Created at:1/13/2025
Ikhanda yizinhlungu noma ukungakhululeki noma yikuphi ekhanda lakho noma endaweni yentamo. Cishe wonke umuntu uhlangabezana namakhanda ngesikhathi esithile, futhi angomunye wemibiko yezempilo ejwayelekile emhlabeni wonke. Ngenkathi amakhanda amaningi engenangozi futhi esesikhashana, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukuwalawula ngempumelelo futhi wazi ukuthi nini okufanele ufune ukunakekelwa okwengeziwe.
Ikhanda lenzeka lapho izakhiwo ezizwelayo zokuzwa ubuhlungu ekhanda lakho zicasuka noma zivuvukala. Lezi zakhiwo zihlanganisa imisipha, imithambo yegazi, kanye nezinzwa ekhanda lakho, entanyeni, nasesikhunjeni sekhanda. Ubuchopho bakho ngokwabo abuzizwa buhlungu, kodwa izicubu ezizungezile ngokuqinisekile ziyazizwa.
Cabanga ngekhanda lakho njengelinamalayela amaningi ezicubu ezizwelayo ezingasabela ezintweni ezahlukahlukene. Lapho lezi zicubu ziba ziqinile, zivuvukala, noma zikhuthazeka ngokweqile, zithumela izimpawu zobuhlungu ozizwa njengekhanda. Ubuhlungu bungahluka kusuka ebuhlungwini obuthuntu kuya ekungakhululekeni okubukhali, okushayayo.
Amakhanda ahlukaniswe ezigabeni ezimbili eziyinhloko: amakhanda ayisisekelo, angabangelwa enye imbangela yezokwelapha, kanye namakhanda esibili, avela enkingeni yezempilo engaphansi. Amakhanda ayisisekelo enza cishe ama-90% wawo wonke amakhanda abantu abawazwayo.
Ubuhlungu bekhanda buhluka kakhulu kumuntu nomuntu futhi kuncike ohlotsheni oluhlangenwe nalo. Ukuzwa kungase kuzizwe njengebhande eliqinile elizungeze ikhanda lakho, ukushaya, noma ubuhlungu obukhali obuhlabayo endaweni eyodwa ethile.
Abanye abantu bachaza amakhanda abo njengobuhlungu obuthuntu, obuqhubekayo obuzizwa sengathi ingcindezi yakha ngaphakathi ngaphakathi kwegobolondo labo lekhanda. Abanye bahlangabezana nobuhlungu obubonakala buvela emathempelini abo, ngemuva kwekhanda labo, noma ngemuva kwamehlo abo. Ubukhulu bungahluka kusuka ekucasuleni okuncane kuya ekukhubazeni ngokuphelele.
Ungase futhi uqaphele izimpawu ezingahambisani nobuhlungu bekhanda. Lokhu kungabandakanya ukuzwela ekukhanyeni noma emsindweni, isicanucanu, ubunzima bokugxilisa ingqondo, noma izinguquko embonweni wakho. Ezinye izinhlungu zekhanda ziza nokungezwani kwemisipha entanyeni yakho namahlombe, kanti ezinye zingakwenza uzizwe ungaphilile noma ukhathele.
Izinhlungu zekhanda zingavela ezinqolobaneni eziningi, futhi ngokuvamile kuyinhlanganisela yezinto eziningi kunokuba imbangela eyodwa nje. Ukuqonda lezi zinto eziqalisayo kungakusiza ukuthi ubone amaphethini futhi mhlawumbe uvimbele izigameko zesikhathi esizayo.
Nazi izimbangela ezivame kakhulu ezingase zibe nomthelela ezinhlungwini zakho zekhanda:
Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa ukusetshenziswa ngokweqile kwemithi, izifo ze-sinus, izinkinga zamazinyo, noma izimo zezokwelapha ezingaphansi. Izinto zakho eziqalisayo zingase zihluke ngokuphelele kwezomunye umuntu, yingakho ukulandela amaphethini kungasiza kakhulu.
