Izibonelo zobunzima bokukhulelwa nokuzikhukhumeza
Nakuba kunezibonakaliso eziningi ezintsha ezenzeka ngesikhathi sokukhulelwa, njengokuncipha kwesisindo, i-acid reflux, nobuhlungu be-back, kungase kube nokwehla noma ukuthuthukiswa kwezimo zezokwelapha ezikhona.
Isibonelo, i-migraines ijwayele ukuthuthukisa ngesikhathi sokukhulelwa, ikakhulukazi ezinyangeni ezimbili neziyesithathu. Ezinye izimo, njengezinkinga zekhanda eziyingqayizivele ekukhulelwe, zingase ziphakame.
Ukuhlolelwa ikhanda ngesikhathi sokukhulelwa
Lapho uhlola ikhanda lakho , udokotela wakho uzokwenza umlando oningiliziwe. Angase akubuze imibuzo ephathelene nanoma yiziphi izimo zezokwelapha onakho, njengengcindezi ephezulu yegazi noma ukucindezeleka, noma ngabe uthatha noma yimiphi imithi noma izithako ezingaphezu kwe-counter, njengamavithamini, i-caffeine, noma i-laxatives.
Udokotela wakho uzophinde abuze ngokuqondene nezici zekhanda lakho njengokuthi libukhulu kangakanani, libe lude kangakanani, noma ngabe kunezibonakaliso ezihambisanayo njengokuncibilikisa noma ukuhlanza. Lokhu kwenziwa ukuze kutholakale ukuxilongwa okunembile, nokuhlola izibonakaliso zokuxwayisa ikhanda nokubeka izimo eziphuthumayo zezokwelapha.
Ezinye izimpawu zokuxwayisa ikhanda (ezingase zibonise ikhanda eliyingozi ekukhuleleni) okugunyaza ukuthi ukwelashwa okusheshayo kubandakanya:
- "Ukuhlukunyezwa okubi komphefumulo wami"
- Umbono ogqamile
- Izimpawu ze-neurological ezinjengobuthakathaka noma obunzima
- Inhloko ngomkhuhlane kanye / noma intamo eqinile
- Amakhanda anekhono eliphakeme legazi kanye / noma ukuvuvukala kwemilenze nezinyawo
- Inhloko ehlobene nokusebenza, ubulili, noma i-Valsalva
- Ukushaywa ikhanda okufana ne-migraine entsha
- Shintsha ubuhlungu bekhanda, iphethini, noma ubunzima
Izinhloko zezinhloko eziyinhloko ngesikhathi sokukhulelwa
Izinkinga ezintathu ezivamile kakhulu ezikhanda ikhanda ziyi- migraines , ikhanda lokuhlukumeza ikhanda , kanye nezinsizwa ze-cluster .
Ngenkathi abesifazane besathuthuka isifo esibuhlungu besisu ngesikhathi sokukhulelwa, ngokuvamile lezi zinkinga zivele zikhona. Ngaphandle kwe-migraines, ikhanda lokuhlukumeza ikhanda kanye nekhanda le-cluster lihlala lizinzile ngesikhathi sokukhulelwa.
I-Migraines iyinhloko ekhanda kakhulu ekhulelwe kepha ngokuvamile ingaphansi kanzima futhi ivela kancane kaningi kunelabo abangaphandle kokukhulelwa. Lokho kusho ukuthi i-migraines ingase ibe nzima nakakhulu ekuqaleni kwe-trimester, ikakhulukazi ngokushintsha kwamazinga e-hormone emzimbeni kanye nokucindezeleka okungeziwe okwenzekayo.
Kunobunye ubufakazi besayensi ukuthi abesifazane abane-migraine bangase babe engozini enkulu yokuthuthukisa i-preeclampsia kanye / noma ukuzalwa kwangaphambi kokuzalwa, nakuba kucwaninga okwengeziwe okudingeka kwenziwe ukuze kuqedwe lobu buhlobo
Izinsizi ezivela ku-Preeclampsia / Eclampsia
I-preeclampsia ne-eclampsia yizimo zempilo ezimbi ezingenzeka emva kwamasonto angu-20 ukubeletha kanye / noma ngesikhathi sokuhamba kwesikhathi. I-preeclampsia ibangela ukucindezeleka kwegazi kanye namaphrotheni emcimbini.
Ngaphezu komfutho wegazi ophezulu kakhulu , i- preeclampsia eqinile ingaholela kulezi zimpawu ezilandelayo:
- Inani eliphansi lomchamo
- Izinkinga zesibindi
- Umbono ushintsho
- Inombolo ephansi yamaplatelet
- Umkhawulo wokukhula kwe-intrauterine
I-Eclampsia yinto engaba yingozi futhi kwenzeka lapho owesifazane ehlushwa, ukuphuphuthekisa, kanye / noma i-coma ebusweni bokuqala kwe-preeclampsia.
Kuzo zombili i-preeclampsia ne-eclampsia, ikhanda lomzimba liyisifo esivamile futhi lingafana ne-migraine, ebonakala kaningi ngokuzwela futhi kuhambisane nesicathulo nesithombephobia (ukuzwela ekukhanyeni) kanye / noma i-phonophobia (ukuzwela ukuzwakala).
Ngokungafani ne-migraines noma kunjalo, ikhanda elihlobene ne-preeclampsia lingase lihlotshaniswe nezinye izici ezibuhlungu ezinjengokubonakala okubuhlungu noma kabili nobuhlungu besisu. Ngaphezu kwalokho, kuyilapho i-migraines ivame ukuvela eceleni kolunye uhlangothi, ikhanda elivela ku-pre-eclampsia likhona yonke indawo.
