He aha ka Headache Spinal? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka headache spinal kahi ʻano headache kikoʻī e ulu mai ana i ka leaka o ka wai spinal mai kāu canal spinal, maʻamau ma hope o kahi hana lapaʻau. Hana kēia i ka emi ʻana o ke kaomi a puni kou lolo a me kou spinal cord, e alakaʻi ana i ka ʻeha e ʻoi aku ka nui ke noho a kū ʻoe.

ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke mālama ʻia nā headache spinal a hoʻoponopono pinepine ʻia iā lākou iho me ka mālama kūpono. ʻOiai hiki iā lākou ke manaʻo ikaika a hopohopo, hiki i ka hoʻomaopopo ʻana i nā mea e hana nei i kou kino ke kōkua iā ʻoe e hoʻokele i ka ʻoluʻolu ʻole a ʻike i ka wā e ʻimi ai i ke kōkua hou aku.

He aha ka headache spinal?

Hana ʻia ka headache spinal i ka leaka ʻana o ka wai cerebrospinal ma o kahi puka liʻiliʻi i loko o ka membrane pale e hoʻopuni ana i kāu spinal cord. Hoʻomaʻamaʻa maʻamau kēia wai i kou lolo a me kou spinal cord, e mālama ana i ke kaomi kūpaʻa i loko o kāu ʻōnaehana nerve.

Ke leaka aku kēia wai, emi nui ke kaomi. Poina loa kāu lolo i kekahi o kāna kākoʻo cushioning, kahi e hoʻoulu ai i ka ʻeha headache hiʻohiʻona. ʻO ka huaʻōlelo lapaʻau no kēia kūlana ʻo "post-dural puncture headache" no ka mea maʻamau ia ma hope o ka hoʻopili ʻia ʻana o ka dura mater (ka membrane waho paʻakikī).

Loaʻa i kēia ʻano headache kahi ʻano ʻokoʻa loa. Hoʻomaikaʻi nui ia ke moe ʻoe i lalo a ʻoi aku ka nui ke kū a noho ʻoe. ʻO kēia loli pili i ke kūlana ka hiʻohiʻona kī e kōkua ai i nā kauka e ʻike i ka headache spinal.

He aha nā hōʻailona o ka headache spinal?

ʻO ka hōʻailona hōʻailona o ka headache spinal ka ʻeha nui e loli nui ana me kou kūlana. Ke moe ʻoe i lalo, hiki iā ʻoe ke manaʻo maikaʻi loa a i ʻole he ʻoluʻolu iki wale nō.

Eia nā hōʻailona nui āu e ʻike ai:

• ʻEha throbbing a aching paha e ʻoi aku ka nui i loko o nā minuke o ke noho ʻana a kū ʻana
• ʻEha e hoʻomaikaʻi nui ana ke moe i lalo ma kou kua
• Headache e pili pinepine ana i ke kua a me ke alo o kou poʻo
• ʻEha ʻāʻī a me ka paʻakikī e hoʻolōʻihi paha i kou mau poʻohiwi
• Nausea a me ka luaʻi, ʻoi aku hoʻi ke kū pololei
• Nāwaliwali a ʻālohilohi paha ke kū
• Mānoanoa i ka mālamalama a me ke kani
• Ke kani ʻana i kou mau pepeiao (tinnitus)

ʻIke kekahi poʻe i nā hōʻailona ʻaʻole maʻamau e like me ka ʻike ʻole, nā loli lohe, a i ʻole ka manaʻo piha i nā pepeiao. Hiki i ka ikaika ke hele mai ka ʻoluʻolu ʻole i ka hōʻino, e paʻakikī ai ka hana ʻana i nā hana maʻamau ke kū pololei.

He aha ka mea e hoʻoulu ai i ka headache spinal?

Hoʻomohala ʻia nā headache spinal ke loaʻa ka waimaka a i ʻole ka puka i loko o ka dura mater, e ʻae ana i ka wai cerebrospinal e leaka aku. Hana pinepine ʻia kēia i nā hana lapaʻau e pili ana i ka hoʻokomo ʻana i kahi nila i loko o kāu canal spinal.