Ikhanda eliningi yikhanda eliyinhloko, okusho ukuthi alizona izimpawu zesinye isimo kodwa kunalokho yisimo uqobo. Kodwa-ke, amakhanda ngezinye izikhathi angabonisa izinkinga zempilo ezingaphansi ezidinga ukunakekelwa.
Izimo ezivamile ezivame ukubangela amakhanda esibili zihlanganisa izifo ze-sinus, lapho ukuvuvukala emakhaleni akho kudala ingcindezi nobuhlungu endaweni yobunye bakho nezihlathi. Ukungezwani kwemisipha yentamo yakho ngenxa yokuma okungalungile noma ukucindezeleka kungadlulisa ubuhlungu ekhanda lakho, kudale okuzizwa njengekhanda kodwa empeleni kuvela kwenye indawo.
Izimo ze-hormonal ezinjengezifo ze-thyroid noma ukungalingani kwe-hormonal kungabangela amakhanda avamile. Umfutho wegazi ophezulu ngezinye izikhathi ubangela amakhanda, ikakhulukazi lapho umfutho wegazi unyuka ngokuzumayo noma ufinyelela emazingeni aphezulu kakhulu. Eminye imithi, okuhlanganisa eminye imithi yomfutho wegazi kanye nezidambisi zokucasuka, ngokungaqondakali ingabangela amakhanda njengemiphumela emibi.
Izimo ezingathi sína kodwa ezingavamile ezingabangela amakhanda zihlanganisa:
Nakuba lezi zimo ezingathi sína zingavamile, kubalulekile ukuqaphela izimpawu zokuxwayisa ezidinga ukunakekelwa kwezokwelapha ngokushesha. Amakhanda amaningi awanawo umdlavuza, kodwa ukuqonda umehluko kukusiza ukuthi wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho.
Yebo, amaningi ama-headache ayazixazulula ngokwawo ngaphandle kokwelashwa. Ama-headache amaningi okucindezeleka nama-headache alula abangelwa izinto ezibangela okwesikhashana njengokuphelelwa amanzi emzimbeni noma ukucindezeleka ngokwemvelo azonyamalala njengoba umzimba wakho ubhekana nenkinga ekhona.
Isikhathi siyahluka kakhulu kuye ngohlobo nembangela ye-headache yakho. I-headache yokucindezeleka ingase ithathe noma yikuphi kusukela kumizuzu engama-30 kuya emahoreni amaningana, kuyilapho i-migraine ingaqhubeka amahora angu-4 kuya kwangu-72 uma ingelashwa. Ama-headache abangelwa ukushoda kwamanzi emzimbeni avame ukuthuthuka ngaphakathi kwehora elilodwa noma amabili ngemva kokuphuza uketshezi.
Nokho, ukulinda i-headache ukuthi ixazulule akusona ngaso sonke isikhathi indlela enethezekile kakhulu. Noma ngabe i-headache yakho izonyamalala ngokwayo, ukuyelapha kusenesikhathi kunganciphisa kakhulu ukungakhululeki kwakho futhi kukusize ukuthi uqhubeke nemisebenzi yakho yansuku zonke. Ukungenelela kusenesikhathi kuvame ukuvimbela ama-headache ukuthi angabi maningi noma ahlale isikhathi eside.
Ukwelashwa okuningi kwasekhaya okuphumelelayo kungasiza ukudambisa ubuhlungu be-headache futhi kusheshise ukululama kwakho. Okubalulekile ukuthola ukuthi yiziphi izindlela ezisebenza kahle kakhulu ohlotsheni lwakho oluthile lwe-headache nezinto ezibangela.
Nawa amakhambi asekhaya afakazelwe angahlinzeka ngempumuzo:
Amafutha abalulekile afana ne-peppermint noma i-lavender asetshenziswa emathempelini akho angahlinzeka ngokuphumula okwengeziwe kwabanye abantu. Ukwelula ngobumnene noma i-yoga kungasiza uma ikhanda lakho livela ekungezwaneni kwemisipha. Into ebaluleke kakhulu ukubhekana nanoma yiziphi izimbangela ezisobala, njengokudla uma weqa ukudla noma ukuphumula uma ukhathele ngokweqile.
