Ngezinye izikhathi abantu abanezinwele nabo bakhononda ngezinkinga zamehlo noma zombono-njengokubukeka okubuhlungu noma ubuhlungu beso. Uma isikhalazo sakho se-iso noma sombono singeke sithathwe ngokuthi i- migraine aura , udokotela wakho uzocabangela ezinye izimo zezokwelapha ezibangelwa izinyosi nezinkinga zamehlo.
I-Neuritis esebenzayo
I-neuritis esebenzayo yisimo sokuvuvukala se-optic nererve, isisongo esisemuva kweso elithumela amasignali ebuchosheni.
Abantu abahlukunyezwa nge-optic neuritis bavame ukuzwa ubuhlungu, ikakhulukazi ngokunyakaza kwamehlo, nokubona ukulahleka kombono phakathi nezinsuku ezingu-7 kuya kwezingu-10. Ukuthola ukulahlekelwa kombono ngokuvamile kwenzeka ezinsukwini ezingu-30 kuqala. Iziguli ezixilongwa nge-optic neuritis kufanele zithole i- MRI ebuchosheni ukuhlola ingozi ye- multiple sclerosis (MS).
Isibungu
Isifo esiphuthumayo yisidingo esiphuthumayo sezokwelapha futhi sichazwa ngokuthi isifo socwaningo (lapho ukugeleza kwegazi kuphazanyiswa khona ebuchosheni) noma isifo esibi (lapho kuphuma khona ubuchopho). Esinye isifundo eCephalagia , kweziguli ezingu-240 ezine-stroke, amaphesenti angu-38 anenhloko . Indawo kanye nokuqina kwamakhanda ekhanda kuhluke ngokususelwa kuhlobo lokushaya kwesisu.
Okokugcina, i-headache yayivame kakhulu ezigulini ezethula ngesifo sohlobo lwe-vertebrobasilar. Lolu hlobo lwe-stroke lungabangela ukuphazanyiswa okubukwayo, ngaphezu kweminye impawu ezifana ne-vertigo, ukuhlaselwa kwehla, nokuhlupheka ukugwinya.
Kubangelwa ukuphuma kwegazi noma ukuvinjelwa kwegazi ukuvinjelwa emithambo ye-vertebral ne-basilar yentamo.
Ukucindezela Kwenyuka Kwezingcingo
Izinguquko zomzimba kanye nokuguquka kombono kungabangela ukukhushulwa kwengcindezi eyengeziwe engqondweni. Lesi sakhi sokucindezela singabangela ukubola kwesifo sengqondo, ukutheleleka, noma isimo esaziwa ngokuthi i-hydrocephalus lapho kunesilinganiso esiningi ngokweqile kwe-cerebrospinal fluid emithonjeni yobuchopho.
Odokotela bangabona ukuthi ukunyuka kwengcindezi yanda ngokunyuka ngokweqile ngokuhlola i-ophthalmoscopic ukuhlola i-papilledema.
Idiopathic Intracranial Hypertension
I-Idiopathic Intracranial Hypertension (IIH) yisimo sezokwelapha esibangelwa ukunyuka kwengcindezi yomgogodla ojikelezayo ebuchosheni, ekungabikho kwesisu noma esinye isifo sengqondo. Isizathu esingaziwa kakhulu, kepha iningi lamacala lwenzeka kubesifazane abakhuluphele bokubeletha, ikakhulukazi kulabo abasanda kunesisindo.
Cishe zonke iziguli ezinezimo ezikhona ekamelweni eliphuthumayo noma ehhovisi likadokotela elinesikhalazo sekhanda kanye nesibonakaliso noma umbono ophindwe kabili. Ukwelashwa ngokuvamile ukulahlekelwa isisindo kanye ne-acetazolamide (i-Diamox). Uma lokhu kungaphumeleli, iziguli zingaphathwa nge-shunt, okuvimbela ukugeleza kwe-cerebrospinal fluid (CSF) kwezinye izingxenye zomzimba.
Isikhathi se-Arteritis
I-giant cell arteritis, eyaziwa ngokuthi i-arteritis yesikhashana, yisimo sokuvuvukala kwemithambo yegazi, ikakhulukazi eduze nendawo yekhanda nentamo. Igazi elingaphelekile ligeleza ezakhiweni zamehlo kungaholela ekuguqulweni kwembono, njengokubheka kabili noma ngisho nokulahleka kombono. Abantu abanalesi simo ngokuvamile baneminyaka yobudala engama-50 noma ngaphezulu futhi bakhononda ngekhanda elisha elishayo elivame ukuthinta amathempeli.
I-Herpes Zoster Opthalmicus
I-Herpes zoster opthalmicus (noma amahlombe eso) ngenxa yokuvuselelwa kwegciwane le-varicella-zoster (inkukhu ye-chickenpox) ekuhlukeni kwesifo sezintambo eziyisigqila-isisindo somgogodla esinezibonakaliso ezizwakalayo nokuhamba okuthile kusuka ebusweni kuya ubuchopho. Igciwane lingalimaza iso futhi likhiqize ukuqhuma okudala kwe-dermatomal, ngaphezu kokubuhlungu ngaphakathi noma eduze kweso. Abantu bangase babe nesifo sekhanda ngaphambi kokuthuthukiswa kwe-rash.
Izwi kusuka
Uma unesifo sengculazi kanye noshintsho olusha lombono noma ubuhlungu beso, sicela ucele iseluleko somhlinzeki wezempilo ukuze kutholakale ukuxilongwa okufanele.
Imithombo:
Arboix A, Massons J, Oliveres M, MP MP, Titus F. Izinhlungu emzimbeni wesifo esiyingozi: isifo esingaba khona esibhedlela ngeziguli ezingama-240. I-Cephalalgia . 1994 Feb; 14 (1): 37-40.
Frohman EM, Frohman TC, Zee DS, McColl R, Galetta S. I-neuro-ophthalmology ye-MS. I-Lancet Neurol. 2005 Feb; 4 (2): 111-21.
U-Gonzalez-Gay MA, uBarros S, Lopez-Diaz MJ, Garcia-Porrua C, iSanchez-Andrade A, i-Llorca J. Giant cell arteritis: amaphethini wesifo sombukiso wezokwelapha emlandweni weziguli ezingu-240. Imithi (Baltimore) . 2005 Sep; 84 (5): 269-76.
UMounsey A, uMathewu LG, uSlawson DC. I-Herpes Zoster ne-Postherpetic Neuralgia: Ukuvimbela Nokuphathwa. Am Fam Physician . 2005 Sep 15; 72 (6): 1075-1080.
I-Wall M et al. Ukuhlolwa kokwelashwa kwe-hypertension ye-idiopathic. I-JAMA Neurol. 2014 Jun; 71 (6): 693-701.