I-Cluster Headache: Izimpawu, Izimbangela, Ukuxilongwa Nokwelashwa

Amakhanda e-Cluster abuhlungu kakhulu ikhanda elibuhlungu okwenzeka ngamaqembu noma 'amaqoqo' phakathi namasonto noma izinyanga. Zivame kakhulu emadodeni kunabesifazane. Masiqonde izimpawu, izimbangela, ukuxilongwa, ukwelashwa, amakhambi asekhaya, kanye nokuvinjelwa kwekhanda elibuhlungu leqembu. Uzoqonda futhi ukuthi uzombona nini udokotela ngalesi simo. 

Ziyini Izinhlungu Zekhanda Ezihlangene?

Ikhanda lekhanda le-Cluster libuhlungu, likhanda elihlangene elihlangene elivela kumaqoqo noma imijikelezo ehlala amasonto kuya ezinyangeni. Zibonakala ngobuhlungu obukhulu nxazonke noma ngemuva kweso elilodwa noma uhlangothi olulodwa lwekhanda. Ukuhlaselwa kwekhanda leqembu kungase kuthathe imizuzu engu-15 ukuya emahoreni angu-3 futhi kuvame ukwenzeka ngesikhathi esifanayo nsuku zonke, ngokuvamile kuvusa abantu ebuthongweni. Ubuhlungu buqala futhi buphele kungazelelwe. Kunezinhlobo ezimbili: 

Izinhlungu zekhanda leqoqo le-Episodic zenzeka ezikhathini noma kumaqoqo ahlukaniswe yizikhathi zokuxolela ezingenabuhlungu.
Izinhlungu zekhanda ezihlala isikhathi eside zeqoqo zinemijikelezo ephikelela isikhathi esingaphezu konyaka ngaphandle kwanoma yisiphi isikhathi sokukhululeka noma ngokukhululeka okuhlala isikhathi esingaphansi kwenyanga eyodwa.

Izimpawu ze-Cluster Headache

Izimpawu ezivame kakhulu zekhanda le-cluster zihlanganisa:

• Ubuhlungu obuhlabayo obuhlabayo noma obuhlabayo, ngokuvamile obuzungezile, ngemuva, noma ngaphezu kweso elilodwa noma ohlangothini olulodwa lwekhanda
• Ukungahlaliseki nokuyaluza
• Amehlo agcwele amanzi futhi ukunyanyiswa kwamanzi ohlangothini olubuhlungu
• Ububomvu nokuvuvukala eduze kweso
• Ejuluke esiphongweni nasebusweni
• Ukukhanya kobuso noma ukuphaphatheka
• Ukuwa noma ijwabu leso elivuvukele ohlangothini olubuhlungu
• Ukungakwazi ukuhlala unganyakazi, ukuzulazula njalo ngenxa yobukhulu bobuhlungu

Izinkinga Zekhanda Le-Cluster

Izimbangela eziqondile azaziwa kodwa zingase zibandakanye ukusebenza ngokweqile kwe-hypothalamus elawula isigqi sokujikeleza.

Izimbangela zekhanda lekhanda le-cluster zingabandakanya:

• Ukuphuza utshwala
• Ukuphakama okuphezulu
• Isimo sezulu siyashintsha
• Ukudla okuthile njengoshokoledi noma izithelo ezisawolintshi
• Iphunga elinamandla njengamakha, upende, njll.
• Izinguquko ze-Hormonal

Izingozi Zezingozi

Izinto ezandisa ingozi yekhanda lekhanda le-cluster zihlanganisa:

• Ukuba yindoda - Zivamile izikhathi ezingu-3-4 emadodeni
• Ubudala - Abantu abaningi bayabakhulisa phakathi kweminyaka engama-20 nengama-50
• Umlando womndeni - Ukuba nesihlobo esiseduze esinamakhanda ahlangene
• Ukubhema nogwayi ukusetshenziswa
• Ukusetshenziswa kotshwala ngesikhathi seqoqo elisebenzayo

Sifo

Njengoba zingekho izivivinyo zokuxilonga eziqondile zekhanda le-cluster, ukuxilongwa kuncike ku:

• Ukuhlolwa Komtholampilo - Udokotela uhlola ngokucophelela iphethini evamile, izimpawu, ukuqina, kanye nesikhathi.
• Ukuxilongwa Okuhlukile - Ezinye izimbangela ezifana ne-migraines, ukutheleleka kwe-sinus, i-aneurysm, nokunye kuyakhishwa.
• Idayari Yokuqaqamba Kwekhanda - Imininingwane yokulandelela efana nemvamisa, ubude, izimpawu, izimbangela njll. encwadini yezenzakalo zokusiza ukuxilongwa.

