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Khetha Ikhasi

Ukuphathwa yikhanda nokwelashwa

Ithimba Lomtholampilo Wasemuva Nezinhlungu Zekhanda Nezokwelapha. Isizathu esivame kakhulu sobuhlungu bekhanda singahlobene nezinkinga zentamo. Kusukela ekuchitheni isikhathi esiningi ubheka phansi kukhompuyutha ephathekayo, ideskithophu, i-iPad, ngisho nasekuthumeleni imiyalezo njalo, ukuma okungalungile isikhathi eside kungaqala ukubeka ingcindezi entanyeni nangaphezulu, okuholela ezinkingeni ezingase zidale ikhanda. Iningi lalezi zinhlobo zezinhlungu zekhanda zenzeka ngenxa yokuqina phakathi kwamahlombe, okubangela ukuthi imisipha engaphezulu kwamahlombe iqinise futhi ikhiphe ubuhlungu ekhanda.

Uma umthombo wezinhlungu zekhanda uhlobene nenkinga yomgogodla womlomo wesibeletho noma ezinye izifunda zomgogodla nemisipha, ukunakekelwa kwe-chiropractic, njengokulungiswa kwe-chiropractic, ukuphathwa ngesandla, kanye nokwelashwa ngokomzimba, kungaba yindlela enhle yokwelapha. Futhi, udokotela we-chiropractor angase alandele ukwelashwa kwe-chiropractic ngochungechunge lokuzivocavoca ukuze athuthukise ukuma futhi anikeze iseluleko sokuthuthukiswa kwendlela yokuphila yesikhathi esizayo ukuze kugwenywe ezinye izinkinga.


I-Migraine Physical Therapy: Ukukhulula Ubuhlungu Nokubuyisela Ukuhamba

I-Migraine Physical Therapy: Ukukhulula Ubuhlungu Nokubuyisela Ukuhamba

Kubantu abaphethwe yikhanda elibuhlungu, ingabe ukufaka ukwelapha ngokomzimba kusiza ukwehlisa izinhlungu, kuthuthukise ukuhambahamba, nokulawula ukuhlasela okuzayo?

I-Migraine Physical Therapy: Ukukhulula Ubuhlungu Nokubuyisela Ukuhamba

I-Migraine Physical Therapy

I-Cervicogenic migraine ikhanda lingabangela ubuhlungu, ukunyakaza okulinganiselwe, noma izimpawu ezididayo ezifana nesiyezi noma isicanucanu. Zingase zivele entanyeni noma emgogodleni wesibeletho futhi zibizwe ngokuthi yikhanda le-cervicogenic. Ithimba le-chiropractic therapy ngokomzimba lingahlola umgogodla futhi linikeze ukwelashwa okusiza ukuthuthukisa ukuhamba nokunciphisa ubuhlungu. Abantu ngabanye bangase bazuze ekusebenzeni nethimba le-migraine therapy ngokomzimba ukuze benze ukwelashwa kwezimo ezithile, ngokushesha futhi ngokuphepha ukukhulula ubuhlungu nokubuyela ezingeni labo langaphambili lomsebenzi.

I-Cervical Spine Anatomy

Intamo yakhiwe ama-vertebrae omlomo wesibeletho ayisikhombisa. I-vertebrae yomlomo wesibeletho ivikela intambo yomgogodla futhi ivumele intamo ukuthi idlule:

  • Ukubheka
  • Isandiso
  • Rotation
  • Ukugoba eceleni

Umgogodla womlomo wesibeletho ongenhla usiza ukusekela ugebhezi lwekhanda. Kunamajoyinti nhlangothi zombili zezinga lomlomo wesibeletho. Enye ixhuma ngemuva kogebhezi bese ivumela ukunyakaza. Le ndawo ye-suboccipital iyikhaya lemisipha eminingana esekela futhi ehambisa ikhanda, enezinzwa ezihamba kusukela entanyeni ngokusebenzisa indawo ye-suboccipital ukuya ekhanda. Izinzwa kanye nemisipha kule ndawo kungase kube umthombo wobuhlungu bentamo kanye/noma ikhanda.

Izimpawu

Ukunyakaza okungazelelwe kungabangela izimpawu ze-cervicogenic migraine, noma zingase zivele ngesikhathi sokuma kwentamo okuqhubekayo. (Ikhasi P. 2011) Izimpawu zivame ukuba buthuntu futhi azishayeki futhi zingahlala amahora ambalwa kuya ezinsukwini. Izimpawu zekhanda le-cervicogenic migraine zingabandakanya:

  • Ubuhlungu ezinhlangothini zombili ngemuva kwekhanda.
  • Ubuhlungu ngemuva kwekhanda obuphumela ehlombe elilodwa.
  • Ubuhlungu ohlangothini olulodwa lwentamo engenhla obukhipha ethempelini, ebunzini, noma esweni.
  • Ubuhlungu ohlangothini olulodwa lobuso noma esihlathini.
  • Ukunyakaza okuncishisiwe entanyeni.
  • Ukuzwela ukukhanya noma umsindo
  • I-nausea
  • Isiyezi noma i-vertigo

Sifo

Amathuluzi udokotela angawasebenzisa angahlanganisa:

  • X-ray
  • I-MRI
  • CT scan
  • Ukuhlolwa ngokomzimba kuhlanganisa ububanzi bentamo yokunyakaza kanye nokushaya kwentamo nogebhezi.
  • Izinzwa zokuxilonga kanye nemijovo.
  • Ucwaningo lwe-neck imaging lungase futhi lubonise:
  • I-Lesion
  • I-disc ene-bulging noma i-herniated
  • Ukonakala kwediski
  • Izinguquko ze-arthritis

Ukuxilongwa kwekhanda le-Cervicogenic kuvame ukwenziwa ngobuhlungu bekhanda obuhlangothini olulodwa, obungenabuhlungu kanye nokulahlekelwa uhla lwentamo. (Ikomidi Lokuhlukaniswa Kwezinhlungu Zekhanda leNhlangano Yamazwe Ngamazwe Ngamakhanda Akhanda. 2013) Umhlinzeki wokunakekelwa kwezempilo angase adlulisele umuntu ekwelapheni ngokomzimba ukuze elaphe ubuhlungu bekhanda le-cervicogenic uma esetholakele. (I-Rana MV 2013)

Ukwelashwa Kwemvelo

Lapho bevakashela okokuqala umhlinzeki womzimba, bazohamba emlandweni wezokwelapha kanye nezimo, futhi imibuzo izobuzwa mayelana nokuqala kobuhlungu, ukuziphatha kwezimpawu, imithi, kanye nezifundo zokuxilonga. Umelaphi uzophinde abuze mayelana nokwelashwa kwangaphambilini futhi abuyekeze umlando wezokwelapha nowokuhlinzwa. Izingxenye zokuhlola zingabandakanya:

  • Ukuphaphatheka kwentamo nogebhezi
  • Izinyathelo zokunyakaza kwentamo
  • Izilinganiso zamandla
  • Ukuhlolwa kweposi

Uma ukuhlola sekuqediwe, umelaphi uzosebenza nomuntu ukuthuthukisa uhlelo lokwelapha lomuntu siqu kanye nemigomo yokubuyisela. Izindlela zokwelapha ezehlukene ziyatholakala.

Ukuzivocavoca

Ukuzivocavoca ukuthuthukisa ukunyakaza kwentamo nokunciphisa ukucindezela emithanjeni yomlomo wesibeletho kungase kunqunywe futhi kungabandakanya. (Park, SK et al., 2017)

  • Ukujikeleza komlomo wesibeletho
  • Ukuguquguquka komlomo wesibeletho
  • Ukugoba kohlangothi lwesibeletho
  • Ukuhlehla komlomo wesibeletho

Umelaphi uzoqeqesha umuntu ukuthi ahambe kancane futhi kancane futhi agweme ukunyakaza okungazelelwe noma okunyakazayo.

Ukulungiswa Kweposi

Uma ukuma kwekhanda eliya phambili kukhona, umgogodla ongaphezulu womlomo wesibeletho kanye nendawo ye-suboccipital ingacindezela izinzwa ezihamba ngemuva kogebhezi. Ukulungisa ukuma kungase kube isu elisebenzayo lokwelashwa futhi kungabandakanya:

  • Ukwenza izivivinyo ze-postural ezihlosiwe.
  • Ukusebenzisa umcamelo osekela intamo ukuze ulale.
  • Ukusebenzisa i-lumbar support lapho uhlezi.
  • I-Kinesiology taping ingasiza ekwandiseni ukuqwashisa okuthintekayo kokuma komhlane nentamo futhi kuthuthukise ukuqwashisa jikelele kwe-postural.

Ukushisa/Iqhwa

  • Ukushisa noma iqhwa kungase kufakwe entanyeni nasekhakhayini ukusiza ukwehlisa ubuhlungu nokuvuvukala.
  • Ukushisa kungasiza ukuphumuza imisipha eqinile futhi kuthuthukise ukujikeleza kwegazi futhi kungasetshenziswa ngaphambi kokwelula intamo.

