Warrants Emergent Medical Care.
Ka yi la'akari da yadda kuke gani da kwatsam, babbar murya na babban hatsarin mota. Yanzu tunanin wannan fashewar mota tana faruwa a kwakwalwarka.
Wannan na iya zama daidai da ciwon ciwon haushi na farko - cutar ciwon kai wadda ta haifar da mummunan rauni da kuma fashewar tashin hankali.
Yana da mahimmanci a lura cewa wannan ciwon kai zai iya kwatanta irin wannan ciwon da ke tare da cutar kwakwalwa na rai- don haka, idan mutum yana da ciwon tsawa mai tsawa, ya buƙaci neman likita.
A gaskiya ma, ciwon kai tsaye yana iya kasancewa daga mummunar matsalar jirgi na jini a cikin kwakwalwa (kamar jini na jini) ko wata matsalar kwakwalwa ta jiki, fiye da wannan rashin ciwon kai na yau da kullum.
Bayani
Ƙungiyar Ciwon Lafiya ta Duniya ta bayyana magungunan ciwon daji na farko kamar "ciwon ciwon zuciya mai tsanani wanda ya nuna damuwa sosai game da raunin da yake ciki, in ba tare da wani ciwon daji na intracranial ba."
Har ila yau, bisa ga IHS "shaida cewa tsawar da ciwon kai tsaye a matsayin cuta ta farko shi ne rare." Wannan yana nufin cewa dole ne a yi aiki sosai a kan mutumin da ke fama da ciwon tsawa don tabbatar da cewa babu wani abu mai tsanani da ke faruwa.
A wasu kalmomi, ciwon kai na asiri na farko shine ƙididdigar cirewa - duk abin da ya kamata a fara farko.
Cutar cututtuka
Bisa ga ka'idodi na ƙayyade na uku na Ƙungiyar Harkokin Ciwon Kai na Duniya, alamun bayyanar cutar ciwon kai ta sama shine:
- Intensity : Mai tsanani, "mafi munin ciwon kai na rayuwata."
- Farawa : Ba zato ba tsammani, kai matsanancin tsanani a <1 minti
- Duration: Ya yi tsawon minti 5 ko fiye.
Bugu da ƙari, siffofin da ke sama, ba'a iya bayyana magungunan ciwon magungunan farko ta wata likita ba.
Sanin asali
Rashin ciwon kai tsaye yana da wata hanyar da ta fi dacewa da ciwon kai na farko kuma kowane abu ya kamata a dauki shi don ya mallaki wasu yanayin lafiya.
Alal misali, kwakwalwa na jini ko na jini da ke cikin kwakwalwa, kamar maganin jini mai yawan gaske, yakan haifar da ciwon kai tsaye-saboda haka yana da mahimmancin waɗannan yanayin barazanar rayuwa.
Mutumin da ke fama da launi mai tsawa ya kamata yana da fitilar lumbar wanda yake nuna ruwan sama na al'ada ko CSF, kazalika da hoton kwakwalwa na al'ada, yawanci tare da kwakwalwar CT da kwakwalwa ta kwakwalwa ( MRI ). Yawancin lokaci, halayen halayen halayen jiki ( MRA ), da kuma / ko zane-zane ( MRV ) an yi don kara karɓar duk wani matsalar jirgi na jini a kwakwalwa. Wasu lokuta ana yin angiogram.
Misalan ciwon kai wanda zai iya zama babban ciwon kai shine:
- Yaduwar cutar subarachnoid
- Haɗin jini na intracerebral
- Cerebral Venous Thrombosis
- Pituitary Apoplexy
- Tsarin tsararre
- Kwayoyin cuta kamar ƙananan sinusitis ko Meningitis
- Ischemic Stroke
- Crisis mai tsanani mai tsanani
- Reversible cerebrovasoconstriction ciwo
- Jigon hankalin intracranial wanda ba tare da wata magana ba
- Cikakken kwalliya ta uku na ventricle
Dalilin
Dalilin matsalar ciwon magunguna na farko shine yawancin ba a sani ba. Zai iya kasancewa da alaka da spasm na jini a kwakwalwa.
Jiyya
Jiyya na ciwon kai tsaye ya dogara da asali. Alal misali, maganin maganin jini na jini zai haɗu da aikin likita da / ko neurosurgical.
Idan an riga an dakatar da gaggawa na likita, jiyya ga magungunan farko na thunderclap zai iya zama kalubale. Kullum mutane ba su amsa da kyau ga masu ciwon ciwon ciwon kai ba.
Ɗaya daga cikin tsofaffiyar binciken da ke tattare da maganin halitta ya nuna cewa nimodipine, mai kwakwalwa mai launi mai ƙwayar cuta, na iya samar da ƙullun ciwon kai a cikin mutanen da ke fama da ciwon kai. Amma, binciken ya kasance ƙananan ƙananan marasa lafiya 11 kawai-kuma babu wani rukuni mai kulawa, wanda ya nuna yiwuwar sakamako na placebo.
Ƙarin bincike a kan wannan rashin ciwon kai na yau da kullum zai zama da amfani.
> Sources:
> Cibiyar Nazarin Ciwon Kai na Ƙungiyar Ciwon Kai ta Duniya. "Ƙungiyar Ƙunƙasawar Ciwon Kai na Duniya: Buga na 3 (Beta version)". Cephalalgia 2013, 33 (9): 629-808.
> Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine don maganin cutar kututtukan ƙananan jinƙai. 2004 Afr 27; 62 (8): 1414-6.
> Schwedt TJ & Dodick DW. (2014). Thunderclap ciwon kai. A: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.