T¨fõ lelal=uo @
T¿fõ lelal=ï yefok
yeá f;areï .ksuq
ffjoH ud,sld chiQßh .d,a," uykqjr frday,aj, fiajh lsÍfuka wk;=rej" fld<U cd;sl frdayf,a <ud udkisl idhkfha fiajh l< wfhls' bkamiqj wefußldj n,d msg;a jQ weh (Baylor College of Medicine) wdh;kfhka ldhsl mqkre;a:dmk úfYaI{ ffjoH Wmdêh ,enqjdh' wE fï jk úg wefußldfõ ,iafõ.dia k.rfha msysá fy,a;a ijq;a mqkre;a:dmk frdayf,a wOHlaI f,i lghq;= lrhs'
fndfyda fofkl= w;r
iq,nj olakg ,efnk ;j;a m%n, fõokdjla f,i ysfia lelal=u ie,lsh yelsh' fuh
iuyreka úiska y÷kajkq ,nkafka bireodj f,isks'ysfia l=lal=u fyj;a
bireodj ^Headache& fldgia follg fnÈh yelsh' ta m%d:ñl ^primary iy
oaú;Sh Secondary) hkqfjks'
m%d:ñl ysfia
lelal=ul§
.eg¨j jkafka ysfia lelal=uh' oaú;Sh ysi reodjl§ ysfia fõokdj we;sjkafka fjk;a fya;=jlgh' ksoiqkla f,i fud<fha ms<sldjla we;s jQ úfgl§ ysfia lelal=ula we;sùu oelaúh yelsh' wm fuys§ idlÉPd lrkafka m%d:ñl ysfia lelal=u ms<sn|j mu‚' m%d:ñl ysfia lelal=uo fohdldrhlska mj;S' jvd;au nyq,j oelsh yels jkafka wd;;sh j¾.fha ysfia lelal=uh' ^Tension- Type Headache& m%d:ñl ysfia lelal=fï fojekak brejdroh fyj;a ñ.af¾ka ^Migraine& hkakh' jirl§ 40lg muK w¨f;ka wd;;s ysfia lelal=u yg .kS' .eyekq msßñ fomlaIhgu fuh we;s jqjo jeämqr yg .kafka .eyekq mlaIhg ùu úfYaIhls' ysfia lelal=u fmdÿfõ iEu jhil§u we;s jqjo jeämqr je<fËkafka ueÈ jhfia§h' brejdrofha§ ;rugu frda.shd ÿ¾j, ;;a;ajhg m;a fkdjqjo fuh ks;r nyq,j we;sjk ksid brejdrohg;a jeäfhka iudchg n,mE yelsh'
wd;;s ysfia lelal=u y÷kd.ekSu
y¾Id iq.;odi
lakbima
.eg¨j jkafka ysfia lelal=uh' oaú;Sh ysi reodjl§ ysfia fõokdj we;sjkafka fjk;a fya;=jlgh' ksoiqkla f,i fud<fha ms<sldjla we;s jQ úfgl§ ysfia lelal=ula we;sùu oelaúh yelsh' wm fuys§ idlÉPd lrkafka m%d:ñl ysfia lelal=u ms<sn|j mu‚' m%d:ñl ysfia lelal=uo fohdldrhlska mj;S' jvd;au nyq,j oelsh yels jkafka wd;;sh j¾.fha ysfia lelal=uh' ^Tension- Type Headache& m%d:ñl ysfia lelal=fï fojekak brejdroh fyj;a ñ.af¾ka ^Migraine& hkakh' jirl§ 40lg muK w¨f;ka wd;;s ysfia lelal=u yg .kS' .eyekq msßñ fomlaIhgu fuh we;s jqjo jeämqr yg .kafka .eyekq mlaIhg ùu úfYaIhls' ysfia lelal=u fmdÿfõ iEu jhil§u we;s jqjo jeämqr je<fËkafka ueÈ jhfia§h' brejdrofha§ ;rugu frda.shd ÿ¾j, ;;a;ajhg m;a fkdjqjo fuh ks;r nyq,j we;sjk ksid brejdrohg;a jeäfhka iudchg n,mE yelsh'
wd;;s ysfia lelal=u y÷kd.ekSu
ks;r ks;r we;sjk
wd;;s j¾.fha ysfia lelal=u fjk;a frda. ,laIK fkdue;sj yg .kS'
* lelal=u ysfia
fome;af;au we;sfõ Bilateral pain&
* ;o jk llshk
fõokdjls'
* iq¿ fyda uOHu
m%udKfha fõokdjls' ^Mild or moderate&
* idudkH bßhõ fyda
ld¾hhl ksr; ùfï § ^Physical activity& fõokdfõ m%udKh fjkia fkdfõ'
* ysi bÈßmi fome;a;
Bi Frontal" ysi msgqmi fome;a; ^Bi occipital& fyda ysi yß ueo ;Srh fõokd yg.kakd ia:dk f,i oelaúh yelsh' ;o lrkakd jeks jQ "
b;d ;o f;dmamshla oeïud jQ fõokdjla f,i
