Imiphumela Yosesho Ethakazelisayo Nge-Painful Headache Disorder
Indlela engcono kakhulu yokufunda ngesifo ukulalela umuntu ohluphekayo. Yingakho izifundo zocwaningo - ikakhulukazi ezinkulu - zingaba ulwazi olujulile.
Ekhanda , abacwaningi uRozen no-Fishman bashicilele imiphumela yocwaningo olukhulu olubandakanya abantu abangaphezu kwenkulungwane abanenhloko yamakhanda - okukhona abanesifo esingaphezu kwesigamu sezigidi e-United States.
Nakhu ukuhlolisisa lokhu kuhlola okuthakazelisayo:
I-Survey Skinny
Le nhlolovo yayinemibuzo eyi-187 eminingi futhi yenzelwe i-US Inhlangano ye-Understanding of Cluster Headache, noma i-US OUCH, - yimuphi amalungu amaningi anesifo senhliziyo. Ucwaningo lukhuthazwe kwi-intanethi kumawebhusayithi amaningi ahlobene namakhanda ehloswe. Kuphela abantu abaye babonwa ukuthi banezinhlanzi zezinhlanzi nge- neurologist bavunyelwe ukuqedela lolu cwaningo.
Ngamaphesenti angu-1134 abantu abanezinsizwa zamagundane baqedile lolu cwaningo - amaphesenti angu-72 ayesilisa kanti amaphesenti angu-28 ayengabesifazane. Wonke umbuso wawumele kulolu cwaningo.
Ukuxilongwa
Kwathatha iminyaka engu-5 noma ngaphezulu ukuthola isifo esifanele sokuhlushwa ikhanda, ngokusho kwamaphesenti angu-42 abaphenduli bezinhlolovo. Okunye ukuhlolwa okungekho kahle kuhlanganisa nesinitis , i- migraine , imithi yokwelashwa, noma izinkinga ezihlobene nezinyo.
Umlando we-Prior Head Trauma
Amaphesenti ayishumi nesishiyagalolunye alabo abaphendulile ucwaningo bathi babenomlando wokuhlukunyezwa kwekhanda.
Umlando womndeni
Amaphesenti angamashumi ayisishiyagalombili nambili alabo abaphendulile bathi babengenalo umlando womndeni wezinsizwa ze-cluster, kodwa ingxenye yabaphenduli babika umlando womndeni we- migraines - lokhu kwenza uzibuze ukuthi kukhona yini ukuhlobana kofuzo phakathi kwe-migraines kanye nekhanda lekhanda kanye / noma ngabe iziguli zitholakali kahle (zihlolwe ukuthi zine-migraines uma zinezinhlungu zezinhlanzi)
Ezinye izifo
Ingxenye eyodwa kweyodwa yabaphendulile yayinomlando wokucindezeleka , kanti amaphesenti angu-14 abika umlando wokuphefumula kwe-apnea .
Auras
Amaphesenti angamatshumi amabili alabo abaphendulela inhlolovo babika umlando we- aura ngaphambi kokuhlasela kwekhanda lamagundane, iningi lahlala liphansi kwamaminithi angama-25. Amaphesenti angaba ngu-100 abike ukukhathazeka ngekhanda labo - ukubandakanya emisebenzini efana nokuhamba noma ukujikijela emuva, ukushaya ikhanda, noma ukushaya udonga.
Ikhwalithi Yezinhlungu
Cishe amaphesenti angama-85 alabo abaphendulile athi ubuhlungu bekhanda labo bebuhlungu bubukhali, kanti cishe cishe u-half ukubika ukuthi ikhanda labo lezinsizwa lingase liphume noma licindezeleke.
Indawo Yezinhlungu
Iningi laphawula ukuthi indawo yekhanda labo yayisemuva. Abanye babika amazinyo aphezulu, umhlathi, indlebe nehlombe. Kulabo abaphendula, amaphesenti angu-49 abike ubuhlungu ngakwesokudla kwekhanda labo kanti amaphesenti angu-44 abike ubuhlungu ngakwesobunxele. Ngokusho abalobi bale nhlolovo, isizathu salokhu kuphazamiseka akucacile, kodwa ukulungiswa kwesokudla kwesigaba sokuhlaselwa kweqoqo kuboniswe kwezinye izifundo. Amaphesenti amathathu kuphela abika ukuhlaselwa okwenzeka kuzo zombili izinhlangothi zekhanda labo.