ʻO nā kumu pinepine loa:

• Anesthesia epidural i ka wā hānau (e hana ana ma kahi o 1-2% o nā hihia)
• Anesthesia spinal no ka ʻoki kino
• Lumbar puncture (spinal tap) no ka hoʻokolohua diagnostic
• Myelography (spinal imaging me ka waihoʻoluʻu contrast)
• Nā inikini spinal no ka hoʻokele ʻeha

ʻAʻole pinepine, hiki i nā headache spinal ke hana kūʻokoʻa me ka ʻole o kahi hana lapaʻau. Hiki paha kēia ma muli o ka hoʻoikaika koke, ka ʻōhū nui, a i ʻole ka hōʻino iki e hana i ka kaomi lawa e haehae i ka dura mater.

I nā hihia kakaikahi, hiki i kekahi mau maʻi connective tissue a i ʻole nā ​​pilikia clotting koko ke hoʻonui i kekahi kanaka i ka leaka wai spinal kūʻokoʻa. Eia naʻe, ʻo ka hapa nui o nā headache spinal e pili pono ana i nā hana lapaʻau.

I ka wā e ʻike ai i ke kauka no ka headache spinal?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā loaʻa iā ʻoe kahi headache positional nui i loko o kekahi mau lā o ka loaʻa ʻana o kahi hana spinal. Mai ho'āʻo e hoʻomanawanui, ʻoiai hiki i ka mālama koke ke pale aku i nā pilikia a hāʻawi i ka hoʻomaha nui.

E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe i kekahi o kēia mau hōʻailona hōʻailona:

• Fever me kāu headache
• ʻĀʻī paʻakikī nui
• Kuʻi a paʻakikī paha ke noʻonoʻo maopopo
• Nā loli ʻike a i ʻole ka ʻike pālua
• Nāwaliwali i kou mau lima a i ʻole nā ​​wāwae
• Nā hoʻouka
• Nā hōʻailona o ka maʻi ma ka wahi hana

ʻOiai me ka ʻole o kēia mau hōʻailona koʻikoʻi, pono ke kāhea aku i kāu kauka inā nui loa kāu headache e hoʻopilikia i ka ʻai ʻana, ka inu ʻana, a i ʻole nā ​​hana kumu. ʻO ka mālama mua e alakaʻi pinepine i ka hoʻōla wikiwiki a me nā hopena maikaʻi.

He aha nā mea pilikia no nā headache spinal?

ʻOiai ka hapa nui o nā headache spinal e hoʻoponopono ʻia me ka ʻole o nā pilikia mau loa, hiki i ka waiho ʻana iā lākou me ka mālama ʻole ke alakaʻi i nā pilikia koʻikoʻi. ʻO ka ʻoiaʻiʻo maikaʻi, he kakaikahi kēia mau pilikia ke hāʻawi ʻia ka mālama kūpono.

ʻO nā pilikia hiki ke loaʻa:

• Nā headache i kēlā me kēia lā e mau ana no nā wiki a i ʻole nā ​​mahina
• Subdural hematoma (ke kahe koko ma waena o nā papa lolo ma muli o ke kaomi haʻahaʻa)
• Ke kaumaha ʻana o ka lolo a i ʻole ka herniation i nā hihia koʻikoʻi
• Nā hoʻouka mai nā loli kaomi lolo
• Nāwaliwali lohe a i ʻole ke kani mau i nā pepeiao
• Nā pilikia cranial nerve e hoʻopilikia ana i ka ʻike a i ʻole ka manaʻo maka

He mea maʻamau ʻole kēia mau pilikia koʻikoʻi, ʻoi aku hoʻi me ka mālama lapaʻau koke. Hoʻōla piha ka hapa nui o nā kānaka e loaʻa ana i ka mālama kūpono i loko o kekahi mau lā a i ʻole nā ​​wiki me ka ʻole o nā hopena lōʻihi.