iuyr frda.Syq fuu ysfia lelal=u úia;r
lr;s'
* fõokdj úkdä 30l
isg Èk lSmhla olajd mej;sh yelsh' kuq;a
nyq,j meh lSmhlg iSudfõ' yefok jdr .Kk
udihlg Èk 15 lg wvqfjks' kuq;a fuho ksoka .; frda.hla jQ úg th Èk 15lg
jeäfhka we;súh yelsh'
wd;;s ysfia lelal=u
iy brejdroh fjka lr y÷kd.; yelsh'
brejdroh fyj;a
ñ.af¾ka
* ysfia tl me;a;lska
we;s fõ' ^Uni-lateral&
* wksk"
.efyk fõokdjls' ^Throbbing$pulsatile&
* uOHu isg b;d ;o
fõokdjls ^Moderate to severe&
* YdÍßl
l%shdldrlïj,§ jeäfõ' ^Wod(- mä fma<shla
ke.Su&
wd;;s j¾.fha ysfia
lelal=u
* fome;af;kau
we;sfõ' ^Bi-lateral&
* ñßlk " ;o lrk
fõokdjls' ^queezing pressure&
* iq¿fjka fyda uOHu
m%udKhlg we;sfõ' ^Mild to moderate&
* YdÍßl l%shdldrlï
ksid fjkila isÿ fkdfõ'
óg wu;rj wd;;s ysfia
lelal=u brejdroh fuka fjk frda. ,laIK iu. iïnkaO fkdfõ' tkï brejdrofha §
frda.shdg wdf,dalh foi ne,Su wmyiqh' túg weiaj,g ;on, wmyiq;djla oefkhs'
úúO Yío weiSuo lrorhla fia oefka' Yío
wefik úg is;g oeä fkdßiaiqï iajdNdjhla oefka' jukh Tlaldrh we;sfõ'
tfy;a wd;;s ysfia
lelal=fï § fujeks frda. ,laIK we;s jkafka ke;'
ysfia lelal=u
mrïmrdfjka mrïmrdjg fkdhhs' udkisl
mSvkh" udkisl wdndO" ylafla
wudre iy we;eï fõokdkdYl T!IO jeä jYfhka Ndú; lsÍu hk lreKq ysfia
lelal=u we;s lsÍug fukau
jeä lsÍugo fya;=fõ' tfy;a ysfia lelal=u jeä jYfhka we;s jkafka udkisl mSvkh ksidh' lef*aka wvx.=
ìu ^f;a"fldams& nyq,j mdúÉÑ lrk flfkl= tlajru tu mdkhka k;r lsÍfuka o
fuu ysireodj we;súh yelsh'
ysfia lelal=ug
m%;sldr lsÍfï § udkisl mSvkh ke;s lsÍu m%Odk fõ' tkï is; tlÕ lr
.ekSu i|yd Ndú;d lsÍu" is; ieye,a¨
lsÍfï l%u ;=<ska uki ikaiqkaj ;nd
.ekSfuka ysiroh iqj l< yelsh'
Bg wu;rj f.,
m%foaYhg WKqiqï l< isis,a Wmldrl fhdod .ekSfukao úfYaI fldÜg ^Cervical
pillow& Ndú; lsÍfuka o w,ag%d ijqkaâ
jeks l%u u.ska o ysfia lelal=u iqj lr .; yelsh'
weiam%ska " merisgfuda,a jeks T!IO ysfia lelal=u iqjm;a lr .ekSug
nyq,j Ndú; flf¾' tfy;a fõokd kdYl fnfy;a wjYH m%udKhg jvd jeämqr Ndú; lsÍfuka fõokdj wvqùu fjkqjg fõokdj jeä
úh yelsh' ^Rebound Headache) Èk 2-3
lg jvd jeäfhka fõokd kdYl T!IO mdúÉÑ lsÍu iqÿiq ke;' fldams fyda f;a mdkh iu.
ysfia lelal=u i|yd fnfy;a mdúÉÑ lsÍfuka wvq fnfy;a m%udKhlska jeä m%;sM, ,nd .; yelsh'
ks;r ks;r ysfia
lelal=u we;s fõ kï Anti-depressant T!IOhla b;d iq¿ ud;%djlska ffjoH Wmfoia wkqj mdúÉÑ lsÍu iqÿiqh' tfy;a th
mdúÉÑ l< hq;af;a ysfia lelal=u ks;r ks;r udihlg Èk 15 la j;a je<fËk frda.Ska i|ydh'
tfy;a brejdroh fyj;a
ñ.af¾ka frda.h i|yd ffjoH Wmfoia wkqj l,la fkdlvjd m%;sldr l< hq;=h' brejdroh ksÜgdjg iqj l< fkdyels kuq;a Nhdkl
frda.hla fkdfõ'
;o wõfõ hEu"
jeä fõ,djla l=i.skafka isàu"
fpdl,Ü" Öia jeks wdydr .ekSu" ;on, is;a fõokdjkag m;aùu hkd§ brejdroh
je<£ug fya;=jk lreKqj,ska yels;dla je<lSfuka frda.h je<£u wvq lr
.; yelsh'
lakbima
.jpg)
.jpg)
.jpg)
