I-Cluster isifo esibuhlungu siyinkinga enkulu. Ubuhlungu buqala ukuzwa ngokuzumayo futhi ngokushesha buba namandla kakhulu. Izimpawu ze-cephalalgia syndrome ezihlanganisiwe zifana nokubonakaliswa kwe- migraine , kodwa eqinisweni, uhlobo oluhluke ngokuphelele lwezinwele, futhi luphathwa ezinye izindlela.
I-Cluster ikhanda - kuyini?
Leli yizwi elithi syndrome lobuhlungu elibizwa ngokuthi igama. Ukuzwa okungajabulisi kuvela ezindaweni zokucubungula kobuchopho ezindongeni ze-skull. Njengomthetho, lapho ikhanda leqoqo leqoqo liqala, lithatha umuntu ukuba aphume esimweni esihle. Izimpawu ze-cephalgia zinamandla kangangokuba ezinye iziguli zicabanga ngisho nokuzama ukuzibulala.
Ukwazi ukuthi ubuhlungu bekhanda bunjani, ungaqhubeka nokutadisha izinhlobo zayo eziyinhloko. I-Cephalgia i-episodic futhi ingapheli. Lokhu kungase kungadluli iminyaka. Ubuhlungu be-cluster ye-cluster bukhathazeka isikhathi esilinganiselwe, ngemuva kwalokho luyeka. Nokho, phakathi kokuhlaselwa, iziguli aziqapheli izimpawu nhlobo.
I-pathogenisis yezinhloko zekhanda
Lolu hlobo lwe-cephalalgia aluyona into evamile kakhulu. Ngokwezibalo, ubuhlungu beqoqo buvela kubantu abathathu kwabayinkulungwane. Inkinga iyathinta abameleli bobulili obuhlukile, kodwa amadoda ahlupheka ngakho, njengomthetho, izikhathi ezinhlanu kaningi. Ukuhlaselwa kokuqala kungenzeka kunanoma yisiphi isikhathi, kodwa amathuba okuqala okuqala kuwo abantu kusukela eminyakeni engu-20 kuya kweyama-40.
Amakhanda e-Cluster phakathi nomjikelezo njalo kwenzeka ngesikhathi esifanayo, ngakho-ke ochwepheshe bafaka phambili inkolelo yokuxhumana kwayo nama-biorhythms abantu. Lezi zinsuku zisebenza ngokukhiqizwa kwamahomoni, izinga lokushisa, umsebenzi we-enzymatic nezinye izinqubo ezibalulekile zomzimba. Okokuqala, ukuhlaselwa kuyabalula, i-hypothalamus ithumela umqondo ohlelweni lwezinzwa, futhi imithwalo yegazi ithatha izibonakaliso ukwandisa.
Ngokokuqala ngqa i-headset cluster ingaqala ngenxa ye:
- ukucindezeleka ;
- imiphumela yotshwala;
- isimiso esimatasa;
- ukwamukela i-nitroglycerin neminye imithi;
- ukuphakamisa endaweni ephakeme kakhulu;
- iphunga elimnandi;
- Ikhanyisa kakhulu ukukhanya.
Amakhanda e-Cluster abangela
Izimbangela eziyinhloko zokuhlaselwa okuchazwe ngenhla yizici ezibangela ukuba ziqale. Izimbangela ze-syndrome ye-cephalgia ziyahlukahluka. Okuyinhloko kubo kuhlotshaniswa nazo zonke izinhlobo zokuphambuka emsebenzini wesistimu yezinzwa - njenge:
- okungavamile ku-hypothalamus;
- ukuvuvukala kwemizwa, amehlo athile, noma izitsha zegazi ezihlanjululwe;
- ukwephula ama-biorhythms avamile;
- ukuphazamiseka emsebenzini wesimiso somzwelo ozwelayo.
Ngaphezu kwalokho, i-headache eyinkimbinkimbi eningi ingase ixhomeke ebuhlotsheni kanye nasezizukulwaneni zomzimba. Ukubukeka kokuhlaselwa kwesinye isikhathi kuthinteka ukulimala kwekhanda nokuphazamiseka kokulala. Imithi kwakudingeka ibhekane namacala lapho i-cephalalgia ehlanganisiwe iqhutshwa ngokumelene nesimo sokuhluleka kwezinqubo ze-neurophysical zomzimba. Izisulu kuleli cala ezimweni eziningi zabesifazane ngesikhathi sokuya esikhathini, ukukhulelwa noma ngaphambi kokuya esikhathini.
I-Beam Headache Izimpawu
I-cephalgia enjalo ibhekwa njengesihlasela esibukhali esisodwa. Amandla ebuhlungu afinyelela ekuphakameni kwawo emaminithini ambalwa. Abaqashi bangenaso ukuhlaselwa. Njengomthetho, izinzwa ezingathandeki zivela endaweni yendlebe. Ngokushesha ubuhlungu beqoqo elisehlweni buqala ukunikeza. Ngenxa yomsindo oqhakazile uqala ukubhoboza, impumu, i- soundpho and photophobia , ukuvuvukala kwamajwabu amehlo. Iziguli eziningi zihlukumeza izihlathi zazo ngesikhathi sokuhlaselwa, zakha i-tachycardia, ziphakamisa izinga lokushisa nokuzikhukhumeza.
Zingaki izinhloko zekhanda ezidlulayo?
