Primary Primary Practice Headache: Rare Rudzi rweMusoro
Kuita zvekuita muviri unoita basa rakanaka rinobatsira kubvisa kushungurudzika uye kukurudzira endorphins. Asi kana iwe unofarira nguva refu kana mitambo yemakwikwi, chinhu chekupedzisira chaunoda ndechekusuwa mushure mekunge kuwedzerwa kwe endorphins kubva kubasa rako.
Nheyo yepamusoro inobata musoro ndeye rudzi rushoma rwemusoro rinokonzera kurwadziwa kwemusoro kunoputika, panguva kana kana mushure mokunge, chero ipi zvayo yakaramba ichishanda.
Zviratidzo
Maererano nekudhinda kwechitatu kweInternational Classification of Headache Disorders , chekutanga chekudzivirira musoro kunopisa, kunopedza maawa mashoma makumi mana nemasere, uye kunowanikwa panguva kana mushure mekuita basa.
Pamusoro pezvo, kuve musoro musoro kunowanzoitika kumativi ose emusoro, zvakasiyana nemagraine, ayo anowanzova oga.
Chimwe chekutanga chekudzivirira musoro hachifaniri kukanganiswa nemamwe matambudziko maviri anonyanya kuora musoro anonzi chigunzo chekudzivirira musoro musoro (chinounzwa nokukanganiswa kana kuti Valsalva-kufamba) kana kuti kuora musoro kwepabonde (kunounzwa nehutano).
Kuziva
Iwe usati waona nyanya yemusoro kana nyanzvi yehutano ichinyanya kuongororwa kwepamusoro-chinangwa chekudzivirira musoro, iwe unogona kunge uchifungidzira huropi kuitira kuti utonge zvimwe zvirwere zvehutano. Kufananidza kwehuropi kunoitwa ne magnetic resonance imaging ( MRI ) uye / kana magnetic resonance angiography ( MRA ).
Zvinokonzera kusuruvara kunogona kufanana nemusoro wekudzivirira musoro musoro asi zvechokwadi kune musoro wechipiri kana kuti chiratidzo chechirwere chinotanga kuitika chinosanganisira:
- Stroke
- Brain Tumor
- S ubarachnoid ropa
- Vertebral artery dissection
- Kuchinja kwechiremba vasoconstriction syndrome (RCVS)
Nyanzvi dzinopawo zano rokuti vanhu vane moyo yepfungwa dzengozi uye maitiro ekurovedza-maitiro ane kuongororwa kwechirwere chemwoyo , kunyanya kana bvudzi rinenge richiitika chete nekurovedza muviri, harina kufanana ne-migraine, uye / kana maharadi kusvika kana kubva pamutsipa kana musaya.
Cause
Chikonzero chekutanga chekudzivirira musoro musoro hachizivikanwi. Dzimwe nyanzvi dzinofunga kuti kudzvinyirirwa kubva mudumbu nechifuva panguva yekurovedza muviri kunopfuurirwa mukati mehenya, zvichiita kuwedzera kwemitsipa yeropa.
Zvimwewo, kushanda kwepfungwa kunogona kuve kwakakonzerwa nechirwere cheropa, sezvinenge zvisingazivikanwi zvemukati jugular vein. Mukati mutsara mutsva muhombe huru kune rumwe rutivi rwomutsipa wako unounganidza ropa kubva muuropi uye chiso. Kana mhete iri kusashanda zvakanaka, ropa rinogona kutenderera kuuropi panzvimbo yepamwoyo, izvo zvinogona kutungamirira kuwedzera kukumanikidza mumhepo inotyisa inopoteredza uropi.
Kuti vatsigire chirevo ichi, chimwe chidzidzo muCephalalgia chakaona kuti vanhu vane misoro yepamusoro vainyanya kunge vaine mikana isina kukodzera mukati mejugular mitsemhere pane vanhu vasingadi kuora musoro.
Kurapa
Indomethacin , isiri-steroid anti-inflammatory drug or NSAID, iyo dzimwe nguva inoshandiswa kugarisa gout kana arthritis, ndiyo inowanzorapa yepokutanga inobata musoro musoro. Inogonawo kushandiswa pamaminetsi makumi matatu nemakumi matatu asati aita maitiro ekudzivirira kudzivirira musoro wemusoro uye yakawanikwa ichibudirira.
Izvozvo zvakati, indomethacin inosanganiswa nemigumisiro yakaipisisa yakaipa, yakaita seyi:
- Yakanyanya kuoravira, kusanganisira anaphylaxis
- Kugadzikana kwepamuviri uye / kana kubuda ropa
- Zvirwere zvepfungwa (somuenzaniso, kurwisa kwemwoyo uye kurohwa)
- Kuora kweiyo
- Kurereka kwechiropa chechiropa
- Dhizinesi uye mamwe manzwiro emagandanga anotyisa
Kana chiremba wako akaraira indomethacin, tapota ongorora izvi nezvimwe zvinogona kuipa zvinogona kuitika zvakanaka.
Kunze kwe indomethacin, mamwe maitiro dzimwe nguva anorayirwa navanachiremba ergonovine, naproxen, phenelzine, uye propranolol.
Shoko Rinobva
Mukupfupisa, kunyanya kushanda musoro musoro kune musoro unoitika panguva kana mushure mekuita basa rakaoma. Pamusana pekunyatsoziva kwayo, usati wamboonekwa kuti une chirwere ichi chepfungwa, unofanirwa kuongororwa neurologic nekuongorora nyanzvi kana weurologist, pamwe nekufungidzira kweuropi, kutonga zvimwe zvinokonzera musoro wako.
Pakupedzisira, kurovedza muviri kwakakunakira utano hwako hwepanyama nehutano, saka kana ukawana hutano hukuru hunopedza, taura nachiremba wako nezvekugadzirisa chirongwa chekudzidzira chirwere chiduku kana kufunga nezvemishonga inotora matanho asati aita kuti utadze musoro.
Zvechokwadi, kana uine mibvunzo kana zvinetseka pamusoro pemusoro wako kuongororwa, kana uine hutano hutsva hutsva kana huri kutevera muenzaniso wakasiyana, tapota taura nemupi wako wehutano hwehutano.
> Sources:
> Cutrer M. (2016). Primary primary exertional headache. Swanson JW, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Doepp F, Valdueza JM, Schreiber SJ. Kusagadzikana kwevhavhavha yepakati yejugular mukati mevarwere vane nheyo yepamusoro yekushanda musoro: chinokonzera ngozi? Cephalalgia 2008; 28: 182.
> Halker RB, Vargas BB. Primary Primary Practice Headache: Updates in Literature. Curr Pain Headache Rep . 2013; Jun; 17 (6): 337.
> 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.