Yini ikhanda langemva komgogodla, izimpawu, kungani kwenzeka nokuthi kufanele ukwelashwa kanjani

-Delile

• Izimpawu eziyinhloko
• Izimbangela zekhanda langemva komgogodla
• Yelashwa kanjani

I-post-spinal headache, eyaziwa nangokuthi i-post-spinal anesthesia headache, uhlobo lwekhanda elivela emahoreni noma ezinsukwini ezimbalwa ngemuva kokuphathwa kwe-anesthetic futhi linganyamalala ngokuzenzekelayo emasontweni amabili. Kulolu hlobo lwekhanda, ubuhlungu bukhulu kakhulu lapho umuntu emi noma ehleli futhi eba ngcono masishane lapho umuntu elele phansi.

Yize kungaphatheki kahle, ikhanda langemuva komgogodla kubhekwa njengenkinga ngenxa yendlela esetshenzisiwe kule nqubo, ibikwa ngabanye abantu asebethole lolu hlobo lwe-anesthesia, futhi badlula ngemuva kwamasonto ambalwa okwelashwa okusekelayo, kusetshenziswa amakhambi lawo siza ukudambisa izinhlungu ngokushesha.

Izimpawu eziyinhloko

Uphawu olukhulu lwekhanda langemva komgogodla, empeleni, yikhanda, elingavela kuze kube yizinsuku ezi-5 ngemuva kokuphathwa kwe-anesthesia, okuvame kakhulu ukuvela ngemuva kwamahora angama-24 kuye kwangama-48. Ikhanda elibuhlungu livame ukuthinta isifunda sangaphambili kanye ne-occipital, esihambelana ngemuva kwekhanda, futhi singadlulela esifundeni somlomo wesibeletho nasemahlombe.

Lolu hlobo lwekhanda luvame ukuba lubi lapho umuntu ehleli noma emi futhi ethuthuka ngesikhathi sokulala futhi angahle ahambisane nezinye izimpawu ezinjengokuqina kwentamo, isicanucanu, ukwanda kokuzwela ekukhanyeni, ukuvela kwe-tinnitus nokwehla kwamandla okuzwa.

Izimbangela zekhanda langemva komgogodla

Isizathu esiholela ekuphathweni ikhanda ngemuva kokubulawa umgogodla asikacaci kahle, kepha-ke zichaziwe ngokusho kwemibono, okuyiyona eyinhloko ukuthi okwamanje ukubhoboza kwenziwa endaweni lapho kwenziwa khona i-anesthesia, CSF, CSF i-extravasates, ukuncipha kwengcindezi esizeni nokukhuthaza ukuphambuka kuzakhiwo zobuchopho ezihlobene nokuzwela kobuhlungu, okuholela ebuhlungwini bekhanda, ngaphezu kokuthi ukulahleka kwe-CSF kukhulu kunokukhiqizwa kwayo, kukhona ukungalingani.

Ngaphezu kwalokho, ezinye izifundo zibika ukuthi kunezici ezithile ezingavuna ukuthuthukiswa kwekhanda langemva komgogodla, njengokusebenzisa izinaliti ezinkulu, imizamo ephindaphindwayo ye-anesthesia, ubudala bomuntu nobulili, izinga le-hydration, ukuvuza kwe inani elikhulu le-CSF ngesikhathi sokubhoboza nokukhulelwa.

Yelashwa kanjani

Ikhanda elibuhlungu ngemuva kwe-anesthesia yomgogodla livame ukudamba ngemuva kwamasonto ambalwa, kepha kunconywa ukuthi umuntu aphuze uketshezi oluningi ukusiza ukukhulula ngokushesha. Ngaphezu kwalokho, ukusetshenziswa kwamakhambi asiza ukuqeda ikhanda kanye nezinye izimpawu ezihambisanayo kunganconywa.

Lapho i-hydration kanye nokusetshenziswa kwemithi ekhonjiswe ngudokotela kunganele, ukupakisha igazi kwe-epidural, okwaziwa nangokuthi isichibi segazi. Kulokhu, i-15 ml yegazi iqoqwa kumuntu bese ibhobozwa endaweni lapho kwenziwa khona ukubhoboza kokuqala. Olunye ucwaningo lubonisa ukuthi ngale ndlela kungenzeka ukuthi kwandiswe ingcindezi ye-epidural okwesikhashana, okusiza ekulweni nekhanda.