Ukhanda Lokukhanda Okuyinhloko: Uhlobo Olujwayelekile Lwezinsizi
Ukuzivocavoca ngumsebenzi onempilo osiza ekunciphiseni ukucindezeleka nokukhuthaza ama-endorphin. Kodwa noma ujabulela ukugijima isikhathi eside noma imidlalo yokuncintisana, into yokugcina oyidingayo iyinhloko ngemuva kokuvuka kwe-endorphins kusuka ekusebenzeni kwakho.
Inhloko eyinhloko yokuzikhandla iyinhlobo engavamile yekhanda elibangela ubuhlungu bekhanda lokubhoboza, ngesikhathi noma ngemuva, noma yiluphi uhlobo lokuqhubeka nokusebenza.
Izimpawu
Ngokusho kohlelo lwesithathu lwe- International Classification of Headache Disorders , ikhanda eliyinhloko lokuzikhandla lithinta, ligcina amahora angaphansi kwamashumi amane nesishiyagalolunye, futhi lwenzeka ngesikhathi noma emva kokusebenza komzimba.
Ngaphezu kwalokho, inhloko ekhanda ngokweqile ivela ezinhlangothini zombili zekhanda, ngokungafani ne-migraine, evame ukuba yodwa.
Inhloko oyinhloko yokuzikhukhumeza akufanele ididaniswe nezinye izinkinga ezimbili eziyinhloko zokukhanda ikhanda ezibizwa ngokuthi ikhanda lokukhwehlela okuyinhloko (okulethwa ukukhwehlela noma i-Valsalva-maneuver) noma ikhanda lokuhlukunyezwa ngokocansi (olulethwa umsebenzi wezocansi).
Ukuxilongwa
Ngaphambi kokuba uchwepheshe wekhanda noma i-neurologist ihlolwe ngokusemthethweni kwekhanda eliyinhloko lokuzikhandla, cishe uzocabangela ubuchopho ukuze ubheke ezinye izimo zezempilo. Ukucatshangelwa kobuchopho kwenziwa nge-imagery magnetic resonance ( MRI ) kanye / noma i-magnetic resonance angiography ( MRA ).
Izimbangela zekhanda elingase lilingise ikhanda eliyinhloko lokuzikhandla kodwa liyikhanda langempela noma uphawu lwesimo sezempilo esiphuthumayo kufaka:
- Isibungu
- I-Brain Tumor
- Ukubhujiswa kwe- s ubarachnoid
- Umthambo we-Vertebral dissection
- Ukuguqulwa kwe-cerebral vasoconstriction syndrome (i-RCVS)
Ochwepheshe nabo banxusa ukuthi abantu abanesifo senhliziyo nesifo esihlotshaniswa nokuvivinya umzimba bahlolisisa isifo senhliziyo , ikakhulukazi uma ikhanda lenziwa kuphela ngokuzivocavoca, aluhambisani ne-migraine, kanye / noma i-radiates kuya noma kusukela entanyeni noma emhlathini.
Isizathu
Isizathu sekhanda eliyinhloko lokuzikhandla alwaziwa. Abanye ochwepheshe bakholelwa ukuthi ukucindezelwa kwesisu nesifuba ngesikhathi sokuvivinya umzimba kudluliselwa ku-skull, okwenza ukwanda kwemithambo yegazi ebuhlungu.
Ngaphandle kwalokho, ikhanda lokuzikhandla lingase libangelwe inkinga yeziqukathi zegazi, njenge-vein jugular yangaphakathi engenamakhono. I-vein jugular yangaphakathi iyinhlamba enkulu ngaphesheya kwentamo yakho eqoqa igazi ebuchosheni nobuso. Uma i-vein ingasebenzi kahle, igazi lingase libuyele ebuchosheni esikhundleni senhliziyo, okungaholela ekucindezelweni okwenyuka ohlelweni oluyingozi oluzungeze ubuchopho.
Ukusekela le ngqungquthela, isifundo esisodwa eCephalalgia sathola ukuthi abantu abanekhanda lokuzikhandla babenamathuba amaningi kakhulu okuba nemithanjeni yangaphakathi ye-jugular engenamakhono kunabantu abangenaso ikhanda elikhandlayo.
Ukwelapha
I-Indomethacin , izidakamizwa ezingekho-steroid ezilwa nokuvuvukala noma i-NSAID, ngezinye izikhathi esetshenziselwa ukuphatha igciwane noma isifo samathambo, iyindlela yokwelapha evamile yomjoqo oyinhloko oyinhloko. Ingasetshenziswa futhi imizuzu engama-30 kuya kwangu-60 ngaphambi kokuzivocavoca ukuvimbela ikhanda lokuzikhandla futhi litholakale lisebenza kahle.
Lokho kusho ukuthi i-indomethacin ihlotshaniswa nemiphumela emibi embi kakhulu, njenge:
- Ukusabela okukhulu kwe-allergenic, kuhlanganise ne- anaphylaxis
- Ukukhushulwa kwamathumbu kanye / noma ukuphuma
- Izenzakalo ze-cardiovascular (isibonelo, ukuhlasela kwenhliziyo nokushaya kabuhlungu)
- Ukulimala kwezinso
- Ukuphakama kwama-enzyme yesibindi
- Ukuzivocavoca kanye nezinye iziphazamiso zesimiso sezinzwa
Uma udokotela wakho ebeka i-indomethacin, sicela ubuyekeze lezi kanye neminye imiphumela emibi engaba khona ngokucophelela.
Ngaphandle kwe-indomethacin, ezinye izifo ngezinye izikhathi ezibekwa odokotela yi-ergonovine, naproxen, phenelzine, ne-propranolol.
Izwi elivela
Ngokufingqiwe, ikhanda eliyinhloko lokuzikhandla liyinhloko ekhanda ngesikhathi noma emva kokusebenza okunamandla ngokomzimba. Ngenxa yokuqwashisa okuhambisanayo, ngaphambi kokuthola ukuthi unesiyaluyalu sekhanda, kufanele uhlolwe ngokucophelela nge-neurologic nge-headache uchwepheshe noma i-neurologist, kanye ne-imaging yobuchopho, ukulawula ezinye izimbangela zekhanda lakho.
Okokugcina, ukuvivinya umzimba kulungile empilweni yakho engokwengqondo nangokwengqondo, ngakho-ke Uma uthola ikhanda eliyinhloko lokuzikhandla, khuluma nodokotela wakho mayelana nokwenza umthamo wokuzivocavoca obunzima noma ucabange ngemithi okufanele uthathe ngaphambi kokuba wenze umsebenzi wokuvimbela ikhanda.
Yiqiniso, uma unemibuzo noma ukukhathazeka mayelana nokuhlolelwa ikhanda, noma uma unekhanda elisha noma ulandela iphethini ehlukile, sicela uxhumane nomhlinzeki wakho wezempilo.
> Imithombo:
> Cutrer M. (2016). Inhloko yekhanda elikhuthazayo. U-Swanson JW, u-ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Doepp F, Valdueza JM, Schreiber SJ. Ukungaqhubeki kwe-valve yangaphakathi ye-jugular kuziguli ezinezinhloko eziyinhloko ezithintekayo: isici esiyingozi? I-Cephalalgia 2008; 28: 182.
> Halker RB, i-Vargas BB. Isihloko esiyinhloko sokuzikhandla: Ukubuyekezwa koLwazi. Isikhumbuzo se-Curr Pain Headache . 2013; Jun; 17 (6): 337.
> Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia 2013; 33 (9): 629-808.