Amakhanda e-Cluster abangela uhlobo lobuhlungu olwenzeka ngokufushane kodwa ukuhlaselwa okukhulu okuthinta uhlangothi olulodwa lwekhanda. Uma uhlangabezana nalezi zinsizwa, ungase uzibuze ukuthi zikhona yini izikhambi zemvelo ezingasiza.
Izimpawu
Amakhanda e-Cluster avame ukuphindaphindiwe ngokuphindaphindiwe usuku lonke amasonto noma izinyanga ngesikhathi, bese uma amasonto ambalwa noma izinyanga.
Ubuhlungu bungaba bukhulu kakhulu futhi bubekezeleleke.
Izinsizwa ze-Cluster zibhekene nobuhlungu obuvuthayo, obugwazayo, noma obuzinzile obuvame ukuqhutshwa ngeso elilodwa. Ubuhlungu bungase buqine ngokushesha, buke phakathi kwemizuzu engu-10 futhi imizuzu engama-30 ehlala emahoreni amathathu. Amakhanda e-Cluster avame ukushaya amahora amabili kuya kwamathathu ngemuva kokulala futhi avame ukuba khona ngesikhathi esifanayo njalo ebusuku.
Ukuhlaselwa kungase kuhambisane nezimpawu ezilandelayo ngakolunye uhlangothi njengobuhlungu bekhanda:
- Ukuphumula
- Ijwabu leso le-drooping
- Izinyembezi eziningi
- Amehlo wegazi
- I-constriction yomfundi
- Iphutha le-Runny (noma ikhala elihle)
- Ukugcoba ebusweni, ukuvuvukala, noma ukujuluka
- Ukufutheka
Ngokuphambene nemigraines , ikhanda leqoqo lezinhlanzi livame ukuvela ngaphandle kwempawu zokuqala eziwuphawu lwesigraine.
Uma ucabanga ukuthi ungaba nezinhlungu zekhanda, kubalulekile ukubona udokotela wakho. Njengengxenye yokuxilongwa, udokotela wakho uzolawula ezinye izimbangela zezinhlungu zekhanda, njenge-migraines, kanye nezimo ezingokwemvelo ezingase zidale ubuhlungu.
Izimbangela
Ngenkathi imbangela eqondile engaziwa, izinhlungu zekhanda zihlukaniswa njengezinsizwa ezinamanzi futhi zibonakala zihlobene nokuxoshwa kwemithambo yegazi ekhanda, okufaka ingcindezi kumisipha yobuso (i-nerve trigeminal).
Amadoda, abantu abadala abaneminyaka engama-20 nangaphezulu, futhi abantu abanomlando womndeni wezinsizwa ze-cluster kubonakala sengathi bangengozini yokwandisa isimo.
Ukubhema, ukuphuza utshwala, nokucindezeleka kungaphakamisa ingozi yakho yokuhlaselwa ikhanda.
Izifo Zemvelo
Iningi locwaningomqondo olubuhlungu bekhanda nokudla, izimbangela zokudla, kanye nezindlela zokwelapha ziye zagxila emigudini. Kuze kube manje, izifundo ezimbalwa kakhulu zibuke izixazululo zezinhlanzi zezinhlanzi, kungakhathaliseki ukuthi zendalo, imithi noma ukuhlinzwa. Nakhu ukubuka okunye okutholakele kusukela ocwaningweni olutholakalayo lwezokwelapha zemvelo:
1) i-Melatonin
Zombili lezi zihlubuko zobuhlungu kanye nezigaba zokuhlaselwa ngokuvamile zivame ukuhlala njalo ngesikhathi esithile sosuku. Amaqoqo avame ukuvela ngezikhathi ezithile zokulala futhi avame ukukhuphuka phakathi nezinguquko ngesikhathi sokulondolozwa kwemini entwasahlobo nokuwa, okwenza ososayensi bakholelwe ukuthi i-hypothalamus (ingxenye yengqondo elawula iwashi yezinto eziphilayo noma isigqi se-circadian) ihilelekile.
Ukubuyekezwa kuka-2016 ku- melatonin (i-hormone elawulwa yi-hypothalamus esiza ukulawula ukulala-ukuvuka kwemijikelezo) eyanyatheliswa ku- Headache ithole ukuthi izithako ze-melatonin zisebenza kangcono kune-placebo ekuphatheni ikhanda lezinhlanzi. Ababhali bokubuyekezwa baphetha ngokuthi ucwaningo olwengeziwe luyadingeka ukuze kuqondwe kangcono ubuhlobo obukhona phakathi kwe-melatonin nekhanda lekhanda.
Lona kuphela imithi yemvelo ehambelana nokulinganisa "okungenzeka kuphumelele" ekunciphiseni imvamisa yokuhlaselwa ikhanda kwamagqabha eNkombandlela Yokwelapha Yenhloko Yase-American Headache ka-2016.
2) I-Capsaicin Nasal Spray noma i-Cream
I-spray ye-nasal equkethe i- capsaicin (isithako esisebenzayo e-pepper eshisayo) ingasiza ukunciphisa ubuhlungu bokuhlaselwa ikhanda lokuhlukunyezwa kwekhanda, ngokusho kocwaningo lokuqala. I-Capsaicin spray kucatshangwa ukuthi isebenza endaweni yangakini ekhaleni ngokusulaza i-trigeminal nerve (i-nerve facial that runs down to the nose) futhi igxile amazinga amakhemikhali abandakanyeka ebuhlungu.