Massage

  • Uma imisipha eqinile inciphisa ukunyakaza kwentamo futhi ibangela ubuhlungu bekhanda, ukusikhipha umzimba kungasiza ukuthuthukisa ukuhamba.
  • Indlela ekhethekile ebizwa ngokuthi i-suboccipital release ikhulula imisipha enamathisela ugebhezi entanyeni ukuze kuthuthukiswe ukunyakaza kanye nokuncipha kokucasuka kwemizwa.

I-Manual kanye ne-Mechanical Traction

  • Ingxenye yohlelo lwe-migraine therapy ngokomzimba ingase ihilele ukudonsa ngomshini noma okwenziwa ngesandla ukuze kuncishiswe ama-disc kanye namalunga entamo, ukuthuthukisa ukunyakaza entanyeni, nokunciphisa ubuhlungu.
  • Ukuhlanganisa ngokuhlanganyela kungase kusetshenziselwe ukuthuthukisa ukunyakaza kwentamo nokuphatha ubuhlungu. (Paquin, JP 2021)

Ukugqugquzela Ugesi

  • Ukugqugquzelwa kukagesi, njengoku i-electro-acupuncture noma i-transcutaneous neuromuscular electrical stimulation, ingasetshenziswa emisipha yentamo ukuze kuncishiswe ubuhlungu nokuthuthukisa izimpawu zekhanda.

Isikhathi Sokwelapha

Izikhathi eziningi zokwelashwa ngokomzimba kwe-migraine zekhanda le-cervicogenic lihlala cishe amasonto amane kuya kwayisithupha. Abantu bangase bathole impumuzo phakathi nezinsuku ezimbalwa beqale ukwelashwa, noma izimpawu zingase zifike futhi zidlule ngezigaba ezihlukene amasonto. Olunye ulwazi lwaqhubeka nobuhlungu bekhanda elibuhlungu izinyanga eziningi ngemva kokuqala ukwelashwa futhi basebenzise amasu abawafunde ukusiza ukulawula izimpawu.

I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic igxile ekwelashweni okuqhubekayo kanye nezinqubo zokuvuselela ukusebenza ezigxile ekubuyiseleni imisebenzi evamile yomzimba ngemva kokulimala kanye nokulimala kwezicubu ezithambile. Sisebenzisa i-Specialized Chiropractic Protocols, Wellness Programs, Functional and Integrated Nutrition, Agility kanye nokuhamba Ukuqeqeshwa Kokufaneleka, kanye Nezinhlelo Zokubuyisela esimweni sayo yonke iminyaka. Izinhlelo zethu zemvelo zisebenzisa ikhono lomzimba lokufinyelela imigomo ethile elinganiselwe. Sihlanganyele nodokotela abakhulu bedolobha, abelaphi, nabaqeqeshi ukuze sinikeze ukwelashwa kwekhwalithi ephezulu okunika iziguli zethu amandla okugcina indlela enempilo yokuphila futhi ziphile ukuphila okusebenzayo okunamandla engeziwe, isimo sengqondo esihle, ukulala okungcono, nobuhlungu obuncane. .


Ukunakekelwa Kwe-Chiropractic For Migraines


Okubhekwayo

Ikhasi P. (2011). I-Cervicogenic headaches: indlela eholwa ngubufakazi ekuphathweni kwemitholampilo. Ijenali yamazwe ngamazwe yokwelapha ngokomzimba, 6(3), 254–266.

IKomidi Lokuhlukaniswa Kwezinhlungu Zekhanda le-International Headache Society (IHS) (2013). I-International Classification of Headache Disorders, uhlelo lwesi-3 (inguqulo ye-beta). I-Cephalalgia : ijenali yamazwe ngamazwe yekhanda elibuhlungu, 33(9), 629-808. doi.org/10.1177/0333102413485658

I-Rana MV (2013). Ukuphatha nokwelapha ikhanda lemvelaphi ye-cervicogenic. Imitholampilo Yezokwelapha yaseNyakatho Melika, 97(2), 267-280. doi.org/10.1016/j.mcna.2012.11.003

I-Park, SK, Yang, DJ, Kim, JH, Kang, DH, Park, SH, & Yoon, JH (2017). Imiphumela yokwelula komlomo wesibeletho kanye nokuzivocavoca kwe-cranio-cervical flexion ezicini zemisipha yomlomo wesibeletho kanye nokuma kweziguli ezinekhanda le-cervicogenic. Ijenali yesayensi yokwelapha ngokomzimba, 29(10), 1836-1840. doi.org/10.1589/jpts.29.1836

Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Imiphumela yokuhlanganiswa kwe-SNAG ehlanganiswe ne-self-SNAG-ukuzivocavoca kwasekhaya kokwelashwa kwekhanda le-cervicogenic: isifundo somshayeli. Ijenali yokwelapha okwenziwa ngesandla kanye nokukhohlisayo, 29(4), 244–254. doi.org/10.1080/10669817.2020.1864960

Zitholele Izinzuzo Ze-Craniosacral Therapy for Relief Pain

Zitholele Izinzuzo Ze-Craniosacral Therapy for Relief Pain

Kubantu abahlushwa izinhlungu zentamo kanye nekhanda, ingabe ukwelashwa kwe-craniosacral head massage kungasiza ekunikezeni impumuzo?

Zitholele Izinzuzo Ze-Craniosacral Therapy for Relief Pain

I-Craniosacral Therapy

I-Craniosacral therapy iyi-massage emnene yokukhulula i-fascia noma i-connective tissue network tension. Ukwelapha akukusha kodwa sekuthole ukunakwa okusha ngenxa yentshisekelo yomphakathi ekwelapheni izinhlungu zemvelo kanye nokwelapha. Ucwaningo lunomkhawulo, kodwa ucwaningo lomtholampilo luyaqhubeka ukuze kubonakale ukuthi ukwelashwa kungaba yindlela yokwelapha evamile. Ukwelashwa kuhloswe ukudambisa izimpawu zezifo nezimo ezahlukahlukene, kufaka phakathi:

  • Ukuphathwa yikhanda
  • ubuhlungu Neck
  • I-Complex region pain syndrome - i-CRPS
  • Ngokukhulula ukucindezelwa emhlane ophansi, ekhanda, nasekholomu yomgogodla, ukujikeleza koketshezi lwe-cerebrospinal kuyabuyiselwa, futhi izigqi zomzimba ngaphakathi kwesistimu yezinzwa zisethwa kabusha. Lokhu kunikeza ukukhululeka kobuhlungu, kwehlisa ukucindezeleka, futhi kuthuthukise inhlalakahle jikelele.

Izinhloso zokubhucunga

Izimo eziningana nezifo okuthiwa zihlomula ekwelashweni kwe-craniosacral zihlanganisa (U-Heidemarie Haller et al., 2019) (Heidemarie Haller, Gustav Dobos, futhi U-Holger Cramer, 2021)

  • Ukuphathwa yikhanda
  • I-Migraines
  • Izimo zobuhlungu obungapheli
  • Izinkinga ezihlobene nokucindezeleka
  • ukukhathazeka
  • Ukucindezeleka
  • I-tinnitus - ukukhala ezindlebeni
  • isiyezi
  • Infantile colic
  • Ukuphazamiseka kwamathumbu
  • I-Attention Deficit Hyperactivity Disorder - I-ADHD
  • Asthma
  • Ukwelapha ukukhulula imiphumela emibi yokwelashwa komdlavuza.

Izindawo okugxilwe kuzo yilezo eziseduze kwe-fascia, izicubu ezixhumene ezibamba izitho, imithambo yegazi, amathambo, imicu yezinzwa, nemisipha endaweni. Ngokusebenzisa lesi zicubu ngokubhucunga ingcindezi emnene, odokotela basiza ukuthulisa impendulo yokulwa noma yokundiza ngokuphumuza isimiso sezinzwa esinozwelo. Izimpawu zizonquma ukuthi yiziphi izindawo zomzimba ezidinga ukwelashwa kwe-craniosacral. Abantu abanekhanda elibuhlungu bazonikezwa ikhanda noma intamo massage. Ezinye izindawo ezibandakanyeka ekwelashweni kwe-craniosacral zifaka:U-Heidemarie Haller, u-Gustav Dobos, no-Holger Cramer, ngo-2021)

  • Emuva
  • Ezungeze ikholomu yomgogodla.
  • Ezinye izindawo ezifana namalunga noma imisipha.
  • Ingcindezi esetshenziswa ngesikhathi sokwelashwa kwe-craniosacral ilula futhi ayifani nokubhucungwa kwezicubu ezijulile.
  • Ukucindezela okukhanyayo kusetshenziswa phezu kwezicubu ezithintekile ze-fascial ukusiza ukusetha kabusha izigqi ezithile zomzimba ezingase zibe nendima ebuhlungu nezinye izimpawu. (U-Heidemarie Haller, u-Gustav Dobos, no-Holger Cramer, ngo-2021)

I-Parasympathetic Nesistimu Yezinzwa Ezwelayo

  • I-parasympathetic kanye nezinhlelo zezinzwa ezinozwela zilawula izimpendulo ezihlukahlukene zomzimba.
  • I-parasympathetic nervous system isekela ukuphumula okufanele kanye nemisebenzi yokugaya ukudla, futhi isimiso sezinzwa esinozwela silawula impendulo yomzimba yokulwa-noma-ukundiza. (Umtholampilo waseCleveland. 2022)

