Iintloko zentloko zibangela uhlobo lweentlungu ezenzeka ngexesha elifutshane kodwa zihlaselo ezinzima ezichaphazela kwelinye icala lentloko. Ukuba ufumana ezi ntlobo zentloko, unokuzibuza ukuba kukho naziphi na izixhobo zendalo ezinganceda.
Iimpawu
Iintsholongwane zeCluster zidla ngokuphindaphindiweyo ngosuku lonke iiveki okanye iinyanga ngelo xesha, emva koko zime kwiiveki okanye iinyanga.
Intlungu ingaba nzima kakhulu kwaye ingenakuze ibekezeleleke.
Iintloko ze-Cluster zibonakaliswa ngumsindo ovuthayo, ukugwaza, okanye ukunyamezela okudla ngokuphindaphindiweyo kwimihlo. Intlungu ingakhawuleza iqinise, iqhube imizuzu engama-10 kunye nemizuzu engama-30 ehlala kwiiyure ezintathu. Iintsholongwane zeCluster zixhaphaza ezimbini emva kweeyure ezintathu emva kokulala zize zenzeke ngexesha elifanayo ubusuku bonke.
Ukuhlaselwa kungahanjiswa kunye neempawu ezilandelayo kwicala elinye njengentlungu yentloko:
- Ukungabi naso
- Ikhofidi
- Iinyembezi ezigqithiseleyo
- Amehlo egazi
- Umfundi
- Iphunga le-Runny (okanye impumlo ephihliweyo)
- Ukucubungela ubuso, ukuvuvukala, okanye ukujuluka
- Ukutshitshiswa
Ngokuphambene nemigraines , iintloko zentloko zihlala zikhona ngaphandle kweempawu zokuqala eziyimpawu zecrafraine.
Ukuba ucinga ukuba unokuba neentloko zeentloko, kubalulekile ukubona ugqirha wakho. Njengengxenye yokuxilongwa, ugqirha wakho uya kulawula ezinye izizathu zentlungu intloko, njenge-migraines, kwakunye neemeko zonyango ezingabangela intlungu.
Izizathu
Nangona isizathu esicacileyo singaziwa, iintloko zentloko zihlelwa njengeentloko ze-vascular kwaye zibonakala zihambelana nokuhlanjululwa kwemithambo yegazi entloko, ebeka uxinzelelo kwiimbilini zobuso (i-nerginal nererve).
Amadoda, abantu abadala abaneminyaka engama-20 nangaphezulu, kunye nabantu abaneentloko zeentloko zeentloko zibonakala ngathi zengozini yokwanda kwimeko.
Ukutshaya, ukusela utywala kunye nokuxinzezeleka kunokunyusa umngcipheko wokuhlaselwa kwentloko yehlohlo.
IziNyango zeNdalo
Ininzi yophando kwiintlungu zentloko kunye nokutya, iziphumo zokutya, kunye nezonyango zijolise kwimigraines. Kuze kube ngoku, ezimbalwa izifundo ziye zajonga izilungiso zeentloko zeentloko, ingaba zendalo, iyezayeza okanye utyando. Nanku ukukhangela ezinye iziphumo ezivela kuphando olukhoyo lwezonyango zendalo:
1) iMelatonin
Bobabini iintlungu zeentlungu kunye nezihlwele zokuhlaselwa zidla ngokuqhelekileyo ngexesha elifanelekileyo lomhla. Amaqoqo athambekele ekufikeni ngexesha lokulala lokulala kwaye ngokuphindaphindiweyo ukwandiswa ngexesha lokutshintsha kwimihla yokulondolozwa kwemini kwintwasahlobo nokuwa, okubangela ukuba izazinzulu ziqaphele ukuba i-hypothalamus (inxalenye yengqondo elawula iwashi ye-biological okanye isigqi se-circadian) ibandakanyeka.
Ukuhlaziywa kwe-2016 kwi- melatonin (i-hormone elawulwa yi-hypothalamus enceda ukulawula ukujikeleza kwe-sleep-cycle) epapashwe kwi- Intloko yafumana ukuba i-melatonin yongeze iphumelele ngaphezu kwe-placebo ekuphatheni i-headus headaches. Ababhali beengxelo baphetha ukuba uphando olongezelelweyo lufunekayo ukuqonda kangangoko ubuhlobo obukhoyo phakathi kwe-melatonin kunye neentloko zeentloko.
Le yodwa imithi yengokwemvelo ehambelana nomlinganiselo "osebenzayo" ekunciphiseni ukuhlaselwa kweentloko zeentloko kwiiNkcazo Zonyango Zamayeza E-American Headache ka-2016.
2) I-Capsaicin Nasal Spray okanye iCream
I-spray spray equkethe i- capsaicin (isithako esisebenzayo kwi-pepper eshushu) kunokuncedisa ukunciphisa intlungu yokuhlaselwa kwentloko, ngokutsho kophando lokuqala. I-Capsaicin spray icingelwa ukuba isebenze kwindawo yangaphakathi kwimpumlo ngokukhubaza i-nerve trigeminal (i-nerve facial to the pumps) kunye nokukhupha amanqanaba eekhemikhali ezichaphazelekayo entlungu.
