Thola ukuthi yini ebangele lokhu okubonakalayo kwe-MS nokuthi uyayibona kanjani
Wonke umuntu unesifo sekhanda ngezikhathi ezithile. Kodwa-ke, ucwaningo oluthile lubonisa ukuthi abantu abane- multiple sclerosis (MS) bangase bathambekele kakhulu kwi-migraines futhi mhlawumbe ezinye izifo ezinhlobonhlobo zekhanda , njengezinkinga zekhanda noma ngisho nokungajwayelekile, ikhanda lekhanda .
Izinhlobo ze-MS-Related headaches
Kunezinhlobo ezintathu zezinkinga eziyinhloko zamakhanda eziye zahlolwa njengokuthi zingaxhunyaniswa ne-multiple sclerosis:
I-Migraines
I-Migraines ivamile kubantu abane-MS yokubuyisela kabusha. Zihlala phakathi kwamahora amane no-72 futhi zinezinye zezici ezilandelayo:
- Ilandelwe i-aura (ukugqama noma ukuphazamisa umbono wokubonisa ukuthi ikhanda lizoqala ukuqala) noma izimpawu ze-prodrome (kufaka ukukhathala, indlala, noma ukukhathazeka)
- Ukuqothula ngakunye noma kokubili izinhlangothi zekhanda
- Kuhambisane nokuzwela ukukhanya noma umsindo
- Kuhambisana nesicashu, ukuhlanza, noma ukulahlekelwa ukudla
- Kulandelwe ubuhlungu obungasala futhi buhlungu
Abanye abantu bathola ukuthi ukulala isikhathi eside ngemuva kwe-migraine kusiza ukukhulula izimpawu ezithile zokuhlala.
Izinhlanzi zeCluster
Amakhanda e-Cluster aqala njengenzwa evuthayo ehlangothini olulodwa lwempumu noma ejulile kwelinye iso. Bavame ukuhlala imizuzu engu-15 kuphela noma nje amahora amathathu. Okufanayo, ubuhlungu:
- Iphakamisa ngokushesha
- Izwa njengokushaqeka kwamagetsi noma "ukuqhuma" ngaphakathi noma ngemuva kweso
- Ivela kuphela ohlangothini olulodwa lobuso
- Iza ngaphandle kokuxwayisa (ngokungafani nemigraines eminingi)
- Kuvame ukuphindaphinda ngesikhathi esifanayo nsuku zonke (ngokuvamile ngemva kokulala), ngokuvamile isikhathi semasonto amaningana
- Kungabangela amehlo ukuba amanzi, impumu ukugijima, noma izinkophezelo ukuze droop
- Ukuxazulula ngokuphelele (kuze kube sekhanda elilandelayo lekhanda)
Izinhlobonhlobo zezintambo
Izinhlobonhlobo zezintambo zihlobo oluvame kakhulu lwezinsizwa kubantu abaningi.
Isikhathi sabo singamaminithi angu-30 kuwo wonke usuku (noma ngisho kuze kube ngesonto elilodwa). Izinhloko zezintambo zokuhlukunyezwa nazo:
- Ngokuvamile kubangele ubuhlungu obukhulu, kaningi ngokulinganisela noma obumnene
- Zizwe njengento ehlala njalo, efana ne-band-like aching noma yokucindezela okungenzeka ibe ngaphezu kwamashiya noma egoqa ikhanda
- Woza kancane kancane
- Kungenzeka nganoma iyiphi ingxenye yosuku, kodwa ngokuvamile kwenzeka engxenyeni yokugcina yosuku
Yini Ebangelwa Amakhanda Ekhanda Kubantu abane-MS?
Izinto eziningi ezihlukahlukene zingabangela ikhanda kubantu abane-MS, ezinye ezihlobene ngqo nesifo ngokwayo kunabanye.
Lezi zimbangela zihlanganisa:
Izilonda ze-Multiple Sclerosis
Olunye ucwaningo kubantu abane-MS lisikisela ubudlelwane obuphakathi kwezilonda ze- MS ebuchosheni nokwanda kwenani le-migraines kanye / noma izinhlobonhlobo zezintambo zokuhlukunyezwa. Ngaphezu kwalokho, kunemibiko yekhanda noma i-migraine eyisibonakaliso esiyinhloko somuntu obhekene nokuphindaphinda kwe-MS. Okokugcina, umbiko wesigameko owodwa wachaza ukuhlukumeza izimpawu ze-migraine njengokubonakala kokuqala kwe-MS kumfana osemusha.
Ngakolunye uhlangothi, olunye ucwaningo lubonisa ukuthi akukho ukuxhumana phakathi kwe-migraines nezinhlobonhlobo zekhanda lokuhlukunyezwa kanye ne-MS. Isibonelo, isifundo esisodwa se-Norwegian case-control sanikeza uhlu lwemibuzo kubantu abangaphezu kuka-750 abane-MS kanye nokulawula okungaphezulu kuka-1000.
Imiphumela yabonisa ukuthi akukho ukuxhumana phakathi kwama-migraines noma izinhloko zezinkinga zokuhlukunyezwa kanye ne-MS.
