Ingabe nawe uke waba nekhanda elibuhlungu ngenxa yokulimala komgogodla? Ake sifunde ngaleli khanda elibuhlungu lomgogodla!

Wake waba nekhanda elibuhlungu elingabekezeleleki, ikakhulukazi ngemva kokujova emhlane wakho? Noma uzizwa sengathi ubuhlungu buba bubi kakhulu uma uhleli noma umile, futhi bube ngcono uma ulele phansi? Uma kunjalo, ungase ube nesifo esibizwa ngokuthi i-Spinal Headache, esizokhuluma ngaso namuhla. Ungakhathazeki, ake sixoxe ngakho ngokuningiliziwe .

Kuyini Ubuhlungu Bekhanda Lomgogodla?

Kalula nje, ikhanda lomgogodla liyikhanda elibuhlungu elibangelwa ukwehla kwenani loketshezi lwe-cerebrospinal (CSF) , uketshezi oluzungeze ubuchopho bakho. Cabanga ukuthi ubuchopho bethu kanye nomgogodla, ogeleza emgogodleni wakho, kuvikelwe njengomcamelo ogcwele lolu ketshezi lwamanzi olubizwa nge-CSF. Lolu ketshezi londla ubuchopho futhi luvikele ubuchopho kanye nomgogodla ekunyakazeni okungazelelwe.

Ngakho-ke, uma ngesizathu esithile lolu ketshezi lwe-CSF oluzungeze ubuchopho luncipha, okungukuthi, uma luvuza, ukusekelwa kobuchopho kuyancipha. Khona-ke ubuchopho buqala ukugoba kancane. Kuleli qophelo, izicubu ezithambile kanye nemizwa exhunywe ebuchosheni iqala ukudonsa. Lokho kudonsa yilokho esikuzwayo njengekhanda elibuhlungu kakhulu.

Lokhu kubizwa nangokuthi:

• Ikhanda elibuhlungu ngemva kokubhoboza ezinhlangothini zombili
• Ikhanda elibuhlungu le-epidural
• Ikhanda elibuhlungu elingaphansi kokucindezeleka

Kungani kwenzeka lokhu kuphathwa yikhanda lomgogodla?

Isizathu esiyinhloko salokhu inqubo yezokwelapha esiyibiza ngokuthi "umpompi womgogodla." Okusho ukuthi, ukubhobozwa kwe-lumbar noma i-spinal tap .

Ukubhoboza Umgogodla/Umbhobho Wethambo yimbangela eyinhloko

Odokotela benza ukubhoboza i-lumbar ngezizathu eziningana. Ukuze bathole isampula ye-CSF ukuze bathole izimo ezithile, noma banikeze i-anesthesia. Ungase ukhumbule i-anesthesia ye-epidural enikezwa umgogodla ukuze kuncishiswe ubuhlungu ngesikhathi sokubeletha. Yilokho okwenzelwe khona.

Kule nqubo, udokotela ufaka inalithi encane emgudwini wakho womgogodla, kungaba ngomhlane wakho ongezansi noma ukuze anikeze i-anesthesia noma athathe isampula ye-CSF. Kodwa-ke, ngezinye izikhathi imbobo encane kuma-meninges, ulwelwesi oluzungeze intambo yomgogodla, ingabangela ukuthi i-CSF iphume.

Uma uketshezi lwe-CSF luncipha, ingcindezi ezungeze ubuchopho nayo iyancipha. Lokhu sikubiza ngokuthi i -intracranial hypotension . Bese ubuchopho bubonakala bulenga kancane. Yilokho okubangela ikhanda elibuhlungu.

Ucwaningo lubonisa ukuthi lolu hlobo lwekhanda lomgogodla lungenzeka cishe ku-10% kuya ku-40% wokubhoboza kwe-lumbar.

Ingabe zikhona ezinye izizathu?

Yebo, akuyona nje impompi yomgogodla. Akuvamile ukuthi ukuvuza kwe-CSF kungabangela nobuhlungu bekhanda lomgogodla ngenxa yezinye izimbangela.

• I-cyst ebukeka njenge-water blister eduze komgogodla wakho iyaqhuma.
• Ukudabuka kwezicubu ezivikelayo (ama-meninges) ezizungeze intambo yomgogodla.
• Ukulimala okukhulu ekhanda noma ebusweni, njengogebhezi oluphukile.

