Cluster headache: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• ʻO nā ʻōuli cluster headache
• Nā kumu nui
• Pehea e hana ai i ka lāʻau
• Nā hopena ʻē aʻe

ʻO ka headache headache kahi kūlana ʻoluʻolu ʻole a ʻike ʻia e ka ʻeha poʻo nui, i kū i nā pilikia, a ma kahi ʻaoʻao wale nō, me ka ʻeha ma hope a puni ka maka ma ka ʻaoʻao like o ka ʻeha, ka ihu ihu a me ka hiki ʻole ke hana i kekahi mea ʻē aʻe. hana, ʻoiai ʻeha loa ka ʻeha.

ʻAʻohe mea e ola ai ka clache headache, eia naʻe ka lāʻau i hōʻike ʻia e ka neurologist ka mea e hōʻoluʻolu i nā ʻōuli a hoʻemi i ke alapine o ka hoʻouka ʻana, a pono paha e hoʻohana i kekahi mau lāʻau e like me ka non-steroidal anti-inflammatory drug, opioids a, i kekahi mau hihia. hoʻohana o ka mask oxygen.

ʻO nā ʻōuli cluster headache

ʻOluʻolu ʻole nā ​​ʻōuli o ka huhū puʻupuʻu, a he ʻāpana paha ko ke kanaka ʻeha ʻeha 2 a 3 mau manawa i ka lā ma kahi o 15 a 20 mau lā. Eia hou, he mea maʻamau ia ma ka liʻiliʻi o kekahi o kēia mau hanana i ka pō, ʻo ka maʻamau ma kahi o 1 a 2 mau hola ma hope o ka hiamoe ʻana. ʻO nā hōʻailona ʻē aʻe a me nā ʻōuli e hōʻike maʻamau i ka ʻeha puʻupuʻu puʻupuʻu:

• ʻO ka ʻeha ʻana o ka ʻeha ma kekahi ʻaoʻao o ke poʻo;
• ʻO ka maka ʻulaʻula a me ka wai hoʻi ma ka ʻaoʻao like o ka ʻeha poʻo;
• ʻEha ma hope a puni ka maka;
• ʻO ka pehu ʻana o ka maka ma ka ʻaoʻao ʻeha;

• Paakiki ka wehe ʻana i ka maka ma ka ʻaoʻao ʻeha;
• Hoʻokuʻu ihu;
• Headache e mau ma waena o 15 mau minuke a me 3 mau hola, ʻo ka mea maʻamau ʻoi aku a 40 mau minuke;
• ʻAʻole hiki ke hana i kekahi hana ma muli o ka ʻeha nui o ke poʻo;
• ʻAʻole hoʻohuli ʻia ka ʻeha e ka malamalama a me ka meaʻai;
• ʻO ka hōʻoluʻolu ʻole ma ka ʻāpana i hoʻopili ʻia ma hope o ka hōʻemi ʻana i ka ʻeha.

ʻAʻole ʻike ʻia ka manawa e pau ai ka pilikia, akā hōʻike kekahi poʻe e hoʻomaka ke ākea ākea o ke poʻo, me ka liʻiliʻi o nā ʻāpana i kēlā me kēia lā, a hiki i ka nalowale loa ʻana, e hoʻi ana i mau mahina a i ʻole mau makahiki ma hope. Hoʻohui ʻia, ʻaʻole hiki ke ʻike i nā mea e hiki ai ke hoʻomaka i kahi pilikia hou ma hope o ka hala ʻana o nā mahina.

No laila, hiki i ke kauka ke hana i ke kuhi o ka clache headache ma ka nānā ʻana i nā ʻōuli i hōʻike ʻia e ke kanaka, a koi ʻia paha e hana i nā kiʻi resonance ʻume mākenēki, no ka laʻana, e nānā i nā loli o ka lolo. I ka loaʻa ʻole o nā loli, manaʻo mau ʻia he ʻeha puʻupuʻu huhū kēlā kanaka. Eia nō naʻe, hoʻopau ka manawa i ka hōʻailona a hana ʻia e ka neurologist, ma hope o nā mahina a i ʻole mau makahiki a, no laila, he mea maʻamau ʻaʻole ʻike ʻia nā mea maʻi āpau i kā lākou huakaʻi headache headache.

