Iingxelo zophando ezithakazelisayo kwiziphumo ezibuhlungu kakhulu kwiintsholongwane zentloko
Indlela efanelekileyo yokufunda ngesifo kukuphulaphula umntu ohluphekayo. Yingakho uphononongo - ikakhulukazi ezinkulu - lunokuba luncedo.
KwiNtloko , abaphandi uRozen no-Fishman banyathelisa iziphumo zophando olukhulu olubandakanya abantu abangamawaka ngama- headset of a cluster - apho kukho abangaphantsi kwesigidi sezigidi ezixhatshazwayo eMelika.
Nanku ukujonga ngokuthe kolu hlobo uphando:
I-Survey Skinny
Uphando lwenziwe ngama-187 imibuzo ekhethiweyo kwaye yenzelwe i-United Organisation for the Understanding Cluster headache, okanye US OCH, - apho amaninzi amaninzi anesifo seentloko zeentloko. Uphando lukhuthazwe kwi-intanethi kwiiwebhusayithi ezinxulumene neentloko ezinxulumene nentloko. Kuphela abantu abaye bafumanisa ukuba babe neentloko zeentloko nge- neurologist bavunyelwe ukugqiba uphando.
Ingqungquthela, abantu abangama-1134 abaneentloko zeentloko zagqitywa uphando - iipesenti ezingama-72 zazingamadoda kwaye iipesenti ezingama-28 zazingabesifazana. Wonke urhulumente wayemelwe kulo uphando.
Ukuxilongwa
Kwathatha iminyaka emi-5 okanye ngaphezulu ukufumana ukuxilongwa ngokuchanekileyo kweentloko ze-cluster, ngokubhekiselele kuma-42 ekhulwini kwiphengululwazi lwabaphenduli. Olunye uvavanyo oluchanekileyo luquka i- sinusitis , i- migraine , i-allergies, okanye iingxaki ezinxulumene nezinyo.
Imbali yeTrauma yeNtloko
Iipesenti ezilishumi elinesibhozo zoluphando lwabaphenduli babecala ukuba babenembali yentlungu.
Imbali Yentsapho
Amashumi amabini anamabini anesibini abaphenduliweyo bathi babengenayo imvelaphi yentsapho yeentloko zeentloko, kodwa isiqingatha sabaphendula sichaza imbali yentsapho ye- migraines - oku kukubuza ukuba ngaba kukho ukudibanisa kwemfuza phakathi kwe-migraines kunye neentloko zesifo kunye / okanye nokuba izigulane zixilongwa kakubi (zixilongwa nge-migraines xa ziba neentloko zentloko)
Ezinye izifo
Ikota enye yabaphenduli babenembali yokudakumba , kwaye i-14 ekhulwini yabika imbali yokugula kwe-apnea .
Auras
Iipesenti ezingamashumi amabini ezithweswa ngabaphenduli baphendule ingxelo ye- aura ngaphambi kokuhlaselwa kwentloko yesifo sehlohlo, uninzi lwaluhlala ngaphantsi kwemizuzu engama-25. Phantse iipesenti ezili-100 zachaza ukuphazamiseka kunye nentloko - ngokubandakanyeka kwimisebenzi efana nokuhamba okanye ukugubha phambili, ukubetha intloko, okanye ukubetha udonga.
Umgangatho wobuhlungu
Phantse ama-85 ekhulwini abaphendulayo bathi ubuhlungu beentloko zeentloko zabuhlungu, kunye neengxelo malunga nesiqingatha sokuthi intloko yesifo sehlohlo sinokuphanga okanye ukuxinzelelwa.
Indawo yoBuhlungu
Ininzi iqaphele ukuba indawo yabo intloko yayisemva kwamehlo abo. Abanye babika amazinyo aphezulu, umhlathi, indlebe kunye nehlombe. Kwabaphendulayo, ama-49 ekhulwini avakalisa intlungu ecaleni lasekhanda labo ngelixa ama-44 ekhulwini avakalisa intlungu ngecala lasekhohlo. Ngokwababhali beli cwaningo, isizathu saloko kuphazamiseka akucaci, kodwa i-right-side predominance yokuhlaselwa kwamacandelo iye yaboniswa kwezinye iifundo. Iipesenti ezi-3 kuphela zivakalisa ukuhlaselwa okwenzeka kumacala amabini entloko.
Ukutshaya
Amashumi asixhenxe anesithathu ayenokusetyenziswa kwexesha langoku okanye ukusetyenziswa kwecuba - okanye ukutshaya ugwayi okanye ukutshaya itekisi.
Okuthakazelisayo kukuba, iipesenti ezi-8 zabaphenduli babika ukuba ukutshaya kunciphisa ubunzima bokuhlaselwa kwamagqabha ngamanye, ngelixa iipesenti ezi-2 zathi zanciphisa i-cluster attack time.
Utywala
Phantse iipesenti ezingama-65 zabaphenduli bathi baphuze utywala, kwaye ngaphezu kwesiqingatha esithile sichaza utywala njengentloko yeentloko.
Ezinye izinto
Ezinye iintloko zentloko zikhupha ngokulandelelana ukusuka kwizinto ezininzi ukuya kwizinto eziqhelekileyo ezibandakanya:
- mozulu utshintsho
- zivumba
- izibane ezikhanyayo
- izibani ezikhanyayo
- ubukele umabonwakude
- ukutshisa okutshisayo okanye ishavu eshushu
- nitroglycerin
Oku kukuthakazelisayo, njengoko ezi zimbangela zifana nezigulisi ze-migraine . Uphononongo aluzange lucinge ukuba ngaba baphendululwazi babo baphinde baba nembali yemigraines, okanye ukuba ukutya kunye noxinzelelo (ezinye ezimbini ezibangela ukuguquka kwemigraine) zibangele ukuhlaselwa kwamaqela.
Isikhathi
Uninzi lwabikwa ukuba ukuhlaselwa kwamakhanda eentloko zenzeke ngexesha elifanayo ngosuku ngalunye - kunye neepesenti ezingama-41 ezikhankanya i-2am njengexesha eliqhelekileyo. Amaphesenti angamashumi amahlanu anesibhozo ahlaselwa ngamacandelo phakathi kwe-7pm no-7am no-42 ekhulwini phakathi kwe-7: 00 no-7pm.
Unyango
Uninzi lwabaphendulayo - iipesenti ezingama-70 - babengenayo inkqubo yokuphatha iintloko zeentloko . Kodwa iipesenti ezili-15 zazisusa amazinyo kwaye iipesenti ezingama-7 zinobuchopho be-sinus. Abanye babika iingqungquthela zesibindi se-occipital okanye i-occipital nerve stimulator placements-ezijolise kwiimbulunga kwisiseko segazi.
Ngaphantsi
Ezinye zeziphumo zolu vavanyo ziyamangalisa kakhulu - ngokukodwa ukufana phakathi kwababangela iintloko zeentloko kunye ne-migraine - kunye nezinye esilindeleyo ngokusekelwe kuphando olwangaphambili.
Kukho ukukhawulelwa kweso sifundo-enkulu enkulu ukuba olo uphando lwasasazwa kwi-intanethi, ngoko-ke akuvumelekanga ukuba ngummeli opheleleyo we-cluster headache patients in the United States. Kwakhona, ukuxilongwa kweentloko zeentloko kwakungqiniswanga ngophando lwe-neurologist evunyiweyo, okanye ngokwemigaqo echazwe nguMbutho weZizwe oBaNtloko .
Ngokubanzi, uphononongo lusenza ukuba siqonde imithwalo yomzimba kunye nomzwelo wokuhlaselwa kweentloko zeentloko.
Imithombo:
Rozen, TD & Fishman, RS (2012). Intloko ye-Cluster e-United States of America: izibalo zabantu, iimpawu zekliniki, izibangela, ukuzibulala, kunye nomthwalo. Intloko, uJan; 52 (1): 99-113.
URussell, MB (2004). I-Epidemiology kunye ne-genetics yeentloko zentloko. I-Lancet Neurology, 3: 279-83.
Tepper, DE (2015). Intloko yeCluster. Intloko, ngoMeyi; 5 (5): 757-8.
INKCAZELO: Ulwazi olukule ndawo lusezinjongo zemfundo kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukuze ufumane unyango kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .