Indlela Yokuthola Nokuphatha Amakhanda Okungapheli
Amakhanda ajwayelekile angenye yezinhlobo ezivame kakhulu zobuhlungu obungapheliyo . Baya phezulu lapho benenhlungu yangemva kanye nobuhlungu benzwa. Ngezinye izikhathi ikhanda eliphindaphindiwe lisibonakaliso sezinye izifo ezibuhlungu ezingapheli, ezifana nobuhlungu obungapheli kwentamo noma i- fibromyalgia . Kodwa-ke, abantu abaningi banesifo esibuhlungu esingenasifo esingenabuhlungu ngaphandle kokuba nezinye izinkinga ezinkulu zezokwelapha.
Izinhlobo ezintathu ezijwayelekile kakhulu zezinsizwa ezingapheli ziyi- migraines , izinwele zekhanda nokuhlukunyezwa kwekhanda .
Izimbangela eziyinhloko zohlobo ngalunye lwezinyosi ziyahlukahluka, ngakho ubuhlungu bubonakalisa ngezindlela ezihluke kakhulu nakwehlukile. Ngokuvamile imithi iyindlela yokwelapha ekhanda, kepha eziningi zokwelashwa ezihambisanayo nezinye izindlela zingasebenza.
I-Migraines
Isizathu esiqondile sezinkinga zekhanda le-migraine sisengaphansi kwengxabano, kodwa abacwaningi bayavuma ukuthi banemvelo ngokwemvelo. Ngaphambili, i-migraines yayicatshangelwa ukuthi ibangelwa ukujula kwemithwalo yegazi ebuchosheni, kodwa ucwaningo lwamuva luveza ukuthi kungabangelwa izinguquko ekusebenzeni kobuchopho ezingeni leselula. I-migraine ingabangela izici zangaphandle ezifana nokushisa ngokweqile noma ukukhanya, noma izici zangaphakathi ezifana nokucindezeleka noma ukushintshashintsha kwe-hormonal.
Imigraines ibangela ubuhlungu obukhulu bekhanda, ngokuvamile ehlangothini olulodwa lwekhanda. Ngokungafani nezinye izinhlobo zekhanda, noma kunjalo, i-migraines ivame ukuhambisana nezinye izimpawu ezingabandakanya okukodwa noma okungaphezulu kokulandelayo:
- ukuphazamiseka okubukwayo, njenge-auras noma izibani ezikhanyayo
- ukunambitheka okwensimbi emlonyeni
- ukuzwela ukukhanya
- ukuzwela ukuzwakala
- isiyaluyalu
- ukuhlanza
- ukukhathala
Imithi ye-Migraines ingaphathwa ngemithi eminingi efana ne- NSAID , kepha imishanguzo engapheli futhi enzima ingadinga imishanguzo yokudokotela. Lokhu kufaka phakathi i-tricyclic antidepressants kanye ne- beta blockers .
Eziningana zokwelashwa okunye zingase zisize futhi, njenge-yoga nokukhishwa kwesikhumba.
Ukunqanda ikhanda
Ngokuvamile ikhanda lokucindezeleka lizizwa lifana nebhande lokucindezela elizungeze ikhanda futhi lihambisane nobuhlungu entanyeni nasemaphethweni. Abacwaningi babekholelwa ukuthi ukukhanda ikhanda kwakubangelwa ubuhlungu noma ubuhlungu entanyeni nasemaphethweni, okuholela ekutheni kuthiwa ngezinye izikhathi kuthiwa yizinhlungu zezinsizi zomzimba. Ucwaningo olusha lubonisa ukuthi lungabangelwa ukufaka ngokweqile emisipha ekhanda eliya esikhungweni sokulawula ubuhlungu emgodleni.
Ungatshela kanjani ukuthi ikhanda lakho liyinhloko yesifo sezinkinga? Izinkinga zekhanda zivame ukuzwakala phezu kwekhanda futhi zivame ukuchazwa njengengcindezi engathandekiyo ezwa ngamandla kakhulu emathempelini nasemhlane. Lolu hlobo lwezinsizi, olungenayo izimpawu ze-neurological, lungadlulela noma yikuphi ukusuka kumaminithi angu-30 kuya ezinsukwini ezimbalwa.
