Migraine

Migraine ndi mtundu wa mutu. Zitha kuchitika ndi zizindikilo monga nseru, kusanza, kapena kuzindikira kuwala ndi mawu. Kwa anthu ambiri, kupweteka kwam'mimba kumangomveka mbali imodzi ya mutu.

A mutu waching'alang'ala umayamba chifukwa chazovuta zamaubongo. Ntchitoyi imatha kuyambitsidwa ndi zinthu zambiri. Koma zochitika zenizeni sizikudziwika bwinobwino. Akatswiri ambiri azachipatala amakhulupirira kuti kuukira kumayambira muubongo ndipo kumakhudza mitsempha ndi mankhwala. Zosinthazi zimakhudza kuthamanga kwa magazi muubongo ndi minofu yozungulira.

Migraine imakonda kuonekera koyamba pakati pa 10 ndi 45. Nthawi zina, imayamba koyambirira kapena mtsogolo. Migraines itha kuyenda m'mabanja. Migraines imachitika nthawi zambiri mwa akazi kuposa amuna. Amayi ena, koma osati onse, amakhala ndi mutu waching'alang'ala akakhala ndi pakati.

Migraine imatha kuyambitsidwa ndi izi:

• Kuchotsa caffeine
• Kusintha kwa milingo ya mahomoni panthawi yomwe mayi akusamba kapena kugwiritsa ntchito mapiritsi oletsa kubereka
• Kusintha kwa magonedwe, monga kusagona mokwanira
• Kumwa mowa
• Kuchita masewera olimbitsa thupi kapena kupsinjika kwina
• Phokoso lalikulu kapena magetsi owala
• Anaphonya chakudya
• Zonunkhira kapena zonunkhira
• Kusuta kapena kukoka utsi
• Kupsinjika ndi nkhawa

Migraines amathanso kuyambitsidwa ndi zakudya zina. Ambiri ndi awa:

• Chokoleti
• Zakudya za mkaka, makamaka tchizi zina
• Zakudya zokhala ndi monosodium glutamate (MSG)
• Zakudya ndi tyramine, zomwe zimaphatikizapo vinyo wofiira, tchizi wokalamba, nsomba zosuta, ziwindi za nkhuku, nkhuyu, ndi nyemba zina
• Zipatso (peyala, nthochi, zipatso za citrus)
• Nyama zokhala ndi nitrate (nyama yankhumba, agalu otentha, salami, nyama zowachiritsa)
• Anyezi
• Mtedza ndi mtedza wina ndi mbewu
• Zakudya zosinthidwa, zofufumitsa, zosungunuka, kapena zam'madzi

Kupweteka kwenikweni kwa mutu wa migraine sikunachitike chifukwa chotupa muubongo kapena vuto lina lalikulu lazachipatala. Wopereka chithandizo chamankhwala yekhayo yemwe amadziwika bwino pamutu ndiamene angadziwe ngati matenda anu amayamba chifukwa cha migraine kapena vuto lina.

Pali mitundu iwiri ikuluikulu ya mutu waching'alang'ala:

• Migraine ndi aura (classic migraine)
• Migraine popanda aura (wamba migraine)

Aura ndi gulu la zizindikiritso zamanjenje (neurologic). Zizindikirozi zimawerengedwa ngati chizindikiro chochenjeza kuti migraine ikubwera. Nthawi zambiri, masomphenyawo amakhudzidwa ndipo amatha kuphatikiza chilichonse kapena zotsatirazi:

• Mawanga akanthawi kwakanthawi kapena mawanga achikuda
• Masomphenya olakwika
• Kupweteka kwa diso
• Kuwona nyenyezi, mizere yokhotakhota, kapena magetsi owala
• Masomphenya a Tunnel (amangowona zinthu pafupi ndi malo owonera)

Zizindikiro zina zamanjenje zimaphatikizapo kuyasamula, kuvuta kuyang'ana, nseru, kuvuta kupeza mawu oyenera, chizungulire, kufooka, kuchita dzanzi, ndi kumva kulira. Zina mwazizindikirozi ndizofala kwambiri ndimutu waching'alang'ala. Ngati muli ndi chimodzi mwazizindikirozi, omwe amakupatsani mwayiwu angayitanitse mayeso kuti apeze chomwe chikuyambitsa.

Aura nthawi zambiri imachitika mphindi 10 mpaka 15 mutu usanachitike, koma imatha kuchitika mphindi zochepa mpaka maola 24 kale. Kupweteka kumatsatira aura nthawi zonse.

Mutu nthawi zambiri:

• Yambani ngati kupweteka pang'ono ndikuwonjezeka mkati mwa mphindi mpaka maola
• Akuphulika, kuphulika, kapena kuthamanga
• Ali oyipa mbali imodzi ya mutu ndikumva kuwawa kumbuyo kwa diso kapena kumbuyo kwa mutu ndi khosi
• Kutsiriza 4 mpaka maola 72

Zizindikiro zina zomwe zimatha kuchitika ndi mutu ndizo:

• Kuzizira
• Kuchuluka pokodza
• Kutopa
• Kutaya njala
• Nseru ndi kusanza
• Kuzindikira kuwala kapena mawu
• Kutuluka thukuta

Zizindikiro zimatha, ngakhale mutu waching'alang'ala utatha. Izi zimatchedwa migraine hangover. Zizindikiro zimatha kuphatikiza:

• Kumva kukhala wofooka m'maganizo, monga momwe mukuganizira sikumveka bwino
• Kusowa kugona kwambiri
• Kupweteka kwa khosi

Wothandizira anu amatha kudziwa mutu wa mutu wa migraine pofunsa za zomwe mukudziwa komanso mbiri ya banja lanu la mutu waching'alang'ala. Kuyezetsa kwathunthu kumachitika kuti mudziwe ngati mutu wanu umayamba chifukwa cha kupsinjika kwa minofu, mavuto a sinus, kapena vuto laubongo.

Palibe mayeso enieni otsimikizira kuti mutu wanu ndi migraine. Nthawi zambiri, sipakhala mayeso apadera omwe amafunikira. Wothandizira anu amatha kuyitanitsa sikani ya CT kapena MRI ngati simunakhalepo nayo kale. Mayesowo amathanso kulamulidwa ngati muli ndi zizolowezi zosazolowereka ndi mutu waching'alang'ala, kuphatikizapo kufooka, mavuto akumbukiro, kapena kusazindikira.

EEG itha kukhala yofunikira kuti athetse kulanda. Kutsekemera kwa lumbar (mpopi wamtsempha) kumatha kuchitika.

Palibe mankhwala enieni opatsirana a migraine. Cholinga ndikuthetsa matenda anu a migraine nthawi yomweyo, ndikupewa zizindikiro popewa kapena kusintha zomwe zimayambitsa.

Gawo lofunikira ndikuphunzira momwe mungagwiritsire ntchito migraine kunyumba. Zolemba pamutu zingakuthandizeni kuzindikira zomwe zimayambitsa mutu. Kenako inu ndi wokuthandizani mutha kukonzekera momwe mungapewere izi.

Kusintha kwa moyo ndi monga:

• Zizolowezi zabwino zogona, monga kugona mokwanira komanso kugona nthawi yomweyo usiku uliwonse
• Zizolowezi zabwino zodyera, kuphatikizapo kusadya chakudya komanso kupewa zomwe mumayambitsa
• Kuthetsa kupsinjika
• Kuchepetsa thupi, ngati mukulemera kwambiri

Ngati mumakhala ndi mutu waching'alang'ala, wothandizira wanu amatha kukupatsani mankhwala kuti muchepetse ziwopsezo. Muyenera kumwa mankhwalawa tsiku lililonse kuti akhale othandiza. Mankhwala atha kuphatikizira:

• Mankhwala opatsirana
• Mankhwala a kuthamanga kwa magazi, monga beta blockers
• Mankhwala oletsa kulanda
• Ma peptide okhudzana ndi jini a Calcitonin

Majakisoni amtundu wa botulinum a A (Botox) amathanso kuthandizira kuchepetsa kuwonongeka kwa migraine ngati kumachitika masiku opitilira 15 pamwezi.

Anthu ena amapeza mpumulo ndi mchere komanso mavitamini. Funsani omwe akukuthandizani kuti muwone ngati riboflavin kapena magnesium ili yoyenera kwa inu.

KUCHITA ZOKHUDZA

Mankhwala ena amatengedwa pachizindikiro choyamba cha mutu waching'alang'ala. Mankhwala opweteka kwambiri (OTC), monga acetaminophen, ibuprofen, kapena aspirin nthawi zambiri amathandiza migraine yanu ikakhala yofatsa. Dziwani kuti:

• Kutenga mankhwala masiku opitilira atatu pa sabata kumatha kubweretsa kupweteka kwamutu. Awa ndimutu womwe umabwerabe chifukwa chogwiritsa ntchito mopitilira muyeso mankhwala opweteka.
• Kutenga acetaminophen wambiri kumatha kuwononga chiwindi.
• Ibuprofen kapena aspirin wambiri amatha kukwiyitsa m'mimba kapena impso zanu.

Ngati mankhwalawa sakuthandiza, funsani omwe amakupatsani mankhwala okhudzana ndi mankhwala. Izi ndi monga kupopera mankhwala m'mphuno, suppositories, kapena jakisoni. Gulu la mankhwala omwe amagwiritsidwa ntchito nthawi zambiri amatchedwa triptans.

Mankhwala ena a migraine amachepetsa mitsempha yamagazi. Ngati muli pachiwopsezo chodwala matenda a mtima kapena matenda amtima, lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa. Mankhwala ena a migraine sayenera kugwiritsidwa ntchito ndi amayi apakati. Lankhulani ndi omwe akukuthandizani za mankhwala omwe ali oyenera kwa inu ngati muli ndi pakati kapena mukukonzekera kutenga pakati.

Mankhwala ena amachiza matenda a mutu waching'alang'ala, monga nseru ndi kusanza. Angagwiritsidwe ntchito payekha kapena limodzi ndi mankhwala ena omwe amachiza mutu waching'alang'ala womwewo.

Feverfew ndi therere la mutu waching'alang'ala. Itha kukhala yothandiza kwa anthu ena. Musanagwiritse ntchito feverfew, onetsetsani kuti omwe akukuthandizani akuvomereza. Mankhwala azitsamba omwe amagulitsidwa m'masitolo ogulitsa mankhwala ndi malo ogulitsira azachipatala salamulidwa. Gwiritsani ntchito katswiri wazitsamba posankha zitsamba.

KULETSA MITU YA NKHANI YA MIGRAINE

Ngati migraines yanu imachitika kawiri pa sabata ngakhale mutagwiritsa ntchito ma triptan, omwe amakupatsani akhoza kukupatsani mankhwala oti muzimwa tsiku lililonse, omwe angakuthandizeni kupewa mutu waching'alang'ala. Cholinga ndikuteteza kuti mutu waching'alang'ala umachitika kangati komanso kupweteka kwa mutu kumakhala kovuta. Mitundu iyi ya mankhwala ingathandize kupewa kapena kuchepetsa mutu waching'alang'ala:

• Mankhwala omwe amagwiritsidwa ntchito kwambiri kuthamanga kwa magazi, (monga beta-blockers, angiotensin blockade agents, ndi calcium channel blockers)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza kukhumudwa
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza khunyu, otchedwa anticonvulsants
• Jakisoni wa poizoni wa mtundu wa A wa odwala osankhidwa

Zipangizo zatsopano zomwe zimapereka mitundu yosiyanasiyana yolimbikitsira mitsempha kapena maginito oyeserera ayesedwanso pochiza mutu wa migraine. Udindo wawo weniweni pochiza mutu waching'alang'ala sikudziwikabe bwinobwino.

Munthu aliyense samvera chithandizo mosiyanasiyana. Anthu ena ali ndi mutu waching'alang'ala kawirikawiri ndipo samasowa chithandizo chochepa. Ena amafunika kumwa mankhwala angapo kapenanso kupita kuchipatala nthawi zina.

Mutu wa Migraine ndiwowopsa wa sitiroko. Zowopsa ndizokwera kwambiri mwa anthu omwe amasuta, makamaka azimayi omwe ali ndi migraines omwe amapezeka ndi aura. Kuphatikiza pa kusasuta, anthu omwe ali ndi mutu waching'alang'ala ayenera kupewa zina zomwe zingawachititse stroke. Izi zikuphatikiza:

• Kumwa mapiritsi olera
• Kudya zakudya zopanda thanzi, zomwe zingayambitse cholesterol kapena kuthamanga kwa magazi

Itanani 911 ngati:

• Mukukumana ndi "mutu wowawa kwambiri m'moyo wanu."
• Muli ndi vuto lakulankhula, kuwona, kapena kuyenda kapena kusakhazikika, makamaka ngati simunakhalepo ndi migraine kale.
• Mutu umayamba mwadzidzidzi.

Sanjani nthawi yokumana kapena itanani omwe akukuthandizani ngati:

• Mutu wanu wamutu kapena ululu umasintha.
• Mankhwala omwe kale adagwiranso ntchito sawathandizanso.
• Muli ndi zovuta kuchokera kumankhwala anu.
• Mukumwa mapiritsi oletsa kubereka ndipo mumakhala ndi mutu waching'alang'ala.
• Mutu wanu umakhala wovuta kwambiri mukamagona pansi.

Mutu - migraine; Mutu wa mtima - migraine

• Mutu - zomwe mufunse dokotala wanu

• Migraine mutu
• Migraine chifukwa
• Kujambula kwa CT kwa ubongo
• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Bungwe la American Headache Society. Gulu laku mutu waku America lipereka lingaliro pakuphatikiza mankhwala atsopano a migraine kuchipatala. Mutu. 2019; 59 (1): 1-18. (Adasankhidwa) PMID: 30536394 www.ncbi.nlm.nih.gov/pubmed/30536394.

Dodick DW. Migraine. Lancet. 2018; 391 (10127): 1315-1330 (Adasankhidwa) PMID: 29523342 www.ncbi.nlm.nih.gov/pubmed/29523342. (Adasankhidwa)

Garza I, Schwedt TJ, Robertson CE, Smith JH. Mutu ndi zowawa zina za craniofacial. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 103.

Gulu CP, Tomlinson CL, Rick C, et al. Poizoni wa botulinum wopewa migraine mwa akulu. Cochrane Database Syst Rev. 2018; 6: CD011616. PMID: 29939406 pubed.ncbi.nlm.nih.gov/29939406/.

Hershey AD, Kabbouche MA, O'Brien HL, Kacperski J. Mutu. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 613.

Tsatirani malangizo omasulira mwachidule: Chithandizo chamankhwala cha migraine mwa ana ndi achinyamata: Lipoti la Guideline Development, Dissemination, and Implementation Subcommittee ya American Academy of Neurology ndi American Headache Society. Neurology. Chidwi. 2019; 94 (1): 50. PMID: 31822576 pubed.ncbi.nlm.nih.gov/31822576/.

Tassorelli C, Wowonjezera HC, Dodick DW, et al. Maupangiri a International Headache Society pakuyesa kwamankhwala opewera matenda opweteka a migraine mwa akulu. Cephalalgia. 2018; 38 (5): 815-832. PMID: 29504482 pubed.ncbi.nlm.nih.gov/29504482/.