I-Cluster headache iwuhlobo olunzima kakhulu lwekhanda elibuhlungu. Ubuhlungu buzwakala ohlangothini olulodwa lwekhanda kuphela futhi bukhulu kakhulu.

Ikhanda lekhanda le-Cluster liwuhlobo olunzima kakhulu lwekhanda eliyinhloko. Kuvela ngokuzumayo, kushubile futhi kubuhlungu. Izimpawu zingazwakala imini nobusuku, amasonto ambalwa. Ubuhlungu obukhulu ngokuvamile buzwakala ohlangothini olulodwa lwekhanda nasezingeni lamehlo. Ubuhlungu obuhambisana nakho bukhulu kangangokuthi bungabangela isicanucanu.

Ezinye izimpawu zomtholampilo zingahlotshaniswa nekhanda elibuhlungu: ukuvuvukala, ububomvu nokuklebhuka kwamehlo nekhala. Kwezinye izimo, ukuphazamiseka kwasebusuku, i-arrhythmias (ukushaya kwenhliziyo okungavamile) noma ngisho nomfutho wegazi ophezulu noma i-hypotension ingase itholwe isiguli esinekhanda elibuhlungu.

Le pathology ithinta ikakhulukazi abantu abaphakathi kweminyaka engama-20 nengama-50 ubudala. Ngaphezu kwalokho, noma yimuphi umuntu, kungakhathaliseki ubudala bakhe, angathinteka yilesi sifo. Ukudlondlobala kancane kuyabonakala emadodeni, nangaphezulu kwababhemayo. Imvamisa yokuvela kwezimpawu zomtholampilo, ngokuvamile, phakathi kuka-2 no-3 izikhathi ngosuku.

Ikhanda elibuhlungu leqembu lingahlala impilo yonke, izimpawu zivame ukuvela ngesikhathi esifanayo (ngokuvamile entwasahlobo nasekwindla).

Imbangela eqondile yekhanda elibuhlungu leqembu ayaziwa okwamanje. Noma kunjalo, imisebenzi ethile, kanye nezindlela zokuphila, zingase zibe umsuka wokukhula kwalesi sifo.

Ababhemayo basengozini enkulu yokuba nesifo esinjalo.

Ukuba khona kwalesi sifo ngaphakathi kwendilinga yomndeni nakho kungaba yisici esikhulisiwe ekuthuthukiseni ikhanda lekhanda kumuntu. Okusikisela ukuba khona kwesici sofuzo esingase sibe khona.

Izimpawu zesifo zinganda ngaphansi kwezimo ezithile: ngesikhathi sokuphuza utshwala, noma ngesikhathi sokuchayeka kwephunga elinamandla (upende, uphethiloli, amakha, njll.).

Wonke umuntu angakhathazeka mayelana nokuthuthukiswa kwekhanda lekhanda le-cluster. Kodwa-ke, abantu abaphakathi kweminyaka engama-20 nengama-50 basengozini enkulu.

Ababhemayo nabo basengozini enkulu yokuthola lesi sifo. Ekugcineni, ukuba khona kwalesi sifo emkhayeni nakho kungaba yisici esivelele.

Izimpawu zekhanda le-cluster ziza ngokushesha futhi ngamandla. Ikakhulukazi ubuhlungu obubukhali (obukhulu kakhulu) ohlangothini olulodwa lwekhanda, futhi ngokuvamile eduze neso elilodwa. Iziguli zivame ukuchaza ukushuba kwalobu buhlungu njengokubukhali, okuvuthayo (okunomuzwa ovuthayo) nokubhoboza.

Iziguli ezinekhanda elibuhlungu ngokuvamile zizizwa zingaphumuli futhi zinovalo phakathi nezimpawu eziphakeme ngenxa yobukhulu bobuhlungu.

Ezinye izimpawu zomtholampilo zingangeza kulobu buhlungu:

• ububomvu nokuklebhuka kweso
• ukuvuvukala enkopheni
• ukuncipha komfundi
• ukujuluka okukhulu ebusweni
• ikhala elithanda ukugijima.

Iziqongo zezimpawu ngokuvamile zihlala phakathi kwemizuzu engu-15 namahora angu-3.

Alikho ikhambi lekhanda elibuhlungu elikhona njengamanje, nokho ubuhlungu obukhulu bungathinta kakhulu izinga lempilo yesiguli.

Ukulawulwa kwalesi sifo kuzobe sekubhekiswe ekwehliseni izimpawu. Ukunikeza ama-painkillers, njenge-paracetamol, kungase kuhlotshaniswe nesifo. Ngaphezu kwalokho, le mithi ngokuvamile ayanele lapho ibhekene nobukhulu bobuhlungu. Ngakho-ke, imithi yokwelapha ekwazi ukunciphisa ubuhlungu yile:

• imijovo ye-sumatriptan
• ukusetshenziswa kwe-sumatriptan noma i-zolmitriptan nasal sprays
• ukwelashwa nge-oxygen.