Amasu Okwelapha

Amasu okubhucunga asetshenziswa ekwelapheni kwe-craniosacral ancike ekucindezelweni okuphansi okuhloswe ukuthi kube mnene ngangokunokwenzeka. Iminwe ivame ukusetshenziselwa ukugwema ukufaka ukucindezela okukhulu. Abahlinzeki bezempilo basebenza izindawo eziphakathi kogebhezi kanye naphansi komgogodla ukuze babone futhi basethe kabusha ukungalingani ngaphakathi komzimba kanye noketshezi lwe-cerebrospinal. Uma kukhona ukungalingani ku-cerebrospinal fluid, i-massage Therapist izobeka kabusha umuntu noma icindezele endaweni ukuze ikhulule kanye/noma andise ukujikeleza. Amasu asebenza ukuthuthukisa ikhono lomzimba lokulawula ukusabela komzimba. (U-Heidemarie Haller et al., 2019) Phakathi nangemva kweseshini, abantu bangase babe nemizwa ehlukene, okuhlanganisa: (I-Biodynamic Craniosacral Therapy Association yaseNyakatho Melika, 2024)

  • Ukuphumula.
  • Ukuzizwa usesimweni sokuzindla.
  • Ukulala.
  • Inikwe amandla.
  • Ukuzwa umuzwa wokufudumala.
  • Ukuphefumula okujulile.
  • Ukuzwa umzimba uqondile futhi mude.

Abantu Okungafanele Bathole Ukwelashwa Kwe-Craniosacral

Ukwelashwa kwe-craniosacral kubhekwa njengokuphephile; Nokho, abanye abantu kufanele bakugweme noma bathintane nomhlinzeki wezempilo ngaphambi kokukuzama. Labo abatuswa ukuthi bangakutholi ukwelashwa bahlanganisa abantu abanezifo noma iziyaluyalu ezilandelayo:

  • Ukungqubuzana noma okunye ukulimala kwengqondo okubuhlungu.
  • Amahlule egazi.
  • Ukuvuvukala kobuchopho.
  • I-Brain aneurysm – iqhubu eligcwele igazi emithanjeni yegazi ngaphakathi noma eduze kobuchopho.
  • Izimo ezibangela ukunqwabelana koketshezi lwe-cerebrospinal.

Ukwelashwa

Ukwelashwa kwe-Craniosacral kunikezwa ngabahlinzeki bezempilo abaningana, okuhlanganisa:

  • I-Craniosacral therapy inelayisense ye-massage Therapists
  • Therapists
  • Abahlinzeki bama-Occupational
  • Amathambo
  • Izidakamizwa

Lezi zingcweti ziyakwazi ukwenza indlela yokubhucunga ngendlela efanele.


Ukunqanda ikhanda


Okubhekwayo

Haller, H., Lauche, R., Sundberg, T., Dobos, G., & Cramer, H. (2019). Ukwelashwa kwe-Craniosacral yobuhlungu obungapheli: ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-meta yezilingo ezilawulwa ngokungahleliwe. Izinkinga ze-BMC musculoskeletal, 21(1), 1. doi.org/10.1186/s12891-019-3017-y

U-Haller, H., Dobos, G., & Cramer, H. (2021). Ukusetshenziswa kanye nezinzuzo ze-Craniosacral Therapy ekunakekelweni kwezempilo okuyisisekelo: Ucwaningo lweqembu olulindelwe. Izindlela zokwelapha ezihambisanayo kwezokwelapha, 58, 102702. doi.org/10.1016/j.ctim.2021.102702

Umtholampilo waseCleveland. (2022). I-Peripheral Nervous System (PNS) (Ilabhulali Yezempilo, Indaba. my.clevelandclinic.org/health/body/23123-peripheral-nervous-system-pns

I-Biodynamic Craniosacral Therapy Association yaseNyakatho Melika. (2024). Injani iseshini? www.craniosacraltherapy.org/what-is-a-session-like-

Valelisa Ngokuphathwa Kwekhanda Nge-Acupuncture

Valelisa Ngokuphathwa Kwekhanda Nge-Acupuncture

Ingabe abantu ababhekene nekhanda elibuhlungu bangakuthola ukukhululeka abakufunayo ekwenziweni kwe-acupuncture ukuze banciphise izimpawu ezifana nobuhlungu?

Isingeniso

Njengengxenye yesistimu ye-musculoskeletal, intamo iyingxenye yezingxenye zomzimba ophezulu futhi ivumela ikhanda ukuba lihambe ngokujikeleza okugcwele ngaphandle kobuhlungu nokungahambi kahle. Imisipha ezungezile, imigqa, nama-tendon asiza ukuvikela isifunda somgogodla wesibeletho futhi abe nobuhlobo obuhle namahlombe. Kodwa-ke, indawo yentamo inganqotshwa ukulimala, okuholela ezimpawu ezinjengezinhlungu ezingabangela ubuhlungu nokungahambi kahle ezindaweni ezingenhla. Enye yezimpawu ezinjengobuhlungu ezihambisana nobuhlungu bentamo ubuhlungu bekhanda. Izinhlungu zekhanda zingahluka ngezigaba ezinzima kuye kwezingamahlalakhona njengoba zithinta abantu abaningi kanye nezici ezahlukahlukene ezihambisana nazo. Lapho ubuhlungu bekhanda buqala ukwakheka, abantu abaningi bazobheka izindlela zokwelapha eziningi ukuze banciphise izimpawu ezifana nobuhlungu ezihambisana nekhanda elibuhlungu futhi bathole ukukhululeka okubafanele. Isihloko sanamuhla sibheka izici ezihlukahlukene ezihlotshaniswa nekhanda elibuhlungu, ukuthi ubuhlungu bekhanda bubangela kanjani ukunqwabelana kwamaphrofayili ezingozi ngobuhlungu bentamo, nokuthi ukwelapha okufana nokutshopa kunganciphisa kanjani ubuhlungu bekhanda. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze sinikeze ukwelashwa okufana nokutshopa ukuze kuncishiswe ubuhlungu bekhanda. Siphinde sazise futhi siqondise iziguli ukuthi i-acupuncture ingabazuzisa kanjani abantu abaningi ababhekene nobuhlungu bentamo obuhambisana nekhanda. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nezimpawu zabo ezifana nobuhlungu ezihambisana nekhanda elibuhlungu nobuhlungu bentamo. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer.

 

Izici Ezihlukahlukene Ezihlobanisa Izinhlungu Zekhanda

 

Ingabe uke wabhekana nokungezwani ngemuva kwentamo yakho ngemva kosuku olude? Ingabe uzizwa ubuhlungu obunzima ngemva kokugqolozela ikhompuyutha noma isikrini sefoni? Noma ingabe uzwa umuzwa oshaya ngamandla wokuthi kumelwe ulale phansi imizuzu embalwa? Eziningi zalezi zimo ezinjengobuhlungu zihlotshaniswa nekhanda elibuhlungu elithinta abantu abaningi ngezikhathi ezithile. Ubuhlungu bekhanda buhlotshaniswa namaphrofayili engozi ahlukahlukene e-biochemical kanye ne-metabolic noma izinguquko ezibangela ukuzwela okumaphakathi kanye nokungasebenzi kahle kwe-neuronal. (Walling, 2020) Lokhu kubangela abantu abaningi ukuba babe nezimpawu ezibuhlungu noma ezingapheli ezifana nobuhlungu obuthinta amakhanda abo kanye nezindawo ezihlukahlukene ezizungeze ubuso nendawo yentamo. Ezinye zezinto eziningi ezingaholela ekuthuthukisweni kwekhanda elibuhlungu zihlanganisa:

  • Ukucindezeleka
  • Amagciwane
  • Ukushuba kwesimo phakathi
  • Ukwehluleka ukulala
  • Ukuntuleka kwamanzi nokudla
  • Ukulimala okubuhlungu
  • Izibani ezikhanyayo ezikhanyayo

Ukwengeza, ezinye izici ezifana nokukhuluphala ngokweqile zingaba yingozi enkulu yekhanda lesibili elinjenge-migraines libe nezimpawu ze-intracranial hypertension nomthelela emzimbeni. (I-Fortini & Felsenfeld Junior, 2022) Lokhu kungaholela ekuthuthukisweni kobuhlungu bentamo obubangelwa yikhanda elibuhlungu.

