Zolinga Zowonjezereka Zopereka Udokotala Wowonjezera.
Tangoganizirani kuti mukuwona phokoso lopanda phokoso lalikulu la galimoto. Tsopano ganizirani izi zikuchitika mu ubongo wanu.
Izi zikhoza kukhala zofanana ndi mutu wa bingu wamkuntho-vuto lakumutu lomwe limayambitsa kupweteka kwadzidzidzi, koopsa komanso koopsa kwambiri.
Ndikofunika kuzindikira kuti mutu uwu ukhoza kufanana ndi ululu womwewo umene umayambitsa matenda oopsa a ubongo - choncho, ngati munthu ali ndi mutu wa bingu, ayenera kupeza chithandizo chamankhwala.
Ndipotu, mutu wa bingu umakhala wovuta kwambiri kuchokera ku vuto lalikulu la mitsempha mu ubongo (ngati matenda owonongeka a m'madzi) kapena vuto lina la ubongo, kusiyana ndi vutoli lachimake lopanda mutu.
Mwachidule
Bungwe la International Headache Society limatanthauzira mutu wa mutu wa bingu ngati "mitu yapamwamba yowonongeka mofulumira yomwe imayambitsa matenda a ubongo, ngati palibe vuto lililonse la matenda opatsirana."
Ndiponso, molingana ndi IHS "umboni wakuti mkokomo wamutu umakhalapo ngati vuto lalikulu silofala." Izi zikutanthauza kuti kudandaula kwakukulu kuyenera kuchitidwa kwa munthu yemwe ali ndi mutu wamkokomo kuti atsimikizire kuti palibe choopsa chomwe chikuchitika.
Mwa kuyankhula kwina, mutu wa bingu wamkuntho ndikutulukira kwa kusalidwa-china chirichonse chiyenera kulamulidwa poyamba.
Zizindikiro
Malinga ndi zofunikira za kusindikiza kwachitatu kwa International Classification of Headache Disorder, zizindikiro za mutu wa bingu wamkuntho zimaphatikizapo:
- Kuthamanga : Kwambiri , "mutu wopweteka kwambiri wa moyo wanga."
- Kuyambira : Mwadzidzidzi, kufika pamtunda waukulu <1 miniti
- Nthawi: Kutenga mphindi zisanu kapena zina.
Kuwonjezera pa zida zapamwambazi, mutu wa bingu wamkuntho sungathe kufotokozedwa ndi matenda ena.
Kudziwa
Mutu wa bingu ndi chinthu chosavuta chakumutu kwa mutu waukulu ndipo njira zonse ziyenera kutengedwa kuti zithetse vuto linalake lachipatala.
Mwachitsanzo, vuto la mitsempha ya magazi kapena ubongo wa ubongo, monga kutaya kwa thupi, nthawi zambiri imayambitsa mutu wa bingu-kotero ndikofunikira kuti zinthu izi ziwopsyezedwe.
Munthu amene ali ndi mutu wa bingu ayenera kukhala ndi mpweya wonyezimira wosonyeza kuti ali ndi kachilombo koyambitsa matenda kapena CSF, komanso kuganizira za ubongo, kawirikawiri ndi kanema ya CT komanso / kapena ubongo wa maginito ( MRI ). Kawirikawiri, magnetic resonance angiography ( MRA ), ndi / kapena venography ( MRV ) yachitidwa pofuna kuthetsa vuto lililonse la chotengera cha magazi mu ubongo. Nthawi zina ubongo umagwiritsidwa ntchito.
Zitsanzo za mitu zomwe zingatsanzire mutu wa bingu wamtambo ndi:
- Kuchuluka kwa magazi osakanikirana
- Intracerebral kuchepa kwa magazi
- Thanzisis ya Cerebral Venous Thrombosis
- Pituitary Apoplexy
- Kusokonezeka kwa Arterial
- Matenda ngati Acute Sinusitis kapena Meningitis
- Sitiroko ya Ischemic
- Matenda Oopsa Ambiri
- Matenda osokonezeka a cerebrovasoconstriction
- Kusakanikirana kosavomerezeka kwapadera
- Chinthu choyambira chachitatu cha ventricle
Chifukwa
Chifukwa cha mutu wa bingu wamkuntho chachikulu sichidziwika. Zingakhale zogwirizana ndi kupopera kwa mitsempha ya magazi mu ubongo.
Chithandizo
Kuchiza kwa mutu wa bingu kumadalira chiyambi. Mwachitsanzo, chithandizo cha kuchepa kwa matenda osokoneza bongo kungaphatikizepo thandizo lachipatala komanso / kapena njira zamagetsi.
Ngati zoopsa zachipatala zatulutsidwa kunja, chithandizo cha mutu waukulu wa bingu chikhoza kukhala chovuta. Anthu ambiri samayankha bwino ngati kupweteka kwa mutu kumapweteka.
Kafukufuku wina wakale ku Neurology wasonyeza kuti nimodipine, calcium channel blocker, angapereke chisamaliro cha mutu pakati pa anthu omwe ali ndi mutu waukulu wa bingu. Koma, phunziroli linali ochepa-odwala 11 okha-ndipo panalibenso gulu lolamulira, lomwe limasonyeza kuti pangakhale zotsatira za placebo.
Kafukufuku wambiri pa vutoli lachidziwitso lachidziwitso chachikulu likhoza kukhala lothandiza.
> Zotsatira:
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
> Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine pofuna kuthandizira mutu wa mkokomo wa bingu. 2004 Apr 27; 62 (8): 1414-6.
> Schwedt TJ & Dodick DW. (2014). Mutu wamutu. Mu: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.