Ukwelashwa kwezokwelapha ngamakhanda kuncike ohlotsheni, imvamisa, nobukhulu bezimpawu zakho. Udokotela wakho uzosebenza nawe ukuthuthukisa uhlelo lokwelashwa olubhekana nokukhululeka ngokushesha kanye nokuphathwa kwesikhathi eside.
Ngamakhanda ngezikhathi ezithile, izidambisi zokucasula ezithengiswa ngaphandle kwemithi zivame ukuba umugqa wokuqala wokwelashwa. Lokhu kufaka i-acetaminophen, i-ibuprofen, noma i-aspirin, enganciphisa ngempumelelo ubuhlungu nokuvuvukala. Kodwa-ke, kubalulekile ukusebenzisa le mithi njengoba kuqondisiwe futhi kungabi ngaphezu kwezinsuku ezi-2-3 ngesonto ukuze kugwenywe amakhanda okuphinda.
Ngeminye izinhlungu zekhanda ezivame kakhulu noma ezinzima, udokotela wakho angase anikeze imithi eqinile. Ama-Triptans aklanyelwe ngqo ama-migraines futhi asebenza ngokugxila ezindleleni eziyisisekelo ezibangela ubuhlungu be-migraine. Imithi elwa nesicanucanu ingasiza uma uhlangabezana nesicanucanu ngezinhlungu zakho zekhanda.
Ukwelashwa kokuvimbela kubalulekile uma uhlangabezana nezinhlungu zekhanda ezivame kakhulu. Lokhu kungabandakanya:
Udokotela wakho angase futhi ancome izinguquko zendlela yokuphila, amasu okulawula ukucindezeleka, noma ukudluliselwa kochwepheshe abanjengo-neurologists noma ochwepheshe bezinhlungu zekhanda. Umgomo uhlala ukuthola ukwelashwa okuphumelela kakhulu ngemiphumela emibi embalwa esimweni sakho esithile.
Izinhlungu zekhanda eziningi azidingi ukunakekelwa kwezempilo ngokushesha, kodwa izimpawu ezithile zokuxwayisa zibonisa ukuthi kufanele ufune ukunakekelwa kwezempilo ngokushesha. Ukwazi ukuthi ungabonana nini nodokotela kungakusiza ukuthi uthole ukwelashwa okufanele futhi ukhiphe izimo ezingaphansi ezingathi sína.
Kufanele ubone udokotela ngokushesha uma izinhlungu zakho zekhanda ziba njalo, zinzima, noma zihlukile kwindlela yakho evamile. Uma uthatha ama-pain relievers angaphezu kwe-counter izinsuku ezingaphezu kwezimbili ngesonto ngezinhlungu zekhanda, sekuyisikhathi sokuxoxa ngamasu angcono okuphatha nomhlinzeki wakho wezempilo.
Funa ukunakekelwa kwezempilo ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu zefulegi elibomvu:
Futhi cabangela ukubona udokotela uma ukuqaqamba kwekhanda kuthinta kakhulu impilo yakho yansuku zonke, umsebenzi, noma ubudlelwano. Ukwelashwa kwanamuhla kokuqaqamba kwekhanda kuphumelela kakhulu, futhi akudingeki ukuthi uhlupheke ngokuqaqamba kwekhanda okuvame kakhulu noma okukhulu ngaphandle kosizo olufanele lwezokwelapha.
Ezinye izici zingakhuphula amathuba akho okuba nokuhlangenwe nakho kokuqaqamba kwekhanda, yize ukuba nezici eziyingozi akukuqinisekisi ukuthi uzokuthuthukisa. Ukuqonda izici zakho eziyingozi zomuntu siqu kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi uqaphele amaphethini ekubangeleni kwakho ukuqaqamba kwekhanda.
Ubulili budlala indima ebalulekile kumaphethini okuqaqamba kwekhanda. Abesifazane maningi amathuba amathathu okuba nokuhlangenwe nakho kwama-migraines kunamadoda, ikakhulukazi ngenxa yokuguquguquka kwamahomoni ngesikhathi sokuya esikhathini, ukukhulelwa, kanye nokuya esikhathini.