 

Ikhanda Nobuhlungu Bentamo

Uma kuziwa ekuphathweni kwekhanda elihambisana nobuhlungu bentamo, abantu abaningi bazobhekana nokucindezeleka nobuhlungu emisipha ezungezile kanye nezimpawu eziqhubekayo. Ubuhlungu bentamo bungabangela amaphrofayli engozi adlulele emisipha, imigqa, ama-facet joints, kanye nezakhiwo ze-visceral zentamo ezingabangela ukuthuthukiswa kwekhanda elibuhlungu noma kube uphawu oluhambisana nokuphazamiseka kwentamo. (Vicente et al., 2023) Ukwengeza, ubuhlungu bentamo kanye nobuhlungu bekhanda buhlotshaniswa kakhulu njengoba ubuhlungu bemisipha budlala indima ekuthuthukisweni kwekhanda njengoba kunikeza imiphumela emibi ngaphakathi kwempilo yabo yomphakathi. Ikhanda elibuhlungu lingavimbela ikhono lomuntu lokugxila, kuyilapho ubuhlungu bentamo bubangela ukuhamba okulinganiselwe nokuqina. (Rodriguez-Almagro et al., 2020

 


Ukubuka Konke Kwezinhlungu Zekhanda- Ividiyo


I-Acupuncture Yehlisa Izinhlungu Zekhanda

Lapho abantu bebhekene nekhanda elibuhlungu, abaningi bazofaka amakhambi asekhaya ukuze banciphise ukungezwani ababhekana nakho ngenxa yezici ezihlukahlukene. Lokhu kunganikeza impumuzo yesikhashana ukuze kuncishiswe imiphumela yezimpawu ezinjengobuhlungu ezihambisana nekhanda elibuhlungu. Kodwa-ke, lapho ubuhlungu obuvela ekhanda bungabekezeleleki ngobuhlungu bentamo ekuxubeni, kulapho ukwelapha okungahlinzeki kungaba yimpendulo. Izindlela zokwelapha ezingahlinzeki ziyasebenza ezinhlungwini ezibangelwa ikhanda futhi zenziwe ngendlela oyifisayo nobuhlungu bomuntu. Isibonelo, i-acupuncture ingasiza ngekhanda elibuhlungu nobuhlungu bentamo. I-acupuncture ingenye yezindlela ezindala kakhulu zokwelapha ezingahlinzeki; ochwepheshe abaqeqeshwe kakhulu basebenzisa izinaliti ezincane eziqinile ukuze zifakwe kuma-acupoints ahlukahlukene emzimbeni ukuze ubuyisele ukugeleza kwamandla nokunciphisa ubuhlungu obuhambisana nekhanda. (Turkistani et al., 2021)

 

 

I-acupuncture ingasiza ngisho nokunciphisa imvamisa nobude bekhanda elibuhlungu ngenkathi iphazamisa izimpawu zobuhlungu futhi isize ukunikeza ukuqonda ngemiphumela emihle yokunciphisa ubuhlungu. (Li et al., 2020) Lapho abantu beqala ukufaka i-acupuncture njengengxenye yohlelo lwabo lwezempilo nempilo enhle, bazozwa ubuhlungu bekhanda labo buncishisiwe kanye nokuhamba kwentamo yabo kubuyele kokujwayelekile. Ngokwelashwa okulandelanayo, bazozizwa bengcono kakhulu futhi bazi kakhudlwana izici ezihlukahlukene eziphathelene nokukhiqizwa kwekhanda elibuhlungu kuyilapho benza izinguquko ezincane ukuze banciphise amathuba abo okubuya. 

 


Okubhekwayo

I-Fortini, I., & Felsenfeld Junior, BD (2022). Ikhanda elibuhlungu nokukhuluphala ngokweqile. I-Arq Neuropsiquiatr, 80(5 Okwengeziwe 1), 204-213. doi.org/10.1590/0004-282X-ANP-2022-S106

U-Li, YX, Xiao, XL, Zhong, DL, Luo, LJ, Yang, H., Zhou, J., He, MX, Shi, LH, Li, J., Zheng, H., & Jin, RJ (2020) ). Ukusebenza Nokuphepha Kwe-acupuncture ye-Migraine: Uhlolojikelele Lokubuyekezwa Okuhlelekile. I-Pain Res Manag, 2020, 3825617. doi.org/10.1155/2020/3825617

Rodriguez-Almagro, D., Achalandabaso-Ochoa, A., Molina-Ortega, FJ, Obrero-Gaitan, E., Ibanez-Vera, AJ, & Lomas-Vega, R. (2020). I-Neck Pain- kanye Nemisebenzi Ebangela Ukungagxili kanye Nobudlelwano Bayo Nobukhona, Ukuqina, Imvamisa, kanye Nokukhubazeka Kwekhanda Lekhanda. I-Brain Sci, 10(7). doi.org/10.3390/brainsci10070425

Turkistani, A., Shah, A., Jose, AM, Melo, JP, Luenam, K., Ananias, P., Yaqub, S., & Mohammed, L. (2021). Ukusebenza Kokwelashwa Kwezandla kanye Ne-acupuncture ku-Tension-Type Headache: Ukubuyekezwa Okuhlelekile. I-Cureus, 13(8), i-e17601. doi.org/10.7759/cureus.17601

Vicente, BN, Oliveira, R., Martins, IP, & Gil-Gouveia, R. (2023). Izimpawu ze-Cranial Autonomic kanye nobuhlungu bentamo ekuxilongweni okuhlukile kwe-Migraine. Ukuxilongwa (Basel), 13(4). doi.org/10.3390/diagnostics13040590

Walling, A. (2020). Izinhlungu Zekhanda Ezivamile: Ukuhlola Nokuphatha. I-American Family Physician, 101(7), i-419-428. www.ncbi.nlm.nih.gov/pubmed/32227826

www.aafp.org/pubs/afp/issues/2020/0401/p419.pdf

Disclaimer

Ukunqoba Izinhlungu Zekhanda Ezingapheli Ngokwelashwa Okuphumelelayo

Ukunqoba Izinhlungu Zekhanda Ezingapheli Ngokwelashwa Okuphumelelayo

Kubantu abathintwe yikhanda elibuhlungu elenzeka izinsuku eziyi-15 noma ngaphezulu ngenyanga isikhathi esingaphezu kwezinyanga ezintathu, ukwazi izimpawu nezimpawu kungabasiza yini abahlinzeki bezempilo ukusiza ekwelapheni nasekuvimbeleni ubuhlungu bekhanda obungapheli?

Ukunqoba Izinhlungu Zekhanda Ezingapheli Ngokwelashwa Okuphumelelayo

Izinhlungu Zekhanda Ezingapheli

Abantu abaningi baye babhekana nekhanda elibuhlungu. Ubuhlungu ngokuvamile buchazwa njengokuqiniswa okubuthuntu noma ukucindezela ezinhlangothini zombili zekhanda, njengokuba nebhande eliqinisayo ekhanda. Abanye abantu babhekana nalezi zinhlungu zekhanda njalo, isimo esaziwa ngokuthi yikhanda elibuhlungu elingapheli. Izinhlungu zekhanda ezicindezelayo ezingapheli azivamile kodwa zingaqeda amandla, njengoba zingaphazamisa ikhwalithi yokuphila enempilo nokuphila kwansuku zonke.

  • Ikhanda elibuhlungu ngokuvamile libangelwa ukucindezeleka, ukukhathazeka, ukuphelelwa amanzi emzimbeni, ukuzila ukudla, noma ukuntula ubuthongo futhi ngokuvamile lixazulula ngemithi etholakala ngaphandle kwe-counter. (Umtholampilo waseCleveland. 2023)
  • Lesi yisifo sekhanda esiyinhloko esithinta cishe u-3% wabantu.
  • Ubuhlungu bekhanda obungapheli bungenzeka nsuku zonke futhi bube nomthelela omubi kwikhwalithi yokuphila nokusebenza kwansuku zonke. (Umtholampilo waseCleveland. 2023)

Izimpawu

  • Ikhanda elibuhlungu lingabizwa ngokuthi ukucindezeleka kwekhanda or ubuhlungu bekhanda bokufinyela kwemisipha.
  • Zingaveza ngobuhlungu obufiphele, obubuhlungu futhi zihlanganisa ukuqina noma ukucindezela ebunzini, izinhlangothi, noma ngemuva kwekhanda. (Umtholampilo waseCleveland. 2023)
  • Ukwengeza, abanye abantu baba nokuzwela esikhunjeni, entanyeni nasemahlombe.
  • Izinhlungu zekhanda ezicindezelayo ezingapheli zenzeka izinsuku eziyi-15 noma ngaphezulu ngenyanga ngokwesilinganiso isikhathi esingaphezu kwezinyanga ezintathu.
  • Ikhanda elibuhlungu lingahlala amahora ambalwa noma liqhubeke izinsuku ezimbalwa.

Izimbangela

  • Ikhanda elibuhlungu ngokuvamile libangelwa imisipha eqinile emahlombe, intamo, umhlathi, kanye nesikhumba.
  • Ukugaya amazinyo/i-bruxism kanye nokuhlanganisa imihlathi nakho kungaba nomthelela kulesi simo.
  • Ubuhlungu bekhanda bungabangelwa ukucindezeleka, ukucindezeleka, noma ukukhathazeka futhi kuvame kakhulu kubantu:
  • Sebenza amahora amaningi emisebenzini ecindezelayo.
  • Ungalali ngokwanele.
  • Yeqa ukudla.
  • Phuza njalo utshwala. (Umtholampilo waseCleveland. 2023)

Sifo

Abantu abaphethwe yikhanda eliphazamisa impilo yansuku zonke noma abadinga ukuphuza imithi izikhathi ezingaphezu kuka kabili ngesonto bayatuswa ukuthi babonane nomhlinzeki wezempilo. Ngaphambi kwe-aphoyintimenti, kungaba usizo ukugcina a idayari yekhanda:

  • Qopha izinsuku
  • Times
  • Incazelo yobuhlungu, ukuqina, nezinye izimpawu.

