Mehlala ea Boimana ba Bokhachane le ba Bohlokoa Bohlooho
Le hoja ho na le matšoao a mangata a macha a hlahang nakong ea bokhachane, joaloka boima ba 'mele, reflux ea acid, le bohloko ba morao, ho ka ba ho mpefatsa kapa ho ntlafatsa boemo ba bongaka bo teng.
Ka mohlala, migraine e atisa ho ntlafala nakong ea bokhachane, haholo-holo nakong ea bobeli le ea boraro. Maemo a mang, joaloka mathata a hlooho ea hlooho a ikhethang ho ima, a ka hlaha hape.
Tlhahlobo ea Hlooho nakong ea Bokhachane
Ha u hlahloba hlooho ea hao , ngaka ea hau e tla etsa histori e qaqileng. A ka 'na au botsa lipotso tse mabapi le maemo leha e le afe a bongaka ao u nang le' ona, joaloka khatello e phahameng ea mali kapa khatello ea kelello, kapa hore na u noa meriana leha e le efe kapa li-add-counter, tse kang livithamine, caffeine kapa li-laxatives.
Ngaka ea hau e tla botsa le litlhaloso tsa hlooho ea hau joaloka hlooho, ho nka nako e kae, kapa hore na ho na le matšoao a amanang le ho nyefoloa kapa ho hlatsa. Sena se etsoa e le hore se hlahlobe hantle, hammoho le ho hlahloba matšoao a hlokomelisoang ke hlooho le ho laola maemo a tšohanyetso a bongaka.
Meriana e itseng ea hlooho e lemosa matšoao (a ka bonang hlooho ea kotsi nakong ea bokhachane) e lumellanang le tlhokomelo ea meriana hang-hang e kenyeletsa:
- "Bohloko bo bohloko ka ho fetisisa bophelong ba ka"
- Pono ea pono
- Matšoao a matšoao a kang bofokoli kapa bohlopho
- Hlooho e nang le feberu le / kapa molala o thata
- Hlooho ea mali e nang le khatello e matla ea mali le / kapa ho ruruha ha maoto le maoto
- Hlooho e amanang le ho ikitlaetsa, ho kopanela liphate, kapa tsela ea Valsalva
- Ho qala ha hlooho-ho tšoana le hlooho ea migraine
- Fetoha ka bohloko ba hlooho, mohlala, kapa ho tiea
Lihlooho tse ka sehloohong nakong ea bokhachane
Lintho tse tharo tse tloaelehileng ka ho fetisisa tsa hlooho ea moriana ke mathata a migraine , hlooho ea tsitsipano le hlooho ea hlooho .
Le hoja basali ba ka hlaolela boloetse bo bocha ba hlooho nakong ea bokhachane, hangata mathata ana a se a ntse a le teng. Ntle ho migraine, hlooho ea tsitsipano ea malapa le hlooho ea hlooho e atisa ho lula e tsitsitse nakong ea bokhachane.
Migraine ke hlooho e tloaelehileng ka ho fetisisa nakong ea bokhachane empa hangata e le mpe haholo mme e etsahala hangata ho feta ba ka ntle ho bokhachane. Seo se bolela hore migraine e ka 'na ea mpefala pele qalong ea li-trimester, haholo-holo ka phetoho ea litekanyetso tsa li-hormone' meleng le khatello e eketsehileng e hlahang.
Ho na le bopaki bo bong ba saense ba hore basali ba nang le migraine ba ka 'na ba ba kotsing e kholo ea ho ba le pele ho pele le pele kapa ho hlaha pele, le hoja lipatlisiso tse ling li lokela ho etsoa ho fokotsa kamano ena
Moriri oa Hlooho ho tloha Preeclampsia / Eclampsia
Bophahamo ba pele le eclampsia ke maemo a tebileng a bongaka a ka hlahang kamora libeke tse mashome a mabeli a metsoako kapa / kapa nakong ea nako ea ho qetela. Preeclampsia e baka khatello e matla ea mali le protheine meleng.
Ntle le khatello ea mali e phahameng haholo, preeclampsia e matla e ka lebisa matšoao a latelang:
- Nako e tlase ea moroto
- Mathata a sebete
- Pono e fetoha
- Palo e fokolang ea li-platelet
- Tekano ea ho hōla ha intrauterine
Eclampsia ke boemo bo ka bolaeang 'me bo etsahala ha mosali a tšoaroa ke bokooa, bofofu, le / kapa li-coma ha a tobana le preeclampsia e matla.
Nakong ea pele ea pele-pele le ea eclampsia, hlooho ke tloaelo e tloaelehileng 'me e ka tšoana le ea migraine, e tsejoang khafetsa ka maikutlo a ho hema' me e tsamaisana le ho nyeheloa ke pelo le photophobia (kutloisiso ho khanya) le / kapa phonophobia (kutloisiso ea molumo).
Ho fapana le migraines leha ho le joalo, hlooho e amanang le preeclampsia e ka amahanngoa le likarolo tse ling tse tšoenyang tse kang boikutlo bo hlakileng kapa bo habeli le bohloko ba mpeng. Ho feta moo, le hoja migraine e atisa ho hlaha ka lehlakoreng le leng la hlooho, hlooho ea pele ho eclampsia e teng hohle.
