Ingabe uhlangothi olulodwa lwekhanda lakho lubuhlungu kakhulu? Kungaba yikhanda elibuhlungu kakhulu!

Wake waba nekhanda elibuhlungu ngendlela exakile elibuhlungu kakhulu ohlangothini olulodwa lwekhanda lakho kangangokuthi awukwazi ukulibekezelela, izinyembezi ziphuma emehlweni akho, futhi ikhala lakho livalekile? Uma kwenzeka izinsuku eziningi, mhlawumbe ngesikhathi esifanayo nsuku zonke, kubalulekile ukuthi wazi ngalokho okubiza ngokuthi ikhanda elibuhlungu . Lokhu akuyona ikhanda elibuhlungu elivamile, kodwa uhlobo oluhlukile kancane. Ake sixoxe ngalokhu ngokuningiliziwe nangokulula.

Kuyini Ikhanda Elibuhlungu Le-Cluster?

Kalula nje, ikhanda elibuhlungu elivela eqenjini libuhlungu obukhulu obuvela ohlangothini olulodwa lwekhanda lakho . Ubuhlungu buvame ukuhlala kusukela kumaminithi angu-15 kuya emahoreni amathathu . Into engavamile kakhulu ukuthi bungenzeka izinsuku, amasonto, noma ngisho nezinyanga zilandelana. Kufana nokubuka ikhalenda, futhi ikhanda lingenzeka ngesikhathi esifanayo nsuku zonke , futhi lingenzeka izikhathi ezifika kweziyisishiyagalombili ngosuku. Leli khanda elibuhlungu eliqhubekayo elivela eqenjini libizwa ngokuthi "ukuhlasela," noma isiqephu sekhanda. Kodwa kunezindaba ezinhle. Ngemva kokuba lesi siqephu sekhanda sesiphelile, ungase ungabi naso esinye ikhanda izinyanga noma iminyaka.

Pho kungani lokhu kubizwa ngokuthi "iqembu"? Igama elithi "Cluster" lisho iqembu, iqembu. Lawa makhanda afika ngamaqembu, ngamaqembu . Leli gama linikezwa ngoba amakhanda afika ngokuzumayo, bese ehamba isikhashana, bese ebuya futhi.

Lokhu kuhluke kanjani kwezinye izinkinga zekhanda?

Sonke sike saba nekhanda elibuhlungu ngesikhathi esithile empilweni yethu. Kunezinhlobo ezimbili eziyinhloko zekhanda elibuhlungu.

1. Ikhanda eliyinhloko: Lokhu kubangelwa inkinga ezingxenyeni zobuchopho ezilawula ubuhlungu. Lokhu akulona uphawu lwesinye isifo esikhulu, ikhanda ngokwalo yilona inkinga.

2. Ikhanda elibuhlungu lesibili: Lokhu kubangelwa esinye isimo sempilo. Isibonelo, ikhanda elibuhlungu elibangelwa ukutheleleka kwendlebe, ukuminyana kwamakhala, noma ukuphelelwa amanzi emzimbeni.

Ubuhlungu bekhanda obuhambisana neqembu buwuhlobo lobuhlungu bekhanda obuyinhloko . Kodwa akuzona zonke izinhlungu zekhanda ezihambisana neqembu. Abantu abaningi badidanisa izinhlungu zekhanda ezihambisana neqembu nezinye izinhlobo zobuhlungu bekhanda, njenge:

• I-Migraine: I-migraine ubuhlungu obukhulu, obuhlabayo ohlangothini olulodwa lwekhanda. Lokhu kwenziwa kube kubi ngokuhamba, ukuba ngaphandle, umsindo, noma ukunuka.
• Ikhanda elibuhlungu le-sinus: Lokhu ubuhlungu obungazwakali ngemuva kwamehlo, emathanjeni ezihlathini, ebunzini, nasekhaleni. Lokhu kuwuphawu lokutheleleka kwe-sinus (i-Sinusitis).
• Ikhanda elibuhlungu: Lokhu kubangela ubuhlungu obuncane njengokungathi ibhande liqiniswa ekhanda.

Ubuhlungu bekhanda obuhambisana neqembu buhlukile ngobukhulu kanye nokuqala .

Zivame kangakanani izinhlungu zekhanda ezibangelwa yi-cluster?

Ubuhlungu bekhanda obuhambisana ne-cluster empeleni abuvamile kangako. Kulinganiselwa ukuthi u-0.1% kuphela wabantu emhlabeni unalesi simo. Lokho cishe umuntu oyedwa kwabayi-1,000 unaso .

Ziyini izimpawu zekhanda elibuhlungu elibangelwa yi-cluster?

Izimpawu zekhanda elibuhlungu elihlangene zenzeka ohlangothini olufanayo lwekhanda nekhanda elibuhlungu (elihlangothini olulodwa). Izimpawu eziyinhloko yilezi:

• Ikhanda elibuhlungu kakhulu.
• Izinyembezi ziphuma emehlweni.
• Ukubomvu kwamehlo.
• Ijwabu leso eligobile.
• Ikhala elivalekile noma eligobhozayo.
• Ukujuluka noma ukujuluka ebusweni.

Indawo yekhanda ingahluka kancane kumuntu nomuntu. Kodwa ubuhlungu buhlala buhlangothini olulodwa . Izindawo ezivame kakhulu ukuzwa ubuhlungu yilezi:

• Ngemuva kweso noma eduze kweso ebunzini (i-Orbital).
• Ngaphezulu kweso, eduze kwebunzi (i-Supraorbital).
• Uhlangothi lwekhanda ngemuva kwendlebe (yesikhashana).

Ngokuvamile, ubuhlungu busehlangothini olufanayo ngesikhathi sokuhlasela okukodwa. Kodwa-ke, akuvamile kakhulu, ukuthi bungashintshela kolunye uhlangothi ngesikhathi sokuhlasela okulandelayo. Ngokuvamile, ubuhlungu buzwakala eduze kweso elilodwa bese kuba sehlangothini lekhanda, eduze kwendlebe.

Abantu abaningi bathi izinhlungu zekhanda ezihlangene ziyabavusa ngemva kwehora noma amabili belele ebusuku . Yingakho abanye abantu bebabiza ngokuthi “izinhlungu zekhanda zewashi le-alamu.” Abanye abantu bathola nokuthi lezi zinhlungu zekhanda ezifika ebusuku zimbi kakhulu kunezifika emini.

Uma izimpawu ziqala, ubuhlungu bufika esicongweni phakathi nemizuzu emi-5-10 .

Ikhanda elibuhlungu elibangelwa yi-cluster lizwakala kanjani?

Yilokhu okuzwakalayo ngekhanda elibuhlungu elihlangene:

• Umuzwa ovuthayo.
• Ubuhlungu obukhulu.
• Kuzwakala sengathi kuhlatshwa iva.

Abanye abantu bathi uma bephathwa yikhanda elibuhlungu, bazizwa bengakhululekile kangangokuthi abakwazi ukuhlala phansi bathule , futhi bazizwa sengathi bahambahamba beya phambili naphambili.

Ingabe zikhona izimpawu ozizwayo ngaphambi kokuba kube nekhanda elibuhlungu elihlangene?

Ungase uzizwe ungakhululekile noma umuzwa wokushisa ohlangothini olulodwa lwekhanda lakho ngaphambi nje kokuba kuvele ikhanda elibuhlungu elivela eqenjini. Kodwa-ke, ngenxa yokuthi ikhanda elibuhlungu elivela eqenjini liqala ngokushesha, awunaso isikhathi esiningi sokulungiselela lezi zimpawu.

Ube nekhanda elibuhlungu isikhathi esingakanani?

Ikhanda elibuhlungu elivela eqenjini livame ukuhlala cishe imizuzu engama-30 . Ungaba nalezi zinhloko ezifika kweziyisishiyagalombili ngosuku. Iningi labantu linalezi zinhloko nsuku zonke cishe izinyanga ezintathu.

Ngemuva kwalokho, nakuba imbangela eqondile ingakaziwa, lezi zinhlungu zekhanda ezihlangene ziyaphela. Izinhlungu zekhanda ziyaphela , kodwa ziphinde zivele ezinyangeni noma eminyakeni kamuva.

Kodwa abanye abantu abakutholi ukuphumula okuningi kangako. Banezinhlungu zekhanda ezingapheli . Cishe umuntu oyedwa kwabahlanu abanezinhlungu zekhanda ezingapheli angaba nezinhlungu zekhanda ezingapheli.

Ubuhlungu bekhanda obuhambisana neqembu buvame ukuba khona ngezikhathi ezithile zonyaka . Ungase uthole ukuthi buvame kakhulu ekwindla nasentwasahlobo.

Iyini imbangela eyinhloko yekhanda elibuhlungu elibangelwa yi-cluster?

Odokotela abakayazi imbangela eqondile yekhanda elibuhlungu, kodwa ucwaningo luthole ukuthi kungenzeka ukuthi luhlobene nokukhishwa kwala makhemikhali eduze kwe-trigeminal nerve, ethwala imizwa esuka ebusweni bethu iye ebuchosheni:

• I-Histamine, ikhemikhali esiza ekuphenduleni kokungezwani komzimba.
• I-Serotonin iyikhemikhali ethwala imiyalezo phakathi kwamangqamuzana ezinzwa.

Ngaphezu kwalokho, ucwaningo luthole ukuthi izinhlungu zekhanda ezihlangene zingabangelwa ukungasebenzi kahle kwengxenye yobuchopho ebizwa ngokuthi i-hypothalamus .

Izifundo zikhombisile nokuthi izinhlungu zekhanda ezibangelwa yi-cluster zingaba ngezakhi zofuzo kubantu abangaba ngu-5%. Ucwaningo luyaqhubeka ukuze kuhlolwe kabanzi ngalokhu.

Yiziphi izinto ezibangela ikhanda elibuhlungu elibangelwa yi-cluster?

I-trigger yinto ebangela izimpawu zakho ziqale. Lezi zimbangela zingahluka kumuntu nomuntu ngesikhathi se-cluster headache. Izimbangela ezivame kakhulu yilezi:

• Ugwayi, utshwala kanye nezinye izidakamizwa.
• Ukukhanya okukhanyayo.
• Isimo sezulu esishisayo.
• Ama-nitrite ekudleni (ikakhulukazi inyama eyomisiwe).
• Eminye imithi (isib. iSildenafil).

Lezi zinto ezibangela lokhu zingabangela nokuthi ikhanda elisha liqale ngaphandle kwezimpawu. Lapho ikhanda liqala, kungase kubonakale sengathi lihlobene nokushintsha kwesizini. (Ungase ucabange ukuthi une-allergies noma i-sinusitis.) Lokhu kungase kube ngenxa yokuxhumana okusolwayo phakathi kwekhanda elibuhlungu elihlangene ne-hypothalamus. Le ngxenye yobuchopho yilapho "iwashi lethu le-circadian" likhona khona. Lisabela elangeni. Njengoba izinkathi zishintsha, inani lokukhanya kwelanga esilitholayo liyashintsha.

Uma ungazi ukuthi yini eyenza izimpawu zakho zibe zimbi kakhulu, khuluma nodokotela wakho bese ubhala phansi i-headache . Kuyo, ungabhala phansi izinto ezinjengalezi:

• Ube nekhanda elibuhlungu nini futhi lihlale isikhathi esingakanani?
• Udleni futhi uphuze ini ngosuku olwandulele?
• Yimiphi imisebenzi owayenza ngaphambi kokuba uphathwe yikhanda elibuhlungu?
• Ulale isikhathi esingakanani ngobusuku obandulele futhi ulale kanjani?
• Ingabe wathatha umuthi wekhanda lapho liqala, futhi ingabe lakwenza wazizwa ungcono?

Ubani osengozini enkulu yokuba nekhanda elibuhlungu le-cluster?

Ungase ube sengozini enkulu yokuba nekhanda elibuhlungu uma:

• Uma uneminyaka ephakathi kuka-20 no-40 ubudala.
• Uma uphuza utshwala njalo.
• Uma uthatha imithi ethile.
• Uma usebenzisa imikhiqizo kagwayi (ikakhulukazi ugwayi).

Yiziphi izinkinga ezingaba khona ngenxa yekhanda elibuhlungu elihambisana ne-cluster?

Ubuhlungu bekhanda obuhambisana neqembu buyinkinga ekhathazayo engaphazamisa imisebenzi yakho yansuku zonke, umsebenzi, ngisho nomsebenzi wesikole. Uma uphethwe yikhanda, ungase ungakwazi ukwenza lutho, noma ngisho nokuphuma endlini.

Ukuphila nekhanda elibuhlungu kanje nsuku zonke kungase kuzwakale sengathi akukho usizo futhi akukho themba . Ezimweni ezingavamile, kungaholela ekucindezelekeni ngisho nasemicabangweni yokuqeda impilo yakho. Ubuhlungu bukhulu kangangokuthi abanye abantu babubiza ngokuthi 'ikhanda elibuhlungu lokufa'. Kodwa lokho akusho ukuthi uwedwa. Kubalulekile ukufuna iseluleko sezokwelapha kanye nokusekelwa kwengqondo. Awuwedwa, futhi kukhona odokotela abangakusiza ngalesi simo.

Ungazibona kanjani izinhlungu zekhanda zeqembu?

Udokotela wezinzwa udokotela ovame ukuxilonga ikhanda elibuhlungu ngemva kokuhlolwa ngokomzimba. Uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Bangase futhi bacele i-MRI (Magnetic Resonance Imaging) scan ukuze bakhiphe ezinye izimo ezingabangela izimpawu ezifanayo. Uma ubona udokotela wakho uma uphethwe yikhanda, bangaqapha nezimpawu zakho. Udokotela wakho angakutshela ukuthi uze nsuku zonke uma uphethwe yikhanda futhi ubone ukuthi likuthinta kanjani.

Yiziphi izindlela zokwelapha ikhanda elibuhlungu elihambisana neqembu?

Kunezindlela eziningana zokwelapha ikhanda elibuhlungu elihambisana ne-cluster:

• Imithi yokuvimbela ikhanda elibuhlungu.
• Imithi enikezwa ukulawula ubuhlungu ngesikhathi sobuhlungu bekhanda.

Uma le mithi ingasizi, udokotela wakho angase asikisele ukuhlinzwa. Udokotela ohlinzayo angafakela idivayisi ebizwa ngokuthi i-neurostimulator eduze kwemizwa ethile ekhanda lakho. Lokhu kuthumela izimpawu zikagesi ukulawula izimpawu zakho. Udokotela wakho uzokutshela ukuthi ukuhlinzwa kulungile yini kuwe.

Imithi yokwelapha ikhanda elibuhlungu

Udokotela angase anikeze izinhlobo ezimbili zemithi ngezizathu ezahlukene:

• Imithi yokuvimbela: Eminye imithi inganciphisa isikhathi sekhanda elibuhlungu. Inganciphisa futhi ubukhali bekhanda elibuhlungu. Eminye yemithi evame ukunqunywa ihlanganisa imithi yokungezwani komzimba, ukucindezeleka, umfutho wegazi ophakeme, kanye nesifo sokuwa. I-Galcanezumab iyindlela yokwelapha yokuvimbela ehlose ama-antibodies e-calcitonin gene-related peptide (CGRP) monoclonal avunyelwe yi-U.S. Food and Drug Administration.
• Imithi yokulawula ubuhlungu: Uma kuvela ikhanda elibuhlungu, imithi ethile ingasiza ekulawuleni izimpawu. Isibonelo, ama-triptan ( isb. , i-sumatriptan ), imithi yokulwa nokuvuvukala njenge-steroids (isb., i-prednisone) , nomaImijovo ye-Dihydroergotamine (lena ayinakuthathwa ne-sumatriptan). Ukuphefumula umoya-mpilo ongu-100% ngesikhathi sokuhlaselwa yikhanda kungasiza ekunciphiseni izimpawu.

Okubalulekile: Ama-painkiller avamile, njenge -NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala) (isb. , i-ibuprofen) , awasebenzi kahle ezinhlungwini zekhanda ezihlangene.

Ingabe zikhona ezinye izindlela zokwelapha ezihlukile?

Ezinye izindlela zokwelapha ezingase zinikeze impumuzo ezinhlungwini zekhanda ezihlangene:

• Ukwelashwa nge-acupuncture: Kulokhu, udokotela oqeqeshiwe ufaka izinaliti ezincane ezindaweni ezahlukene esikhumbeni ukuze aqede ubuhlungu.
• Ukwelapha ngokuzivocavoca: Lokhu kugxila ekululekeni, ukunyakaza kwamalunga, kanye namasu okubhucunga.
• Ukuphathwa komgogodla: Lokhu ukulungiswa kwe-chiropractic.
• I-GammaCore: Lesi yisikhuthazi semizwa ye-vagus yangaphandle ( isikhuthazi semizwa esiphathekayo, esingangenisi).

Udokotela wakho angase ancome ezinye izinketho kuye ngesimo sakho. Uma unemibuzo noma ungathanda ulwazi olwengeziwe, ungangabazi ukubuza.

Yini esingayilindela esikhathini esizayo mayelana nobuhlungu bekhanda obuhambisana neqembu?

Ubuhlungu bekhanda obuhambisana ne-cluster abuthinti impilo yakho, futhi abubeki impilo engozini . Kodwa bungaba nomthelela omkhulu endleleni ozizwa ngayo nsuku zonke. Nakuba ubuhlungu bekhanda obuhambisana ne-cluster buyisifo esingamahlalakhona, izifundo eziningi zithole ukuthi ukuvama kwalezi zinkinga zekhanda kuyehla ngokuguga .

Ingabe ikhanda elibuhlungu leqembu lingalapheka ngokuphelele?

Ngeshwa, ayikho ikhambi lekhanda elibuhlungu elihlangene, kodwa kunezindlela zokwelapha ezingakusiza ukunciphisa ubuhlungu kanye nokuvama kokuhlaselwa.

Udokotela wakho uzosebenza nawe ukudala uhlelo lokwelashwa olukufanele. Ukuze uthole impumuzo enkulu, kubalulekile ukulandela izincomo zikadokotela wakho ngqo.

Ingabe ikhanda elibuhlungu leqembu lingavinjelwa?

Izinkinga zobuhlungu bekhanda ezihlangene azinakuvinjelwa ngokuphelele. Kodwa ungakwazi ukubona nokugwema izimbangela ezenza izimpawu zakho zibe zimbi kakhulu. Isibonelo, ukugwema izinto ezifana nokubhema nokuphuza utshwala kungasiza ekunciphiseni ingozi yokuthola ikhanda. Izimbangela ziyahlukahluka kumuntu nomuntu, ngakho-ke okudingeka ukugweme kungase kuhluke komunye umuntu.

Uma unesifo esifana ne-sleep apnea esihlobene nekhanda lakho elibuhlungu, khuluma nodokotela wakho mayelana nokulawula leso simo noma ezinye izimo zempilo eziyisisekelo.

Kufanele ngimbone nini udokotela?

Uma usola ukuthi unesifo sekhanda esibangelwa yizinhlungu zekhanda, bona udokotela ukuze akuqinisekise. Akudingeki ulinde uze ube nesifo sekhanda ukuze ubone udokotela ochwepheshe noma uthole ukuxilongwa.

Bona udokotela kulezi zimo:

• Uma ubukhali bekhanda bushintsha.
• Uma uphathwa yikhanda njalo noma uma ukuvama kokuphathwa yikhanda kushintsha.
• Uma ungalulami ngemva kokuthatha umuthi.
• Uma unentamo eqinile noma ikhanda elibuhlungu elihambisana nomkhuhlane.
• Uma ikhanda lihambisana nobunzima bokukhuluma, ukubona, noma ukunyakaza.

Tshela udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uphuza imithi yokwelapha ikhanda elibuhlungu.

Uma uphethwe yikhanda elibuhlungu, uphuza imithi yalo, futhi uzizwa sengathi unemiphumela emibi evela kulo muthi, noma uma uzizwa sengathi umuthi awusebenzi kahle, tshela udokotela wakho ngakho.

Yini okufanele ngiyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Yiziphi izimbangela ezenza izimpawu zami zibe zimbi kakhulu?
• Ingabe kudingeka ngibhale phansi idayari ukuze ngibabone?
• Hlobo luni lokwelashwa olungincomayo?
• Ingabe ikhona imiphumela emibi evela ekwelashweni?
• Ungakwazi yini ukuncoma noma yiziphi izindlela zokwelapha ezihlukile?
• Kufanele ngithathe nini futhi kangaki imithi yokwelapha ikhanda elibuhlungu?
• Ingabe kukhona izithasiselo zemithi noma imithi etholakala ngaphandle kwemithi engingayisebenzisa ukuze nginciphise izimpawu zami?

Umyalezo obaluleke kakhulu.

Sonke siphathwa yikhanda ngezikhathi ezithile ngezizathu ezahlukene. Kodwa izinhlungu zekhanda ezihlangene azizona nje izinhlungu zekhanda. Uma unekhanda elibuhlungu elifana naleli, kufanele nakanjani ubone udokotela . Kunezindlela zokwelapha zokunciphisa ubukhali kanye nokuvama kwalezi zinhlungu zekhanda. Uma ubona noma yiziphi izinguquko endleleni ozizwa ngayo ngenkathi uthatha imithi yakho, ikakhulukazi imiphumela emibi, qiniseka ukuthi utshela udokotela wakho. Akudingeki ubhekane nalesi simo wedwa.

Ubuhlungu bekhanda obuhlangene, Ubuhlungu bekhanda, Ubuhlungu bekhanda, I-Neuropathy, Ukuphathwa Kobuhlungu, Impilo, Izimpawu