Eminye imibuzo umhlinzeki wezempilo angase ayibuze ihlanganisa:

  1. Ingabe ubuhlungu buyashaya, bubukhali, noma buhlaba, noma buhlala njalo futhi buthuntu?
  2. Buphi ubuhlungu obukhulu kakhulu?
  3. Ingabe igcwele ikhanda, ohlangothini olulodwa, ebunzini, noma ngemva kwamehlo?
  4. Ingabe ubuhlungu bekhanda buphazamisa ubuthongo?
  5. Ingabe ukusebenza noma ukwenza imisebenzi kunzima noma akunakwenzeka?

Umhlinzeki wokunakekelwa kwezempilo cishe uzokwazi ukuxilonga lesi simo ngokusekelwe ezimpawu zodwa. Kodwa-ke, uma iphethini yekhanda elibuhlungu lihlukile noma lihlukile, umhlinzeki angase alawule ukuhlolwa kwe-imaging, njenge-MRI noma i-CT scans, ukuze akhiphe ezinye izifo. Izinhlungu zekhanda ezicindezelayo ezingalapheki zingadideka nezinye izinkinga zekhanda ezihlala njalo zansuku zonke njenge-chronic migraine, i-hemicrania continua, ukungasebenzi kahle kwamalunga e-temporomandibular/TMJ, noma ikhanda elibuhlungu leqembu. (Fayyaz Ahmed. 2012)

Ukwelashwa

Ukwelashwa kwe-Pharmacological for chronic tension headache ngokuvamile kuhilela imithi yokuvimbela.

  • I-Amitriptyline iwumuthi owodwa otholakale unenzuzo ekuvimbeleni ubuhlungu bekhanda elicindezelayo.
  • I-Tricyclic antidepressant umuthi olalisayo futhi ngokuvamile uthathwa ngaphambi kokulala. (UJeffrey L. Jackson et al., 2017)
  • Ngokusho kokuhlaziywa kwe-meta yezifundo ezishicilelwe ze-22 ku-Journal of General Internal Medicine, le mithi iphakeme kune-placebo ekunciphiseni imvamisa yekhanda elibuhlungu, ngesilinganiso sezinsuku ezingu-4.8 ezimbalwa zekhanda ngenyanga.

Imithi eyengeziwe yokuvimbela ingase ihlanganise namanye ama-antidepressants afana nalokhu:

  • I-Remeron - i-mirtazapine.
  • Imithi yokulwa nokuthunjwa - njenge-Neurontin - gabapentin, noma i-Topamax - i-topiramate.

Umhlinzeki wezempilo angase futhi anikeze imithi yokwelapha iziqephu zekhanda, ezihlanganisa:

  • Imithi kadokotela engeyona i-steroidal eqeda ukuvuvukala noma ama-NSAID, okuhlanganisa i-acetaminophen, i-naproxen, i-indomethacin, noma i-ketorolac.
  • Ama-opiates
  • Ama-relaxant muscle
  • Benzodiazepines - Valium

Ukwelashwa Okungeyona Imithi

Izindlela zokwelapha zokuziphatha ngezinye izikhathi zisetshenziswa ngokwazo noma zihlanganiswe nemithi yokuvimbela kanye nokulawula ubuhlungu bekhanda obungapheli. Izibonelo zifaka:

I-acupuncture

  • Enye indlela yokwelapha ehilela ukusebenzisa izinaliti ukuvuselela amaphuzu athile emzimbeni okukholakala ukuthi axhumane nezindlela ezithile/ama-meridians athwala amandla/chi abalulekile kuwo wonke umzimba.

I-Biofeedback

  • Ku-Electromyography - i-EMG biofeedback, ama-electrode afakwa esikhumbeni, entanyeni, nangaphezulu komzimba ukuze kutholakale ukufinyela kwemisipha.
  • Isiguli siqeqeshelwe ukulawula ukungezwani kwemisipha ukuze kuvinjelwe ubuhlungu bekhanda. (UWilliam J. Mullally et al., 2009)
  • Inqubo ingabiza futhi idle isikhathi, futhi kunobufakazi obuncane bokusekela ukusebenza kwayo.

Ukwelashwa Kwemvelo

  • Umelaphi womzimba angakhipha imisipha eqinile futhi eqinile.
  • Qeqesha abantu ngokuzivocavoca umzimba okuqondisiwe ukuze kuxegiswe imisipha yekhanda nentamo eqinile.

I-Cognitive Behavioral Therapy/CBT

  • Kufaka nokufunda indlela yokubona izimbangela zekhanda futhi ubhekane ngendlela engacindezeli futhi eguquguqukayo.
  • Ochwepheshe bekhanda ngokuvamile batusa i-CBT ngaphezu kwemithi lapho benza uhlelo lokwelapha. (U-Katrin Probyn et al., 2017)
  • Ukuqeqeshwa/ukwelashwa kokugaya amazinyo nokuhlanganisa imihlathi kungasiza lapho bengabahlanganyeli.
  • Ukuvivinya umzimba njalo, kanye nokuzijwayeza ukuhlanzeka kokulala okunempilo, kungaba yinzuzo ekuvimbeleni.

supplements

Abanye abantu abanezinhlungu ezibuhlungu ezingapheli bangathola ukukhululeka ngokusebenzisa izithasiselo. I-American Academy of Neurology kanye ne-American Headache Society ibika ukuthi izithako ezilandelayo zingasebenza: (Isikhungo Sikazwelonke Sezempilo Ezihambisanayo Nedidiyelwe. 2021)

  • I-Butterbur
  • Umkhuhlane
  • magnesium
  • riboflavin

Uma ikhanda liqala ngokuzumayo, libangele ukuvuka ebuthongweni, noma lihlale izinsuku, kubalulekile ukubonana nomhlinzeki wezempilo ukuze akhiphe noma yiziphi izimbangela eziyisisekelo futhi athuthukise uhlelo lokwelapha lomuntu siqu.


Ukunqanda ikhanda


Okubhekwayo

Umtholampilo waseCleveland. (2023). Ukunqanda ikhanda.

U-Ahmed F. (2012). Ukuphazamiseka kwekhanda: ukuhlukanisa nokuphatha ama-subtypes avamile. Iphephabhuku laseBrithani lobuhlungu, i-6 (3), i-124-132. doi.org/10.1177/2049463712459691

U-Jackson, JL, Mancuso, JM, Nickoloff, S., Bernstein, R., & Kay, C. (2017). I-Tricyclic ne-Tetracyclic Antidepressants for the Prevention of Frequent Episodic or Chronic Tension-Type Headache Kubantu Abadala: Ukubuyekezwa Okuhlelekile kanye Nokuhlaziywa Kwe-Meta. Ijenali yemithi evamile yangaphakathi, 32(12), 1351-1358. doi.org/10.1007/s11606-017-4121-z

Mullally, WJ, Hall, K., & Goldstein, R. (2009). Ukusebenza kwe-biofeedback ekwelapheni i-migraine kanye nohlobo lwekhanda lokucindezeleka. Udokotela wezinhlungu, 12(6), 1005–1011.

U-Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, HK, Matharu, M., Pincus, T., & CHESS team. (2017). Ukuzilawula okungezona kwe-pharmacological kubantu abaphila ne-migraine noma uhlobo lwekhanda lokucindezeleka: ukubuyekezwa okuhlelekile okuhlanganisa nokuhlaziywa kwezingxenye zokungenelela. I-BMJ ivuliwe, 7(8), e016670. doi.org/10.1136/bmjopen-2017-016670

Isikhungo Sikazwelonke Sezempilo Ezihambisanayo Nedidiyelwe. (2021). Ikhanda Elibuhlungu: Okufanele Ukwazi.

Ikhanda Elibuhlungu Phezu Kwekhanda: Izimbangela, Izimpawu Nokukhululwa

Ikhanda Elibuhlungu Phezu Kwekhanda: Izimbangela, Izimpawu Nokukhululwa

Abantu abaphathwa yikhanda ekhanda bangabangelwa izici ezihlukahlukene. Ingabe ukubona ukuthi yini ebangela ubuhlungu noma ingcindezi kusiza ukuvimbela lolu hlobo lwekhanda elibuhlungu, futhi abahlinzeki bezempilo bathuthukise izinhlelo zokwelashwa ezisebenzayo?

Ikhanda Elibuhlungu Phezu Kwekhanda: Izimbangela, Izimpawu Nokukhululwa

Ikhanda Elibuhlungu Phezu Kwekhanda

Izici ezihlukahlukene zingabangela ikhanda elibuhlungu phezu kwekhanda; izimbangela ezivamile zihlanganisa:

  • Ukucindezeleka
  • Izinkinga zokulala
  • Inkinga yamehlo
  • Ukuhoxiswa kwe-caffeine
  • Izinkinga zamazinyo
  • Izinguquko ze-Hormonal
  • Ukuphuza utshwala

Izimbangela

Izimbangela eziningi zihlobene nezinkinga eziyisisekelo ezenzeka kwezinye izingxenye zomzimba.