Pehea ka hōʻoia ʻana o ka headache spinal?

Ke hilinaʻi nui nei ka hōʻoia ʻana i ka headache spinal i kāu mau hōʻailona a me ka mōʻaukala lapaʻau, ʻoi aku hoʻi inā ua loaʻa iā ʻoe kahi hana spinal i kēia manawa. E nīnau ka kauka i nā nīnau kikoʻī e pili ana i ka hoʻomaka ʻana o ka headache a pehea ka pane ʻana i nā loli kūlana.

He mea pololei pinepine ka hōʻoia ke loaʻa iā ʻoe ke ʻano maʻamau o ka headache nui e hoʻomaikaʻi ke moe i lalo a ʻoi aku ka nui ke kū pololei. E hana pū kekahi kāu mea mālama ola i kahi hoʻokolohua kino e nānā i ka paʻakikī ʻāʻī, nā hōʻailona neurological, a me nā hōʻailona o nā pilikia.

I kekahi mau hihia, pono paha nā hoʻokolohua hou aku, ʻoi aku hoʻi inā ʻaʻole maopopo ka hōʻoia a i ʻole nā ​​pilikia i manaʻo ʻia. Hiki i kēia ke komo pū me nā MRI scans e ʻike i ka lolo a me ka spinal cord, a i ʻole nā ​​kiʻi kūikawā e ʻike i nā leaka wai spinal.

He aha ka lapaʻau no nā headache spinal?

Ke kau nei ka lapaʻau no nā headache spinal i ka pani ʻana i ka leaka a me ka hoʻokele ʻana i kou ʻeha ʻoiai e hoʻōla ana kou kino. Ke hilinaʻi nei ke ala i ka nui o kou mau hōʻailona a pehea ka lōʻihi o kou loaʻa ʻana iā lākou.

ʻO nā koho lapaʻau mālama e komo pū me:

• Moe i kahi kūlana pālahalaha no 24-48 mau hola
• Hoʻonui i ka inu wai e kōkua i ka hoʻopiha ʻana i ka wai spinal nalowale
• Caffeine (oral a i ʻole intravenous) e kōkua i ka hoʻoikaika ʻana i nā kīʻaha koko
• Nā lāʻau ʻeha e like me acetaminophen a i ʻole ibuprofen
• Nā lāʻau anti-nausea inā pono

Inā ʻaʻole hāʻawi ka mālama mālama i ka hoʻomaha i loko o 24-48 mau hola, hiki i kāu kauka ke ʻōlelo aku i kahi epidural blood patch. Hoʻokomo kēia hana i kahi liʻiliʻi o kou koko ponoʻī kokoke i ka wahi leaka, kahi e hoʻopaʻa ai a pani i ka puka.

He mea maikaʻi loa ka blood patch, e hāʻawi ana i ka hoʻomaha i kahi 90% o nā hihia. I nā hihia kakaikahi kahi ʻaʻole hana nā blood patches he nui, pono paha ka hoʻoponopono ʻoki kino, ʻoiai he mea maʻamau ʻole kēia.

Pehea e hoʻokele ai i nā headache spinal ma ka home?

ʻOiai pono pinepine ka mālama lapaʻau, aia kekahi mau mea āu e hiki ai ke hana ma ka home e kōkua i ka hoʻokele ʻana i kāu mau hōʻailona a kākoʻo i kāu hoʻōla. Hana maikaʻi kēia mau ana me ka hui pū ʻana, ʻaʻole ma kahi o, ka mālama lapaʻau ʻoihana.

