Zviratidzo, Kuongororwa, uye Kurapa Kwemari Yakagadzirirwa Musoro Musoro
Nummular headache-kazhinji iri munzvimbo yeparietal yemusoro-inoratidzika isingaiti yepfungwa inokonzera kupinza kana kubaya, marwadzo akafanana nemari yepalp.
Zviratidzo zveMusoro weN Nummular
Uturu hwemusoro wemusoro hunowanzosingaperi huri kuitika mune chitenderedzwa kana nzvimbo yakasvibiswa yemakumbo. Icho chinokonzerwa nemarwadzo, zvinoreva kuti chimiro uye ukuru hwemamiriro ekurwa zvinoramba zvakasimba.
Nzvimbo yekutambudzika inowanikwa nehupamhi kubva pa1cm (penny) kusvika 6 cm (lime).
Nepo misoro yakawanda inogona kuitika chero ipi zvayo pamakumbo, inonyanya kuwanikwa kumativi emusoro-nzvimbo inonzi parietal region. Kazhinji inobata misoro yakawanda iri kumativi ose emusoro, uyewo kazhinji munhu anenge aine misoro yakawanda yepamusoro (kana kuti nzvimbo dzakawanda dzemakumbo akafanana nemakumbo).
Vanhu vane misoro yakawanda vanowanzotsanangurira kurwadza kunononoka, asi vanogona kunge vakaoma. Marwadzo anowanzotsanangurwa sekusvetwa kana kuomeswa-kufanana. Vamwe vanhu, zvakare, vanonyorera kusanzwisisika kusinganzwisisiki munharaunda yekurwadziwa sekushungurudza, kupera, kana allodynia , kunyanya kana misoro yemusoro ichidzorera. Uyewo, chiremba anogona kukwanisa kubereka unyoro paanenge achitsvaga panzvimbo yacho panguva yekuongorora.
Kuongororwa kweMusoro weN Nummular
Kuti hutachiona hwemusoro huongororwe, chiremba anowanzogadzirira kufungidzira kweuropi ne computed tomography scan ( CT scan) kana kuti magnetic resonance imaging ( MRI ).
Izvi zvichaita kuti hapana chimwe chikonzero chepamusoro wemusoro, kunyanya nekuda kwekushaikwa kwemusoro wemusoro. Chiremba wako achaongororawo zvakanyatsoona shisa yako kuti ave nechokwadi chokuti hapana kuitika, sezvo herpes zoster inogona kutevedzera marwadzo emusoro wemusoro.
Zvikonzero zvakakosha zvepfungwa dzinogona kufanana nemusoro wemusoro zvinosanganisira:
• Metastatic Cancer
• Pfupa rakatapukira seOsteomyelitis
• Multiple Myeloma
• Zvirwere zvePaget
Cause of Nummular Headaches
Izvo zvinokonzera hutachiona hwepamusoro hutsinye hwemunharaunda kana kuti neuralgia yemumwe wematavi emitambo yezvitatu, iyo inonzi nerve iri munzvimbo yepamusoro. Ikoko kunogonawo kuve nekubatana pakati pe nummular misoro uye migraines.
Kurapa kweMusoro weMusoro
Mishonga yakasiyana yakasiyana seyo isiri-steroidal anti-inflammatories (NSAIDs) uye Neurontin (gabapentin) inogona kushandiswa kuedza nekudzivirira huwandu hwemusoro hwemunhu. Tricylic antidepressants like Elavil (amitriptyline) inogonawo kubatsira. Izvo zvinotaurwa, hapana chirwere chimwe chete chakawanikwa chichibatsira zvikuru mukurapa misoro yemusoro, zvichienderana nekudzidza muCephalalgia.
Botox inogonawo kuva nharo yekurapa misoro yepamusoro, kunyanya kana isina kupindura mishonga. Botulinum toxin ishuini inokonzerwa nebhakitiriya Clostridium botulinum uye inoshanda nekudzivirira hutano hwehutano Hwakagamuchirwa munaOctober 2010 neDFA mukurapa kwekusingaperi migraine .
Shoko kubva
Nokuda kwehuwandu hwehuwandu hwemusoro, iva nechokwadi chokuti unozviongorora zvakakodzera nachiremba kana iwe uchifungidzira kuti izvi zvinoratidzika. Zvichida, chiremba wako achaita zvakakwana chekudzidzira uye kuongorora kuongorora muviri uye kukurudzira uropi imaging kutonga zvimwe zvikonzero.
Sources:
Musoro weKutsanangurira Komiti yeAustralia Headache Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808
Mathew NT, Kailasam J, Meadors L. Botulinum chekisi yerudzi A yekurapa kuwanda kwemazwi: zvidzidzo zvina. Headache. 2008 Mar; 48 (3): 442-7.
Mwedzi J, Ahmed K, Garza I. Mhemberero dzevane gumi nevatanhatu vane nhamba yemusoro. Cephalalgia . 2010 Dec; 30 (12): 1527-30.
Schwartz DP, Robbins MS, Grosberg BM. Nummular headache update. Curr Pain Headache Rep . 22013 Jun; 17 (6): 340.