Ukucindezeleka

  • Ukucindezeleka kuyimbangela evamile yekhanda elibuhlungu, kuhlanganise nelinye eliphezu kwekhanda.
  • Abacwaningi abazi kahle ukuthi ukucindezeleka kubangela kanjani ubuhlungu bekhanda, kodwa bacabanga ukuthi kubangela ukuqina kwemisipha ngemuva kwekhanda noma intamo, okuyinto
  • idonsela izicubu phansi, okuholela ebuhlungu noma ingcindezi esikhumbeni kanye/noma endaweni yasebunzini.
  • Lezi zibizwa nangokuthi izinkinga zekhanda.
  • Ubuhlungu bekhanda obubangelwa ukucindezeleka ngokuvamile buzwakala njengokucindezeleka okubuhlungu kunokuba ubuhlungu obuhlabayo.

Izinkinga Zokulala

  • Ukungalali ngokwanele kungabangela ikhanda elibuhlungu phezu kwekhanda.
  • Lapho ingqondo nomzimba kungalali kahle, kungaphazamisa ukusebenza komzimba okufana nezinga lokushisa, indlala, nemijikelezo yokulala, okungaholela ekuphathweni ikhanda.
  • Kuvamile ukuzizwa ucindezeleke kakhulu lapho ungalali, okungabangela noma kuhlanganise ikhanda elibuhlungu nezinye izimpawu.

I-Eye Strain

  • Ungase uhlakulele ikhanda phezulu kwekhanda lakho ngemva kokufunda, ukubukela, noma ukugxila kokuthile isikhashana.
  • Ngokuhamba kwesikhathi, imisipha yamehlo akho iyakhathala futhi kudingeke isebenze kanzima, ibangele ukuba ifinyele.
  • Lezi zinhlungu zingaholela ekuphathweni kwekhanda. Ukuklolodela kungenza ukufinyela kwemisipha kube kubi nakakhulu.

Ukuhoxiswa kwe-caffeine

  • Abantu bangase bezwe ubuhlungu phezu kwamakhanda abo uma beqa ikhofi labo elivamile.
  • Ukusetshenziswa njalo kwe-caffeine kungaholela ezimpawu zokuthembela kanye nokuhoxa, okuhlanganisa ubuhlungu bekhanda lapho ukuphuza kuncipha noma kuyekwa.
  • Lolu hlobo lwekhanda elibuhlungu lingase libe maphakathi noma libe nzima kakhulu futhi lingazwakala libi kakhulu uma umuntu esebenza.
  • Abantu abaningi baqala ukuzizwa bengcono ekuhoxisweni kwe-caffeine ngemva kwesonto. (I-World Health Organization. 2016)

Izinkinga Zamazinyo

  • Izinkinga zamazinyo njengemifantu, izimbotshana, noma ukuthintana zingamcasula i-trigeminal nerve, eqeda ubuhlungu bekhanda.
  • Ukugaya amazinyo nakho kungaholela ekuphathweni kwekhanda.

Izinguquko zeHormonal

  • Abantu abanezinga eliphansi le-hormone yegilo bangase baphathwe ikhanda.
  • Lokhu kungase kube ngenxa yokuba ne-thyroid encane kakhulu noma uphawu lwalesi simo.
  • Njengekhanda elibuhlungu elibangelwa ukucindezeleka, lolu hlobo ngokuvamile alunambitheki futhi alushaya.
  • Abanye besifazane bangase bezwe ubuhlungu phezu kwamakhanda abo ngaphambi kokuya esikhathini okubangelwa ukwehla kwamazinga e-estrogen.

Utshwala

  • Abanye abantu baba nekhanda elibuhlungu phezu kwekhanda labo noma kwenye indawo emahoreni ambalwa ngemva kokuphuza utshwala.
  • Lokhu kwaziwa njengekhanda le-cocktail.
  • Ikhanda elibuhlungu elibangelwa utshwala ngokuvamile lixazulula phakathi namahora angu-72.
  • Indlela yaleli khanda ayicwaningwa ngokugcwele, kodwa kucatshangwa ukuthi ukwanda kwemithambo yegazi ebuchosheni/i-vasodilation lapho uphuza utshwala kungase kubangele ubuhlungu bekhanda.
  • Lolu hlobo lwekhanda luhlukile kunekhanda elibuhlungu elivela ekuphuzeni ngokweqile futhi lisekelwe ekuphelelweni kwamanzi emzimbeni kanye nemiphumela enobuthi yotshwala. (JG Wiese, MG Shlipak, WS Browner. 2000)

Izimbangela Ezingavamile

Ubuhlungu be-top-of-the-head bungabuye bubangelwe yizimbangela ezibucayi nezingavamile:

I-Brain Tumor

  • Ubuhlungu bekhanda bungenye yezimpawu ezivame kakhulu zamathumba ebuchosheni.
  • Ikhanda elibuhlungu phezulu kwekhanda lincike endaweni kanye nobukhulu besimila. (I-MedlinePlus. 2021)

I-Brain Aneurysm

  • Lena indawo ebuthakathaka noma ezacile emthanjeni wobuchopho oqhuma futhi ugcwale igazi, okungase kubangele ukuqhuma okusongela ukuphila.
  • Ubuhlungu bekhanda uphawu oluvame kakhulu. (Brigham kanye neSibhedlela Sabesifazane. 2023)

Ubuchopho Bopha

  • Eyaziwa nangokuthi ukopha ebuchosheni, lesi simo singabangela ubuhlungu obukhulu kanye nekhanda elibuhlungu elisheshayo.
  • Ukopha ebuchosheni kungabangelwa ukuhlukumezeka ekhanda, umfutho wegazi ophakeme, i-aneurysm, ukuphazamiseka kwegazi, noma isifo sesibindi. (I-New York-Presbyterian. 2023)

Ukwelashwa

Ukwelashwa kokunciphisa ikhanda elibuhlungu phezu kwekhanda kuhlanganisa:

  • Ukubeka isikhwama seqhwa phezu kwendawo ukunciphisa ukuvuvukala.
  • Ukuhlolwa amehlo.
  • Ukulungisa indlela yokuphila enempilo njengokuphuza amanzi amaningi usuku lonke.
  • Ukudla okuncane kwe-caffeine.
  • Ukushintsha amaphethini okulala ukuze ube nempilo, ingqondo nomzimba ophumule.
  • Ukugeza okwelaphayo ukuze uphumuze umzimba.
  • Ukuzivocavoca okuthambile njengokuhamba, i-pilates, noma i-yoga.
  • Ukuzijwayeza ukuphefumula okujulile.
  • Ukuzivocavoca umzimba njengokuzindla.
  • Ukuthatha imithi engeyona eye-steroidal eqeda ukuvuvukala noma ama-NSAID afana ne-aspirin, i-Advil/ibuprofen), noma i-Aleve/naproxen.

Ngokuya ngembangela nezimpawu, udokotela angase asikisele izindlela zokwelapha ezikhethekile ezifana nalezi:

Uchwepheshe wezokwelapha uzokwazi ukusiza ukukhomba uhlobo lwekhanda elizwakalayo, anikeze izinketho zokwelapha, futhi eluleka ngendlela yokulawula izimbangela.


Ukulimala Kwentamo, El Paso, Texas


Okubhekwayo

I-World Health Organization. (2016) Ukuphazamiseka kwekhanda.

Wiese, JG, Shlipak, MG, & Browner, WS (2000). I-alcohol hangover. Izibalo zemithi yangaphakathi, 132(11), 897-902. doi.org/10.7326/0003-4819-132-11-200006060-00008

I-MedlinePlus. (2021) Isigaxa sobuchopho.

Brigham kanye neSibhedlela Sabesifazane. (2023) I-aneurysm yobuchopho.

I-New York-Presbyterian. (2023) Ukopha ebuchosheni.

Ingcindezi Yekhanda

Ingcindezi Yekhanda

Ingabe izinqubo zokwelashwa kwe-chiropractic zingaxilonga ukuthi yini ebangela ukucindezelwa kwekhanda kubantu ngabanye, futhi zinikeze ukwelashwa okuphumelelayo?

Ingcindezi Yekhanda

Ingcindezi Yekhanda

Ukucindezela kwekhanda kungaba nezimbangela nezimpawu ezihlukahlukene ezithinta izindawo ezahlukene kuye ngokuthi imbangela iyikhanda elibuhlungu, ukungezwani komzimba, ukulimala, ukugula, noma isifo. Indawo yokucindezela noma ubuhlungu kungasiza udokotela we-chiropractic anqume imbangela.

  • Isici esiyisisekelo ngokuvamile asifaki ukuphila engozini, kodwa ingcindezi eyakhile ingaba umphumela wezimo ezimbi njengokulimala ekhanda noma isimila sobuchopho.
  • Ukunakekelwa kwe-Chiropractic, okuhlanganisa inhlanganisela yokuguqulwa komgogodla, ukuvivinya umzimba okusebenzayo nokungenzi lutho, nokusikhipha umzimba, kuvame ukusetshenziselwa ukuphathwa kwekhanda nokuvimbela. (Moore Craig, et al., 2018)
  • Ukwelashwa kwe-Chiropractic kuvame ukufunwa ukungezwani kanye nekhanda le-cervicogenic, i-migraines, futhi ngamunye uphendula ngendlela ehlukile ekwelapheni.

