Ukuduma Kwezinhlungu Zekhanda

-Delile

• Izimpawu
• Ukuduma ikhanda kwe-Thunderclap vs. migraine
• Izimbangela nezimbangela
• Ukwelapha ikhanda lokuduma kwezulu
• Izinkinga nezimo ezihambisanayo
• Ungalufuna nini usizo lwezokwelapha
• Umbono

Ukubuka konke

Ikhanda eliduma ngokuduma ikhanda elibuhlungu eliqala ngokuzumayo. Lolu hlobo lobuhlungu bekhanda alwakhi kancane kancane ngamandla. Esikhundleni salokho, kuyikhanda elibuhlungu futhi elibuhlungu kakhulu lapho liqala. Eqinisweni, kuvame ukuchazwa njengekhanda elibi kakhulu empilweni yomuntu.

Ukuphathwa ikhanda lokuduma kwezulu kungaba uphawu lwesimo esingabeka impilo engcupheni. Kungase kuxhunywe kolunye uhlobo lokopha ebuchosheni bakho. Kubalulekile ukuthi ufune ukwelashwa uma ucabanga ukuthi kungenzeka ukuthi uhlangabezana nakho. Kungenzeka futhi kube nesizathu esiyingozi esingasongeli impilo kodwa kusamele sihlolwe ngokushesha ukuthola ukuthi yini okubangelayo.

Izimpawu

Izimpawu zekhanda lokuduma kwezulu ziyefana noma ngabe yini imbangela. Lezi zimpawu zingafaka:

• ubuhlungu obukhulu bekhanda obuqala ngokungazelele
• ukuhlanza nokuhlanza
• ukuquleka
• uzizwe sengathi yikhanda elibi kakhulu owake waba nalo
• ubuhlungu babuzwa noma kuphi ekhanda lakho
• ubuhlungu bekhanda kufaka phakathi intamo yakho noma iqolo elingezansi

Kungadalwa yimisebenzi ethile noma kungabi nankinga nhlobo.

Ikhanda lokuduma kwezulu ngokujwayelekile lizofinyelela endaweni yalo ebi kakhulu ngemuva kwemizuzwana engama-60 kuphela. Izikhathi eziningi, izoqala ukuhamba cishe ihora ukusuka endaweni yobuhlungu obukhulu, kepha kwesinye isikhathi ingahlala isonto noma ngaphezulu.

Ukuduma ikhanda kwe-Thunderclap vs. migraine

Iningi lokuduma kwekhanda akufani ne-migraine. Kodwa-ke, kuvamile kulabo ababhekana nekhanda lokuduma kwezulu ukuthi bake baba nemigraines ejwayelekile esikhathini esedlule.

Umehluko omkhulu phakathi kwe-migraine enamandla kanye nekhanda lokuduma kwezulu ubukhulu bezinhlungu. Ubuhlungu bekhanda lokuduma kwezulu kuzoba ubuhlungu obukhulu kakhulu bekhanda owake wabuzwa. Lokhu kuyiqiniso ngisho nakulabo abane-migraines. Ikhanda lokuduma kwezulu lingazizwa lifana ne-"crash" migraine. Ukuhlolwa okwenziwe nguchwepheshe wezokwelapha kuphela okunganquma ukuthi yiluphi uhlobo lwekhanda onalo.

Uma izivivinyo ziveza ukuthi ikhanda lakho lokuduma kwezulu alinayo imbangela esongela impilo, khona-ke kungaba yisifo esibhekwa njengohlobo lwekhanda elibuhlungu.

Izimbangela nezimbangela

Ukuphathwa yikhanda lokuduma kwezulu kuvame ukuthi kube uphawu lokopha noma ukopha ebuchosheni, okungasongela impilo uma kungalashwa ngokushesha. Isizathu esivame kakhulu salolu hlobo lokopha yi-aneurysm eqhekekile ebuchosheni. Ezinye izimbangela ezibucayi futhi ezisongela impilo zingafaka:

• isitsha segazi ebuchosheni esidabukile, savinjwa noma saqhekeka
• isifo sohlangothi esopha kakhulu
• unhlangothi weschemic
• ukulimala kwekhanda okulingene kuya kokulingene
• reversible cerebral vasoconstriction syndrome
• i-vasculitis noma ukuvuvukala kwesitsha segazi

Kwezinye izimo, imbangela engokoqobo yekhanda lakho lokuduma kwezulu kungenzeka ingatholakali. Lezi zinhlobo zokuphathwa yikhanda lokuduma kwezulu zibhekwa njengezingenxa yesifo sekhanda esiphindaphindayo. Lesi sifo siwuhlobo lwekhanda elibuhlungu futhi ngokuvamile asisongeli impilo. Lesi sifo singatholakala kuphela ngemuva kokuhlolelwa zonke ezinye izimbangela.