Nā kumu nui

I ka hapa nui o nā mea maʻi, pili ka hoʻoluhi a me ka luhi i ka hoʻomaka ʻana o nā pilikia, akā ʻaʻohe mea ʻepekema e hōʻoia i kēia ʻoiaʻiʻo. ʻO ka makahiki i hoʻomaka ai kēia ʻano migraine ma waena o 20 a 40 mau makahiki, a ʻoiai ʻaʻole ʻike ʻia ke kumu, he kāne ka hapa nui o nā mea maʻi.

Manaʻo ʻia nā kumu o ka headache headache pili i ka hana hewa ʻole o ka hypothalamus, no ka mea he mea pili ia i ka pōʻaiapuni o ka circadian, ka mea e hoʻoponopono ai i ka manawa hiamoe a me ke ala ʻana, akā ʻoiai ʻo kēia, ʻaʻole i loaʻa kāna lāʻau lapaʻau a me nā kumu i loaʻa. ʻike ʻole ʻia. ʻike maopopo ʻia.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia ka lāʻau no ka headache cluster e ka neurologist a makemake e hoʻoliʻiliʻi i ka nui o ka ʻeha a hoʻolilo i ka pilikia no ka manawa liʻiliʻi. No laila, hiki i ke kauka ke hōʻike i ka hoʻohana ʻana o nā lāʻau anti-inflammatory non-steroidal, triptanes, ergotamine, opioids a me ka hoʻohana ʻana o kahi huna huna ʻaukake 100% i nā manawa pilikia.

Ma muli o ka pinepine o nā pilikia i ka pō, ʻo kahi kihi maikaʻi no kēlā me kēia mea i loaʻa i kahi pāluna oxygen i ka home, ke hoʻomaka kahi wā pilikia. No laila, hoʻoliʻiliʻi ka ʻeha me ka hana ʻana i nā mea hou aʻe. Lawe i ka 10 mg o melatonin ma mua o ka hiamoe hiki ke hōʻoluʻolu i nā ʻōuli a hoʻemi i ka makaʻu o ka lapalapa ʻana.

Hoʻohui ʻia, ʻaʻole hiki i ka mea hoʻomanawanui ke inu i kekahi ʻalekohola a uahi paha no ka mea hiki iā lākou ke hoʻomaka koke i kahi ʻāʻī o ka ʻehaʻeha. Eia nō naʻe, ma waho o ka wā pilikia e hiki i ke kanaka ke inu i nā mea inu ʻona i ke kaiāulu no ka mea ʻaʻole ia e hoʻomaka i kahi wā pilikia hou.

Nā hopena ʻē aʻe

ʻOiai nā pōmaikaʻi a lākou e lawe ai i ka ʻeha o ka ʻeha, hiki i nā lāʻau i kuhikuhi ʻia no ka hōʻeha puʻupuʻu puʻupuʻu ke loaʻa ka nausea, ka pualu, ka naʻau o ka nāwaliwali, ka ʻulaʻula i ka maka, ka wela i ke poʻo, ka helu a me ke kani ʻana i loko o ke kino.

Eia nō naʻe, ka hoʻohana ʻia ʻana o nā mākia oxygen no 15 a 20 mau minuke, me ka mea hoʻomanawanui e noho ana a hilinaʻi i mua, lawe mai i ka ʻeha wikiwiki ma waena o 5 a 10 mau minuke a ʻaʻohe ona hopena inā ʻaʻole pili ka maʻi i nā maʻi hanu.

ʻAʻohe hopena o nā painkillers maʻamau e like me Paracetamol i ka hōʻoluʻolu o ka ʻeha, akā ʻo ke kau ʻana i kou mau wāwae i loko o ka pākeke wai wela a kau i nā ʻeke hau i kou alo ke lilo i lāʻau maikaʻi no ka home no ka mea he mea ia e hoʻemi ai i ka ʻohi o nā kīʻaha koko lolo, he mea pono loa i ka hakakā ʻana i ka ʻeha. .