala isikhathi esingakanani?
Esikhathini esiningi, lezi zinhlungu zekhanda zingahlala kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa. Kodwa-ke , uma unalezi zimpawu amahora angaphezu kwangu-24 elandelana, qiniseka ukuthi wazisa udokotela wakho.
Yiziphi izici eziyingozi zokuthuthukisa ikhanda lomgogodla?
Nakuba lokhu kungenzeka kunoma ubani, abanye abantu banamathuba amaningi okuba nakho.
- Ubudala: Ngokuvamile kubonakala kubantu abaneminyaka ephakathi kuka-20-40, ikakhulukazi abesifazane abathola i-epidural ngesikhathi sokubeletha.
- Ukuphelelwa amanzi emzimbeni: Ingozi iphezulu uma umzimba uphelelwe amanzi emzimbeni.
- Ikhanda elibuhlungu ngaphambilini: Uma uphathwa yikhanda elibuhlungu njalo, kunethuba elincane lokuthi lokhu kuzokwenzeka.
- Ukuba ne-low body mass index (BMI): Abantu abancane banamathuba amaningi okuba nayo.
- Uhlobo lwenaliti esetshenzisiwe: Le ngozi ingahluka kuye ngobukhulu kanye nohlobo lwenaliti esetshenziswe udokotela.
Kuphathwa kanjani lokhu?
Izindaba ezinhle ukuthi esikhathini esiningi, lezi zinkinga zomgogodla ziyaphela ngaphandle kokwelashwa okukhethekile. Kodwa ukwesekwa kwakho kubaluleke kakhulu kulokho.
Izinto ongazenza ekhaya
Okokuqala, udokotela ukweluleka ukuthi wenze lezi zinto ezilula.
1. Hlala uphumule ngangokunokwenzeka: Hlala embhedeni, ulele. Vuka uhlale phansi, njengoba ikhanda lizoqhubeka liba libi kakhulu, ngakho-ke phumula ngangokunokwenzeka.
2. Phuza uketshezi oluningi: Phuza amanzi amaningi neziphuzo zezithelo. Lokhu kusiza ukugcwalisa uketshezi lwe-CSF lomzimba.
3. Phuza iziphuzo eziqukethe i-caffeine: Ukuphuza izinto ezifana netiye nekhofi kunganikeza impumuzo ethile ekhanda. I-caffeine ivimba imithambo yegazi ebuchosheni futhi iyasiza ekunciphiseni ubuhlungu.
4. Ama-Painkiller: Ungathatha ama-painkiller ajwayelekile njenge-paracetamol njengoba kuqondiswe udokotela wakho.
Into ebaluleke kakhulu ukuthi kufanele nakanjani uthintane nodokotela wakho ngaphambi kokwenza noma yiziphi zalezi zinto, ikakhulukazi uma ungumama oncelisayo.
Ukwelashwa kukadokotela
Uma ikhanda lingapheli ngemithi yasekhaya, futhi ubuhlungu buqhubeka izinsuku eziningana, udokotela angase ancome okunye ukwelashwa.
Kubizwa ngokuthi i- Epidural Blood Patch . Ungesabi uma uzwa lokhu. Kulula kakhulu.
- Lokhu kwenzani? Udokotela uzothatha inani elincane legazi lakho (cishe amamililitha ayi-10-20) emthanjeni osengalweni yakho.
- Ngemuva kwalokho, igazi liphinde lifakwe endaweni efanayo lapho lalifakwe khona emgogodleni ngaphambilini.
- Okwenzekayo-ke ukuthi amahlule egazi lapho, avale imbobo lapho uketshezi lwe-CSF luvuza khona, njengokungathi "kufakwe iplasta" kuyo.
- Iningi labantu lithola impumuzo ephelele ezinhlungwini zabo zekhanda zingakapheli amahora angama-24 kusukela kulokhu kwelashwa.
Akuvamile kakhulu, uma lezi zindlela zingasizi, kungase kudingeke ukuhlinzwa ukuze kuvalwe imbobo.
Kunini lapho kufanele sifune khona usizo lwezokwelapha ngokushesha?
Nakuba ikhanda elibuhlungu lomgogodla lingavamile ukuba yingozi, kungase kube nezinkinga ezingavamile kodwa ezinkulu. Ngakho-ke, uma unezinye zezimpawu ezilandelayo, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ubunzima bokuchama ngenxa yekhanda elibuhlungu.
- Ukulahlekelwa umuzwa noma ukuba ndikindiki emhlane noma emilenzeni.
- Ukuhlanza okukhulu, ukuxhuzula, noma ukulahlekelwa ukwazi.
- Ubuhlungu obukhulu entanyeni kanye nomkhuhlane.
Nakuba lezi ziyizimpawu ezingavamile kakhulu, kubaluleke kakhulu ukuziqaphela.
Umlayezo Wokuya Nawe Ekhaya
- Ikhanda Elibuhlungu Lomgogodla liyikhanda elibangelwa ukuvuza koketshezi lwe-CSF oluzungeze ubuchopho ngemva kokubhoboza/ukubhoboza i-epidural.
- Uphawu oluyinhloko ukuthi ikhanda liyaba libi kakhulu uma usukuma futhi liyancipha uma ulele phansi.
- Lokhu kuvame ukuxazululeka zingakapheli izinsuku ezimbalwa ngezinyathelo ezilula (ukuphumula, uketshezi, amaphilisi okudambisa izinhlungu).
- Uma ikhanda lihlala isikhathi esingaphezu kwamahora angama-24 noma linzima, qiniseka ukuthi wazisa udokotela wakho.
- Uma unezimpawu ezinkulu ezifana nobunzima bokuchama kanye nokuba ndikindiki emilenzeni yakho kanye nekhanda elibuhlungu, kufanele uye esibhedlela ngokushesha.
- Njengoba lesi kuyisimo esingelapheka, ungesabi ngokungadingekile futhi ulandele iseluleko sezokwelapha esifanele.
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