Nthawi zina mutu umatha pakapita nthawi? Simukudziwa komwe ululu unapita mutamwa mapiritsi kapena kugona kwa kanthawi. Koma, taganizirani kuti mbali yomweyo ya mutu wanu imapweteka mosalekeza... osati kwa tsiku limodzi kapena awiri, koma kwa miyezi ingapo. Nthawi zina ululuwo umakhala wosapiririka. Umu ndi momwe mutu wapadera womwe tikambirane lero wotchedwa Hemicrania Continua umakhalira. Ngakhale kuti uwu ndi dzina lomwe simunazolowere kumva, pali anthu m'dera lathu omwe akuvutika ndi vutoli. Chifukwa chake, kudziwa izi kungakhale kofunikira kwambiri kwa inu ndi okondedwa anu.
Mwachidule, kodi Hemicrania Continua ndi chiyani?
Dzinali lingamveke ngati lovuta pang'ono, koma tanthauzo lake ndi losavuta kwambiri. Lili ndi mawu awiri a Chilatini. "Hemicrania" amatanthauza "theka la mutu." "Continua" amatanthauza "kupitiriza." Choncho, mwachidule, ndi "ululu womwe umapitirira mbali imodzi ya mutu."
Madokotala amatcha izi kuti ndi matenda oyamba a mutu . Izi zikutanthauza kuti palibe vuto lililonse lachipatala (monga chotupa cha muubongo kapena matenda) lomwe limayambitsa mutu. Ndi vuto lomwe limayamba ngati mutu. Chifukwa chake sichoyenera kuopa, koma ndikofunikira kwambiri kulizindikira ndikulandira chithandizo choyenera.
Pali mitundu iwiri ikuluikulu ya izi.
Mutu wa mutu wa Hemicrania Continua ukhoza kubwera m'njira ziwiri zazikulu.
- Mtundu wokhalitsa: Mu mtundu uwu, mutu umakhala nthawi zonse, nthawi zonse. Ululu umakhala wokhazikika ndipo palibe mpumulo.
- Mtundu wobwerera m'mbuyo: Mu mtundu uwu, mutu umayamba tsiku lililonse kwa miyezi pafupifupi isanu ndi umodzi, kenako umatha milungu kapena miyezi popanda kupweteka kulikonse. Mutu umayambanso. Umaoneka ngati ukubwera ndi kupita.
Kodi zizindikiro za mutu uwu ndi ziti?
Pali makhalidwe angapo apadera omwe angasiyanitse mutu uwu ndi mutu wina wamba. Ndiziyika patebulo ngati ili kuti zikhale zosavuta kuzimvetsa.
| Chikhalidwe cha khalidweli | Kufotokozera |
|---|---|
| Zizindikiro zazikulu | |
| Ululu mbali imodzi | Ululu nthawi zonse umachitika mbali imodzi ya mutu ndi nkhope. Ngati uli kumanja, nthawi zonse uli kumanja, ndipo ngati uli kumanzere, nthawi zonse uli kumanzere. Mbali siisintha. |
| Ululu wokhazikika | Ululu uwu uyenera kukhala kwa miyezi itatu kapena kuposerapo. Nthawi zonse umamveka ngati ululu wochepa komanso wopepuka . |
| Kupweteka kwakukulu | Kuwonjezera pa ululu wosalekeza umenewo, pali ululu wopweteka kwambiri katatu kapena kasanu patsiku. Izi zitha kukhala kwa mphindi zochepa kapena maola angapo. |
| Zizindikiro zina zomwe zimayenderana ndi mutu (izi zimachitikanso mbali imodzi ndi ululu) | |
| Zizindikiro zokhudzana ndi maso | - Kufiira kwa diso kumbali ya ululu. - Misozi ikutuluka m'diso limenelo. - Chikope chopindika (Ptosis). - Kuvutika kuyang'ana kuwala (photophobia). |
| Zizindikiro zokhudzana ndi mphuno | - Kutsekeka kwa mphuno kumbali ya ululu. - Mphuno yotuluka madzi mbali imeneyo. |
| Zina mwazinthu | - Kusanza ndi kusanza. - Kuvutika kumva phokoso lalikulu. |
Kodi ndi zochitika ziti zomwe ululu ungawonjezeke?
Ngati muli ndi Hemicrania Continua, zinthu zina zingayambitse mutu wanu kukhala woopsa mwadzidzidzi. Zinthu ziwiri zazikulu ndi izi:
- Kumwa mowa
- Kuchita masewera olimbitsa thupi okhwima
Taganizirani izi, mitundu ina ya mutu nthawi zambiri imakula kwambiri pamene kupsinjika maganizo kukuwonjezeka, kapena pamene simugona mokwanira, sichoncho? Koma zodabwitsa, zinthuzi sizimakhudza kwambiri mutu wa Hemicrania Continua. Iyi ndi mfundo yofunika kwambiri yomwe imathandiza kuzindikira mtundu uwu wa mutu.
N’chifukwa chiyani mutu woterewu umachitika?
Madokotala sakudziwabe chomwe chimayambitsa mutuwu, koma kafukufuku akusonyeza zinthu zingapo.
- Kutupa kwa cavernous sinus: Iyi ndi malo mkati mwa ubongo wathu omwe amateteza mitsempha yofunika yamagazi, mitsempha, ndi zinthu monga pituitary gland. Akuti kutupa m'derali kungakhale chifukwa.
- Mitsempha Yokulira: Kukulira kwa mitsempha yamagazi yomwe imapereka magazi ku ubongo kungayambitse kupsinjika kwa mitsempha.
- Vuto ndi momwe mitsempha ya trigeminal imagwirira ntchito: Iyi ndi mitsempha yayikulu yomwe imanyamula zinthu kuchokera kumaso kupita ku ubongo. Akuganiza kuti ululuwu ukhoza kuchitika chifukwa cha kulephera kugwira ntchito kwake .
Ngakhale kuti vutoli lingachitike kwa aliyense, limapezeka kwambiri pakati pa akazi .
Kodi dokotala amazindikira bwanji izi?
Mukapita kwa dokotala yemwe ali ndi zizindikirozi, chinthu choyamba chomwe angachite ndikukuyang'anirani mosamala ndikukufunsani za zizindikiro zanu. Iye adzakufunsani mafunso monga komwe kumapweteka, nthawi yayitali bwanji, ululuwo umamveka bwanji, komanso nthawi zambiri ululuwo umakhala woopsa.
Dokotala wanu angakupempheni kuti mulembe buku lolemba mutu kuti likuthandizeni. Ndikofunikira kwambiri. Lembani zinthu zotsatirazi mmenemo:
- Tsiku ndi nthawi yomwe mutu unayamba.
- Kumene kumapweteka mutu.
- Ndikudabwa ngati ululu unakula nditachitapo kanthu.
- Kodi ululu waukuluwo unatenga nthawi yayitali bwanji?
- Kodi pali zizindikiro zina monga nseru kapena maso otuluka madzi pamodzi ndi mutu?
Ndi chidziwitsochi, dokotala wanu akhoza kudziwa bwino za vuto lanu. Kuphatikiza apo, angakupatseni CT scan (computed tomography scan) kapena MRI scan (magnetic resonance imaging scan) kuti atsimikizire kuti palibe mavuto ena muubongo wanu.
Kodi chithandizo chabwino kwambiri cha Hemicrania Continua ndi chiti?
Chinthu chabwino kwambiri pa mutu uwu ndi chakuti uli ndi mankhwala othandiza kwambiri. Mankhwala akuluakulu komanso othandiza kwambiri pa izi ndi Indomethacin .
Indomethacin ndi mankhwala omwe ali m'gulu la mankhwala otchedwa nonsteroidal anti-inflammatory drugs (NSAIDs). Amagwira ntchito pochepetsa kutupa ndi ululu m'thupi.
Kawirikawiri, dokotala amakuuzani kuti mumwe mankhwalawa pang'ono katatu patsiku. Ndikofunikira kwambiri kumwa mankhwalawa pamodzi ndi chakudya . Kupanda kutero, zinthu monga kuvutika m'mimba zimatha kuchitika. Chodabwitsa n'chakuti, pasanathe tsiku limodzi kapena awiri mutayamba kumwa mankhwalawa, ululu wa anthu ambiri umakhala utatheratu. Mutha kuyembekezera zotsatira zabwino mkati mwa sabata imodzi.
