Izimo Ezivamile Nezikhathi Ezivamile Zezinsizwa Ezingaphambili
Unesifo sekhanda sithinta i-dab ebunzini lakho-kuyini? Izinhloko zekhanda (noma izinhloko zangaphambili) zivamile futhi zikhona ezinye izigameko ezingenzeka.
Ukuncintisana ngokuhambisana ne-Migraine Headache
Ngezibalo ezihlanzekile, amathuba okuba ikhanda lakho lekhanda liyisifo senhliziyo noma i-migraine iphakeme. Lokhu kungenxa yokuthi ukungezwani nokukhwabanisa kwekhanda kuyizinto ezimbili ezijwayelekile kakhulu eziyinkimbinkimbi yesifo sekhanda esivela yedwa, futhi azibangelwa esinye isimo sezokwelapha.
Ikhanda lokuhlukunyezwa libhekene nokuqina okunamandla noma ukucindezelwa ezinhlangothini zombili zekhanda, njengebhande noma isandla esikhulu esithinta isikhumba sakho. Ngokuvamile iqala ebunzini futhi igxumeze ngemuva kwekhanda. I-migraine, ngakolunye uhlangothi, ngokuvamile ivela ngakunye ohlangothini lwekhanda (kodwa ingaba kokubili) futhi ibangela inzwa yokuphunga, njengendubhu eshaya nge-skull yakho. Izikhanda ze-Migraine zivame ukwedlula ukwedlula izinhlungu zekhanda, ngokuvamile ezidinga ukuphefumula emsebenzini noma ukudlala (ukukhanda ikhanda ngokuvamile kuvunyelwe emsebenzini noma emibuthanweni yomphakathi).
Ngokungafani ne-migraine, ikhanda lekhanda lokuhlukunyezwa alihlotshaniswa nesicucu noma ukuhlanza noma nge-migraine aura. Noma kunjalo, abantu abanezinkinga zekhanda ngezinye izikhathi babika ukulahlekelwa ukudla, futhi bangabika nozwela ekukhanyeni noma kumsindo (omunye noma omunye, hhayi kokubili).
Izici eziningana zingabangela kokubili ukuhlukumezeka kanye nekhanda le-migraine njengalamba, ukukhanya kwelanga noma ukukhanya okukhanyayo, nokuhlushwa kokulala.
Okunye okubangelwa ukuhlanganyela okubandakanya ukuhamba, umsebenzi wokuzivocavoca, ukufunda, nokuvezwa kwamazinga okushisa abandayo noma afudumele.
Njengoba ungatshela, ukukhishwa kwekhanda lakho okusolakala ukuthi ngeke kube usizo ekuhlukaniseni phakathi kwe-migraines nekhanda lokukhwabanisa. Lokhu kuthiwa, ukugwema lezi zimbangela ezisolayo esikhathini esizayo kungavimbela ukuba ikhanda liqale kusukela ekuqaleni.
I-Cluster Headache
Insizwa yamagundane iyinhloko ebuhlungu kakhulu futhi ekhubazayo eyisikwele esisodwa futhi ikhona eduze kweso, ithempeli, noma ikhanda. Kodwa-ke, kungavamile ukuthi, ngaphezu kokuhlukunyezwa kwekhanda kanye nokuhlukumezeka, futhi kubangela ubuhlungu obuhlukile, ngokuvamile obuchazwe njengokubukhali, ukushisa noma ukubhoboza. Ngaphezu kwalokho, ukuhlaselwa kwekhanda kuhlanganiswa okungenani uphawu olulodwa lokuzimela ehlangothini olufanayo lobuhlungu bekhanda. Izibonelo zempawu ezivamile zokuzimela zihlanganisa:
- ukukhishwa kwamanzi,
- ukuqothula iso
- i-miosis (ukunyakaza komfundi)
- ukuvuvukala ebusweni.
Kuwusizo ukuphawula nokuthi iningi labantu abanenhloko yamagundane bayathuthumela futhi abakwazi ukulala phansi-ubuhlungu buyinto engenakubekezelelwa.
Isifo sekhanda se-Sinus
I-Sinus ikhanda livame ukudideka ngemigraines ngoba kokubili kubangelwa ubuhlungu bekhanda ebunzini. Eqinisweni, ucwaningo lubonisa ukuthi iningi lamacala, abantu (nodokotela babo) bacabanga ukuthi bahlushwa isifo se-sinus uma behlaselwa ngempela.
Izinkomba ukuthi une-infection sinus frontal zihlanganisa:
- imfiva kanye / noma ama-chills
- ukukhishwa kwamanzi okumnyama, okumibalabala, kanye ne-profuse
Ukuze uhlukanise nezinye izinhlobo zamakhanda angaphambili, i-otolaryngologist (ENT udokotela) ungenza i-endoscopy yangasese futhi mhlawumbe i-CT scan ukuze ubone ukuthi une-mucus we-mucus engadini yakho yangaphambili.
Kungaba yinkimbinkimbi nakuba ngezinye izikhathi ukuhlolwa kwe-CT kuzobonisa ukufakwa kwesikhumba, kodwa imbangela yekhanda lakho ayisona isifo se-sinus (ukudideka, kwesokudla?). Lokhu kungokoqobo kwezokwelapha, futhi kungani ukuxilongwa kwezinhlobo zekhanda lakho kungaba inqubo eyinkimbinkimbi.
Hemicrania Continua
I-Hemicrania continua iyinhloko ebuhlungu, ephakathi komuntu oyedwa eyenzeka ngaso sonke isikhathi (ayisoze yayeka) nsuku zonke ngaphandle kokukhululeka. Kuyimbangela engavamile yekhanda, kodwa kungenzeka embonweni, kanye namathempeli, eduze kwamehlo, noma ngemuva kwekhanda.
Izinsizi ezinzima ze-Secondary
Kukhona futhi izinhloko zekhanda ezisekelwe ebunzini- izinwele ezibangelwa isimo sezokwelapha esihlukile.
Izibonelo zifaka:
Lezi yizimbangela ezingavamile kakhulu, futhi ngokuvamile zikhona ezinye izimpawu nezimpawu ezibonisa ukuthi ziyabonwa yini.
Lokhu kusho, kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma ikhanda lakho lihlotshaniswa nezinye izibonakaliso zekhanda eziyisixwayiso ezifana nombono ongathintekile, inkulumo, ukubuthakathaka kwemisipha, noma ukuphazamiseka kwemisipha. Amakhanda amasha noma ikhanda elihlukile kusuka ekhanda langaphambili (lihlala isikhathi eside noma lizwa lihlukile) liqinisekisa ukuhlolwa kwezokwelapha.
Izwi kusuka
Izinhloko zekhanda zivamile, kepha ukufika phansi kwezinto ezibangela ukuthi ziwusizo. Ukurekhoda izimpawu zakho kanye nezinkinga ezingase zivele ezinhlokweni ezinomakhalekhukhwini noma iphephabhuku kuzokusiza wena nodokotela wakho uhlanganise ndawonye uhlelo lwakho lokuxilonga kanye nokwelashwa ndawonye.
Imithombo:
UHague B, i-Rahman KM, i-Hoque A, i-Hasan AT, i- Chowdhury RN, i-Khan SU, ne-etal. Ukunciphisa nokukhulula izici zezinkinga zekhanda le-migraine versus. BMC Neurol. 2012 Aug 25; 12: 82.
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.
I-Schreiber CP, i-Hutchinson S, i- Webster CJ, i-Ames M, i-Richardson MS, i-Power C. Ukuvama kwe-migraine ezigulini ezine-umlando wezinsolo zokuthi u-"sinus" uhlolwe noma udokotela. I-Arch Intern Med 2004 Sep; 164 (16): 1769-72.
I-Schwedt TJ. Hemicrania continua.Ku: UpToDate, iBasow DS (Ed), UpToDate, Waltham, MA, 2014. Itholakala ngo-Nov 28th 2014.
I-Seiden AM & Martin VT. Isisu kanye nesiniso sangaphambili. Imitholampilo ye-Otolaryngologic yaseNyakatho Melika. 2001; 34 (1): 227-41.