Ðe ta ɖua wò hã enuenua? Ðe esia ate ŋu anye taɖuame si nɔa anyi didia?

Ðe taɖuame hã nɔa ŋuwò ɣesiaɣia? Ɣeaɖewoɣi la, menye taɖuame koe wònyena o, ke boŋ taɖuame si womate ŋu ado dzi atsɔ o. Taɖuame alea ŋkeke geɖe le ɣletia me nye mɔxenu gã aɖe na gbesiagbedɔwo wɔwɔ, alo? Egbea, mina míaƒo nu tso taɖuame, alo `(Chronic Migraine)` nɔnɔme sia si le edzi yim ŋu.

Nukae Nye Taɖuame si Nɔa Anyi Didi?

Kpuie ko la, taɖuame si nɔa anyi didi nye ne taɖuame le ŋuwò enuenu, alo gbesiagbe gɔ̃ hã. Wò dzesiwo ate ŋu atrɔ tso ŋkeke yi ŋkeke, eye ɣeaɖewoɣi gɔ̃ hã gaƒoƒo yi gaƒoƒo. Esia wɔnɛ be esesẽna be woade dzesi afisi tututu taɖuame ɖeka wu enu ɖo eye bubu dzea egɔme tsoe.

Ðe taɖuame kple taɖuame nye nu ɖeka?

Esia le vevie ŋutɔ . Menye taɖuame vɔ̃ɖi aɖe koe taɖuame nye o. Vovototo gã aɖe le wo ame evea dome.

Taɖuame si bɔ (vevietɔ esi bɔ abe ``Tension-type headache - TTH'') ateŋu anye nusi me dziɖeleameƒo le vie eye ateŋu ado kplamatse míaƒe gbesiagbedɔwo. Gake megblẽ ale gbegbe be wòana míete ŋu wɔa míaƒe gbesiagbedɔwo o. Le go sia me la, vevesese nɔa ta alo mo, gake mekpɔa ŋusẽ ɖe ahɔhɔ̃a dzi tẽ o.

Gake, taɖuame nye nusi gblẽa nu le wò ahɔhɔ̃ ŋu tẽ . Emae na wovɔ̃ɖi alea gbegbe. Ne taɖuame le ŋuwò la, ate ŋu anye nusi dzi màte ŋu ado dzi le o ale gbegbe be gbesiagbedɔwo wɔwɔ gɔ̃ hã ate ŋu anye nusi dzi womate ŋu ado dzi le o.

Aleke gbegbee nɔnɔme sia bɔe?

Le xexeame godoo la, taɖuame le ame 12% va ɖo 15% ŋu. Gake taɖuame si nɔa anyi didi mebɔ vie o. Eŋutinunyalawo gblɔ be dɔléle sia le xexeamenɔlawo ƒe 1% va ɖo 2.2% ŋu.

Zi geɖe la, ``Taɖuame si nɔa anyi didi`` ƒe nɔnɔme sia gblẽa nu le nyɔnuwo ŋu wu .

Zi geɖe la, taɖuame dzea egɔme le sɔhɛmenɔɣi lɔƒo eye vivivi la, edzi ɖena kpɔtɔna ne èle tsitsim. Le dzinukpɔkpɔ megbe la, zi geɖe la, taɖuame medzɔna o, alo nu yina keŋkeŋ kloe.

Nukae nye esia ƒe dzesiwo?

Taɖuame si nɔa anyi didi ƒe dzesiwo sɔ kple taɖuame si nɔa anyi didi ƒe dzesiwo. Vovototo vevitɔe nye be enɔa anyi didi wu eye wòdzɔna zi geɖe . Taɖuame hã do ƒome kplii.

Be nàxɔ dɔléle sia la, ele be nàɖo nudidi siwo gbɔna gbɔ:

• Ele be taɖuame alo taɖuame nanɔ ŋuwò ŋkeke 15 ya teti le ɣleti ɖeka me. Ele be esia nanye ɣleti etɔ̃ ya teti tsiã ɖe enu.
• Azɔ hã, ele be wò taɖuame nanye taɖuame ƒe dzesiwo alo eƒe nɔnɔmewo ŋkeke 8 ya teti le ɣleti ɖeka me. Ele be esia hã nanɔ anyi ɣleti etɔ̃ ya teti tsiã ɖe enu.

Nukawo tututue nye taɖuame ƒe dzesiwo?

Taɖuame ate ŋu ase le eɖokui me be yeto vovo na amesiame, eye ɣeaɖewoɣi la, ame ɖeka gɔ̃ hã akpɔe le mɔ bubu nu. Akpa vevi ene ate ŋu anɔ anyi (togbɔ be menye taɖuame katãe ƒe akpa eneawo katã le o hã):

• (Prodrome): Esiawoe nye dzesi suesuesue siwo nèsena le ɖokuiwò me hafi taɖuame dzea egɔme. Àte ŋu asusu be, "Oo... Mese le ɖokuinye me abe ɖe taɖuame aɖe le fu ɖem nam ene." Àte ŋu akpɔ nuwo abe vevesese ƒe seselelãme, nuɖuɖu ƒe dzodzro ƒe tɔtrɔ, kple bubuawo ene.
• (Aura): Dzesi siawo dzena ne ahɔhɔ̃a ƒe akpa aɖewo dze dɔ. Dzesiawo ate ŋu anye akaɖiwo kpɔkpɔ le ŋkume, abɔ kple afɔwo ƒe ʋuʋu, kple nuƒoƒo sesẽ.
• Taɖuame: Esiae nye taɖuame ƒe akpa vevitɔ eye wòvea ame wu.
• Postdrome: Esia sɔ kple nusiwo nèsena le ɖokuiwò me le taɖuame megbe. Ame aɖewo yɔa esia be "taɖuame ƒe ahanono." Ðewohĩ àse le ɖokuiwò me be ɖeɖi te ye ŋu eye yeƒe tagbɔ le bɔbɔe.

Fifia, be míate ŋu ayɔe wòade pɛpɛpɛ le eyɔyɔ me be ``Chronic Migraine'' la, ele be woama wò dzesiwo ɖe hatsotso siwo gbɔna me:

Taɖuame si me aura mele o

Zi geɖe la, esia ate ŋu axɔ gaƒoƒo 4 va ɖo 72.

Le taɖuame ƒe ɣeyiɣia me la, ele be dzesi siwo gbɔna la dometɔ eve ya teti nanɔ ame ŋu:

• Vevesese le ta ƒe akpa ɖeka (ɖusime alo miame).
• Vevesesea sena le eɖokui me abe vevesese si le ƒoƒom, si le ƒoƒom ene.
• Vevesesea le titina va ɖo esi nu sẽ ŋutɔ.
• Vevesese si dzina ɖe edzi ne èle dɔ siwo sɔ (abe azɔlizɔzɔ alo atrakpui lialia ene), alo sese le ame ɖokui me be yeaƒo asa na dɔ mawo.

Azɔ hã, le taɖuame ƒe ɣeyiɣia me la, ele be dzesi siwo gbɔna la dometɔ ɖeka ya teti nadze:

• Xeɖeɖe.
• Ʋuʋudedi.
• Fotovɔvɔ̃ kple gbeɖiɖi ƒe vɔvɔ̃ siaa ƒe amesinɔnɔ.

Taɖuame kple aura

Ele be `(Aura)` ƒe nɔnɔme siwo gbɔna la dometɔ ɖeka alo esi wu nenema nanɔ anyi :

• Dzesi siwo wokpɔna le ŋkume: akaɖiwo kpɔkpɔ le ŋkume, afu kpɔkpɔ, zig-zag ƒe nɔnɔmewo kpɔkpɔ le ŋkume, alo nukpɔkpɔ ƒe tɔtrɔ bubuwo.
• Dzesi siwo dzena le asikaka ame ŋu: abɔwo kple afɔwo ƒe ʋuʋu, ʋuʋudedi.
• Nuƒoƒo/gbegbɔgblɔ ƒe dzesiwo: Nuƒoƒo sesẽ, nusi ame bubuwo le gbɔgblɔm gɔmesese sesẽ.
• Motor symptoms: `(Hemiplegia)` (ame ƒe susu ƒe dɔwɔwɔ alo gbɔdzɔgbɔdzɔ le akpa ɖeka - ateŋu akpɔ ŋusẽ ɖe ŋutilã kple/alo mo dzi).
• Dzesi siwo do ƒome kple ahɔhɔ̃mekawo: Dɔwɔwɔ ƒe ŋutete ƒe anyimanɔmanɔ, dadasɔ ƒe kuxiwo, taɖuame, tome ƒe ʋuʋu, dɔgbo ƒe dɔmawɔmawɔ nyuie (abe aɖuɖɔtoe alo dɔmeɖui ene).
• Ŋku ƒe dzesiwo: Ŋku ɖeka ƒe nukpɔkpɔ keŋkeŋ alo eƒe akpa aɖe, alo akaɖi siwo le keklẽm kpɔkpɔ.

Azɔ hã, ele be woaɖo dzidzenu siwo gbɔna la dometɔ etɔ̃ ya teti gbɔ :

• ``Aura'' ƒe dzesi ɖeka ya teti si kaka vivivi le miniti 5 alo esi wu nenema me.
• ``Aura'' ƒe dzesi eve alo esi wu nenema ƒe dzɔdzɔ ɖe wo nɔewo yome.
• ``Aura'' ƒe dzesi ɖesiaɖe xɔa miniti 5 va ɖo gaƒoƒo 1.
• `(Aura)` ƒe nɔnɔme ɖeka ya teti le akpa ɖeka ko.
• ``Aura'' ƒe nɔnɔmewo dometɔ ɖeka ya teti zua ``dzesi nyui'' (si fia be wotsɔ nu yeye aɖe kpe ɖe eŋu le nɔnɔme ma ta; ŋutete si le ame si be ``dzesi manyomanyo'' nakpɔ ŋusẽ ɖe edzi la bu keŋkeŋ alo eƒe akpa aɖe).
• Taɖuame si dzea egɔme le aura la megbe teti alo le miniti 60 me le aura la megbe.