Eia nā mea āu e hiki ai ke hana e kōkua iā ʻoe iho e ʻoluʻolu:

• E noho moe pālahalaha e like me ka hiki, e ala wale nō ke pono loa
• E inu nui i nā wai, me nā mea inu caffeinated e like me ka kofe a i ʻole cola
• E lawe i nā mea hoʻomaha ʻeha ma luna o ka counter e like me ke kuhikuhi a kāu mea mālama ola
• E hoʻomaha i loko o kahi lumi mālie, ʻeleʻele e hoʻemi i ka mālamalama a me ke kani mānoanoa
• E hoʻopili i kahi compress anu i kou poʻo no 15-20 mau minuke i ka manawa
• E pale i nā hana hoʻoikaika e like me ka hāpai kaumaha a i ʻole ka ʻōhū ikaika

E hoʻomanaʻo he mau hoʻonā manawa wale nō kēia mau ana home ʻoiai ʻoe e kali ana no ka loiloi lapaʻau a i ʻole ka mālama. Mai hoʻokaʻulua i ka ʻimi ʻana i ke kōkua ʻoihana inā koʻikoʻi a ʻoi aku paha kāu mau hōʻailona.

Pehea e pale aku ai i nā headache spinal?

ʻOiai ʻaʻole hiki iā ʻoe ke kāpae loa i ka pilikia o nā headache spinal, hiki i kekahi mau ʻenehana a me nā palekana ke hoʻemi nui i kou manawa e loaʻa ai kekahi. Ke kau nei ka hapa nui o nā hoʻolālā palekana i nā ʻaoʻao ʻenehana o nā hana spinal.

Hiki i nā mea mālama ola ke hoʻemi i ka pilikia ma:

• Ke hoʻohana nei i nā nila gauge liʻiliʻi ke hiki
• Ke koho nei i nā nila pencil-point ma mua o nā nila ʻoki
• Ke hoʻemi nei i ka nui o nā ho'āʻo hoʻokomo
• Ke hoʻohana nei i nā ʻenehana hoʻokomo nila kūpono
• Ke hōʻoia nei i ka hydration lawa ma mua a ma hope o nā hana

Inā hoʻonohonoho ʻia ʻoe no kahi hana spinal, e kūkākūkā i kāu mau mea pilikia me kāu hui mālama ola ma mua. Hiki iā lākou ke hoʻoponopono i kā lākou ala e pili ana i kou kūlana pilikino a lawe i nā palekana hou aku inā ʻoi aku ka nui o kou pilikia.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama maikaʻi loa no kāu headache spinal. E kōkua ka loaʻa ʻana o ka ʻike kūpono i kāu kauka e hana i kahi hōʻoia a me ka hoʻolālā mālama pololei.

Ma mua o kāu kipa, e hōʻiliʻili i kēia ʻike nui:

• Nā lā pololei a me nā kikoʻī o nā hana spinal hou
• I ka wā i hoʻomaka ai kāu headache a pehea ka holomua
• Wehewehe kikoʻī pehea e hoʻopilikia ai nā loli kūlana i kou ʻeha
• Papa inoa o nā lāʻau āu e lawe nei i kēia manawa
• Kekahi mau hōʻailona ʻē aʻe āu i ʻike ai
• Mōʻaukala mua o nā headache a i ʻole nā ​​hana spinal

E kākau i nā nīnau kikoʻī āu e makemake ai e nīnau, e like me nā koho lapaʻau, ka manawa hoʻōla i manaʻo ʻia, a me nā palena hana. Hiki ke kōkua ka loaʻa ʻana o kahi lālā ʻohana a hoaaloha paha e hele pū me ʻoe, ʻoi aku hoʻi inā paʻakikī kāu headache i ka hoʻomaʻamaʻa ʻana i ka wā hālāwai.

He aha ka lawe nui e pili ana i nā headache spinal?

ʻO nā headache spinal kahi kūlana hiki ke mālama ʻia, ʻoiai he mea ʻoluʻolu ʻole, maʻamau e hoʻoponopono ʻia me ka mālama lapaʻau kūpono. ʻO ke ʻano kūikawā o ka ʻeha pili i ke kūlana e maʻalahi ai ka hōʻoia ʻana iā lākou ke hana ma hope o nā hana spinal.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole pono ʻoe e hoʻomanawanui i kēia ʻano headache. Loaʻa nā mālama maikaʻi, mai nā ana mālama a i nā hana holomua e like me nā epidural blood patches.

