Iimpawu, Ukuxilongwa, kunye noTyango lweNtloko yeNtloko
Intloko ye-Nummu-edlalwa kwindawo yentaba-yintlobo engaqhelekanga yentloko eyenza intlungu ebuhlungu okanye ehlabayo, intloko ye-scalp.
Iimpawu zeNtlokolar Headache
Intlungu ye-headache ye-headache ihlala ingapheliyo kwi-setyhula okanye kwindawo ene-elliptically yesikhumba. Luhlobo oluthile lweentlungu, oku kuthetha ukuba umlo kunye nobukhulu bendawo yentlungu zihlala zizinzile.
Ummandla weentlungu ezibuhlungu obukhulu ukusuka kwi-1cm (ipenny) ukuya kwi-6 cm (i-lime).
Nangona i-headache yamanani ingenzeka naphi na kwesikhumba, itholakala ngokubanzi kumacala omxholo-indawo ebizwa ngokuba ngummandla weparietal. Ngokuqhelekileyo ikhona intloko yeentloko ezikhoyo kumacala omabini entloko, kwaye ngokungaqhelekanga umntu unentlungu emininzi (okanye iintlobo ezininzi zeentlungu zentloko).
Abantu abanamahlunu amaninzi badla ngokucacisa ubuhlungu obukhulu ukuya kwintlungu, kodwa banokuba nzima. Iintlungu zidla ngokuchazwa njengokugwaza okanye ukuxinezeleka. Abanye abantu, banokuva iingxaki ezingaqhelekanga kwindawo yentlungu efana nokubetha, ukuphazamiseka, okanye i- allodynia , ngokukodwa xa ikhanda lithwala. Kwakhona, ugqirha unokukwazi ukuvelisa ububele xa ucinezela kuloo ndawo ngexesha loviwo lwangaphakathi.
Ukuxilongwa kweNtlokolar Headache
Ukuze kubekho i-headache ye-nummalar, ugqirha uya kudala ukucwangcisa ingqondo yengqondo kunye ne-computed tomography scan ( CT scan) okanye i-imagery magnetic resonance ( MRI ).
Oku kuya kuqinisekisa ukuba akukho nanye isizathu esenza intloko yesifo, ikakhulu ngenxa yokungabi nantlungu yeenhloko zeentloko. Ugqirha wakho uya kuhlola ngenyameko yakho isikhumba sokuqinisekisa ukuba akukho ukukhawuleza, njengoko i- herpes zoster inokulinganisa intlungu yesifo seentloko.
Izizathu ezibalulekileyo zentloko ekwazi ukulinganisa iintloko zamakhanda ziquka:
• I-Canast Metastatic
• I-Bone infection njenge-Osteomyelitis
• I- Myeloma ezininzi
Izifo zePaget
Isisombululo seNummlar Headaches
Ingaba kubangelwa i-headache ye-headache yintsikelelo yendawo okanye i-neuralgia yelinye lamasebe e-nerginal nervous, enesibindi esisendaweni ebusweni. Kukho ukudibanisa phakathi kweenombolo zeentloko kunye ne-migraines.
Unyango lweeNhloko zeNombolo
Imichiza eyahlukileyo efana ne-non-steroidal anti-inflammatories (i-NSAID) kunye ne-Neurontin (gabapentin) ingasetyenziswa ukuzama nokukhulula intloko yesifo somntu. I-tricylic antidepressants njenge-Elavil (amitriptyline) ingaba luncedo. Oko kuthethwa, akukho lonyango olulodwa oluye lwafunyanwa lusebenza ngokuphangaleleyo ekuphatheni iintloko zamakhanda, ngokutsho kwesifundo seCephalalgia.
I-Botox ingaba yindlela yokunyanga iintloko zamakhanda, ikakhulu xa zingaphenduli kwiyeza. I-toxin ye-Botulinum yi-toxin eyenziwa yi-bacteria i- Clostridium botulinum kwaye isebenza ngokuthintela uxhulumano lweentambo. Yavunyelwa ngo-Oktobha 2010 yi-FDA yokunyanga kwe- migraine engapheliyo .
ILizwi
Ngenxa yobunzima beentloko, qiniseka ukuba uvavanywe kakuhle ngugqirha ukuba uyayikrokrela le ngxaki. Okungakumbi, ugqirha wakho uya kwenza uvavanyo lwe-scalp kunye nentloko yeemviwo kunye nokucebisa i-imaging yengqondo ukulawula ezinye izizathu.
Imithombo:
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
I-Mathew NT, i-Kailasam J, i-Meadors L. I-botulinum ye-toxin hlobo A yokunyanga kwe-headache ye-headache: izifundo ezine zezifundo. Intloko. 2008 Mar; 48 (3): 442-7.
Inyanga J, Ahmed K, Garza I. Uchungechunge lweziganeko zezigulane ezilishumi elinesibhozo ezineentloko. Cephalalgia . 2010 Dec; 30 (12): 1527-30.
Schwartz DP, uRobbins MS, uGrosberg BM. Uhlaziyo lweentloko zeNombolo. Intloko yesifo seNtloko . 22013 Juni; 17 (6): 340.