Ngaba uhlala usela amayeza entloko? Emva koko funda ngale ntloko intsha! (Iintloko ezibuhlungu ezibuyela umva / Amayeza asebenzisa iintloko ngokugqithisileyo)

Ngaba uhlala ujongene neentloko ezibuhlungu? Kuqhelekile ukuba sithathe amayeza okanye i-painkiller ngethemba lokufumana isiqabu ngokukhawuleza ngamaxesha anjalo. Kodwa, ubusazi ukuba ngamanye amaxesha, ukusebenzisa iintlungu rhoqo nangokugqithisileyo kunokwenza intloko ibe mandundu kwaye kuqale uhlobo olutsha lwentloko ebuhlungu? Yiyo loo nto ngokwezonyango siyibiza ngokuba yi-'Medication Overuse Headaches'. Kodwa ngolwimi oluqhelekileyo, oku kwaziwa ngokuba yi-'Rebound Headaches'. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.

Zithini 'iintloko ezibuyela umva'? Masiqonde ngokulula!

Ngamafutshane, 'Iintloko ezibuyela umva' luhlobo lwentloko ebuhlungu enokwenzeka xa usela amayeza amaninzi entloko yakho. Oku kudla ngokuba yimeko yesibini. Oku kuthetha ukuba ukuba sele unenye uhlobo lwentloko ebuhlungu, njengeentloko ezibuhlungu ezidibeneyo, unokuba 'nentloko ebuyela umva' ngokuthatha amayeza entloko ebuhlungu rhoqo. Le meko ixhaphake kakhulu kubantu abaneentloko ezibuhlungu.

Oku kubizwa ngokuba yi-'Rebound' ngenxa yendlela okwenzeka ngayo. Cinga ngale ndlela: xa usela amayeza entloko ebuhlungu, intlungu iyaphela uze uzive ukhululekile. Kodwa, njengoko amayeza ephela, intlungu "iyabuya". Rhoqo , intlungu iba mandundu kwaye inamandla ngakumbi kunangaphambili. Yiyo loo nto ibizwa ngokuba yi-'Rebound Headache.'

Le meko inokubangelwa yiyo nayiphi na imithi enikwe amayeza okunyanga iintloko ezibuhlungu. Oko kuthetha ukuba ingenzeka kungekuphela nje ngamayeza abhalwe ngugqirha, kodwa namayeza okunyanga iintlungu athengiswa ngaphandle kwemvume kagqirha. Nangona kunjalo, amanye amayeza, ingakumbi lawo aqulethe izinto ezilawulwayo "ii-Opioids" kunye "nee-Barbiturates", anokubangela ezi "Heartheads Rebound".

Ziqheleke kangakanani ezi 'ntloko zibuhlungu'?

Iintloko ezibuhlungu ezibuyela umva azixhaphakanga kangako, kodwa zixhaphakile ebantwini kwihlabathi liphela. Iingcali ziqikelela ukuba malunga ne-1% yabemi behlabathi banengxaki yesi sifo. Ezinye iingxelo ziqala kwi-0.5% ukuya kwi-2.6%. Le meko ixhaphake kakhulu kwabasetyhini.

Zithini iimpawu ze-'Rebound Headaches'?

Iintloko ezibuhlungu ezibuyela umva ziqhelekile kubantu abaneentloko ezibuhlungu okanye iintloko ezibuhlungu ezifana noxinzelelo. Iimpawu zezi ntloko zibuyela umva ziyenzeka kunye neempawu zentloko obunayo ngaphambili. Ezi ziquka:

• Intloko ebuhlungu kakhulu.
• Ukuziva unesicaphucaphu.
• Ukudinwa, ukudinwa.
• Ubunzima bokugxila kwinto ethile.
• Iingxaki zememori.
• Ukudakumba, ixhala, okanye ukuhlaselwa luloyiko.

Kukwakho nephethini yale ntloko ibuhlungu:

• Le ntlungu ibakho nokuba uvuka kusasa okanye emva nje kokuvuka.
• Xa ndisela amayeza, ayaphela okwethutyana, kodwa xa amayeza ephela, intlungu iyabuya.
• Intlungu ebuyayo emva kokuba iyeza liphelile isenokuba mandundu kunangaphambili.
• Xa oku kusenzeka, akukho nyango ulisebenzisayo oluya kuba luncedo kangako.

Khawucinge nje, uKamala uhlala ephathwa yi-migraines. Ntsasa nganye xa evuka, intloko yakhe ivakala inzima kwaye ibuhlungu. Xa esela iyeza, liyaphela okwethutyana, kodwa xa iyeza liphela, intlungu ibuya ngamandla kunangaphambili. UKamala usenokuba nesifo esibizwa ngokuba yi-'Rebound Headache'.

