Kukunda Kurwadza Kwemusoro Kusingaperi Nekurapa Kunoshanda

Kune vanhu vanobatwa nemusoro unoitika 15 kana kupfuura mazuva pamwedzi kweinopfuura mwedzi mitatu, kuziva zviratidzo nezviratidzo zvingabatsira here vatapi vehutano kubatsira kurapa nekudzivirira kusagadzikana kwemusoro usingaperi?

Kusagadzikana Kupopotedzana musoro

Vanhu vazhinji vakasangana netension-mhando yemusoro. Marwadzo acho anowanzo kurondedzerwa seasina kusimba kuomesa kana kumanikidza kumativi ese emusoro, sekunge uine bhandi rekusimbisa rakatenderedza musoro. Vamwe vanhu vanonzwa misoro iyi kazhinji, chiitiko chinozivikanwa sechisingaperi tension headache. Kutemwa kwemusoro kusingagumi hakuwanzoitiki asi kunogona kukanganisa, sezvo kunogona kukanganisa hutano hwehupenyu uye hupenyu hwezuva nezuva.

• Kushungurudzika kwemusoro kunowanzokonzerwa nekushushikana, kufunganya, kupera mvura mumuviri, kutsanya, kana kushaikwa kwekurara uye kazhinji kunogadzirisa nemishonga yekupfuura-the-counter. (Cleveland Clinic. 2023)
• Ichi ndicho chirwere chekutanga chemusoro chinokanganisa 3% yevanhu.
• Kusagadzikana kwemusoro wemusoro kunogona kuitika zuva nezuva uye nekukanganisa kunaka kwehupenyu nekushanda kwezuva nezuva. (Cleveland Clinic. 2023)

zviratidzo

• Kushungurudzika kwemusoro kunogona kunzi kushungurudza musoro or kutemwa nemusoro mhasuru.
• Vanogona kuunza nekugomara, kurwadziwa kunorwadza uye kunosanganisira kusimba kana kudzvanywa pahuma, mativi, kana kumashure kwemusoro. (Cleveland Clinic. 2023)
• Uyezve, vamwe vanhu vanonzwa kupfava pamusoro pemusoro, mutsipa, uye mapfudzi.
• Musoro wemusoro usingaperi unoitika mazuva gumi nemashanu kana anopfuura pamwedzi paavhareji kweinopfuura mwedzi mitatu.
• Musoro wemusoro unogona kugara kwemaawa akati wandei kana kuenderera kwemazuva akati wandei.

Zvinokonzera

• Kushungurudzika kwemusoro kunowanzokonzerwa nemhasuru dzakasimba mumapfudzi, mutsipa, shaya, uye scalp.
• Kugeda-geda kwemazino/bruxism uye kubata shaya kunogona kubatsirawo pachiitiko ichi.
• Musoro wemusoro unogona kuunzwa nekushushikana, kushushikana, kana kusagadzikana uye zvinowanzoitika kune vanhu:
• Shanda maawa akawanda mumabasa anonetsa.
• Usawana hope dzakakwana.
• Ramba kudya.
• Kazhinji kunwa doro. (Cleveland Clinic. 2023)

kuongorora chirwere

Vanhu vari kurwadziwa nemusoro izvo zvinokanganisa hupenyu hwezuva nezuva kana kuti vanoda kutora mishonga kanopfuura kaviri pasvondo vanokurudzirwa kuonana nemupi wehutano. Pamberi pekusangana, zvinogona kubatsira kuchengeta a musoro diary:

• Nyora mazuva
• Times
• Tsanangudzo yekurwadziwa, kusimba, uye zvimwe zviratidzo.

Mimwe mibvunzo inogona kubvunzwa nemupi wehutano inosanganisira:

1. Marwadzo acho ari kupuruzira, akapinza, kana kubaya here, kana kuti anogara akamira uye akagomara?
2. Kurwadziwa kuri papi zvakanyanya?
3. Zviri pamusoro pese, kune rumwe rutivi, pahuma, kana kuseri kwemaziso here?
4. Kutemwa nemusoro kunokanganisa kurara here?
5. Kushanda kana kuita mabasa kwakaoma here kana kuti hazvibviri?

Mutariri wehutano angangokwanisa kuongorora mamiriro acho zvichienderana nezviratidzo chete. Zvisinei, kana mutsara wemusoro wakasiyana kana wakasiyana, mupi anogona kuraira miedzo yekufungidzira, seMRI kana CT scans, kuti atonge zvimwe zvirwere. Kusagadzikana kwemusoro wemusoro kunogona kuvhiringika nezvimwe zvisingaperi zvemazuva ese zvemusoro kusagadzikana senge chronic migraine, hemicrania continua, temporomandibular joint dysfunction/TMJ, kana cluster headaches. (Fayyaz Ahmed. 2012)

mabatiro

Pharmacological therapy yekusingaperi tension misoro inowanzobatanidza mishonga yekudzivirira.

