Fomu Yoyankha-Mayankho Format
Mitsempha ya mitsempha, kapena PNBs, imagwiritsidwa ntchito pochiza matenda osiyanasiyana ammutu. Pano pali kuyang'ana pazofunikira za mitsempha ya phokoso pogwiritsa ntchito mawonekedwe a mayankho a mayankho:
Matenda a Mutu Waukulu Wamtunduwu Amachitikiridwa ndi Mitsempha ya Mitsempha ya Pachimake
- Migraines
- Mutu wamutu
- Matenda a tsiku ndi tsiku
- Hemicrania Continua
- Kumutu kwa mutu kwatsopano kwatsopano
Kusokonezeka kwa Mutu Wachiwiri Kumagwiriridwa Kwambiri ndi Mitsempha ya Mitsempha ya Pachimake
- Kumutu kwa mutu
- Mutu wachisokonezo
- Mutu wam'mutu wam'mutu
- Trigeminal neuralgia
Njira Yoyenera Yokonza Mitsempha Yopanda Mwazi
Chifukwa cha kugwiritsidwa ntchito kwakukulu kwa mitsempha ya madokotala kuti athetse mutu, bungwe la American Headache Society Special Interest Section la PNBs ndi zina zotchedwa Interventional Procedures - zomwe zimadziwika kuti AHS-IPS - zinapanga malangizo kuti achite PNBs.
Ubwino wa Peripheral Nerve Blocks
Amatha kupereka chithandizo chamutu mwamsanga, ndipo mwa anthu ena, kupumula kupweteka kumatha milungu ingapo.
Mitsempha Yomwe Imayang'aniridwa mu Mitsempha ya Mitsempha
Mitsempha yowonjezereka kwambiri ndi mitsempha yochuluka ya occipital - yomwe ili pansi pa chigaza. Nthambi za mitsempha ya trigeminal - mitsempha yowopsya yomwe imapangitsa maso kumaso ndipo imalola maonekedwe a nkhope - kapena mitsempha yaing'ono ya occipital ingakwaniritsidwe.
Momwe Mitsempha ya Peripheral Blocks Ntchito
Dokotala amayambitsa injini yamakono - kaya lidocaine kapena bupivacaine - mu mitsempha. Mankhwalawa amachititsa kuti zizindikiro za mitsempha zokhudzana ndi ululu zimveke.
Steroids Injections
Kodi Steroids Yakhala Yoyesedwa? Nthawi zina, corticosteroids - monga triamcinolone - imaphatikizidwira kwa anesthesia.
Corticosteroids imaperekedwanso yokha, koma izi si zachilendo. Malinga ndi malangizo a AHS-IPS, corticosteroids sayenera kulowetsedwa m'magulu a trigeminal chifukwa cha zotsatira zake.
Kumene Mitsempha Yam'mimba Imapangidwira
Mitsempha ya mitsempha imakhala ikuchitidwa ku ofesi ya dokotala ndipo nthawi zambiri imalekereredwa bwino ndi odwala mutu.
Momwe Momwemo Mpweya Wamagazi Umayenera Kubwerezedwa
Nthawi zambiri mitsempha ya mitsempha yoyenera kubwerezedwa imadalira munthu ndi ndondomeko ya dokotala. Koma, malinga ndi ndondomeko ya AHS-IHP, mitsempha ya mitsempha yokhala ndi mankhwala amtunduwu imatha kubwerezedwa pakatha masabata awiri mpaka awiri.
Ngati corticosteroids imagwiritsidwa ntchito, komabe ndondomekoyi iyenera kubwerezedwa mobwerezabwereza pasanathe miyezi itatu chifukwa zotsatira zake zingakhale zovuta - ngakhale, izi sizingakhale choncho chifukwa cha mitsempha yambiri ya occipital mwa anthu omwe amadwala mutu.
Zotsatira Zowopsa za Corticosteroids Yoyesedwa
Zotsatira zake zingaphatikizepo tsitsi, kutaya khungu, khungu la khungu, kapena matenda omwe amatchedwa Cushing's syndrome .
Amene Angapeze Mitsempha Yopweteka Mutu wa Chithandizo
Pali anthu ena omwe sayenera kukhala ndi mitsempha - monga awo omwe ali ndi mbiri ya craniotomy.
Palinso nkhaŵa zopereka PNB kwa anthu ena - monga amayi apakati ndi okalamba. Ma PNB onse amafunika kukambirana mozama ndi gulu la anthu la madokotala.
Tengani Uthenga wa Kumudzi
Kugwiritsiridwa ntchito kwa mitsempha ya mitsempha mukumwa kupwetekedwa kumutu ndi kusangalatsa kwothandizira, koma maphunziro ochuluka amayenera kuchitidwa kuti afotokoze kufunika kwake. Zotsatira za nthawi yaitali - makamaka pokhudzana ndi kupewa mutu - sizidziwikiratu panthawiyi. Ngati mukuganiza za mitsempha yamtendere, onetsetsani kuti mukukambirana bwinobwino ndi katswiri wanu wamutu.
Zotsatira
Blumenfeld A, Ashkenazi A, Evans RW. Occipital ndi Trigeminal Mitsempha ya Migraines. Mutu. 2015; 55 (5): 682-89.
Blumenfeld ndi al. Malingaliro Ovomerezeka Amakono a Kuchita kwa Peripheral Mitsempha Yopweteka Mutu - Ndemanga Yatsatanetsatane. Mutu. Mar 2013; 53 (3): 437-46.
KUDZIZIRANI: Tsamba ili ndi lodziwika bwino. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti akuthandizeni, akudziwitsani, ndi chithandizo cha chirichonse chokhudza zizindikiro kapena matenda .