Ingabe uphuza njalo imithi yokwelapha ikhanda elibuhlungu? Bese ufunda ngaleli khanda elisha elibuhlungu! (Ubuhlungu obubuyela emuva / Imithi Isebenzisa Kakhulu Ikhanda Elibuhlungu)

Ingabe uvame ukubhekana nekhanda elibuhlungu? Kuvamile ukuthi sithathe umuthi noma umuthi wokuqeda ubuhlungu ngethemba lokukhululeka ngokushesha ngezikhathi ezinjalo. Kodwa, bewazi ukuthi ngezinye izikhathi, ukusebenzisa ama-painkiller kaningi futhi ngokweqile kungenza ikhanda libe libi kakhulu futhi kuqale uhlobo olusha lwekhanda elibuhlungu? Yingakho ngokwezokwelapha sikubiza ngokuthi 'Medication Overuse Headaches'. Kodwa ngolimi oluvamile, lokhu kwaziwa ngokuthi 'Rebound Headaches'. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini 'Amakhanda Abuyela Emuva'? Masikuqonde kalula!

Kalula nje, 'Izinhlungu Zekhanda Ezibuyela Emuva' uhlobo lwekhanda elingase livele uma uphuza imithi eminingi kakhulu yekhanda lakho. Lokhu kuvame ukuba yisimo sesibili. Lokhu kusho ukuthi uma usuvele unolunye uhlobo lwekhanda elibuyela emuva, njengekhanda elibuyela emuva, ungaba 'nekhanda elibuyela emuva' ngokuthatha imithi yalelo khanda njalo. Lesi simo sivame kakhulu kubantu abanekhanda elibuyela emuva.

Lokhu kubizwa ngokuthi 'i-Rebound' ngenxa yendlela okwenzeka ngayo. Cabanga ngale ndlela: uma uthatha umuthi wekhanda, ubuhlungu buyaphela bese uzizwa ukhululekile. Kodwa, njengoba umuthi uphela, ubuhlungu "buyabuya". Ngokuvamile , ubuhlungu buba bubi kakhulu futhi buqine kakhulu kunangaphambili. Yingakho bubizwa ngokuthi 'i-Rebound Headache.'

Lesi simo singabangelwa yinoma yimuphi umuthi onikezwa imithi yokwelapha ikhanda elibuhlungu. Lokho kusho ukuthi kungenzeka hhayi kuphela ngemithi kadokotela, kodwa futhi nangamaphilisi okudambisa ubuhlungu atholakala ngaphandle kwemithi kadokotela. Kodwa-ke, eminye imithi, ikakhulukazi leyo equkethe izinto ezilawulwayo "ama-opioid" kanye "nama-Barbiturates", ingase ibangele "amakhanda abuyela emuva".

Zivame kangakanani lezi 'zinhlungu zekhanda ezibuyela emuva'?

Ikhanda elibuhlungu elibuyela emuva alivamile kakhulu, kodwa livamile kubantu emhlabeni wonke. Ochwepheshe balinganisela ukuthi cishe u-1% wabantu emhlabeni wonke ubhekene nalesi simo. Eminye imibiko isukela ku-0.5% kuya ku-2.6%. Lesi simo sivame kakhulu kwabesifazane.

Ziyini izimpawu 'zobuhlungu bekhanda obubuyela emuva'?

Ikhanda elibuyela emuva liyisimo esivamile esenzeka kubantu abanekhanda elibuhlungu noma ikhanda elifana nokucindezeleka. Izimpawu zalezi khanda elibuyela emuva zenzeka kanye nezimpawu zekhanda oke waba nalo ngaphambili. Lokhu kufaka phakathi:

• Ikhanda elibuhlungu kakhulu.
• Ukuzizwa unesicanucanu.
• Ukukhathala, ukukhathala.
• Ubunzima bokugxila entweni ethile.
• Izinkinga zememori.
• Ukucindezeleka, ukukhathazeka, noma ukuhlaselwa uvalo.

Kukhona futhi iphethini yalolu daba lwekhanda:

• Lobuhlungu buqala uma uvuka ekuseni noma ngemva nje kokuvuka.
• Uma ngithatha umuthi, uyaphela isikhashana, kodwa uma umuthi uphela, ubuhlungu buyabuya.
• Ubuhlungu obubuyayo ngemva kokuphela komuthi bungase bube bubi kakhulu kunangaphambili.
• Uma lokhu kwenzeka, akukho mithi oyiphuzayo ezoba nenzuzo enkulu.

Cabanga nje, uKamala uphathwa yikhanda elibuhlungu njalo. Njalo ekuseni lapho evuka, ikhanda lakhe lizwakala lisinda futhi libuhlungu. Uma ephuza umuthi, uyaphela isikhashana, kodwa uma umuthi uphela, ubuhlungu bubuya buqine kunangaphambili. UKamala angase abe nesimo esibizwa ngokuthi 'i-Rebound Headache'.

Kungani kwenzeka lezi 'zinhlungu zekhanda ezibuyela emuva'? Ziyini izimbangela?

'Izinhlungu zekhanda ezibuyela emuva' zenzeka uma usebenzisa imithi eminingi kakhulu yekhanda lakho, ngokuvamile kaningi kakhulu. Nakuba noma yimuphi umuthi wekhanda ungabangela lesi simo, eminye imithi ingase ibangele ngokushesha okukhulu.

Lezi izinhlobo zemithi engabangela 'ikhanda elibuhlungu elibuyela emuva':

• `(Ama-opioid)` (Ama-opioid) kanye nemithi ehlanganisiwe equkethe ama-opioid.
• Imithi ehlanganisiwe equkethe `(i-Barbiturate)`.
• I-Ergotamine kanye nemithi ehlanganisiwe equkethe i-ergotamine.
• Imithi ehlanganisiwe ye-Acetaminophen-aspirin-caffeine.
• Ama-Triptan ayiqembu lezidakamizwa.
• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID). Izibonelo: i-ibuprofen, i-diclofenac.
• I-Acetaminophen (eyaziwa ngamagama omkhiqizo njengePanadol®).
• `(Abaphikisi be-peptide ehlobene nezakhi zofuzo ze-Calcitonin (CGRP))` (Abaphikisi be-peptide ehlobene nezakhi zofuzo ze-Calcitonin).

Ukuze ube nalezi 'zinhlungu zekhanda ezibuyela emuva', kumele ukuthi usebenzise le mithi okungenani izinsuku ngenyanga. Inani lezinsuku liyahlukahluka kuye ngemithi.

Izinguquko ekulawuleni isignali yobuhlungu (Ukuhlanganisa ubuhlungu)

Nakuba lokhu kungase kuzwakale kuyinkimbinkimbi, ochwepheshe bakholelwa ukuthi impendulo elula iwukuthi indlela imizimba yethu ebona ngayo ubuhlungu, indlela izimpawu zobuhlungu ezidluliselwa ngayo, iyashintsha. Uma sinobuhlungu obungapheli, indlela imizimba yethu ecubungula ngayo izimpawu zobuhlungu iyashintsha. Lokhu kwenza kube lula ukuthi izimpawu zobuhlungu zenzeke, noma indlela esizizwa ngayo ubuhlungu iyashintsha (buzwakala bukhulu kakhulu kunangaphambili, noma izinto ezingazange zilimaze ngaphambili).

Futhi, uma uphuza imithi yobuhlungu njalo, indlela umzimba wakho ophatha ngayo izimpawu zobuhlungu iyashintsha. Ngakho-ke ungase uzizwe ukhululekile ukusebenzisa imithi futhi udinga imithamo ephezulu. Noma uhlelo lwakho lwezinzwa lungashintsha indlela oluphatha ngayo izimpawu zobuhlungu. Kudingeka ucwaningo olwengeziwe ukuze kutholakale ukuthi lezi zinto zinegalelo yini ebuhlungu bekhanda obubuyela emuva.