Udokotela wakho angase a-ode i-imaging noma ukuhlolwa kwamehlo ukuze akhiphe izinkinga ezifana ne-aneurysm compressing cranial nerves. Ukugcina idayari yekhanda enemininingwane ebalulekile kubalulekile ekusizeni ukuhlukanisa ubuhlungu bekhanda le-episodic vs chronic cluster.

Ukwelashwa

Ukwelapha ubuhlungu bekhanda leqembu kuhlose ukumisa ngokushesha ukuhlasela futhi kuvinjwe ukuhlaselwa okuzayo ngokusebenzisa:

• Imithi Yokukhipha Izisu
  • Imithi yokukhipha isisu esebenza ngokushesha esetshenziselwa ukumisa ukuhlasela ihlanganisa:
  • I-Sumatriptan - Ukwakhiwa komjovo noma isifutho samakhala
  • I-oksijeni egeleza kakhulu - Ibopha imithambo yegazi nge-vasoconstriction
  • Izifutho zendawo ezibulala izinzwa zamakhala eziqukethe i-lidocaine noma i-cocaine
• Imithi Yesikhashana
  • Imithi yesikhashana noma ephakathi esetshenziswa isikhathi esifushane phakathi kwamaqoqo okuhlasela ihlanganisa:
  • I-Corticosteroids efana ne-prednisone - Yehlisa ukuvuvukala kwezinzwa
  • Abavimbeli beziteshi ze-calcium njenge-verapamil - Ukusayina kwe-Calm nerve
  • I-Lithium - Iqinisa ama-neurotransmitters njenge-serotonin
• Imithi Yokuvimbela
  • Imithi yansuku zonke ethathwa njalo ukuvimbela imijikelezo yokuhlasela yesikhathi esizayo:
  • Ama-block block wesiteshi seCalcium
  • Imithi elwa nokuthunjwa - i-valproic acid, i-topiramate
  • Imithi ye-steroid efana ne-prednisone tapers
  • Imijovo ye-Botox njalo ezinyangeni ezi-3

Amakhambi Asekhaya Ekhanda Lamaqoqo

Amakhambi asekhaya angasiza ukuphatha ubuhlungu bekhanda leqembu:

• Iziminya ezibandayo noma ezishisayo - Faka iphakethe leqhwa noma indawo yokushisisa ezindaweni ezibuhlungu zekhanda lakho.
• Amafutha e-Peppermint - Faka amafutha abalulekile e-peppermint ebunzini nasemathempelini. Okuqukethwe kwayo kwe-menthol kusiza ukukhulula ubuhlungu bekhanda.
• I-Ginger - Inezakhiwo zokulwa nokuvuvukala ezingadambisa ubuhlungu bekhanda uma iphuzwa njengetiye noma izithasiselo.
• Gwema izinto ezivusa amadlingozi njengotshwala, ukudla okuthile, iphunga elinamandla, njll.
• Phumula ekamelweni elithule, elimnyama kuze kudlule ukuhlasela. Ukukhanya nomsindo kungandisa ubuhlungu.

Kufanele Ngimbone Nini Udokotela Ngekhanda Lekhanda Le-Cluster?

Bonana nodokotela ngokushesha uma uhlangabezana:

• Ukuqala kokuqala kwekhanda elibuhlungu leqembu
• Amaphethini amabi kakhulu noma ashintshile ekhanda elikhona
• Ikhanda elibuhlungu ngokuzumayo, elinzima, noma elidumayo

Bonana nodokotela uma imithi ye-OTC ingabuqedi ubuhlungu bekhanda lakho leqembu. Futhi, hlola ukuthi yikuphi ukusetshenziswa ngokweqile kwemithi okungabangela ikhanda lakho.

Prevention

Amasu abalulekile okuvimbela ukukhanda ikhanda kweqembu ahlanganisa:

• Gwema Izinto Ezikubangelayo
  • Vimbela ukuhlasela ngokugwema izinto ezingase zibangele ezifana:
  • Ukuphuza utshwala
  • Ukuchayeka ephunga elinamandla
  • Ukudla okweqiwe noma okungajwayelekile
  • Ukuntuleka kokulala noma ukuqwasha
  • Ukucindezeleka, ukucindezeleka, ukukhathazeka
  • Ukubhema nemikhiqizo ye-nicotine
• Ukuguqulwa Kwendlela Yokuphila
  • Zijwayeze amasu okuphumula njenge-yoga, ukuzindla kwengqondo
  • Landela izinqubo zokulala ezingaguquki zamahora angu-7-9
  • Yidla ukudla okuvamile, okunomsoco okuphansi kwe-sodium
  • Zivocavoce njalo ukuze ukhulule ama-endorphin
• Cabangela Imithi Yokuvimbela
  • Ngezinhlungu zekhanda eziphindaphindayo ze-episodic cluster noma i-chronic cluster headache, imithi yokuvimbela nsuku zonke ingenza umehluko omkhulu futhi ingase ibangele nokukhululwa isikhathi eside.

Isiphetho

Ubuhlungu bekhanda leqembu bungase buqede amandla kodwa kunezindlela ezihlukahlukene zokwelapha ezitholakalayo zokulawula ubuhlungu nokuvimbela ukuhlaselwa. Ukufuna ukuxilongwa okunembile nokuhlonza izimbangela kubalulekile. Imithi ekhipha izisu neyokuvimbela inganikeza impumuzo kanye nezindlela zokuphila ezifana nokugwema izibangeli, ukulawula ingcindezi, ukulala okuvamile, njll. Ngendlela yokwelapha enezici eziningi, ikhanda elibuhlungu leqoqo lingalawuleka ngempumelelo.

Imibuzo Evame Ukubuzwa

Q1. Uyini umsuka wekhanda elibuhlungu leqembu?

Imbangela ayikaziwa kodwa kungenzeka ihilela i-hypothalamus elawula isigqi sokujikeleza kanye nemijikelezo yekhanda leqembu. I-Genetics kanye nemizila yesistimu yezinzwa emaphakathi nayo ingadlala indima.

Q2. Yikuphi ukuntula okubangela ubuhlungu bekhanda leqembu?

Akukho ukushoda kokudla okunomsoco okuye kwaxhunyaniswa ngokuphelele nekhanda elibuhlungu leqembu. Kodwa amanye amavithamini namaminerali adlala indima ezindleleni zobuhlungu ngakho izithasiselo ezifana ne-vitamin D, i-magnesium, i-CoQ10, ne-melatonin ngezinye izikhathi zisetshenziselwa ukusiza ukwelashwa.

Q3. Iliphi ikhambi elisheshayo lekhanda elibuhlungu?

Awekho amakhambi okwamanje, izindlela zokwelapha kuphela zokulawula izinhlungu. Ukukhululwa okusheshayo ngesikhathi sokuhlasela kuhilela umjovo we-sumatriptan noma isifutho samakhala. I-oksijini egeleza kakhulu futhi iletha ukukhululeka okusheshayo ngokuminyanisa imithambo yegazi ezungeze ubuchopho.

Q4. Yini engingayidla ngekhanda elibuhlungu leqembu?

Gwema izinto ezingabangela ukudla njengoshokoledi, amantongomane, izithelo ezisawolintshi, inyama egayiwe ene-nitrate, ubisi, njll. ngezikhathi zamaqoqo. Yidla ukudla okusha, okuphelele njengezithelo, imifino, nokudla okunothe nge-omega-3 okulwa nokuvuvukala. Hlala uhlanzekile ngokuphuza amanzi njalo.