Mutu wanu ukatha, dokotala wanu adzachepetsa pang'onopang'ono mlingo wa mankhwala anu. Cholinga chake ndikukupatsani mlingo wochepa kwambiri womwe ungachepetse zizindikiro zanu.
Tiyeni tidziwenso za zotsatirapo zoyipa za Indomethacin.
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zazing'ono, koma si aliyense amene amalandira.
| Zotsatira zoyipa za Indomethacin | |
|---|---|
| Zotsatira zoyipa zomwe zimawonedwa kawirikawiri | |
| Kudzimbidwa | Kutsegula m'mimba |
| Chizungulire | Kulira m'makutu |
| Kusanza | |
| Zotsatirapo zoyipa zomwe ziyenera kuganiziridwa ndikudziwitsidwa kwa dokotala nthawi yomweyo | |
| Kuwonjezeka kwa kugunda kwa mtima | Kupweteka kwa msana |
| Kuvuta kupuma (kupuma movutikira) | Malungo |
| Ululu pokodza (dysuria) | Kutupa pakhungu , kuyabwa, matuza |
| Kupweteka kwambiri m'mimba | Kutupa kwa thupi |
| Kusintha kwa masomphenya | |
Kodi pali njira zina ngati Indomethacin sigwira ntchito?
Indomethacin nthawi zambiri imatha kuwongolera vutoli. Komabe, anthu ena sangathe kumwa chifukwa cha zotsatirapo zake. Ngati ndi choncho, dokotala wanu angakulangizeni mankhwala ena.
- Amitriptyline
- Corticosteroids
- Mankhwala oletsa COX-2 (monga celecoxib)
- Gabapentin
- Melatonin
- Topiramate
- Naproxen
Kuwonjezera pa mankhwala amenewa, nthawi zina, dokotala angaganizirenso njira zina zothandizira, monga jakisoni wa botulinum toxin-A ndi kukulitsa mitsempha ya vagus.
Kodi izi ndi zoopsa? Kodi chiyembekezo chili bwanji?
Ichi ndiye chinthu chofunikira kwambiri. Hemicrania Continua si matenda oopsa kapena oopsa. Komanso, si chizindikiro cha matenda ena akuluakulu. Choncho musachite mantha.
Komabe, okhawo omwe adakumanapo ndi ululu wamtunduwu nthawi zonse ndi omwe amadziwa momwe zimakhalira zovuta kukhala nazo. Zingakhale zovuta kuchita ntchito zanu za tsiku ndi tsiku ndi kuganiza bwino. Kukhala ndi ululu nthawi zonse kungakhudzenso thanzi lanu la maganizo.
Kukhala ndi ululu wosathawu kungakhale chinthu chokhumudwitsa kwambiri. Simungamve ngati mukufuna kudzuka pabedi, kupita kuntchito, kapena kuseka ndi kucheza ndi anzanu. Ngakhale kuchita ntchito zosavuta kungamveke ngati muyenera kugwira ntchito molimbika kawiri pamene mukuvutika.
Koma nkhani yabwino ndi yakuti vutoli ndi lochiritsika kwambiri . Mukagwira ntchito ndi dokotala wanu kuti mupeze chithandizo choyenera komanso mlingo woyenera, mutha kubwerera ku moyo wanu watsiku ndi tsiku popanda zosokoneza zilizonse.
Uthenga Wopita Nawo Kunyumba
- Hemicrania Continua ndi ululu wopweteka kwambiri womwe umakhala mbali imodzi ya mutu. Ukhoza kutsagana ndi kuukira kwakukulu.
- Zizindikiro monga kufiira kwa diso kumbali ya ululu, kung'ambika, ndi kutsekeka kwa mphuno nazonso zimawonekera kwambiri ndi izi.
- Vutoli silikuika moyo pachiswe, komanso si chizindikiro cha matenda ena aakulu.
- Chithandizo chachikulu komanso chothandiza kwambiri pa izi ndi mankhwala a Indomethacin.
- Ngati mutu wanu ukupitirirabe ngati uwu, chonde musaunyalanyaze ndipo funsani dokotala woyenerera, kapena "dokotala" wanu. Mukapeza matenda oyenera komanso chithandizo, mutha kuchira mokwanira.
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