Ukufumanisa intloko yintsimi enye, kodwa ukufumana i-regimen yonyango eyenza umntu, ingaba ngokulinganayo ukuba ayinanga. Kwiintloko zeentloko , kukho imithi yokuphucula nokukhusela, kunye nezinye iindlela zokwenza imveli - kulabo bantu abangaphenduliyo kwiyeza. Masihlole kwakhona olu unyango olungezantsi.
IMicradio
I-oksijeni lunye uhlobo lonyango olunzulu olusetyenziswa kwiintloko zentloko.
I dose ngokuqhelekileyo i-100% i-oxygen inhaled at 7-10L / min imizuzu eyi-15-20. Esinye isithembiso esithembisa i-oksijeni kukuba akukho miphumo emibi. Ngakolunye uhlangothi, ukufumaneka kwetanki ye-oksijini nganoma yimuphi umzuzu, kwaye ukuphazamiseka kokuthwala okujikelezayo, kunokuba ngumthwalo.
I-Triptans , ingakumbi i- sumatriptan (i-Imitrex) kunye ne-zolmitriptan (i-Zomig), ifumaneka ukuba isebenzayo ekukhuliseni i-headset cluster. Amanani aqhelekileyo angama-6mg we-subcutaneous-injected ngenaliti kumathambo anamafutha - i-sumatriptan, i-20mg ye-sumatriptan intranasally, okanye ngempumlo, okanye i-5-10mg ye-ambmitriptan nge-intranasally. Njengawo onke ama-triptans, ezi ziyobisi kufuneka zikhunjulwe ngokukhulelwa kunye nabantu abanesifo senhliziyo kunye noxinzelelo oluphezulu lwegazi. Imiphumo emibi ye-triptans ifaka: i-nasusea, paresthesias , ukukhathala kunye nesifuba okanye ukuqina komqala.
I-Dihydroergotamine (DHE 45, i-Migranal) iyona khetho - nangona ingaqhelekanga isetyenziswe - ukunciphisa intloko yeentloko.
Ukuxhatshazwa - okanye ngokulawulwa kwe-vein - kucingelwa ukuba iyona ndlela iphumelelayo-nangona, oku kukhawulelwe ngenxa yexesha elifutshane lokuhlaselwa kweqoqo. I-Dihydroergotamine ayikwazi ukusetyenziswa kunye ne-triptans, ekukhulelweni, okanye kubantu abaneengcinezelo zegazi ezingapheliyo kunye / okanye isifo senhliziyo.
I-Lidocaine inokubonelela ngoncedo olusisiseko kwiintloko ze-cluster kwaye ngamanye amaxesha kusetyenziswa ngokudibanisa ne-sumatriptan. I-Lidocaine inikwe ngamaconsi emisipha, kunye nomntu olele phantsi entloko yakhe yajika yecala.
I-Octreotide - imithi efana ne-hormone somatostatin - yindlela enokukhetha ngayo abantu abaneentliziyo zentliziyo kunye neentloko zentloko, njengoko ukusetyenziswa kwayo akuchaswanga kwezi zi gulane. I-Somatostatin yi-hormone evimbela ukukhululwa kwezinto P - iprotheni echaphazelekayo kwimimiselo yentlungu. Imiphumo emibi ye-octreotide ibandakanya intlungu yecala, i-nausea, ukuphazamiseka kwesisu kunye namazinga aphezulu ashukela.
IMicroduction Preventive
I-Verapamil yipilisi esetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, kodwa isetyenziselwa ukukhusela i-cluster headaches. Ngethuba ngeli-verapamil, ugqirha wakho uya kujonga izinga lentliziyo yakho kunye neshyhym. Ukugqithiselwa kuyona nto ifanelekileyo yecala le-verapamil.
I-lithium idla ngokuphindwe kabini kwi-verapamil ngenxa yokusebenzisana kwezidakamizwa ezininzi, kunye nemiphumo engabangela ukonakala kunye nemiphumo eyingozi kwiimpso kunye ne-thyroid. Imiphumo emibi ingabandakanya ukuhanjiswa, ukuthuthumela, nokunyuka kwamanzi.