Ngokwe-athikili e- Headache , abesifazane abanomlando we-migraines cishe cishe kane amathuba okuthuthukisa i-preeclampsia kunelabo abangenawo umlando we-migraines.
Ukwelashwa kwe-preeclampsia ne-eclampsia ngokuvamile kuhilela ukulethwa kwengane, ngaphezu kwe-magnesium sulfate, i-calcium channel blockers, kanye nemithi yokwelashwa okungenzeka i-anti-seizure.
Idiopathic Intracranial Hypertension
I-hypertension ye-Idiopathic Intracranial Hypertension (IIH) yisifo esibucayi sezokwelapha esivame ukubonwa kwabesifazane abakhuluphele abaneminyaka engapheli abantwana. Kungenzeka phakathi nanoma yiliphi i-trimester yokukhulelwa.
I-IIH ibangela ukuphathwa ikhanda kanye nezinguquko zombono kanye ne-pulsatile tinnitus (lapho abantu bezwa umsindo ozwakalayo ohambisana nokushaya kwenhliziyo). Abantu abane-IIH bazoba nobuciko obuvamile bokuzicubungula kodwa bazobe bephakamisa izingcindezi zomswakama okhukhulayo lapho kukhishwa khona i- lumbar .
Ngaphezu kwalokho, abesifazane abane-IIH baye bafaka i-papilledema, okuyinto isimo esibonakala ngokuvuvukala ngemuva kweso ngenxa yokwanda kwengcindezi ebuchosheni. Ngokuvamile, ukwelashwa kwe-IIH kuhloswe ekulawuleni isisindo noma ukulawulwa kwesisindo nokunciphisa ukucindezelwa okuphezulu okungekho emthethweni .
Ngezinye izikhathi ukucindezeleka komfutho wegazi okubangelwa ukwelashwa kubangelwa esinye isimo sezokwelapha-lokhu kuthiwa yi-secondary insracranial hypertension. Isizathu esivame kakhulu se-hypertension yesibili engazange sisebenze yi- cerebral thrombosis ene-cerebral , engenzeka kunoma yisiphi isigaba sokukhulelwa, kodwa sivame kakhulu ngesikhathi sokuhamba kwesikhathi.
I-Reversible Cerebral Vascular Syndrome
I-cerebral vascular syndrome eguqulwayo, eyaziwa nangokuthi i-Call-Fleming syndrome, ingenye ye-syndrome yekhanda engabangela ukukhulelwa futhi ingase ivele esikhathini sokuhamba kwesikhathi. Abantu abane-syndrome yekhanda bavame ukuchaza ikhanda lokushaya ikhanda, okuyisifo esibuhlungu, esiphuthumayo nesiqhumayo senhliziyo.
Isizathu salesi sifo asiziwa, kodwa umsuka wobuhlungu ukholelwa ukuthi uhlobene nokugxila kwe-arteries ebuchosheni. Ukwelashwa kunabalandeli be-calcium, okungukuthi imishanguzo yegazi eyenza ukuphucula noma ukuvula imishanguzo yobuchopho.
Khumbula ukuthi uma owesifazane eya ekamelweni eliphuthumayo ngekhanda lekhanda, indlela ephelele yokulawula ukubola kwesimiso esincane kunesidingo ngaphambi kokuba uthathe owesifazane ukuba abe ne-cerebral vascular syndrome eguquguqukayo.
Ezinye Izimbangela
Ngaphezu kokukhathazeka kwezinsizi okukhulunywe ngenhla, kunezinye izimbangela ezingase zibangele ikhanda eliyingozi, njenge-stroke, i-meningitis, i-carotid noma i-vertebral artery dissection, ne- pituitary apoplexy . Kukhona nezimbangela ezinamandla ezinjenge-sinusitis, ikhanda lokukhanda ikhanda , noma ukuphathwa ikhanda lokukhishwa kwemithi .
Izwi elivela
Ekugcineni, iningi lamakhanda ekukhulelwe akuyingozi. Noma kunjalo, uma uzwa ikhanda ngesikhathi ukhulelwe okungenambalwa ngemishanguzo elula ecindezelayo, ukulala, i-caffeine (uma usola ukukhwabanisa kwe-caffeine ,) ukuphumula, kanye / noma ukudla, noma uma ikhanda lakho lilandela iphethini ehlukile noma ikhombisa izimpawu zokuxwayisa ikhanda, qiniseka ukuthi uxhumane nodokotela wakho ngokushesha.
Imithombo:
I-Digre KB. Ukukhanda ikhanda ngesikhathi ukhulelwe. I-Clin Obstet Gynecol. 2013 Jun; 56 (2): 317-29.
I-Kesler A, i-Kupferminc M. Idiopathic ye-hypertension engavumelani nokukhulelwa. I-Clin Obstet Gynecol. 2013 Jun; 56 (2): 389-96.
U-Lee MJ, u-Guinn D, u-Hickenbottom S. Inhloko emakhondweni abesifazane abakhulelwe nabasemuva. Ku: UpToDate, Lockwood CJ, Swanson JW (Ed), UpToDate, Waltham, MA ,, 2017.
U-Moustafa RR, u-Allen CM, uBaron JC. I-Call-Fleming syndrome ehlotshaniswa nokuqeda kwesisu: amacala amathathu amasha. J. Neurol. Neurosurg. I-Psychiatr. May 2008; 79 (5): 602-5.
I-Nappi RE, i-Albani F, ama-G, i-Terreno E, i-Brambilia E, i-Polatti F. Insizwa yesikhumba ngesikhathi sokukhulelwa. Isikhwama sekhanda se-Curr Pain 2011 Aug; 15 (4): 289-94.