Ngenkathi kungahle kungabi nasizathu salolu hlobo, kunezinto ezithile eziyizimbangela ezivamile. Lezi zimbangela zifaka:

• ezocansi
• umsebenzi womzimba
• ukunyakaza kwamathumbu okubangela ukuba udonse kanzima
• ukulimala

Ukwelapha ikhanda lokuduma kwezulu

Isinyathelo sokuqala ekwelapheni ikhanda lokuduma kwezulu ukuthola imbangela. Ngemuva kokuhlolwa komzimba nokuqoqa imininingwane mayelana nezimpawu zakho, udokotela wakho uvame ukuqala nge-CT scan. Izikrini ze-CT zivame ukwanela ukuthi udokotela wakho anqume imbangela. Kodwa-ke, uma ingabaniki isizathu esicacile, uzoba nokuhlolwa okwengeziwe okwenziwe. Ezinye zalezi zivivinyo zifaka:

• Imagnetic resonance imaging (i-MRI). I-MRI ingasiza udokotela wakho ukuthi abone ukwakheka kobuchopho bakho.
• I-Magnetic resonance angiography (MRA). I-MRA ibalaza ukuhamba kwegazi ebuchosheni bakho isebenzisa umshini we-MRI.
• Ukubhoboza i-lumbar. Ukubhoboza i-lumbar, okuvame ukubizwa ngokuthi yimpompo yomgogodla, kususa isampula yegazi noma uketshezi emgogodleni wakho ozohlolwa. Lolu ketshezi luyafana nalokho okuzungeze ubuchopho bakho.

Kunamathuba amaningi okwelashwa asuselwa kulokho okubangela ikhanda lakho lokuduma. Ukwelashwa kugxile ekwelapheni imbangela yekhanda lakho. Ukwelashwa kungafaka:

• ukuhlinzwa ukulungisa izinyembezi noma ukuvimba
• imithi yokulawula umfutho wegazi
• imithi yezinhlungu yokulawula ikhanda elivela njalo lokuduma kwezulu, ikakhulukazi lezo ezine-trigger ethile

Lolu akulona uhlu oluphelele lwezinketho zokwelashwa zekhanda lokuduma. Udokotela wakho uzokweluleka ngezinketho zokwelashwa ngokuya ngesizathu esithile sekhanda lakho.

Izinkinga nezimo ezihambisanayo

Izimbangela eziningi zekhanda lokuduma kwezulu zisongela impilo uma zingatholakali zelashwa ngokushesha. Imibandela engahlotshaniswa nekhanda lokuduma kwezulu ifaka:

• imivimbo
• migraines
• ukulimala ekhanda
• umfutho wegazi ophakeme

Ungalufuna nini usizo lwezokwelapha

Kufanele ufune usizo lwezokwelapha ngokushesha lapho uqala ukuzwa ikhanda elibi futhi elizumayo lanoma yiluphi uhlobo. Lolu hlobo lwekhanda lungaba uphawu noma uphawu lwesimo esisongela impilo.

Ezinye izimbangela zekhanda lokuduma kwezulu kungenzeka zingasongeli impilo. Kodwa-ke, uchwepheshe wezokwelapha kuphela onganquma ukuthi yini ebangela ikhanda lakho.

Umbono

Uma ufuna usizo lwezokwelapha ngokushesha lapho uhlangabezana nekhanda lokuduma kwezulu, imbangela ingaphathwa noma iphathwe ngempumelelo. Kodwa-ke, ukubambezela ukwelashwa kungabulala.

Uma uhlangabezana ne-migraines ejwayelekile, kusamele ufune usizo lwezokwelapha ngokushesha okukhulu uma unekhanda elingalindelekile nelibi kakhulu elibi kakhulu kunanoma iyiphi enye i-migraine esikhathini esedlule.