Ikhanda

  • Ikhanda lakhiwe ngohlelo oluyinkimbinkimbi lwama-lobes, izono/amashaneli, imithambo yegazi, imizwa, nama-ventricles. (UThau L, et al., 2022)
  • Ingcindezi yalezi zinhlelo ilawulwa futhi noma yikuphi ukuphazamiseka kule bhalansi kungabonakala.
  • Ukuxilongwa kungase kube nzima ukuthola ukuthi yini ebangela ukungakhululeki noma ukucindezelwa kwekhanda.
  • Ubuhlungu, ingcindezi, ukucasuka, nokucanuzela kwenhliziyo yizo zonke izimpawu ezingase zenzeke ngekhanda elibuhlungu. (Rizzoli P, Mullally W. 2017)

Indawo

  • Ukucindezela kwekhanda ezindaweni ezingaphezu kweyodwa kungenzeka nge-migraine noma umkhuhlane omkhulu. (I-American Migraine Foundation 2023)
  • Ubuhlungu bungavela endaweni engaphezu kweyodwa uma kube nokulimala ekhanda.
  • Uma ukucindezela kucace kakhulu endaweni ethile, kungasiza ukunikeza izinkomba mayelana nembangela yezimpawu.
  • Izinkinga zezokwelapha zingabangela ingcindezi ezindaweni ezahlukene. (Rizzoli P, Mullally W. 2017)
  • An isibonelo ukutheleleka nge-sinus okungadala ingcindezi ngaphansi kwamehlo naseduze kwekhala.
  • A migraine or ukungezwani ikhanda elibuhlungu lingavela kanje: (I-MedlinePlus. I-Migraine 2021)
  • Ibhande eliqinile ekhanda.
  • Ubuhlungu noma ingcindezi ngemuva kwamehlo.
  • Ukuqina nokucindezela ngemuva kwekhanda kanye/noma intamo.

Izimbangela Zengcindezi

Umsuka wenkinga awucaci ngaso sonke isikhathi. Kungaba nenani lezimbangela ezingase zibe khona.

Amaphaphu Ikhanda elibuhlungu

Ikhanda elibuhlungu yilona elivame kakhulu elizwakala njengokucindezela ikhanda. Ngokuvamile zikhula ngenxa yokuqina kwemisipha ye-scalp okubangelwa:

  • Ukucindezeleka
  • Ukucindezeleka
  • ukukhathazeka
  • Ukulimala kwekhanda
  • Ukuma kwekhanda okungajwayelekile noma ukugula kungabangela ukungezwani kwekhanda.

Ngaphandle kokuqina kwemisipha, amakhanda okungezwani angakhula kusuka: (I-MedlinePlus. Ikhanda elibuhlungu.)

  • Ukucindezeleka ngokomzimba
  • Ukucindezeleka ngokomzwelo
  • Inkinga yamehlo
  • Ukukhathala
  • Ukuphakama okukhulu
  • Ukusetshenziswa ngokweqile kwe-caffeine
  • Ukuhoxiswa kwe-caffeine
  • Ukusebenzisa utshwala ngokweqile
  • Izifo ze-Sinus
  • Umkhuhlane noma umkhuhlane
  • Ukubhema
  • Ikhanda elibuhlungu lingagijima nasemindenini. (I-MedlinePlus. Ikhanda elibuhlungu.)

I-Sinus Headache

  • Ikhanda le-sinus - i-rhinosinusitis - ibangelwa ukutheleleka ngegciwane noma amagciwane emigodini ye-sinus. (I-American Migraine Foundation 2023)
  • Kunezimbobo ze-sinus ohlangothini ngalunye lwekhala, phakathi kwamehlo, ezihlathini nasebunzini.
  • Indawo lapho lezi zinhlungu zekhanda zibangela ingcindezi ziyahlukahluka, kuye ngokuthi yiziphi izono ezithelelekile. (Imisedari yaseSinayi. I-Sinus Izimo kanye Nokwelashwa)
  • Izinhlungu zekhanda lokutheleleka nge-sinus zisobala ngokuphuma kombala wamakhala.
  • Abantu ngabanye bangaba nobuhlungu bobuso nokucindezela, balahlekelwe yizinzwa zabo zokuhogela, noma babe nomkhuhlane. (I-American Migraine Foundation 2023)

Izimo Zendlebe

  • Izindlebe zisiza umzimba ukuzwa ukunyakaza nokulinganisela.
  • Inkinga engaphakathi kwendlebe esiza ukulawula ibhalansi ingabangela uhlobo lwe-migraine eyaziwa ngokuthi i-vestibular migraine. (Inhlangano Yenkulumo Yezilimi-YaseMelika)
  • Lolu hlobo lwe-migraine aluhlali lubonisa izimpawu zobuhlungu.
  • Izinkinga zokulinganisela kanye nemizwa ye-vertigo/umuzwa wokuphotha zivamile nalezi zinhlobo zemigraines. (I-American Migraine Foundation)
  • Ukutheleleka kwendlebe nakho kungabangela imizwa yokucindezela kwekhanda kanye/noma ubuhlungu.
  • Amagciwane angabangela ingcindezi yokwakha ezakhiweni ezintekenteke zendlebe emaphakathi nengaphakathi.
  • Lezi zifo ngokuvamile zibangelwa ukugula okubangelwa amagciwane noma amagciwane. (FamilyDoctor.org)

Izimbangela Zezinzwa

  • Izifo nezimo ze-neurological zingaholela ekucindezelekeni okwandisiwe ekhanda.
  • Izimpawu zobuhlungu zincike kumbangela ethile.
  • Isibonelo, ukushaywa unhlangothi kungathinta ikhanda lonke, kuyilapho ukwehla kwamazinga oketshezi lobuchopho kungase kuthinte isisekelo sogebhezi.
  • Lesi simo sakamuva saziwa ngokuthi yi-intracranial hypertension okusho ukwanda komfutho ebuchosheni. (Schizodimos, T et al., 2020)
  • Kwabanye abantu, asikho isizathu esicacile, lokhu kwaziwa nge-idiopathic intracranial hypertension. (Wall, Michael. 2017) (Inkonzo Yezempilo Kazwelonke yango-2023)

Ezinye izimbangela zokwanda kwengcindezi ye-intracranial zihlanganisa:

Izincwajana zemininingwane

  • Umfutho wekhanda ungenzeka kuphela ngezikhathi lapho usukuma, ugoba ukuze ucoshe into ethile, noma ushintsha ukuma ngendlela ethile lapho umfutho wegazi uthinteka.

Ukwelashwa kwe-Chiropractic

Ithimba le-Injury Medical lizokwenza uhlelo lokwelapha lomuntu siqu ukuze lisize ukukhulula izimpawu zengcindezi ngokusebenzisa indlela ehlukahlukene engabandakanya. (Moore Craig, et al., 2018)

  • Ukuxhashazwa komgogodla
  • Umthwalo ophansi wokuhlanganisa i-craniocervical
  • Ukuhlanganisa ngokuhlanganyela
  • Ukunciphisa
  • Ukuzivocavoca kwe-deep neck flexion
  • I-Neuromuscular massage
  • Ukuzivocavoca umzimba
  • Amasu okuphumula
  • Ukucindezeleka ukuphathwa
  • Izincomo zokudla okunomsoco

Ukuhlola Nokwelashwa Kwemikhakha Ehlukahlukene


Okubhekwayo

Moore, C., Leaver, A., Sibbritt, D., & Adams, J. (2018). Ukuphathwa kwekhanda elivamile eliphindaphindiwe ngama-chiropractors: ukuhlaziywa okuchazayo kocwaningo olumele izwe. I-BMC neurology, 18(1), 171. doi.org/10.1186/s12883-018-1173-6

UThau, L., Reddy, V., & Singh, P. (2022). I-Anatomy, Isistimu Yezinzwa Emaphakathi. Ku-StatPearls. I-StatPearls Publishing.

Rizzoli, P., & Mullally, WJ (2018). Ikhanda elibuhlungu. Iphephabhuku laseMelika lezokwelapha, i-131 (1), 17-24. doi.org/10.1016/j.amjmed.2017.09.005

I-American Migraine Foundation. Ingabe i-migraine noma ikhanda le-sinus?

IMedlinePlus. migraine.

IMedlinePlus. Ukukhanda ikhanda.

Imisedari yaseSinayi. Izimo ze-Sinus kanye nokwelashwa.

Inhlangano YaseMelika Yokulalela Inkulumo-Yolimi. Isiyezi nokulinganisela.

I-American Migraine Foundation. Okufanele ukwazi nge-vestibular migraine.

FamilyDoctor.org. Ukutheleleka kwendlebe.

