Ngaba wakha waba nentloko ebuhlungu ngendlela engaqhelekanga ebuhlungu kakhulu kwelinye icala lentloko yakho kangangokuba awukwazi ukuyinyamezela, iinyembezi ziphuma emehlweni akho, kwaye impumlo yakho ivalekile? Ukuba kwenzeka kangangeentsuku, mhlawumbi ngexesha elifanayo yonke imihla, kubalulekile ukuba wazi ngento oyibiza ngokuba yi-cluster headache . Le ayisiyo ntloko iqhelekileyo, kodwa luhlobo olwahlukileyo kancinci. Makhe sithethe ngale nto ngokweenkcukacha nangokulula.

Yintoni i-Cluster Headache?

Ngamafutshane, intloko ebuhlungu ebangelwa ziingqaqambo eziqatha yintlungu enzima eyenzeka kwelinye icala lentloko yakho . Intlungu idla ngokuthatha imizuzu eli-15 ukuya kwiiyure ezintathu . Eyona nto ingaqhelekanga kukuba inokwenzeka kangangeentsuku, iiveki, okanye iinyanga zilandelelana. Kufana nokujonga ikhalenda, kwaye iintloko eziqatha zingenzeka ngexesha elifanayo yonke imihla , kwaye zinokwenzeka ukuya kuthi ga kwizihlandlo ezisibhozo ngosuku. Le ntloko ebuhlungu eqhubekayo ibizwa ngokuba "luhlaselo," okanye isiqendu sentloko eqatha. Kodwa kukho iindaba ezimnandi. Emva kokuba le ntloko iphelile, usenokungabi nayo enye intloko kangangeenyanga okanye iminyaka.

Kutheni ke oku kubizwa ngokuba yi-"cluster"? Igama elithi "Cluster" lithetha iqela, iqela. Ezi ntloko ziphinda zize ngokwamaqela, ngokwamaqela . Eli gama linikwa kuba iintloko zivele ngequbuliso, zize ziphele okwethutyana, zize zibuye kwakhona.

Oku kwahluke njani kwezinye iintloko ezibuhlungu?

Sonke sikhe sanentloko ebuhlungu ngaxa lithile ebomini bethu. Kukho iintlobo ezimbini eziphambili zentloko ebuhlungu.

1. Iintloko ezibuhlungu: Ezi zibangelwa yingxaki kwiindawo zengqondo ezilawula iintlungu. Olu ayilophawu lwesinye isifo esikhulu, intloko ngokwayo yingxaki.

2. Iintloko ezibuhlungu zesibini: Ezi zibangelwa yenye imeko yempilo. Umzekelo, iintloko ezibuhlungu ezibangelwa zizifo zendlebe, ukuxinana kweempumlo, okanye ukuphelelwa ngamanzi emzimbeni.

Iintloko ezibuhlungu zeqela luhlobo lwentloko ebuhlungu eyintloko . Kodwa ayizizo zonke iintloko ezibuhlungu ezibangelwa ziintloko ezibuhlungu zeqela. Abantu abaninzi babhidanisa iintloko ezibuhlungu zeqela nezinye iintlobo zeentloko ezibuhlungu, ezifana nezi:

• Intloko ebuhlungu: Intloko ebuhlungu yintlungu enzima nehlabayo kwelinye icala lentloko. Oku kwenziwa mandundu ngokuhamba, ukuba ngaphandle, ingxolo, okanye ivumba.
• Intloko ebuhlungu ye-sinus: Le yintlungu ebuhlungu evakala emva kwamehlo, emathanjeni, ebunzini, nasempumlweni. Olu luphawu losulelo lwe-sinus (Sinusitis).
• Intloko ebuhlungu: Oku kubangela intlungu encinci ngokungathi kukho ibhande eliqinisiweyo elijikeleze intloko.

Iintloko ezibuhlungu zamaqela zahlukile ngobukhulu kunye nokuqala kwazo .

Ziqheleke kangakanani iintloko ezibuhlungu zeqela?

Iintloko ezibuhlungu aziqhelekanga kangako. Kuqikelelwa ukuba yi-0.1% kuphela yabantu behlabathi abanale meko. Lowo ngumlinganiselo womntu omnye kwabayi-1000 .

Zithini iimpawu zentloko ebuhlungu ebangelwa ziintloko ezinde?