Nakuba imbangela eyinhloko yokwehluleka ukukhanda ikhanda ayiqiniseki, kunezinto eziningana ezikholelwa ukuthi ziyizimbangela, kubandakanya:
- utshwala
- i-caffeine
- ukukhathazeka noma ukukhathala
- ukubhema
- ukunyanyiswa kwesisu noma isinus
- ukucindezeleka kwamehlo
Kuye ngokuthi ubuhlungu bekhanda lomsindo lukhulu kangakanani, i-over-the-counter noma i-prescription doses ye-NSAID noma ezinye izidakamizwa ezilula zivame ukusebenza.
Ukusetshenziswa njalo kwe-tricyclic anti-depressants kungase kugcine ukucindezeleka ikhanda. Ukunakekelwa okunempilo okunjengokuzindla nokusikhipha umzimba kungasiza ekunciphiseni ubuhlungu bekhanda lobuhlungu.
Izinhlanzi zeCluster
Amakhanda e-Cluster ajwayelekile kunawo wonke. Ziyingcosana yemfihlakalo yezokwelapha. Kungenzeka kubangelwe ukuguqulwa kwamasongo ebuchosheni, noma uchungechunge olunzima lokusebenza kwezinye izindawo zobuchopho. Amakhanda e-Cluster ahluke emagraini nasezintweni zokukhwabanisa ngoba zenzeka ngezikhathi ezincane esikhathini esithile.
Lolu hlobo lwekhanda lungase luzwe lubukhali noma lunomsindo ovuthayo. Njenge-migraines, i-neurological.
Nokho, izimpawu zabo ezihambisana nazo zihluke kakhulu. Zihlanganisa:
- ubuhlungu buzwa phezulu noma ngemuva kweso
- amehlo enamehlo
- amehlo abomvu noma abhukhumele, ikakhulukazi ohlangothini olubuhlungu lwekhanda
- amajwabu ama-droopy
- ukuphumula noma ukukhathazeka
Amakhanda e-Cluster ahlala isikhathi esifushane, okusho ukuthi imithi ayiphumeli ngaso sonke isikhathi. Ama-analgesics asendaweni ezinjengezinhlungu ezibuhlungu angasiza ekunciphiseni ubuhlungu bekhanda lamagundane. Imithi evikelayo ihlanganisa i- corticosteroids kanye ne-antiepileptics, kanti abanye odokotela basebenzisa i-oxygen therapy. Abanye abantu bathola impumuzo nge-supplementary dietary ezifana ne-melatonin. Ngaphambi kokuba uthathe isondlo sokudla, thintana nodokotela wakho, njengoba kungase kuthathe izinyathelo ezithile futhi kuholele ezinkingeni.
Ukubhekana Nezinsolo Zomzimba Okungapheli
Njengazinye izimo eziningi ezingapheliyo, ikhanda elingapheli lingaphazamisa kakhulu isimiso sakho sansuku zonke kanye nekhwalithi yokuphila. Abantu abaningi abahlushwa ukuphathwa ikhanda okungapheliyo baphoqeleka ukuba benze izinguquko zokuphila ukuze bathole ubuhlungu bekhanda. Nakuba imithi nezinye izindlela zokwelashwa zinganikeza ukukhululeka okukhulu kobuhlungu, kubalulekile ukuba ummeli empilweni yakho. Kungakhathaliseki uhlobo lwezinhlungu ozobhekana nazo, hlala phezu kobuhlungu bakho futhi uqhubeke nokuqokwa kwabadokotela.
Imithombo:
UFumal, u-Arnaud noSchoenen, uJean. Inhlobonhlobo yezintambo: Ukucwaninga kwamanje kanye nokuPhathwa kweziMpilo. I-Lancet Neurology, ngo-2008; 7: 70-83.
May, Arne. Amakhanda e-Cluster: i-Pathogenesis, i-Diagnosis, ne-Management. Lancet 2005; 366: 843-55
Izikhungo zezempilo zikazwelonke. I-Medical Encyclopedia: Ukunciphisa ikhanda. Kufinyelelwe ngo-Ephreli 2, 2009.
Https://medlineplus.gov/ency/article/000797.htm
USilberstein, uStephen D. Migraine. I-Lancet. Umqulu 363, January 31, 2004. iphe381-391.