Ho ea ka sehlooho se hloohong , basali ba nang le histori ea migraine ba na le menyetla e ka bang makhetlo a mabeli ea ho hlahisa preeclampsia ho feta ba se nang histori ea migraine.
Kalafo ea preeclampsia le eclampsia ka kakaretso e kenyelletsa ho beleha ha lesea, ho phaella ho magnesium sulphate, calcium channel blockers, mohlomong le meriana e thibelang ho tsuba.
Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension (IIH) ke lefu le tebileng la bongaka le atisang ho bonoa ho basali ba bangata ba nang le bana ba nang le bana. E ka etsahala ka nako efe kapa efe ea likhoeli tse tharo tsa bokhachane.
IIH e etsa hore hlooho e be le pono e fetohang le li-pulnatile tinnitus (ha batho ba utloa molumo o utloahalang o lumellanang le pelo ea bona). Batho ba nang le IIH ba tla ba le boikutlo bo tloaelehileng ba boko bo teng empa ba tla be ba phahamisitse khatello ea mocheso ha motho a e - na le lumbar .
Ho phaella moo, basali ba nang le IIH ba na le papilledema, e leng boemo bo khetholloang ke ho ruruha ka mor'a leihlo ka lebaka la khatello ea metsi a eketsehileng bokong. Ka kakaretso, phekolo ea IIH e reretsoe ho lahleheloa ke boima ba 'mele kapa ho laola boima ba' mele le ho fokotseha ha khatello e phahameng ea khatello ea kelello .
Ka linako tse ling khatello ea meriana e bakoang ke khatello ea kelello e bakoa ke boemo bo bong ba bongaka-sena se bitsoa khatello ea kelello e matla ea bobeli. Lebaka le tloaelehileng ka ho fetisisa la ts'oaetso ea sekhahla le ho feta ha motho a e- na le khatello ea kelello ea mali ke kelello ea mahlaba-pelo ea mokokotlo , e ka etsoang neng e le efe ea bokhachane, empa e atile haholo nakong ea nako ea ho qetela.
Reversible Cerebral Vascular Syndrome
Reversible cerebral vascular syndrome, eo hape e tsejoang e le Call-Fleming syndrome, ke e 'ngoe ea lefu la hlooho e ka bakoang ke bokhachane' me e ka boela ea etsahala nakong ea postpartum. Batho ba nang le lefu lena la hlooho ba atisa ho hlalosa ho utloahala ha hlooho ea molumo, e leng ho qala ho bohloko, ho potlakileng, le ho phatloha ha hlooho.
Lebaka la lefu lena ha le tsejoe, empa tšimoloho ea bohloko e nkoa e amana le ho nyolla ha methapo ea bokong. Kalafo e na le li-blockers tsa khalsiamo, e leng meriana ea khatello ea mali e thusang ho theola kapa ho bula methapo ea boko.
Hopola hore ha mosali a e-ea kamoreng ea tšohanyetso a e-na le molumo oa hlooho ea molumo, ho hlokahala hore ho be le mokhoa o feletseng oa ho laola pheko ea mali ho tloha pele ho nahana hore mosali o na le lefu la ho ba le lefu la masapo.
Mabaka a mang
Ho phaella mathateng a mahlo a boletsoeng ka holimo, ho na le lintho tse ling tse ka hlahisang hlooho e kotsi, joaloka stroke, meningitis, carotid kapa vertebral artery dissection, le pituitary apoplexy . Hape ho na le lintho tse ka 'nang tsa e-ba le mathata a kang sinusitis, lefu la hlooho ea morao-rao ea lumbar , kapa lefu la hlooho ea ho khaola meriana .
Lentsoe le Tsoang ho
Qetellong, hlooho e kholo ea boimana ha e kotsi. Leha ho le joalo, haeba u e-na le hlooho nakong ea bokhachane e sa fokolang ka litlhare tse bonolo tse kang ho bata, ho robala, caffeine (haeba u belaella hlooho ea ho khaotsa ho ntša lefu la caffeine ,) phomolo, le / kapa lijo, kapa haeba hlooho ea hao e latela mokhoa o fapaneng kapa e bontša matšoao a lemosang hloohong, etsa bonnete ba hore u ikopanye le ngaka ea hao hang-hang.
Lisebelisoa:
Digre KB. Ho roala hlooho nakong ea bokhachane. Clin Obstet Gynecol. 2013 Jun; 56 (2): 317-29.
Kesler A, Kupferminc M. Idiopathic intracranial khatello ea kelello le bokhachane. Clin Obstet Gynecol. 2013 Jun; 56 (2): 389-96.
Lee MJ, Guinn D, Hickenbottom S. Hlooho ea matsoho ho basali ba moimana le ba pelehi. Ka: UpToDate, Lockwood CJ, Swanson JW (Ed), UpToDate, Waltham, MA ,, 2017.
Moustafa RR, Allen CM, Baron JC. Mathata a Call-Fleming a amahanngoa le ho bolaoa ha mali a marang-rang: liketsahalo tse tharo tse ncha. J. Neurol. Neurosurg. Psychiatr. May 2008; 79 (5): 602-5.
Nappi RE, Albani F, Masole G, Terreno E, Brambilia E, Polatti F. Hlooho ea hlooho nakong ea bokhachane. Maqeba a Curr Headache Rep. 2011 Aug; 15 (4): 289-94.