I-hemicrania isifo esiyinhloko se-continua siyingxenye encane yekhanda elingapheli elibhekene nabagulayo be-migraine. Iningi leziguli ezine-hemicrania ziyaqhubeka zibika ubuhlungu ngaphezu kwezikhathi ezingu-5 esikhathini samahora angu-24 futhi okungenani izikhathi ezingu-15 ngenyanga. Ngencazelo, i-hemicrania continua ivela eceleni kwekhanda elilodwa lekhanda. Ubuhlungu obungapheliko buvame ukuqhubeka futhi buguquka ngamandla futhi kunamaphutha ambalwa phakathi.
Ubuhlungu obuzwa bubhekene nobuhlungu obubukhali, obubuhlungu ohlangothini olufanayo. Ungase uzwe ubuhlungu obuhamba phakathi kohlangothi ngalunye lwekhanda ngesikhathi esisodwa sekhanda isiqephu abacwaningi abatholile bangase senzeke.
Izimpawu, Ukuqwashisa, Nokuxilongwa
Ngaphezu kokubuhlungu okungapheliyo, izimpawu zesifo zihlanganisa impumu, ukuthunga nokubomvu kwamehlo, ukujuluka, amajwabu angcolile, isicanucanu, ukuhlanza nokuzwela ekukhanyeni. Ayaziwa ukuthi i-hemicrania eqhubekayo iqhubeka yini ikhanda phakathi komphakathi. Amakhanda angapheli, ukuhlukaniswa okukhulu, kuthinta 4 kuya ku-5% yabantu abaningi. Ezinye izinhlobo ezinhlobonhlobo zekhanda ezingapheli zihlanganisa ukuguqulwa kwe-migraine, ikhanda lokuhlukunyezwa kwengqondo engapheli, nokukhanda kwengqondo eqhubekayo nsuku zonke . Phakathi kwalabo abahlukunyezwe ikhanda elingapheli, isifundo seminyaka engu-5 sabathintekayo abayizinhloko ezingu-651 sathola ukuthi 2.2% wabathintekayo bafundela ubuhlungu obukhulu be-hemicrania continua headache.
Abacwaningi bathole ukuthi i-hemicrania iqhubeka ikhanda, njengenhloko ye-migraine, ivame kakhulu kubantu besifazane. Ngaphezu kwalokho, ucwaningo lubonisa ukuthi ukuvivinya umzimba nokuphuza utshwala kungadala kakhulu i-hemicrania i-continua headache izimpawu.
Ukwelapha
Ngenxa yokuthi ayikho imbangela ye-hemicrania iqhubeka iyaziwa, izidakamizwa zisetshenziselwa ukuphatha izimpawu.
Enye yokwelashwa ejwayelekile ye-hemicrania continua i- indomethacin , imithi yomlomo elwa nokuvuvukala. I-Hemicrania i-continua ikhanda ibizwa ngokuthi i-indomethacin isabela, okusho ukuthi ezimweni eziningi izimpawu ziyaqedwa ngemuva kokulingana okuncane kwezidakamizwa. Kodwa-ke, njengamanye imithi elwa nokuvuvukala, imiphumela emibi ye-indomethacin ngokuvamile ivimbela ukusetshenziswa kwesikhathi eside. Eqinisweni, iziguli ezingu-25% kuya ku-50% ezitholakala ku-indomethacin zokwelapha ekugcineni zenza imiphumela emibi yemithanjeni evame ukubangelwa yile mithi, kuhlanganise nobuhlungu besisu, izilonda zesisu, nokuphuma kwamathumbu emathunjini. Ezinye imiphumela emibi ingabandakanya ukukhathala ngokweqile, ukulimaza okungaqondakali noma ukuphaphaza, umbono obonakele, ukukhala ezindlebeni, nokuqokwa okungapheli.
