Izimpawu, Ukuxilongwa, Nokunakekelwa kwale Nkinga Yezinhlamvu Ezibunjiwe
Inhloko yezinhlamvu-ngokuvamile ekhona endaweni yesipiliyoni sekhanda-uhlobo olunqabile lwezinwele oludala ubuhlungu obubukhali obuhlabayo noma obubunjwa bekhanda.
Izimpawu zekhanda le-Nummular
Ubuhlungu besifo sekhanda se-nummular ngokuvamile buhlala kungenasifo esendaweni esiyindilinga noma e-elliptically efana ne-scalp. Uhlobo oluthile lwezinhlungu, okusho ukuthi ukuma nobukhulu bendawo yobuhlungu buhlala buqinile.
Indawo yezinhlungu ubukhulu obuvela ku-1cm (i-penny) kuya ku-6 cm (i-lime).
Ngenkathi i-headache ye-nummular ingenzeka noma yikuphi esikhwameni, ivame ukutholakala ezinhlangothini zekhanda-indawo ebizwa ngokuthi isifunda se-parietal. Ngokuvamile inhloko yezinwele ikhona ezinhlangothini zombili zekhanda, kanti futhi umuntu akavamile ukuthi abe nezinkinga eziningi zekhanda (noma amasayithi amaningi wezinhlungu zekhanda ezinemibala yemali).
Abantu abanezinsizwa ze-nummular bavame ukuchaza ubuhlungu obunomqondo obumnene, kodwa bungaba nzima. Ubuhlungu buvame ukuchazwa njengokugwaza noma ukucindezeleka. Abanye abantu, futhi, babone izinzwa ezingavamile endaweni yobuhlungu obufana nobuhlungu, ukuphazamiseka, noma i- allodynia , ikakhulukazi uma ikhanda libuya. Kanti futhi, udokotela angakwazi ukukhiqiza ithenda uma ecindezela endaweni lapho ehlolwa ngokomzimba.
Ukuxilongwa kwe-Headmular Headache
Ukuze ihlolwe ikhanda le-nummular, udokotela uzovame ukuhleleka ukucabanga ngeso lengqondo nge-computed tomography scan ( CT scan) noma i-imagery magnetic resonance ( MRI ).
Lokhu kuzoqinisekisa ukuthi ayikho enye imbangela yamakhanda ekhanda, ikakhulukazi ngenxa yokungaboni kahle kwezinsizwa ze-nummular. Udokotela wakho uzohlola ngokucophelela isiqhwaga sakho ukuqinisekisa ukuthi akukho ukuqhuma, njengoba i- herpes zoster ingakwazi ukulingisa ubuhlungu bekhanda le-nummular.
Izimbangela ezinkulu zekhanda elingase lilingise izinhlungu zekhanda zihlanganisa:
• I-Canast Metastatic
• I-Bone Infection njenge-Osteomyelitis
• I- Myeloma eminingi
• Izifo zikaPaget
Isizathu sezinhlamvu ze-Nummular
Isizathu esithile sekhanda le-head is a ukucasuka kwendawo noma neuralgia kwelinye lamagatsha we-trigeminal nerve, okuyinto isisindo etholakala endaweni ebusweni. Kungase kube khona ukuxhumana phakathi kwe-nummular ikhanda le-migraines.
Ukwelashwa kwezinsizwa ze-Nummular
Imithi eminingi ehlukene njenge-non-steroidal anti-inflammatories (ama-NSAID) ne-Neurontin (gabapentin) ingasetshenziswa ukuzama nokukhulula ikhanda lomuntu we-nummular. Ama-anti-pressing tricylic afana ne-Elavil (amitriptyline) angase abe usizo. Lokhu kuthiwa, ayikho ikhambi elilodwa elitholakale lisebenza ngokuphumelelayo ekwelapheni ikhanda lamakhanda, ngokusho kwesifundo seCephalalgia.
I-Botox ingase ibe yindlela yokuphatha izinhlungu zekhanda, ikakhulu uma zingaphenduli emithi. I-toxin ye-botulinum yikhiphe ekhishwa amabhaktheriya i- Clostridium botulinum futhi isebenza ngokuvimbela ukuxhumeka kwemizwa Kwamukelwa ngo-Okthoba ngo-2010 yi-FDA yokwelashwa kwe- migraine engapheli .
Izwi kusuka
Ngenxa yobuningi bezinsizwa eziningana, qiniseka ukuthi uhlolwe kahle ngudokotela uma usola ukuthi lokhu kutholakala. Kungaphezu kwalokho, udokotela wakho uzokwenza ucwecwe futhi ahlolwe ukuhlolwa ngokomzimba futhi ancoma ukucabanga kobuchopho ukulawula ezinye izimbangela.
Imithombo:
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
I-Mathew NT, i-Kailasam J, i-Meadors L. Botulinum i-toxin hlobo A yokuphathwa kwekhanda lamakhanda: izifundo ezine zamacala. Izinwele. 2008 Mar; 48 (3): 442-7.
Moon J, Ahmed K, Garza I. Uchungechunge lwezichungechunge zeziguli ezingu-16 ezinezinhloko zekhanda. I-Cephalalgia . 2010 Dec; 30 (12): 1527-30.
Schwartz DP, Robbins MS, Grosberg BM. Ukubuyekezwa kwezinhloko zekhanda. Isikhumbuzo se-Curr Pain Headache . 22013 Jun; 17 (6): 340.