SAY ni DOK | Alamin ang mga karaniwang sanhi ng pananakit ng ulo - video Dailymotion

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Transcript

00:00Ito na mga ka-RSP, madalas po ba kayong makaranas ng pananakit ng ulo?

00:11Isang simpleng sakit na dapat natin pagtuunan ng pansin para sa pangalaga sa ating kalusugan.

00:15Kaya naman yung umaga po, ibakakasama natin si Dr. Villa Dineros Galvan,

00:19isang general physician upang pag-usapan yung pananakit ng ulo.

00:23Magandang umaga po, welcome back to Rise and Shine Pilipinas, Doc.

00:25Good morning, Doc.

00:26Good morning, Sir Audrey.

00:26Sir Joshua, sa lahat po nating manunood, Rise and Shine Pilipinas.

00:30Yes, Doc. Pakipaliwanag niyo nga po sa amin kung ano yung dahilan, kadalas ang dahilan, ang pananakit ng ulo.

00:38Yung pananakit ng ulo at headache, isa siyang sakit na madalas yung reklamo ng ating mga patients,

00:47especially dun sa kliniko.

00:49There are a lot of different types actually of headache.

00:52And iba't-iba sa kanila, iba't-iba din yung sanhi.

00:57Ang pinaka-common actually na headache is what we call yung primary headache.

01:02Yung headache na walang underlying disease or hindi siya dahil sa isang sakit or isang underlying condition.

01:10So, ito yung mga nakikita nating tension headache, ito yung nakikita nating migraine, cluster headache.

01:16So, ano yung difference ng tatlo?

01:18Yung tension headache ay isang uri ng pananakit ng ulo na parang may band dito sa temples natin.

01:27And it's usually caused by stress.

01:29Sometimes, it's caused by dehydration.

01:33And this is the most common type of headache na nakikita natin.

01:36So, for example, may mga deadlines tayo, stress sa trabaho.

01:40Yun yung common type na headache na nakikita natin.

01:43So, that's tension headache.

01:45Or for example, we are in a situation that is very stressful.

01:51Usually, nung kadalasan na ma-manifest yung headache na yun is tension headache.

01:55Another type of headache is your migraine.

01:59So, yung migraine usually nasa isang side ng ulo natin.

02:05And this type of headache can usually last from hours to days.

02:12Minsan, may mga kasama niyang ibang symptoms, yung tinatawag natin migraine with aura,

02:18meaning may mga disturbances, motor disturbances, visual disturbances,

02:23nakasama, no, or na nangyayari bago ka nagkaka-headache.

02:28Okay. So, common headache pala yung tawag doon sa nararanasan ko.

02:32Tuwing nakikita ko yung wallet ko, tsaka yung mga pills,

02:35diyo sumasakit yung ulo ko.

02:36Tension yun, ano?

02:37Pero, Doc, sorry, isingit ko lang kasi wife ko,

02:40madalas siya nagkaka-migraine.

02:42Hindi tama yung sinabi mo, sa isang side lang.

02:44Pero ako ba may re-recommend na, like, first aid.

02:46Kasi minsan hirap talaga siya, hindi siya kumikilos.

02:49Ayon niya ng ilaw, ayon niya maingay.

02:51So, paano dapat gawin doon?

02:53Usually, pag ganyan, no, we have to know what the triggers are first.

02:58So, for, usually for migraines, it can be because of lack of sleep.

03:03Okay, pulang sa tulog.

03:04Another, of course, would be, there's your menstrual migraine.

03:08Okay.

03:09Usually, one side din yan that can happen even before your period of a,

03:14ano, no, yung period comes.

03:16So, we have to know what the sources are first.

03:19Usually, ang ginagawa natin, no, kapag may migraine,

03:23we still give pain relievers pa rin, no.

03:26Depende, of course, on what the sources is, no.

03:29Kung ang source naman is because of stress or lack of sleep, no,

03:34we recommend pain relievers, of course, with rest.

03:38Ah, okay.

03:38Yung migraine with aura, yun yung probably na nafe-feel ng life ninyo na minsan may mga visual disturbances,

03:45ayaw ng light, ayaw ng sound, no.

03:47So, we remove that dun sa environment niya para makapag-recover siya.

03:52Okay.

03:52Baka naman minsan, ikaw yung source.

03:54Oo, parang yata, dapat yata ako'y dumabas ng bahay, parang...

03:57Ito, ito common question, Dr. Viano.

04:01Paano mo malalaman kung ito yung simpleng sakit lang ng ulo o migraine na pala?

04:07Right.

04:07Usually, you can tell the difference.

04:10May tinatawag tayong, ano, no,

04:13yung difference is very minimal,

04:15but usually, tinitingnan natin yung timing,

04:17kung saan yung sakit, no.

04:19Um, nakikita natin yan, no, sa dalawang type of headache,

04:23your cluster headache, no,

04:25tsaka your migraine.

04:26So, usually, yung cluster headache, no,

04:30same din siya ng migraine, no,

04:31nasa one side,

04:32but your cluster headache can last for 15 minutes to 30 minutes,

04:36tapos mawawala.

04:37And then, throughout the day, babalik ulit siya, no,

04:41and it can actually happen, no,

04:44intermittently, no, after another day, no,

04:47mangyayari ulit siya, si migraine, tuloy-tuloy si migraine, no.

04:51From your experience po,

04:52sa mga na-encounter niyo yung patients

04:54na nakaka-experience itong migraine, headaches,

04:57ano yung particular lifestyle na kinabibilangan nila?

