postpartum headache
Introduction
Introduction Postpartum headache refers to the main cause of headache after childbirth, called "postpartum headache." Chinese medicine believes that it is excessive blood loss after childbirth, Western medicine believes that it is related to changes in hormone secretion. Western medicine believes that it is likely to be caused by changes in hormone secretion levels. Another possibility is that if an epidural labor analgesia or spinal puncture is used during childbirth, it can also cause severe headache. In addition, excessive blood loss after childbirth, lack of blood, blood does not raise the brain, or physical weakness of the cold, cold evil brain, or blood stasis, block the brain can also cause postpartum headache.
Cause
Cause
Excessive blood loss after childbirth, lack of blood, blood does not raise the brain, or physical weakness of the cold, cold evil brain, or blood stasis, block the brain.
1. Blood deficiency: Excessive blood loss after childbirth, lack of blood, brain emptiness, blood does not raise the brain, and cause headache.
2. Blood stasis: Postpartum lochia does not fall, blood stasis, brain blockage, blood flow is not smooth and cause headache.
3. Cold evil: After the birth, the interest will be unsuitable, and the wind will be cold, and the cold evil will cause headache.
Western medicine believes that it is likely to be caused by changes in hormone secretion levels. Another possibility is that if an epidural labor analgesia or spinal puncture is used during childbirth, it can also cause severe headache.
Examine
an examination
Related inspection
Cranial CT examination of cerebrospinal fluid neurotensin
Postpartum headache can be caused by excessive blood loss after childbirth, lack of blood, blood does not raise the brain, or the body is cold, cold evil spirits brain, or blood stasis, block the brain. Therefore, the clinical examination of Chinese medicine for postpartum headache is generally combined with the cause of the disease, clinical symptoms, tongue coating, pulse, etc. to specifically examine and judge. In addition, the examination of Western medicine is generally based on specific clinical symptoms and signs, such as blood tests, blood pressure, blood lipids, brain CT and other examination items.
Diagnosis
Differential diagnosis
Postpartum headache should be alert to cerebral venous thrombosis, which occurs mostly in cesarean section, major bleeding during labor and high-risk maternal; occurs more than 1 week after delivery, often occurs 1 to 2 days after delivery; the disease progresses rapidly, clinical symptoms are heavy, often Severe headache, nausea, vomiting, rapid emergence of mental and disturbance of consciousness, if cerebral palsy and death occur in time due to diagnosis and treatment; the incidence of cerebral hemorrhage is high, the incidence of epilepsy and neurological dysfunction is higher than that of non-postpartum patients; Showing a wide range of blood clots.
[Diagnostic points]
The disease is characterized by a syndrome of postpartum headache.
[Dialectical Classification]
Blood deficiency
Excessive blood loss after childbirth, empty brain pain, dizziness, pale complexion, palpitations and fatigue. The moss is thin, the tongue is light, and the veins are weak.
Bloody
Postpartum headaches such as sputum, or tingling is unbearable, the lochia is not smooth, and the lower abdomen is painful. The moss is thin, the tongue is purple, and the pulse is smashed.
3. Cold evil
The first postpartum cold pain, heat loss, less amount of lochia, color purple. The moss is thin and white.
