Lipotso tseo ngaka ea hau e tla u kōpa hore u li hlahlobe hloohong
Ak'u nahane feela ka nako e telele ea hlooho e bohloko. U etsa qeto ea ho qetella u bona ngaka ka mor'a lilemo tse ngata tsa ho nka mefuta e fapa-fapaneng ea li-counter-the-counter le lihlahisoa tsa hlooho ea litlama, ho batla keletso ea metsoalle le ba lelapa, le ho tšollela marang-rang. Ua ipotsa hore na ngaka ea hau e tla u botsa hore ha u batle karabo ho uena. U etsa qeto ea ho itokisetsa ho bolella pale ea "hlooho ea hlooho ea hau" ka ho qaqileng e le hore morero o nepahetseng oa ho hlahlojoa le morero oa phekolo o ka qala.
Ha u hlahloba hlooho ea hao, ngaka ea hau e tla etsa histori e qaqileng le tlhahlobo ea 'mele. Sena se etsoa e le ho etsa hore motho a hlahlojoe hantle, hape a hlokomele matšoao a tlhokomeliso ea hlooho .
Lipotso nakong ea Tlhahlobo ea Hlooho
Ha u hlahloba hlooho ea hao, ngaka ea hao e ka 'na ea u botsa lipotso tse' maloa tse khethehileng ka hlooho ea hao, e le ho fokotsa tšoaetso. Lipotso tsena li kenyelletsa:
- Boits'oaro : "U ka hlalosa hlooho ea hau joang?" (Mohlala, ho hema, ho chesa kapa ho bohale)
- Bohloko : "U utloa bohloko bo bokae ho tloha ho 1 ho isa ho 10, 10 ho ba bohloko bo boholo ka ho fetisisa bophelong ba hau?" "Na u ka hlalosa hore hlooho ea hau e bonolo, e leka-lekaneng kapa e matla?" "Na see ke bohloko bo boholo ka ho fetisisa bophelong ba hau?"
- Ho eketsa kapa ho fokotsa lintho : "Ke eng e etsang hore bohloko boo bo be bobe kapa bobe?"
- Mahlaseli a kotsi: "Na bohloko boo bo hlahisa?"
- Qetella: "Na qaleho ea hlooho ea hau e ne e utloa bohloko kapele kapa e fokotseha?"
- Nako: "Na bohloko bo ntse bo tsoela pele halelele hakae?" "Na bohloko ba nako e telele kapa bo bobebe?"
- Mekhatlo: "Na ho na le matšoao a mang a amanang le hlooho ea hau ea hlooho?" (Mohlala, ho hlatsoa ke pelo, ho hlatsa, liphetoho tse bonahalang)
- Sebaka: "Bohloko bo teng hokae?"
Ho phaella lipotsong tsena, mofani oa hao oa tlhokomelo ea bophelo o tla boela a hlokomele histori ea bophelo ba hau le ea malapa, meriana leha e le efe eo ue nkang, le mekhoa ea hau ea boithabiso (mohlala, ho noa caffeine, tšebeliso ea joala, ho tsuba).
Ho itšetlehile ka likarabo tsa hau lipotsong tse ka holimo, mofani oa hao oa tlhokomelo ea bophelo o ka etsa qeto ea hore na hlooho ea hau e na le mofuta ofe oa lefu la seoa se ka sehloohong. A re hlahlobisiseng litšobotsi tse tloaelehileng tsa mathata a mararo a tloaelehileng a ka sehloohong a hlooho ea mantlha: migraine , hlooho ea tsitsipano ea malapa le hlooho ea hlooho ea masapo .
Ho lemoha Migraines
Migraine ha se feela hlooho ea hlooho. Migraine ke boemo bo tloaelehileng, ba methapo ea pelo e ka 'nang ea e-ba kapa ea se ke ea amahanngoa le migraine aura , tšitiso e bakang matšoao a pono, empa hape e kenyelletsa matšoao a mang a neurologic, joaloka liphetoho tsa maikutlo kapa lipuo.