Akukho zifundo ezitsha ezifunyenwe yiengcali eziphanda izikhokelo zonyango zango-2016, kuphela ukufundisisa okudala okufumene imiphumo ekunciphiseni inani lokuhlaselwa ngokusebenzisa i-capsaicin kwicala elinye lempumlo njengentlungu yentloko.
Ngenxa yoko, bayichaza njengokuba bengenalo ubungqina obaneleyo bokubhengezwa.
Nangona i-capsaicin ifumaneka kwiindidi ezahlukeneyo, iiprafu zentengiso kuphela ziye zahlolwa ngeentloko zeentloko. I-non-stteril, i-capsaicin kunye ne-sprays kunye neendawo zokuhlamba ayenziwayo akufanele zisetyenziswe.
3) Ukutya, Indlela yokuphila, kunye neCress Relief
Utywala lunokubangela iintloko zeentloko zamanye abantu. Ukuba usela utywala, cinga ukuwuphepha ngexesha leqela leqela. Ukubhema, izibane ezikhanyayo, ukushisa (ukushisa, ukusabalala, ukunyusa, ukuhlamba okutshisayo, kunye nemvula), kwaye ukuphakama phezulu kungakhokelela nokuhlaselwa.
Ukutya okuthile kunokubangela ukuhlaselwa kwabanye abantu, kuquka ukutya okuphezulu kwiitrates (ezifana nebhekoni, izinja ezishushu, inyama yokudla, kunye nenyama egcinwe kunye nokucwangciswa).
Unyango
Intlungu iphakame ngokukhawuleza, ngoko unyango luhlala luquka amayeza enzantya ezenziwa ngokukhawuleza kunye nokunyango lokukhusela:
- I-sprays ye-nasal ye-zolmitriptan okanye i-anesthetics yendawo
- Izigulane ze-Imitrex (sumatriptan) okanye i-dihydroergotamine (DHE)
- Oxygen unyango
- Neurostimulation
- Ukuhlinzwa
Xa ushiywe ungakhange ulandelelwe, iintloko zentloko zingaphinda ziphinde ziphazamise ukusebenza kwakho kwansuku zonke. Iintloko zentloko zidibene nokuxinezeleka (inxalenye ephathelele ukuphazamiseka kokulala ngenxa yokuhlaselwa ebusuku) kunye nobungozi obuninzi bokugula kwesifo senhliziyo.
I-Takeaway
Ukuba wena okanye umntu omaziyo ufumana i-cluster headaches, mhlawumbi uyazi kakuhle indlela ezibuhlungu ngayo iintloko ze-headaches, kwaye mhlawumbi ufuna indlela engokwemvelo yokukhupha intlungu. Ngenxa yobuphandle obuncinci, nangona kunjalo, kungekudala ukucetyisa nayiphi na ikhambi ukuphatha intloko yesifo. Ukuba usacinga ukuzama enye, qiniseka ukuba uxoxe kuqala ngogqirha wakho ukuze uqiniseke ukuba kulungile kuwe. Amanye amanyathelo, njenge-melatonin, aneemiphumo ezichaphazelekayo kwaye angenakufaneleka.
Unokwazi ukukhusela i-cluster headaches kwinqanaba elithile ngokuphepha izinto owaziyo ezinokubangela ukuhlaselwa, njengotywala, ucuba, ukushisa okukhulu okanye ukuphakama, kunye nokutya okuthe ngqo. Ukugcina idayari kunokukunceda uqaphele kwaye ugweme izinto ezibangelwa ukuhlaselwa, ukukunceda ukugcina intlungu.
> Imithombo:
> Campellone JV. Intloko yeCluster. MedlinePlus. https://medlineplus.gov/ency/article/000786.htm.
> Intloko yeCluster. Clinical Mayo. http://www.mayoclinic.org/diseases-conditions/cluster-headache/symptoms-causes/dxc-20206299.
> I-Gelfand AA, i-Goadsby PJ. Indima ye-Melatonin kwiNyango yeZiThutho zeNtloko zeNtloko. Intloko . 2016 Juni 17.
> Robbins MS, Starling AJ, Pringsheim TM, Becker WJ, Schwedt TJ. Unyango lweCluster Headache: I-American Headache Society Izikhokelo ezisekelwe kwiNkcazo. Intloko. 2016 Jul; 56 (7): 1093-106.
Ukuziphendulela: Ulwazi oluqulethwe kule ndawo lujoliswe kwiinjongo zemfundo kuphela kwaye alithathi indawo yeengcebiso, ukuxilongwa okanye unyango ngumgqirha onelayisenisi. Akunakuthetha ukukhusela zonke iindlela zokulondoloza, ukusebenzisana kwezidakamizwa, iimeko kunye nemiphumo emibi. Kufuneka uncede unyango lwangonyango ngokukhawuleza kuyo nayiphi na imiba yempilo uze ubonane nodokotela wakho ngaphambi kokusebenzisa elinye iyeza okanye wenze utshintsho kwi-regimen yakho.