Nukatae taɖuame siawo dzɔna?

Taɖuame ate ŋu anye domenyiŋusẽfianu . Esia fia be ne taɖuame le wò ƒomea me, vevietɔ dziwòlawo alo tɔgbuiwòwo, la, anɔ eme be wò hã nàxɔe.

Tsɔ kpe ɖe eŋu la, nu bubu geɖewo gali siwo numekulawo susu be ate ŋu ana taɖuame sia nadzɔ:

• Tɔtrɔ siwo vaa ʋu ƒe sisi me le ʋuka siwo le ahɔhɔ̃a me ƒe keke alo woƒe tsitsi ta.
• Elektrik-dzesiwo ƒe kaka ɖe ahɔhɔ̃mekawo me ƒe tɔtɔ hena ɣeyiɣi aɖe.
• Tɔtrɔ siwo vaa ahɔhɔ̃a ƒe atikewo me. Le kpɔɖeŋu me, tɔtrɔ le ahɔhɔ̃mekawo abe serotonin ene ƒe agbɔsɔsɔ ŋu.
• Dzesi siwo mesɔ o siwo tso lãmeka siwo ƒo xlã ŋkua alo ta ƒe akpa bubuwo gbɔ.
• Vevesese kple dzesiwo ŋuti dɔwɔƒe siwo le ahɔhɔ̃a ƒe akpa vovovowo ƒe dɔmawɔmawɔ nyuie.
• Vevesese atraɖii hea tɔtrɔwo vɛ le alesi ŋutilãa dea dzesi vevesese kple alesi wòsea vevee me.

Nukawoe nye afɔku siwo nana ŋgɔyiyi sia dzɔna?

Nu siwo gbɔna ate ŋu ana taɖuame si nɔa anyi didi ƒe afɔku nadzi ɖe edzi, alo ana esiwo li xoxo la nagagblẽ ɖe edzi:

• Amidada.
• Ta ƒe abixɔxɔ, le kpɔɖeŋu me, ʋuʋudedi.
• Dɔléle bubu siwo nɔa anyi didi, vevietɔ dɔléle siwo do ƒome kple vevesese abe fibromyalgia ene.
• Susu ƒe lãmesẽkuxiwo, le kpɔɖeŋu me, blanuiléle alo dzimaɖitsitsi.
• Alɔ̃dɔdɔ ƒe kuxiwo, vevietɔ alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe.

Ðe taɖuame si bɔ ate ŋu ava zu taɖuame si nɔa anyi ɖaa?

Ẽ, ɣeaɖewoɣi la, taɖuame si sɔ, si dzɔna ɣeaɖewoɣi ate ŋu "atrɔ" azu taɖuame si nɔa anyi didi. Esia dzɔna to dɔwɔwɔ siwo gɔme eŋutinunyalawo gɔ̃ hã mese bliboe o dzi.

Gake wova ke ɖe nu ɖeka ŋu. Eyae nye be atike aɖewo siwo woŋlɔ na amewo zazã fũ ate ŋu anye nusi gbɔ esia tso. Ne míegblɔ be "nuzazã fũu akpa" la, mefia kokoko be atike muamewo zazã ƒe kuxi o. Esia ate ŋu adzɔ le atike siwo menye numame na ame o gɔ̃ hã gome.

Eya ta, ne ènye amesi ƒe taɖuame dzɔna ɣeaɖewoɣi la, eŋutinunyalawo ɖo aɖaŋu vevie be anyo wu be nàƒo asa na atike aɖewo zazã enuenu. Atikewo zazã fũ akpa hã ate ŋu anye nusi ana taɖuame nadzi ɖe edzi ɣeaɖewoɣi.

Nukawoe nye nusiwo hea taɖuame vɛ?

Nuɖuɖu, nunono, nu aɖewo, ʋeʋẽ, gbeɖiɖi, alo nu kple nɔnɔme aɖewo siwo le nutoa me ate ŋu ahe taɖuame vɛ le gaƒoƒo ʋɛ aɖewo alo ŋkeke ʋɛ aɖewo megbe. Esiawoe nye nusiwo míeyɔna be taɖuame ƒe nusiwo hea taɖuame vɛ .

Esiawoe nye ``Triggers`` siwo bɔ wu:

• Nuteɖeamedzi menyo o, dzimaɖitsitsi hã menyo o.
• Lãmetsiŋusẽ ƒe tɔtrɔ siwo do ƒome kple dzinukpɔkpɔ.
• Dɔwuame alo tsikuɖiɖi.
• Yame ƒe nyaƒoɖeamenu ƒe tɔtrɔ (abe esiwo dzɔna ne yame ƒe nɔnɔme trɔ ene).
• Enyo be nàdɔ alɔ̃ fũu akpa, eye menyo be màdɔ alɔ̃ nyuie o.
• Ʋeʋẽ lilili aɖewo, ami ʋeʋĩwo.
• Nuɖuɖu aɖewo alo nusiwo wotsɔ kpe ɖe nuɖuɖuwo ŋu (cheese xoxo, wein dzĩ, tsokolet, kple lã siwo tsi alo esiwo wodzra ɖo nye woƒe kpɔɖeŋu veviwo).
• Kekeli (akaɖi ƒomevi aɖewo, alo kekeli ƒe sɛkɛnd ɖeka pɛ ko si klẽna ɖe ŋkuwo me tso nane si le keklẽm gbɔ gɔ̃ hã ate ŋu ahe taɖuame vɛ).
• Caffeine (vevietɔ ne ènoe fũ akpa, gake menyo be nànoe wòagbɔ eme wu esi nènona zi geɖe o).
• Gbeɖiɖi aɖewo, vevietɔ gbeɖiɖi siwo mebɔ o (abe jackhammer ƒe gbeɖiɖi ene) alo gbeɖiɖi siwo ƒe ɖiɖime sesẽ (abe elektrikdɔwɔnuwo ƒe gbeɖiɖi ene), nye wo dometɔ ɖesiaɖe
• Atikewo nono na taɖuame enuenu (woyɔa esia be atikewo zazã fũu akpa taɖuame alo "taɖuame si gbugbɔna").

Kuxi kawoe esia ate ŋu ahe vɛ?

Kuxi siwo tso taɖuame me ate ŋu ado mo ɖa, gake womebɔ o . Kpɔɖeŋu aɖewoe nye:

• `(Status migrainosus)` (taɖuame sesẽ ŋutɔ si nɔa anyi wu ŋkeke etɔ̃).
• Ʋusɔgbɔdɔ.
• Alɔ̃madɔmadɔ siwo do ƒome kple `(Aura)`.
• Dzidɔ (esia ƒã ŋutɔ).

Aleke ɖɔktawo dea dzesi esia?

Ðɔkta aɖe dea dzesi nɔnɔme sia (Chronic Migraine) to mɔnu vovovowo tsɔtsɔ ƒo ƒui me. Gbã la, wowɔa ahɔhɔ̃mekawo ƒe dodokpɔ zi geɖe. Emegbe wobiaa nya ʋɛ aɖewo wò tso wò lãmesẽ ŋutinya, gbesiagbegbenɔnɔ, wò numamewo, kple dɔwɔnawo ŋu. Nya siwo wobiana zi geɖee nye:

• Aleke wò taɖuame sena le ɖokuiwò me? Etɔxɛe la, alesi nèɖɔ vevesesea, afisi wòle le wò ta me, kple alesi vevesesea nu sẽe.
• Ðe taɖuame dze dziwò kpɔa? Ne nenemae la, zi nenie nèxɔa wo?
• Ðe dzesi bubu aɖewo li siwo kpe ɖe taɖuamea ŋua? (abe kekeli alo gbeɖiɖi ƒe seselelãme ene) .
• Ðe nènoa aha siwo me caffeine lea? Ne nenemae la, ke agbɔsɔsɔme kae nènona zi geɖe?
• Ðe ``Triggers'' aɖewo le asiwò siwo nana wò taɖuamea gagblẽna ɖe edzia? (abe nuɖuɖu, nunono, ʋeʋẽ, toɣliɖeɖe ene) .
• Ɣeyiɣi didi kae nèdɔa alɔ̃ zi geɖe? Aleke wò alɔ̃dɔdɔ ƒe nɔnɔmewo le nyitsɔ laa?
• Nukae nye wò nuteɖeamedzi kple dzimaɖitsitsi ƒe agbɔsɔsɔ le xexeame katã? Ðe susu aɖe li si ta nàse nuteɖeamedzi alo dzimaɖitsitsi, fifia alo nyitsɔ laa?

Dodokpɔ ka ƒomevie wowɔna be woakpɔ esia?

Ðewohĩ wò ɖɔkta aɖe gbe be woawɔ dodokpɔ aɖewo. Woate ŋu aɖe gbe hã be woado nɔnɔmetatawo kpɔ, abe CT-dɔdamɔnu ene, be woaɖe nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me, abe ʋusɔgbɔdɔ ene, ɖa. Zi geɖe la, wowɔa esia ne ahɔhɔ̃mekawo ƒe dɔléle ƒe dzesi sesẽwo le ŋuwò, vevietɔ hemiplegia (ame ƒe akpa ɖeka ƒe susu ƒe dɔwɔwɔ). Esia nye lãmetutudɔ ƒe dzesi si bɔ. Le nɔnɔme siwo menye kpata o me la, woate ŋu awɔ MRI-dɔdamɔnu tsɔ kpe ɖe CT-dɔdamɔnu ŋu alo ɖe eteƒe.

Woate ŋu awɔ dodokpɔ bubuwo le wò dzesiwo nu. Wò ɖɔktae nye ame nyuitɔ si agblɔ dodokpɔ siawo kple nusita wohiã la na wò.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adae keŋkeŋa?

Taɖuame si nɔa anyi didi dada sɔ kple taɖuame si nɔa anyi edziedzi dada ŋutɔ. Nu vevitɔe nye atikewo zazã . Atikewɔwɔ ƒomevi vevi eve li:

1. Mɔxexeɖedɔléle nu ƒe atikewɔwɔ: Le esia me la, wozãa atike tsɔ xea mɔ na taɖuame ƒe dzɔdzɔ, alo tsɔ ɖea eƒe sesẽme alo edziyiyi dzi kpɔtɔna ne edzɔ.