Ubude kanye nemvamisa yezinqamuko ziyahlukahluka kusuka kwesineke kuya kwesineke. Enye yekhanda lekhanda lihlupha imizuzu engu-10 kuya kwemibili, abanye kumele babhekane nokuhlaselwa kwamahora amaningana. Ukuzizwa kungaphindwa izikhathi eziningana ngosuku noma ngesonto. Izikhala phakathi kwazo nazo zihlukile. Kwezinye izimo, ikhanda le-cluster libuya izikhathi ezingu-2-3 ngonyaka, futhi kukhona nabanenhlanhla abakhohlwa ngakho iminyaka eminingana.
I-Cluster ikhanda - ukwelashwa
Ukwelapha kokuhlunguphaza kwesibhamu kusikisela:
- ukwelashwa okunzima - ukubopha ukuhlaselwa;
- ukwelashwa okuvimbela - ukunciphisa inani lokubuyiselwa kabusha nokuqedela ukuphela kokubanjwa esikhathini esizayo.
Izincomo zokuphatha ukuphathwa ikhanda - iziphi izidakamizwa okufanele zisebenzise - kufanele zinikezwe ochwepheshe. Ngaphezu kwemithi, ukuguquka kokuziphatha nokuphila kuzosiza ekuvimbeleni ukuhlaselwa. Abantu abajwayele ukugoba ubuhlungu, kufanele bazame ukugwema ukucindezeleka, ukunciphisa inani lokuphuza utshwala, uma kungenzeka, ukuyeka ukubhema (noma okungenani ushiye ugwayi ngesikhathi sokuqala kokuhlasela).
I-Cluster ikhanda - ukwelashwa kokuhlaselwa
Ukwelashwa okwenqabela ukuhlaselwa kubizwa ngokuthi yi-neutralizing. Ubuhlungu obukhulu kakhulu bezinhloko zekhanda buqedwa yi:
- ukwelapha oksijini (i-oxygen ehlanzekile idliwa ngesikhwama semaminithi angu-15);
- i-anesthetics yendawo (lidocaine);
- I-Ergotamine injection;
- i-compound esuselwa ku-pepper eshisayo - i-Capsaicin;
- ukusetshenziswa kwe-triptans.
I-Cluster ikhanda - ukwelashwa, izidakamizwa
Amathebulethi avela enhlokweni yamagundane ngezinhloso ze-prophylactic kufanele athathwe nsuku zonke phakathi kweqoqo ngalinye elibuhlungu. Okuthandwa kakhulu yimithi enjalo:
- Verelan. Iyanciphisa inani lokuhlaselwa. Kuyafaneleka ekuvimbeleni kokubili i-cephalalgia episodic and chronicle.
- I-Prednisone. I-corticosteroid ekhulula ubuhlungu be-syndrome, kodwa isikhathi esifushane kakhulu.
- I-Escalite ne-Lithobid. Zithonya iwashi lomzimba lomzimba futhi zenzelwe ubuhlungu obungapheli.
- Yehlisa noma i-Topamax. Zibekiwe kuphela uma yonke imithi ingasizi.
Amakhanda e-Cluster - ukwelashwa ngamakhambi abantu
Ekuhlaselweni kwezinqubo zokuphulukisa ezinye izinhlungu kusiza kakhulu, kodwa basiza ukubhekana nemiphumela yokuhlaselwa. Njengomkhuba wokubonisa, i-cluster cephalalgia ibekezelela kangcono uma imikhiqizo elandelayo ingeziwe ekudleni:
- Ipayipi le-Cayenne. Iqukethe inani elikhulu le-capsaicin - into eyenza izibonakaliso zobuhlungu zifike ebuchosheni obukhulu kakhulu, ngaleyo ndlela kuncishiswe ukuhlaselwa.
- Amahlamvu we-ginkgo. Zinezinhlobo eziningi ze-terpenoids, ezikhuthaza ukugeleza kwegazi ebuchosheni. Ngenxa yalokhu, ubuhlungu obubuhlungu buba kancane.
- Ama-Walnuts. Imithi yokwelapha enomusa. Amantongomane amabuhlungu e-syndrome aqeda ngenxa ye-hormone melatonin.
- I-Turmeric. Kuyindlela yokwelapha enhle kakhulu, okungekho emalini encane enganezelwa ekudleni okungenani nsuku zonke.
- Kudzu. Izimpande namaqabunga alo mmbila kubhekwa njengenye yezitshalo ezinamandla kunawo wonke. Basiza nge-cephalalgia ne-migraines ehlanganisiwe.
Ukuhlinzwa kwe-neurosurgical nge ubuhlungu beqoqo
Lena enye yezindlela zesimanje zokwelapha kwe-beam cephalalgia. Ungasusa kanjani ikhanda lezinhluzane ngosizo lwe-neurosurgical operation? Phakathi nenqubo, izimpande ze-trigeminal nerve - yiyona eyona enesibopho sokufeza izimpikiswano zobuhlungu - zibhujiswa. Ukusebenza kuhlasela kancane, kwenziwa ngaphandle kwe-anesthesia. Umthelela uvela emgodini we-3 mm ngaphansi kwe-skull. Ochwepheshe beqapha konke okusebenzayo ngomshini we-X-ray. Ukuvuselelwa emva kokungenelela okunjalo akudingeki, futhi isiguli sikhululwa ekhaya ngosuku olufanayo.