Mutu wamagulu

Mutu wamagulu ndi mtundu wachilendo wamutu.Ndi ululu wamutu umodzi womwe ungaphatikizepo kung'ambika kwa maso, chikope chodontha, ndi mphuno yodzaza. Kuukira kumatha kuyambira mphindi 15 mpaka maola atatu, kumachitika tsiku lililonse kapena pafupifupi tsiku lililonse kwa milungu kapena miyezi. Zowukira zimasiyanitsidwa ndi nthawi zopanda ululu zomwe zimatha mwezi umodzi kapena kupitilira apo.

Mutu wamagulu ungasokonezeke ndi mitundu ina yofala yam'mutu monga migraines, sinus mutu, komanso mutu wamavuto.

Madokotala sakudziwa chomwe chimayambitsa mutu wamagulu. Amawoneka kuti ali olumikizana ndi kutulutsidwa kwadzidzidzi kwa thupi la histamine (mankhwala m'thupi omwe amatulutsidwa poyankha) kapena serotonin (mankhwala opangidwa ndi maselo amitsempha) m'dera la mitsempha pankhope yotchedwa trigeminal nerve. Vuto mdera laling'ono kumunsi kwaubongo lotchedwa hypothalamus lingakhalepo.

Amuna ambiri kuposa akazi amakhudzidwa. Mitu imatha kuchitika nthawi iliyonse, koma imafala kwambiri mzaka za m'ma 20 mpaka zaka zapakati. Amakonda kuthamanga m'mabanja.

Mutu wamagulu ungayambitsidwe ndi:

• Kusuta mowa ndi ndudu
• Malo okwera kwambiri (kuyenda ndi kuyenda pandege)
• Kuwala kowala (kuphatikiza dzuwa)
• Kuchita masewera olimbitsa thupi (zolimbitsa thupi)
• Kutentha (nyengo yotentha kapena malo osambira otentha)
• Zakudya zambiri mu nitrites (nyama yankhumba ndi nyama zosungidwa)
• Mankhwala ena
• Cocaine

Mutu wamagulu umayamba ngati mutu woopsa, mwadzidzidzi. Mutu umakonda kugunda maola awiri kapena atatu mutagona. Koma zimatha kuchitika mukadzuka. Mutu umakonda kuchitika tsiku lililonse nthawi yomweyo. Kuukira kumatha miyezi. Amatha kusinthana ndi nthawi osadwala mutu (episodic) kapena amatha chaka chimodzi kapena kupitilira osayima (osachiritsika).

Kupweteka kwa mutu wamagulu nthawi zambiri:

• Kupsa, lakuthwa, kubaya, kapena kukhazikika
• Anamverera mbali imodzi ya nkhope kuchokera kukhosi kupita kukachisi, nthawi zambiri kumakhudza diso
• Pamalo oyipitsitsa mkati mwa mphindi 5 mpaka 10, ndikumva kuwawa kwamphamvu kwambiri kumatha mphindi 30 mpaka maola awiri

Pamene diso ndi mphuno mbali imodzi monga kupweteka kwa mutu zimakhudzidwa, zizindikilo zimatha kuphatikiza:

• Kutupa pansi kapena mozungulira diso (kumakhudza maso onse)
• Kuwononga kwambiri
• Diso lofiira
• Droopy chikope
• Mphuno yothamanga kapena mphuno yothinana mbali yomweyo monga kupweteka kwa mutu
• Wofiira, nkhope yotuwa, ndikutuluka thukuta kwambiri

Wothandizira zaumoyo wanu amatha kuzindikira mutu wamtunduwu pochita mayeso ndikufunsa za zomwe mukudziwa komanso mbiri yazachipatala.

Ngati kuyeza kwakuthupi kumachitika panthawi ya chiwonetsero, mayeso nthawi zambiri amawulula matenda a Horner (chikope chimodzi cham'mbali kapena mwana wasukulu). Zizindikirozi sizidzakhalapo nthawi zina. Palibe kusintha kwina kulikonse kwamanjenje (neurologic) komwe kudzawoneke.

Mayeso, monga MRI yamutu, angafunike kuti athetse zina zomwe zimayambitsa mutu.

Chithandizo cha mutu wamagulu chimaphatikizapo:

• Mankhwala ochiritsira ululu zikachitika
• Mankhwala othandiza kupewa mutu

KUCHITIRA MITU YA MITU YA CLUSTER PAMENE AMAKHALA

Wopezayo angakulimbikitseni chithandizo chotsatirachi ngati mutu ukupezeka:

• Mankhwala a Triptan, monga sumatriptan (Imitrex).
• Mankhwala oletsa kutupa (steroid) monga prednisone. Kuyambira ndi mlingo waukulu, kenako pang'onopang'ono mumachepetsa milungu iwiri kapena itatu.
• Kupuma mu 100% (koyera) mpweya.
• Majekeseni a dihydroergotamine (DHE), omwe amatha kuyimitsa masango mkati mwa mphindi 5 (Chenjezo: mankhwalawa akhoza kukhala owopsa atatengedwa ndi sumatriptan).

Mungafunike mankhwala ambiri kuposa awa kuti muchepetse mutu wanu. Wothandizira anu akhoza kuti muyesere mankhwala angapo musanaganize zomwe zingakuthandizeni kwambiri.

Mankhwala opweteka ndi mankhwala osokoneza bongo samachepetsa kupweteka kwa mutu chifukwa amatenga nthawi yayitali kuti agwire ntchito.

Chithandizo cha opaleshoni chingakulimbikitseni ngati mankhwala ena onse alephera. Imodzi mwa mankhwalawa ndi neurostimulator. Chida ichi chimapereka zikwangwani zazing'ono zamagetsi pamitsempha ina monga mitsempha ya occipital pamutu. Wothandizira anu akhoza kukuwuzani zambiri za opaleshoni.

KULETSA MITU YA MITU YA CLUSTER

Pewani kusuta, kumwa mowa, zakudya zina, ndi zinthu zina zomwe zimakupatsani mutu. Zolemba pamutu zingakuthandizeni kuzindikira zomwe zimayambitsa mutu. Mukadwala mutu, lembani izi:

• Tsiku ndi nthawi ululu unayamba
• Zomwe mumadya ndikumwa m'maola 24 apitawa
• Momwe munagonera
• Zomwe mumachita komanso komwe mumalondola ululu usanayambe
• Mutu udatenga nthawi yayitali bwanji komanso chomwe chidapangitsa kuti asiye

Unikani zolemba zanu ndi omwe amakupatsani kuti azindikire zomwe zimayambitsa kapena zomwe zimakupweteketsani mutu. Izi zitha kukuthandizani inu ndi omwe amakupatsani kuti mupange dongosolo lamankhwala. Kudziwa zomwe zimayambitsa kungakuthandizeni kupewa.

Mitu imatha kutuluka yokha kapena mungafunike chithandizo kuti muwateteze. Mankhwala otsatirawa atha kugwiritsidwanso ntchito kuthana kapena kupewa zizindikilo za mutu:

• Mankhwala ziwengo
• Mankhwala opatsirana
• Mankhwala a kuthamanga kwa magazi
• Mankhwala olanda

Kupweteka kwa mutu wamagulu sikukuwopseza moyo. Nthawi zambiri sizimasintha ubongo mpaka kalekale. Koma zimakhala zazitali (zosakhalitsa), ndipo nthawi zambiri zimakhala zopweteka mokwanira kusokoneza ntchito ndi moyo.

Itanani 911 ngati:

• Mukukumana ndi "mutu wowawa kwambiri m'moyo wanu."
• Muli ndi vuto lakulankhula, kuwona, kapena kuyenda kapena kusakhazikika, makamaka ngati simunakhalepo ndi matendawa ndi mutu kale.
• Mutu umayamba mwadzidzidzi.

Sanjani nthawi yokumana kapena itanani omwe akukuthandizani ngati:

• Mutu wanu wamutu kapena ululu umasintha.
• Mankhwala omwe kale adagwiranso ntchito sawathandizanso.
• Muli ndi zovuta kuchokera kumankhwala anu.
• Muli ndi pakati kapena mutha kutenga pakati. Mankhwala ena sayenera kumwa akakhala ndi pakati.
• Muyenera kumwa mankhwala opweteka kuposa masiku atatu pa sabata.
• Mutu wanu umakhala wovuta kwambiri mukamagona pansi.

Ngati mumasuta, ino ndi nthawi yabwino kusiya. Kugwiritsa ntchito mowa komanso zakudya zilizonse zomwe zimayambitsa mutu wamagulu zimafunika kuzipewa. Mankhwala amatha kuteteza mutu wamagulu nthawi zina.

Mutu wa histamine; Mutu - histamine; Mitsempha yotchedwa neuralgia; Mutu - masango; Mutu wa Horton; Kupweteka kwa mutu - masango; Mutu wamagulu a Episodic; Mutu wamagulu wambiri

• Mutu - zomwe mufunse dokotala wanu

• Ubongo
• Hypothalamus
• Chifukwa cha mutu
• Ululu wamutu wamagulu

Garza I, Schwedt TJ, Robertson CE, Smith JH. Mutu ndi zowawa zina za craniofacial. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 103.

Hoffmann J, May A. Kuzindikira, matenda am'magazi, komanso kuwongolera mutu wamagulu. Lancet Neurol. 2018; 17 (1): 75-83. PMID: 29174963 www.ncbi.nlm.nih.gov/pubmed/29174963. (Adasankhidwa)

Rozental JM. Mutu wamtundu wamavuto, mutu wopweteka kwambiri, ndi mitundu ina yamutu yopweteka. Mu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, olemba. Zofunikira pa Mankhwala Opweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 20.