Iningi le-imaging yobuchopho lesikhathi akudingeki ngaphandle uma kukhona amafulegi abomvu ekhona
Ngenxa yobuningi bezinhlobonhlobo zekhanda, ukucabangela kobuchopho ngeke kulandelwe. Udokotela angakwazi ukumane ehlonza isifo sekhanda noma i-migraine esekelwe emlandweni womuntu womuthi, izimpawu, nokuhlolwa komzimba.
Kodwa kwezinye izimo, ukucabangela kobuchopho (ngokwesibonelo, i-MRI yobuchopho noma i-CT scan of the brain) kuyadingeka ukuze kuhlolwe ngokujulile, ngezinye izikhathi kusongela impilo, izimbangela zekhanda.
Nazi izibonelo zesikhathi lapho udokotela angalawula ukucabanga ngekhanda lakho.
Ubuhlungu obukhulu obukhulu bokuphila kwakho (aka-Head Thunderclap)
"Ubuhlungu obukhulu kakhulu empilweni yakho," noma ikhanda lokudumaza, libuhlungu ngenxa yegazi elimnyama (i-blein in the brain) futhi idinga ukuhlolwa kwe-CT ngokushesha.
Uma ukuhlolwa kwe-CT kobuchopho kuyinto evamile, kanti udokotela wakho usalokhu ekhathazekile mayelana nokuqothulwa kwamagciwane angaphansi komhlaba, ukukhishwa kwe-lumbar (ithinta umgogodla) kuzokwenziwa.
I-magnetic resonance angiography ( MRA ), kanye / noma i-venography ( MRV ) iphinde isetshenziselwe ukuqhubeka nokulawula noma yikuphi inkinga yezikhumba zegazi ebuchosheni.
Insizwa yekhanda ingabe isibonakaliso sezinye izimo ezinzima ezifana nezimo eziphuthumayo ezibangelwa ukucindezeleka okukhulu noma ukuphazamiseka okubangelwa ukuguquka .
Inhloko ekhanda ngokungazelelwe engxenyeni eyodwa yeNhloko
Ukuqala kobuhlungu bekhanda ngokungazelelwe, ikakhulukazi uma ubuhlungu buya entanyeni, bubuhlungu ngenxa ye-carotid noma i-vertebral artery dissection.
Lokhu kuyisimo esiphuthumayo sezokwelapha futhi sidinga i-MRI ephuthumayo yobuchopho kanye ne-CTA noma i-MRA yekhanda nentamo (lezi zivivinyo zokucabanga zibuka imithwalo yegazi ebuchosheni).
Inhloko Ekhanda Lokukhulelwa Noma I-Postpartum Period
Ngenkathi ikhanda livame ukukhulelwa kanti iningi aliyona inkathazo, inhloko ekhanda ivumela ukuba ucabange ubuchopho.
Kwezinye izimo zezokwelapha ezimbi, njenge- pituitary apoplexy noma i-cerebral vascular syndrome, (uma iziphetho zisebuchosheni), ukukhulelwa kuyinkinga engozini.
Kunezinye izimo ezingokweqile zezokwelashwa udokotela okufanele azicabangele lapho owesifazane enesifo esibuhlungu esihlokweni sokukhulelwa, kuhlanganise nesifo sohlangothi noma isifo sofuba esiswini.
Inhloko kubantu abaneSimiso Sokuzivikela Emzimbeni
Abantu abanomlando we-HIV / AIDS noma isifo sikashukela, abantu abasebenzisa i-chemotherapy yomdlavuza, noma abantu abasebenzisa i-corticosteroids yesikhathi eside (njenge-prednisone) bane-immune system, okusho ukuthi bangase babe nobunzima bokulwa nezifo.
Ukukhathazeka okuyinhloko ngekhanda kubantu abanesifo somzimba sokuzivikela esingasebenzi kahle kubandakanya:
- iphosi lobuchopho
- i-meningitis
- umdlavuza wobuchopho noma intambo yomgogodla
I-tumor yobuchopho nokutheleleka ebuchosheni (njenge-abscess) kungabonwa nge-MRI yobuchopho.
Inhloko kubantu abadala kunama-50 ane-Cell Arteritis ekhunjulwayo
I-giant cell arteritis -yodwa ukuvuvukala kwemithambo ethile yegazi emikhulu nangaphakathi, ngokuvamile amagatsha we-artery carotid yangaphandle (umthamo omkhulu entanyeni yakho).
Lezi zikhumba zegazi zizoholela ezinhlobonhlobo ezihlukahlukene, kodwa ikakhulukazi ikhanda elisha (ngokuvamile u-scalp ungaba nethemba lokuthinta, kodwa hhayi njalo), ubuhlungu bomhlathi uma udla, futhi ngezinye izikhathi uguquko lombono.
Abanye abantu baphinde bahlakulele umkhuhlane futhi bazizwe bengavumelani nokulahlekelwa kwesidlo nesifo somzimba.
Ngaphezu kokuhlolwa kwegazi le- erythrocyte sedimentation rate (ESR), i-biopsy ye-artery yesikhashana kanye ne-MRI ephezulu yokuxazululwa ngokuvamile iyalwelwa ukuqinisekisa ukuxilongwa.
I-Headache entsha noma i-Pattern Exercise
Ikhanda elinesisindo esibucayi sifaka ukucabanga ngeso lengqondo, ukuze kukhishwe igazi echosheni (isibonelo, i-hematoma subdural), noma isisu.
Ikhanda elisha, ikakhulukazi kumuntu onomlando womdlavuza noma i-HIV, liphinde livume ukucabanga, njengoba kunengozi yomdlavuza esakazeka ebuchosheni noma ekutheleleni kwengqondo.
Izinhlungu ze-Head Plus Ezinye Izimpawu noma Izimpawu
Ngezinye izikhathi yizibonakaliso ezihambisana nekhanda lakho elivuma ukuthi i-neuroimaging-futhi lokhu kungaba yi-CT scan noma i-MRI noma kokubili. Lezi zimpawu ezihambisana noma izimpawu zibandakanya:
- izimpawu zezinzwa (isibonelo, ubuthakathaka noma ukuphazamiseka kolunye uhlangothi lomzimba, umbono obonakalayo, noma ukudideka)
- ukuqina kwentamo, umkhuhlane noma ezinye izimpawu zomzimba wonke ezifana nokushona
- isifo esibuhlungu esibangelwa ukukhwehlela, ukuzivocavoca okunzima, ubulili
- ukutholwa kwe-papilledema ekuhlolweni ngokomzimba (uma i-optic disc esweni lakho ikhula ngokucindezela okwandayo ebuchosheni)
Izwi elivela
Kubalulekile ukukhumbula ukuthi ezimweni eziningi, ukucabangela ubuchopho akukhonjisiwe ngenxa yekhanda noma ukuxilongwa kwe-migraine. Izinhloko eziningi ziwukuthi-nje kuphela ikhanda, inkinga yezokwelapha ezinobuthi.
Lokhu kusho, kubalulekile ukubona udokotela ukuhlolwa kwekhanda lakho. Kungaba yinselele ukuhlukanisa ukuthi yini engathà sina nokuthi yini engekho-ngezinye izikhathi yizifo ezincane zezokwelapha udokotela oqoqa ukuthi imitholampilo ixilongwa.
> Umthombo:
> Hainer BL, iMatheson EM. Indlela yokuya ekhanda eliyingozi kubantu abadala. Am Fam Physician . 2013 Meyi 15; 87 (10): 682-87.