2. Xɔnametikewo: Wozãa atike siawo tsɔ ɖea ɣeyiɣi didi si taɖuame ƒe amedzidzedze kple eƒe sesẽ dzi kpɔtɔna.

Tsɔ kpe ɖe eŋu la, atikewɔwɔ ƒe mɔnu aɖewo li siwo woate ŋu azã na `(Chronic Migraine)`. Susu ƒe lãmesẽ ŋuti aɖaŋuɖoɖo hã ate ŋu anye atikewɔwɔ ƒe akpa vevi aɖe.

Atike Siwo Wozãna Ðe Mɔxexe Ðe Enu Nu

Atike siawo ɖea vi ŋutɔ na nɔnɔme `(Chronic Migraine)`, elabena woɖea taɖuame ƒe dzidziɖedzi dzi kpɔtɔna, alo ɖea woƒe sesẽ dzi kpɔtɔna gɔ̃ hã. Zi geɖe la, wonaa atike siawo ƒomevi:

• Angiotensin II ƒe mɔxexeɖedɔléle nu (ARBs) (e.g. candesartan) .
• Atike aɖewo siwo wozãna tsɔ tsia alɔ̃dɔdɔ nu (e.g. valproic acid, topiramate) .
• Blanuilélenutsitikewo (e.g. amitriptyline, nortriptyline, venlafaxine) .
• Beta-mɔxenuwo (e.g. atenolol, metoprolol, propranolol) .
• Botulinum aɖi (Botox®) ƒe atikewo dodo
• Calcium-mɔ̃ ƒe mɔxenu (CCB) (e.g., verapamil, flunarizine) .
• Atikewɔwɔ siwo wotu ɖe dɔlékuiwutike ɖeka dzi (e.g., erenumab, fremanezumab, galcanezumab) .

Xɔname ƒe Atikewo

Wozãa atike siawo tsɔ ɖea taɖuame ƒe ɣeyiɣi didi kple/alo eƒe sesẽ dzi kpɔtɔna ne edzɔ. Gake eŋutinunyalawo gblɔ be ele be woaɖɔ ŋu ɖo le wo zazã me . Atike siawo zazã fũ ate ŋu ana taɖuame si nɔa anyi didi nadze ame dzi alo wòagblẽ ɖe edzi.

Atike siwo womeƒlena le atikedzraƒe o (OTC) kple NSAID-tikewo

Esiawo nye atike siwo womeƒlena le atikedzraƒe o kple ``NSAIDs'' (Nonsteroidal anti-inflammatory drugs) ƒomevi siwo woateŋu azã atsɔ ada taɖuame:

• Acetaminophen (si woyɔna hã be Paracetamol, Tylenol®, Panadol®)*
• Aspirin si wotsɔna ƒoa ƒui
• Ibuprofen (si woyɔna hã be Advil®, Motrin®) .
• Naproxen (woate ŋu akpɔe le ŋkɔwo abe Aleve® ene te) .

*> De dzesii: Acetaminophen menye NSAID o. Gake woyɔnɛ zi geɖe be NSAID elabena woate ŋu aƒlee le atikedzraƒe eye eƒe nɔnɔmewo sɔ kple wo nɔewo.*

Caffeine le taɖuametike aɖewo siwo womeƒlena le atikedzraƒe o tsɔ kpe ɖe NSAID ŋu. Anyo be nàƒo nu kple wò ɖɔkta tso atike siwo me caffeine le zazã ŋu. Azɔ hã, xlẽ nusi woŋlɔ ɖe edzi nyuie ne èle atikewo nom be nàkpɔ egbɔ be mèle esiawo nom le manyamanya me o.

Triptan ƒe atikewo

Esiawoe nye atike gbãtɔ siwo woŋlɔna na taɖuame zi geɖe. Kpɔɖeŋu aɖewoe nye: `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`.

Gake wò ɖɔkta ƒe nukpɔsusu ate ŋu ato vovo le esiawo zazã na taɖuame si nɔa anyi didi ŋu. Elabena wo zazã enuenu ate ŋu ana atikewo zazã fũ akpa naɖu ta, alo taɖuame si nɔa ame ŋu edziedzi gɔ̃ hã ate ŋu ava zu nusi nɔa anyi didi.

Ergotamine ƒe atike

Atike sia nana ʋuka siwo le ahɔhɔ̃a me la dzi ɖena kpɔtɔna eye wòkpɔa ŋusẽ ɖe vevesese ƒe dzesiwo ƒe dɔwɔwɔ dzi.

Atike siwo dzi wokpɔna kple esiwo wotsɔ tsaka

NSAID kple atike si dzi wokpɔna, abe barbiturate alo opioid vevesesenutsitike ene, le atike siawo me. Zi geɖe la, womezãa atike siawo tsɔ daa taɖuame si nɔa anyi didi o elabena woate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.

