Intloko yeCluster yinto enkulu. Ubuhlungu buqala ukuvezwa ngokukhawuleza kwaye ngokukhawuleza luba namandla kakhulu. Iimpawu zohlobo lwe-cephalalgia syndrome zifana nezibonakaliso ze- migraine , kodwa enyanisweni, luhlobo oluhluke ngokupheleleyo lweentloko, kwaye luphathwa ngezinye iindlela.
Intloko yeentloko - yintoni na?
Eli lizwi elibizwa ngokuba yi-syndrome yesifo. Ukuvakalelwa okungajabulisi kuvela kwiindawo zokubonakalisa kwengqondo kwiindonga zekhanga. Njengomthetho, xa iqela leentloko liqala, kuthatha umntu ngaphandle koxolo. Iimpawu ze-cephalgia zinamandla kangangokuthi ezinye izigulana zicinga nokuba zizama ukuzibulala.
Ukwazi ukuba yintoni intloko yentloko, unokuqhubeka ufunda iindidi zayo eziphambili. I-Cephalgia i-episodic kwaye ingapheliyo. Ezi zilandelayo zingadluli iminyaka. Iintlungu zesigxathu se-episodic ezixhalabisa ixesha elide, emva koko liyeke. Nangona kunjalo, phakathi kokuhlaselwa, izigulane aziboni naziphi na izimpawu.
I-pathogenesis yeentloko zentloko
Olu hlobo lwe-cephalalgia alona luhlobo oluqhelekileyo. Ngokwezibalo, iintlungu zentloko zenzeka kubantu abathathu baphuma kwiwaka. Ingxaki ichaphazela abameli bezesondo ezahlukeneyo, kodwa amadoda ahlupheke kuwo, njengomthetho, amaxesha amaninzi amahlanu. Ukuhlaselwa kokuqala kunokwenzeka nakweyiphi na iminyaka, kodwa kunokwenzeka ukuba kuvela kubantu kubantu abaneminyaka engama-20 ukuya kuma-40.
I-Cluster intloko ngexesha lo mjikelo uhlala ngexesha elifanayo, ngoko iingcali zibeka phambili ingcamango yoxhumano lwayo nama-biorhythm. Ezi zilandelayo zijongene nokuveliswa kwamahomoni, iqondo lokushisa, umsebenzi we-enzymatic kunye nezinye iinkqubo ezibalulekileyo zomzimba. Ekuqaleni, ukuhlaselwa kukuwaphula, i-hypothalamus ithumela iimpembelelo kwinkqubo yeentlanzi, kwaye imithwalo yegazi ithatha ukuba ibe neminwe yokwandisa.
Ngethuba lokuqala i-headset cluster ingaqala ngenxa ye:
- uxinzelelo ;
- iziphumo zotywala;
- ixesha elixakekileyo;
- kwamkela i nitroglycerin kunye namanye amayeza;
- ukuphakamisa kwindawo ephakamileyo;
- livumba elimnandi;
- ukhanyise kakhulu ukukhanya.
Intloko yentloko yeCluster ibangela
Iziphumo ezibalulekileyo zokuhlaselwa ezichazwe ngasentla zizinto ezibangela ukuba ziqalise. Izizathu ezenza i-syndrome ye-cephalgia ihluke. Ingundoqo yazo idibaniswa nazo zonke iintlobo zokuphambuka emsebenzini wenkqubo ye-nervous - efana ne:
- ukungaqhelekanga kwi-hypothalamus;
- ukuvuvukala kwamathambo, amehlo ekhoyo, okanye imitha yegazi ehlanjululwayo;
- ukuphulwa kwezinto eziqhelekileyo ze-biorhythms;
- ukuphazamiseka emsebenzini wesistim se-nervous.
Ukongezelela, i-headache echaphazelekayo inokuxhomekeka kwi-heredity and genetic component. Ukubonakala kwehlaselo ngamanye amaxesha kuchaphazeleka yintlungu kunye neengxaki zokulala. Amachiza ayefanele ajongane namatyala xa i-cephalalgia ehlanganisiweyo yenzelwe imvelaphi yokungaphumeleli kwinkqubo ye-neurophysical yomzimba. Amaxhoba kule meko kwiimeko ezininzi bebesetyhini ngexesha lokuyeka umama, ukukhulelwa okanye ngaphambi kokuya esikhathini.
Iimpawu zeentloko zesifo
I-cephalgia enjalo ibonakaliswa njengehlaselo elilodwa elibukhali. Amandla entlungu afikelela kwindawo ephezulu kwiminithi embalwa. Abaqulunqanga abanakho ukuhlaselwa. Njengomthetho, iimvakalelo ezingamnandi zivela kwindawo yendlebe. Ngokukhawuleza ubuhlungu beqoqo ehlokweni luqala ukunika. Ngenxa yovakalelo oluqhaqhaqalayo luqala ukukrazula, impumlo ephilileyo, isandi kunye ne- photophobia , ukuvuvukala kweentloko zeentloko. Izigulane ezininzi zidibanisa izihlathi zabo ngexesha lokuhlaselwa, zivelisa i-tachycardia, ziphakamisa ubushushu kunye nokukhupha.
Zingaphi iisundu zeentloko zigcina?
Ubungakanani kunye nokuphindaphindiweyo kokuthinjelwa kuyahluka ukusuka kwisigulane ukuya kwisigulane. Enye ibhobho yentloko ihluthe intlungu 10 - 15, abanye kufuneka bajongane nokuhlaselwa kweeyure eziliqela. Ukuqhaqhayisa kunokuphindwaphindwa kabini ngosuku okanye ngeveki. Izikhala phakathi kwazo zihluke. Kwezinye iimeko, i-cluster headache ibuya kathathu ngonyaka, kwaye kukho nabanenhlanhla abakulibalayo iminyaka emininzi.
Intloko yentloko - unyango
Ulwaphulo lweentlungu zentambo lubonisa ukuba:
- unyango olunzulu - ukubamba ukuhlaselwa;
- unyango lokukhusela - ukunciphisa inani lokubuyiselwa kwakhona nokuphelisa ukuphela kokuthinjelwa kwixesha elizayo.
Iingcebiso malunga nendlela yokuphatha iintloko ze-cluster - zeziphi iziyobisi ezisetyenziswayo - kufuneka zinikezwe yingcali. Ukongezelela kumachiza, utshintsho ekuphatheni nasekuphileni kuya kunceda ukukhusela ukuhlaselwa. Abantu banomdla wokubandezeleka, kufuneka bazame ukuphepha uxinzelelo, ukunciphisa inani lotywala oludliwayo, ukuba kunokwenzeka, bayeke ukutshaya (okanye ubuncinane bayeke i-cigarette kwisibonakaliso sokuqala kokuhlaselwa).
Intloko yeentloko - unyango lokuhlaselwa
Ulwaphulo olunqanda ukuhlaselwa lubizwa ngokuba lukhuni. Intlungu yentloko yesantya esheshayo ipheliswa ngu:
- i-oksijini yonyango (i-oksijini ecocekileyo idliwa ngumaski imizuzu eyi-15);
- i-anesthetics yendawo (lidocaine);
- Iinjongo zeErgotamine;
- isakhi esivela kwi-pepper eshushu - i-Capsaicin;
- isicelo se-triptans.
I-Cluster intloko - unyango, iziyobisi
Iipilisi ezivela kwintloko yeentloko zeenjongo zeprophylactic kufuneka zithathwe imihla ngemihla ngexesha leqela elibuhlungu. Ezona zidumileyo ziziyobisi:
- Verelan. Iyanciphisa inani lokuhlaselwa. Kuyafaneleka ukukhusela i-episodic ne-cephalalgia engapheliyo.
- Prednisone. I-corticosteroid ekhupha isifo sesifo, kodwa ngexesha elifutshane kakhulu.
- Escalite kunye neLithobid. Ziyichaphazela iwashi le-biological body kwaye imiselwe ukuba lubuhlungu obungapheliyo.
- Nciphisa okanye i-Topamax. Ziyalelwe kuphela xa onke amanye amayeza engancedi.
Iintloko zentloko - unyango kunye nezilwanyana zomntu
Ekuhlaselweni kweendlela ezininzi zonyango zonyango zinceda kakhulu, kodwa zinceda ukuhlangabezana nemiphumo yokuhlaselwa. Njengoko kubonisa ukubonisa, iqoqo le-cephalalgia libhetele ngakumbi xa ezi zinto zilandelayo zongezwa ekudleni:
- ICayenne pepper. Iqukethe inani elikhulu le-capsaicin - into eyenza intlungu yeempawu eziza kumbono ongaphantsi, ngoko ukunciphisa ukuhlaselwa.
- Iintsi ze ginkgo. Zininzi ezininzi ze-terpenoids, ezikhuthaza ukuhamba kwegazi kwingqondo. Ngenxa yoko, intlungu yokuphosa ihamba kancane.
- IWalnuts. Unonophelo lwezonyango. Iintlungu ze-syndrome ezibuhlungu zipheliswa ngenxa ye-hormone melatonin.
- I-Turmeric. Yilungelelwano oluhle kakhulu, olwenziwe ngexabiso elincinci lokutya okungenani yonke imihla.
- Kudzu. Iintlobo kunye namacembe ale mifuno zibhekwa njengenye yezona zityalo ezinamandla kunayo yonke. Banceda nge-cephalalgia kunye ne-migraines.
Usebenziso lwe-Neurosurgical kunye neentlungu zentloko
Le yenye yeendlela zanamhlanje zonyango lwe-cephalalgia. Indlela yokukrazula ihlunu yentloko ngokuncedisa umsebenzi we-neurosurgical? Ngethuba le nkqubo, iingcambu zentlanzi ye-trigeminal - yona leyo enoxanduva lokufezekisa intlungu-isatshatyalaliswa. Usebenziso luyinto encinci, ingenziwa ngaphandle kwe-anesthesia. Igalelo lwenzeka nge-3 mm engxoweni kwisebe. Iingcali zibeka iliso zonke iindlela zokusebenzisa umbane we-X-ray. Ukubuyiselwa emva kokungenelela okunjalo akudingeki, kwaye isigulana sikhululwe ekhaya ngosuku olufanayo.