Intloko yeCluster: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zeCluster zentloko
• Izizathu eziphambili
• Unyango lwenziwa njani
• Iziphumo ebezingalindelekanga ezinokwenzeka

Intloko yesifo esiyiklasta yimeko engonwabisiyo kwaye ibonakaliswa yintloko ebukhali, eyenzeka ngeengxaki, kwaye eyenzeka kuphela kwicala elinye, eneentlungu ngasemva kwaye zijikeleze iliso kwicala elinye leentlungu, impumlo egudileyo kunye nokungakwazi ukwenza enye into. umsebenzi, kuba iintlungu zinzima kakhulu.

Intloko ebambeneyo ayinanyango, nangona kunjalo unyango oluboniswe yi-neurologist lujolise ekunciphiseni iimpawu kunye nokunciphisa ukuphindaphindeka kohlaselo, kwaye kunokuba yimfuneko ukusebenzisa amanye amayeza anje ngee-non-steroidal anti-inflammatory drug, opioids kwaye, kwezinye iimeko, ukusetyenziswa kwemaski yeoksijini.

Iimpawu zeCluster zentloko

Iimpawu zentloko yeentloko azonwabanga, kwaye umntu unokuba neziqendu zentloko ebuhlungu amaxesha ama-2 ukuya kwayi-3 ngemini malunga neentsuku ezili-15 ukuya kwezi-20. Ukongeza, kuqhelekile ukuba ubuncinci esinye sezi ziqendu senzeke ebusuku, ngesiqhelo iiyure ezi-1 ukuya kwezi-2 emva kokulala. Ezinye iimpawu kunye neempawu eziqhelekileyo ezibonisa ukuba iintloko zentloko zi:

• Intlungu ebethekisayo kuphela kwicala elinye lentloko;
• Amehlo abomvu namanzi kwicala elinye lentloko;
• Iintlungu ngasemva nasekujikelezeni iliso;
• Ukudumba kobuso kwicala leentlungu;

• Kunzima ukuvula iliso ngokupheleleyo kwicala leentlungu;
• Ukukhutshwa kwempumlo;
• Intloko ehlala phakathi kwemizuzu eyi-15 kunye neeyure ezingama-3, iba yinto eqhelekileyo ukuya kuthi ga kwimizuzu engama-40;
• Ukungakwazi ukwenza nawuphi na umsebenzi ngenxa yentloko ebuhlungu;
• Ubuhlungu abuchukunyiswa kukukhanya okanye ukutya;
• Ukuphazamiseka kummandla ochaphazelekayo emva kokunciphisa iintlungu.

Ayaziwa ukuba le ngxaki izophela nini, kodwa abanye abantu baxela ukuba iintloko ziqala ukusasazeka kakhulu, ngeziqendu ezimbalwa ngosuku, de inyamalale ngokupheleleyo, ibuye kuphela kwiinyanga okanye kwiminyaka kamva. Ukongeza, akunakwenzeka ukuba uyazi ukuba yintoni enokubangela ingxaki entsha emva kweenyanga zihlukene.

Ke, ugqirha unokwenza isifo se-cluster yentloko ngokujonga iimpawu eziziswa ngumntu, kwaye kunokucetyiswa ukuba wenze umfanekiso-ngqondweni wemagneti, umzekelo, ukukhangela naluphi na utshintsho lobuchopho. Xa kungekho tshintsho, kuhlala kuthathelwa ingqalelo ukuba umntu unentloko yeentloko. Nangona kunjalo, ukuxilongwa kuthatha ixesha kwaye kwenziwa yi-neurologist, emva kweenyanga okanye iminyaka kwaye, ke, kuqhelekile ukuba ayizizo zonke izigulana ezichongiweyo kuhlaselo lwentloko yazo yentloko.

Izizathu eziphambili

Kwizigulana ezininzi, uxinzelelo kunye nokudinwa kunxulumene nokuqala kweengxaki, kodwa abukho ubungqina besayensi bento. Iminyaka apho olu hlobo lwe-migraine luqala ukubonakala luphakathi kweminyaka engama-20 nengama-40 ubudala, kwaye nangona unobangela ungaziwa, uninzi lwezigulana ngamadoda.

Izizathu zentloko yeqela kukholelwa ukuba zinxulumene nokungasebenzi kakuhle kwehypothalamus, kuba kubonakala ngathi inxulumene nomjikelo we-circadian, olawula ukulala kunye nexesha lokuvuka, kodwa ngaphandle koku, unyango lwayo alukafumaneki kwaye oonobangela ayaziwa. ayaziwa ngokupheleleyo.

Unyango lwenziwa njani

Unyango lwentloko yeqela kufuneka lukhokelwe yi-neurologist kwaye ijolise ekunciphiseni ubuzaza beentlungu kwaye yenze ukuba ingxaki ihlale ixesha elincinci. Ke, ugqirha unokubonisa ukusetyenziswa kweziyobisi ezingezizo i-steroidal ezichasayo, i-triptanes, i-ergotamine, i-opioids kunye nokusetyenziswa kwesigqumathelo seoksijini se-100% ngamaxesha obunzima.

Njengoko iingxaki zixhaphake kakhulu ebusuku, incam elungileyo yeyokuba umntu abe nebhaluni yeoksijini ekhaya, xa ixesha lobunzima liqala. Ke, iintlungu ziyancipha ngokubonakalayo ziyenza inyamezeleke ngakumbi. Ukuthatha i-10 mg ye-melatonin ngaphambi kokulala nako kunokunciphisa iimpawu kunye nokunciphisa umngcipheko we-flare-up.

Ukongeza, isigulana asinakho ukusela nabuphi na utywala okanye umsi kuba zinokubangela isiqendu sentloko kwangoko. Nangona kunjalo, ngaphandle kwexesha lobunzima umntu angazisela iziselo ezinxilisayo ekuhlaleni kuba ngekhe zibangele ixesha elitsha lengxaki.

Iziphumo ebezingalindelekanga ezinokwenzeka

Ngaphandle kwezibonelelo abazizisa ekuthomalaliseni iintlungu, amayeza kagqirha entloko yecluster anokuba nesicaphucaphu, isiyezi, imvakalelo yokuba buthathaka, ukuba bomvu ebusweni, ukufudumala entloko, ukuba ndindisholo kunye nokugungqa emzimbeni wonke, umzekelo.

Nangona kunjalo, ukusetyenziswa kweemaski zeoksijini kangangemizuzu eli-15 ukuya kwengama-20, isiguli sihleli phantsi kwaye kungqiyame phambili, kuzisa isiqabu sentlungu ekhawulezileyo phakathi kwemizuzu emi-5 ukuya kweli-10 kwaye ayinaziphumo zibi xa isigulana singenazo izifo zokuphefumla.

Iipilisi zentlungu eziqhelekileyo ezifana neParacetamol azinampembelelo ekuthomalaliseni iintlungu, kodwa ukuthambisa iinyawo zakho kwibhakethi lamanzi ashushu kunye nokubeka iipakethe zomkhenkce ebusweni bakho kungaluncedo ekhaya kuba kunciphisa ubungakanani bemithambo yegazi yobuchopho, kuluncedo olukhulu ekulweni iintlungu .