Atikewɔwɔ ƒe ɖoɖowo

Atikewɔwɔmɔnu vovovowo li siwo ate ŋu akpe ɖe taɖuame si nɔa anyi didi ŋu:

• Lãmetsiŋusẽ ƒe ʋuʋu: Zi geɖe la, esia zãa vagus lãmeka, occipital nerve (si le ta megbe), kple supraorbital nerves (le ŋgonu).
• Transcranial magnetic stimulation (TMS): Esia zãa magnet-ŋusẽ aɖe tsɔ kpɔa ŋusẽ ɖe ahɔhɔ̃a ƒe elektrikŋusẽ ƒe dɔwɔwɔ dzi.
• Dɔdamɔnu bubuwo: Atikewɔmɔnu bubuwo, abe abɔtasisi ene, hã ate ŋu akpe ɖe ame aɖewo ŋu. Togbɔ be nusiawo mebɔ nenema o hã la, woate ŋu aɖe vi na ame aɖewo. Ðɔkta kple lãmesẽdɔwɔla siwo wona hehee li siwo naa atike siawo.

Susu ƒe lãmesẽ ƒe kpekpeɖeŋu

Tagbɔdɔdada (si nye nya si wozãna le se nu na susumedɔlélewo dada) ate ŋu akpe ɖe amesiwo ŋu nuteɖeamedzi kple dzimaɖitsitsi le ŋu, eye wo ame evea siaa ate ŋu ana taɖuame nadze wo dzi. Tagbɔdɔdamɔnu vovovowo li, eyata àte ŋu atia esi awɔ dɔ na wò.

Nukae mate ŋu akpɔ mɔ na?

Taɖuame nye agbe ƒe akpa si gblẽa nu le ame ŋu ŋutɔ eye wògblẽa nu le ame ŋu . Ate ŋu asesẽ ŋutɔ, ɣeaɖewoɣi gɔ̃ hã, manya wɔ kura be woawɔ gbesiagbedɔwo o. Dɔwɔwɔ, aƒemedɔwo, modzakaɖeɖewo, kple hadomekadodowo katã gblẽna.

Taɖuame si nɔa anyi didi nye ne taɖuame dzɔna ŋkeke enyi ya teti le ɣletia me hena ɣleti etɔ̃. Esi wodzɔna enuenu ta la, eŋutinunyalawo bua wo be wonye nuwɔametɔwo eye woate ŋu agblẽ nu le agbenɔnɔ ŋu vevie.

Zi geɖe la, afɔku menɔa taɖuame ŋu o. Gake woate ŋu agblẽ nu le agbenɔnɔ ŋu vevie. Woate ŋu ana nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me abe ʋusɔgbɔdɔ kple dzidɔ ene hã nadzi ɖe edzi. Taɖuame ƒe dzesi aɖewo ate ŋu asɔ kple ʋusɔgbɔdɔ ƒe dzesiwo. Eyata atikewɔla bibiwo ƒe dzikpɔkpɔ kple atikewɔwɔ le vevie ŋutɔ.

Ɣeyiɣi didi kae esia anɔ anyi?

Esia toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, ate ŋu anɔ anyi ɣleti geɖe, ƒe geɖe, le ame bubuwo gome la, ate ŋu anɔ anyi ƒe bla nanewo gɔ̃ hã.

Ƒome ŋutinya, ame ŋutɔ ƒe nɔnɔme, nusiwo hea taɖuame vɛ, kple atikewɔwɔ ƒe dzidzedzekpɔkpɔ katã ate ŋu akpɔ ŋusẽ ɖe esia dzi. Wò ɖɔkta ate ŋu aɖo aɖaŋu nyuitɔ kekeake na wò ku ɖe ɣeyiɣi didi si wòanɔ anyi na wò nɔnɔmea, kple nusi nàte ŋu awɔ be wòaɖe ɣeyiɣi si wòakpɔ ŋusẽ ɖe wò agbe dzi dzi akpɔtɔ.

Nukae nye esia ƒe mɔkpɔkpɔ?

Taɖuame si nɔa anyi didi nye nusi ate ŋu atrɔ le agbemeŋkekewo katã me. Nya nyuiae nye be ame 26% va ɖo 70% atrɔ ava zu taɖuame si nɔa anyi ɣeaɖewoɣi la gbɔ mlɔeba. Gake ame aɖewo aɖɔli taɖuame si nɔa anyi didi kple esi nɔa anyi ɣeaɖewoɣi.

Taɖuame ƒe dzidziɖedzi dzi ɖena kpɔtɔna ne ame tsi. Le nyɔnuwo gome la, woate ŋu aɖe esia dzi akpɔtɔ ŋutɔ alo aɖee ɖa keŋkeŋ gɔ̃ hã le dzinukpɔkpɔ megbe.

Ðe woate ŋu axe mɔ ɖe esia nua? Alo ɖe woate ŋu aɖe afɔku si le eƒe xɔxɔ me dzi akpɔtɔa?

Esi eŋutinunyalawo mese nusita alo alesi nɔnɔme sia (Chronic Migraine) dzɔna gɔme bliboe o ta la, manya wɔ be woaxe mɔ ɖe enu 100% o . Togbɔ be ame aɖewo ate ŋu aɖe afɔku si le wo me dzi akpɔtɔ hã la, amesiwo si ƒome ŋutinya le ate ŋu axɔe kokoko, ne woɖɔ ŋu ɖo gɔ̃ hã.