Schizodimos, T., Soulountsi, V., Iasonidou, C., & Kapravelos, N. (2020). Uhlolojikelele lokuphathwa kwe-intracranial hypertension egunjini labagula kakhulu. Ijenali ye-Anesthesia, 34(5), 741-757. doi.org/10.1007/s00540-020-02795-7

Wall M. (2017). Ukuvuselelwa kwe-Idiopathic Intracranial Hypertension. Imitholampilo ye-Neurologic, i-35 (1), i-45-57. doi.org/10.1016/j.ncl.2016.08.004

Inkonzo Yezempilo Kazwelonke. I-hypertension ye-intracranial.

I-National Institute of Neurological Disorders and Stroke. I-Hydrocephalus. www.ninds.nih.gov/health-information/disorders/hydrocephalus

Ikhanda Elibangelwa Ukushisa: I-El Paso Back Clinic

Ikhanda Elibangelwa Ukushisa: I-El Paso Back Clinic

Uma amazinga okushisa enyuka ehlobo, ubuhlungu obubangelwa ukushisa kanye nekhanda elinzima njengemigraines kuvamile phakathi nezinyanga ezishisayo. Nokho, i-migraine ebangelwa ukushisa ayifani nekhanda elibangelwa ukushisa, njengoba kokubili kunezimpawu ezihlukene. Abafana ngakho ukuthi bobabili bacushwe indlela isimo sezulu esishisayo kuthinta umzimba. Ukuqonda izimbangela nezimpawu eziyisixwayiso zekhanda lokushisa kungasiza ukuvimbela nokwelapha izimo ezihlobene nokushisa ezingaba yingozi. I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic isebenzisa amasu ahlukahlukene kanye nezindlela zokwelapha ezenzelwe umuntu ngamunye ukukhulula ubuhlungu nokuthuthukisa ukusebenza.

Ikhanda Elibangelwa Ukushisa: I-EP's Chiropractic Clinic

Ikhanda Elibangelwa Ukushisa

Ukuphathwa yikhanda futhi i-migraines ivamile, ithinta amaphesenti angu-20 abesifazane futhi cishe amaphesenti angu-10 amadoda. Ukwanda kwemvamisa kungabangelwa

  • Ukuphela kwamanzi emzimbeni.
  • Izici zemvelo.
  • Ukukhathala kokushisa.
  • Ukushisa kokushisa.

Ubuhlungu bekhanda obubangelwa ukushisa bungase buzizwe njengobuhlungu obuthuntu bokushayeka ezungeze amathempeli noma ngemuva kwekhanda. Kuye ngesizathu, ikhanda elibangelwa ukushisa lingase likhuphuke libe ubuhlungu obuzwakala kakhulu bangaphakathi.

Izimbangela

Ikhanda elibuhlungu elibangelwa ukushisa kungenzeka lingabangelwa isimo sezulu esishisayo kodwa yindlela umzimba osabela ngayo lapho kushisa. Izimbangela ezihlobene nesimo sezulu zekhanda elibuhlungu kanye ne-migraine zihlanganisa:

  • Ukukhanya kwelanga
  • Ukukhanya okukhanyayo
  • Umswakama ophezulu
  • Ukwehla ngokuzumayo kwengcindezi ye-barometric
  • Izimo zezulu nazo zingadala izinguquko amazinga e-serotonin.
  • Ukushintshashintsha kwamaHormonal yizisusa ezivamile ze-migraine ezingabangela nobuhlungu bekhanda.
  • Ukuphelelwa amanzi emzimbeni - kungabangela kokubili ubuhlungu bekhanda kanye ne-migraine.

Lapho ubhekene namazinga okushisa aphakeme, umzimba udinga amanzi engeziwe ukuze unxephezele amanzi alahlekile njengoba uwasebenzisa futhi uwajulukisa. Ukuchayeka isikhathi eside emazingeni okushisa aphezulu kubeka umzimba engozini ukukhathala kokushisa, esinye sezigaba zokushisa, nekhanda elibuhlungu njengophawu lokuphelelwa ukushisa. Noma nini lapho umzimba ubhekene namazinga okushisa aphezulu noma uchitha isikhathi eside ngaphandle elangeni elishisayo, futhi ubuhlungu bekhanda buba khona ngemva kwalokho, ukushaywa ukushisa kungenzeka.

Izimpawu Zokushisa Kwekhanda

Izimpawu zekhanda elibangelwa ukushisa zingahluka kuye ngesimo. Uma ikhanda libangelwa ukukhathala kokushisa, umzimba uzoba nezimpawu zokuphelelwa umoya nobuhlungu bekhanda. Izimpawu zokuphelelwa ukushisa zihlanganisa:

  • Isizungu.
  • Amajaqamba noma ukuqina kwemisipha.
  • I-nausea.
  • Ukuquleka.
  • Ukoma okwedlulele okungapheli.

Uma ikhanda elibuhlungu noma i-migraine ihlobene nokuchayeka kokushisa kodwa ingaxhumene nokuphelelwa ukushisa, izimpawu zingase zihlanganisa okulandelayo:

  • Ukushaywa, ukuzwa okubuhlungu ekhanda.
  • Ukuphela kwamanzi emzimbeni.
  • Ukukhathala.
  • Ukuzwela ekukhanyeni.

Relief

Abantu bangakhuthala mayelana nokuvimbela.

  • Uma kungenzeka, nciphisa isikhathi ngaphandle, vikela amehlo ngezibuko zelanga, futhi ugqoke isigqoko esinomphetho lapho ungaphandle.
  • Zivocavoce ungaphakathi endlini endaweni ene-air-conditioning uma ukwazi.
  • Khulisa ukusetshenziswa kwamanzi njengoba amazinga okushisa enyuka, futhi uwasebenzise iziphuzo zezemidlalo ezinempilo ukugcwalisa ama-electrolyte.

Amakhambi asekhaya angafaka:

Ukunakekelwa kweChiropractic

Ukwelashwa kwe-Chiropractic kungabandakanya:

  • Ukugqugquzela i-Craniocervical kuhilela ukucindezela okuthambile kwe-chiropractic entanyeni ukuze kulungiswe amalunga.
  • Ukuxhashazwa komgogodla kuhilela ukusebenzisa amandla amaningi kanye nengcindezi ezindaweni ezithile eduze komgogodla.
  • Ukubhucungwa kwe-Neuromuscular kuhlanganisa amalunga okuxova kanye nemisipha futhi kudambise ubuhlungu ngokukhulula ingcindezi evela ezinzwa ezicindezelwe.
  • I-massage yokukhululwa kwe-Myofascial ihloselwe izicubu ezixhuma futhi zisekele imisipha futhi igxile kumaphuzu okuqala ngemuva nasentanyeni noma ekhanda ukuze uphumule imisipha futhi uthuthukise ukujikeleza kwegazi.
  • Imithi yokwelapha ye-Trigger point iqondise ezindaweni ezishubile ukusiza ukuphumula imisipha ngenkathi ithuthukisa ukugeleza kwegazi futhi ikhulula ingcindezi.
  • Ukwelashwa kokudonsa.
  • Ukwelashwa kwe-decompression.
  • Ukuzivocavoca okuklanyelwe ngqo ukunciphisa ubuhlungu.

Ukusuka Ekuvuvukeni Kuya Ekuphulukiseni


Okubhekwayo

UBryans, uRoland, et al. "Iziqondiso ezisekelwe ebufakazini zokwelashwa kwe-chiropractic yabantu abadala abanekhanda elibuhlungu." Ijenali ye-Manipulative and physiological Therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

UDemont, u-Anthony, et al. "Ukuphumelela kokungenelela kwe-physiotherapy ekuphathweni kwabantu abadala abanekhanda le-cervicogenic: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta." PM & R: Ijenali Yokulimala, Umsebenzi, kanye Nokuvuselelwa vol. 15,5 (2023): 613-628. doi:10.1002/pmrj.12856

Di Lorenzo, C et al. "Izinkinga zokucindezeleka okushisa kanye nekhanda elibuhlungu: icala lekhanda elisha eliqhubekayo lansuku zonke elilandela ukushisa kokushisa." Imibiko yecala le-BMJ vol. 2009 (2009): bcr08.2008.0700. doi:10.1136/bcr.08.2008.0700

UFernández-de-Las-Peñas, uCésar, noMaría L Cuadrado. "Ukwelashwa ngokomzimba ngamakhanda." I-Cephalalgia: ijenali yamazwe ngamazwe ye-Headache vol. 36,12 (2016): 1134-1142. doi:10.1177/0333102415596445

Swanson JW. (2018). I-Migraines: Ingabe ibangelwa ukushintsha kwesimo sezulu? mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/migraine-headache/faq-20058505

UVictoria Espí-López, uGemma, et al. "Ukusebenza Kokwelashwa Okungokomzimba Ezigulini ezinohlobo lwe-Tension-Type Headache: Literature Review." Ijenali yeJapan Physical Therapy Association = Rigaku ryoho vol. 17,1 (2014): 31-38. doi:10.1298/jjpta.Vol17_005

Whalen, John, et al. "Ukubuyekezwa Okufushane Kokwelashwa Kwezinhlungu Zekhanda Ngokusebenzisa Ukwelashwa Kwe-Osteopathic Manipulative." Imibiko yamanje yobuhlungu kanye nekhanda vol. 22,12 82. 5 Okthoba 2018, doi:10.1007/s11916-018-0736-y