Ubani osengozini enkulu yokuba 'nekhanda elibuhlungu elibuyela emuva'?

Ikhanda elibuhlungu elibuyela emuva livame kakhulu kwabesifazane, ikakhulukazi labo abaneminyaka ephakathi kuka-30 no-50. Lokhu okulandelayo nakho kusengozini enkulu:

• Abantu abane-`(Metabolic syndrome)`.
• Abantu abadla ama-milligram angaphezu kuka-200 e-caffeine ngosuku.
• Abantu abanezinkinga zempilo yengqondo, ikakhulukazi ukucindezeleka, ukukhathazeka, ukuphazamiseka kokwethuka, kanye nesifo sokucindezeleka ngemva kwenhlekelele (PTSD).
• Abantu abaluthayo ekusebenziseni ugwayi (isifo sokusetshenziswa kukagwayi).
• Abantu abanomlando womndeni 'we-Rebound Headaches' noma isifo sokusebenzisa izidakamizwa/isifo sokusebenzisa utshwala.

Yiziphi izinkinga zalesi simo?

Kunezinkinga eziningana ezingase zenzeke ngenxa 'yekhanda elibuyela emuva':

• Ukuba yi-migraines engapheli.
• Ukuthembela emithini, ikakhulukazi ezintweni ezilawulwayo.
• Ukuthatha umuthi omningi kakhulu kungabangela ubuthi noma ukudlula ngokweqile.
• Izinkinga ezibangelwa ama-NSAID, isibonelo, izilonda zesisu kanye nokopha kwamathumbu okuphezulu.
• Izimpawu 'zobuhlungu bekhanda obubuyela emuva' ziba zivamile noma zibe zimbi kakhulu.

Ungayibona kanjani 'ikhanda elibuhlungu elibuyela emuva'?

Udokotela angakwazi ukuthola 'Izinhlungu Zekhanda Ezibuyela Emuva' ngokwemigomo Yokuhlukaniswa Kwamazwe Ngamazwe Kwezinkinga Zekhanda. Lezi zindlela yilezi:

• Ukuba nekhanda elibuhlungu okungenani izinsuku ezingu-15 ngenyanga, uma kuqhathaniswa nekhanda elibuhlungu elivele likhona.
• Ukusebenzisa imithi njalo ukwelapha ikhanda okungenani izinyanga ezintathu.
• Lokhu kukhanda ikhanda akuhambelani kahle nanoma yisiphi esinye isimo sezokwelapha noma imbangela.

Okwamanje azikho izivivinyo ezithile ezingahlonza 'ikhanda elibuyela emuva'.

Ungayiphatha kanjani 'ikhanda elibuhlungu elibuyela emuva'? Ingabe ikhona ikhambi laphakade lalokhu?

Ikhanda elibuhlungu elibuyela emuva liyisimo esingelapheka kakhulu. Nakuba kungekho "ikhambi" eliqinisekile lazo, ukwelashwa kungasiza ekuziqedeni ngokuphelele.

Izinketho zokwelapha zifaka:

1. Ukumisa imithi noma imithi ebangela ikhanda elibuhlungu elibuyela emuva: Lesi yisinyathelo esibaluleke kakhulu ekwelapheni ikhanda elibuyela emuva. Ukuze lokhu kusebenze kahle, imithi okukhulunywa ngayo kumele iyekwe ngokuphelele. Kweminye imithi, ikakhulukazi ama-opioid noma ama-barbiturates, udokotela wakho uzonciphisa kancane kancane umthamo wakho ukuze asize ekuvimbeleni izimpawu zokuhoxa.Udokotela wakho uzokuqondisa ukuthi ungayeka kanjani ngokuphepha ukuthatha lo muthi.

