Ingabe ikhanda lakho libuhlungu sengathi lizoqhekeka uma ukhwehlela? Ake sixoxe ngale 'Nhloko Yokukhwehlela'!

Ingabe uphathwa yikhanda elibuhlungu ngemva kokukhwehlela okunzima? Noma uphathwa yikhanda elibuhlungu ngemva nje kokuhleka? Lokhu kuyinto eyenzeka kwabanye abantu ngaso sonke isikhathi. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi 'ikhanda elibuhlungu lokukhwehlela'. Ake siqonde kahle ukuthi lokhu kuyinto evamile noma into okufanele uyesabe.

Iyini le 'Nhloko Yokukhwehlela'?

Kalula nje, 'ikhanda lokukhwehlela' liyikhanda elibuhlungu elivele ngokushesha uma ukhwehlela, uthimula, uhleka kakhulu, noma uphakamisa into esindayo. Lobuhlungu buvame ukuhlala kusukela kumasekhondi ambalwa kuya cishe emizuzwini engama-30. Kodwa ngezinye izikhathi bungahlala amahora amabili. Lokhu akulona ikhanda elibuhlungu elivame kakhulu. Esikhathini esiningi akulona ingozi, kodwa ngezinye izikhathi kungaba nesizathu esingathi sína ngemuva kwalo.

Kunezinhlobo ezimbili eziyinhloko 'zekhanda lokukhwehlela':

Uma unaleli khanda elibuhlungu, kubaluleke kakhulu ukwazi ukuthi liluhlobo luni, ngoba ukwelashwa kuzoncika kulo.

Ziyini izimpawu zaleli khanda elibuhlungu?

Izimpawu 'zekhanda lokukhwehlela' zingase zihluke kancane kuye ngohlobo.

Izimpawu ezivame ukubonakala

• Ikhanda eliqala ngokuzumayo ngokukhwehlela noma ukukhandleka bese liphela ngemva kwesikhashana.
• EkhandaUbuhlungu bungaba kuzo zombili izinhlangothi noma kolunye uhlangothi (ikhanda eliyinhloko livame ukwenzeka ngaphambili nasemaceleni ekhanda, kuyilapho ikhanda lesibili livame ukwenzeka ngemuva kwekhanda).
• Ubuhlungu bungazwakala bubukhali, buhlaba, noma buthuntu .

Izici ezingavamile kangako

• Ukuzizwa unesizungu noma ulahlekelwa ukulawula umzimba wakho.
• Ukuquleka okungajwayelekile.
• Ukuba ndikindiki ezandleni zombili (lokhu kuyimpawu ebonakala kuphela ezinhlungwini zekhanda zesibili).

Kungani kuvela lolu hlobo lwekhanda?

Leli khanda liqala ngokuzumayo ngemva kwesenzo esinjengalesi:

• Uma ukhwehlela
• Lapho ingwenya ivuleka
• Uma ushaya ikhala lakho kakhulu
• Uma uzikhandla (isib., lapho uya endlini yokugezela, lapho uphakamisa into esindayo)
• Uma uhleka kakhulu
• Uma ukhala

Imbangela eyinhloko yekhanda elibuhlungu

Eqinisweni, imbangela eqondile yekhanda lokukhwehlela okuyinhloko ayikakaziwa. Kodwa ochwepheshe bacabanga lokhu: Uma sikhwehlela, ingcindezi esifubeni nasesiswini iyanda ngokuzumayo. Lokhu kucindezela kukhulisa ngqo ingcindezi ngaphakathi kobuchopho. Kukholakala ukuthi lokhu kwanda kwengcindezi kuyimbangela yalobu buhlungu.

Izimo ezingathi sína ezingabangela ikhanda lesibili

Yilapho-ke lapho kudingeka sigxilise khona ukunaka kwethu. Izinkinga zekhanda zesibili zibangelwa ukukhubazeka kwesakhiwo noma esinye isimo sezokwelapha ebuchosheni.

• Uhlobo lwe-Chiari malformation I: Lena yimbangela evame kakhulu. Kalula nje, lokhu kwenzeka lapho ingxenye yobuchopho, etholakala ngemuva kwekhanda lethu, isunduza phansi ngentambo yomgogodla. Lena yindawo elawula ibhalansi yomzimba wethu.
• Izimila zobuchopho
• Ukuncipha kwengcindezi ku-cerebrospinal fluid (CSF) ebuchosheni nasemgogodleni
• Lokhu ukuvuza kwe-CSF (ukuvuza koketshezi lomgogodla).
• Ukuqongelela ngokweqile koketshezi lwe-CSF ebuchosheni (i-hydrocephalus)
• I-cerebral aneurysm (imithambo yegazi ebuthaka ebuchosheni)
• Ukuqoqwa kwegazi ngaphandle kwezicubu zobuchopho (i-subdural hematoma)

Yiziphi izinkinga ezingabangelwa yilokhu?

Ubuhlungu bekhanda obubangelwa ukucindezeleka okuyinhloko bungaphazamisa imisebenzi yakho yansuku zonke, kanti ubuhlungu obungapheli bungaba nomthelela ongokwengqondo.

Kodwa khumbula, izimo ezibangela ikhanda lokukhwehlela okwesibili zingaba zimbi kakhulu, futhi ngezinye izikhathi zisongela nokuphila . Ngakho-ke uma uphathwa yikhanda ngokuzumayo ngaphandle kwesizathu, bheka udokotela ngokushesha.

Udokotela uhlonza kanjani lokhu?

Uma ubona udokotela, uzokuxilonga futhi akubuze ngezimpawu zakho. Isibonelo, ubuhlungu buqala nini, sebuthathe isikhathi esingakanani, nokuthi bukhulu kangakanani.

Ngemuva kwalokho, bazoyala ukuhlolwa ukuze bathole ukuthi lokhu kuyikhanda lesibili.

• Ukubhoboza kwe-lumbar (ukuhlolwa kokukhipha uketshezi emgogodleni)
• I-CT scan (i-computed tomography scan)
• Iskena se-MRI (magnetic resonance imaging)
• Ukuhlolwa kwegazi

Yiziphi izindlela zokwelapha leli khanda elibuhlungu?

Izindlela zokwelapha ziyahlukahluka kuye ngohlobo lwekhanda elibuhlungu.

Ukwelashwa kwekhanda eliyinhloko

Esikhathini esiningi, lolu hlobo lwekhanda luphela ngokwalo phakathi nemizuzu engaba ngu-30. Ngakho-ke akudingeki ukuthi uphuze imithi njalo. Kodwa-ke, uma uvame ukuthola lolu hlobo lwekhanda futhi kunzima ukulubekezelela, udokotela wakho angase akunike imithi okufanele uyiphuze nsuku zonke ukuze akuvimbele. Isibonelo:

• I-Acetazolamide
• I-Indomethacin
• I-Propranolol
• I-Topiramate

Ngaphambi kokuba uqale ukuthatha le mithi, udokotela wakho uzokuchazela imiphumela yayo emibi.

Ukwelashwa kwekhanda lesibili

Lolu hlobo lokwelashwa aluphathi ikhanda ngokwalo, kodwa luphatha isimo sezokwelapha esibangela lona. Ezimweni eziningi, kungase kudingeke ukuhlinzwa ukuze kulungiswe inkinga yesakhiwo ebuchosheni.

Ingabe lesi simo singavinjelwa?

Asikwazi ukuyeka ngokuphelele ukukhwehlela nokuthimula, akunjalo? Kodwa singazama ukulawula izimbangela eziyinhloko zekhanda elibuhlungu.

• Uma ukhwehlela njalo (isib. i-asthma, ukungezwani komzimba), bona udokotela bese uthola ukwelashwa okufanele.
• Khuluma nodokotela wakho ngezinto ezithambisa indle ukuze ugweme ukukhandleka lapho uya endlini yangasese.
• Buza udokotela wakho ukuthi ukukhwehlela kuyimiphumela emibi yanoma yimuphi umuthi owusebenzisayo njengamanje.
• Kungcono ukugwema ukuvivinya umzimba okunzima njengokuphakamisa izinsimbi.