Iimpawu zentloko ebuhlungu eqhoqhoqho zivela kwicala elinye lentloko kunye nentloko ebuhlungu (ecaleni elinye). Iimpawu eziphambili zezi:

• Intloko ebuhlungu kakhulu.
• Iinyembezi ziphuma emehlweni.
• Ububomvu bamehlo.
• Ijwabu eligobileyo.
• Impumlo evalekileyo okanye egobhozayo.
• Ukufutha okanye ukubila ebusweni.

Indawo entloko inokuthi yahluke kancinci kumntu nomntu. Kodwa intlungu isoloko ikwicala elinye . Iindawo eziqhelekileyo zokuva intlungu zezi:

• Emva kweliso okanye kufutshane neliso ebunzini (i-Orbital).
• Ngaphezulu kweliso, kufutshane nebunzi (iSupraorbital).
• Icala lentloko emva kwendlebe (yexeshana).

Ngokwesiqhelo, intlungu iba kwicala elinye ngexesha lomjikelo omnye wohlaselo. Nangona kunjalo, kunqabile kakhulu, inokutshintshela kwelinye icala ngexesha lohlaselo olulandelayo. Amaxesha amaninzi, intlungu ivakala ecaleni kwelinye iliso ize ivele ecaleni lentloko, kufutshane nendlebe.

Abantu abaninzi bathi iintloko ezibuhlungu ezibangelwa ziintloko ezixineneyo ziyabavusa emva kweyure okanye ezimbini belele ebusuku . Yingakho abanye abantu bezibiza ngokuba "ziintloko ezibuhlungu zewashi le-alamu." Abanye abantu bafumanisa ukuba ezi ntloko zibuhlungu ezibangelwa ziintloko ebusuku zimbi kakhulu kunezo zibangelwa zizinto ezenzeka emini.

Xa iimpawu ziqala, intlungu ifikelela kwinqanaba eliphezulu kwimizuzu emi-5-10 .

Injani intloko ebuhlungu ebangelwa ziingcongconi?

Nantsi indlela intloko ebuhlungu ebangelwa yiqela evakala ngayo:

• Imvakalelo yokutsha.
• Intlungu ebukhali.
• Ivakala ngathi ihlatywa liva.

Abanye abantu bathi xa bephethwe yintloko ebuhlungu, baziva bengaphumli kangangokuba abakwazi ukuhlala phantsi , baze bazive befuna ukuhambahamba.

Ngaba kukho naziphi na iimpawu ozivayo ngaphambi kokuba intloko ebuhlungu yeqela ivele?

Usenokuziva ungakhululekanga okanye utshiswe kancinci kwelinye icala lentloko yakho ngaphambi kokuba intloko ebuhlungu yeqela ivele. Nangona kunjalo, ngenxa yokuba intloko ebuhlungu yeqela iqala ngokukhawuleza, awunalo ixesha elininzi lokulungiselela ezi mpawu.

Unexesha elingakanani unentloko ebuhlungu ebangelwa ziingcongconi?

Intloko ebuhlungu ebangelwa ziingqaqambo zeqela idla ngokuthatha malunga nemizuzu engama-30 . Ungaba neentloko ezisibhozo ngosuku. Uninzi lwabantu luba neentloko ezibuhlungu yonke imihla kangangeenyanga ezintathu.

Emva koko, nangona unobangela ochanekileyo ungaziwa, ezi ntloko zibuhlungu ziyayeka. Iintloko ziyaphela , kodwa ziphinde zivele emva kweenyanga okanye iminyaka.

Kodwa abanye abantu abaphumli kangako. Baneentloko ezingapheliyo ezibangelwa ziintloko ezinde . Malunga nomntu omnye kwabahlanu abaneentloko ezinde ezibangelwa ziintloko ezinde usenokuba neentloko ezinde ezingapheliyo.

Iintloko ezibuhlungu zeqela zihlala zibakho ngexesha elithile lonyaka . Ungafumanisa ukuba zixhaphake kakhulu ekwindla nasentwasahlobo.

Yintoni eyona nto ibangela iintloko ezibuhlungu zeqela?

Oogqirha abakayazi eyona nto ibangela iintloko ezibuhlungu, kodwa uphando lufumanise ukuba oku kusenokunxulunyaniswa nokukhululwa kwezi khemikhali kufutshane ne-trigeminal nerve, ethwala iimvakalelo ezivela ebusweni bethu ukuya engqondweni:

• I-Histamine, ikhemikhali enceda kwimpendulo ye-allergy.
• I-Serotonin yikhemikhali ethwala imiyalezo phakathi kweeseli zemithambo-luvo.

Ukongeza, uphando lufumanise ukuba iintloko ezibuhlungu zeqela zinokubangelwa kukungasebenzi kakuhle kwenxalenye yengqondo ebizwa ngokuba yi-hypothalamus .

Izifundo zikwabonise ukuba iintloko ezibuhlungu zeqela zinokuba zibangelwa lufuzo kubantu abamalunga ne-5%. Uphando luyaqhubeka ukuze kuphandwe ngakumbi oku.

Zithini izinto ezibangela iintloko ezibuhlungu?

I-trigger yinto ebangela ukuba iimpawu zakho ziqale. Ezi stigger zinokuhluka kumntu nomntu ngexesha le-cluster headache episode. Ezona stigger ziqhelekileyo zezi:

• Ukusebenzisa icuba, utywala kunye nezinye iziyobisi.
• Ukukhanya okuqaqambileyo.
• Imozulu eshushu.
• IiNitrites ekutyeni (ingakumbi inyama eyosiweyo).
• Amanye amayeza (umz. iSildenafil).

Ezi zinto zinokubangela ukuba intloko entsha iqale ngaphandle kweempawu. Xa intloko iqala, isenokubonakala ngathi inxulumene notshintsho lwexesha lonyaka. (Ungacinga ukuba une-allergies okanye i-sinusitis.) Oku kusenokuba kungenxa yonxibelelwano olucingelwayo phakathi kweentloko ze-cluster kunye ne-hypothalamus. Eli candelo lobuchopho kulapho "iwotshi yethu ye-circadian" ikhoyo. Isabela elangeni. Njengoko amaxesha onyaka etshintsha, ubungakanani bokukhanya kwelanga esibufumanayo buyatshintsha.

Ukuba awazi ukuba yintoni eyenza iimpawu zakho zibe mandundu, thetha nogqirha wakho kwaye ugcine ijenali yentloko ebuhlungu . Kuyo, ungabhala phantsi izinto ezinje:

• Ube nentloko ebuhlungu nini kwaye yahlala ixesha elingakanani?
• Utye ntoni kwaye usele ntoni ngosuku olungaphambi koko?
• Zeziphi izinto ozenzileyo ngaphambi kokuba uphathwe yintloko ebuhlungu?
• Ulale ixesha elingakanani ngobusuku bangaphambili kwaye ulale njani?
• Ngaba wathabatha amayeza entloko xa yaqala, kwaye ngaba akwenza waziva ungcono?

Ngubani osengozini enkulu yokuba neentloko ezibuhlungu zeqela?

Usenokuba sengozini enkulu yokuba neentloko ezibuhlungu ezibangelwa ziintloko ezinde ukuba:

• Ukuba uneminyaka ephakathi kwama-20 nama-40 ubudala.
• Ukuba usela utywala rhoqo.
• Ukuba uthatha amayeza athile.
• Ukuba usebenzisa iimveliso zecuba (ingakumbi icuba).

Ziziphi iingxaki ezinokubakho ngenxa yentloko ebuhlungu ebangelwa ziintloko ezinde?

Iintloko ezibuhlungu zeqela yimeko ekhathazayo enokuphazamisana nemisebenzi yakho yemihla ngemihla, umsebenzi, kwanomsebenzi wesikolo. Xa intloko ibuhlungu, usenokungakwazi ukwenza nto, okanye uphume endlwini.

Ukuphila nentloko ebuhlungu ngolu hlobo yonke imihla kunokuvakala ngathi akukho ncedo kwaye akukho themba . Kwiimeko ezingaqhelekanga, kunokukhokelela ekudandathekeni nasekucingeni ngokuzibulala. Intlungu inzima kangangokuba abanye abantu bayibiza ngokuba 'yintloko ebuhlungu yokufa'. Kodwa oko akuthethi ukuba uwedwa. Kubalulekile ukufuna iingcebiso zonyango kunye nenkxaso yengqondo. Awuwedwa, kwaye kukho oogqirha abanokukunceda kule meko.

Ungaziqonda njani iintloko ezibuhlungu zeqela?

Ingcali yezifo zengqondo ngugqirha odla ngokuxilonga iintloko ezibuhlungu emva kovavanyo lomzimba. Uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Banokuyalela i-MRI (Magnetic Resonance Imaging) scan ukuze basuse ezinye iimeko ezinokubangela iimpawu ezifanayo. Ukuba ubona ugqirha wakho xa unentloko ebuhlungu, banokujonga iimpawu zakho. Ugqirha wakho angakuxelela ukuba uze yonke imihla xa unentloko ebuhlungu kwaye abone ukuba ikuchaphazela njani.

Ziziphi iindlela zonyango lweentloko ezibuhlungu zeqela?

Kukho iindlela ezahlukeneyo zonyango lweentloko ezibuhlungu zeqela:

• Amayeza okuthintela iintloko ezibuhlungu.
• Amayeza anikwa ukulawula iintlungu ngexesha lentloko ebuhlungu.

Ukuba la mayeza awancedi, ugqirha wakho unokucebisa ukuba utyando. Ugqirha unokufaka isixhobo esibizwa ngokuba yi-neurostimulator kufutshane nemithambo-luvo ethile entlokweni yakho. Oku kuthumela imiqondiso yombane ukulawula iimpawu zakho. Ugqirha wakho uza kukuxelela ukuba utyando lukulungele na.

Amayeza eentloko ezibuhlungu zeqela

Ugqirha angakunika iintlobo ezimbini zamayeza ngezizathu ezahlukeneyo:

• Amayeza okuthintela: Amanye amayeza anokunciphisa ixesha lentloko ebuhlungu. Anganciphisa nobunzima bentloko ebuhlungu. Amanye amayeza aqhelekileyo aquka amayeza e-allergies, ukudakumba, uxinzelelo lwegazi oluphezulu, kunye nesifo sokuwa. I-Galcanezumab lunyango lokuthintela olujolise kwi -calcitonin gene-related peptide (CGRP) monoclonal antibodies evunyiweyo yi-U.S. Food and Drug Administration.
• Amayeza okulawula iintlungu: Xa intloko ibuhlungu, amayeza athile anokunceda ukulawula iimpawu. Umzekelo, ii-triptans ( umz. , i-sumatriptan ), amayeza okulwa nokuvuvukala afana nee-steroids (umz., i-prednisone) , okanyeInaliti ze-Dihydroergotamine (ezi azinakuthathwa kunye ne-sumatriptan). Ukuphefumla ioksijini eyi-100% ngexesha lokuhlaselwa yintloko kunokunceda ekunciphiseni iimpawu.

Kubalulekile: Iipilisi zokuthomalalisa iintlungu eziqhelekileyo, ezifana neeNSAID (Amayeza angengowe-steroidal Anti-Inflammatory) (umz. , ibuprofen) , azisebenzi kakuhle kwiintloko ezibuhlungu ezibangelwa ziintloko.

Ngaba zikho ezinye iindlela zonyango?

Ezinye iindlela zonyango zinokunceda kwiintloko ezibuhlungu ezibangelwa ziintloko:

• Unyango lwe-Acupuncture: Kule nto, umntu oqeqeshiweyo ufaka iinaliti ezincinci kwiindawo ezahlukeneyo eluswini ukuze athomalalise iintlungu.
• Unyango lweFiziyoloji: Oku kugxila ekuzoluleni, iintshukumo zamalungu, kunye neendlela zokuphulula.
• Ukuphathwa komqolo: Olu luhlengahlengiso lwe-chiropractic.
• IGammaCore: Le yi-external vagus nerve stimulator ( i-portable, non-invasive nerve stimulator).

Ugqirha wakho angacebisa ezinye iindlela ngokuxhomekeke kwimeko yakho. Ukuba unemibuzo okanye ungathanda ulwazi oluthe kratya, ungathandabuzi ukubuza.

Yintoni esinokuyilindela kwixesha elizayo malunga neentloko ezibuhlungu zeqela?

Iintloko ezibuhlungu ze-cluster azichaphazeli ubomi bakho, kwaye azisongeli ubomi . Kodwa zinokuba nefuthe elikhulu kwindlela oziva ngayo yonke imihla. Nangona iintloko ezibuhlungu ze-cluster ziyimeko engapheliyo, izifundo ezininzi zifumanise ukuba ukuphindaphindeka kwezi ntloko ziyancipha njengoko iminyaka ikhula .