- Boitšoaro: Ho tsubella, ho phunya
- Bohloko : Bobebe kapa bo matla
- Lintho tse matlafatsang kapa tse fokolisang: Mabone a khanyang kapa molumo o moholo o ka 'na oa mpefala ha li- NSAID , li-triptan le boroko ke lifofane tse tloaelehileng tsa migraine.
- Mahlaseli a kotsi: Fetoha
- Qetellong : Ho fokotsa (le hoja hangata ho sa e-ba joalo ka ho qalella ho ea pele joaloka ea hlooho ea mofuta oa tsitsipano).
- Nako: lihora tse 4-72
- Litloaelano : Nosea, ho hlatsa, phonophobia, photophobia, migraine aura (ho fihlela ho 1/3 ea migraineurs)
- Sebaka: Unilateral (ka tloaelo)
Ho Hlokomela Tlhōlisano-Tšoaea Hlooho ea Hlooho
Meriana ea hlooho ea tsitsipano e ikhethang ho tloha migraines ka hore hangata e arohane, e seng ea pulsating, ha e fetisetsoe ke ho ikoetlisa kamehla ebile ha e amane le ho nyeheloa ke pelo kapa auras.
Ka lehlakoreng le leng, lihlooho tsa hlooho ea migraine le mefuta-futa li ka kopanngoa le photophobia kapa phonophobia. Ka kopo hlokomela hore ho ea ka litekanyetso tse entsoeng ke khatiso ea bobeli ea Kakaretso ea Machaba ea Headache Disorders (ICD-II), hlooho ea mefuta ea tsitsipano e ka amahanngoa feela le photophobia kapa phonophobia, eseng ka bobeli. Hangata hlooho ea tsitsipano ea tsitsipano e kopana le migraine ntle le auras ho boloka hlooho ea litaba e le bohlokwa, kaha phekolo ea maemo ana e fapane.
- Boitšoaro: Ho hatella, ho tiisa, "rubber-band-like sensation" ho pota hlooho
- Bohloko : Ho bonolo ho itekanya
- Lintho tse matlafatsang kapa tse fokolisang : Hangata li fokotsoa ke li-analgesics tse fetang, ho tšoana le acetaminophen kapa NSAID. Ho tsuba ke ntho e ka 'nang ea e-ba matla haholo, haholo-holo ho ba nang le hlooho e sa foleng ea mefuta-futa.
- Mahlaseli a kotsi: Ntho e fapaneng empa hangata bakuli ba hlalosa mahlaba a hlabang ho tloha ka morao ho hlooho ho ea mesifa ea molala.
- Qetellong : Ho fokotsa (hangata ho qala ho fokotseha ho feta ho migraine)
- Nako: Metsotso ho isa ho matsatsi (metsotso e 30 ho isa ho e 7 ho ea ka litsela tse tsoang Mokhatlo oa Machaba oa Hlooho)
- Metsoalle: Ha ho na ho nyefoloa empa e ka amahanngoa le photophobia kapa phonophobia
- Sebaka: Bilateral
Ho lemoha hlooho ea hlooho ea Cluster
Bohlooho ba masapo , a tsejoang hape e le "hlooho ea ho ipolaea," ka lebaka la 'MOLIMO oa oona, matla a fokolisang, a otla banna ho feta basali. Ts'ehetso ea hlooho e hlaha likarolong kapa nako ea nako eo ka tloaelo e qetang ho tloha beke e le 'ngoe ho ea ho selemo se latelloang ke linako tse se nang bohloko bonyane khoeli e le' ngoe. Nakong ea hlooho ea lihlopha tsa lihlopha, motho ea nang le lefu lena a ka hlaseloa ka makhetlo a mangata, hangata ho fihlela ho matsatsi a robeli. Batho ba bang ba tšoeroe ke hlooho e sa foleng ea lihlopha, moo lefu la hlooho ea masapo le tla tšoarella ka nako e fetang selemo ho se na linako tse se nang bohloko kapa linako tse sa utloeng bohloko tse ka tlaase ho khoeli.