Azikho izifundo ezintsha ezitholwe ochwepheshe bezocwaninga iziqondiso zokwelapha ngo-2016, kuphela ukutadisha okudala okuthola imiphumela ethile ekunciphiseni inani lokuhlaselwa ngokusebenzisa i-capsaicin ohlangothini olufanayo lwekhala njengoba ubuhlungu bekhanda.
Ngenxa yalokho, bayifaka njengobunemininingwane enganele yokwenza isincomo.
Nakuba i-capsaicin itholakale ngezindlela ezihlukahlukene, kuphela ukukhwabanisa kwamasheya okuhweba kuye kwacutshungulwa ngamakhanda ekhanda. Okungekho oyinyumba, okwenziwa ngamaphilisi e-capsaicin nasenhlamba akufanele asetshenziswe.
3) Ukudla, Indlela Yokuphila, Nokucindezeleka Ukukhulula
Utshwala lungabangela ukukhanda ikhanda kwabanye abantu. Uma uphuza utshwala, cabanga ukugwema ngesikhathi seqembu. Ukubhema, izibani ezikhanyayo, ukushisa (isimo esishisayo, ama-saunas, umsebenzi okhuni, okugeza okushisayo nemvula), futhi ukuphakama okuphezulu kungabangela nokuhlaselwa.
Ukudla okunye kungabangela ukuhlaselwa kwabanye abantu, kuhlanganise nokudla okungaphezulu kwe-nitrate (njenge-bacon, izinja ezishisayo, inyama yezinkuni, kanye nenye inyama egcinwe futhi egcinwe).
Ukwelapha
Ubuhlungu buya ngokushesha, ngakho-ke ukwelashwa kuvame ukubandakanya imithi yokuhlunguphaza okusheshayo kanye nokwelashwa okuvimbelayo:
- I-Nasal sprays ye-zolmitriptan noma i-anesthetics yendawo
- Izifo zika Imitrex (sumatriptan) noma i-dihydroergotamine (DHE)
- Ukwelashwa kwe-oksijeni
- I-neurostimulation
- Ukuhlinzwa
Uma ushiywe ungakhulumi, ikhanda le-cluster lingabuyela iminyaka futhi liphazamise ukusebenza kwakho kwansuku zonke. Amakhanda e-Cluster ahlotshaniswa nokucindezeleka (okuyingxenye ehlobene nokuphazamiseka kokulala okubangelwa ukuhlaselwa ebusuku) kanye nobungozi obukhulu besifo senhliziyo.
I-Takeaway
Uma wena noma othile omaziyo uthola ikhanda lokuhlukumeza ikhanda, cishe uyazi ukuthi ubuhlungu obukhulu bubuhlungu kangakanani, futhi kungenzeka ukuthi ufuna indlela engokwemvelo yokukhulula ubuhlungu. Ngenxa yokucwaninga okulinganiselwe, noma kunjalo, kusheshe kakhulu ukutusa noma iyiphi ikhambi lokuphatha ikhanda lekhanda. Uma usacabangela ukuzama eyodwa, qiniseka ukuthi ukuxoxa ngakho kuqala nodokotela wakho ukuze uqiniseke ukuthi kukulungile kuwe. Ezinye izixazululo, njenge-melatonin, zinemiphumela emibi futhi kungenzeka zingalungile.
Ungakwazi ukuvimbela ikhanda lokuhlukumeza ikhanda ngezinga elithile ngokugwema izici owaziyo ezingahle zifinyelele ukuhlaselwa, njengotshwala, ugwayi, ukushisa okwedlulele noma izindawo eziphakeme, ngisho nokudla okuthile. Ukugcina idayari kungakusiza uqaphele futhi ugweme izinto ezibangela ukuhlaselwa, okusiza ukugcina ukhululekile.
> Imithombo:
> Campellone JV. I-Cluster Headache. I-MedlinePlus. https://medlineplus.gov/ency/article/000786.htm.
> Izinhlanzi zeCluster. I-Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/cluster-headache/symptoms-causes/dxc-20206299.
> I-Gelfand AA, i-Goadsby PJ. Indima ye-Melatonin ku-Treatment of Primary Headache Disorders. Izinwele . 2016 Jun 17.
> Robbins MS, Starling AJ, Pringsheim TM, Becker WJ, Schwedt TJ. Ukwelashwa kwe-Cluster Headache: I-American Headache Society Iziqondiso Ezisekelwe Ebufakazi. Izinwele. 2016 Jul; 56 (7): 1093-106.
Ukuziphendulela: Ulwazi oluqukethwe kule sayithi luhloswe ngezinjongo zemfundo kuphela futhi aluthathi iseluleko, ukuxilongwa noma ukwelashwa ngudokotela olayisensi. Akuhloselwe ukumboza zonke izinyathelo zokuqapha, ukusebenzisana kwezidakamizwa, izimo noma imiphumela emibi. Kufanele ufune ukunakekelwa okusheshayo kwezokwelapha kunoma yiziphi izinkinga zezempilo bese uthintana nodokotela wakho ngaphambi kokusebenzisa enye imithi noma wenze ushintsho ohlelweni lwakho.