Iminyaka iyinye into ebalulekile. Ikhanda lingenzeka kunoma iyiphi iminyaka, kodwa izinhlobo ezithile zivame kakhulu phakathi nezikhathi ezithile zokuphila. Ukukhathala ikhanda kuvame ukuqala ngesikhathi sokukhula noma ekuqaleni kobudala, kuyilapho ikhanda lokucindezeleka lingavela kunoma iyiphi iminyaka. Ikhanda le-cluster ngokuvamile livela kuqala kubantu abaneminyaka engama-20 kuya kwengama-40.
Ezinye izinto ezingase zikhuphule ukuthambekela kwakho ekhanda zihlanganisa:
Ngenkathi ungeke ukwazi ukushintsha izinto ezinjengofuzo noma iminyaka, izinto eziningi eziyingozi zingashintshwa ngokushintsha indlela yokuphila. Ukuphatha ukucindezeleka, ukugcina izimiso zokulala ezijwayelekile, nokuhlonza izinto eziqala umuntu ngamunye kunganciphisa kakhulu imvamisa nobukhulu bekhanda lakho.
Ngenkathi amakhanda amaningi engokwesikhashana futhi angabangeli monakalo ohlala njalo, amakhanda angapheli noma aqinile angaholela ezinkingeni ezithinta izinga lokuphila kwakho nempilo yonke. Ukuqonda lezi zinkinga ezingaba khona kusiza ukugcizelela ukubaluleka kokuphathwa kwekhanda okufanele.
Inkinga ejwayelekile kakhulu yikhanda elibangelwa ukusetshenziswa ngokweqile kwemithi, elibizwa nangokuthi ikhanda elibuyayo. Lokhu kwenzeka uma uthatha imithi yokudambisa ubuhlungu kaningi, ngokuvamile izinsuku ezingaphezu kweziyi-10-15 ngenyanga. Ngokumangalisayo, imithi eyenzelwe ukusiza ikhanda lakho ingenza libe libi kakhulu futhi livame kakhulu.
Amakhanda angamahlala ekhona angaba nomthelela omkhulu empilweni yakho yengqondo nasekusebenzeni kwansuku zonke. Abantu abanezinhlungu zekhanda ezivame ukwenzeka maningi amathuba okuthi bahlangabezane nokucindezeleka, ukukhathazeka, nokuzihlukanisa emphakathini. Ubuhlungu obuqhubekayo nokungalindeleki kwamakhanda kungathinta ukusebenza kwakho emsebenzini, ubudlelwano bakho, kanye nokwaneliseka kwempilo yakho iyonke.
Ezinye izinkinga ezingaba khona zihlanganisa:
Ezimweni ezingavamile, amakhanda angabonisa izimo ezingaphansi ezingathi sína, uma zingelashwa, ezingaholela ezinkingeni ezinzima. Kodwa-ke, ngokunakekelwa kwezokwelapha okufanele namasu okuphatha, abantu abaningi abanezinhlungu zekhanda bangagcina izinga elihle lempilo futhi bavimbele izinkinga ukuthi zingenzeki.
Amakhanda ngezinye izikhathi angadidaniswa nezinye izimo, futhi ngokufanayo, ezinye izimo zingalingisa izimpawu zekhanda. Lokhu kungqubuzana kungenza ukuxilongwa kube yinselelo, kodwa ukuqonda lezi zinto ezifanayo kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okufanele.
Ukucindezela kwamathambo ekhala nokuminyana kuvame ukuzwakala kufana kakhulu nezinhlobo ezithile zekhanda. Abantu abaningi bacabanga ukuthi banekhanda elibangelwa ngamathambo ekhala uma empeleni benomkhuhlane we-migraine noma ikhanda elibangelwa ukungezwani. Ama-headache eqiniso abangelwa ngamathambo ekhala awavamile futhi ngokuvamile avela kuphela uma unesifo samathambo ekhala esisebenzayo esinokukhipha okukhulu, okuguquguqukayo kwamakhala.
