Yintoni i-post-spinal headache, iimpawu, kutheni kusenzeka kunye nendlela yokuyinyanga

Umxholo

• Iimpawu eziphambili
• Oonobangela bentloko yasemva komqolo
• Unyango lwenziwa njani

I-post-spinal headache, eyaziwayo njenge-post-spinal anesthesia headache, luhlobo lwentloko oluphuma kwiiyure ezimbalwa okanye iintsuku emva kokulawulwa kwe-anesthetic kwaye inokunyamalala ngokukhawuleza kwiiveki ezi-2. Ngolu hlobo lwentloko, iintlungu ziba namandla xa umntu emile okanye ehleli kwaye ephucula kwakamsinya emva kokuba umntu elele phantsi.

Ngaphandle kokungonwabi, intloko yasemva komqolo ithathwa njengengxaki ngenxa yenkqubo esetyenzisiweyo, ixeliwe ngabantu abathile abaye bafumana olu hlobo lokubulala iintlungu, kwaye badlula emva kweeveki ezimbalwa zonyango oluxhasayo, kusetyenziswa amayeza ukunceda ukudambisa iintlungu ngokukhawuleza.

Iimpawu eziphambili

Olona phawu luphambili lwentloko yasemva komqolo, enyanisweni, yintloko, enokubonakala ukuya kwiintsuku ezi-5 emva kolawulo lwe-anesthesia, exhaphake kakhulu ukuvela emva kweeyure ezingama-24 ukuya kuma-48. Intloko ihlala ichaphazela indawo engaphambili kunye ne-occipital, ehambelana ngasemva kwentloko, kwaye inokwanda nakwimimandla yomlomo wesibeleko kunye namagxa.

Olu hlobo lwentloko luhlala lusiba mandundu xa umntu ehleli okanye emile kwaye ephucula ixesha lokulala kwaye unokuhamba nezinye iimpawu ezinje ngokuqina kwentamo, isicaphucaphu, ukonyuka kokuqaqamba kokukhanya, ukubonakala kwe-tinnitus kunye nokwehla kwamandla okuva.

Oonobangela bentloko yasemva komqolo

Unobangela okhokelela kwintloko emva kokudinwa komqolo awukacaci ncam, nangona kunjalo zichaziwe ngokwethiyori, eyona inkulu yeyokuba okwangoku kwenziwa i-puncture kwindawo apho kwenziwa i-anesthesia, CSF, CSF. i-extravasates, ukunciphisa uxinzelelo kwindawo kunye nokukhuthaza ukuphambuka kwizakhiwo zobuchopho ezinxulumene nobuntununtunu obuqaqanjelwa, okukhokelela kwintloko, ukongeza kwinto yokuba ilahleko ye-CSF inkulu kunemveliso yayo, kukho ukungalingani.

Ukongeza, ezinye izifundo zinika ingxelo yokuba kukho izinto ezinokuthi zithande ukuphuhliswa kwentloko yomqolo ongasemva, njengokusebenzisa iinaliti ezinkulu zokulinganisa, amalinge aphindaphindiweyo kwianesthesia, ubudala bomntu kunye nesini, inqanaba lokuhambisa amanzi, ukuvuza isixa esikhulu se-CSF ngexesha lokuhluzwa kunye nokukhulelwa.

Unyango lwenziwa njani

Intloko emva kwe-anesthesia yomqolo ihlala iyehla emva kweeveki ezimbalwa, nangona kunjalo kuyacetyiswa ukuba umntu asele iziselo ezininzi ukunceda ukuyikhulula ngokukhawuleza. Ukongeza, ukusetyenziswa koncedo olunceda ukunciphisa intloko kunye nezinye iimpawu ezinxulumene noko kunokucetyiswa.

Xa i-hydration kunye nokusetyenziswa kwamayeza aboniswe ngugqirha akonelanga, ukupakishwa kwegazi kwi-epidural, okwaziwa njenge Isiziba segazi. Kule meko, i-15 ml yegazi iqokelelwa emntwini emva koko yagqojozwa kwindawo apho kwenziwa khona i-puncture yokuqala. Olunye uphononongo lubonisa ukuba ngobu buchule kunokwenzeka ukuba bonyuse uxinzelelo lwe-epidural okwethutyana, ukunceda ukulwa intloko.