Ziyini izimpawu zekhanda elibuhlungu lomgogodla?

Kumuntu oke waba nomgogodla obuhlungu, lezi zinkinga zekhanda zivame ukuqala zingakapheli izinsuku ezimbili kuya kwezintathu. Kodwa-ke, ngezinye izikhathi zingavela ezinyangeni kamuva.

Izici eziyinhloko yilezi:

• Ikhanda elibuhlungu elibuhlungu eliqala ebunzini noma ngemuva kwekhanda.
• Ubuhlungu buyanda uma uhleli noma umile, futhi buyancipha kancane uma ulele phansi. Lesi yisici esiyinhloko nesiphawuleka kakhulu salolu buhlungu bekhanda.
• Ikhanda liyaba libi kakhulu uma ukhwehlela, uzikhandla, noma uzama ukuzikhulula.
• Isicanucanu.
• Ubuhlungu noma ukuqina kwentamo.
• Isiyezi.
• Izinguquko zombono kanye nokuzwela ukukhanya, okungukuthi i-photophobia .

Ngaphezu kwalokho, izimpawu ezilandelayo zingase zibonakale kaningi:

• Ukuzwa ukukhala ezindlebeni (i-Tinnitus) .
• Ukulahlekelwa ukuzwa.
• Izimpawu ezinjengokuba ndikindiki noma ukulahlekelwa umuzwa ezandleni (izimpawu ze-Radiculopathy) .

Lezi zimpawu zingahlala isikhathi esingakanani?

Esikhathini esiningi, lezi zinkinga zobuhlungu bomgogodla zingase zithathe amahora ambalwa kuya ezinsukwini ezimbalwa. Kodwa kwabanye abantu, zingase zithathe isikhathi eside. Uma unalezi zimpawu isikhathi esingaphezu kwamahora angu-24, kufanele nakanjani ubone udokotela.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici Eziyingozi)

Abanye abantu banamathuba amaningi okuthola lezi zinkinga zobuhlungu bomgogodla. Kunezici eziningana ezibangela lokhu:

• Ukuphuza amanzi amancane (ukuphelelwa amanzi emzimbeni).
• Izimo ezithinta umzimba wonke, njengomfutho wegazi ophakeme kanye nomkhuhlane.
• Ukuba ngumuntu ophathwa yikhanda njalo.
• Kulabo abanesisindo somzimba esiphansi (i-Low body mass index - BMI).
• Uhlobo lwenaliti olusetshenziswa empompini yomgogodla. Le ngozi iphakeme uma kusetshenziswa izinhlobo ezithile zezinaliti (izinaliti zomgogodla ezisikiwe noma ezinkulu).

Ngokuvamile, lezi zinkinga zobuhlungu bomgogodla zibonakala kwabesifazane abaneminyaka ephakathi kuka-20 no-40 abathola i-epidural anesthesia emhlane wabo ngesikhathi bebeletha.

Udokotela wazi kanjani ukuthi lokhu kuyikhanda lomgogodla?

Udokotela uzonquma ukuthi ngabe yikhanda lomgogodla ngokusekelwe emibuzweni oyibuzayo (umlando wakho wezokwelapha) kanye nezimpawu zakho. Uma uke waba nompompi womgogodla muva nje, okungukuthi, zingakapheli izinsuku ezingu-14, ukuxilongwa kusobala kakhulu. Kuleso simo, akudingeki ukuhlolwa okwengeziwe.

Kodwa-ke, uma ungenawo umbhobho womgogodla, udokotela wakho angase akucele ukuthi uhlolwe nge -MRI (Magnetic Resonance Imaging) ukuze kutholakale imbangela yekhanda lakho. Lokhu kungahlolisisa ubuchopho bakho kanye nomgogodla wakho ukuze kubonakale ukuthi kukhona yini ukuvuza koketshezi lwe-CSF.

Yiziphi izindlela zokwelapha lokhu?

Odokotela bavame ukuncoma okulandelayo ukwelapha ikhanda elibuhlungu lomgogodla:

Izinto ongazenza ekhaya

• Lala phansi endaweni eyisicaba bese ulala phansi. Kungcono ukulala phansi ngangokunokwenzeka, njengoba ukuma nokuhlala phansi kungabangela ubuhlungu obukhulu.
• Phuza amanzi amaningi kanye noketshezi. Ikakhulukazi iziphuzo eziqukethe i-caffeine, njengekhofi, itiye, kanye nezinye iziphuzo ezibandayo, zinganikeza impumuzo.
• Sebenzisa imithi yokunciphisa ubuhlungu/yokuthobisa etholakala ngaphandle kwemithi kadokotela ongayithola ekhemisi.

Ukwelashwa ngudokotela

Ngezinye izikhathi ukwelashwa okungenhla akusizi. Uma usenekhanda elibuhlungu ngemva kwezinsuku ezimbalwa, udokotela wakho angase ancome inqubo ebizwa ngokuthi i-epidural blood patch . Lokhu kuhilela ukufaka elinye legazi lakho emgodini lapho i-CSF ivuza khona. Igazi liyawavala futhi livale umgodi. Lokhu kusiza abantu abaningi ukuba balulame ngokushesha.

Akuvamile kakhulu, ukuhlinzwa kuyadingeka ukulungisa ukuvuza kwe-CSF.

Ingabe ikhanda elibuhlungu lomgogodla lingavinjelwa?

Akukho lutho ongakwenza ukuvimbela lokhu. Kodwa-ke, odokotela basebenzisa uhlobo olukhethekile lwenaliti (inaliti enganqumi) oluncane ngangokunokwenzeka lapho bethinta umgogodla ukuze banciphise le ngozi.

Lokhu kuzophola ngokushesha kangakanani? (Isibikezelo)

Akukho okufanele ukwesabe ngalezi zinkinga zobuhlungu bomgogodla. Isikhathi esiningi (cishe ama-85%) zizophela ngaphandle kokwelashwa. Uma sisebenzisa ukwelashwa nge-epidural blood patch esikhulume ngakho ekuqaleni, ubuhlungu bekhanda buzophela ngokuphelele zingakapheli amahora angama-24 ezimweni ezingama-60% kuya kuma-70%.

Kodwa-ke, akuvamile ukuthi kube nezimo ezinzima...

Nakuba lokhu kungavamile kakhulu, ubuhlungu bekhanda obungapheli nobunamandla bomgogodla bungabangela izinkinga ezifana nalezi:

• I-Cerebral venous sinus thrombosis - Ukuqhekeka kwegazi emithanjeni yegazi yobuchopho.
• I-subdural hematoma – iqoqo legazi elizungeze ubuchopho.
• Ukuquleka.
• I-Hypopituitarism - ukwehla kokusebenza kwe-pituitary gland.
• I-Syringomyelia – Ukwakheka kwemigodi egcwele uketshezi ngaphakathi kwentambo yomgogodla.
• Ukuqhekeka kobuchopho – ukuvela kwengxenye yobuchopho ngenxa yokucindezela okukhulu.
• Isimo se-Coma.
• Ngisho nokufa kungenzeka (kodwa lokhu akuvamile kakhulu ).

Asikusho lokhu ukuze sikwethuse, kodwa kuhle ukuqaphela lolu hlobo lwesimo. Yingakho sithi uma ikhanda lakho libuhlungu futhi liqhubeka, kufanele nakanjani ubone udokotela.

Kufanele ngimbone nini udokotela?

Uma unekhanda elibuhlungu kakhulu ngemva kokuthinta umgogodla futhi lihlala isikhathi esingaphezu kwamahora angama-24, kufanele nakanjani ubone udokotela.

Futhi, uma unenkinga yokuchama, noma uma uzizwa sengathi ulahlekelwa umuzwa emhlane noma emilenzeni yakho, kungaba uphawu lwenkinga enkulu. Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.

Umlayezo Wokuya Nawe Ekhaya

Sonke siphathwa yikhanda ngezikhathi ezithile ngezizathu ezahlukene. Kodwa ikhanda lomgogodla aliyona ikhanda elivamile obhekene nalo. Uma unekhanda elibuhlungu ngemva kokuthinta umgogodla noma i-epidural, tshela udokotela wakho. Esikhathini esiningi, lezi khanda zizophela zodwa, kodwa ungase udinge ukwelashwa, njenge-epidural blood patch. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha ngaphambi kokwenza noma yiziphi izinqumo ngokwakho.

Ikhanda elibuhlungu lomgogodla, ukumpompa komgogodla, ikhanda elibuhlungu, ukubhoboza i-lumbar, i-epidural, i-CSF, uketshezi lomgogodla