I lu sir khat chu a na hle em? Cluster lu natna a ni thei!

Lu na mak tak mai, i lu kil khata na lutuk, i tuar theih loh khawpa na, mittui a chhuak a, i hnar a inkhar tih i nei tawh em? Ni tam tak a thleng a nih chuan, nitin hun khata thleng pawh ni se, cluster headache i tih hi i hriat a pawimawh hle. Hei hi lu na pangngai a ni lo va, a chi dang deuh a ni. Hemi chungchang hi chipchiar tak leh awlsam takin sawi ila.

Cluster Lu natna tih hi eng nge ni?

A awlsam zawngin, cluster headache chu i lu sir khatah natna nasa tak a ni . A natna hi minute 15 atanga darkar thum vel a ni tlangpui . Thil mak ber chu ni tam tak, kar tam tak, thla tam tak pawh a zawnin a awm thei hi a ni. Calendar en ang mai a ni a, lu na hi nitin hun khatah a awm thei , ni khatah vawi riat thleng a awm thei bawk. Hetianga cluster lu na chhunzawm zel hi "attack," emaw lu na episode emaw an ti a. Mahse, thu lawmawm a awm. He lu na episode hi a tawp hnu hian thla tam tak emaw kum tam tak emaw chhung chu lu na dang i nei tawh lo mai thei.

Chuti a nih chuan engvangin nge hei hi "cluster" an tih? "Cluster" tih hian pawl, pawl tihna a ni. Heng lu natna te hi pawl hrang hrangah an lo awm bawk a, pawl hrang hrangah an lo awm bawk . He hming hi an vuah chhan chu lu na hi a lo awm thut a, chutah chuan rei vak lo a bo a, a lo let leh leh thin a ni.

Hei hi lu natna dang nen engtin nge a danglam?

Kan dam chhung hian engtik lai pawhin lu na kan nei vek tawh. Lu na hi chi hnih a awm a.

1. Primary headaches: Hengte hi thluaka natna thununtu hmun hrang hranga harsatna awm vang a ni. Hei hi natna lian dang chhinchhiahna a ni lo, lu na tak tak hi buaina a ni.

2. Secondary headaches: Hengte hi hriselna lama harsatna dang avanga lo awm a ni. Entirnan, beng natna avanga lu na, hnar hrual, emaw tui tlakchham vang te.

Cluster lu natna hi primary headache chi khat a ni a . Mahse lu na zawng zawng hi cluster lu na a ni vek lo. Mi tam tak chuan cluster headaches hi lu na chi dang nen an inzawm tir a, chungte chu:

• Migraine: Migraine hi lu sir khatah na tak, throbbing na a ni. Hei hi kea kal te, pawn lama awm te, thawm ri te, rimtui te hian a ti na zual hle.
• Sinus lu na: Hei hi mit hnunglam, hmui ruh, hmai leh hnar-a natna dull a ni. Hei hi sinus infection (Sinusitis) chhinchhiahna a ni.
• Tension headache: Hei hian lu vel a band tihkhauh ang maiin a ti na tlem hle.

Cluster lu natna hi a nasat dan leh a bul tan dan a inang lo .

Cluster lu natna hi engtiang chiahin nge a awm?

Cluster lu na hi a takah chuan chutiang chuan a awm lo. Khawvel mihring 0.1% chauhvin he natna hi an nei nia chhut a ni. Chu chu mi 1,000 zinga pakhat vel a ni .

Cluster lu natna lanchhuahna chu engte nge ni?

Cluster headaches symptoms hi lu natna nen lu sir khatah (unilateral) a awm thin. A lan chhuah dan ber chu:

• Lu na na tak.
• Mit atang chuan mittui a luang chhuak.
• Mit a sen vek.
• Mitmeng chu a tla thla a.
• Hnar khar emaw, hnar luang emaw.
• Hmai sen emaw, thawk hah emaw.

Lu na awmna hmun hi mi hrang hrangah a inang lo deuh thei. Mahse a natna chu a sir khatah a awm reng a ni . Natna hriatna hmun tam ber chu:

• Mit hnung lamah emaw, hmaiah mit bulah emaw (Orbital).
• Mit chunglam, hmai bulah (Supraorbital).
• Lu sir lam chu beng hnunglam (temporal) a ni.