05:00Ba't mas prone sila sa ganito?

05:02Usually, no,

05:03nakikita natin people who might have lifestyle choices

05:09tulad ng pag-inom ng alcohol,

05:10and ito ba ko, smoking, again,

05:12is a trigger, no, for headaches, no.

05:16Another, of course, would be posture, actually, no,

05:20poor posture,

05:21especially kapag palaging naka-slouch.

05:24Naka-phone, palaging naka-slouch sa work, no.

05:27Ah, okay.

05:28The tension in your neck can actually cause your headache, no.

05:31Minsan nagkakaroon ng parang ice-pick headaches,

05:35yung isang side, parang isang point lang, no,

05:37parang sharp pain siya,

05:40it can actually be caused by postural problems, no.

05:43Ah, okay.

05:44Another one would be, of course,

05:46not enough sleep, and

05:47this is more common also, no,

05:49kapag nagkakaroon ng headache, dehydration.

05:52Hindi ganun kadami yung

05:55naiinom na tubig in a day,

05:56kasi, no, yung headache is caused by

05:59nagko-constrict na blood vessels natin, no.

06:02So, if that happens, no,

06:04usually what we would recommend, no,

06:06we would ask, no, are you dehydrated,

06:08no, did you get enough sleep,

06:09period, no, or, no,

06:12what is your posture?

06:14Okay, Doc, may nabasa ako, no,

06:16ang headache daw, minsan ay cause ng,

06:19ah, kaya may pain dahil may too much blood pressure sa ulo,

06:24tama ba?

06:24Yeah, blood pressure can actually be cause of,

06:26be a cause of headache, no.

06:29But sometimes, especially for migraine,

06:30no, we look at,

06:32yung tinatawag natin basso-constriction,

06:34nagko-constrict yung ugat sa utak natin, no,

06:37which can cause the pain.

06:39That's why minsan,

06:40yung ibang pain medication, no,

06:42is yung basso-dilator,

06:45nagpapadilate ng blood vessels natin.

06:48Pero possible, Doc,

06:50na pagka may migraine ka,

06:51kasi minsan, ito yung naging,

06:52ah, akala ng iba,

06:54pag sinabing may migraine ako,

06:56akala sakit na ng ulo.

06:57Possible ba na pag may migraine ka,

06:59hindi ka makatayo,

06:59hindi ka makalakad?

07:00Yes, no, possible yan.

07:01No, may mga, um, migraines, no,

07:05na minsan nga,

07:05may one-side body weakness, no,

07:07medyo nakakatakot yun, no.

07:09Um, and sometimes, no,

07:11kapag ganun yung mga sintomas,

07:13no, we advise to go to the ER

07:15kasi kailangan natin malaman, no,

07:17kung simpleng migraine lang ba yun

07:19or another type of disease,

07:23yung migraine pala

07:24na may underlying condition

07:25na tulad ng stroke

07:27or other conditions

07:28that can cause one-side weakness.

07:30Ayun na nga,

07:31ang hirap ma-determine

07:32kapag, ah,

07:33ikaw, sa sarili mo lang,

07:34ang, ah,

07:35ang, ah,

07:35pag-assess kung ano yung nararamdaman mo.

07:37So,

07:38para advice na lamang po

07:39sa ating mga kababayan,

07:41Doc Bia,

07:43anong kaibahan

07:43ng simpleng,

07:44simpleng sakit sa ulo

07:45at yung dapat mo na talagang

07:47dalihin sa

07:48especialista?

07:49So, that's actually

07:50a very good question, no,

07:51kasi may mga migraine, no,

07:54na tinatawag natin

07:55yung thunderclap migraines,

07:57that's the worst headache

07:58of your life, no,

07:59it can last from

08:00one minute to five minutes,

08:02yung sobrang-sobrang sakit

08:04ng ulo, no.

08:05Thunderclap?

08:06Thunderclap,

08:07yun yung tawag natin doon, no.

08:09Yung thunderclap migraines, no,

08:12it can be caused by,

08:14number one, no,

08:15brain injury,

08:17pwedeng stroke,

08:18mayroon palang bara

08:19sa utak natin, no.

08:21It can also be caused

08:23by other symptoms, no,

08:26or other sakit,

08:27meaning may tumor sa ulo,

08:28no, pwede din yun, no.

08:30But, for example,

08:31kunyari,

08:33pag-ising mo sa umaga, no,

08:34andun sobrang sakit

08:35ng ulo mo, no.

08:37That can be,

08:39ano, no,

08:39that you may,

08:40you might have

08:40an underlying condition already,

08:42but your thunderclap headache

08:44is one of the emergency cases,

08:45na tinitingnan natin.

08:47It can last,

08:48yung sobrang sakit na one minute

08:49until five minutes, no,

08:51tinitingnan natin yun.

08:52Sometimes,

08:53it can be wala lang, no,

08:55but mas better,

08:56no, mas maagap,

08:57mas mainam na,

08:58puhundan tayo sa,

08:59ano,

09:00sa emergency room

09:01or magpa-consult

09:03sa isang health professional

09:04if it happens.

09:05Alright.

09:06Marami na tayo,

09:07tatay.

09:07Marami ako natutunan.

09:08Medyo sumag-taulo ko,

09:10pero marami ako natutunan.

09:12Alright,

09:12maraming salamat po

09:13sa inyo yung binahagi na kaalaman

09:14para sa ating mga kubayan.

SAY ni DOK | Alamin ang mga karaniwang sanhi ng pananakit ng ulo

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