2. Imithi Ehlukile: Ngesikhathi uyeka imithi ebangela ikhanda lakho elibuyayo, ungasebenzisa eminye imithi ukulawula izimpawu zekhanda lakho. Le mithi ibizwa ngokuthi imithi ye-bridge. Le mithi isebenza ngendlela ehlukile kunemithi ebangela ikhanda lakho elibuyayo. Izibonelo zifaka phakathi imijovo ye-Onabotulinumtoxin A (eyaziwa nangokuthi i-Botox®), ama-NSAID asebenza isikhathi eside (njenge-naproxen), noma imithi yokuvimbela ukuquleka (njenge-topiramate).

3. Ukwelashwa okungewona umuthi: Lokhu kusiza umzimba nengqondo yakho ukuthi ivumelane nezinguquko ekwelashweni. Lokhu kubaluleke kakhulu uma unezimpawu ezifana nokukhathazeka noma ukucindezeleka. Lokhu kufaka phakathi ukwelashwa kwengqondo, i-biofeedback, i-hypnotherapy, kanye nokuqeqeshwa kokuphumula. Ukwelashwa ngempilo yengqondo, ikakhulukazi lokho okukusiza ukunciphisa amazinga akho okucindezeleka, kungasiza ekuvimbeleni ikhanda elibuyayo ukuthi lingabuyi esikhathini esizayo.

Into ebaluleke kakhulu ukuthi, ungayeki noma uqale imithi ngendlela othanda ngayo ngaphandle kweseluleko sikadokotela. Yenza konke ngaphansi kokuqondisa kukadokotela.

Yiziphi izinkinga/imiphumela emibi yokwelashwa?

Omunye umphumela ongase ube khona wokwelashwa ukwanda kwesikhashana kwezimpawu zekhanda. Lo mphumela ongase ube khona ungancishiswa ngokunciphisa ngokucophelela nangokucophelela inani lemithi oyithathayo njengamanje ('ukunciphisa'). Futhi, ukusebenzisa 'iMithi yeBridge' noma eminye imithi eshiwo ngaphambilini kungasiza ngalokhu.

Uma imithi oyithathayo ilutha, njenge-opioid noma i-barbiturates, ungase ube nezimpawu zokuhoxa uma uyeka ukuyithatha. Udokotela wakho uvame ukukusiza ukuthi ugweme lokhu ngokunciphisa kancane kancane umthamo wakho.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi sokululama sincike ohlotsheni lomuthi owusebenzisile, umthamo owusebenzisile, kanye nezinye izici eziningana. Udokotela wakho angachaza kangcono isikhathi sakho sokululama nokuthi yini ongayenza ngakho.

Kwenzekani uma ngine-'Rebound Headaches'?

Uma une-'Rebound Headaches', ungalindela umjikelezo wekhanda elibuhlungu ozoba mubi kakhulu uma nje uqhubeka nokuthatha umuthi obangela i-'Rebound'. Ukuze ulungise lesi simo, kubalulekile ukuyeka umuthi noma imithi ebangela i-'Rebound Headaches'.

Kuthatha isikhathi esingakanani 'ubuhlungu bekhanda obubuyela emuva'?

Ikhanda elibuhlungu elibuyela emuva lingahlala isikhathi eside uma nje uphuza imithi ebangela lona. Ubude besikhathi ikhanda elibuhlungu elihlala ngaso bungahluka, futhi kunezici eziningi ezingathinta ukuthi lihlala isikhathi esingakanani. Udokotela wakho angachaza kangcono ukuthi yini ongayilindela ekhanda lakho elibuhlungu.

Kuthatha isikhathi esingakanani ukuthi 'ikhanda elibuhlungu' liphele?

Iningi labantu lizobona ikhanda labo elibuhlungu liphela futhi liphele zingakapheli izinyanga ezimbili. Ezimweni ezimbi kakhulu, kungathatha izinyanga eziyisithupha. Phakathi naleso sikhathi, udokotela wakho uzokusiza ukuphatha izimpawu zakho futhi anciphise umthelela wazo kuwe. Bazophinde baqaphe izimpawu zakho njengoba kudingeka ukuqinisekisa ukuthi ukwelashwa kwakho kuyasebenza.

