Mutu wamutu waukulu: Mtundu Wambiri wa Mutu
Kuchita masewera olimbitsa thupi ndi ntchito yathanzi yomwe imathandiza kuthetsa nkhawa ndi kulimbikitsa mapirinphine. Koma ngati mumasewera masewera othamanga kapena otetezera, chinthu chofunika kwambiri chomwe mukusowa ndicho kupwetekedwa mutu pambuyo poti mafinorphins amatha kuchokera kuntchito yanu.
Mutu wamutu wapadera ndi mtundu wosasinthasintha wa mutu umene umayambitsa kupweteka kumutu kwa mutu, panthawi kapena pambuyo, mtundu uliwonse wa kupirira molimbika.
Zizindikiro
Malinga ndi ndondomeko yachitatu ya International Classification of Headache Disorders , mutu wapadera wokakamiza ukupweteka, umatha maola osachepera makumi asanu ndi atatu mphambu asanu ndi atatu, ndipo umapezeka pokhapokha mutatha kuchita masewera olimbitsa thupi.
Kuphatikiza apo, mutu wachangu umapezeka pambali zonse za mutu, mosiyana ndi migraine, yomwe imakhala imodzi.
Mutu wapamutu wofunika kwambiri suyenera kusokonezeka ndi mavuto ena awiri oyambirira a mutu omwe amatchedwa mutu wa chifuwa chachikulu (kubweretsedwe ndi chifuwa kapena Valsalva-kuyendetsa) kapena matenda opatsirana pogonana (amabweretsedwa ndi kugonana).
Kudziwa
Musanayambe katswiri wa mutu wanu kapena katswiri wa sayansi ya zamoyo atayambitsa matenda opatsirana pamutu, mungathe kuganiza za ubongo kuti muwononge matenda ena. Kujambula kwa ubongo kumachitika ndi kujambulira maginito ( MRI ) ndi / kapena magnetic resonance angiography ( MRA ).
Zifukwa za kupweteka kwa mutu zomwe zingatsanitse mutu wapamutu wokhazikika koma ndizopweteka pamutu kapena kuwonetsa matenda akuthupi monga:
- Sitiroko
- Matenda a ubongo
- S kubarachnoid kuchepa kwa magazi
- Mitsempha yotsitsimutsa
- Matenda osokoneza ubongo a vasoconstriction syndrome (RCVS)
Akatswiri amalangizanso kuti anthu omwe ali ndi ziwalo za mtima ndi zochititsa manyazi zomwe zimapangitsa munthu kukhala ndi matenda a mtima , makamaka ngati mutu umangokhala ndi masewera olimbitsa thupi, sizimagwirizana ndi migraine, kapena / kapena miyezi yomwe imachokera kumutu kapena m'kamwa.
Chifukwa
Cholinga cha mutu wachisamaliro wopambana sichidziwika. Akatswiri ena amakhulupirira kuti kupweteka kwa mimba ndi chifuwa nthawi yochita masewera olimbitsa thupi kumafalikira mu chigaza, kuchititsa kukula kwa mitsempha yowumitsa ululu.
Mwinanso, mutu wopitirira ukhoza kukhala chifukwa cha vuto la chotengera cha magazi, monga mitsempha yopanda nzeru ya mkati. Mitsempha yamkati mkati mwake ndi mitsempha yaikulu kumbali yonse ya khosi lanu yomwe imatenga magazi kuchokera mu ubongo ndi nkhope. Ngati mitsempha sagwira ntchito bwino, magazi amatha kubwerera ku ubongo mmalo mwa mtima, zomwe zingayambitse kupanikizika m'matumbo ozungulira ubongo.
Pofuna kutsimikizira mfundo imeneyi, phunziro lina ku Cephalalgia linapeza kuti anthu omwe ali ndi mutu wopweteka kwambiri amakhala ndi mitsempha yambiri yopanda nzeru kuposa anthu opanda mutu.
Chithandizo
Indomethacin , mankhwala osachiritsika omwe sagwiritsidwe ndi kutupa kapena NSAID, omwe nthawi zina amagwiritsidwa ntchito pochizira matenda kapena nyamakazi, ndizochizolowezi cha mankhwala opweteka oyambirira. Ikhoza kugwiritsidwanso ntchito mphindi 30 mpaka 60 musanayambe kuchita masewero olimbitsa thupi kuti muteteze mutu wopitilirapo ndipo mwapezeka kuti mukugwira bwino ntchito.
Izi zikuti, indomethacin imakhudzana ndi zotsatira zochepa zoopsa, monga:
- Zotsatira zowopsa, kuphatikizapo anaphylaxis
- Matenda a m'mimba komanso / kapena magazi
- Zochitika zamtima (mwachitsanzo, matenda a mtima ndi kupwetekedwa mtima)
- Kuwonongeka kwa impso
- Kuwonjezeka kwa michere ya chiwindi
- Chizunguliro ndi mavuto ena amachititsa mantha
Ngati dokotala akulamula indomethacin, chonde onani zotsatirazi ndi zina zomwe zingakhale zovuta kwambiri.
Kuwonjezera pa indomethacin, mankhwala ena omwe nthawi zina amauzidwa ndi madokotala ndi ergonovine, naproxen, phenelzine, ndi propranolol.
Mawu Ochokera
Mwachidule, mutu wapadera wokhazikika ndi mutu umene umachitika panthawi yochita masewera olimbitsa thupi kapena pambuyo pake. Chifukwa cha kusamvana kwake, musanadziŵe kuti muli ndi vutoli lakumutu, muyenera kuyesedwa bwino kwambiri ndi katswiri wa mutu kapena katswiri wa mano, komanso kuganizira za ubongo, kuti muwonetsetse zina zomwe zimayambitsa mutu wanu.
Pomalizira pake, kuchita masewera olimbitsa thupi ndibwino kuti mukhale ndi thanzi labwino komanso labwino, kotero ngati mumakhala ndi mutu wopambana, kambiranani ndi dokotala wanu kuti musamachite masewera olimbitsa thupi kapena kuganizira mankhwala omwe mungagwire musanayambe kuchita masewera olimbitsa thupi kuti muthetse mutu.
Inde, ngati muli ndi mafunso kapena nkhawa zokhudzana ndi kupweteka kwa mutu, kapena ngati muli ndi mutu watsopano kapena wina wotsatira chitsanzo, chonde funsani wothandizira zaumoyo wanu.
> Zotsatira:
> Cutrer M. (2016). Mutu wamutu waukulu. Swanson JW, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Doepp F, Valdueza JM, Schreiber SJ. Kulephera kwa valavu yeniyeni mkati mwa odwala omwe ali ndi mutu wapamtima wovuta: chinthu chowopsa? Cephalalgia 2008; 28: 182.
> Halker RB, Vargas BB. Mutu wamutu wapamutu: Zosintha mu Zolemba. Kupweteka kwakumutu kupweteka kwa mutu . 2013; Jun; 17 (6): 337.
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.