Izifo ze-Temporomandibular joint (TMJ) zingabangela ubuhlungu obuthinta amathempeli akho futhi buzizwe njengekhanda. Uma ugaya amazinyo akho, unobuhlungu emhlathini, noma uqaphela imisindo echofoza uma uvula umlomo wakho,
Yebo, izinguquko zesimo sezulu zingabangela ukuqaqamba kwekhanda kwabanye abantu, nakuba indlela eqondile ingaqondakali ngokugcwele. Ushintsho lwengcindezi ye-barometric, ukuguquguquka kwezinga lokushisa, kanye namazinga omswakama konke kungase kubangele ukuqaqamba kwekhanda kubantu abazwelayo. Abanye abantu baqaphela ukuthi ukuqaqamba kwekhanda labo kuyashuba ngaphambi kweziphepho noma ngesikhathi sokushintsha kwesizini. Uma usola ukuthi isimo sezulu sibangela ukuqaqamba kwekhanda lakho, ukugcina idayari yokuqaqamba kwekhanda kanye namaphethini esimo sezulu sendawo kungakusiza ukuthi uthole ukuxhumana.
Ukuqaqamba kwekhanda, ikakhulukazi ama-migraines, kunengxenye yofuzo. Uma umzali oyedwa enama-migraines, ingane yabo inamathuba angaba ngu-40% okuthi izowathola. Uma bobabili abazali benama-migraines, ingozi iyanda yaya cishe ku-75%. Kodwa-ke, izakhi zofuzo akusona isiphetho - ukuba nomlando womndeni wokuqaqamba kwekhanda akusho ukuthi nakanjani uzowathola, futhi izici zemvelo zidlala indima ebalulekile ekutheni ukuthambekela kofuzo kuvezwa yini.
Yebo, ukudla okuthile kungabangela ukuqaqamba kwekhanda kubantu abathintekayo, nakuba izimbangela zokudla zihluka kakhulu kumuntu nomuntu. Izimbangela ezivamile zihlanganisa ushizi omdala, inyama esetshenzwe ngama-nitrate, ushokoledi, utshwala (ikakhulukazi iwayini elibomvu), izithasiselo zokwenziwa, nokudla okuqukethe i-MSG. Kodwa-ke, kubalulekile ukuqaphela ukuthi izimbangela zokudla ziyahluka kakhulu, futhi okuthinta umuntu oyedwa kungase kungamthinti omunye. Isikhathi sokudla singase futhi sibaluleke - ukweqa ukudla kuvame ukuba yimbangela enkulu kunokudla okuthile.
Ukuqala ukuba nezinhlungu zekhanda nsuku zonke akujwayelekile futhi kufanele kuhlolwe ngudokotela. Izinhlungu zekhanda zansuku zonke, ezibizwa nangokuthi izinhlungu zekhanda ezingamahlala-khona, zingadaleka ngezizathu ezihlukahlukene okuhlanganisa ukusetshenziswa ngokweqile kwemithi, izimo zezokwelapha ezingaphansi, noma i-migraine engamahlala-khona. Uma uhlangabezana nezinhlungu zekhanda izinsuku eziyi-15 noma ngaphezulu ngenyanga, kubalulekile ukubona umhlinzeki wokunakekelwa kwezempilo ukuze uhlolwe kahle futhi welashwe. Kukhona ukwelashwa okuphumelelayo kwezimo zekhanda ezingamahlala-khona.
Impela – ukucindezeleka kungenye yezinto ezivame kakhulu ezibangela izinhlungu zekhanda. Uma ucindezelekile, umzimba wakho ukhipha amahomoni okucindezeleka futhi imisipha yakho iyaqina, ikakhulukazi entanyeni yakho, emahlombe, nasesikhunjeni sekhanda. Lokhu kuqina kwemisipha kungabangela ngokuqondile izinhlungu zekhanda. Ukucindezeleka kuphinde kuthinte amaphethini akho okulala, imikhuba yokudla, nokunye ukuziphatha okungaholela ezinhlungwini zekhanda. Ukufunda amasu okulawula ukucindezeleka njengokuzivocavoca ukuze uphumule, ukuzivocavoca njalo, nokulala okwanele kunganciphisa kakhulu izinhlungu zekhanda ezihlobene nokucindezeleka.