Izvozvo zvinonzi Post-Dural Puncture Headache Ndechikonzero nei Ichichiitika
Musoro wemusoro wemutsara ndiyo inowanzovhiringidza nhengo dzepumbus ( lumbar punctures) (inonziwo spinal taps). Munhu wose anogona kutambura kubva kune imwe. Zvisinei, inoratidzika kunge inowanikwa kana iwe uri mukadzi, pakati pemakore ekuma 31 ne50, uye une nhoroondo yemusoro shure kwepombi dzomukona. Mashoko akanaka ndeokuti mazhinji emhando idzi dzemusoro wemapaupa ane unyoro uye anogona kunyatsorapwa.
Chii Chinonzi Post-Dural Puncture Headache?
Musoro unobva ku-lumbar puncture, iyo inonzi inonzi post-dural puncture headache, inowanikwa mukati memazuva mashanu ekugadzirisa. Marwadzo akajeka zvakakwana pakuti zvakanyanya kuipa kana akagara kana amire uye achichera paanovata pasi. Nzvimbo yemarwadzo inogona kusiyana, kunyange zvazvo inowanzoitika pamberi pechiso (kazhinji kazhinji zvakatarisa kumashure) kana kumashure kwemusoro.
Zvimwe zviratidzo izvo dzimwe nguva zvinosanganiswa nemhando iyi yemupfupa wemusoro unosanganisira:
- Kuridza munzeve
- Kunzwa zvinetso
- Neck stiffness
- Nausea
- Chizutu
- Zviratidzo zvinetso
Kunyora pasi Cause
Zvinogona kushamisika iwe kuti nyanzvi haazive zvechokwadi chii chinokonzera mushure-dural kupora musoro musoro. Asi kune dzimwe dzidziso.
Kana chironga chinopera chichiitwa, chiremba anofanira kutora dura, iyo membrane ine uropi uye musana wemagunha, uyewo cerebrospinal fluid (CSF) iyo inomiswa.
Imwe nyanzvi ndeyekuti kana kune hupenyu hunoramba huchizadzika, haukwanise kuzadzikiswa zvakakwana. Izvi zvinokonzera uropi "kumira" panzvimbo, kutarisa zvivako zvinorwadza. Chimwe chinokonzera chinogona kuva kuwedzera (kuwedzera) kwemaketani muuropi mushure mekuita.
Zvinofadza, maererano neongororo muJAMA Neurology , kubvisa huwandu hwakawanda hweCFF (anopfuura 30 mL) kwakakonzera dambudziko guru remurwere achikudziridza musoro mushure mekugadzirisa nzira asi haana kuwedzera njodzi yepamusoro paawa 24 tevera.
Izvi zvinoratidza kuti biology mushure memusoro wepamusoro inogona kusiyanisa zvichienderana nepo inokura (yakarurama mushure mekuita maererano nezuva rimwe gare gare).
Kudzivirira Dambudziko
Zvidzidzo zvishoma zvakaratidza kuti kushandisa zvidzitiro zviduku (panzvimbo pekukura-zvine nheyo) kana kuti "atraumatic" nheyo (pane kuti zvive nyore "kudzvora" nheyo) zvinoguma mumamiriro ekudzika akawandisa ekuputika kwepamusoro musoro . Izvo chete zvinogona kuvhiringidzika zviduku zviduku kana zvidzidzo zveatraumatic ndezvokuti dzinogona kuwedzera unyanzvi hukuru hwokuisa, zvinoreva kuti panofanira kunge kuedza kuedza kuwana shanduko.
Zvakakosha kuziva kuti kwenguva yakareba, zvakakurudzirwa kuti vanhu vagare pamubhedha kwechinguva chekutevera kuvhara kwembiru, vachirara pasi pamasana avo. Kuongororwa kwezvidzidzo zvakasiyana-siyana kwakaratidza kuti izvi chaizvoizvo hazviratidzika kuva nemigumisiro zvachose uye kuti varwere vanomuka pakarepo havangambove nemupfupa wemusoro wemapapiro kune avo vanogara mubhedha.
Top Treatments
Kazhinji misoro yemapapu inotevera punctures lumbar ine unyoro uye inotanga kuzvigadzirisa pachavo. Asi izvi ndezvimwe nzira dzakawanda dzokurapa.
- Painkillers: Vanowanzopindura zvakanaka kune vanononoka, kusanganisira opioids , kana zvichidikanwa.
- Misiyano Mishonga : Mimwe madhiragi inogona kubatsira seanticonvulsant Neurontin (gabapentin), hydrocortisone (rudzi rwe steroid), nemishonga yemapapu inonzi theophylline.
- Caffeine: Inffevenous or oral oral caffeine inofungidzirwa kuti inoshanda kuburikidza nekuita kuti mishonga yemavhesi muuropi isunge. Iyi nzira inoratidzika kuva ine madhara mashoma uye pamwe nekurapa mushure-dural headache, inogonawo kubatsira kudzivirira imwe.
- Epidural Blood Patch: Izvi zvinogona kuedzwa kana urombo hwepamuviri hwemusoro hunoita maawa anopfuura makumi maviri uye hwakanyanya zvokuti zvipembenene hazvigadzirisi. Zvinoratidzwa kuti zvinobudirira kusvika kusvika 98 muzana yevarwere, kunyange zvazvo dzimwe nguva inoda kuitwa kaviri. Iyo nzira iri nyore uye inoitwa nachiremba. Ropa rinotorwa kubva mune mutsva uye rakapinda mumukati wako epidural (nzvimbo kunze kwekugara). Nhamba shoma yeanesthesia yemo inoshandiswa uye iwe uchakumbirwa kuti ugare kweminiti makumi matatu, uye ipapo simuka. Chaizvoizvo, nzira iyi inoshanda kuburikidza ne "kuchera mucheche" muhupenyu hwako.
Shoko Rinobva
Kunyange zvazvo huwandu hwemashure ehutachivha hwemusoro huri hunyoro, dzimwe dzinogona kuva dzakanyanya kwazvo. Nenzira yakanaka, vazhinji vachakurumidza kukurumidza kuvhiringidza kana ivo pachavo (kunyange zvinogona kutora mazuva akawanda).
Muzviitiko zvisingawanzoitiki, mushure mekuvhara musoro mushure kunoratidza kuti pane chimwe chinhu chakakomba chiri kuitika muuropi seine ropa kana chirwere. Ichi ndicho chikonzero zvakakosha kuudza chiremba wako kana uri kutarisana nemusoro wakadaro.
> Sources:
> Basurto Ona X, Osorio D, Bonfill Cosp X. Kurapa kwemishonga pakurapa mushure memaziso ekuputika musoro. Cochrane Database Syst Rev. 2015 Jul 15; (7): CD007887.
> Halker RB, Demaerschalk BM, Wellik KE, Wingerchuk DM, Rubin DI, Crum BA, Dodick DW. Caffeine yekudzivirira uye kurapwa kwemashure ekuputika musoro musoro: debunking nhema. Neurologist. 2007 Sep; 13 (5): 323-7.
> Kusarudzwa Kwemusoro kweKomiti Komiti Yenyika Dzepasi Pose Inonzi Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808.
> Monserrate AE et al. Zviitiko zvinobatanidzwa nekutanga uye nekusimudzira kwema-post-lumbar kuputika musoro. JAMA Neurol . 2015 Mar; 72 (3): 325-32.