Imibuzo udokotela wakho uzokucela ukuba uhlole ikhanda lakho
Ake ucabange isikhathi esiphezulu sekhanda eliphakathi. Unquma ukuthi ekugcineni ubone udokotela ngemuva kweminyaka ethatha izinyathelo ezihlukahlukene ezihamba phambili kanye ne-herbal headache relievers, efuna iseluleko sabangane nomndeni, nokuthulula phezu kwe-intanethi. Uyazibuza ukuthi udokotela wakho uzokubuza ukuthi awuzange ufune impendulo kuwe. Unquma ukulungele ukutshela "indaba yekhanda" yakho ngokuningiliziwe ukuze kutholakale uhlelo lokuxilongwa kanye nokwelashwa okufanele.
Lapho uhlola ikhanda lakho, udokotela wakho uzokwenza umlando oningiliziwe nokuhlolwa komzimba. Lokhu kwenziwa ukuze kutholakale ukuxilongwa okunembile, kanye nokulawula izimpawu zokuxwayisa ikhanda .
Imibuzo Ngesikhathi Ukuhlolwa Kwekhanda
Uma uhlaziya ikhanda lakho, udokotela wakho uzokubuza kuqala imibuzo eminingana ephathelene nekhanda lakho, ukuze unciphise ukuxilongwa. Le mibuzo ihlanganisa:
- Umlingiswa : "Ungayichaza kanjani ikhanda lakho?" (Isib. Ukujikijela, ukukhala, ukushisa noma ukukhalipha)
- Ubunzima : "Uyini ubuhlungu bakho esikalini sika-1 kuya kwezingu-10, 10 kube ubuhlungu obubi kakhulu empilweni yakho?" "Ungabe uchaza ikhanda lakho njengenomnene, elinganiselwe noma elomile?" "Ingabe lokhu kuyisihlungu kakhulu empilweni yakho?"
- Ukweqisa noma ukuvimbela izici : "Yini eyenza ubuhlungu bube ngcono noma bubi nakakhulu?"
- Umswakama: "Ingabe ubuhlungu buvutha?"
- Ukuqalwa: "Ingabe ubuhlungu bekhanda lakho buqala ngokushesha noma buncane?"
- Ubude besikhathi: "Kuye kube nini ubuhlungu obuqhubekayo?" "Ingabe ubuhlungu buhlala njalo noma buphakathi?"
- Izinhlangano: "Zikhona yini ezinye izimpawu ezihlotshaniswa nekhanda lakho?" (Isib. Isicashu, ukuhlanza, izinguquko ezibukwayo)
- Indawo: "Uphi ubuhlungu obukhona?"
Ngaphandle kwale mibuzo, umhlinzeki wakho wezempilo uyophinde abhale umlando wakho wezokwelapha nomndeni wakho, noma yimiphi imithi oyithathayo, nemikhuba yakho yokuzijabulisa (isib. Ukudla kwe-caffeine, ukusetshenziswa kotshwala, ukubhema).
Ngokusekelwe izimpendulo zakho kumbuzo angenhla, umhlinzeki wakho wezempilo anganquma ukuthi noma ngabe ikhanda lakho liyinhloko yenkinga yangempela yekhanda. Ake sihlolisise izici ezijwayelekile zezifo ezintathu ezijwayelekile kakhulu eziyinhloko: i- migraines , ikhanda lokuhlukumeza ikhanda , nezinsizwa zekhanda .
Ukuhlonza i-Migraines
I-Migraines ingaphezu nje kwekhanda. I-migraine yisimo esivamile, se-neurologic esingahle noma singahlotshaniswa ne- migraine aura , ukuphazanyiswa okubangelwa ngokuyinhloko izimbonakaliso ezibukwayo, kodwa futhi kungabandakanya nezinye izimpawu ze-neurologic, njengezinguquko zenkulumo noma izinkulumo.
- Umlingiswa: Ukuqothula, ukuxosha
- Ubunzima : Okulinganiselwe noma obukhulu
- Izinto eziphuthumayo noma ezivimbelayo : Izibani ezikhanyayo noma izingoma ezinkulu zingase zikhukhumeze ngenkathi ama-NSAID , ama- triptans , nokulala bezinsizakalo ezivamile ze-migraine.
- Umswakama: Okuguquguqukayo
- Ukuqalwa: Ukunciphisa (nakuba ngokuvamile kungenjalo njengokungathi kancane kancane kokuqala njengokwezinhlobonhlobo zenhlobonhlobo).
- Ubude besikhathi: amahora angu-4-72
- Izinhlangano: I- nausea, ukuhlanza, i-phonophobia, photophobia, i-migraine aura (kufika ku-1/3 ye-migraineurs)
- Indawo: Okungahambisani (ngokuvamile)
Ukuhlonza Intukuthelo-Thayipha Inhliziyo
Izinhlobonhlobo zezintambo ezihlukehlukeneyo ezihlukile kumigraines ngokuthi ngokuvamile zivela emzimbeni, ezingezona ezithandwayo, azikhushulwa ngumsebenzi wokusebenza ngokomzimba futhi azihlotshaniswa nesicanuca noma i-auras.
