Ngezinye izikhathi siba nekhanda elibuhlungu eliphela ngemva kwesikhathi esithile? Awazi ukuthi ubuhlungu buye kuphi lapho uphuza iphilisi noma ulele isikhashana. Kodwa, cabanga ukuthi uhlangothi olufanayo lwekhanda lakho lubuhlungu njalo... hhayi usuku noma ezimbili, kodwa izinyanga. Ngezinye izikhathi ubuhlungu buba obungabekezeleleki. Lolu uhlobo lwekhanda elibuhlungu esizokhuluma ngalo namuhla elibizwa ngokuthi i-Hemicrania Continua. Nakuba leli igama ongase ungalijwayele ukulizwa, kunabantu emphakathini wethu abahlushwa yilesi simo. Ngakho-ke, ukuqaphela lokhu kungaba kubaluleke kakhulu kuwe nakubantu obathandayo.
Kalula nje, iyini i-Hemicrania Continua?
Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa incazelo yalo ilula kakhulu. Lakhiwe ngamagama amabili esiLatini. Igama elithi "Hemicrania" lisho "ingxenye yekhanda." Igama elithi "Continua" lisho "okuqhubekayo." Ngakho-ke, kalula nje, "ubuhlungu obuqhubeka ohlangothini olulodwa lwekhanda."
Odokotela bakubiza lokhu ngokuthi yisifo esiyinhloko sekhanda . Lokhu kusho ukuthi asikho isimo sezokwelapha esiyisisekelo (njengesimila sobuchopho noma ukutheleleka) esibangela ikhanda. Yisimo esiqala njengekhanda elibuhlungu. Ngakho-ke akusikho okufanele ukwesabe, kodwa kubaluleke kakhulu ukusibona bese siphathwa ngendlela efanele.
Kunezinhlobo ezimbili eziyinhloko zalokhu.
Ikhanda elibuhlungu le-Hemicrania Continua lingavela ngezindlela ezimbili eziyinhloko.
- Uhlobo olungapheli: Kulolu hlobo, uphathwa yikhanda njalo, njalo. Ubuhlungu buhlala njalo futhi akukho mpumuzo.
- Uhlobo lokudabuka: Kulolu hlobo, izinhlungu zekhanda zenzeka nsuku zonke cishe izinyanga eziyisithupha, bese kuba amasonto noma izinyanga ngaphandle kobuhlungu. Izinkinga zekhanda ziqala futhi. Kubonakala sengathi ziyafika zidlule.
Ziyini izimpawu zaleli khanda elibuhlungu?
Kunezici eziningana ezithile ezingahlukanisa lolu hlobo lwekhanda kwezinye izinhlungu zekhanda ezivamile. Ngizozibeka etafuleni elifana naleli ukuze kube lula ukuziqonda.
| Uhlobo lwesici | Incazelo |
|---|---|
| Izimpawu eziyinhloko | |
| Ubuhlungu ohlangothini olulodwa | Ubuhlungu buhlala buvela ohlangothini olufanayo lwekhanda nobuso. Uma bungakwesokudla, buhlala bungakwesokudla, futhi uma bungakwesokunxele, buhlala bungakwesokunxele. Uhlangothi alushintshi. |
| Ubuhlungu obungapheli | Lobuhlungu kufanele buhlale okungenani izinyanga ezintathu. Buhlala buzwakala njengobuhlungu obuncane nobuthambile . |
| Ukuhlaselwa ubuhlungu obukhulu | Ngaphezu kwalolo buhlungu obungapheli obungapheli, kukhona ubuhlungu obuhlabayo obuhlabayo izikhathi ezintathu kuya kwezihlanu ngosuku. Lokhu kungahlala imizuzu embalwa noma amahora ambalwa. |
| Izimpawu ezengeziwe ezihambisana nekhanda elibuhlungu (lezi nazo zenzeka ohlangothini olufanayo nobuhlungu) | |
| Izimpawu ezihlobene namehlo | - Ukubomvu kweso ohlangothini lobuhlungu. - Izinyembezi ziyageleza kulelo liso. - Ijwabu leso eligobile (i-Ptosis). - Ubunzima bokubheka ukukhanya (i-photophobia). |
| Izimpawu ezihlobene nekhala | - Ukuminyana kwamakhala ohlangothini lobuhlungu. - Impumulo egobhozayo kulolo hlangothi. |
| Ezinye izici | - Isicanucanu nokuhlanza. - Ubunzima bokuzwa imisindo emikhulu. |
Yiziphi izimo lapho ubuhlungu bungase bukhule khona?
Uma une-Hemicrania Continua, izinto ezithile zingabangela ukuthi ikhanda lakho elibuhlungu libe libi kakhulu ngokuzumayo. Izinto ezimbili eziyinhloko yilezi:
- Ukuphuza utshwala
- Ukuzibandakanya emisebenzini yomzimba enzima
Cabanga ngakho, ezinye izinhlobo zekhanda zivame ukuba zimbi kakhulu lapho ukucindezeleka kukhula, noma uma ungalali ngokwanele, akunjalo? Kodwa ngokumangazayo, lezi zinto azinawo umthelela omkhulu ekhanda elibuhlungu le-Hemicrania Continua. Leli iphuzu elibalulekile elisiza ekuxilongeni lolu hlobo lwekhanda elibuhlungu.
Kungani kuvela lolu hlobo lwekhanda?
Odokotela abakakazi kahle ukuthi yini ebangela la makhanda, kodwa ucwaningo lusikisela izinto ezimbalwa.
- Ukuvuvukala kwe-cavernous sinus: Lesi isikhala ngaphakathi kobuchopho bethu esivikela imithambo yegazi ebalulekile, imizwa, nezinto ezifana ne-pituitary gland. Kucatshangwa ukuthi ukuvuvukala kule ndawo kungaba yimbangela.
- Imithambo yegazi ebanzi: Ukwanda kwemithambo yegazi ehambisa igazi ebuchosheni kungaholela ekucindezelweni kwemizwa.
- Inkinga ngokusebenza kwe-trigeminal nerve: Lona umthambo oyinhloko othwala imizwa esuka ebusweni bethu uye ebuchosheni. Kusolwa ukuthi lobu buhlungu bungase bubangelwe ukungasebenzi kahle komsebenzi wawo .
Nakuba lesi simo singavela kunoma ubani, sivame kakhulu kwabesifazane .
Udokotela ukuxilonga kanjani lokhu?
Uma uya kudokotela onalezi zimpawu, into yokuqala azokwenza ukukuhlola ngokucophelela bese ekubuza ngezimpawu zakho. Uzokubuza imibuzo efana nokuthi kubuhlungu kuphi, ukuthi sekuphele isikhathi esingakanani, ukuthi ubuhlungu bunjani, nokuthi ubuhlungu buvame kangakanani ukuba nzima.
Udokotela wakho angase akucele ukuthi ugcine idayari yokubhala ikhanda ukuze akusize. Kubaluleke kakhulu. Bhala phansi izinto ezilandelayo kuyo:
- Usuku nesikhathi lapho ikhanda liqala khona.
- Kulapho kubuhlungu khona ekhanda.
- Ngiyazibuza ukuthi ubuhlungu bukhuphuke yini ngemva kokwenza okuthile.
- Ubuhlungu obukhulu buhlale isikhathi esingakanani?
- Zikhona yini ezinye izimpawu ezifana nokucanuzela kwenhliziyo noma amehlo anamanzi kanye nekhanda elibuhlungu?
Ngalolu lwazi, udokotela wakho angathola umbono ongcono ngesimo sakho. Ngaphezu kwalokho, bangase ba-ode i-CT scan (i-computed tomography scan) noma i-MRI scan (i-magnetic resonance imaging scan) ukuqinisekisa ukuthi azikho ezinye izinkinga ngobuchopho bakho.
Yikuphi ukwelashwa okungcono kakhulu kwe-Hemicrania Continua?
Into engcono kakhulu ngaleli khanda elibuhlungu ukuthi linokwelashwa okuphumelelayo kakhulu. Umuthi oyinhloko nosebenza kahle kakhulu kulokhu yi- Indomethacin .
I-Indomethacin umuthi osesigabeni semithi ebizwa ngokuthi izidakamizwa ezingezona eze-steroidal anti-inflammatory (NSAIDs). Isebenza ngokunciphisa ukuvuvukala nobuhlungu emzimbeni.
Ngokuvamile, udokotela uzokutshela ukuthi uthathe lo muthi ngomthamo ophansi kathathu ngosuku. Kubaluleke kakhulu ukuthatha lo muthi nokudla . Ngaphandle kwalokho, izinto ezifana nokuphazamiseka kwesisu zingenzeka. Ngokumangazayo, phakathi nosuku olulodwa noma ezimbili zokuqala lo muthi, ubuhlungu babantu abaningi busuke buphelile ngokuphelele. Ungalindela imiphumela emihle ngokuqinisekile phakathi nesonto.
Uma ikhanda lakho seliphelile ngokuphelele, udokotela wakho uzonciphisa kancane kancane umthamo wemithi yakho. Umgomo wakhe ukukunikeza umthamo ophansi kakhulu ozolawula izimpawu zakho.
Masiqaphele nemiphumela emibi ye-Indomethacin.
Njengayo yonke imithi, lena ingaba nemiphumela emibi emincane, kodwa akuwona wonke umuntu oyitholayo.
| Imiphumela emibi ye-Indomethacin | |
|---|---|
| Imiphumela emibi evame ukubonwa | |
| Ukuqunjelwa | Uhudo |
| Isiyezi | Ukukhala ezindlebeni |
| Ukuhlanza | |
| Imiphumela emibi kakhulu okufanele icatshangelwe futhi ibikwe kudokotela ngokushesha | |
| Ukwanda kwesilinganiso senhliziyo | Ukuhlungu obusemhlane |
| Ubunzima bokuphefumula (ukuphelelwa umoya) | Imfiva |
| Ubuhlungu lapho uchama (i-dysuria) | Ukuqubuka kwesikhumba, ukulunywa, amathumba |
| Ubuhlungu obukhulu besisu | Ukuvuvukala komzimba |
| Izinguquko zombono | |
Ingabe zikhona ezinye izindlela uma i-Indomethacin ingasebenzi?
I-Indomethacin ivame ukulawula lesi simo. Kodwa-ke, abanye abantu bangase bangakwazi ukuyithatha ngenxa yemiphumela emibi. Uma kunjalo, udokotela wakho angase atuse eminye imithi.
- I-Amitriptyline
- Ama-Corticosteroids
- Ama-inhibitor e-COX-2 (isb. i-celecoxib)
- I-Gabapentin
- I-Melatonin
- I-Topiramate
- I-Naproxen
Ngaphezu kwale mithi, kwezinye izimo, udokotela angase acabangele nezinye izindlela zokwelapha, njengemijovo ye-botulinum toxin-A kanye nokuvuselelwa kwemizwa ye-vagus.
Ingabe lesi simo siyingozi? Siyini isimo?
Lokhu kuyinto ebaluleke kakhulu. I-Hemicrania Continua akuyona inkinga eyingozi noma esongela ukuphila. Futhi, akuyona uphawu lwanoma yisiphi esinye isifo esibi. Ngakho-ke ungesabi.
Kodwa-ke, yilabo kuphela abaye babhekana nalolu hlobo lobuhlungu obungapheli abaziyo ukuthi kunzima kangakanani ukuphila nabo. Kungaba nzima ukwenza imisebenzi yakho yansuku zonke nokucabanga kahle. Ukuba nobuhlungu obungapheli kungathinta nempilo yakho yengqondo.
Ukuphila nalolu buhlungu obungapheli kungaba yinto ekhungathekisayo kakhulu. Ungase uzizwe ungathandi ukuvuka embhedeni, ukuya emsebenzini, noma ukuhleka nokuxoxa nabangani. Ngisho nokwenza imisebenzi elula kungazwakala sengathi kufanele usebenze kanzima kabili uma usezinhlungwini.
Kodwa izindaba ezinhle ukuthi lesi yisimo esingelapheka kakhulu . Ngokusebenzisana nodokotela wakho ukuthola ukwelashwa okufanele kanye nomthamo ofanele, ungabuyela empilweni yakho evamile ngaphandle kokuphazamiseka.
Umlayezo Wokuya Nawe Ekhaya
- I-Hemicrania Continua ubuhlungu obuqhubekayo, obuhlabayo ohlangothini olulodwa lwekhanda. Bungahambisana nokuhlaselwa okunzima.
- Izimpawu ezifana nokubomvu kweso ohlangothini lobuhlungu, ukudabuka, kanye nokuminyana kwamakhala nakho kuvame ukubonakala ngalokhu.
- Lesi simo asisongeli impilo, futhi asisona uphawu lwesinye isifo esibi kakhulu.
- Ukwelashwa okuyinhloko nokuphumelela kakhulu kwalokhu umuthi i-Indomethacin.
- Uma unekhanda elibuhlungu eliqhubekayo njengaleli, sicela ungalishayi indiva bese uthintana nodokotela ofanelekayo, noma "udokotela" wakho. Ngokuxilonga nokwelashwa okufanele, ungalulama ngokuphelele.
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