Uyini i-Thunderclap Headache? Izimpawu, Izimbangela, Nokwelashwa

I-thunderclap headache iyinhloko ebuhlungu kakhulu evela ngokuzumayo futhi ifinyelele ezingeni elikhulu lobuhlungu ngaphakathi kwemizuzwana engama-60. Ikhulunywa njengohlobo olukhulu kakhulu lwenhloko ebomini bakho, ivela ngokuzumayo njengokungathi “ukuqhuma kwesiphepho”.

Ngesikhathi izinhlongo eziningi zikhula kancane kancane, i-thunderclap headaches iyahluka ngenxa yokuthi iqala ngokuzumayo futhi ibuhlungu kakhulu. Zingabonisa izimo zezokwelapha ezinkulu ezidinga ukunakekelwa ngokushesha, nakuba ezinye izimo ziba yizinto ezingakhulu kakhulu ngemva kokuhlolwa okufanele.

Ziyini izimpawu ze-thunderclap headaches?

Isimpawu esiyinhloko yibuhlungu elikhulu lenhloko elivela ngokuzumayo futhi lifike ezingeni elikhulu ngaphakathi komzuzu. Lokhu akuyona izinhlongo ezijwayelekile eziya zibuhlungu kancane kancane.

Nazi izimpawu ezibalulekile okufanele uzilinde:

• Ubuhlungu benhloko obukhulu obuzwakala sengathi ikhanda lakho licindezelwe noma liqhekekile
• Ubuhlungu bufinyelela ku-7-10 esikalini lapho i-10 ingakhuthaleki
• Inhloko ifinyelela ezingeni elikhulu lobuhlungu ngaphakathi kwemizuzwana engaphansi kwama-60
• Ubuhlungu bungase bufinyelele entanyeni nasemahlombe
• Ukuphefumula nokugabha kuvame ukuhambisana nobuhlungu benhloko
• Ukukhanya nokukhanya okukhulu
• Ukudideka noma ukukhuluphala ekucabangeni

Izimpawu ezinkulu ezidinga ukunakekelwa okusheshayo kwezokwelapha zihlanganisa ukukhuluphala kwentanyeni, ukushisa, ukuguquka kokubona, ubuthakathaka ohlangothini olulodwa lomzimba wakho, noma ubunzima ekukhulumeni. Lezi zimpawu zibonisa ukuthi inhloko ingase ibingelwe yisimo esibi esisekelayo.

Yini ebangela i-thunderclap headaches?

I-thunderclap headaches ingaba nezimbangela ezinkulu nezingezona ezinkulu. Ukuvela kwayo ngokuzumayo nobuhlungu kakhulu kusho ukuthi ubuchopho bakho noma imithambo yegazi ingase ibe ngaphansi kokucindezela.

Nazi izimbangela ezinkulu ezivame kakhulu ezidinga ukunakekelwa kwezokwelapha okusheshayo:

• Ukuphuza kwegazi ekuqaleni komqondo - ukuphuza kwegazi ekuqaleni komqondo okuvela emithambe yegazi ephukile
• Ukuqhekeka kwe-aneurysm yobuningi - lapho udonga lwemithambo yegazi ebuthakathaka luqhekeka
• Isifo sobuchopho noma isifo esincane sobuchopho esithinta ukugeleza kwegazi ebuchophini
• I-Meningitis - ukutheleleka kwamaphepha okuvikela ubuchopho bakho
• I-Blood clot emithambe yegazi yobuningi (cerebral venous thrombosis)
• Ukucindezela kwegazi elikhulu ngokuzumayo (hypertensive crisis)

Izimbangela ezingakhulu kodwa ezibalulekile zihlanganisa i-migraines ebuhlungu kakhulu, izinhlongo ezingelwe ukusetshenziswa kakhulu kwemithi, noma izinhlongo zokucindezeleka ezinokubonakala okungavamile. Ngezinye izikhathi, odokotela abakwazi ukuthola imbangela ethile ngisho noma sebehlole kahle, okuthiwa yi-primary thunderclap headache.

Izimbangela ezingavamile zingase zihlanganise iziphumu zobuningi, ukutheleleka okuthile, noma ukusebenzisana nemithi ethile. Udokotela wakho uzocubungula zonke izinketho ngesikhathi sokucubungula.

Nini okufanele ubona udokotela nge-thunderclap headaches?

Kufanele ufuna ukunakekelwa kwezokwelapha okusheshayo ngokushesha uma uhlangabezana ne-thunderclap headache. Lolu hlobo lobuhlungu olukulu lenhloko oluvela ngokuzumayo luhlale ludinga ukuhlolwa okusheshayo.