• Amitriptyline mumwe mushonga wakawanikwa uchibatsira mukudzivirira kusagadzikana kwemusoro.
• Tricyclic antidepressant mushonga unonyaradza uye unowanzo kutorwa usati warara. (Jeffrey L. Jackson et al., 2017)
• Maererano nemeta-analysis ye22 yakabudiswa zvidzidzo mu Journal of General Internal Medicine, mishonga iyi yakakwirira kune placebo mukuderedza misoro yemusoro, neavhareji ye4.8 mazuva mashoma emusoro pamwedzi.

Mishonga yekuwedzera yekudzivirira inogona kusanganisira mamwe antidepressants senge:

• Remeron - mirtazapine.
• Anti-seizure mishonga - seNeurontin - gabapentin, kana Topamax - topiramate.

Mutariri wehutano anogonawo kupa mishonga yekurapa misoro yemusoro, iyo inosanganisira:

• Mishonga isiri-steroidal anti-inflammatory drugs kana NSAIDs, kusanganisira acetaminophen, naproxen, indomethacin, kana ketorolac.
• Opiates
• Tsvina dzinozorodza
• Benzodiazepines - Valium

Non-Mishonga Kurapa

Maitiro ekurapa dzimwe nguva anoshandiswa ari ega kana musanganiswa nemishonga kudzivirira uye kugadzirisa kusagadzikana kwemusoro usingaperi. Mienzaniso inosanganisira:

Acupuncture

• Imwe nzira yekurapa inosanganisira kushandisa tsono kumutsa mapoinzi chaiwo pamuviri unotendwa kuti unobatana nedzimwe nzira/meridians inotakura yakakosha simba/chi muviri wese.

Biofeedback

• MuElectromyography - EMG biofeedback, maelectrodes anoiswa paganda remusoro, mutsipa, uye kumusoro kwemuviri kuti aone kuputika kwemhasuru.
• Murwere anodzidziswa kudzora tension yetsandanyama kudzivirira kutemwa nemusoro. (William J. Mullally et al., 2009)
• Nzira yacho inogona kudhura uye inopedza nguva, uye pane humbowo hushoma hunotsigira kushanda kwayo.

Therapy Therapy

• Murapi wepanyama anogona kushanda kunze kuomarara uye mhasuru dzakasimba.
• Dzidzisa vanhu pane zvakatambanudzwa uye zvakanangwa maekisesaizi ekusunungura yakasimba musoro uye mhasuru dzemutsipa.

Cognitive Behavioral Therapy/CBT

• Zvinosanganisira kudzidza kuziva zvinokonzeresa musoro uye kurarama nenzira isinganetseki uye inogadzirisa.
• Nyanzvi dzemusoro dzinowanzokurudzira CBT mukuwedzera kumishonga pakugadzira chirongwa chekurapa. (Katrin Probyn et al., 2017)
• Kugeya mazino uye kubata shaya kudzidziswa/kurapa kunogona kubatsira kana vari vabatsiri.
• Kugara uchirovedza muviri, pamwe nekudzidzira hutsanana hwekurara, kunogona kubatsira mukudzivirira.

Supplements

Vamwe vanhu vane misoro isingaperi yemusoro vanogona kuwana zororo vachishandisa zvinowedzera. IAmerican Academy yeNeurology neAmerican Headache Society inoshuma zvinotevera zvinowedzera zvinogona kushanda: (National Center for Complementary uye Integrative Health. 2021)

• butterbur
• Fivha
• Magnesium
• Riboflavin

Kana musoro ukauya kamwe kamwe, zvichikonzera kumuka kubva kuhope, kana kugara kwemazuva, zvakakosha kubvunza mutano wehutano kuti abvise chero zvikonzero uye kugadzira personalized treatment plan.

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Kupopotedzana musoro

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References

Cleveland Clinic. (2023). Kupopotedzana musoro.

Ahmed F. (2012). Headache disorders: kusiyanisa uye kugadzirisa zvakajairika subtypes. British Journal of pain, 6 (3), 124-132. doi.org/10.1177/2049463712459691

Jackson, JL, Mancuso, JM, Nickoloff, S., Bernstein, R., & Kay, C. (2017). Tricyclic uye Tetracyclic Antidepressants for the Prevention of Frequent Episodic or Chronic Tension-Type Headache in Adults: A Systematic Review uye Meta-Analysis. Nyaya yemishonga yakawanda yemukati, 32 (12), 1351-1358. doi.org/10.1007/s11606-017-4121-z

Mullally, WJ, Hall, K., & Goldstein, R. (2009). Kubudirira kwebiofeedback mukurapa migraine uye tension type headache. Chiremba wemarwadzo, 12 (6), 1005-1011.

Probyn, K., Bowers, H., Mistry, D., Caldwell, F., Underwood, M., Patel, S., Sandhu, HK, Matharu, M., Pincus, T., & CHESS chikwata. (2017). Non-pharmacological self-management kune vanhu vanogara nemigraine kana tension-type headache: kuongorora kwakarongeka kunosanganisira kuongororwa kwezvikamu zvekupindira. BMJ yakavhurika, 7(8), e016670. doi.org/10.1136/bmjopen-2017-016670

National Center for Complementary uye Integrative Health. (2021). Musoro Wemusoro: Zvaunoda Kuziva.