Ne taɖuame le ŋuwò ɣeaɖewoɣi la, nu si nàte ŋu awɔ koe nye be nàxe mɔ na wò atikewo be woagatrɔ azu taɖuame edziedzi o. Be nàwɔ esia la, ƒo nu kple wò ɖɔkta tso alesi nàzã wò atikewo nyuie kple alesi nàɖe wò afɔkua dzi akpɔtɔ ŋu.

Aleke malé be na ɖokuinye?

Ne taɖuame si nɔa anyi didi le ŋuwò la, nu geɖe li nàte ŋu awɔ atsɔ alé be na ɖokuiwò. Te nu siawo kpɔ:

• Dzra taɖuame ŋuti nuŋlɔɖigbalẽ ɖo. Esia kpena ɖe ame ŋu vevietɔ le eƒe gɔmedzedze, gake eɖea vi eɖanye ɣeyiɣi didi kae taɖuame le ŋuwò o. Esia akpe ɖe ŋuwò nàkpɔ alesi wò taɖuamewo trɔna le ɣeyiɣi aɖe megbe. Esia le vevie ŋutɔ ne ehiã be woadi nusiwo aʋãe.
• Dzra wò agbenɔnɔ dzi.Nusi nèɖuna kple wò dɔwɔna ƒe agbɔsɔsɔ ate ŋu akpɔ ŋusẽ ɖe taɖuame dzi. Togbɔ be kamedede ate ŋu ana taɖuame nagblẽ ɖe edzi alo aʋãe ɣeaɖewoɣi hã la, mɔ siwo dzi nàto anɔ kamedede dzi didi ate ŋu akpe ɖe ŋuwò hã be wò dzesiwo nanyo ɖe edzi. Ele vevie hã be nàlé wò kpekpeme si sɔ na wò, elabena lolo akpa kple lolo akpa ate ŋu ana taɖuame si nɔa anyi didi nadze ame dzi.
• Mègavɔ̃ be yeadi kpekpeɖeŋu tso mɔ̃ɖaŋununya gbɔ o. Dɔdamɔnu aɖewo le asitelefon geɖe ŋu siwo ate ŋu aŋlɔ wò taɖuamewo ɖe agbalẽ me ahalé ŋku ɖe wo ŋu. Dɔdamɔnu geɖe nye femaxee, gake tiatia siwo woxea fe na siwo me nu geɖe le le wo dometɔ aɖewo me. Àte ŋu azã dɔwɔnu bubuwo abe yame ƒe nɔnɔme ŋuti dɔwɔɖoɖowo ene hã atsɔ axlɔ̃ nu wò tso nusiwo ate ŋu ahe wò taɖuame, abe ɖiƒoƒo ya alo yame ƒe nyaƒoɖeamenu ƒe tɔtrɔ ene ŋu.
• De dzesi nusiwo hea wò taɖuame vɛ. Ne ènya nya nusiwo ʋãa wò ko la, àte ŋu aƒo asa na wo alo aɖe ŋusẽ si wokpɔna ɖe wò agbe dzi dzi akpɔtɔ. Esia akpe ɖe ŋuwò nàɖe wò taɖuame ƒe dzidziɖedzi dzi akpɔtɔ. Esia nye mɔ vevi aɖe si dzi woato atrɔ taɖuame si nɔa anyi didi wòazu taɖuame si nɔa anyi edziedzi ake.
• Ƒo nu kple ame bubu siwo ŋu dɔléle sia le. Nu geɖe li nàte ŋu asrɔ̃ tso ame bubu siwo ŋu taɖuame si nɔa anyi didi le gbɔ. Àte ŋu awɔ ɖeka kple kpekpeɖeŋunaha siwo le miaƒe nutoa me. Àte ŋu akpɔ kpekpeɖeŋunahawo hã le hadomenyatakakadzraɖoƒewo alo to taɖuamehabɔbɔwo ƒe nyatakakadzraɖoƒewo.

Nukawoe nye nu siwo nyemate ŋu aɖu alo ano nu o?

Nusiwo hea taɖuame vɛ la to vovo na amesiame. Taɖuame ŋuti nuŋlɔɖigbalẽ ŋɔŋlɔ ate ŋu akpe ɖe ŋuwò nàde dzesi nusiwo aʋã wò ahaƒo asa na wò.

Zi geɖe la, wozãa mɔnu siwo sɔ kple nuɖuɖu bubuwo tsɔ dzraa `(Trigger)` ɖo. Kpɔɖeŋuwo:

• Amiwɔwɔ: Wozãa mɔnu sia tsɔ wɔa aha sesẽwo abe wein, biya, cider, kple aha sesẽwo ene. Ele vevie hã le cheese, yogurt, kple abolo ƒomevi aɖewo wɔwɔ me (e.g., sourdough).
• Pickling: Wozãa mɔnu sia tsɔ dzraa nuɖuɖuwo abe amagbewo kple lã ene ɖo. Kpɔɖeŋu aɖewoe nye atadi, sauerkraut, kimchi, azi, kple lã.
• Dɔyɔyɔ kple tsitsi: Wozãa mɔnu sia tsɔ léa lãwo ɖe te. Nusiwo gblẽa nu le ame ŋu dometɔ aɖewo, vevietɔ nitrates kple nitrites, ate ŋu ana taɖuame nadze ame dzi. Nuɖuɖu aɖewo, vevietɔ lã kple cheese, ƒe tsitsi hã ate ŋu anye nusi aʋãe.