Ezinye izinketho zokwelapha
Nakuba kungekho imithi eye yafakazelwa ukuthi ilapha i-hemicrania i-headaches ikhanda ngokuphumelelayo njengoba i-indomethacin, ucwaningo olusha luye lwaveza ezinye izindlela zokwelapha. Ucwaningo oluthile luye lwabonisa ukuthi uketshezi lwe-herbal melatonin kungaba yindlela yokwelashwa ehlukile. Itholakale ngaphezu kwe-counter-counter-counter melatonin inesakhiwo samakhemikhali esifana ne-indomethacin, kodwa sitholakala ngokwemvelo emzimbeni. Ucwaningo olulodwa lwamacala lubonise ukufaka okungaphezulu kwe-7-mg ngesikhathi sokulala ngesikhathi esisodwa.
Kodwa-ke, ukwesekwa kwe-herbal akuhambisani nokuvunyelwa yi-FDA futhi, njenganoma yisiphi isimo sezokwelapha, iziguli kufanele zibonane nomhlinzeki wabo wezempilo ngaphambi kokuqala noma yiluphi ukwelashwa. Ngokusho kweNational Institutes of Health, imiphumela emibi ingabandakanya ukuzondeka, ukushintsha kwemizwelo, ingozi eyengeziwe yokwehliswa, ukwehla kwesibalo semaduna phakathi kwabantu, ukwehla kwengcindezi yegazi, nokwanda kwamashukela egazi.
Abacwaningi baye bathola ukuthi i-presiramate yezidakamizwa zibizwa ngokuthi i-prescription drug. I-Topiramate imithi e-anticonvulsant eyanciphisa umsebenzi ongavamile wobuchopho. Nakuba izibalo ezincane ezincane zithole ukuthi lo muthi uzuzisa, kudingekile izifundo ezinkulu ukuze zifunde ukuthi izinzuzo zomuthi zingaphezu kwemiphumela emibi engaba khona, okubandakanya ukuzondeka, ukungakwazi ukugxila, ukudideka, ukwandisa amatshe ezinso, nokwanda okukhulu kwe- osteoporosis .
Ngaphezu kwalokho, i-topiramate ingabangela ubunzima bokuthuthumela umuntu. Njenganoma imuphi umuthi wezokwelapha, kufanele unakekele ukulandela imiyalo kadokotela wakho. Amanani angabikho angabangela "umphumela wokuhlaselwa." Lokhu kubhekisela ekuvuseleleni kwezimpawu zekhanda ngokushesha nje uma imithi ingaphandle kwegazi. Uma imiphumela emibi yomuthi iba nzima, iziguli kufanele zibonane nomhlinzeki wabo wezempilo ngaphambi kokuyeka ukwelashwa.
Imithombo:
UBrighina, F., A. Palermo, G. Cosentino, B. Fierro. "I-Prophylaxis ye-Hemicrania Continua: Amacala amabili amasha asebenzisana kahle ne-Topiramate." Inhloko 3.47 (March 2007): 441-443. www.ncbi.nlm.nih.gov/pubmed/17371364?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum.
"Hemicrania Continua." I-NINDS Hemicrania i-Continua Information Page. 7 Meyi 2008. Isikhungo seNational of Neurological Disorders and Stroke. www.ninds.nih.gov/disorders/hemicrania_continua/hemicrania_continua.htm.
"Indomethacin." I-Medline Plus . 1 Agasti 2007 Izikhungo Zempilo Zesizwe. www.nlm.nih.gov/medlineplus/druginfo/medmaster/a681027.html.
Krymchantowski, Abouch Valenty. "Ukuhlolwa Kwezinhloko Eziyinhloko Phakathi Kweziguli Eziphuthumayo Zomzimba Zosuku Lonke." I-Arquivos de Neuro-Psiquiatria 61.3 (June 2003) www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000300008.
"Melatonin." I-Medline Plus . 1. Agasti 2006. Izikhungo zezempilo zikazwelonke. www.nlm.nih.gov/medlineplus/druginfo/natural/patient-melatonin.html.