Shaya u-911 noma uye ekamelweni elijwayelekile ngokushesha uma unebuhlungu olukulu lenhloko oluvela ngokuzumayo kanye nokushisa, ukukhuluphala kwentanyeni, ukudideka, izinkinga zobono, ubuthakathaka, ukungabi namandla, noma ubunzima ekukhulumeni. Lezi zinto zihlanganisa izimo ezingase zibe yingozi ebomini.

Ngisho noma i-thunderclap headache yakho ivela yodwa ngaphandle kwezinye izimpawu, kusabalulekile ukuthola ukuhlolwa kwezokwelapha ngaphakathi kwamahora kunokulinda izinsuku. Ukuxilongwa okusheshayo kungenza umehluko omkhulu eziphumeleni zokwelashwa zezimbangela ezinkulu.

Ziyini izinto ezingase zikwenze ube sengozini ye-thunderclap headaches?

Izinto eziningi zingase zikwenze ube sengozini yokuthuthukisa izimo ezingabangela i-thunderclap headaches. Ukuqonda lokhu kuzokusiza uqonde izinga lakho lokulimala.

Izinto ezivame ukwenza ube sengozini zihlanganisa:

• Ukucindezela kwegazi elikhulu, ikakhulukazi uma kungalawulwa kahle
• Ukubhema, okonakalisa imithambo yegazi ngokuhamba kwesikhathi
• Umlando womndeni we-aneurysms yobuningi noma isifo sobuchopho
• Iminyaka engaphezu kwama-50, lapho imithambo yegazi iba buthakathaka kakhulu
• Ukulimala kwangaphambili ekhanda noma ukuhlinzwa kobuningi
• Izimo ezithile zezakhiwo ezihlobene nemithambo yegazi
• Ukusetshenziswa kwezidakamizwa, ikakhulukazi i-cocaine noma i-amphetamines

Abesifazane bangase babe sengozini enkulu ngezimbangela ezithile njenge-subarachnoid hemorrhage, kanti izimo ezithile zezakhiwo ezingavamile zingase zihambe emindenini. Ukuba nezinto ezingase zikwenze ube sengozini akusho ukuthi uzoba ne-thunderclap headaches, kodwa kuyolwazi oluhle iqembu lakho lezokwelapha.

Ziyini izinhlanganisela ezingase zibe khona ze-thunderclap headaches?

Izinhlanganisela ziyahluka ngokuphelele kulokho okubangela i-thunderclap headache yakho. Uma kuvela esimweni esibi njengokuphuza kwegazi ebuchophini, ukwelashwa okunqanyuliwe kungabangela imiphumela emibi.

Izinhlanganisela ezinkulu ezingase zibe khona zihlanganisa:

• Ukonakala okungapheli kobuningi ngenxa yokushoda komoya noma ukucindezela
• Isifo sobuchopho esinesikhathi eside sobuthakathaka noma izinkinga zokukhuluma
• Ukuhlushwa uma inyama yobuningi icasuka
• I-Coma ezimweni ezinkulu ezinokucindezela okukhulu kobuningi
• Ukufa uma izimo eziyingozi zingalashwa ngokushesha

Kodwa-ke, uma i-thunderclap headaches ihlolwa ngokushesha futhi ilashwe ngokufanele, abantu abaningi bayaphila kahle. Ngisho nezinye izimbangela ezinkulu njenge-subarachnoid hemorrhages encane zingaphila kahle ngokunakekelwa okufanele kwezokwelapha.

Okubalulekile ukuthola ukunakekelwa kwezokwelapha ngokushesha kunokulinda ukubona uma inhloko iphumula yodwa.

I-thunderclap headache ixilongwa kanjani?

Ukuxilongwa kwe-thunderclap headaches kudinga ukuhlolwa okusheshayo kwezokwelapha ukuze kuvinjelwe izimbangela ezingozi. Udokotela wakho uzothatha isinyathelo ngokushesha ngoba isikhathi sivame ukuba yinto ebalulekile.

Inkqubo yokuxilonga ivame ukubandakanya umlando wezokwelapha onemininingwane mayelana nokuthi inhloko yaqala nini, ukuthi ibuhlungu kangakanani, nanoma yiziphi ezinye izimpawu ozibonayo. Udokotela wakho uzoqhuba ukuhlolwa okuphelele kwe-neurological ukuze ahlole izinto zakho, ukubambisana, nomsebenzi wakho wengqondo.

Izivivinyo ezibalulekile zivame ukubandakanya i-CT scan yekhanda lakho ukuze ubone ukuphuza kwegazi noma ezinye izinto ezingavamile ebuchophini. Uma i-CT scan ilungile kodwa udokotela wakho usakhathazekile, ungase udinga i-lumbar puncture (spinal tap) ukuze uhlole igazi noma ukutheleleka ekugelezeni ekuqaleni komqondo.

