Ukuxilongwa okwenziwe kuphela lapho kubangelwa izimbangela ezinkulu
Ukukhwehlela kungumsebenzi wansuku zonke kwabaningi bethu. Kungase kube uphawu lwe-bronchitis, ukusabela kokubhema, noma ukumane nje ukuphendukela kwemvelo ukususa lokho okwehlela emqaleni wakho. Nakuba kuyinkimbinkimbi, ukukhwehlela ngokuvamile akubanga imbangela yangempela noma ukucindezeleka. Kodwa kulabo abahlushwa ikhanda lokukhwehlela okuyinhloko, ukukhwehlela kuyisenzo esibuhlungu futhi esinzima.
Konke lokhu kuthiwa, ukuphathwa ikhanda lokukhwehlela okuyinhloko kuyinhlobo engavamile yesikhumba, okwenzeka ngaphansi kwephesenti elilodwa labantu-ngakho ukuxilongwa kwalo kungenziwa kuphela udokotela, uma izimbangela ezinkulu ezingaphezu kwekhanda zikhishwa kuqala.
Sibutsetelo
Ukhanda lokukhwehlela okuyinhloko luhlobo olungavamile lwe-headache disorder oluthinta kakhulu abantu abadala kuneminyaka engama-40. Lesi sifo sibhekwa nangokuthi ikhanda le-Valsalva-ikhono lokukhanda, njengoba ukunyundela nokuxuba (njengokungathi lapho kunezinyathelo zokuhamba) kungabuye kulethe . Ukukhanda ikhanda lokukhwehlela okuyinhloko akufanele kudidaniswe nekhanda elibuhlungu lokukhanda , okuyinto ekhanda ikhanda lokuvivinya umzimba noma umsebenzi wobulili.
Izimpawu Nezibonakaliso
Lolu hlobo lwezinwele luvame ukufika ngokuzumayo ngemva kokukhwehlela umuntu, futhi kwenzeka ezinhlangothini zombili zekhanda, ikakhulukazi ngemuva kwekhanda. Kuvame ukuchazwa njengokubukhali noma ukugwaza. Kuhlala isikhathi eside kangakanani, kodwa ngokuvamile kufushane, okuhlala kusukela kumzuzwana wesibili ukuya kumaminithi ambalwa. Nakuba, kubantu abathile, ikhanda lingaba khona amahora amabili. Abanye abantu abanekhanda lokukhwehlela okuyinhloko nabo banesizungu, isicashu, noma ukuphazamiseka kokulala.
Ukuxilongwa
Cishe uzobe ucabangela ubuchopho ngaphambi kokuba uchwepheshe wekhanda lakho noma i-neurologist ihlolwe.
Ukucatshangelwa kobuchopho kuzokwenziwa nge-imagery magnetic resonance (MRI) kanye / noma i-magnifique resonance angiography (MRA).
Ukuphanga ngokugcwele kuzoqinisekisa ukuthi ayikho enye imbangela yokukhanda ikhanda lakho elikhwehlela ukukhwehlela, ikakhulukazi njengoba ikhanda lokukhwehlela okuyisisekelo akuvamile. Nakuba, ungakhathazeki uma lokhu kuhlolisiswa-kuyilapho kungavamile, ikhanda lokukhwehlela okuyinhloko liyisifo esiyingozi futhi akuyona into ejulile.
Lokhu kuthiwa, kunezinhlobonhlobo zekhanda elincane elingase lilingise ikhanda lokukhwehlela okuyisisekelo, kanti ezinye zisongela ukuphila. Izibonelo zifaka:
• I- Cerebral Aneurysm
• U-Arnold Chiari Uhlobo lwe-1 lwezinguquko
• I- Brain Tumor
Udokotela wakho uzoqinisekisa ukuthi akuyona enye eyinkimbinkimbi yesikhumba esiyinkinga eyenzekayo, njenge-migraine noma ikhanda lekhanda . Lokhu kungenxa yokuthi i-migraines ne-cluster headaches ingahlushwa ngokukhwehlela noma ukucindezela. Ngamanye amazwi, kungaba yindlela ekhohlisayo yokunquma ukuthi ukukhwehlela kwakho kudala yini ikhanda noma kuwubuhlungu kakhulu, ukuhlukaniswa okubalulekile okwenziwe.
Izimbangela
Isizathu sokukhanda ikhanda lokukhwehlela okuyisisekelo asikwaziwa. Enye indlela engenzeka ukuthi i-headache ingenxa yokucindezela okwandayo emithanjeni ezungeze ubuchopho, okulethwa ukukhwehlela noma ukucindezela. Kungase kubangelwe nokunciphisa imifino yentamo noma izono.
Ukwelapha
Ngeshwa, azikho izifundo ezinkulu ezihlola ukwelashwa kwekhanda lokukhwehlela eliyinhloko-ikakhulukazi ngoba lingavamile, kodwa futhi ngenxa yokuthi ukuphathwa ikhanda ngokuvamile kuphelile ukuthi ukwelashwa akudingekile. Lokho kuthiwa, i-indomethacin, isidakamizwa esingezange -steroidal sokuvuvukala noma i- NSAID , imithi ejwayelekile yokuzikhethela.
I-Indomethacin yimithi yokwelashwa futhi inezinye izimo ezimbi ezingaba khona ezibandakanya:
- ukuthukuthela kwamathumbu kanye / noma ukuphuma
- amazinga aphezulu e-potassium
- isiyezi
- umbono ongenangqondo
- izingozi zemikhakha yempilo ( isifo senhliziyo , isifo sohlangothi)
Uma udokotela wakho enquma i-indomethacin, sicela ubuyekeze lokhu kanye neminye imiphumela emibi ngokucophelela.
Izwi elivela
Isithombe esikhulu lapha ukuthi ukukhanda ikhanda lokuqala lokukhwehlela kuyisifo esingavamile sekhanda. Ngakho-ke uma ukukhwehlela noma ukucindezela kuhlotshaniswa nezikhwama zakho, sicela ucele isiqondiso sezokwelapha ngokushesha ukuqinisekisa ukuthi akukho okukhathazayo okuqhubekayo, ikakhulukazi uma ikhanda likhishwa ngokuzumayo futhi elisha.
Uma kuthiwa, uma ukuhlolelwa ikhanda lokukhwehlela okuyinhloko ukuhlolwa kwakho, izindaba ezinhle ukuthi kukhona ukwelashwa okukhona. Ngokufanayo, uma esinye isifo sezinhlungu esifana ne-migraine noma ikhanda le-cluster yisixhumanisi phakathi kokukhwehlela kwakho kanye nekhanda lakho, ukwelashwa kuyatholakala.
Imithombo:
Cordenier A, De Hertogh W, De Keyser J, Versijpt J. Izinhlungu zomzimba ezihambisana nokukhwehlela: ukubuyekezwa. Journal of Headache and Pain 2013; 14 (1): 42.
Donnet A et al. Ukukhanda ikhanda lokukhwehlela okuyinhloko, ikhanda eliyinhloko lokuzikhandla, nokukhanda okuyinhloko okuhlotshaniswa nomsebenzi wocansi: isifundo somtholampilo nesobuchwepheshe. Neuroradiology, 2013; 55 (3): 297-305.
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.