Kutheni le nto ezi 'ntloko zibuyela umva' zenzeka? Zithini izizathu?

'Iintloko ezibuyela umva' zenzeka xa usebenzisa amayeza amaninzi kakhulu kwiintloko zakho, amaxesha amaninzi kakhulu. Nangona naliphi na iyeza lentloko linokubangela le meko, amanye amayeza anokubangela ngokukhawuleza.

Nazi iintlobo zamayeza anokubangela 'iintloko ezibuhlungu ezibuyela umva':

• `(Opioids)` (Opioids) kunye namayeza adibeneyo aqulethe ii-opioids.
• Amayeza adibeneyo aqulethe `(iBarbiturate)`.
• I-Ergotamine kunye namayeza adibeneyo ane-ergotamine.
• Amayeza adibeneyo e-Acetaminophen-aspirin-caffeine.
• IiTriptans ziluhlobo lweziyobisi.
• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID). Imizekelo: ibuprofen, i-diclofenac.
• I-Acetaminophen (eyaziwa ngamagama emveliso afana nePanadol®).
• `(Ii-Calcitonin gene-related peptide (CGRP) antagonists)` (Ii-Calcitonin gene-related peptide antagonists).

Ukuze ube nezi 'ntloko zibuhlungu', kufuneka ukuba usebenzise la mayeza ubuncinane iintsuku ezimbalwa ngenyanga. Inani leentsuku liyahluka ngokwamayeza.

Utshintsho kulawulo lwesignali yentlungu (Ukubeka iintlungu kwindawo enye)

Nangona oku kusenokuvakala kuyinkimbinkimbi, iingcali zikholelwa ukuba impendulo elula kukuba indlela imizimba yethu ebona ngayo intlungu, indlela ezidluliselwa ngayo iimpawu zentlungu, iyatshintsha. Xa sineentlungu ezingapheliyo, indlela imizimba yethu eqhuba ngayo iimpawu zentlungu iyatshintsha. Oku kwenza kube lula ukuba iimpawu zentlungu zenzeke, okanye indlela esiziva ngayo iintlungu iyatshintsha (ivakala inzima ngakumbi kunangaphambili, okanye izinto ezingazange zibe buhlungu ngaphambili).

Kwakhona, xa usela amayeza okudambisa iintlungu rhoqo, indlela umzimba wakho osebenza ngayo imiqondiso yentlungu iyatshintsha. Ngoko ke ungakhula ulwaneliseko kumayeza kwaye ufune iidosi eziphezulu. Okanye inkqubo yakho yemithambo-luvo inokutshintsha indlela esebenza ngayo imiqondiso yentlungu. Kufuneka uphando oluthe kratya ukuze kuchongwe ukuba ezi zinto zinegalelo na ekubuyeleni kwentloko ebuhlungu.

Ngubani osengozini enkulu yokuba 'neentloko ezibuhlungu ezibuyela umva'?

Iintloko ezibuhlungu ezibuyela umva zixhaphake kakhulu kubasetyhini, ingakumbi abo baneminyaka engama-30 ukuya kwengama-50 ubudala. Ezi zilandelayo zikwasengozini enkulu:

• Abantu abane-`(Metabolic syndrome)`.
• Abantu abatya ngaphezu kwama-200 milligrams e-caffeine ngosuku.
• Abantu abaneengxaki zempilo yengqondo, ingakumbi ukudakumba, ixhala, ukuphazamiseka koloyiko, kunye nesifo soxinzelelo emva kwengozi (PTSD).
• Abantu abaxhomekeke ekusebenziseni icuba (ingxaki yokusebenzisa icuba).
• Abantu abanembali yosapho lwabo 'yeentloko ezibuyela umva' okanye ingxaki yokusebenzisa iziyobisi/ingxaki yokusebenzisa utywala.

Zithini iingxaki zale meko?

Kukho iingxaki ezininzi ezinokwenzeka ngenxa 'yeentloko ezibuhlungu ezibuyela umva':

• Ukuba yi-migraines engapheliyo.
• Ukuxhomekeka kumayeza, ingakumbi izinto ezilawulwayo.
• Ukuthatha amayeza amaninzi kunokubangela ubuthi okanye ukugqithisa amayeza.
• Iingxaki ezibangelwa zii-NSAID, umzekelo, izilonda zesisu kunye nokopha kwamathumbu okuphezulu.
• Iimpawu 'zentloko ebuhlungu' ziya ziphindaphindeka okanye zibe qatha.