- Boitšoaro: Bohale, ho chesa, ho phunya
- Bohloko : Bohloko bo feteletseng
- Lintho tse matlafatsang kapa tse fokolisang: Joala, histamine le nitroglycerin ke mehlala ea lisosa tse mpefatsang, haholo-holo lihlooho tse hlokang lihlooho tse sa foleng. Li-triptane le oksijene li ka 'na tsa e-ba le phekolo e matla ea lihlooho tsa hlooho.
- Mahlaseli a kotsi: Fetoha
- Qetella: Ho potlakile
- Nako ea nako: Haeba e sa sebetsoe, e nka metsotso e 15-80, ho latela melao ea Mokhatlo oa Machaba oa Hlooho.
- Mekhatlo: E kopantsoeng le matšoao a boithati a kenyeletsang lejoe la likokoana-hloko le le / kapa la ho qhaqha mahlo, ho ferekanngoa ha mahlo le / kapa ho hlaphoheloa, ho ruruha ha mahlo, phatla le ho fofa ha sefahleho, miosis le / kapa ptosis , le ho tsukutleha le / kapa ho hloka botsitso.
- Sebaka: Ha e le 'ngoe le e' ngoe ebile e na le orbital kapa supraorbital (ho pota leihlo) kapa nako ea nakoana.
The Bottom Line
Ha u hlahloba bothata ba hlooho ea hau, ngaka ea hau e ka 'na ea u botsa lipotso tse' maloa tse ka holimo e le hore u utloisise matšoao a hao hantle. E ka 'na ea e-ba khopolo e ntle ho ngola esita le likarabo pele u etela, ka hona u ka itokisetsa hantle.
Ho phaella moo, lisebelisoa tse ling tseo lingaka li ka li sebelisang ha li hlahloba hlooho ea hau li kenyeletsa POUND mnemonic kapa Potso ea Migraine ea ID . Leka ho ikakhela ka setotsoana le ho sebetsa hantle ha u hlahloba hlooho ea hao, e le hore uena le ngaka ea hau le ka etsa moralo oa phekolo o atlehang.
Lisebelisoa:
Beck E, Sieber WJ, Trejo R. Tsamaiso ea Hlooho ea Hlooho ea Cluster. Ke Mooki oa Lefu . 2005 Feb 15; 71 (4): 717-724.
Buchholz, David & Reich, Stephen G (selelekela). Pholisa Hlooho ea Hao: 1-2-3 Lenaneo la ho Batla Bohloko ba Hao. New York: Mosebetsi, 2002.
Mokhatlo oa Kr. Hlahloba mahlaba-hlooho a bohloko ho batho ba baholo. Ke Mooki oa Lefu . 2001 Feb 15; 63 (4): 685-92.
Hainer BL, Matheson EM. Atamela ho hlooho ea hlooho e bohloko ho batho ba baholo. Ke Mooki oa Lefu . 2013 May 15; 87 (10): 682-7.
Tlhaloso ea Mantsoe a Hlooho ea Hlooho ea Mokhatlo oa Machaba oa Hloko. "Sebopeho sa Machaba sa Headache Disorders: Khatiso ea 2". Cephalalgia 2004; 24 Tlatsetso ea 1: 9-160.
Millea PJ, Brodie JJ. Tšoaro ea hlooho ea mefuta-futa. Ke Mooki oa Lefu . 2002 Sep 1; 66 (5): 797-804.
Payne TJ, Stetson B, Stevens VM, Johnson CA, Penzien DB, Van Dorsten B. Phello ea tsuba ea sakerete ka hlooho ea meriana ea hlooho ea meriana. Hlooho ea hlooho . 1991; 31: 329-32.
Hlooho ea Weaver-Agostoni J. Cluster. Ke Mooki oa Lefu. 2013 ka 15 15; 88 (2): 122-8.