Nabatara Nlekọta Ahụhụ Na-ahụ Maka Ahụhụ.
Were ya na ị na-ahụ mberede na ụda olu nke ụgbọ ala ụgbọ oloko dị ịrịba ama. Ugbu a were ya na mgbawa ụgbọ ala a na-ewere ọnọdụ na ụbụrụ gị.
Nke a nwere ike ịdị na-adabere na isi ọwụwa anyanwụ isi-nsogbu ịda mbà n'obi bụ nke na-akpata mgbu mgbu, nke dị oké njọ na nke mgbawa.
Ọ dị mkpa iburu n'uche na isi ngbu a nwere ike ịkọ otu ụdị ihe mgbu nke na - eso nsogbu ụbụrụ na-egbu ndụ - yabụ, ọ bụrụ na mmadụ nwere isi ọwụwa anyanwụ, ọ ghaghị ịchọ nlekọta ahụ ike.
N'ezie, isi ọwụwa anyanwụ na-esiwanye na nsogbu ụbụrụ ọbara dịka ụbụrụ (dịka ọbara ọgbụgba) ma ọ bụ nsogbu ụbụrụ ọzọ nke ụbụrụ, karịa ọrịa a bụ isi isi ọwụwa.
Isi
Obodo International Headache na-akọwa isi iyi isi ígwé ojii dị ka "isi ọwụwa siri ike nke ụbụrụ mmalite nke na-ekwu na nke ụbụrụ anwarysm ruptured, bụ nke na-enweghị ọgwụgwọ intracranial."
Nakwa, dịka IHS si kwuo "na-egosi na isi ọwụwa anyanwụ dị ka nsogbu bụ isi bụ obere." Nke a pụtara na ọ dị mkpa ka a rụọ ọrụ nhazi nke ọma na onye nwere isi ọwụwa égbè iji hụ na ihe ọ bụla dị njọ ka na-aga n'ihu.
N'ikwu ya n'ụzọ ọzọ, isi isi ọwụwa eluigwe bụ nyocha nke mwepụ-ihe ọ bụla ọzọ aghaghị ịlapụ mbụ.
Mgbaàmà
Dika nhazi akwukwo nke mbiputa nke ato nke nkpochapu uwa nke isi ogugu ogugu, ihe omuma nke isi ogbugba isi bu:
- Ike: O siri ike, "nsogbu kachasị njọ nke ndụ m."
- Mbido : Na mberede, na-eruwanye ike na <1 nkeji
- Oge: Na- ewe oge ise ma ọ bụ karịa.
Na mgbakwunye na njirimara ndị dị n'elu, a pụghị ịkọwa isi ọwụwa anyanwụ nke isi ígwé ojii site n'ọnọdụ ahụike ọzọ.
Nchoputa
Mgbu isi ụja bụ ihe na-akpata isi isi ọwụwa, a ghaghịkwa iji ụzọ ọ bụla dozie ọnọdụ ọgwụgwọ ọzọ dị njọ.
Dịka ọmụmaatụ, nsogbu arịa ụkwara mmiri ma ọ bụ ọbara nke ụbụrụ, dịka ọbara ọgbụgba, na-emekarị ka ọ daa na-egbuke egbuke-ya mere ọ bụ ihe dị mkpa na ọnọdụ ndị a na-egbu ndụ na mbụ.
Onye nwere isi ọwụwa égbè eluigwe aghaghị inwe nkedo lumbar nke na- egosi mmiri ọgwụ nke ọma ma ọ bụ CSF, nakwa dị ka ụbụrụ nke ụbụrụ nkịtị, na-ejikarị ụbụrụ CT nyocha na / ma ọ bụ ụbụrụ na-ahụ maka mbubata magnetik ( MRI ). A na - emekarị ihe ngosi nke mgbochi magnet ( MRA ), na / ma ọ bụ veography ( MRV ) ka ọ na - achịkwa ihe ọ bụla metụtara ọbara n'ime ụbụrụ. Mgbe ụfọdụ, a na-eme angiogram ụbụrụ.
Ihe nṅomi nke isi ọwụwa nke nwere ike igosi isi isi ọwụwa anyanwụ bụ:
- Ọbara ọbara nke Subarachnoid
- Ọrịa ọgbụgba nke na-ekwo ekwo
- Crombosis Venous Cerebral
- Ọkpụkpụ Pituitary
- Dissection Arterial
- Ọrịa dị ka nnukwu Sinusitis ma ọ bụ Meningitis
- Ischemic Stroke
- Nsogbu Mmetụta Dị Oké Mkpa
- Ụbụrụ cerebrovasoconstriction
- Nkwupụta ụbụrụ nke intracranial na-enweghị atụ
- Cyloid cyst nke atọ ventricle
Mee
Ihe na-akpata isi ọwụwa anyanwụ bụ isi amaghị. O nwere ike ibute ya na spasm nke arịa ọbara n'ime ụbụrụ.
Ọgwụgwọ
Ọgwụgwọ isi ọwụwa eluigwe na-adabere na mmalite. Dịka ọmụmaatụ, ịgwọ ọrịa ọbara nke subarachnoid ga-agụnye mmepụta ọgwụ na ahụike na / ma ọ bụ nhụjuanya.
Ọ bụrụ na enwekwaghị ike mberede ahụike, ọgwụgwọ maka isi ọwụwa eluigwe nwere ike bụrụ ihe ịma aka. Ndị mmadụ n'ozuzu anaghị emeghachi omume nke ọma na ndị na-enye nsogbu mgbu na-egbuke egbuke.
Otu omumu omumu nke ihe omuma atu gosiputara na nimodipine, onye na-egbochi ogwu ndu oku, nwere ike inye ndi mmadu isi ogbugba isi. Ma, ọmụmụ ihe ahụ dị obere - nanị ndị ọrịa 11-na enweghị ìgwè na-achịkwa, nke na-egosi na ọ ga-eme ka ọ dị mma.
Nnyocha ndị ọzọ banyere nsogbu a bụ isi isi na-adịghị mma ga-aba uru.
> Isi mmalite:
> Kọmitii Nhazi Kọmitii nke International International Headache. "Ntọala International nke Ọrịa Ọwụwa: Edition 3 (version beta)". Chehalalgia 2013; 33 (9): 629-808.
> Lu SR, Liao YC, Fuh JL, Lirng JF, Wang SJ. Nimodipine maka ọgwụgwọ nke isi isi ọwụwa anyanwụ. 2004 Nke 27; 62 (8): 1414-6.
> Schwedt TJ & Dodick DW. (2014). Oké isi ọwụwa. Na: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.