KATHMANDU: There are very few Nepalese who have never experienced the problem of headaches. You too may have suffered from headaches at one time or another.

A survey of non-communicable disease risk factors conducted by the Health Research Council also shows that 15.2% of people were unable to work due to headache problems.

The word “headache” has been on everyone’s lips lately. Headaches can be very painful, dull or throbbing. It can occur on one or both sides of the head and on the front or back. Doctors say that headache is not a disease in itself, it can also be caused by physical problems or illnesses.

A situation where it is necessary to consult a neurosurgeon

By neurosurgeon, we mean a doctor who performs head surgery. If there is a situation where an operation is needed on the head, it is necessary to consult a surgeon. Since neurosurgical diseases can be fatal, a neurosurgeon should be consulted in such cases.

How does the head hurt in a deadly situation?

Head bleeding is deadly. Like, when you get hurt, your head bleeds. If blood pressure is not well controlled, blood vessels inside the head can suddenly burst and bleed.

This is called a hemorrhagic stroke. There are other symptoms like paralysis, inability to speak and sometimes unconsciousness, all caused by headaches.

Another serious case is an aneurysm. There are four vessels leading to the head. The blood vessels come out of it and the wall of the blood vessel is not solid where the blood vessels come out. It therefore cannot follow the speed of the blood. Sometimes they inflate like a balloon. And they burst.

Bleeding from the head after a rupture is also serious. In such a situation, 10 to 20 people out of 100 die on the way before reaching the hospital. Its first symptom is a sudden headache as if it had never been felt before.

Fainting due to severe pain

To be unconscious is to be completely numb and unable to feel. Consciousness only works through the mind. There is a space in the brain called the brainstem. It works to keep a person in a conscious state. There is a flow of waves in it, if it breaks, then one loses the meaning.

When someone suddenly hits the head, the brain can be affected. At this time, the vision becomes blurred, at this time, the blood flow to the brainstem suddenly stops, which makes the situation fatal.

The most vulnerable people

The causes of headaches are of two types, surgical and non-surgical. Eye headaches, sinusitis headaches, and joint pain headaches are non-surgical.

When there is a general tumor inside the head, it should be cut out. When the tumor is advanced, the blood vessels and muscles that go to the head are stretched and the head hurts a lot. These are surgical cases.

Risk of cutting a tumor on the head

Head surgeries range from simple to complex. Any surgery carries a 10-15% risk. There is therefore a risk of operation.

After cutting the skin during surgery, we reach the bone. After you cut it, there is a hinge that covers the brain, you also have to tear it and in cutting where the tumor is, you have to take care because there are blood vessels in every place, and they can bleed when injured. If left unchecked, it may bleed even after the operation.

After the incision, it is possible for bacteria to enter the area, which can lead to infection of the wound and other problems. During the brain operation, this place is slightly damaged. When this happens, it can sometimes cause a condition like epilepsy. These are common risks.

Among other things, brain damage can lead to various complexities ranging from paralysis to unconsciousness. This does not happen in all people, only in 10-15% of people.

Once the tumor has been excised

A tumor is a cell that surrounds cells in a tissue, a process that grows from cell to cell. It happens everywhere, so if the cells start dividing too much out of control it forms a kind of tumor.

There are mechanisms to control it. The tumor is controlled by genes. If this mechanism fails, cells divide uncontrollably, leading to tumor growth.

It is of two types, one of them is cut and thrown away and does not come back. If it does not spread to other parts of the body, it is called a simple tumor. And if it grows sideways or is moved to other parts of the body even after being cut, it is called malignant. It’s cancer.

Something to keep in notice

The first and most important thing is to identify the problem. To identify the disease, a simple test is not enough; therefore, many tests must be performed. People often think that everything should be back to normal after the operation. However, this is not always the case with head surgery.

Most vulnerable group

Headaches can affect people of all age groups, from newborn babies to men of all ages. The treatment also differs depending on the case and the age of the patients. Surgical procedures can be those to be performed in the mother’s womb or as the person ages.

As the lifestyle changes towards modernity, the vulnerability to risks such as diabetes and abnormal blood pressure increases.

The amount of fat is seen to increase in people due to their unnatural lifestyle. Fat causes problems like narrowing of blood vessels. So these things need to be controlled. Controlling obesity can protect a person against many health risks.

(Prepared by Khabarhub Correspondent based on a conversation with Dr Chandra Man Prajapati)