A tlangpuiin attack cycle khat chhungin natna chu a sir khatah a awm thin. Mahse, a tlem hle a, attack leh turah chuan a sir lehlamah a inthlak thei. A tam zawkah chuan mit pakhat vel a na a, chumi hnuah lu sir lam, beng bulah hriat a ni.

Mi tam tak chuan cluster headaches hian zan lama an mut hnuah darkar khat emaw darkar hnih emaw vel a kaitho niin an sawi . Hei vang hian mi thenkhat chuan "alarm clock headaches" an ti thin. Mi thenkhat chuan heng lu na zan lama lo thlengte hi chhun lama lo awmte aiin a na zawk tih an hmu bawk.

Symptoms a lo lan tan chuan minute 5-10 chhungin natna chu a sang ber a thleng thin .

Cluster lu na hi eng ang nge ni?

Hei hi cluster lu na hi a ni:

• A kang chhuak nasa hle.
• Natna nasa tak.
• Hling atanga lo chhuak ang maiin a lang.

Mi thenkhat chuan cluster headache an neih hian an rilru a hah lutuk a, an thu thei lo , leh pacing back and forth an nei tih an sawi.

Cluster lu na a lo awm hmaa i hriat tur chhinchhiahna a awm em?

Cluster lu na a awm hma lawk hian i lu sir khatah harsatna tlem emaw, kang emaw i nei thei. Mahse, cluster headaches hi a intan thuai avangin heng symptoms te hi inbuatsaih nan hun i nei tam lo.

Eng chen nge cluster headache i neih tawh?

Cluster lu na hi minute 30 vel a ni tlangpui . Ni khatah heng lu natna hi pariat thleng i nei thei a ni. Mi tam zawk chuan thla thum vel chhung chu nitin heng lu na hi an nei thin.

Tichuan, a chhan dik tak hriat ni lo mah se, heng cluster lu natna te hi a tawp ta a ni. The headaches go into remission , thla emaw kum tam tak hnuah chauh a rawn lang leh thin.

Mahse mi thenkhat chuan chutiang khawpa chawlh hahdamna chu an hmu lo. Chronic cluster lu na an nei a . Cluster headache nei mi panga zinga pakhat vel chuan chronic headache an nei thei.

Cluster lu na hi seasonal a ni fo thin . Thlasik leh thlasik laiin an awm tam zawk tih i hmu mai thei.

Cluster lu na chhan ber chu eng nge ni?

Doctor-te chuan cluster lu na chhan dik tak hi an la hre lo a , mahse zirchianna chuan kan hmai atanga thluak thlenga sensation phurtu trigeminal nerve bula heng chemicals te hi a chhuah dan nen a inzawm thei tih hmuhchhuah a ni:

• Histamine, chemical a ni a, allergic response a pui thin.
• Serotonin hi chemical a ni a, nerve cell inkara thuchah a keng tel a ni.

Chu bâkah, zirchianna chuan cluster headaches hi thluak hmun pakhat, hypothalamus , a hnathawh ṭhat loh vang a ni thei tih a hmuchhuak bawk.

Zirna hrang hrangah pawh cluster headaches hi mi 5% velin genetic a ni thei tih an hmuchhuak bawk. Hei hi chhui chian belh zel turin zirchianna kalpui mek a ni.

Cluster lu natna thlentu chu engte nge ni?

Trigger chu i symptoms te tan tirtu thil a ni. Heng trigger te hi cluster headache episode neih chhung hian mi hrang hrangah a inang lo thei a ni. Trigger tam ber chu:

• Zuk leh hmuam, zu leh ruihhlo dang hman.
• Eng eng mawi tak.
• Khua a lum hle.
• Chaw (a bik takin sa dam tawh)-a nitrites awm.
• Damdawi thenkhat (e.g. Sildenafil).

Heng triggers te hian lu na thar a siam thei bawk a, symptoms awm lovin. Lu na a tan chuan season inthlak danglamna nen a inzawm niin a lang thei. (Allergy emaw sinusitis emaw i nei niin i ngai mai thei.) Hei hi cluster headaches leh hypothalamus inzawmna nia rinhlelh vang a ni thei. He thluak hmun hi kan "circadian clock" awmna hmun a ni. Ni eng a chhang let thin. Hunbi a inthlak danglam chuan ni êng kan hmuh zat pawh a danglam zel a ni.