Iyini inhloso ye-'Rebound Headaches'?

Umbono wekhanda elibuhlungu elibuyela emuva ngokuvamile muhle, ikakhulukazi uma ulibona kusenesikhathi bese uthola ukwelashwa.

Ukwelashwa kuvame ukuphumelela ekusizeni abantu abanalesi simo. Kodwa-ke, lesi simo singaphinde sibuyele esimweni saso futhi ikhanda lingabuya. Uma uzizwa sengathi uyaphinda ubuyele esimweni saso, kubalulekile ukukhuluma nodokotela wakho ngokushesha okukhulu. Ukwelapha 'ikhanda elibuyela esimweni salo' kusenesikhathi kunganciphisa isikhathi esisithathayo ukuze ululame futhi kwenze kube lula.

Uma ingelashwa, noma uma ukwelashwa kwephuza, isimo asisihle. Ikhanda elibuyela emuva lingaba nomthelela omubi kakhulu ezingeni lempilo yakho. Futhi, uma uqhubeka nokusebenzisa umuthi obangela ikhanda lakho elibuyela emuva, kuzoba nzima ukululama. Yingakho ukuxilongwa kusenesikhathi kanye nokwelashwa kubaluleke kangaka.

Ingabe Ubuhlungu Bekhanda Obubuyela Emuva Bungavinjelwa?

Yebo, 'Izinhlungu Zekhanda Ezibuyela Emuva' ziyisimo esingavinjelwa kakhulu. Isihluthulelo siwukunciphisa inani lanoma yiluphi uhlobo lwemithi yekhanda oyisebenzisayo.

Kwabanye abantu, ikhanda elibuhlungu – ikakhulukazi i-migraine (ebangela u-80% wekhanda elibuhlungu elibuyayo) – alinakugwenywa. Noma ubani oke waba ne-migraine uyazi ukuthi akuyona nje ubuhlungu obungathandeki. Kungaba kusukela ekucasuleni kancane kuya ekusongeleni impilo. Ngaphandle kokwelashwa, abanye abantu bamane balale ekamelweni elimnyama, elithule kuze kube yilapho i-migraine iphela.

Ubuhlungu bekhanda obubuyela emuva abuyona into enhle, kodwa ubuhlungu bekhanda obuphindaphindayo abulungile. Ngenhlanhla, ukwelashwa okusha (ikakhulukazi ukwelashwa kokuvimbela) kuvule ithuba lokuvimbela ubuhlungu bekhanda obuphindaphindayo noma ukunciphisa ubuningi babo. Lokhu kwelashwa kungasiza ekunciphiseni inani le-migraine oyitholayo. Ungakhuluma nodokotela wakho ngezinto ezibangela ubuhlungu bekhanda obuphindaphindayo bese uzigwema.

Lokhu kuzokusiza ukunciphisa inani lezikhathi okudingeka uthathe ngazo imithi "yokusindisa" ukuze umise ikhanda lakho elibuhlungu. Lokho kungase kwanele ukuvimbela ikhanda elibuhlungu elibuyayo.

Okubalulekile: Kufanele ulandele njalo imiyalelo kadokotela wakho mayelana nomthamo kanye nokuvama kokuthatha imithi yakho. Lokhu kubalulekile ukusiza ekuvimbeleni 'ikhanda elibuhlungu elibuyela emuva'. Ungathathi imithi eminingi kunalokho okunconywa udokotela wakho - ngisho nemithi ethengiswa ngaphandle kwemithi kadokotela.

Ngizinakekela kanjani?

Uma une-'rebound headaches', kubalulekile ukulandela imiyalelo kadokotela wakho yokuthi ungayelapha kanjani. Enye yezinto ezibaluleke kakhulu kulolo hlobo lokwelashwa ukuyeka ukusebenzisa imithi noma izidakamizwa ezibangele 'rebound headaches' kwasekuqaleni. Ukwenza kanjalo kuzosiza ukuthi ubuhlungu bekhanda buphele ngokushesha.

Kufanele ngimbone nini udokotela wami?

Uma welapha ikhanda elibuhlungu elibuyela emuva, kufanele ubonane nodokotela wakho njengoba kunconywa. Kufanele futhi ubonane nodokotela wakho uma ubona noma yiziphi izinguquko ekuvameni noma ezimpawini zekhanda lakho, noma uma izimpawu zakho zishintsha kuze kube yilapho ziphazamisa imisebenzi yakho yansuku zonke.

Ikhanda elibuhlungu elibuyela emuva aliyona ingozi ngokwalo. Kodwa-ke, eminye imithi abanye abantu abayithathayo ukuze bayelaphe ingaba yingozi.

Kuzwakala kanjani 'ikhanda elibuhlungu elibuyela emuva'?

Ikhanda elibuhlungu elibuyela emuva lizwakala njengekhanda elalibuhlungu owawunalo ngaphambili. Kodwa-ke, livame ukuba libi kakhulu kunelangaphambilini. Ungase futhi ube nezimpawu ezengeziwe, njengokukhathazeka noma ukucindezeleka.

Ingabe i-Caffeine Yenza Ubuhlungu Bekhanda Obubuyela Emuva Bube Bubi Kakhulu?

Yebo, uma udla ama-milligram angaphezu kuka-200 e-caffeine ngosuku. Ukunciphisa ukudla kwakho i-caffeine kungandisa amathuba okuba ukwelashwa kwakho kuphumelele futhi kunciphise ubukhali be-'rebound headaches'.

Uma unesifo sobuhlungu bekhanda noma i-migraine esinzima, esiphindaphindayo, noma kokubili, umcabango wokungabi namithi yokuyelapha ungase ungabekezeleleki. Kodwa-ke, kunezinye izindlela zokwelapha i-migraine yakho. Lokhu kungakusiza ukunciphisa isidingo semithi engabangela 'ikhanda elibuyela emuva'.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Mngani othandekayo, ngithemba ukuthi usuyaqonda kangcono lesi simo esibizwa ngokuthi 'Rebound Headaches'. Khumbula, akuwona umkhuba omuhle ukuthatha imithi yobuhlungu bekhanda ngaso sonke isikhathi. Ukwenza kanjalo kungenza ikhanda lakho elikhona libe libi kakhulu, okuholela kulezi ezibizwa ngokuthi 'Rebound Headaches'.

• Uma uphathwa yikhanda njalo futhi usuthathe imithi izinsuku eziningana zilandelana, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
• Ungandisi umthamo wemithi noma uyithathe kaningi kunalokho ozizwa ukhululekile ngakho, ngaphandle kokuthi udokotela wakho akunike umyalelo.
• Uma kutholakala ukuthi unesifo 'sekhanda elibuyela emuva', ungesabi. Kunezindlela ezinhle zokwelapha lesi simo. Into eyinhloko ukuyeka ukuthatha imithi ebangele lesi simo.
• Lesi simo singalapheka ngokuphelele ngezindlela zokwelapha ezihlukile kanye nokushintsha indlela yokuphila ngokweseluleko sezokwelapha.

Ngokwelashwa okufanele, awukwazi nje ukuqeda 'amakhanda abuyela emuva', kodwa futhi ugweme nemithi ebangela lawo. Ngemuva kwalokho ungenza umsebenzi wakho futhi uphile impilo yakho ngendlela oyifunayo, ngaphandle kokuvinjelwa yizimpawu zakho zekhanda. Ngikufisela ukululama okusheshayo!

Ikhanda elibuhlungu, izinhlungu zobuhlungu, ikhanda elibuyayo, i-migraines, ukusetshenziswa kabi kwemithi, ikhanda elibuhlungu, iseluleko sezokwelapha