Author/Editor		Žvan, Bojana
Title		Glavobol tenzijskega tipa
Translated title		Tension-type headache
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 38, št. Suppl 4
Publication year		1999
Volume		str. 47-54
Language		slo
Abstract		The episodic tension-type headache is characterized by a frequency of thirty minutes to seven days. The pain is typically constant of tightening (non-pulsatile) or pressing quality, of mild or moderate intensity, is bilateral in distribution, and does not worsen with daily physical activities. Nausea is usuallyabsent, but photophobia and phonophobia may at times be present. if headache frequency increases to 15 days per month, to at least 180 days per year over the period of 6 years, tensiontype headache becomes a chronic type. The first step to diagnosis and treatment is to giving patients a good hearing and careful examination. Pathophysiology of tension-type headache associates several factors: phychiological, muscle contraction, vascular, humoral, central factors and the one of an infectious origin. Certain personality characteristics are more common in patients with tension-type headache: anxiety, depression, suppressed anger and the feeling of inadequacy. Management includes physiological courselling, relaxation therapy and the use of tricyclic antidepressant, of which amitriptylin is the most widely prescribed.
Summary		Glavoboli tenzijskega tipa so ponavljajoče se epizode glavobolov, ki trajajo nekaj minut do nekaj tednov. Bolečina je topa v smislu pritiska ali stiskanja, je lažja ali zmerna, običajno lokalizirana na obeh straneh glave, se ne poslabša pri vsakdanjih opravilih, ni povezana s slabostjo, le redko pa se pridruži občutljivost za svetlobo in hrup. Kronični glavobol tenzijskega tipa definiramo, kadar traja glavobol 15 ali več dni v mesecu, najmanj 180 dni v letu in najmanj 6 let. Diagnoza glavobola tenzijskega tipa temelji na natančni anamnezi in značilni klinični sliki. Patofiziologija zajema več dejavnikov: psihološki dejavniki, mišična napetost, žilni, humoralni, centralni ininfekcijski dejavniki. Osebnostno so bolniki z glavobolom tenzijskega tipa anksiozni, depresivni, zavrti in imajo občutek nemoči. Zdravljenje združuje psihološko podporo, sprostitveno terapij in uporabo tricikličnih antidepresivov, izmed katerih najpogosteje uporabljajo amitriptilin.
Descriptors		TENSION HEADACHE