Izivivinyo ezengeziwe zingase zihlanganise i-MRI scans yezithombe zobuningi eziningi, izivivinyo zegazi ukuze uhlole ukutheleleka noma ezinye izimo, futhi ngezinye izikhathi izivivinyo ezikhethekile zemithambo yegazi yakho. Iqembu lakho lezokwelapha lizokhetha izivivinyo ngokuya ngezimpawu zakho nezinto ezingase zikwenze ube sengozini.

Iyini indlela yokwelapha i-thunderclap headaches?

Ukwelashwa kwe-thunderclap headaches kugxile ekulungiseni imbangela esisekelayo ngenkathi ulawula ubuhlungu bakho nezinto ezingase zibe khona. Indlela iyahluka kakhulu kuye ngalokho okubangela inhloko yakho.

Ngezimbangela ezinkulu njengokuphuza kwegazi ebuchophini, ukwelashwa kungase kubandakanye ukuhlinzwa okusheshayo ukuze kulungiswe imithambo yegazi eyonakele, imithi yokulawula ukucindezela kwegazi nokuvimbela ukuhlushwa, noma izinqubo zokususa ukugcwala okukhulu ekuqaleni komqondo.

Uma ukutheleleka njenge-meningitis kuyimbangela, uzothola ama-antibiotics afanele noma imithi ye-antiviral. Nge-blood clots, imithi yokunciphisa igazi iyasiza ekubuyiseni ukugeleza kwegazi okujwayelekile.

Uma odokotela bengakwazi ukuthola imbangela enkulu, ukwelashwa kugxile ekunciphiseni ubuhlungu ngemithi efanele nokulandelela ukuqinisekisa ukuthi azikho izinhlanganisela ezidelelekile ezivela. Abanye abantu bangase badinge ukuhlolwa okuqhubekayo kwezithombe ukuze baqinisekise ukuthi akukho lutho oluphuthelwe ekuqaleni.

Iqembu lakho lezokwelapha lizokwakha uhlelo lokwelapha olufanele isimo sakho nemiphumela yezivivinyo.

Ungaphatha kanjani ekhaya ngesikhathi sokuhlolwa kwe-thunderclap headache?

Into ebaluleke kakhulu okumele uyicabange ukuthi i-thunderclap headaches idinga ukuhlolwa okusheshayo kwezokwelapha. Ukwelashwa ekhaya akufanele luze luthathe indawo yokunakekelwa kwezokwelapha okusheshayo.

Ngesikhathi ulinde izinsizakalo eziphuthumayo noma ngesikhathi uthuthwa sibhedlela, zama ukuhlala uzolile ngangokunokwenzeka futhi ugweme imisebenzi engase ikhulise ukucindezela ekhanda lakho njengokucindezela, ukukhokha okukhulu, noma ukuhamba okusheshayo.

Yenza kube khona omunye ohlala nawe uma kungenzeka, futhi ungaziqhubeki wena uqobo uya esibhedlela. Gcina ulandelela noma yikuphi ukuguquka ezimpawu zakho ukuze ubike kubasebenzi bezokwelapha.

Ngemva kokuhlolwa kwezokwelapha, landela imiyalo ethile yodokotela wakho nganoma iyiphi imithi ebizwe noma imikhawulo yemisebenzi. Abanye abantu bangase badinge ukugwema imisebenzi ethile noma imithi ngesikhathi isimo sabo silandelelwa.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Nge-thunderclap headaches, cishe uzobonwa endaweni ephuthumayo kunokuba kube yi-aphoyintimenti ehlelwe. Kodwa-ke, ukulungiselela kungasiza abasebenzi bezokwelapha bakuhlole ngokuphumelelayo.

Zama ukukhumbula ngokuqondile ukuthi inhloko yakho yaqala nini, ukuthi ifinyelele kanjani ezingeni elikhulu lobuhlungu, nokuthi wawenzani lapho iqala. Ulwazi lwesikhathi lubalulekile ekuxilongweni.

Uma kungenzeka, letha uhlu lwemithi yonke oyithathayo, kufaka phakathi imithi yasekhaya nezinye izinto. Futhi, zama ukukhumbula noma yiziphi izifo zakamuva, ukulimala, noma izinto ezingavamile ezingase zibe yinto ebalulekile.

Ukuba nolwazi loxhumana nabo oluphuthumayo kulula kubasiza abasebenzi bezokwelapha ukufinyelela ezihlotsheni uma kudingeka. Uma unezirekhodi zezokwelapha ezidlule ezihlobene nezinhlongo noma izimo ze-neurological, zizise uma isikhathi sivumela.

Iyini into ebalulekile mayelana ne-thunderclap headaches?

