Izincazelo kanye nezinketho zokwelapha
Cabanga ukuthi unesifo "se-raber-band-head-head" ubuhlungu cishe nsuku zonke. Akukhona nje ukuthi lesi sihloko sizwisa ubuhlungu obungapheli, kodwa sithinta kakhulu izinga lakho lokuphila. Ake sibuyekeze okungaphezulu kwalokho okushiwo ikhanda lobuhlungu obungapheli, kanye nezinketho zokwelapha.
Isingeniso
Insizwa yengqondo engapheli yinkinga enkulu yokukhanda ikhanda - ethinta cishe u-2% wabantu.
Izinkinga zekhanda zivame ukubizwa ngokuthi "ukuphathwa ikhanda lokucindezeleka" noma "ikhanda lokuhlukunyezwa kwamasipha." Zibonakaliswa ukuzwa okuqinisayo okwenzeka ezinhlangothini zombili zekhanda. Esimweni esingapheli salesi sifo, izinsizwa zingase zenzeke nsuku zonke - zithinta kabi izinga lomuntu lomsebenzi kanye nokusebenza kwansuku zonke.
Izimpawu nokuxilongwa
Izinkinga zezinkinga eziphuthumayo zithinta izinsuku ezingu-15 noma ngaphezulu ngenyanga ngokujwayelekile izinyanga ezingaphezu kwezintathu. Ngokuvamile amahora wokugcina noma aqhubekayo. Amakhanda okuphefumula okungapheli ngokuvamile avela ezinhlangothini zombili zekhanda, ukudala ukuzwa okuzwakalayo, futhi kubangele ubuhlungu obuncane kuya ekulinganiseni.
Kubalulekile ukuthi ungadibanisi isifo sofuba esingenasifo esingapheliyo nezinye izifo ezinzima zesikhumba nsuku zonke ezinjenge:
Ukwelapha
Ukwelashwa kwamaphilisi kulabo abanezifo ezinomzimba ongapheli ngokuvamile kuhilela imithi yokuvimbela.
I-Amitriptyline (Elavil) ingumuthi owodwa otholiwe ukuthi uyasiza ekuvimbeleni ikhanda lokuvimbela ikhanda elingapheli.
I-Amitriptyline - i-tricyclic anti-depressant - iyimithi yokwelapha futhi ivame ukuthathwa ngesikhathi sokulala.
Imithi yokuvimbela eyengeziwe ukuthi udokotela wakho angayicabangela ihlanganisa nezinye izidakamizwa zokucindezeleka - njengeRemeron (Mirtazapine), noma imishanguzo yokulwa ne-anti-seizure - njengeNeurontin (Gabapentin) noma i-Topamax (i-Topiramate).
Ngezinye izikhathi imithi yokuziphatha isetshenziselwa yodwa noma ihlanganiswe nemithi yokuvimbela ikhanda elingenasifo senhliziyo. Izibonelo zezokwelapha zokuziphatha zifaka:
- Ukuphumula
- I-Acupuncture
- I-Electromyography (EMG) i-biofeedback
- Ukwelashwa kwengqondo-yokuziphatha (CBT)
Ku-EMG biofeedback, ama-electrode afakwa esikhwameni, entanyeni nasemzimbeni ongaphezulu ukuze kutholakale ukukhishwa kwemisipha. Isiguli manje siqeqeshwe ukulawula ukucindezeleka kwemisipha ngokulindela ukuvimbela ikhanda. Ukwelashwa kwengqondo-ukuziphatha kuhilela ukufunda indlela yokuhlonza izinhlungu zekhanda nokubhekana nazo ngendlela eguquguqukayo, engaphansi kokucindezeleka. Ngokubanzi, idatha ekusebenzeni kwalezi zindlela zokwelashwa ayihambisani. Noma kunjalo, ochwepheshe bekhanda bayovame ukuphakamisa ukwelashwa kokuziphatha ngaphezu kwemithi uma behlela uhlelo lwezokwelapha iziguli zabo.
Thatha amaphuzu asekhaya
- Ukukhanda kwengculazi yindlala yinto engavamile, eyonakalisa ikhanda lokuhlukunyezwa okwenzeka ezinsukwini ezingu-15 noma ngaphezulu ngenyanga ngokwesilinganiso izinyanga ezingaphezu kwezintathu.
- Ukwelashwa kwekhanda elingenasifo sengculazi kuvame ukufaka imithi yokuvikela - njenge-amitriptyline - ukusiza ukunciphisa inani lezinsizwa ngenyanga.
- Uma unenkinga yokuhlukumeza ikhanda cishe nsuku zonke, zama ukuphazamiseka. Khuluma nomhlinzeki wakho wezempilo ukuze ukwazi ukuxilongwa kahle. Hlala usebenza kahle empilweni yakho yekhanda.
Imithombo
I-Gobel H et al .. Ukuhlukunyezwa kwengcindezi yesikhumba: u-amitriptyline unciphisa ubude bekhanda emtholampilo nokuzwela kobuzwe obuzwe kodwa abuguquli ukufundwa komsebenzi we-muscle. Ubuhlungu. 1 994 Nov; 59 (2): 241-9.
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.
Hirsch M & Birnbaum RJ. Imithi ye-Tricyclic ne-tetracyclic: I-Pharmacology, ukuphathwa, nemiphumela emibi. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
UJackson JL et al. I-Tricyclic antidepressants kanye nekhanda: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. BMJ, 2010 Okthoba 20; 341: c5222.
Schwartz BS et al. I-epidemiology yekhanda lokuhlukunyezwa kwengqondo. I-JAMA . 1998; 279: 381-3
Isiliva se-Silver N. (uhlobo olungavamile lwezinkinga). Am Fam Physician . 2007 Jul 1; 76 (1): 114-6.
Taylor F. Inhlobonhlobo yezinhlungu ezinhlobonhlobo kubantu abadala: Ukwelashwa kokuvimbela. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
I-Verhagen AP, i-Damen L, i-Berger MY, i-Passchier J, ne-Koes BW. Izindlela zokwelashwa zokuziphatha okungavamile ezinhlobonhlobo zezinkinga kubantu abadala: ziyazuzisa? I-CNS Neurosci Ther . Uhlobo lwe-2009; 15 (2): 183-205.
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 .