Ngakolunye uhlangothi, i-migraines nezinhlobonhlobo zezinkinga zokuhlukumezeka zingabanjaniswa ne-photophobia noma i-phonophobia. Sicela uqaphele ukuthi ngokwemigomo eyenziwe yi-edition yesibili ye- International Classification of Headache Disorders (ICD-II), ikhanda lokuhlukumeza ikhanda lingahlanganiswa kuphela ne - photophobia noma i- phonophobia, hhayi kokubili. Izifo ezinhlobonhlobo zengqondo ezivame ukuhlangana njalo nge-migraines ngaphandle kwe-auras ukugcina idayari yekhanda kubalulekile, njengoba ukwelashwa kulezi zimo kuhlukile.
- Umlingiswa: Ukucindezela, ukuqinisa, "inzwa yensiza ye-raber-like" eduze kwekhanda
- Ubunzima : Kulula ukulinganisa
- Izinto eziphuthumayo noma ezivimbelayo : Ngokuvamile zinciphisa ama-analgesics angaphezu kwe-counter, njenge-acetaminophen noma ama-NSAID. Ukubhema kungenye into ekhudlwana, ikakhulu kulabo ababhekene nezinkinga zekhanda ezingapheli.
- Umswakama: Okuguqukayo kodwa ngokuvamile iziguli zichaza ubuhlungu obukhipha ngemuva kwekhanda emisekeleni yabo yentamo.
- Ukuqalwa: Ukuncipha (ngokuvamile ukuqala kancane kancane kunalokho kwe-migraine)
- Ubude besikhathi: Amaminithi kuya kwezinsuku (imizuzu engama-30 kuya kwezinsuku ezingu-7 ngokusho kwe-International Headache Society)
- Izinhlangano: Ayikho isiyaluyalu kodwa singase sihlotshaniswe ne - photophobia noma i- phonophobia
- Indawo: I- Bilateral
Ukuhlonza izinhlanzi zeCluster
Ikhanda le-cluster , eyaziwa nangokuthi "ikhanda lokuzibulala," ngenxa yesimo salo, ukucindezeleka okukhulu, lishaya amadoda ngaphezu kwabesifazane. Lezi zinhloko zivela kumaqoqo noma ngezikhathi zesikhathi esivame ukugcina kusukela ngesonto elilodwa kuya konyaka owodwa kulandelwe izinkathi ezingenabuhlungu okungenani inyanga eyodwa. Phakathi nesikhumba se-cluster episodic, lowo ogulayo angathola ukuhlaselwa okuphindwe kabili, ngokuvamile kuze kube yizinsuku eziyisishiyagalombili. Abanye abantu banenkinga yamakhanda angapheli, lapho inkathi yekhanda yamagundane izohlala khona ngaphezu konyaka owodwa ngaphandle kwezinkathi ezingenabuhlungu noma izinkathi ezingenabuhlungu ezingaphansi kwenyanga eyodwa.
- Isici: Ukukhwa, ukushisa, ukubhoboza
- Ubunzima : Kunzima kakhulu
- Izinto eziphuthumayo noma ezidakayo : Utshwala, i-histamine, ne-nitroglycerin yizibonelo zezici ezikhungathekisayo, ikakhulukazi ezinhlokweni ezinhlobonhlobo zezinhlanzi. I-triptans ne-oksijeni yizo zokwelapha eziyingozi zokuhlukumeza ikhanda.
- Umswakama: Okuguquguqukayo
- Ukuqalwa: Okusheshayo
- Ubude besikhathi: Uma kungalashwa, kuqhubeka imizuzu engu-15-80, ngokusho kwe-International Headache Society.
- Izinhlangano: Ezihambisana nezimpawu zokuzimela ezibandakanya umjovo we-conjunctival we-ipsilateral noma ohlangothini olufanayo kanye / noma ukukhipha iso, ukuhlanganiswa kwamanzi kanye / noma ukukhipha, ukukhukhumeza kwejwabu leso, ikhanda kanye nokujuluka kombuso, i- miosis kanye / noma i- ptosis , nokuhlukunyezwa kanye / noma ukuphumula.
- Indawo: Ngokungahambisani nendawo futhi noma i-orbital noma i-supraorbital (eduze kweso) noma okwesikhashana.
Okubalulekile
Lapho uhlola isifo sakho sekhanda, udokotela wakho cishe uzokubuza imibuzo eminingana ngenhla ukuze uqonde kangcono izimpawu zakho. Kungaba umbono omuhle ngisho nokubhala phansi izimpendulo ngaphambi kokuvakasha kwakho, ngakho-ke ulungele kahle.
Ukwengeza, amanye amathuluzi udokotela wakho angasebenzisa ekuhloleni ukuthi ikhanda lakho likhanda lihlanganisa i- POUND mnemonic noma i-ID Migraine Questionnaire . Zama ukucubungula futhi usebenzise kahle uma uhlola ikhanda lakho, ukuze ndawonye nawe nodokotela wakho ungakha uhlelo olusebenzayo lwezokwelapha.
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