Okokugcina, ikhanda lamagundane kubantu abane-MS baye baxhunyaniswa nezilonda ku-brainstem, ikakhulukazi endaweni yobuchopho, lapho i-nerve trigeminal, ebizwa ngokuthi i-nerve cranial nerve, ivela khona. Lesi yisisindo esibandakanyeka kwenye " isimpawu esibuhlungu kakhulu se-MS" - i-neuralgia ye-trigeminal noma i-tic doloureux .
I-Neuritis esebenzayo
Izikhwehlela zibuye zivame ngesikhathi seziqephu ze- optic neuritis . Lezi zinhloko ngokuvamile zihlangothini olulodwa futhi zimbi nakakhulu uma iso elithintekile lisuswa.
Ukucindezeleka
Ukucindezeleka , isibonakaliso esivamile se-MS, uye wahlotshaniswa nezinsizwa kubantu abane-MS.
Ukucindezeleka kanye nekhanda le-migraine zombili zihlobene namazinga aphansi e-serotonin.
Imithwalo Yemizila Yomuthi
Izinkinga zokwelashwa eziphethwe yi- interferon-based (eg, Rebif , Betaseron , ne- Avonex ) zingabangela ikhanda noma zenze izinhlungu zekhanda zangaphambili zibi nakakhulu. UGilenya naye, omunye umuthi we-MS ukuguqula isifo, angabangela ikhanda. Okokugcina, i- Provigil , i- Symmetrel, nezinye izidakamizwa ezisetshenziselwa ukukhathala nazo zinekhanda njengenhloko yomphumela oyinhloko.
Yeka Indlela Esingahle Ngayo Ingakwazi Ukukhanda Amakhanda?
Imisipha ye-Migraine ingaba buhlungu kakhulu, futhi ukuzwela okuzwakalayo nokuzwakalayo kungaholela kubantu ekuhoxeni endaweni eyithulile, emnyama amahora ngesikhathi. Ngisho nalapho i-migraine idlulile, abantu bavame ukushiya izimpawu zokuhlala-ezibizwa ngokuthi isigaba se-postdrome-esihlanganisa ukukhathala, ukucasula, izinkinga zokugxila, nokuzondeka.
Amakhanda e-Cluster avame ukuchazwa ngabantu njengobunzima obukhulu kunazo zonke abangacabanga ngazo, ngokufana "nokukhethwa kweqhwa elivuthayo elangeni elweni labo." Ubuhlungu obuvela emakhanda eqoqo kubangela abantu abaningi ukuba bawe phansi, badonse izinwele zabo, bangene amakhanda abo odongeni, edwalula emuva naphambili, ukukhala, futhi ukhale. Nakuba ubuhlungu obuvela emakhanda eqoqo luxazululwa-alukho umphumela oqhubekayo njengama-migraines-abantu bavame ukuzwa bekhathele ngokuphelele ngemva kwekhanda ngalinye.
Njengoba nje ukukhubaza njengokukhanda ikhanda kukhona ukwesaba nokwesaba abantu abazizwayo, bazi ukuthi kukhona ithuba lokuthi elinye liza phakathi kwamahora noma ngosuku olulandelayo. Lokhu ukukhathazeka kungaphazamisa imisebenzi yansuku zonke noma ukuxhumana nomphakathi, futhi kubangele ukulala , njengoba abantu begwema ukulala.
Izwi elivela
Kufanele ubone udokotela wakho nganoma yiluphi uhlobo lwekhanda elingavamile, ikhanda elihlala liphindaphinda, noma elihlala isikhathi eside.
Ngaphambi kokumbona, bhala amanothi ngekhanda lakho. Kuwusizo ukugcina irekhodi lesimpawu lapho urekhoda khona imininingwane yezinsizwa zakho, kufaka phakathi nesikhathi sosuku abaqala ngalo, ukuthi bahlala isikhathi esingakanani, noma yiziphi izinyathelo ongase uziqaphele, futhi noma yini oyenzile (kuhlanganise nemithi) eyasiza.
Lokhu kuzosiza udokotela wakho ukuthi anqume ukuthi yini engabangela izinsizwa, ukuthi zinguhlobo luni, nokuthi hlobo luni lwezokwelapha ukuzama.
> Imithombo:
> Applebee A. Ukwelashwa kwemitholampilo ye-multiple sclerosis kanye nekhanda. Izinwele . 2012 Okthoba; 52 Ukusekela 2: 111-6.
> Kister I, Caminero AB, i-Herbet J. Tension-i-headache nohlobo lwe-migraine ku-multiple sclerosis. Ukukhishwa Kwekhanda Lokukhwabanisa Ngomhla ka-2010; 14: 441-48.
> Gustavsen MW et al. I-migraine ne-frequency-type-headache hlobo ayihlotshaniswa ne-multiple sclerosis esifundweni se-Norwegian case-control. I-Mult Scler J Exp Yenza Umtholampilo . 2016 Dec 12; 2: 2055217316682976.
> Pelikan JB, McCombe JA, Kotylak T, Becker WJ. Amakhanda e-Cluster njengomcimbi we-index ku-MS: Umbiko wecala. I- adache . 2016 Feb; 56 (2): 392-6.
> Tabby D, Majeed MH, Youngman B, Wilcox J. Izici kanye nemiphumela yokuphathwa kwezifo. Int J MS Care. Isihlobo sase-2013; 15 (2): 73-80.