Ungaziqonda njani 'iintloko ezibuhlungu'?

Ugqirha unokuxilonga 'iintloko ezibuyela umva' ngokwemigaqo ye-International Classification of Headache Disorders. Ezi migaqo zezi:

• Ukuba nentloko ebuhlungu ubuncinane iintsuku ezili-15 ngenyanga, ngokunxulumene nentloko ebuhlungu esele ikho.
• Ukuba ndisebenzise amayeza rhoqo ukunyanga iintloko ezibuhlungu ubuncinane iinyanga ezintathu.
• Le ntloko ibuhlungu ayifani ngqo nayo nayiphi na enye imeko yezonyango okanye unobangela.

Okwangoku akukho vavanyo luthile olunokuchonga 'iintloko ezibuhlungu ezibuyela umva'.

Ungayinyanga njani 'intloko ebuhlungu ebuyela umva'? Ngaba ikho indlela ehlala ihleli yokunyanga oku?

Iintloko ezibuhlungu ezibuyela umva ziyinto enokunyangeka kakhulu. Nangona kungekho "nyango" oluqinisekileyo kuzo, unyango lunokunceda ekuzipheliseni ngokupheleleyo.

Iindlela zonyango ziquka:

1. Ukuyeka amayeza okanye amayeza abangela iintloko ezibuhlungu ezibuyela umva: Eli lelona nyathelo libalulekileyo ekunyangeni iintloko ezibuhlungu ezibuyela umva. Ukuze oku kusebenze kakuhle, amayeza athethwayo kufuneka ayeke ngokupheleleyo. Kwamanye amayeza, ingakumbi ii-opioids okanye ii-barbiturates, ugqirha wakho uya kunciphisa kancinci umthamo wakho ukunceda ukuthintela iimpawu zokurhoxa.Ugqirha wakho uza kukubonisa indlela yokuyeka ngokukhuselekileyo ukusebenzisa la mayeza.

2. Amanye amayeza: Ngelixa uyeka amayeza abangela iintloko ezibuhlungu ezibuyela umva, ungasebenzisa amanye amayeza ukulawula iimpawu zentloko yakho. La abizwa ngokuba ngamayeza e-bridge. La ngamayeza asebenza ngendlela eyahlukileyo kuneyeza abangela iintloko ezibuhlungu ezibuyela umva. Imizekelo ibandakanya i-Onabotulinumtoxin A injections (ekwaziwa ngokuba yiBotox®), ii-NSAID ezisebenza ixesha elide (ezifana ne-naproxen), okanye amayeza okuthintela ukuxhuzula (afana ne-topiramate).

3. Unyango olungengonyango: Olu lunceda umzimba nengqondo yakho ukuba zilungele utshintsho kunyango. Olu lubaluleke kakhulu ukuba uneempawu ezifana nokuxhalaba okanye ukudakumba. Ezi ziquka unyango lwengqondo, i-biofeedback, i-hypnotherapy, kunye noqeqesho lokuphumla. Unyango lwempilo yengqondo, ingakumbi olo lukunceda ukunciphisa amanqanaba akho oxinzelelo, lunokunceda ukuthintela iintloko ezibuhlungu ezibuyayo ukuba zingabuyi kwixesha elizayo.

Eyona nto ibalulekileyo kukuba, ungayeki okanye uqale amayeza ngendlela othanda ngayo ngaphandle kwengcebiso kagqirha. Yenza yonke into phantsi kweliso likagqirha.

Zithini iingxaki/iziphumo ebezingalindelekanga zonyango?

Esinye isiphumo esingalindelekanga sonyango kukunyuka okwethutyana kweempawu zentloko. Esi siphumo esingalindelekanga sinokuncitshiswa ngokunciphisa ngononophelo nangokucothayo inani lamayeza owasebenzisayo ngoku (`ukunciphisa`). Kwakhona, ukusebenzisa 'iBridge Medications' ekhankanyiweyo ngaphambili okanye amayeza angezinye iindlela kunokunceda koku.

Ukuba amayeza owasebenzisayo ayakhobokisa, anjengee-opioid okanye ii-barbiturates, unokufumana iimpawu zokurhoxa xa uyeka ukuwasebenzisa. Ugqirha wakho uya kukunceda uphephe oku ngokunciphisa kancinci kancinci umthamo wakho.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Ixesha lokuchacha lixhomekeke kuhlobo lwamayeza owasebenzisileyo, idosi oyithathileyo, kunye nezinye izinto ezininzi. Ugqirha wakho unokuchaza ngcono ixesha lakho lokuchacha kunye nento onokuyenza ngayo.

Kuza kwenzeka ntoni ukuba ndine-'Rebound Headaches'?

Ukuba une-'Rebound Headaches', ungalindela umjikelo weentloko ezibuhlungu eziya kuba mandundu logama nje uqhubeka nokusela amayeza abangela i-'Rebound'. Ukuze ulungise le meko, kubalulekile ukuyeka amayeza okanye amayeza abangela i-'Rebound Headaches'.

Ihlala ixesha elingakanani 'intloko ebuhlungu'?

Iintloko ezibuhlungu ezibuyela umva zinokuhlala ixesha elide ukuba usela amayeza azibangelayo. Ubude bexesha elithathayo intloko bunokwahluka, kwaye kukho izinto ezininzi ezinokuchaphazela ukuba ihlala ixesha elingakanani. Ugqirha wakho unokuchaza ngcono into omawuyilindele kwiintloko zakho.

Kuthatha ixesha elingakanani ukuba 'iintloko ezibuhlungu' ziphele?

Uninzi lwabantu luza kubona iintloko zabo ezibuhlungu ziphela zize ziyeke kwisithuba seenyanga ezimbini. Kwiimeko ezinzima ngakumbi, kungathatha ukuya kuthi ga kwiinyanga ezintandathu. Ngeli xesha, ugqirha wakho uza kukunceda ulawule iimpawu zakho aze anciphise impembelelo yazo kuwe. Baza kujonga neempawu zakho njengoko kufuneka ukuqinisekisa ukuba unyango lwakho luyasebenza.

Iyintoni imbono ye-'Rebound Headaches'?

Ithemba lokuba iintloko ezibuhlungu ezibuyela umva zilungile, ingakumbi ukuba uziqaphela kwangethuba uze ufumane unyango.

Unyango ludla ngokuba luncedo ekuncedeni abantu abanale meko. Nangona kunjalo, le meko "inokubuyela umva" kwaye iintloko ezibuhlungu zingabuya. Ukuba uziva ngathi ubuyela umva, kubalulekile ukuthetha nogqirha wakho ngokukhawuleza. Ukunyanga iintloko ezibuhlungu ezibuyela umva kwangethuba kunokunciphisa ixesha elithathwayo ukuze uphile kwaye kube lula.

Ukuba ayinyangwa, okanye ukuba unyango lulibaziseka, imeko ayilunganga. Iintloko ezibuhlungu ezibuyela umva zinokuba nefuthe elibi kakhulu kubomi bakho. Kwakhona, okukhona uqhubeka nokusebenzisa amayeza abangela iintloko ezibuhlungu ezibuyela umva, kokukhona kuya kuba nzima ukuba uphile. Yingakho ukuxilongwa kwangoko kunye nonyango kubaluleke kangaka.

Ngaba iintloko ezibuyela umva zinokuthintelwa?

Ewe, 'Iintloko ezibuyela umva' zizinto ezinokuthintelwa kakhulu. Eyona nto ibalulekileyo kukunciphisa ubungakanani balo naluphi na uhlobo lwamayeza entloko owasebenzisayo.

Kwabanye abantu, iintloko ezibuhlungu – ingakumbi iintloko ezibuhlungu (ezibangela i-80% yeentloko ezibuhlungu ezibuyela umva) – azinakuphepheka. Nabani na okhe waba nentloko ebuhlungu uyazi ukuba ayisiyontlungu nje ebuhlungu. Inokusuka ekucaphukiseni kancinci ukuya ekusongeleni ubomi. Ngaphandle konyango, abanye abantu balala nje kwigumbi elimnyama nelithuleyo de i-migraine iphele.

Intloko ebuhlungu ebuyela umva ayilunganga, kodwa iintloko ezibuhlungu rhoqo azilunganga. Ngethamsanqa, unyango olutsha (ingakumbi unyango lokuthintela) luvule ithuba lokuthintela iintloko ezibuhlungu okanye ukunciphisa amaxesha azo. Olu nyango lunokunceda ekunciphiseni inani leentloko ezibuhlungu ozifumanayo. Ungathetha nogqirha wakho ngezinto ezibangela iintloko ezibuhlungu uze uziphephe.

Oku kuya kukunceda ukunciphisa amaxesha ekufuneka uwathathe amayeza "okunceda" ukuze uyeke i-migraines yakho. Oko kunokwanela ukuthintela iintloko ezibuhlungu ezibuyela umva.

