Izinsizwa ze-Cluster zingaba uhlobo olubuhlungu kunazo zonke lwezinsizi ongaba nazo - futhi uma uke waba nazo, uyazi ukuthi kuyiqiniso.
Ngokuvamile, uzovusa phakathi nobusuku ngobuhlungu obukhulu ohlangothini olulodwa lwesbuso bakho, olugxile iso lakho. Ubuhlungu buzophakama emaminithini amahlanu kuya kwangu-10 okuqala futhi lungapheli amahora amabili ngaphambi kokuxhaswa.
Babizwa ngokuthi "izinhlungu zekhanda" ngenxa yokuthi lezi zinhloko zifika kumaqoqo ahlala amasonto noma ngisho nezinyanga.
Ungaba nochungechunge lwezinsizwa ze-cluster, bese-ke zingangena ekuxoxweni izinyanga noma iminyaka ngaphambi kokubuya. Inhloko yezinhlanzi zeCluster ngenhlanhla kuyindlela engavamile yokwehla kwekhanda .
Izimpawu zezinhlanzi zeCluster
Njengoba ngishilo ngenhla, uma unesifo sekhanda uzozwa ubuhlungu obukhulu ngakwesinye kobuso bakho, ngaphezu kweso lakho nasezungeze ithempeli ngaphesheya kobuso bakho. Ungase uchaze ubuhlungu obubukhali noma obuvuthayo.
Ungase futhi uzwe ukuvuvukala eduze kweso noma kokubili amehlo, ukuchoboza noma ukuvuselela amehlo akho, nokuxubana komzimba.
Uma ubona udokotela wakho ngesikhathi sokuhlaselwa, angathola ukuthi unesimo esingavamile okuthiwa i-Horner syndrome - umfundi wehlo lakho elithintekile angase abe mncane kunokujwayelekile, futhi ijwabu leso lingase lihlasele. Lezi zimpawu zizoxazulula ngokushesha uma ikhanda liyeka.
Akucaci Okwenza Lezi zikhanda
Odokotela abaqiniseki ukuthi kungani abanye abantu bezwa ikhanda lokuhlukumeza ikhanda.
Kungenzeka ukuthi izinkinga ezingxenyeni zobuchopho bakho zithi i-hypothalamus idlala indima ethile, futhi ikhanda lingahle lihlobene nokukhishwa okusheshayo kwe-serotonin ye-neurotransmitters noma i- histamine .
Kunezici ezithile ezenza ube engozini enkulu yokuthola ikhanda lezinhluzane, noma kunjalo. Amadoda amaningi kunabesifazane anekhanda le-cluster, isibonelo.
Amandla ekhanda wezinhlobonhlobo ezinhlobonhlobo zihlanganisa zombili izici ongazilawula, kanye nokunye ongakwazi. Isibonelo, ukuphuza utshwala, ukusebenzisa i-cocaine nokubhema ugwayi kungabangela izinhlungu zekhanda, njengoba kungakwazi ukuphakama phezulu, ukuzikhandla komzimba, ukushisa nokukhanya okukhanyayo. Ukudla okuphezulu ku-nitrites, njenge-bacon kanye ne-pepperoni, nakho kungabangela ukukhubaza.
Ukwelapha izinsophezelo zeCluster Kungaba nzima
Ngisho noma izinhlanzi ze-cluster zingavamile, odokotela baye baveza izindlela eziningana zokubaphatha.
I-oksijeni engenawo umoya yiyona ebizwa ngokuthi "ukwelashwa kokuqala komugqa" wezinsizwa zekhanda, okusho ukuthi ukwelashwa okukhethayo. Ucwaningo luye lwabonisa ukuthi ukuvuselela i-oxygen kunganciphisa noma kumise ukuhlasela kwekhanda leqoqo. Kodwa-ke, isifundo se-2011 sathola ukuthi odokotela abaningi banqika ukubeka i-oksijeni, okwenze kube nzima ukuthola izinkinga zezinhlobonhlobo zekhanda. Futhi kuyindlela yokwelapha ebiza kakhulu.
Odokotela nabo bangase batusa imithi ebizwa ngokuthi i- triptans - i-Imitrex yi-triptan evamile - ukumisa ikhanda leqoqo. Ungafaka imishanguzo ye-triptan noma uyenze ngomlomo. Ngezinye izikhathi ama-triptans anqunywe emakhonsathini nge-oksijeni evaliwe. Eminye imithi esetshenziselwa ukuphathwa ikhanda ihlanganisa i-short-term steroids kanye ne-dihydroergotamine engenayo.
Qaphela ukuthi i-dihydroergotamine iyingozi uma isetshenziselwa ihlanganiswe namanye ama-triptan.
Imithi yezinhlungu - ngisho nezidakamizwa - ngokuvamile ayisebenzi kahle ngekhanda lokuhlukunyezwa. Njengendlela yokugcina, udokotela wakho angase ancome ukuhlinzwa ukuze kusize ukunciphisa ubuhlungu bakho.
Imithombo:
"I-International Classification of Headache Disorders, Edition 2". I-Cephalalgia 24 (s1). i-doi: 10.1111 / j. 1468-2982.2003.00824.x
Evans RW et al. "I-Handbook of Headache, Edition Yesibili." I-Philadelphia: Lipincott Williams & Wilkins. 2005.
UMthetho S. et al. I-Triptans yekhanda le-cluster eliyingozi. I-Database Cochrane Yokubuyekeza Okuhlelekile. 2013 Jul 17; 7: CD008042.
U-Obermann M. et al. Izinketho ze-Pharmacotherapy zezinhloko zekhanda. I-Expert Opinion kwi-Pharmacotherapy. 2015 Jun; 16 (8): 1177-84.
Rozen TD et al. Ukuphefumula okwe-oxygen ne-cluster headache e-United States: ukusetshenziswa, ukusebenza nokucwaninga: imiphumela evela ku-United States Cluster Headache Survey. Izinwele. 2011 Feb; 51 (2): 191-200.
USilberstein SD et al. "Inhloko ye-Wolff neyinye Insizwa Yekhanda," i-edition yesi-7. I-Oxford University Press, ngo-2001.
USilberstein SD et al. "I-Atlas of Headache." I-Parthenon Publishing, ngo-2002.
Ilabhulali Kazwelonke Yezokwelapha yase-US. I-Cluster Headache fact sheet. Ifinyelelwe ngoNovemba 29, 2015.
Ilabhulali Kazwelonke Yezokwelapha yase-US. I-Horner Syndrome ishidi leshidi. Ifinyelelwe ngoNovemba 29, 2015.
Intsha, i-WB et al. "I-Migraine Nezinye Izinsizi." I-Ney York: I-AAN Press. 2004.