Ngamanye amaxesha siphathwa ziintloko ezibuhlungu eziphela emva kwexesha elithile? Awazi ukuba intlungu iye phi xa usela ipilisi okanye ulele okwethutyana. Kodwa, khawucinge ukuba icala elifanayo lentloko yakho libuhlungu ngokungayekiyo... kungekuphela nje kosuku olunye okanye ezimbini, kodwa kangangeenyanga. Ngamanye amaxesha iintlungu ziyaba nzima ukuzinyamezela. Olu luhlobo lwentloko ekhethekileyo esiza kuthetha ngayo namhlanje ebizwa ngokuba yiHemicrania Continua. Nangona eli ligama osenokungaliqhelanga ukuliva, kukho abantu kuluntu lwethu abaphethwe yile meko. Ke ngoko, ukuqaphela oku kunokuba yinto ebalulekileyo kuwe nakubantu obathandayo.
Kalula nje, yintoni iHemicrania Continua?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa intsingiselo yalo ilula kakhulu. Lenziwe ngamagama amabini esiLatini. Igama elithi "Hemicrania" lithetha "isiqingatha sentloko." Igama elithi "Continua" lithetha "ukuqhubeka." Ngoko ke, ngokulula, "yintlungu eqhubeka kwelinye icala lentloko."
Oogqirha bakubiza oku ngokuba yingxaki yentloko eyintloko . Oku kuthetha ukuba akukho meko ibalulekileyo (efana nomhlaza wobuchopho okanye usulelo) ebangela intloko ebuhlungu. Yimeko eqala njengentloko ebuhlungu. Ngoko ke ayisiyonto yokoyika, kodwa kubaluleke kakhulu ukuyichonga nokuyinyanga ngokufanelekileyo.
Kukho iintlobo ezimbini eziphambili zale nto.
Intloko ebuhlungu engapheliyo inokubakho ngeendlela ezimbini eziphambili.
- Uhlobo olungapheliyo: Kolu hlobo, uneentloko ezibuhlungu rhoqo, rhoqo. Intlungu ayipheli kwaye akukho siqabu.
- Uhlobo lokuziphindezela: Kolu hlobo, iintloko ezibuhlungu zenzeka yonke imihla kangangeenyanga ezintandathu, emva koko ziphele iiveki okanye iinyanga ngaphandle kwentlungu. Iintloko ezibuhlungu ziqala kwakhona. Kubonakala ngathi ziyafika zidlule.
Zithini iimpawu zale ntloko ibuhlungu?
Kukho iimpawu ezithile ezithile ezinokwahlula le ntloko kwezinye iintloko eziqhelekileyo. Ndiza kuzibeka kwitafile efana nale ukuze kube lula ukuziqonda.
| Uhlobo lophawu | Inkcazo |
|---|---|
| Iimpawu eziphambili | |
| Intlungu kwelinye icala | Intlungu isoloko ivela kwicala elinye lentloko nobuso. Ukuba ikwicala lasekunene, isoloko ingasekunene, kwaye ukuba ikwicala lasekhohlo, isoloko ingasekhohlo. Icala alitshintshi. |
| Intlungu engapheliyo | Le ntlungu kufuneka ihlale ubuncinane iinyanga ezintathu. Ihlala ivakala njengentlungu ethambileyo nengakhathaliyo . |
| Ukuhlaselwa ziintlungu eziqatha | Ngaphezu kwentlungu engapheliyo ebuhlungu, kukho intlungu ebukhali, ehlabayo kathathu ukuya kahlanu ngemini. Oku kungathatha imizuzu embalwa okanye iiyure ezimbalwa. |
| Iimpawu ezongezelelweyo ezihamba nentloko ebuhlungu (ezi zikwavela kwicala elinye nentlungu) | |
| Iimpawu ezinxulumene namehlo | - Ukubomvu kweliso kwicala lentlungu. - Iinyembezi ziyaphuma kuloo liso. - Ijwabu eligobileyo (i-Ptosis). - Ubunzima bokujonga ukukhanya (i-photophobia). |
| Iimpawu ezinxulumene nempumlo | - Ukuxinana kwempumlo ecaleni kwentlungu. - Impumlo egobhozayo kwelo cala. |
| Ezinye iimpawu | - Isicaphucaphu nokuhlanza. - Ubunzima bokuva ingxolo enkulu. |
Ziziphi iimeko apho intlungu inokwanda khona?