Ukubhema
Amaphesenti angamashumi ayisishiyagalolunye nantathu ayenokusetshenziswa kukagesi wamanje noma ngaphambili - ukubhema ugwayi noma ukubhema ugwayi.
Ngokuthakazelisayo, amaphesenti ayisishiyagalombili abaphendula athi ukubhema kunciphise ukuhlukumeza komuntu ngamunye, kanti amaphesenti angu-2 athi ukunciphisa imvamisa yokuhlasela kweqoqo.
Utshwala
Cishe amaphesenti angama-65 alabo abaphendulile athi baphuza utshwala, kanti nje ingxenye engaphezu kwengu-50 babika utshwala njengesihluthulelo sekhanda.
Ezinye izinkinga
Ezinye izinhlobonhlobo zekhanda ziqala ngokulandelana ukusuka kokuningi ukuya ezingavamile ezifakiwe:
- izinguquko sezulu
- iphunga
- izibani ezikhanyayo
- izibani ezikhanyayo
- ukubukela ithelevishini
- ukugoqa okushisayo noma ishawa eshisayo
- nitroglycerin
Lokhu kuyathakazelisa, njengoba lezi zimbangela zifana nezimbangela ze- migraine . Ucwaningo alunqume ukuthi ngabe abaphenduli bezinhlolovo zabo babenomlando we-migraines, noma uma ukudla nokucindezeleka (ezinye ezimbili ezivame ukuguquka kwamagraine) zenze ukuhlaselwa kwamaqoqo abo.
Isikhathi
Iningi libike ukuthi ukuhlukunyezwa kwekhanda labo kwamagciwane kwenzeka cishe ngesikhathi esifanayo usuku ngalunye - ngamaphesenti angu-41 abhekisela ngo-2am njengesikhathi esivame kakhulu. Amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye ahlaselwa phakathi kwama-7pm no 7am namaphesenti angu-42 phakathi kuka 7am no-7pm.
Ukwelapha
Abaningi abaphendula - amaphesenti angu-70 - babengenayo inqubo yokuphatha ikhanda lamakhanda abo . Kodwa amaphesenti angu-15 ayenqunywe amazinyo futhi amaphesenti angu-7 abe nokuhlinzwa kwesine. Abanye babika izivimbela zesifo se-occipital noma ukufakwa kwe-nerve stimulator-okuyinto ehlose ama-nerf at the bottom of the skull.
Okubalulekile
Eminye yemiphumela yocwaningo iyamangalisa kakhulu - ikakhulukazi ukufana phakathi kwezimbangela zezinhlanzi ze-cluster kanye ne-migraine - kanti abanye yilokho esikulindele ngokusekelwe ocwaningweni olwedlule.
Kukhona ukulinganiselwa ekutadisheni futhi - okuyinhloko ukuthi leyo nhlolovo yasatshalaliswa kwi-inthanethi, ngakho-ke kungenzeka ukuthi ingabe ingaboniswa ngokugcwele kwama-head-headache abagulayo e-United States. Futhi, ukuxilongwa kwekhanda lamagundane akuqinisekisiwe yi-neurologist evunyiwe yocwaningo, noma ngezimiso ezishiwo yi- International Headache Society .
Ngokubanzi, lolu cwaningo lusivumela ukuba siqonde umthwalo ngokomzimba nangokomzwelo wokuhlaselwa kwekhanda lokuhlukumeza ikhanda.
Imithombo:
Rozen, TD & Fishman, RS (2012). Amakhanda e-Cluster e-United States of America: izibalo zabantu, izici zemitholampilo, izimbangela, ukuzibulala, nomthwalo womuntu siqu. Inhloko, uJan; 52 (1): 99-113.
URussell, MB (2004). I-Epidemiology ne-genetics yamakhanda eqoqo. I-Lancet Neurology, 3: 279-83.
I-Tepper, DE (2015). I-Cluster Headache. Inhloko, May; 5 (5): 757-8.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .