Inoshamisa Kuongororwa Mhinduro Pamusoro Pakanyanya Kuora Musoro Matambudziko
Nzira yakanakisisa yekudzidza pamusoro peswere ndeyekuterera kune munhu anotambura nayo. Ndokusaka zvidzidzo zvidzidzo - kunyanya zvikuru - zvinogona kuva dzidziso.
Musoro weChecheche , vatsvakurudzi Rozen naHitmanman vakabudisa migumisiro yeongororo yakawanda iyo yaisanganisira pamusoro pevanhu vane chiuru vane misoro yemasumbu - ayo mune zvishoma vanopfuura hafu yemamiriyoni varwere muUnited States.
Heino kutarisisa zvakanyanya kuongororo iyi inofadza:
The Survey Skinny
Ongororo iyi yakaumbwa nemibvunzo 187 yakawanda-sarudzo uye yakagadzirirwa neUnited Organisation for the Understanding of Cluster Headache, kana US OUCH, - iyo iyo nhengo dzakawanda dzine vanorwara nemusoro wemasumbu. Tsvakurudzo iyi yakasimudzirwa paInternet pane mamwe mawebhu e-cluster-related-related websites. Vanhu bedzi avo vakaonekwa kuti vane masumbu emusoro nemasikirwo neurologist vakabvumirwa kupedza tsvakurudzo.
Pose, 1134 vanhu vane misoro yemasumbu vakapedzisa kuongorora - 72 muzana vaiva varume uye 28 muzana vaiva vakadzi. Nyika yose yaimiririrwa muongororo.
Kuziva
Zvakatora makore mashanu kana kupfuura kuti vawane chirwere chemajeri chakakwana, maererano ne 42 muzana yeongororo yakabvunzwa. Zvimwe zvisingazivikanwi zvisiri izvo zvinosanganisira sinusitis , migraine , mishonga yepamusoro, kana zvinetso zvine chokuita nemino.
Nhoroondo ye Prior Head Trauma
Zvikamu makumi mapfumbamwe nemapfumbamwe kubva muongororo yevaya vakapindura vakataura kuti vakanga vane nhoroondo yekushungurudza musoro.
Family History
Vane makumi masere neviri kubva muzana vevakabvunzwa vakati havana mhuri yekare yemasumbu emasumbu, asi hafu yevakabvunzwa vakataura nhoroondo yemhuri ye migraines - izvi zvinokuita kuti uzvisarudzire kana kune chibereko chekuita pakati pemigraine ne cluster headaches uye / kana kuti varwere havazivikanwi (vanozivikanwa vane migraines pavanenge vachiita misoro yemusoro)
Zvimwe Zvirwere
Chikamu chechina chevakabvunzurudzwa chaiva nehuwandu hwekuora mwoyo , uye 14 muzana vakataura nhoroondo yepfnea yokurara .
Auras
Zvikamu makumi maviri kubva muzana zvevatsvakurudzi vanoongorora vakataura nhoroondo ye aura mushure mekushungurudzwa kwemusoro kwemasumbu, vazhinji varipo vasingapfuuri nemaminitsi makumi maviri nemashanu. Vanenge zana kubva muzana vakataura kushungurudzika nemusoro wavo - vachiita mabasa akaita sekufambisa kana kubvongodza nekudzoka, vachirova vhudzi ravo, kana kuti kurova rusvingo.
Quality of Pain
Inenge 85 kubva muzana yeavo vakapindura vakataura kuti kurwadziwa kwemasumbu echisumbu kwaiva kwakakosha, uye inenge hafu yemashoko kuti misoro yavo yechisumbu inogona kunge ichikuvadza kana kuomeswa.
