Izimvume Zokunakekelwa Ngokweqile.
Ake ucabange ukuthi ubona ingozi ye-car crash ephawulekayo, ephezulu. Manje ake ucabange lokhu kuqhuma kwemoto okwenzeka ebuchosheni bakho.
Lokhu kungase kufane nesifo esiyinhloko sokuduma kwekhanda-isifo esiyinkinga esibangela ukungazelelwe okungazelelwe, okuqakathekileko nokuqothuleko kobuhlungu bekhanda.
Kubalulekile ukuqaphela ukuthi le nhloko ingakwazi ukulingisa uhlobo olufanayo lwezinhlungu ezihambisana nokukhathazeka kobuchopho obusongela impilo- ngakho-ke, uma umuntu enamahloni ekhanda, kudingeka afune ukwelashwa okuphuthumayo.
Eqinisweni, ikhanda lokudumazeka empeleni kungenzeka ukuthi livela enkingeni enkulu yemithwalo yegazi ebuchosheni (njengokwesikhumba esinqunyiwe) noma enye inkinga yobuchopho obuphilayo, kunalesi siyaluyalu esiyinkimbinkimbi yesifo esiyinhloko.
Sibutsetelo
I-International Headache Society ichaza ukukhanda ikhanda okuyinhloko "njengenhloko ekhanda kakhulu yokuzama ukuzama ukuzama ukuhlukumezeka kwe-cerebral aneurysm, kungabikho ukugula okungahambi kahle."
Futhi, ngokusho kwe-IHS "ubufakazi bokuthi ukuduma kwekhanda kukhona njengoba isifo esiyisisekelo singavamile." Lokhu kusho ukuthi ukuphanga okuphelele kakhulu kudinga ukwenziwa kumuntu onamazwi okushaya ikhanda ukuze aqiniseke ukuthi kukhona okungathí sina okuqhubekayo.
Ngamanye amazwi, ikhanda lokuqala lokudumazeka liwukuxilongwa kokukhipha-konke okunye okumele kukhishwe kuqala.
Izimpawu
Ngokwezigaba zokuhlelwa kohlelo lwesithathu lwe-International Classification of Headache Disorder, izimpawu zomsindo oyinhloko we-thunderclap zihlanganisa:
- Ukuqina : Okukhulu, "ubuhlungu obukhulu bokuphila kwami."
- Ukuqalwa : Kungazelelwe, kufinyelela ngamandla kakhulu <1 iminithi
- Ubude besikhathi: Kuhlala imizuzu emihlanu noma ngaphezulu.
Ngaphandle kwezici ezingenhla, ikhanda lokukhwehlela okuyisisekelo alikwazi ukuchazwa ngesinye isimo sezokwelapha.
Ukuxilongwa
Insizwa ye-thunderclap iyimbangela engavamile yesifo sekhanda esiyinhloko futhi zonke izindlela kufanele zithathwe ukulawula ezinye izimo zezempilo ezingathí sina.
Isibonelo, ukuphazamiseka kwemithambo yegazi noma isisindo segazi, njenge-hemorrhage engaphansi komhlaba, ngokuvamile kubangela ukuduma kwamakhanda-ngakho-ke kudingekile ukuthi lezi zimo ezisongela impilo zikhishwe kuqala.
Umuntu onomsindo we-thunderclap kumele abe nokugqama kwe-lumbar okubonisa ukushisa okujwayelekile okujwayelekile kwe-cerebrospinal noma i-CSF, kanye nokucubungula kobuchopho obuvamile, ngokuvamile nge-CT scan scan kanye / noma ubuciko be-brain magnetic resonance ( MRI ). Ngokujwayelekile, i-magnetic resonance angiography ( MRA ), kanye / noma i-venography ( MRV ) yenziwe ukuqhubeka nokulawula noma yikuphi inkinga yezikhumba zegazi ebuchosheni. Ngezinye izikhathi i-angiogram ye-cerebral yenziwa.
Izibonelo zezinsizwa ezingahle zilingise ikhanda lokukhwabanisa okuyisisekelo yizi:
- Ukumiswa kwesimiso esinqunyiwe
- Intracerebral hemorrhage
- I-Cerebral Venous Thrombosis
- I-Pituitary Apoplexy
- Ukusekelwa kwe-Arterial Dissection
- Izifo ezifana ne- Acute Sinusitis noma i-Meningitis
- I-Ischemic Stroke
- I-Crisis Hypertensive Acute
- Isifo se-cerebrovasoconstriction esibuyisiwe
- I-hypotension engavamile engavamile
- I-cyst ye-colloid ye-ventricle yesithathu
Isizathu
Isizathu sesifo esiyinhloko sokuduma kwekhanda asikwaziwa kakhulu. Kungase kuhlotshaniswe ne-spasm yemithambo yegazi ebuchosheni.
Ukwelapha
Ukwelashwa kwesifo sekhanda lokuduma kuncike emvelaphi. Isibonelo, ukwelashwa kwesimiso sokungasebenzi kwamandla angaphansi komhlaba kungabandakanya ukungenelela kwezokwelapha okusheshayo kanye / noma kwe-neurosurgical.
Uma izimo eziphuthumayo zezokwelapha zikhishwe ngaphandle, ukwelashwa kwekhanda lomlomo oyinhloko kungaba nzima. Ngokuvamile abantu abavamile ukuphendula kahle ukuhlushwa kwezinhlungu zekhanda.
Esinye isifundo esidala ku- Neurology sibonise ukuthi i-nimodipine, i-blocker yesiteshi se-calcium, inganikeza isinqumo sokukhanda ekhanda kubantu abanekhanda lokukhwabanisa okuyisisekelo. Kodwa, isifundo sasincane kakhulu-iziguli ezingu-11 nje kuphela-futhi kwakungekho iqembu lokulawula, elibonisa ukuthi kungenzeka yini indawo ye-placebo.
Ucwaningo oluthe xaxa ngalolu daba olungavamile lwekhanda lokukhwabanisa lungasiza.
> 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.
> Lu SR, Liao YC, Fuh JL, uLirng JF, Wang SJ. I-Nimodipine yokwelashwa kwesifo sekhanda esiyinhloko se- Neurology . 2004 Apr 27; 62 (8): 1414-6.
> Schwedt TJ & Dodick DW. (2014). Isikhwama sekhanda. Ku: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.