Ukuba uneHemicrania Continua, kukho izinto ezithile ezinokubangela ukuba iintloko zakho zibe nzima ngequbuliso. Izinto ezimbini eziphambili zezi:
- Ukusela utywala
- Ukuzibandakanya kwimisebenzi yomzimba enzima
Cinga ngako, ezinye iintlobo zentloko ezibuhlungu zihlala ziba mandundu xa uxinzelelo lusanda, okanye xa ungalali ngokwaneleyo, akunjalo? Kodwa okumangalisayo kukuba, ezi zinto azinampembelelo ingako kwiintloko ezibuhlungu zeHemicrania Continua. Eli linqaku elibalulekileyo elinceda ekuchongeni olu hlobo lwentloko ebuhlungu.
Kutheni le nto kukho olu hlobo lwentloko ebuhlungu?
Oogqirha abakayazi kakuhle into ebangela ezi ntloko zibuhlungu, kodwa uphando lubonisa izinto ezimbalwa.
- Ukudumba kwe-cavernous sinus: Le yindawo engaphakathi kwengqondo yethu ekhusela imithambo yegazi ebalulekileyo, imithambo-luvo, nezinto ezifana ne-pituitary gland. Kukholelwa ukuba ukudumba kule ndawo kusenokuba yimbangela.
- Imithambo yegazi ebanzi: Imithambo yegazi ehambisa igazi engqondweni iyakhula, nto leyo enokubangela ukucinezeleka kwemithambo-luvo.
- Ingxaki ngokusebenza kwe-trigeminal nerve: Le yi-nerve ephambili ethwala iimvakalelo ukusuka ebusweni bethu ukuya engqondweni. Kucingelwa ukuba le ntlungu isenokuba ibangelwa kukungasebenzi kakuhle komsebenzi wayo .
Nangona le meko inokwenzeka nakubani na, ixhaphake kakhulu phakathi kwabasetyhini .
Ugqirha uyifumanisa njani le nto?
Xa usiya kugqirha oneempawu ezinjalo, into yokuqala aza kuyenza kukuhlolisisa ngononophelo aze akubuze ngeempawu zakho. Uza kukubuza imibuzo efana nokuba kubuhlungu phi, ixesha elide kangakanani, ukuba intlungu ivakala njani, nokuba intlungu idla ngokuba nzima kangakanani.
Ugqirha wakho angakucela ukuba ugcine idayari yentloko ukuze akuncede. Ibaluleke kakhulu. Bhala phantsi ezi zinto zilandelayo kuyo:
- Usuku nexesha apho intloko ebuhlungu yavela khona.
- Kanye apho kubuhlungu khona entlokweni.
- Ndiyazibuza ukuba intlungu iyanda na emva kokwenza into ethile.
- Intlungu enzima yahlala ixesha elingakanani?
- Ngaba kukho ezinye iimpawu ezifana nokucaphuka okanye amehlo anamanzi kunye nentloko ebuhlungu?
Ngolu lwazi, ugqirha wakho unokufumana umbono ongcono ngemeko yakho. Ukongeza, banokuyalela i -CT scan (i-computed tomography scan) okanye i-MRI scan (i-magnetic resonance imaging scan) ukuqinisekisa ukuba akukho ngxaki zimbi engqondweni yakho.
Yeyiphi eyona ndlela ilungileyo yonyango lweHemicrania Continua?
Eyona nto ilungileyo ngale ntloko ibuhlungu kukuba inonyango olusebenzayo kakhulu. Iyeza eliphambili nelisebenzayo kakhulu kule nto yi- Indomethacin .
I-Indomethacin liyeza elikudidi lwamayeza abizwa ngokuba zii-nonsteroidal anti-inflammatory drugs (NSAIDs). Lisebenza ngokunciphisa ukudumba kunye nentlungu emzimbeni.
Ngokwesiqhelo, ugqirha uza kukuxelela ukuba usele eli yeza ngedosi ephantsi kathathu ngemini. Kubaluleke kakhulu ukulisela eli yeza kunye nokutya . Kungenjalo, izinto ezifana nokuphazamiseka kwesisu zinokwenzeka. Okumangalisayo kukuba, kungekapheli usuku okanye ezimbini emva kokuqala eli yeza, iintlungu zabantu abaninzi ziphantse zaphela ngokupheleleyo. Ngokuqinisekileyo ungalindela iziphumo ezilungileyo kungekapheli neveki.
