Ukubheka ngokuqaphela umsuka wezinhlanzi zeCluster
Kungani i-cluster ikhanda libizwa nge-alarm clock headaches? Kungani lezi zikhanda zivame ukuba khona ebusuku?
Enye inkolelo yokuthi i-cluster headaches ivela hypothalamus - umlawuli wokulala komuntu kanye nesigqi se-circadian.
Ake sihlole le mbono kancane kakhulu.
Kungani i-Cluster Headaches ibizwa ngokuthi i-Alarm Clock Headaches?
Ukuhlaselwa kweCluster kuvame ukuqala ebusuku, cishe amahora amabili kuya kokubili umuntu elele.
Zibuye zenzeke ngesikhathi esisodwa nsuku zonke noma ebusuku, futhi zivame ukubuyela ngesikhathi esifanayo sonyaka.
Yingakho i-cluster headaches ngezinye izikhathi ibizwa ngokuthi i-alarm clock headaches, ngoba ijwayele ukuvela ngezikhathi ezithile ezithile, njenge-clockwork.
Ukuthi ukuhlukunyezwa kwamagqabha amaningi kuqala ebusuku kuholele ososayensi bakholelwe ukuthi ngandlela-thile i-hypothalamus (iwashi lakho lezinto eziphilayo) lihilelekile emvelaphi yalo.
Iyini i-Hypothalamus?
I-hypothalamus yisakhiwo esisekelwe phansi ebuchosheni. Isebenza imisebenzi eminingi kuhlanganise:
- ukulawula isimiso sakho se-endocrine (hormone)
- ukulawula uhlelo lwakho lokuzimela
- ukulawula umjikelezo wakho wokulala.
"I-cluster" yamangqamuzana omzimba e-hypothalamus eyaziwa ngokuthi i-nucleus ephakeme (SCN) isebenza njenge-master clockdian clock-ukuhumusha ubude bemini nobusuku ngokusekelwe kolwazi oluvela emehlweni ethu. I-SCN ithumela imilayezo kwenye ingxenye yengqondo, okuthiwa i-pineal gland-ingulube encane ebuchosheni ekhishwa i-hormone okuthiwa i- melatonin .
Ukukhululwa kwe-melatonin kuyinhloko phakathi nobusuku lapho sekumnyama futhi kuphansi ngesikhathi semini uma kukhanya. I-Melatonin ihileleke ekuphenduleni impendulo enzima emuva kwe-hypothalamus.
I-hypothalamus nayo ihilelekile ekuthumeleni izimpawu zesibindi eceleni kobuso bakho lapho uzwa khona ubuhlungu.
Lokhu kusebenza kwe-nerve kubizwa ngokuthi i-reflex-autonomic reflex-igama lezesayensi eliyinkimbinkimbi ye-nerve encane eyindilinga ebusweni obudlulisela imiyalezo ebuhlungu ebuchosheni.
Ingabe i-Hypothalamus Theory Yasekelwa YiSayensi?
Kunezifundo zesayensi ezisekela indima ye hypothalamus, ikakhulukazi i-nucleus ephezulu (SCN), ekuhlaselweni kwekhanda. Isibonelo, sekutholwe ukuthi ukuvinjelwa kwe-melatonin yasebusuku kuphansi ngokwejwayelekile noma kucindezelwe ngesikhathi sokuhlaselwa kweqoqo (uma kufanele kube phezulu). Khumbula, i-melatonin idla emuva kwi-hypothalamus.
Lokhu kuthiwa, kuyilapho i-melatonin ngezinye izikhathi isetshenziselwa ukuvimbela ikhanda lokuhlukunyezwa, kukhona isifundo sobuchwepheshe besayensi esinqunyelwe ukuvuselela ukusetshenziswa kwayo.
Nokho, okuyiqiniso nakakhulu ukuthi ucwaningo lwe-neuroimaging luye lwathola ukuthi i-hypothalamus ingasebenzi kahle ngesikhathi kuhlaselwa ikhanda, futhi lapho i-hypothalamus ihloswe (njengokungathi i-hypothalamic deep stimulation stimulation), ukuhlaselwa kwamaqoqo kuncipha.
Ukukhushulwa kobuchopho obujulile kwe-hypothalamus njengamanje kugcinwe kulabo abanezinhlanzi ezingapheli zezinsizwa abangazange bathole usizo ngezokwelapha zendabuko (njenge-oxygen noma i-triptan therapy). Lokhu kungenxa yokuthi kuyindlela yokuhlinza futhi kungabangela ukuphuma kwegazi ebuchosheni, okungaba yingozi.
Okubalulekile lapha ukuthi ngenkathi imvelaphi eqondile yezinsizwa ze-cluster ingaziwa, cishe ihlanganisa hypothalamus.
Ngalolo lwazi, izindlela zokwelashwa ezihlose i-hypothalamus njengomlawuli wezinsizwa zekhanda kufanele zihlolwe kabanzi.
Izwi elivela
Uma uhlushwa izinhlungu zekhanda, ungacabangela ukuxoxa ngemibhobho yakho yokulala ne-neurologist noma ochwepheshe bekhanda ukuze uqonde ukuthi indlela yakho ye- circadian nobuhlungu bekhanda ihlanganiswe kanjani.
> Imithombo:
> Leone M, Franzini A, Proietti Cecchini A, Broggi G, Bussone G. Hypothalamic ukukhushulwa kobuchopho obujulile ekwelapheni ikhanda lezinhlanzi ezingapheli. I-Ther Adv Neurol Disord . 2010 Meyi; 3 (3): 187-95.
> Rubesh G, > Ubuthakathaka > A, Ahmed F. Ubufakazi obusekelwe ebuhlotsheni be > cluster > ikhanda. I-Ther Clin Risk Manager . 2015; 11: 1687-96.
> Stillman M, Spears R. Endocrinology ye > cluster > ikhanda: okungenzeka kube nokuphathwa kwelashwa. Isikhumbuzo se-Curr Pain Headache . 2008, 12 (2): 138-44.
> Weaver- > Agnostoni >. I-Cluster Headache. Am Fam Physician. 2013 Jul 15; 88 (2): 122-28.