Nzvimbo yePain
Vazhinji vakati nzvimbo yavo yepamusoro yakanga iri shure kwemaziso avo. Vamwe vakarondedzera meno ekumusoro, tambo, nzeve uye mapepa. Pakati pevakapindura, 49 muzana vakataura marwadzo pamakona akanaka emusoro wavo asi 44 muzana vakataura marwadzo kuruboshwe. Maererano nevanyori vekutsvakurudza uku, chikonzero chekusiyana uku hachisi pachena, asi kurongedza kwakarurama kwemasango emasumbu kwakaratidzwa mune zvimwe zvidzidzo. Ndivo 3 muzana chete vakarondedzera kurwisana kunoitika kumativi maviri emusoro wavo.
Kusvuta
Makumi makumi manomwe nematatu muzana aiva nehuwandu kana kushandiswa kwefodya kare - kusvuta fodya kana kutsva fodya.
Zvinofadza kuti 8 muzana yevanhu vakapindura vakatsanangura kuti kusvuta kunokonzera kuoma kwemusasa weboka rimwechete, asi 2 muzana vakataura kuti kuderedzwa kwema cluster kurwisa maitiro.
Doro
Inenge 65 kubva muzana yeavo vakapindura vakati vachinwa doro, uye vanopfuura hafu yenguva yakareva doro sechisumbu chemasumbu chinotanga.
Zvimwe Zvinokonzera
Mamwe masumbu anorwadza anokonzera kubva kubva kune akawanda kuenda kune asinganzwisisi akabatanidzwa:
- weather change
- kunhuwa
- chiedza chakajeka
- magetsi anopenya
- kutarira terevhizheni
- kuputika kupisa kana kupisa kunopisa
- nitroglycerin
Izvi zvinonakidza, sezvo izvi zvinoita kuti zvive zvakafanana nekugadzirisa migraine . Chidzidzo chacho hachina kugadzirisa kana vatsvakurudzo vavo vakapindurawo vane nhoroondo ye migraines, kana kana kudya uye kushungurudzika (zvimwe zviviri zvinowanzobatwa migraine zvinokonzera) zvakakonzera kusangana kwemasumbu avo.
Nguva
Vakawanda vakataura kuti masumbu avo ekurwadziwa kwepamusoro akaitika panguva imwe chete zuva rimwe nerimwe - ne 41 muzana inotaura 2am seinowanzo nguva. Makumi makumi mashanu nemasere kubva muzana ainge akanganisa masikati pakati pe7pm ne7am ne 42 muzana pakati pe7am ne7pm.
Kurapa
Vakawanda vevakapindura - 70 muzana - vakanga vasina nzira yekurapa misoro yavo yemasumbu . Asi 15 muzana maiva nemazino avo abviswa uye 7 muzana yakanga ine chirwere chekuvhiya. Vamwe vakataura kuti nhengo dzepipipital dzinovhara kana occipital nerve stimulator placements - iyo inokonzera mitsipa pasi pekatehenya.
The Bottom Line
Mimwe yemigumisiro yeongororo iyi inonakidza zvikuru-kunyanya kufanana pakati pekukonzera misoro yemasumbu neyemigraine - uye vamwe ndizvo zvatinotarisira zvichibva pane tsvakurudzo yapfuura.
Pane zvimwe zvingagadziriswa padzidzo zvakare - iyo huru ndeyokuti kuongororwa kwakagoverwa paInternet, saka zvingave zvisina kuzomiririra zvizere zvevarwere vemasumbu eCluster muUnited States. Uyewo, kuongororwa kwemasumbu echisumbu hakuna kusimbiswa neurologist inobvumidzwa-kudzidza, kana nemitemo inoratidzwa neInternational Headache Society .
Kakawanda, kuongororwa kunotibvumira kuwana ruzivo rwemutoro wepanyama uye wekunetseka kwekushungurudzwa kwemusoro kwemasumbu.
Sources:
Rozen, TD & Fishman, RS (2012). Cluster misoro muUnited States of America: mazita evanhu, makiriniki, maitiro, kuzviuraya, uye mutoro wega. Musoro, Jan; 52 (1): 99-113.
Russell, MB (2004). Epidemiology uye genetics yemasumbu emusoro. Lancet Neurology, 3: 279-83.
Tepper, DE (2015). Cluster Headache. Musoro, May; 5 (5): 757-8.
ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .