Ukuqonda Ukuqaqanjelwa Yikhanda Elikhandlayo

-Delile

• Yini ikhanda lokuzikhandla?
• Ziyini izimpawu?
• Kubangelwa yini?
• Izimbangela eziyinhloko zokuzikhanda ikhanda
• Izimbangela zokuzikhanda kwesibili ezibangela
• Ubani obatholayo?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Uyini umbono?

Yini ikhanda lokuzikhandla?

Ukuphathwa yikhanda okweqile yikhanda elibangelwa uhlobo oluthile lomsebenzi womzimba. Izinhlobo zomsebenzi ezizibangela ziyehluka kuye ngomuntu, kepha zifaka:

• ukuvivinya umzimba kanzima
• ukukhwehlela
• ezocansi

Odokotela bahlukanisa ikhanda lokuzikhandla ngezigaba ezimbili, kuya ngesizathu salo:

• Ukuphathwa ikhanda okuyisisekelo. Lolu hlobo lulethwa kuphela ngomsebenzi womzimba futhi imvamisa alunabungozi.
• Inhloko yesibili yokuzikhandla. Lolu hlobo lulethwa ukuzivocavoca umzimba ngenxa yesimo esingaphansi, njengesimila noma isifo semithambo yenhliziyo.

Funda ukuze ufunde kabanzi mayelana nekhanda lokuzivocavoca, kufaka phakathi ukuthi ungabona kanjani ukuthi elakho liyisisekelo noma lesibili.

Ziyini izimpawu?

Uphawu oluyinhloko lwekhanda lokuzivocavoca lilinganiselwe kuya ebuhlungu obukhulu abantu abavame ukukuchaza njengokushaya. Ungase uzizwe kuyo yonke ikhanda lakho noma ohlangothini olulodwa. Zingaqala ngesikhathi noma ngemuva kokusebenza kanzima.

Izinhlungu eziyinhloko zokuzikhandla zingahlala noma kuphi ukusuka emizuzwini emihlanu kuya ezinsukwini ezimbili, kanti ikhanda lesibili lokuzivocavoca lingahlala izinsuku ezimbalwa.

Ngokuya ngesizathu, ikhanda lesibili lokuzikhandla kwesinye isikhathi linezimpawu ezengeziwe, kufaka phakathi:

• ukuhlanza
• ukuqina kwentamo
• ukubona kabili
• ukulahlekelwa ukwazi

Kubangelwa yini?

Izimbangela eziyinhloko zokuzikhanda ikhanda

Ukuphathwa ikhanda okuyisisekelo okuvame ukubangelwa:

• ukuzivocavoca okukhulu, njengokugijima, ukuphakamisa izinsimbi noma ukugwedla
• umsebenzi wezocansi, ikakhulukazi i-orgasm
• ukukhwehlela
• ukuthimula
• ukuhlunga ngesikhathi sokuhamba kwamathumbu

Kodwa-ke, ochwepheshe abaqiniseki ukuthi kungani le misebenzi ibangela ikhanda. Kungenzeka kuhlobene nokuncipha kwemithambo yegazi ngaphakathi kogebhezi okwenzeka ngesikhathi somzimba.

Izimbangela zokuzikhanda kwesibili ezibangela

Amakhanda wokuzikhandla wesibili abangelwa yimisebenzi efanayo nekhanda lokuzikhandla eliyinhloko. Kodwa-ke, le mpendulo ekusebenzeni ngokomzimba ingenxa yesimo esingaphansi, njenge:

• i-subarachnoid hemorrhage, eyopha phakathi kobuchopho nezicubu ezimboze ubuchopho
• izimila
• isifo semithambo yenhliziyo esithinta imithambo yegazi eholela noma ngaphakathi kwengqondo yakho
• ukutheleleka kwesono
• ukungahleleki kahle kwekhanda, intamo, noma umgogodla
• ukuvinjelwa kokugeleza koketshezi lwe-cerebrospinal

Ubani obatholayo?

Abantu bayo yonke iminyaka bangaba nekhanda lokuzikhandla. Kodwa-ke, abantu abangaphezu kweminyaka engama-40 banengozi enkulu.

Ezinye izinto ezandisa ingozi yokuba nekhanda lokuzikhandla zihlanganisa:

• ukuzivocavoca lapho kushisa
• ukuzivocavoca endaweni ephakeme kakhulu
• ukuba nomlando we-migraines
• ukuba nomlando womndeni we-migraines

Kutholakala kanjani?

Ukuthola ikhanda lokuzikhandla, udokotela wakho uzoqala ngokubuza mayelana nezimpawu zakho nezinhlobo zezinto ezivame ukuzibangela. Qiniseka ukuthi ubatshela nganoma yimiphi imisebenzi ethile ebonakala ikunikeza ikhanda.

Ngokuya ngezimpawu zakho nomlando wakho wezokwelapha, bangahle basebenzise ezinye izivivinyo ze-imaging ukubheka inkinga engaphansi.

Ukufanekisa izivivinyo ezisetshenziselwa ukuxilonga ikhanda elikhokhelayo kufaka phakathi:

• I-CT scan ukuhlola ukopha kwakamuva ngaphakathi noma ezungeze ubuchopho
• Ukuskena kwe-MRI ukubuka izakhiwo ngaphakathi kobuchopho bakho
• i-magnetic resonance angiography ne-CT angiography ukubona imithambo yegazi eholela ebuchosheni bakho
• umpompi womgogodla ukukala ukuhamba koketshezi lwe-cerebrospinal

Ilashwa kanjani?

Ukwelashwa kwekhanda lokuzikhandla kuncike ekutheni ngabe ikhanda lakho liyinhloko noma lesibili. Amakhanda wokuzikhandla wesibili avame ukuhamba uma usuphethe imbangela eyimbangela.

Ukuphathwa ikhanda okuyisisekelo okuvame ukuphendula kahle ekwelashweni kwendabuko kwekhanda, kufaka phakathi ama-nonsteroidal anti-inflammatories afana ne-ibuprofen (Advil). Uma lokhu kunganikeli ukukhululeka, udokotela wakho angase akunikeze uhlobo oluthile lomuthi.

Imithi esetshenziselwa ukwelapha ukukhanda ikhanda okubandakanya ihlanganisa:

• indomethacin
• i-propranolol
• i-naproxen (Naprosyn)
• i-ergonovine (ergometrine)
• i-phenelzine (Nardil)

Uma izinhlungu zakho zekhanda zibikezela, ungahle udinge kuphela ukuthatha imithi ngaphambi kokwenza imisebenzi owaziyo ukuthi ingadala ikhanda. Uma kungabonakali, ungahle udinge ukuthatha imishanguzo njalo ukuze uyivimbele.

Kwabanye abantu, ukufudumala kancane ngaphambi kokwenza noma yikuphi ukuvivinya umzimba okunzima nakho kuyasiza. Uma ungumgijimi, isibonelo, zama ukunikela isikhathi esithe xaxa ukufudumeza umzimba wakho futhi kancane kancane wakhe ijubane lakho.

Okokuphathwa yikhanda okubangelwa yimisebenzi yezocansi, ukwenza ucansi oluncane kakhulu kaningi kungasiza.

Uyini umbono?

Ukuphathwa ikhanda okuyisisekelo kuyakhathaza kepha imvamisa akunabungozi. Kodwa-ke, kwesinye isikhathi zingaba wuphawu lwesimo esidinga ukwelashwa, ngakho-ke kubalulekile ukulandela udokotela wakho mayelana nezimpawu zakho.

Lapho usukhiphe noma iziphi ezinye izimbangela, inhlanganisela yezinguquko emsebenzini wakho womzimba nakumakhasimende noma emithini kadokotela kungenzeka ikunikeze ukukhululeka.