I natna lan chhuahna tizualtu i hriat loh chuan i doctor nen inbia la, lu natna journal ziak rawh . Chutah chuan hetiang hi i ziak thei a ni:

• Engtik lai khan nge lu na i neih a, eng chen nge a awm?
• A hma ni khan eng nge i ei leh in?
• Lu na hma khan eng thiltih nge i tih?
• A hma zan khan eng chen nge i mut a, engtin nge i mut?
• Lu na tan tirh khan damdawi i ei em, i rilru a ti hahdam em?

Tute nge cluster headache vei theihna chance sang zawk?

Cluster lu natna vei theihna i nei sang zawk thei a, chu chu:

• Kum 20 leh 40 inkar i nih chuan.
• Zu i in fo chuan.
• Damdawi thenkhat i ei a nih chuan.
• Zuk leh hmuam (a bik takin cigarette) i hman chuan.

Cluster lu natna avanga harsatna awm thei te chu engte nge ni?

Cluster headaches hi thil buaithlak tak a ni a, nitin hnathawh te, hnathawh te, leh sikul hnathawh te pawh a tibuai thei a ni. Lu na a lo awm chuan engmah i ti thei lo mai thei a, in atanga chhuak pawh i ni thei.

Nitin hetiang lu natna neia nun hian tanpuina leh beiseina awm lo ang maiin a awm thei . A tlem berah chuan lungngaihna leh i nun tihtawp ngaihtuahna thlengin a thlen thei a ni. A natna hi a nasat em avangin mi thenkhat chuan ‘thihna lu na’ an ti. Mahse, chu chuan nangmah chauh i ni tihna erawh a ni lo. Damdawi lam thurawn leh rilru lam puihna lak a pawimawh. Nangmah chauh i ni lo va, he natna hi i tanpui theitu doctor an awm bawk.

Cluster lu natna hi engtin nge kan hriat theih ang?

Neurologist chu doctor a ni a, taksa enfiahna hnuah cluster headaches a awm tih a hmuchhuak tlangpui. I natna lan chhuah dan leh i damdawi lam chanchin a zawt ang che. Tin, MRI (Magnetic Resonance Imaging) scan pawh an ti thei bawk a, chu chuan natna dang, chutiang bawka chhinchhiahna awm thei chu a paih chhuak thei a ni. Lu na i neih laiin i doctor i hmuh chuan i symptoms te pawh an enfiah thei bawk. I doctor chuan nitin lu na i neih chuan rawn lut la, a nghawng dan tur i en turin a hrilh mai thei che.

Cluster lu natna enkawlna tur engte nge ni?

Cluster lu na tan hian enkawlna kawng hrang hrang a awm a:

• Lu natna laka invenna damdawi.
• Lu na laia natna control nana damdawi pek thin.

Heng damdawi te hian a puih loh chuan i doctor chuan operation tih a rawt mai thei. Surgeon chuan i lu chhunga nerve thenkhat bulah neurostimulator an tih device a dah thei a. Hei hian i symptoms control turin electrical signal a thawn a ni. I doctor chuan surgery hi i tan a tha em tih a hrilh ang che.

Cluster lu natna damdawi

Doctor chuan chhan hrang hrang avangin damdawi chi hnih a pe thei a:

• Invenna damdawi: Damdawi thenkhat chuan lu na hun chhung a ti tawi thei. Lu na nasatzia pawh a tiziaawm thei bawk. Damdawi pek tam ber thenkhat chu allergy, depression, thisen sang, leh epilepsy damdawi te hi a ni. Galcanezumab hi invenna damdawi a ni a, U.S. Food and Drug Administration-in a pawmpui calcitonin gene-related peptide (CGRP) monoclonal antibodies a target a ni.
• Pain management medications: Lu na a awm chuan damdawi thenkhat hian symptoms control nan a pui thei a ni. Entirnan, triptans ( e.g. , sumatriptan ), natna dotu damdawi steroid (e.g., prednisone) , emawDihydroergotamine injection (hengte hi sumatriptan nen ei theih a ni lo). Lu na laia oxygen 100% thawh hian symptoms a tiziaawm thei bawk.

Pawimawh: Natna tihdamna hman tlanglawn tak tak, NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) (e.g. , ibuprofen) , te hi cluster lu na tan chuan a tangkai vak lo.

Damdawi dang dang a awm em?