I-Topiramate (i-Topamax) enye inqanaba lonyango lwethandathu ukwenzela ukuthintela i-cluster headaches.
Imiphumo emibi ingabandakanya: ukulahleka kwesisindo, ukukhathala, ukuxakeka, ukuhamba, ukuguqulwa kwengqondo, kunye nokuguqulwa kwesininzi.
Olunye unyango olukhuselekileyo lubandakanya amayeza anqabileyo anjengeGabapentin (i-Neurontin) kunye ne- Valproic acid- engabangela iziphumo zecala ezifana nokufumana ubunzima nokukhathala. I-Valproic acid ifuna ukuhlolwa kwegazi, ngakumbi isibindi.
I-toxin ye-Botulinum - eyaziwa ngegama loshishino iBotox - isebenza ngokuthintela uxhulumaniso lweentambo. Olunye u-2007 uphando kwi -Journal of Headache and Pain yabona ukuba i-Botox inokuba luncedo njengonyango olongezelelweyo lokukhusela inani elithile elingagqibekanga kwezigulane ezinamahloni angamaxesha onke.
I-Corticosteroids - njenge-prednisone-ingasetyenziselwa ukulawula ukuphathwa kwentloko yesigcawu kwaye inike isicwangciso sokunyamekela ixesha elifutshane. Ngelishwa, kuqhelekile ukuba iintloko zibuye zibuyele njengoko i-prednisone igqithisa.
Kuthiwani Ukuba Andiyi Kuphendula Ngamayeza?
Izigulane ezisezintloko zentloko ngaphandle kokuba unyango lunokudinga unyango olungakumbi, njengamabhloko athile okanye ukuvuselela ingqondo. Ezi nkqubo zikhulayo zithatha ingozi yazo kwaye zifuna ukucatshungulwa ngenyameko ngawe, ugqirha wakho kunye nodokotela wakho ogqirha.
Amaphupha asekhaya
• Iintloko zentloko ziba neentlungu ezibuhlungu kangangokuthi ziphi na izikhetho zonyango kunye nezikhuselo ezikhoyo.
• Nangona uninzi lwabagulayo beentloko ze-cluster bafumana impendulo kwi-regimen yonyango, iinkqubo ezingakumbi ezingenakunqwenela ezinjengokuvuselela ingqondo okanye izithintelo zentsholongwane zingacingwa - nakuba zithwala ingozi yazo.
• Yiba ngummeli kwimpilo yakho kwaye ube ngumgqweno nge-neurologist okanye umcebisi weentloko malunga neengxaki zokwelapha ikhanda. Ukulawula phezu kwezi ntlobo zentlungu kwaye ukhuphule umgangatho wobomi bakho.
Imithombo
I-Ashkenazi A & Schwedt T. i-Cluster intloko - unyango olunzulu kunye neprophylactic. Intloko . 2011 Feb; 51 (2): 272-86.
U-Beck E, uSieber WJ noTrjo R. Ulawulo lweCluster headache. I-Phys Physician . 2005 Feb 15; 71 (4): 717-724.
I-Caleri D, i-Marabini S, i-Panconesi A & i-Pietrini U. Indlela ye-pharmacological eya kulandelelwano lwe-somatostatin kwi-headset cluster. Ric Clin Lab . Ngo-1987 ngoMbasa-Juni; 17 (2): 155-62.
IKomidi yokuBaluleka kweNtloko ye-International Headache Society. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 33 (9): 629-808.
Sostak P, Krause P, Förderreuther S, Reinisch V, & Straube A. Botulinum uhlobo lwe-toxin-Ulwaphulo lwe-headset: isifundo esivulekile. J Ubuhlungu bentloko . 2007 Sep; 8 (4): 236-41.
Intloko ye-Weaver-Agostoni J. Cluster. I-Phys Physician . 2013 Julayi 15; 88 (2): 122-8.
INKCAZELO: Ulwazi olukule ndawo lusetyenziswe kuphela ngeenjongo zolwazi kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukucebisa, ukuxilonga, kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .