Uninzi lwexesha lokucinga ngengqondo alufunanga ngaphandle kokuba kukho iiflegi ezibomvu ezikhoyo
Ngenxa yobuninzi beemvavanyo zentloko, ukucingwa kwengqondo akuyi kulandiswa. Ugqirha unokukwazi nje ukufumanisa ingxaki yesifo okanye i-migraine esekelwe kwimbali yonyango yomntu, iimpawu kunye nokuhlolwa komzimba.
Kodwa kwezinye iimeko, ukucinga ngengqondo (umzekelo, i-MRI yengqondo okanye i-CT scan of the brain) iyadingeka ukuvavanya ngokungathandekiyo, ngezinye izihlandlo ezisongela ubomi, izizathu zentloko.
Nantsi imimiselo xa ugqirha wayeyalela umzobo weentloko zakho.
Intloko embi kakhulu yobomi bakho (aka Thunderclap Headache)
"Inwele embi kakhulu ebomini bakho," okanye intloko yokudumala, ityharensi ye-subarachnoid (in blood in the brain) kwaye idinga ukuba i-CT yenzeke ngokukhawuleza.
Ukuba ukuhlolwa kwe-CT yengqondo kuyinto eqhelekileyo, kwaye ugqirha wakho usenxhala malunga nesifo se-subarachnoid, i-lumbar puncture (intonga yomthambo) iya kwenziwa.
I-magnetic resonance angiography ( MRA ), kunye / okanye i-venography ( MRV ) iphinda iqhutywe rhoqo ukuze iqhubeke nokulawula nayiphi na ingxaki yesitya segazi kwingqondo.
Intloko yesifo sekhanda ingabonakalisa nezinye iimeko ezinzulu ezifana nexinzelelo oluxinzelelekileyo okanye ukuchithwa kwamathambo .
Intloko yesifo esibuhlungu ngokukhawuleza kwiCandelo elinye leNtloko
Ukuqala ngokukhawuleza kokuqala kwentlungu yentloko, ingakumbi ukuba intlungu iqhutyelwa entanyeni, ixakeka kwi-carotid okanye i-vertebral artery dissection.
Oku kwimeko engxamisekileyo yonyango kwaye idinga iMRI ephumayo yengqondo kunye ne-CTA okanye i-MRA yentloko nentamo (ezi mvavanyo zengqondo zijonga kwimida yegazi kwingqondo).
Intloko ekhuselekileyo ekukhulelweni okanye kwiPeriodum Périod
Nangona iintloko ziqhelekile xa ukhulelwa kwaye ezininzi azikhathazeki, intloko enzima ifuna ukucinga ngqondweni.
Kwiimeko ezithile zonyango, njenge- pituitary apoplexy okanye i-cerebral vascular syndrome, (xa i-arrivals in brain spasm), ukukhulelwa kuyingozi.
Kukho ezinye iimeko ezinzulu zokhathaza ugqirha ukuba ziqwalaselwe xa umfazi ephethe intloko ebuhlungu xa ekhulelwe, kubandakanywa isisu okanye i-cerebral thrombosis.
Intloko kuBantu abaneSistim e-Immune System
Abantu abanomdla we-HIV / AIDS okanye isifo sikashukela, abantu abasebenzisa i-chemotherapy yomhlaza, okanye abantu abathatha i-corticosteroids ende (njenge-prednisone) banesistim somzimba sokusilela, oko kuthetha ukuba banokuba nobunzima bokulwa nezifo.
Ukukhathazeka okukhulu malunga nentloko yabantu abantu abanesistim somzimba wokukhubazeka kubandakanya:
- iphoso lobuchopho
- i-meningitis
- umhlaza wengqondo okanye intambo yomgogodla
Ingqumbo yengqondo kunye nokusuleleka kwingqondo (njenge-abscess) inokuboniswa nge-MRI yengqondo.
Intloko kubantu Abantu abadala kunama-50 kunye ne-Cell Arantitis ekhuselekileyo
I-cell arteritis enkulu- ukukhwabanisa kwemithambo ethile ephakamileyo kunye neyesistim ephakathi, ngokuqhelekileyo ngamagumbi e-artery carotid yangaphandle (umthambo omkhulu entanyeni yakho).
Le nqanawa yegazi ingabangela iintlobo zeempawu, kodwa ngokugqithiseleyo intloko entsha (ngokuqhelekileyo isikhumba sinokuba nethepha lokuthintela, kodwa kungekho njalo), ubuhlungu besangqumbo xa udla, kwaye ngamanye amaxesha umboniso utshintsha.
Abanye abantu nabo bahlakulela umkhuhlane baze bazive bengavumelani nokulahlekelwa kwesidlo kunye nesifo somzimba.
Ukongeza kwi-test yegazi ye- erythrocyte (ESR) yokuhlolwa kwegazi, i-biopsy ye-artery ye-temporal kunye ne-MRI ephezulu isoloko iyalwa ukuba iqinisekise ukuxilongwa.
Intloko entsha okanye iPort Pattern
Intloko enesimo esichengayo idinga ukucingwa kwengqondo, ukwenzela ukulawula ukuphuma kwintsholongwane (umzekelo, i-hematoma yesigxina), okanye i-tumor.
Intloko entsha, ikakhulukazi kumntu onomdla womhlaza okanye i-HIV, nayo ibonisa ukuba kukho umngcipheko wesifo somhlaza okanye isifo sengqondo.
Intloko Plus Ezinye izibonakaliso okanye iimpawu
Ngamanye amaxesha kukho iimpawu ezihambelana nentloko yakho eqinisekisa ukuba i-neuroimaging-kwaye le nto ingaba yi-CT scan okanye i-MRI okanye zombini. Ezi zimpawu ezinxulumene nazo okanye iimpawu ziquka:
- iimpawu zeengqondo (umzekelo, ubuthathaka okanye ukuphazamisa kwelinye icala lomzimba, umbono ogqabileyo, okanye ukudideka)
- ukuqina kwentamo, umkhuhlane okanye ezinye iimpawu zomzimba ezifana nokugqithisa
- intloko ebangela ukukhwehlela, ukuzivocavoca umzimba, isondo
- ukufumana i-papilledema ekuhloleni ngokomzimba (xa i-disc op ejongeni yakho ikhula ngenxa yengcinezelo eyongeziweyo kwingqondo)
ILizwi
Kubalulekile ukuba ukhumbule ukuba kwiimeko ezininzi, ukucinga ngengqondo kungabonakali kwintloko yesifo okanye ukuxilongwa kwe-migraine. Uninzi lweentloko lusekho-kuphela nje intloko, ingxaki yonyango.
Oko kuthethwa, kubalulekile ukubona ugqirha ekuhloleni kwakho kwentloko. Kungaba nzima ukuhlukanisa into ebalulekileyo kwaye into engekho-ngamanye amaxesha iindawo ezincinci zonyango ugqirha uphakamisa ukuba iiklinikhi zixilongwa.
> Umthombo:
> Hainer BL, iMatheson EM. Indlela eya kwintloko yesifo esikhulu kubantu abadala. I-Phys Physician . 2013 Meyi 15; 87 (10): 682-87.