Iimvume zokuLawula.
Khawucinge ukuba uyabona ubungqina obunokukhawuleza, obuvakalayo obuthathaka kakhulu bemoto. Ngoku khawucinge ukuba ukuqhuma kweemoto kwenzeke kwingqondo yakho.
Oku kunokuba kufane nesithintelo esiyintloko senkunzi-intloko yesifo esiyintloko eyenza ngokukhawuleza, ngokugqithiseleyo kunye nokuqhaqhaqhaqha kwentlungu yentlungu.
Kubalulekile ukuba uqaphele ukuba le ntloko ingakwazi ukulinganisa uhlobo olufanayo lweentlungu ezihambelana nokukhathazeka kwengqondo esongela ubomi- okokuba, ukuba umntu unentloko yokudumala, kufuneka afune unyango olusakhulayo.
Enyanisweni, intloko yeendudumo ebonakalayo ivela kwi-ingxaki enkulu yeengxube zegazi kwindawo yengqondo (njengokwenyuka kwegazi) okanye enye ingxaki yengqondo, ngaphezu kwesi sifo esingenasicatshulwa esiswini.
Sibanzi
UMbutho weNtloko wamazwe ngamazwe uchaza intloko yesithsaba esiyintloko njenge "intloko yeentloko ezixinzeleleka ngokukhawuleza ukutshatyalaliswa kwe-cerebral aneurysm, ngokungekho naluphi na uhlobo lokugula."
Kwakhona, ngokutsho kwe-IHS "ubungqina bokuba ukuduma kweentloko zikhona njengokuba isifo esiyintloko siqabile." Oku kuthetha ukuba ukugqithisa ngokugqithiseleyo kufuneka kwenziwe kumntu onentloko yokudumala ukuze aqiniseke ukuba akukho nto ibaluleke kakhulu.
Ngamanye amazwi, intloko yokudumala kwintloko kukuxilongwa kwe-excluded-yonke into kufuneka ilawulwe ngaphandle.
Iimpawu
Ngokwezigaba zokuhlengahlengiswa kwenkqubo yesithathu ye-International Classification ye-Headache Disorder, iimpawu zesithintelo sokuqala sezithutha ziquka:
- Ubunzima: "Ukhululekile," intlungu embi yobomi bam. "
- Ukusetyenzwa : Ngokukhawuleza, ukufikelela ngamandla kwi <1 minute
- Ixesha elide: Ukutya kwemizuzu emihlanu okanye ngaphezulu.
Ukongeza kwimiba ekhankanywe ngentla, intloko yesifo sekhanda esiyintloko ayinakucaciswa ngenye imeko yonyango.
Ukuxilongwa
Intloko yesithintelo yintsimbi yimbangela engavamile yentloko eyintloko kunye nazo zonke iindlela kufuneka zithathwe ukulawula ezinye izimo zonyango ezinzulu.
Ngokomzekelo, iziphazamiso zegazi okanye isiphazamiso segazi zesifo sengqondo, njenge-hemorrhage e-subarachnoid, zivame ukubangela ukuduma kweentloko-ngoko kuyafuneka ukuba le miqathango ibingelwe phantsi.
Umntu onentloko yesithuthuthu kufuneka abe ne- lumbar puncture ebonisa i-cerebrospinal fluid okanye i-CSF, kunye nokucinga kwengqondo eqhelekileyo, ngokuqhelekileyo ngengqondo yeC CT kunye / okanye i-imagination magnetic resonance imaging ( MRI ). Ngokuqhelekileyo, i-angiography yamagnetic (i- MRA ), kunye / okanye i-venography ( MRV ) eyenziwe ukuqhubela phambili ukulawula nayiphi na ingxaki yesitya segazi kwingqondo. Ngamanye amaxesha i-angiogram ye-cerebral isenziwa.
Imizekelo yeentloko ezinokuthi zilingise intloko yesithsaba sentloko:
- Ukutshatyalaliswa kwesisu
- Intracerebral hemorrhage
- I-Cerebral Venous Thrombosis
- Pituitary Apoplexy
- Dissection Arterial
- Izifo ezifana ne- Acute Sinusitis okanye i-Meningitis
- Iskrakra Stroke
- Inkathazo ephezulu yengqondo
- Isifo sesifo se-cerebrovasoconstriction syndrome
- Ukungaxhamli ngokuthe ngqo
- I-cyst Colloid ye-ventricle yesithathu
Isizathu
Isizathu sesithintelo esiyintloko sokuduma kwesibhakabhaka asikwaziwa kakhulu. Inokuthi inxulumene ne-spasm yeemithwalo zegazi kwingqondo.
Unyango
Ukunyangwa kwesithintelo sekhanda kuxhomekeke kwimvelaphi. Ngokomzekelo, unyango lwe-strochnoid hemorrhage luya kubandakanya ukungenelela kwezokwelapha kunye / okanye nge-neurosurgical intervention.
Ukuba ukhatyathwa kwezonyango kuphelelwe ngaphandle, unyango lwe-headache ye-thunderclap luba nzima. Ngokuqhelekileyo abantu abaphendulanga kakuhle kwiintlungu zokuxilwa kwentloko.
Olunye uphando oludala kwi- Neurology lubonise ukuba i-nimodipine, i-blocker ye-calcium yesitoreji, inokubonelela ngesisombululo seentloko kubantu abaneentloko zokubetha kwentloko. Kodwa, isifundo sasincinci kuphela-izigulane ezili-11 kuphela-kwaye kwakungekho liqela lolawulo, elibonisa ukuba nomphumo wendawo ye-placebo.
Uphando olongezelelweyo kule ntlupheko yesifo sentsholongwane esisisidlangalaleni singasiluncedo.
> Imithombo:
> Ikomidi lokuBamba iintloko zeMatyala eManyeneyo. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 33 (9): 629-808.
> Lu SR, uLiao YC, Fuh JL, uLirng JF, Wang SJ. I-Nimodipine unyango lwe-head-head thunderclap Inyolology . 2004 Apr 27; 62 (8): 1414-6.
> Schwedt TJ & Dodick DW. (2014). Intloko yomsindo. Ku: U-UpToDate, uSwitanson JW (Ed), UpToDate, Waltham, MA.