Zvinokonzera Njodzi uye Kurapa kweSpinal Tap Headache
Pasinei nokuti iwe wakave nechikwata chekuvharidzira (chinonziwo musipinha) munguva yebasa kana kuti kuongororwa kana kurapwa kwechirwere chemamiriro ekurapa, hausi wega kana iwe wakagadzira musoro-chiitiko chinowanzo (asi usanetseka, nguva dzose rinodarika riri roga).
Chii chinonzi Post-Lumbar Puncture Headache?
Kushandiswa kwechimbichimbi inzira inoshandiswa nekuda kwezvikonzero zvakasiyana siyana, kusanganisira kuongorora cerebrospinal fluid (iyo inoshambadza uye inokonzera uropi hwako nemutsipa wepamuviri) kune utachiona kana kuputika, sezvinongofungidzirwa meningitis kana multiple sclerosis.
Lumbar punctures inofanirwawo kuendesa mishonga mu cerebrospinal fluid (CSF), semishonga inorwisa mabhakitiriya, chemotherapy, steroids, kana anesthetics. Somuenzaniso, munguva yekutambudzika, zvinowanzoitika kuti mukadzi ave nehutachiona hwekurwadziwa. Mune nzira iyi, anesthetic inorohwa munzvimbo yepachikafu apo CSF inoyerera kunopisa nzvimbo iri pasi pechiuno chemukadzi. Lumbar punctures inogona kuitwawo kuti ienzanise kudzvinyirirwa kweCSF, sezvinonzi idiopathic inonyanya kukonzerwa nehutachiona -mamiriro ezvinhu anokonzera kuora musoro uye chiratidzo kuchinja.
Inenge chikamu chetatu chevatachiona vanokura musoro kana mushure mekuvhara ropa (kazhinji mukati memazuva mashanu) pamusana pekuvhara munharaunda mumugwagwa wepasina, apo CSF inodzinga. Apo CSF inoderera, inogona kukonzera misoro inonyanya kuipa kana yakagara yakarurama kana yakamira. Izvi zvinoreva kuti kurwadziwa kwepamuviri kunoderedzwa kana munhu akarara zvakakwana, asi anodzoka (zvakakurumidza) apo vanosimudza musoro wavo (sezvakawanda CSF inodonha kunze nemhaka yemusikirwo).
Iyo yakanyatsogadzirisa maitiro ekuti nzira yekunyatsoputika kwemusoro kunotanga sei. Dzimwe nyanzvi dzinofunga kuti CSF kuputika kunokonzera kuderera kwehuwandu uye simba reSCF muuropi, kudzivirira huropi kuti irege kukanganiswa nehenya. Kana munhu akarara pasi, iyo inonaya inogona kuderera zvakare muuropi (gravity) iyo ichibvumira kuti idzokwe zvakare uye nokudaro inoderedza musoro.
Vamwe vanodavira kuti kuwandisa kweCSF kunokurudzira mamwe mapepa muuropi anokonzera kuputika kwemakumbo europi, zvichiita kuti ave nemusoro.
Vamwe vanhu vari pangozi yakanyanya yekugadzirisa misoro kubva pamagetsi. Izvi zvinokonzera ngozi zvinosanganisira:
- kuva mukadzi
- pakati pemakore makumi matatu negumi nemakumi mashanu
- imwe nhoroondo yekare yepositi yechipfuva chekudzivirira musoro
- nzira yekugadzirisa-maitiro uye ukuru hwesingano inoshandiswa kupinza muchechi ye-thecal (iyo ine CSF)
Kuberekwa uye kuonda kunogonawo kuwedzera mukana wevanhu wekugadzira mushure wekunyora musoro.
Chii Chinonzi Post-Lumbar Kupedza Musoro weChecheche Unofunga?
Mukuwedzera kune marwadzo pamativi ose maviri emusoro iyo iripo-yakaderedzwa paanenge ureve wakanyatsokonzerwa uye wakakonzerwa kana wakamira kana wakagara-kumusoro kwema-lumbar kuputika musoro kunogona kuendeswa nezvimwe zviratidzo zvakadai:
- kuoma kwemitsipa
- kuridza munzeve
- kunzwa kuchinja
- kunzwisisika kuchiedza
- nausea
Kurapa kwePost-Lumbar Kupedza Headache
Imwe misoro inotora musoro inogadzirisa pachayo mukati mevhiki asi inogona kutora kusvika mavhiki maviri. Mashoko akanaka ndeokuti vazhinji vanoenda voga pachavo. Kazhinji zviyero zvisinganzwisisiki zvakadai sekudya, uye zvinorwadza-kufanana (sezvakaita opioid ) zvinogona kubatsira.
Vamwe vanachiremba vanotaura kuti caffeinewo (kunyange zvazvo pasina zvakanyatsozivikanwa nesayenzi yakadzoka shure kweizvi.)
Asi kana musoro wako uchiramba uripo, chirwere chepidural blood patch chinogona kudiwa. Iyi ndiyo nzira iyo iyo yakagadziriswa nayo yakavharidzirwa neropa rako. Inopa rubatsiro rwekukurumidza uye inowanzobudirira, kunyange dzimwe nguva inoda kudzokororwa.
Shoko kubva
Kuwana kuputika kunogona kunge kusingafadzi pachako, uye musoro wepamusoro pamusoro payo haisi nyaya iri nyore. Asi usaora mwoyo, sezvo hutachiona hwemashure mako huchabva huri pachako kana neine ropa patch (iyo ndiyo nzira yakanaka kwazvo).
Sources:
Ahmed, SV, Jayawarna, C., & Jude, E. Post inonyorwa kuputika musoro: kuongorora uye kutungamirirwa. Medical Journal Postgraduate. 2006; 82 (973): 713-16.
Halker, RB Caffeine yekudzivirira uye kurapwa kwemashure ekudzivirira musoro musoro: debunking nhema. Neurologist 2007 Sep; 13 (5): 323-7.
Musoro weKutsanangurira Komiti yeAustralia Headache Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808.