I-Cervicogenic Headache

Ikhanda le-Cervicogenic lithinta i-1-4% yabantu abanezimo zekhanda. Lezi zinhlungu zekhanda zivame ukungahlonzwa kahle nakuba zivame ukubangela ubuhlungu bekhanda obungapheli. Ubuhlungu buqala entanyeni kunekhanda, okubenza bahluke.

Lezi zinhlungu zekhanda zihluke ekhanda eliyinhloko ngoba livela ezinkingeni zentamo. Iziguli zibona ubuhlungu ekhanda labo obuphuma entanyeni. Abantu abanalesi simo bazwa ubuhlungu obukhulu kakhulu lapho benyakazisa intamo yabo ngezindlela ezithile. Futhi banokunyakaza kwentamo okulinganiselwe. Ubuhlungu bungavela emithonjeni eminingana njengokulimala, izinkinga ze-vertebrae yomlomo wesibeletho, sokuqaqamba kwamalunga ukuvuvukala, izimila, noma izifo.

Lesi sihloko sisiza abafundi ukuthi babone izimpawu ezithile ezenza ubuhlungu bekhanda be-cervicogenic buhluke migraines futhi izinkinga zekhanda. Iphinde ihlanganise nezindlela zokuzixilonga, zelaphe, kanye nokuzinqanda. 

Kuyini I-Cervicogenic Headache?

Ikhanda le-cervicogenic livela ezinkingeni zomgogodla wesibeletho noma izicubu eziseduze. Lokhu kwehluka emakhanda ekhanda ayisisekelo njenge-migraines noma ikhanda elicindezelayo ngoba livela ezimeni zentamo. Lesi simo sithinta cishe i-1-4% yeziguli zekhanda. Abantu bavamise ukuzwa izimpawu zabo zokuqala lapho besanda kweva eminyakeni engu-30, nakuba iningi lifuna usizo lapho lineminyaka engama-49. Abesilisa nabesifazane babhekana nengozi ecishe ilingane.

Izimpawu ze-Cervicogenic Headache

Iziguli ngokuvamile zizwa ubuhlungu ohlangothini olulodwa oluqala entanyeni futhi lukhuphukele ekhanda. Ubuhlungu buhlala bushintshashintsha futhi busukela kokumaphakathi kuye kobunzima, ngaphandle kokuzwa noma yikuphi ukushaya kwenhliziyo. Izimpawu ezivamile zekhanda le-cervicogenic zihlanganisa:

• Ubuhlungu obuba bubi nakakhulu uma uhambisa intamo yakho
• Ukunyakaza kwentamo okulinganiselwe
• Ubuhlungu obusakazeka ebunzini lakho, emathempelini, noma eduze kwamehlo akho
• Ngezinye izikhathi ukubona lufifi ohlangothini oluthintekile
• Ukungakhululeki ehlombe lakho noma engalweni ohlangothini olufanayo
• Kuhlotshaniswa ne-parestnesia phezu kwethempeli nekhanda 

Izimbangela ze-Cervicogenic Headache 

Ubuhlungu buvela ezindaweni ezixhumene nezinzwa zomgogodla i-C1-C3. Izimbangela ezivamile zihlanganisa:

• Izinkinga ze-Disc noma i-herniation entanyeni
• I-arthritis ehlangene entanyeni
• Ukuqina kwemisipha ngenxa yokuma okubi
• Ukulimala kweWhiplash
• Bancishwe izinzwa
• Izimila (izimo ezingavamile)

Ingozi ye-Cervicogenic Headache

Ubungozi bakho bukhula ngokuthi:

• Ubudala (iminyaka engu-30-44)
• Imisebenzi eyenza ugobise ikhanda lakho phambili
• Imisebenzi yokuqeqesha isisindo
• Ukuma okubi ngenkathi usebenzisa amafoni noma amakhompyutha
• Ukulimala kwentamo edlule

Izinkinga ze-Cervicogenic Headache

Lezi zinhlungu zekhanda zingadala izinkinga ezinkulu uma zingelashwa:

• Izimo ezibuhlungu zesikhathi eside
• Ukunyakaza kwentamo okuncishiswe kakhulu
• Izinkinga ngemisebenzi yansuku zonke
• Inkinga yokulala
• Ukusetshenziswa ngokweqile kwemithi
• Imiphumela yezempilo yengqondo efana ukukhathazeka or ukucindezeleka

Ukuxilongwa Kwekhanda Le-Cervicogenic

Odokotela baqala ngokuhlolwa okuphelele komtholampilo ukuze baqonde umlando wakho wezokwelapha namaphethini ekhanda elibuhlungu. Ukuhlolwa komzimba kubheka ukuhamba kwentamo yakho, izindawo zamathenda kanye nezimpawu ezihlobene nemizwa. 

Ukuhlolwa kokuxilonga:

• Ukuhlolwa kwe-flexion-rotation yomlomo wesibeletho kukhomba ngokunembile lezi zinhlungu zekhanda.
• Ukucabanga njengama-X-ray, ama-MRIs, noma ama-CT scan ukuze kukhishwe izinkinga ezingaba khona.
• Izinzwa zokuxilonga ziqinisekisa isimo.

Ukwelashwa Kwekhanda Le-Cervicogenic 

Izinketho zokwelapha yilezi:

• Ukwelapha ngokomzimba ihlala iyinketho yokwelashwa eyinhloko.
• Ukwelashwa okwenziwa ngesandla kanye nokuzivocavoca okuthile
• Imithi (ama-NSAID, iziphumuza imisipha, ama-antidepressants)
• Amabhlogo ezinzwa noma imijovo steroid
• Ukuqothulwa kwemisebe ye-Radiofrequency ngamacala anenkani
• Ukuhlinzwa kuba inketho kuphela ngemva kokuba ezinye izindlela zokwelapha zingaphumeleli.

Uzoyibona Nini Udokotela

Kufanele uthole usizo lwezempilo ngokushesha uma une:

• Ikhanda elibuhlungu kungazelelwe
• Izimpawu ezihlobene nezinzwa
• Umkhuhlane onentamo eqinile
• Ubuhlungu obuqhubekayo obungaphenduli emithini ethengwayo

Prevention

Unganqanda ukuqaqamba kwekhanda ukuthi kungabuyeli ngokuthi:

• Ilungisa ukusethwa kwendawo yakho yokusebenza
• Ukwakha imisipha yentamo enamandla
• Ukugcina ukuma okuhle
• Ukukhetha imicamelo efanele yokulala
• Thatha amakhefu avamile ngenkathi uhlezi isikhathi eside 
• Ukulawula ukucindezeleka kusiza ukunciphisa ukuthi ubuhlungu bekhanda buvela kaningi kangakanani.

Isiphetho

Amakhanda e-Cervicogenic ahluke kwezinye izinhlobo zobuhlungu bekhanda ngoba avela ezinkingeni zentamo kunezinkinga ezihlobene nobuchopho. Abantu bavame ukubhekana nalesi simo iminyaka eminingi ngaphambi kokuba bathole ukuxilongwa okufanele, futhi odokotela ngezinye izikhathi benza iphutha njenge-migraines noma ikhanda elibuhlungu. 

Imikhuba yakho yansuku zonke yenza umehluko omkhulu ekuvimbeleni lezi zinhlungu zekhanda. Iziguli eziningi zisabela kahle kakhulu ekwelashweni ngokomzimba njengenketho yazo yokuqala yokwelashwa, nakuba imithi kanye namabhulokhi ezinzwa nakho kunganikeza impumuzo. Odokotela bacabangela ukuhlinzwa kuphela ngemva kokuba ezinye izindlela zokwelapha zingaphumelelanga.

Ubuhlungu bekhanda obuqhubekayo noma obunamandla budinga ukunakekelwa kwezokwelapha. Ikhanda lekhanda le-Cervicogenic lingathinta impilo yomuntu yansuku zonke uma ingelashwa. Izindaba ezinhle ukuthi iziguli eziningi zibona ukuthuthuka okukhulu ngokuxilongwa okufanele nokwelashwa. Lokhu kuzisiza ukuthi zikwazi ukulawula imisebenzi yazo yansuku zonke.

Imibuzo Evame Ukubuzwa

1. Ingabe ubuhlungu bekhanda be-cervicogenic bubucayi?

Lezi zinhlungu zekhanda zingaba buthakathaka ngaphandle kokwelashwa okufanele. Ngokuvamile azifaki ukuphila engozini kodwa zingakhomba izinkinga zentamo ezidinga ukunakwa. Iziguli ezingakutholi ukwelashwa zingase zithuthuke:

• Ama-syndromes wobuhlungu obungapheli
• ukukhathazeka
• Ukucindezeleka
• Izimo zentamo ziba zimbi

2. Ususa kanjani ikhanda le-cervicogenic?

Odokotela batusa ukwelashwa ngokomzimba njengendlela yokuqala yokwelapha. Izindlela eziningi zisebenza kahle:

• Ukwelapha ngezandla kuhlanganiswe nokuzivocavoca okuhlosiwe
• Imithi 
• Ama-nerve blocks anciphisa ubuhlungu
• Ukuma okungcono kanye ne-ergonomics yendawo yokusebenza

Iziguli ezinezimpawu ezinenkani zingathola impumuzo ngemijovo ye-steroid noma ama-radiofrequency neurotomies.

3. Ikhanda le-cervicogenic lizohlala isikhathi esingakanani?

Lezi zinhlungu zekhanda zingahlala amahora, izinsuku, noma amasonto uma ungazinaki izindlela ezingemuva kwazo. Ubude besikhathi buyashintsha ngokusekelwe kulokho okubabangelayo. Ukucindezelwa kwesikhashana kungathuthuka ngokushesha kodwa izimo eziwohlokayo zidinga ukunakekelwa isikhathi eside.

4. Iyini imbangela yekhanda le-cervicogenic?

Lezi zinhlungu zekhanda ziqala ezakhiweni ezixhumene nezinzwa zomgogodla C1-C3. Izimbangela ezivame kakhulu zihlanganisa:

• Izinkinga ngama-facet joints (ikakhulukazi i-C2-C3)
• Ukulimala kweWhiplash
• I-arthritis noma i-disc herniation
• Ukuma okungalungile noma ubunzima obuhlobene nomsebenzi

5. Uyini umehluko phakathi kwekhanda le-cervicogenic vs migraine?

Zombili izimo zibangela ubuhlungu ohlangothini olulodwa lwekhanda, kodwa zinezici ezihlukile. Amakhanda e-Cervicogenic:

• Aqale entanyeni asakaze phezulu
• Kuba kubi kakhulu ngokunyakaza kwentamo
• Ungabi nomuzwa wokushaya
• Akuvamisile ukubangela isicanucanu noma ukuzwela ukukhanya

Ubuchopho bubangela i-migraines, ngokungafani nekhanda le-cervicogenic elivela ezindabeni zentamo.

6. Uyini umehluko omkhulu phakathi kwekhanda elicindezelayo kanye nekhanda le-cervicogenic?

Izinhlungu zekhanda ezicindezelayo zivame ukubangela ukucindezela ezinhlangothini zombili zekhanda, njengebhande eliqinile elizungezile. Ngakolunye uhlangothi, ikhanda le-cervicogenic:

• Hlala ohlangothini olulodwa ngaphandle kokushintsha
• Aqale entanyeni
• Ukuzizwa kabi ngokunyakazisa intamo
• Nciphisa ukunyakaza kwentamo
• Xhuma ngqo ezinkingeni zentamo

UDkt. Mandar G Waghralkar

MBBS, MD (Imithi Yangaphakathi), DM (Neurology), FINR, EDSI
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529