Kubalulekile: Kufuneka ulandele imiyalelo kagqirha wakho rhoqo malunga nomthamo kunye nokuthatha amayeza akho rhoqo. Oku kubalulekile ukunceda ekuthinteleni 'iintloko ezibuhlungu ezibuyela umva'. Musa ukuthatha amayeza angaphezu kwalawo acetyiswa ngugqirha wakho - nokuba ngamayeza athengiswa ngaphandle kwemvume kagqirha.

Ndingazinyamekela njani?

Ukuba une-'rebound headaches', kubalulekile ukulandela imiyalelo kagqirha wakho ngendlela yokunyanga. Enye yezona zinto zibalulekileyo kolo nyango kukuyeka ukusebenzisa amayeza okanye amayeza abangele 'rebound headaches' kwasekuqaleni. Ukwenza njalo kuya kunceda iintloko ziphele ngokukhawuleza.

Ndifanele ndimbone nini ugqirha wam?

Xa unyanga iintloko ezibuhlungu ezibuyela umva, kufuneka ubonane nogqirha wakho njengoko kucetyisiwe. Kufuneka ubonane nogqirha wakho ukuba ubona naluphi na utshintsho kwimvamisa okanye iimpawu zentloko yakho, okanye ukuba iimpawu zakho zitshintsha kangangokuba ziphazamisana nemisebenzi yakho yemihla ngemihla.

Intloko ebuhlungu ebuyela umva ayiyingozi ngokwayo. Nangona kunjalo, amanye amayeza abanye abantu abawasebenzisayo ukunyanga anokuba yingozi.

Injani intloko ebuhlungu ebuyela umva?

'Iintloko ezibuyela umva' zifana neentloko oye wazifumana ngaphambili. Nangona kunjalo, zihlala zinzima kakhulu kunangaphambili. Usenokubona nezinye iimpawu, ezinje ngexhala okanye ukudakumba.

Ngaba iCaffeine Yenza Iintloko Ezibuyela Umva Zibe Mbi Kakhulu?

Ewe, ukuba utya ngaphezu kwe-200 milligrams yecaffeine ngosuku. Ukunciphisa ukutya kwakho icaffeine kunokunyusa amathuba okuba unyango lwakho luphumelele kwaye kunciphise ubunzima be-'rebound headaches'.

Xa unentloko ebuhlungu kakhulu, ephindaphindayo, okanye zombini iintloko ezibuhlungu okanye iintloko ezibuhlungu, ingcinga yokungabi namayeza okunyanga inokuba nzima ukuyinyamezela. Nangona kunjalo, kukho ezinye iindlela zokunyanga iintloko ezibuhlungu. Ezi zinokukunceda ukunciphisa isidingo samayeza anokubangela 'iintloko ezibuhlungu ezibuyela umva'.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Sihlobo sam, ndiyathemba ukuba ngoku uyiqonda ngcono le meko ibizwa ngokuba yi-'Rebound Headaches'. Khumbula, akuyonto ilungileyo ukusela amayeza okudambisa iintlungu ngamaxesha onke. Ukwenza njalo kunokwenza intloko yakho ebuhlungu ibe mandundu, nto leyo ekhokelela kwezi zinto zibizwa ngokuba yi-'Rebound Headaches'.

• Ukuba usoloko uneentloko ezibuhlungu kwaye usele usela amayeza kangangeentsuku ezininzi zilandelelana, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
• Musa ukwandisa umthamo wamayeza okanye uwasebenzise rhoqo kunokuba uziva ukhululekile, ngaphandle kokuba ugqirha wakho ekuxelele.
• Ukuba ufunyaniswe une-'rebound headaches', ungoyiki. Kukho unyango olufanelekileyo. Eyona nto iphambili kukuyeka ukusebenzisa amayeza abangele le ngxaki.
• Le meko inokunyangeka ngokupheleleyo ngonyango olulolunye kunye notshintsho kwindlela yokuphila ngokweengcebiso zonyango.

Ngonyango olufanelekileyo, awunakuphelisa nje kuphela 'iintloko ezibuyela umva', kodwa uyakuphepha namayeza azibangelayo. Emva koko ungaqhubeka nomsebenzi wakho kwaye uphile ubomi bakho ngendlela oyifunayo, ngaphandle kokuthintelwa ziimpawu zentloko yakho. Ndikunqwenelela ukuchacha ngokukhawuleza!

Intloko ebuhlungu, iintlungu zentlungu, iintloko ezibuhlungu ezibuyela umva, iintloko ezibuhlungu, ukusetyenziswa gwenxa kwamayeza, iintloko ezibuhlungu, iingcebiso zonyango