Xa intloko yakho iphelile ngokupheleleyo, ugqirha wakho uya kuyinciphisa kancinci kancinci idosi yamayeza akho. Injongo yakhe kukunika idosi ephantsi eya kulawula iimpawu zakho.
Masiqaphele nemiphumo emibi ye-Indomethacin.
Njengazo zonke amayeza, le inokuba nemiphumo emibi emincinci, kodwa ayinguye wonke umntu oyifumanayo.
| Iziphumo ebezingalindelekanga ze-Indomethacin | |
|---|---|
| Iziphumo ebezingalindelekanga eziqhele ukubonwa | |
| Ukuqhinwa | Urhudo |
| Isiyezi | Ukukhala ezindlebeni |
| Ukuhlanza | |
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka ziqwalaselwe kwaye zixelwe kugqirha ngoko nangoko | |
| Ukunyuka kwesantya sentliziyo | Umqolo obuhlungu |
| Ubunzima bokuphefumla (ukuphelelwa ngamandla) | Ifiva |
| Intlungu xa uchama (i-dysuria) | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba |
| Intlungu ebuhlungu yesisu | Ukudumba komzimba |
| Utshintsho lombono | |
Ngaba zikho ezinye iindlela ukuba i-Indomethacin ayisebenzi?
I-Indomethacin idla ngokulawula le meko. Nangona kunjalo, abanye abantu basenokungakwazi ukuyithatha ngenxa yeziphumo ebezingalindelekanga. Ukuba kunjalo, ugqirha wakho unokucebisa amanye amayeza.
- I-Amitriptyline
- Ii-Corticosteroids
- Izithinteli ze-COX-2 (umz. i-celecoxib)
- IGabapentin
- I-Melatonin
- I-Topiramate
- I-Naproxen
Ukongeza kula mayeza, kwezinye iimeko, ugqirha unokuqwalasela nezinye iindlela zonyango, ezifana neenaliti ze-botulinum toxin-A kunye nokukhuthaza imithambo-luvo ye-vagus.
Ingaba le meko iyingozi? Iyintoni imbono?
Le yeyona nto ibalulekileyo. I-Hemicrania Continua ayisiyongxaki okanye isifo esisongela ubomi. Kwakhona, ayilophawu lwesinye isifo esinzima. Ngoko ke musa ukusoyika.
Nangona kunjalo, ngabo kuphela abaye bahlangabezana nolu hlobo lwentlungu engapheliyo abaziyo ukuba kunzima kangakanani ukuphila nayo. Kunokuba nzima ukwenza imisebenzi yakho yemihla ngemihla nokucinga ngokucacileyo. Ukuba nentlungu engapheliyo kunokuchaphazela nempilo yakho yengqondo.
Ukuphila nale ntlungu ingapheliyo kunokuba ngamava acaphukisayo kakhulu. Usenokungaziva ngathi ufuna ukuphuma ebhedini, uye emsebenzini, okanye uhleke uncokole nabahlobo. Nokuba wenza imisebenzi elula kunokuvakala ngathi kufuneka usebenze nzima kabini xa usentlungwini.
Kodwa iindaba ezimnandi zezokuba le yimeko enokunyangeka kakhulu . Ngokusebenzisana nogqirha wakho ukuze ufumane unyango olufanelekileyo kunye nomthamo ofanelekileyo kuwe, ungabuyela ebomini bakho obuqhelekileyo ngaphandle kokuphazamiseka.
Umyalezo Wokuya Ekhaya
- I-Hemicrania Continua yintlungu engapheliyo nehlabayo kwelinye icala lentloko. Ingahamba nohlaselo oluqatha.
- Iimpawu ezinje ngokuba bomvu kweliso ecaleni kwentlungu, ukukrazuka, kunye nokuxinana kweempumlo nazo ziqhele ukubonakala koku.
- Le meko ayisongeli ubomi, kwaye ayilulo uphawu lwesinye isifo esinzulu.
- Unyango oluphambili nolusebenzayo koku sisiyobisi i-Indomethacin.
- Ukuba unentloko ebuhlungu engapheliyo ngolu hlobo, nceda ungayityesheli kwaye udibane nogqirha ofanelekileyo, okanye "ugqirha" wakho. Ngokuxilongwa ngokufanelekileyo kunye nonyango, ungachacha ngokupheleleyo.
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