Inā loaʻa iā ʻoe nā headache positional nui ma hope o kekahi hana spinal, e hoʻokaʻaʻike koke i kāu mea mālama ola. ʻAʻole wale ka mālama mua e hāʻawi i ka hoʻomaha wikiwiki, akā e kōkua pū kekahi i ka pale ʻana i nā pilikia hiki ke loaʻa. Me ka mālama kūpono, hoʻōla piha ka hapa nui o nā kānaka a hiki ke hoʻi i kā lākou mau hana maʻamau i loko o kekahi mau lā a i ʻole nā ​​wiki.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā headache spinal

Pehea ka lōʻihi o nā headache spinal maʻamau ke ʻole ka mālama?

Hiki i nā headache spinal i mālama ʻole ʻia ke mau mai kekahi mau lā a i kekahi mau wiki, ʻoiai ka hapa nui e hoʻomaikaʻi i loko o 5-7 mau lā i ka hoʻōla mālie ʻana o ka leaka iā ia iho. Eia naʻe, ʻo ka kali ʻana no ka hoʻōla kūlohelohe ʻo ia ka hoʻomanawanui ʻana i ka ʻeha nui a me nā pilikia hiki ke loaʻa, ʻo ia ke kumu i ʻōlelo nui ʻia ai ka mālama lapaʻau.

Hiki iaʻu ke hoʻoikaika kino a hana paha i ka wā e loaʻa ai ka headache spinal?

ʻAʻole maʻamau ka hoʻoikaika kino a me ka hana i ka wā e loaʻa ai ka headache spinal, ʻoiai hiki i nā kūlana kū pololei a me ka hoʻoikaika ke hoʻonui i nā hōʻailona a hoʻopaneʻe paha i ka hoʻōla. ʻŌlelo ka hapa nui o nā kauka e noho moe i kahi kūlana moe a hiki i ka hoʻoponopono ʻana i ka headache a i ʻole e loaʻa iā ʻoe ka mālama maopopo e like me kahi blood patch.

He mea palekana anei ka lawe ʻana i nā lāʻau ʻeha no ka headache spinal?

He mea palekana maʻamau nā lāʻau ʻeha ma luna o ka counter e like me acetaminophen a me ibuprofen a hiki ke hāʻawi i kekahi hoʻomaha no nā headache spinal. Eia naʻe, ʻaʻole pinepine lākou e kāpae loa i ka ʻeha ʻoiai ʻaʻole lākou e hoʻoponopono i ka leaka wai ma lalo. E nīnau mau i kāu mea mālama ola ma mua o ka lawe ʻana i nā lāʻau, ʻoi aku hoʻi inā loaʻa iā ʻoe nā kūlana lapaʻau ʻē aʻe.

Pono anei iaʻu e noho ma ka haukapila no ka mālama?

Hiki ke hana ʻia ka hapa nui o nā mālama headache spinal, me nā epidural blood patches, ma ke ʻano outpatient me ka ʻole o ka pono o kahi noho haukapila i ka pō. Maʻamau ʻoe e nānā ʻia no kekahi mau hola ma hope o ka hana e hōʻoia i ka hana maikaʻi, a laila hiki iā ʻoe ke hoʻi i ka home e hoʻomau i kāu hoʻōla.

Hiki i nā headache spinal ke hana hou aku ma mua o hoʻokahi manawa?

ʻAe, inā loaʻa iā ʻoe hoʻokahi headache spinal, hiki iā ʻoe ke loaʻa ka pilikia kiʻekiʻe iki no ka loaʻa ʻana o kekahi inā pono ʻoe i nā hana spinal hou aku. Eia naʻe, hiki i kāu hui mālama ola ke lawe i nā palekana hou aku a hoʻohana i nā ʻenehana i hoʻolālā ʻia e hoʻemi i kēia pilikia ma muli o kāu ʻike mua.