Izimbangela ezinzima futhi ezibucayi zobunzima bebunzi
Iningi lezinsizwa zangaphambili zibangelwa yi- migraines noma izinhlungu zekhanda. Ngokuvamile, zinamakhanda wesibili - -ukuthi zibangelwa esinye isimo sezokwelapha esibalulekile. Kulesi simo, ngokuvamile kunezinye izinkomba, ngaphandle kwekhanda, okusiza udokotela ukuba ahlaziye. Nazi izibonelo zamakhanda wesibili ezingabangela ubuhlungu bekhanda langaphambili.
I-Giant Cell Arteritis
I-giant cell arteritis noma i-GCA iyinhlangano ye-vasculitis yegazi enkulu nephakathi. I-Vasculitis isho ukuvuvukala kwemithambo yegazi. I-GCA ithinta kakhulu amagatsha we-artery carotid yangaphandle, umthambo omkhulu entanyeni. Ukuvuvukala kwemithambo ethile e-GCA kuphazamisa ukugeleza kwegazi, okwenza izimpawu ezihlukahlukene zifana nekhanda, izinguquko zombono, nokubuhlungu komhlathi lapho kuhlafuna.
Ikhanda le-giant cell arteritis livela emathempelini, kokubili noma eyodwa kuphela. Kungabuye ibekwe endaweni ebunzini noma ngisho nangemva kwekhanda. Noma, kungenziwa ngokwengeziwe futhi kwenzeke "yonke indawo." Ngesinye isikhathi, abantu bazosho ukuthi kuyabuhlungu ukubopha izinwele zabo noma ukufaka isikhwama se-baseball.
Ngokuvamile kunezinye izimpawu ezikhomba ukuxilongwa kwe-GCA. Ungaba nomkhuhlane noma uzizwe ukhululekile. Lo mzwelo nokukhwabanisa kungase kwenzeke futhi kuvaliwe amasonto, ngisho nezinyanga. Umbono ushintsho, njengokulahlekelwa okuphelele kombono kwelinye iso noma umbono ophindwe kabili , kungenzeka nge-giant cell arteritis.
Ngesinye isikhathi lesi sibonakaliso esesabekayo esiholela abantu ekugcineni bafune ukunakekelwa kwezokwelapha.
I-Brain Tumor
Isisu sobuchopho senzeke lapho amangqamuzana ebuchosheni ekhula ekulawuleni nangendlela engavamile. Kunezinhlobo ezahlukene zesifo somdlavuza wobuchopho, futhi zikhula ngamazinga ahlukene, ezinye zihamba kancane, futhi ezinye zihamba ngokushesha.
Ngokuvamile, ubuhlungu besisu sekhanda lobuchopho buyinto encane futhi kwenzeka ngaso sonke isikhathi. Ngezinye izikhathi, kuqhuma.
Izikhwehlela ezisuka ebuchosheni bobuchopho zivame kakhulu ebusuku, futhi abantu bazovame ukubika ukuthi ubuhlungu bubavusa ebuthongweni babo. Ngokuvamile ikhanda liba khona noma libi kakhulu ohlangothini olufanayo njenge-tumor. Kodwa, ikhanda lingahle lenziwe jikelele, ikakhulukazi uma kungenxa yokucindezela okungekho emthethweni (ICP) noma i-hydrocephalus.
Kungase kube nezinye izimpawu ezihambisana nesisu sobuchopho ngaphandle kwekhanda. Lokhu kufaka:
- Ukuzizwa
- I-Nausea ne-Vomiting
- Ukulahlekelwa Ubumnandi
- I-Memory Loss
- Ukuphazanyiswa kwemizwelo (ie Ukucindezeleka) kanye / noma Ukuguquka Komuntu
- Isisindo sobuthakathaka
- Inzima ngeLimi (okusho inkulumo emisiwe)
- Izinkinga zembono
I-Cervicogenic Headache
Insizwa ye-cervicogenic kwenzeka lapho ubuhlungu bekhanda bubhekiswa entanyeni. Lolu hlobo lwezinsizi luvame ukuba luhlangothi olulodwa futhi lungenzeka esifundeni sebunzi. Uma unekhanda le-cervicogenic, cishe uzoba nesilinganiso esinciphile sokunyakaza kwentamo yakho futhi uqaphele ukuqala noma ukuwohloka kobuhlungu obuningi bokunyakaza kwentamo. Ungase ube nobuhlungu obufanayo obuhlangene noma ubuhlungu bekhandla obuhambisana nekhanda. Ukuhlanza, ukuhlanza, isithombe-phobia (ukuzwela ukukhanya) , kanye ne-phonophobia (ukuzwela umsindo) kungenzeka ngekhanda le-cervicogenic.
Isizathu esiqondile salolu hlobo lwezinsizwa asikacaci, kodwa bakholelwa ukuthi ukucindezela noma ukucasuka kwamagciwane entanyeni yakho engenayo kubandakanyekile. Ukwelapha ngokomzimba yindlela yokwelashwa okuyinhloko yokwehlolelwa ikhanda.
Ngaphansi
Khumbula, ikhanda langaphambili liyingozi futhi hhayi ngenxa yesimo esesabekayo. Izibonelo ezingenhla zingavamile futhi zingatholwa kuphela ngumhlinzeki wezempilo. Uma unezibonakaliso eziqaphile ezikhanda ikhanda noma nje ukhathazekile ngesifo sekhanda esingapheli, sicela ucele usizo lwezokwelapha ukuze uhlolwe kahle.
Imithombo "
Biondi, D. Bajwa ZH. I-Cervicogenic Headache. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
I-Calamia KT & Hunder GG. I-giant cell arteritis (i-arteritis yesikhashana) eveza njengemfiva yemvelaphi engakaqediwe. I-Arthritis Rheum. 1981 Nov; 24 (11): 1414-8.
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.
Ikomidi elincane lezinhloko zezinhloko ze-International Headache Society. "I-International Classification of Headache Disorders: Edition 2". I-Cephalalgia ye- 2004; I-Suppl 1: 9-160.
Hunder GG, Bloch DA, Michael BA, Stevens MB, Arend WP, ​​Calabrese LH et al. I-American College of Rheumatology ye-1990 yokubeka isigaba se-giant cell arteritis. I-Arthritis Rheum 1990; 33 (8): 1122.
I-Seiden AM & Martin VT. Isisu kanye nesiniso sangaphambili. Imitholampilo ye-Otolaryngologic yaseNyakatho Melika. 2001; 34: 997-1016.
Sjaastad O, Fredriksen TA, i-Pfaffenrath V. Insizwa yekhanda ye-Cervicogenic: inqubo yokuxilonga. I-Cervicogenic Headache International Study Group. Izinwele . 1998; 38: 442.
I-Wong ET, i-Wu JK. Isethulo semitholampilo kanye nokuxilongwa kwezicubu ze-brain. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.