Ucwaningo lubonisa ukuthi abantu abaningi ababhekene nokugula kwengqondo banesifo senhliziyo noma i-migraines. Kungakhungathekisa ngempela ukubhekana nosizi nokucindezeleka noma ukukhathazeka ngesikhathi esifanayo-futhi abantu bavame ukubuza ukuthi yikuphi okufika kuqala, njengombono "wezinkukhu".
Kungakhathaliseki isimo sakho esiqondile, wazi ukuthi ukugula kwengqondo kungathinta indlela ozizwa ngayo ubuhlungu, ikakhulukazi ikhanda.
Cabanga ngezibonelo ezintathu ezilandelayo zokuthi ikhanda lakho lingase lihlobene kanjani nokugula kwengqondo:
Ukucindezeleka kanye nezinsizi
Abantu abaningi abanesifo sokucindezeleka bahlangabezana nezimpawu zomzimba ezifana nokukhathala, ukulahlekelwa isifiso sokunciphisa umzimba, ukwehlisa izenzo zobulili, nokuphazamiseka kokulala, njengokulala. Ngaphezu kwalokho, ikhanda kanye nezinye izinhlobo zobuhlungu ezinjenge-muscle noma i-joint aches yizikhalazo eziningi.
Kucatshangwa ukuthi izinhloko zezinkinga zokucindezeleka zivame ukuhamba nokucindezeleka, nakuba abantu abacindezelekile bangabhekene nezinye izinkinga eziyinhloko eziyinhloko, njenge- migraines noma i- cluster headaches .
Uma kunokwenzeka, umhlinzeki wakho wezempilo uyozama ukukhetha imithi noma ukwelashwa okungaxazulula kokubili ukucindezeleka kanye nezinsizwa. Imithi esetshenziselwa ukuphathwa kokubili ukucindezeleka kanye nokuphathwa ikhanda okuhambisana nokucindezeleka kufaka phakathi i-tricyclic antidepressants, njenge-Elavil (amitriptyline), noma i-serotonin reuptake inhibitors (SSRIs) ekhethiwe, njenge-Paxil (paroxetine) noma i-Zoloft (sertraline).
Ukucindezeleka Kwangemva Kokucindezeleka Okuthuthumayo Nezinsizwa
I-PTSD ivame kakhulu kuma-migraineurs kunabantu abaningi. Ucwaningo lubonisa ukuthi abantu abane-migraine bangakwazi ukuthuthukisa i-PTSD uma behlushwa ukuhlukunyezwa, njengengozi yemoto noma ukusebenzisana okuhlukumezayo, kunabantu abangatholi migraines.
Ngaphezu kwalokho, uma abagulayo bekhanda benesifo se-PTSD, bavame ukuba nokukhubazeka okuphakeme kunelabo abangenawo i-PTSD-okusho ukuthi ikhanda labo lithinta ukusebenza kwabo kwansuku zonke kanye nekhwalithi yokuphila ngezinga elikhulu.
Izindaba ezinhle ukuthi kunezindlela eziphumelelayo zokwelapha i-migraines ne-PTSD, kuhlanganise nemithi efana ne-tricyclic yokucindezeleka i-Elavil (i-amitriptyline) noma i-serotonin-norepinephrine i-reuptake inhibitor Effexor (venlafaxine). Ukwelashwa kwengqondo-yokuziphatha kungasiza futhi, kungaba yedwa noma kuhlanganiswe nemithi.
I-Bipolar Disorder ne-Headaches
Isifo se-bipolar yisimo esiqukethe izikhathi zombili zokucindezeleka kanye ne-mania. Ucwaningo luye lwabonisa ukuthi abantu abanenkinga yokuguquguquka kwe-bipolar-ikakhulukazi labo ababhekene ne-Bipolar 2 disorder - bavame ukuthinteka yizinsizwa, ikakhulukazi i-migraines. Ukwelashwa kwesifo se-bipolar kanye ne-migraines kungadinga imithi engaphezu kweyodwa, nakuba i-Depakene (i-valproic acid) ingabamba kokubili ukuvimbela imithrafikhi futhi ibe yisimo sokuzinza isimo.
Ukucatshangelwa Ukwelashwa
Njengokwakhe njalo, kuyadingeka ukunakekelwa okhethekile uma ucubungula imithi yokwehluleka kwengqondo kanye nekhanda, ikakhulukazi i-migraines. Isibonelo, ukwelashwa kwe-triptan ye-migraines yakho kungabangela ekuthuthukiseni kwe- serotonin syndrome uma kuhlangene nenye ye-SSRIs noma i-SNRIs.
Yize lokhu kungavamile, kungcono ukuxoxa ngokucophelela ngezinketho zakho zokwelashwa ngokucophelela nodokotela wakho.
Okubalulekile
Ngezinye izikhathi kunzima ukukhipha eceleni imbangela yesikhumba sakho. Ekugcineni, kungakusiza ukwazi ukuthi awodwa wedwa ekuhluphekeni kwakho-futhi kukhona izindlela zokwelapha ezitholakalayo kuwe, kungakhathaliseki ukuthi ikhanda lakho libangelwa yini noma lihlotshaniswa nokugula kwengqondo yakho (noma umane ube nesifo ezakhe).
Imithombo:
I-Fornaro, M., i-Stubbs B. Ukuhlaziywa kwe-meta-uphenyo okuphenya ukusabalalisa kanye nomengameli we-migraines phakathi kwabantu abane-bipolar disorder. I-Affect Disord . 2015 Jun 1; 178: 88-97.
Iwebhusayithi ye-National Headache Foundation. Ukucindezeleka kanye nekhanda.
UPeterlin, u-BL et al. I-Posttraumatic Stress Disorder ku-Migraine. Izinwele . 2009; 49 (4): 541-51.
Peterlin BL, Nijjar SS & Tietjen GE. Ukuphazamiseka kokucindezeleka okuthunyelwe emva kokuthungatha futhi i-migraine: i-Epidemiology, umehluko wobulili, nezinqubo ezikhona. Izinwele . 2011 Jun; 51 (6): 860-68.
Ihlelwe nguDkt. Colleen Doherty May 22nd 2016.