Enkawlna dang thenkhat chuan cluster lu natna atanga chhanchhuahna a pe thei bawk:

• Acupuncture: Hetah hian trained practitioner chuan vun hmun hrang hrangah needle te te a thun a, chu chuan natna a tiziaawm thei a ni.
• Physiotherapy: Hei hian stretching, joint movement leh massage technique te a ngaih pawimawh ber a ni.
• Spinal manipulation: Hei hi chiropractic hmanga siamthatna a ni.
• GammaCore: Hei hi pawn lam vagus nerve stimulator ( portable, non-invasive nerve stimulator) a ni.

I doctor chuan i dinhmun a zirin duhthlan tur dang a rawn rawt thei bawk. Zawhna i neih emaw, hriat belh duh i neih chuan zawt hreh suh.

Cluster lu natna chungchangah hian nakin lawkah eng nge kan beisei theih ang?

Cluster lu na hian i dam chhung a nghawng lo va, nunna atana hlauhawm a ni lo . Mahse nitin i rilru put hmangah nghawng lian tak an nei thei a ni. Cluster lu na hi natna rei tak ni mah se, zirchianna tam takah chuan heng lu natna hi kum upat deuh deuhin a tlahniam tih hmuhchhuah a ni .

Cluster lu na hi tihdam vek theih a ni em?

Vanduaithlak takin cluster headaches hi damdawi a awm lo a , mahse enkawlna kawng hrang hrang a awm a, chu chuan natna leh attack tamna tihziaawmna tur a ni.

I doctor chuan i tan a tha tur treatment plan siam turin a thawkpui ang che. Relief tam ber dawng tur chuan doctor recommendation dik taka zawm a pawimawh.

Cluster lu natna hi ven theih a ni em?

Cluster lu na hi a pumpelh kim thei lo. Mahse i symptoms ti na zualtu trigger te chu i hmuchhuak thei a, i pumpelh thei bawk . Entirnan, zu in leh zu in ang chi thilte pumpelh hian lu na i neih theihna tur a ti tlem thei a ni. Trigger hi mi hrang hrangah a inang lo va, chuvangin i pumpelh tur chu midang tan a danglam thei.

I lu natna nena inzawm sleep apnea ang chi natna i neih chuan, chu natna chu thunun theih dan tur emaw, hriselna lama harsatna dang awm thei emaw chungchangah i doctor nen sawiho rawh.

Engtikah nge Doctor ka hmuh ang?

Cluster lu na i rinhlelh chuan doctor pan la, finfiah rawh. Specialist hmuh emaw, diagnosis hmuh emaw tur chuan lu na i neih hma chu i nghah a ngai lo.

Hengte hi doctor pan rawh:

• Lu natna nasatna a inthlak chuan.
• Lu na i neih fo emaw, lu na tam dan a inthlak emaw a nih chuan.
• Damdawi ei hnua i dam loh chuan.
• Kawr khauh emaw, lu na emaw, khawsik nei emaw i neih chuan.
• Lu na hi tawng harsa, hmuh leh che harsat nen a inzawm a nih chuan.

Naupai i nih emaw, nau pai tum emaw, lu na damdawi i ei a nih chuan i doctor hnenah hrilh rawh.

Cluster lu na i neih a, damdawi i ei a, damdawi avanga side effect i neih ang maia i hriat emaw, damdawi a thawk tha lo nia i hriat emaw chuan i doctor hnenah hrilh rawh.

Doctor hnenah eng nge ka zawh ang?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawh a tha ang:

• Eng trigger nge ka symptoms ti na zual?
• Anmahni hriat theihna turin diary ka vawn a ngai em?
• Eng ang enkawlna nge min rawt?
• Enkawlna avang hian side effect a awm em?
• Damdawi dang i rawt thei ang em?
• Lu natna damdawi hi engtikah nge ka ei ang a, eng chen nge ka ei ang?
• Ka natna lan chhuah dan tihtlem nan herbal supplement emaw, over-the-counter damdawi emaw ka ei theih a awm em?

Thuchah pawimawh tak a ni.

Chhan hrang hrang avangin a chang chuan lu na kan nei vek a. Mahse cluster headaches hi eng lu na pawh a ni lo. Hetiang ang lu natna nasa tak i neih chuan doctor i pan ngei ngei tur a ni . Heng lu na hi a nasat dan leh a awm fo thin tihziaawmna tur enkawlna a awm bawk. I damdawi ei laiin i rilru put hmang a inthlak danglam tih i hriat chuan, a bik takin a side effects i hmuh chuan i doctor hnenah hrilh ngei ang che. Hetiang dinhmun hi nangmah chauhin i hmachhawn a ngai lo.