I-hemicrania i-headache headache yintsholongwane engapheliyo yintsholongwane engama-migraine. Uninzi lwezigulane ezine-hemicrania continua headaches zibika iingxwaba ngaphezu kwama-5 ngeeyure ezingama-24 kwaye ubuncinane ngamaxesha angama-15 ngenyanga. Ngencazelo, i-hemicrania continua ivela kwicala elinye lentloko. Ubuhlungu obungapheliyo buqhubeka ngokuqhubekayo kwaye buguquka ngamandla kunye neemeko ezimbalwa phakathi.
Intlungu oyifumanayo iyancipha ngenxa yentlungu ebukhali, ecaleni linye icala. Usenokuba nova buhlungu obuhamba phakathi kwecala ngalinye lentloko ngexesha linye intloko yesicatshulwa abaphandi abakufumeneyo.
Iimpawu, ukuPhelela, kunye nokuxilongwa
Ukongeza kwintlungu engapheliyo, iimpawu zengxaki zibandakanya impumlo, ukukrazula kunye nokubomvu kwamehlo, ukukhupha, ukunyuka kweebhokhwe, ukuncwina, ukuhlanza nokuvalela ukukhanya. Ayaziwa ukuba i-hemicrania eqhubekayo isifo seentloko ziphakathi koluntu. Izihloko eziphezulu zonyango, udidi oluphezulu, luchaphazela 4 ukuya ku-5% yoluntu jikelele. Ezinye iintlobo zeentloko ezingapheliyo ziquka i-migraine eguqulwayo, intloko yesifo somlomo, kunye nentloko eqhubekayo entloko . Phakathi kwalabo abanesifo esiyintloko, isifundo esiyiminyaka emi-5 sabantu abangama-651 abathintekayo intloko sibone ukuba i-2.2% yabathathi-nxaxheba bafumana i-hemicrania continua intloko yentlungu intlungu.
Abaphandi baye bafumanisa ukuba i-hemicrania iyaqhubeka nekhanda, njengentloko ye-migraine, iyaxhaphaka phakathi kwabasetyhini. Ukongezelela, uphando lubonisa ukuba ukusetyenziswa kunye nokusetyenziswa kotywala kunokudambisa i-hemicrania continua iimpawu zentloko.
Unyango
Kungenxa yokuba akukho nzathu ye-hemicrania iqhubeka iyaziwa, iziyobisi zisetyenziselwa ukunyanga iimpawu.
Olunye unyango oluchanekileyo lwe-hemicrania continua luyi- indomethacin , imithi echasayo yomsindo. I-Hemicrania iqhubeka neentloko zibizwa ngokuba yi-indomethacin ephendulayo, nto leyo ithetha ukuba kwiimeko ezininzi iimpawu ziyaqedwa emva kokusetyenziswa kwamachiza amaninzi. Nangona kunjalo, njengeminye imishanguzo echasayo, imiphumo emibi ye-indomethacin ivame ukukhusela ukusebenzisa ixesha elide. Enyanisweni, i-25% ukuya kwi-50% yezigulane kwi-indomethacin unyango ekugqibeleni ivelise imiphumo yesisu esiswini esiqhelekileyo esibangelwa yileyeza, kubandakanya ubuhlungu besisu, izilonda zesisu kunye nokuphuma kwamathumbu emathunjini. Ezinye iziphumo ezichaphazelekayo zingabandakanywa ukukhathala okugqithiseleyo, ukunyunyuzwa okanye ukuphaphaza, ukubonwa ngumbono, ukukhalaza ezindlebeni, kunye nokuqhaqhazeka okungapheliyo.
Ezinye iindlela zokonyango
Nangona akukho nonyango eye yaboniswa ukuphatha i-hemicrania continua headaches ngokuphumelelayo njenge-indomethacin, uphando olutsha lufumene ezinye iindlela zokonyango. Uphando lwezifundo eziliqela lubonise ukuba i-herbal supplement i- melatonin ingaba yonyango elithemba. Itholakala kwi-melatonin ye-counter-counter-has a structure of chemical similar to indomethacin, kodwa ifunyanwa ngokwemvelo emzimbeni. Olunye uphando lwamaxesha lubonisa ukuba u-7-mg wongezelela ngexesha lokulala ngexesha lemizimba.
Nangona kunjalo, isongezelelo semfuyo asixhomekeke kuvunyelwe yi-FDA kwaye, njengokuba kukho nayiphi na imeko yonyango, izigulane kufuneka zibonane nomboneleli wazo wezempilo ngaphambi kokuqala naziphi na unyango. Ngokutsho kweZiko leZiko lezeMpilo, iziphumo ezibi zingabandakanya ukuzondla, ukuguquka kwemizwelo, ukunyuka komngcipheko wokubamba, ukunciphisa isibalo sembewu phakathi kwabantu, ukunciphisa uxinzelelo lwegazi, kunye nokunyuka kwamazinga okushukela egazini.
Abaphandi baye bafumanisa unyango lwe-drugiramate ukuba lube unyango oluthembisayo. I-Topiramate yiyeza ye-anticonvulsant eyanciphisa intsingiselo engafanelekanga yengqondo. Nangona uphando oluthile lwamancinci lufumene iyeza eluncedo, kufuneka kwenziwe izifundo ezikhulu ukuba zifunde ukuba ngaba izibonelelo zesichengisiso zigqithise kakhulu iziphumo ezichaphazelekayo, ezibandakanya ukungcola, ukungakwazi ukugxininisa, ukudideka, ukunyuka kweengxaki zamathambo kunye nokwanda komngcipheko we- osteoporosis .
Ukongeza, i-topiramate ingabangela ubunzima bomntu ukuba afume. Njengaye naziphi na iyeza zonyango, kufuneka unyathelwe ukuba ulandele umyalelo wakho ugqirha. Amanani angabikhoyo angakhokelela "kwimpembelelo." Oku kubhekisela ekubuyiselweni kweempawu zentloko ngokukhawuleza xa leyeza iphuma kwigazi. Ukuba iziphumo zecala leyeza liba yingxaki, izigulana kufuneka zibonisane nomboneleli wazo wezempilo ngaphambi kokuyeka unyango.
Imithombo:
UBrighina, F., A. Palermo, G. Cosentino, B. Fierro. "I-Prophylaxis ye-Hemicrania iyaqhubeka: Amabini amatsha amatsha asebenzisana kakuhle ne-Topiramate." Intloko 3.47 (ngoMatshi 2007): 441-443. www.ncbi.nlm.nih.gov/pubmed/17371364?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum.
"Hemicrania Continua." I-NINDS Hemicrania I-Information Information Page. Ngo-7 kuMatshi 2008. Isiko seSizwe seNational Psychological Disorders and Stroke. www.ninds.nih.gov/disorders/hemicrania_continua/hemicrania_continua.htm.
"Indomethacin." Medline Plus . 1 Agasti 2007 amaZiko eZiko lezeMpilo. www.nlm.nih.gov/medlineplus/druginfo/medmaster/a681027.html.
Krymchantowski, Abouch Valenty. I-"Primary Headache Diagnosis" Phakathi kwezigulane zeZihloko eziPhezulu zeNyanga zonke. Arquivos de Neuro-Psiquiatria 61.3 (Juni 2003) www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000300008.
"Melatonin." Medline Plus . 1. Agasti 2006. amaZiko eZiko lezeMpilo. www.nlm.nih.gov/medlineplus/druginfo/natural/patient-melatonin.html.