Ngaba iintloko ezibuhlungu zeqela zinganyangeka ngokupheleleyo?

Ngelishwa, akukho nyango lwentloko ebuhlungu ebangelwa ziintloko ezixineneyo, kodwa kukho iindlela zonyango ezinokukunceda ukunciphisa iintlungu kunye nokuphindaphindwa kokuhlaselwa.

Ugqirha wakho uza kusebenzisana nawe ukwenza isicwangciso sonyango esifanelekileyo kuwe. Ukuze ufumane isiqabu esingcono, kubalulekile ukulandela iingcebiso zikagqirha wakho ngokuchanekileyo.

Ngaba iintloko ezibuhlungu zeqela zingathintelwa?

Iintloko ezibuhlungu azinakuthintelwa ngokupheleleyo. Kodwa ungazichonga kwaye uziphephe izinto ezibangela ukuba iimpawu zakho zibe zimbi ngakumbi. Umzekelo, ukuphepha izinto ezifana nokutshaya nokusela utywala kunokunceda ukunciphisa umngcipheko wokuba nesifo sentloko. Izinto ezibangela intloko ziyahluka kumntu nomntu, ngoko ke into ekufuneka uyiphephe inokwahluka komnye umntu.

Ukuba unesifo esifana ne-sleep apnea esinxulumene nentloko yakho ebuhlungu, thetha nogqirha wakho malunga nokulawula eso sifo okanye ezinye iimeko zempilo ezingabonakaliyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ukrokrela ukuba uneentloko ezibuhlungu ezibangelwa ziintloko ezinde, bonana nogqirha ukuqinisekisa. Akunyanzelekanga ukuba ulinde de ube nentloko ebuhlungu ukuze ubone ingcali okanye ufumane ukuxilongwa.

Bona ugqirha kwezi meko zilandelayo:

• Ukuba ubukhali bentloko ebuhlungu buyatshintsha.
• Ukuba uneentloko ezibuhlungu rhoqo okanye ukuba iintloko ezibuhlungu ziyatshintsha rhoqo.
• Ukuba awubi ngcono emva kokuthatha amayeza.
• Ukuba unentamo eqinileyo okanye intloko ebuhlungu enomkhuhlane.
• Ukuba intloko ibuhlungu ihamba nobunzima bokuthetha, ukubona, okanye ukushukuma.

Xelela ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye usela amayeza entloko ebuhlungu.

Ukuba uneentloko ezibuhlungu ezibangelwa ziintloko ezinde, usela amayeza alo, kwaye uziva ngathi uneziphumo ebezingalindelekanga ezivela kula mayeza, okanye ukuba uziva ngathi la mayeza awasebenzi kakuhle, xelela ugqirha wakho ngaloo nto.

Ndingayibuza ntoni ugqirha?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Zeziphi izinto ezenza iimpawu zam zibe zimbi ngakumbi?
• Ngaba kufuneka ndibhale phantsi idayari ukuze ndibabone?
• Luhlobo luni lonyango olundicebisayo?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezivela kunyango?
• Ngaba ungacebisa naluphi na unyango olungeyomfuneko?
• Ndifanele ndithathe amayeza entloko nini kwaye kangaphi?
• Ngaba kukho naziphi na izongezo zemifuno okanye amayeza athengiswa ngaphandle kwemvume kagqirha endinokuwasebenzisa ukunceda ukunciphisa iimpawu zam?

Umyalezo obaluleke kakhulu.

Sonke sifumana iintloko ezibuhlungu ngamanye amaxesha ngezizathu ezahlukeneyo. Kodwa iintloko ezibuhlungu ezibangelwa ziintloko ezixineneyo azizo nje iintloko ezibuhlungu. Ukuba unentloko ebuhlungu efana nale, ngokuqinisekileyo kufuneka ubone ugqirha . Kukho unyango lokunciphisa ubukhali kunye nokuphindaphindeka kwezi ntloko. Ukuba ubona naluphi na utshintsho kwindlela oziva ngayo ngelixa usela amayeza akho, ingakumbi iziphumo ebezingalindelekanga, qiniseka ukuba uxelele ugqirha wakho. Akunyanzelekanga ukuba ujongane nale meko wedwa.

Iintloko ezibuhlungu zeqela , Iintloko ezibuhlungu, Intloko ebuhlungu, I-Neuropathy, Ulawulo lweentlungu, Impilo, Iimpawu