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-thunderclap headaches ihlale idinga ukunakekelwa kwezokwelapha okusheshayo. Ukuvela kwayo ngokuzumayo nobuhlungu kakhulu kungabonisa izimo ezinkulu ezidinga ukwelashwa okusheshayo.

Nakuba akuyona yonke i-thunderclap headache ebangelwa into eyingozi ebomini, indlela kuphela yokwazi ngokuqinisekile ukuhlolwa okufanele kwezokwelapha. Isinyathelo esisheshayo singenza umehluko phakathi kwemiphumela emihle nemihle ezimbangelweni ezinkulu.

Ungazami ukuyikhuthaza noma ulinde ukubona uma inhloko iphumula. Themba izinzwa zakho - uma inhloko izwakala ihlukile kakhulu futhi ibuhlungu kakhulu kunanoma yini okade uyibona ngaphambili, funa ukunakekelwa okusheshayo ngokushesha.

Ngokunakekelwa okusheshayo kwezokwelapha nokuphathwa okufanele, abantu abaningi abane-thunderclap headaches bayaphila kahle, ngisho nalapho kutholakala izimo ezinkulu ezisekelayo.

Imibuzo evame ukubuzwa mayelana ne-thunderclap headaches

Ingavikeleka yini i-thunderclap headaches?

Ezinye izinto ezingase zikwenze ube sengozini ye-thunderclap headaches zingalawulwa ngokukhetha impilo enempilo. Ukulawula ukucindezela kwegazi elikhulu, ukugwema ukubhema, nokulinganisela utshwala kungasiza ekuqedeni ingozi yezimo ezingabangela lezi zinhlongo ezibuhlungu.

Kodwa-ke, izimbangela eziningi njengokuthambekela kwezakhiwo kwi-aneurysms azikwazi ukuvinjelwa. Ukuhlolwa okujwayelekile kwezokwelapha kusiza ekutholeni nasekulawuleni izinto ezingase zikwenze ube sengozini ngaphambi kokuba ziholele ezinkingeni ezinkulu.

I-thunderclap headaches ihlala isikhathi esingakanani?

Ubuhlungu obukhulu be-thunderclap headache buvame ukufinyelela ezingeni elikhulu ngaphakathi komzuzu wokuqala, kodwa isikhathi sihluka kuye ngimbangela. Ezinye zingase zihlale amahora kanti ezinye zihlale izinsuku kuze kube yilapho isimo esisekelayo silashwa.

Okubaluleke kakhulu akuyona isikhathi eside esiyithathayo, kodwa ukuthola ukuhlolwa okusheshayo kwezokwelapha lapho ubuhlungu obukulu obuvela ngokuzumayo buvela.

I-thunderclap headaches ingafana ne-migraines?

I-thunderclap headaches iyahluka kwi-migraines ejwayelekile ekuveleni kwayo ngokuzumayo nangesikhathi esikhulu sobuhlungu. Nakuba i-migraines ebuhlungu kakhulu ingase ibonakale ngale ndlela ngezinye izikhathi, i-migraines eminingi ikhula kancane kancane ngamahora.

Umehluko oyinhloko iwukuthi isikhathi - i-thunderclap headaches ifinyelela ezingeni elikhulu lobuhlungu ngaphakathi kwemizuzwana engama-60, kanti i-migraines ivame ukuvela kancane kancane ngezimpawu zezesixwayiso.

Ingase ibingelwe yisimo sengqondo i-thunderclap headaches?

Nakuba ukucindezeleka kungase kubangele izinhlobo eziningi zezinhlongo, akunamkhawulo ukubangela i-thunderclap headaches yangempela ngokuthi ivela ngokuzumayo nobuhlungu obukhulu. Kodwa-ke, ukucindezeleka okukhulu kungase kube nomthelela ekucindezelweni kwegazi elikhulu, okuyinto eyingozi kwezinye izimbangela ezinkulu.

Uma uhlangabezana nobuhlungu obukulu benhloko oluvela ngokuzumayo ngezikhathi ezinzima, kusadingeka ukuhlolwa okusheshayo kwezokwelapha ukuze kuvinjelwe izimbangela ezinkulu.

Kufanele ngenzeni uma othile oseduze nami enenhloko ye-thunderclap?

Shaya izinsizakalo eziphuthumayo ngokushesha futhi uhlale nomuntu kuze kube yilapho usizo lufika. Ungamniki noma iyiphi imithi ngaphandle uma uyalelwe ngabasebenzi beziphuthumayo.

Msindisa ukuthi ahlale uzolile futhi ahlale ekuthuthukeni, qaphela isikhathi inhloko yaqala ngaso, futhi uqaphele noma yikuphi ukuguquka esimweni sakhe njengokudideka, ubuthakathaka, noma ubunzima ekukhulumeni ukuze ubike kubaphenduli bezokwelapha.