Ɣekaɣie wòle be makpɔ ɖɔkta alo adi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne taɖuame si nɔa anyi didi le ŋuwò la, ele be nàyi ɖɔkta gbɔ ɣesiaɣi.Ahiã be nàkpɔ ahɔhɔ̃ŋutinunyala (zi geɖe la, ahɔhɔ̃ŋutinunyala) hena atikewɔwɔ si akplɔ wò ɖo. Wò ɖɔkta ana wò sasrãkpɔwo ƒe ɖoɖowɔɖi wò. Azɔ hã, ne ède dzesi tɔtrɔ aɖewo le wò dzesiwo ŋu, vevietɔ ne ekpɔ ŋusẽ ɖe wò gbesiagbedɔwo, agbenɔnɔ, alo dɔwɔƒe dzi la, ƒo nu kple wò ɖɔkta enumake.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne dɔléle sesẽ aɖe alo esi ate ŋu ade wò agbe afɔku me ƒe dzesiwo le ŋuwò la, yi xɔ si me wowɔa dɔ kpata le enumake. Kpɔɖeŋuwo:

• Dziɖegbe ƒe taɖuame: Esia nye taɖuame si dzea egɔme kpata eye wòsẽna ɖe edzi le aɖabaƒoƒo ʋɛ aɖewo ko me. Esia ate ŋu anye ʋu si le dodom le ahɔhɔ̃a me ƒe dzesi.
• Taɖuame sesẽ: Esia fia be èsena le ɖokuiwò me be taɖuame vɔ̃ɖitɔ kekeake le yeƒe agbe me. Esia ate ŋu anye ahɔhɔ̃ me ʋuka si me ʋu sina tona, ʋu si le dodom le ahɔhɔ̃ me, alo ʋusɔgbɔdɔ ƒe dzesi.
• Hemiplegia: Esia nye lãmetutudɔ ƒe dzesi vevi aɖe . Ne èto esia me la, ɖewohĩ màte ŋu anya ne taɖuame alo ʋusɔgbɔdɔe o . Zi geɖe la, afã kple afã si taɖuame hena vɛ la nu ayi le ɣeyiɣi aɖe megbe, gake mèlala be wòadzo o. Ne etsi megbe akpa , ate ŋu ana ahɔhɔ̃a nagblẽ tegbee alo aku.

Ðe Taɖuame si nɔa anyi didi nye dɔléle sesẽ aɖea?

Taɖuame si nɔa anyi ɖaa (negbe le esi mebɔ o ko) medea ame ƒe agbe afɔku me tẽ o, gake esẽna ŋutɔ . Taɖuame ate ŋu ana agbea nasesẽ ŋutɔ, si wɔnɛ be gbesiagbedɔwo wɔwɔ sesẽna, eye ɣeaɖewoɣi gɔ̃ hã manya wɔ o. Esi wodzɔna enuenu ta la, eŋutinunyalawo bua wo be wonye nɔnɔme sesẽ aɖe.

Ðe esia nu ayi keŋkeŋ gbeɖekaa?

Ẽ, taɖuame si nɔa anyi didi (kple taɖuame le goawo katã me) ate ŋu nu ayi. Mɔ ɖekae nye be nàtsi. Ate ŋu ava zu taɖuame si dzɔna edziedzi (episodic migraine) hã. Zi geɖe la, emae nyea atikewɔwɔ ƒe taɖodzinu vevitɔ. Taɖuame edziedzi dzi ɖuɖu le bɔbɔe, edada le bɔbɔe, eye megblẽa nu le agbenɔnɔ ŋu boo o elabena medzɔna zi geɖe nenema o.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Menye taɖuame vɔ̃ɖi aɖe koe taɖuame nye o. Ne taɖuame dze dziwò la, zi geɖe la, ele be nànɔ xɔ doviviti si me tomefafa le me. Elabena kekeli kple toɣliɖeɖe ate ŋu ahe vevesese si womate ŋu ado dzi atsɔ o, aɖuɖɔtoe, kple dzesi bubu geɖewo vɛ. Xɔ doviviti si me tomefafa le me nɔnɔ menaa dzesiawo nu yina o. Ðeko wòxea mɔ na wo be woagagblẽ ɖe edzi o. Ne taɖuame le ŋuwò la, ɖewohĩ ènya be dzesi siawo doa dziku na wò ŋutɔ. Gake ɣeaɖewoɣi la, edoa dziku na ame wu be woadze agbagba aɖe wo me na ame siwo mese wo gɔme o eye woƒe susu mesɔ o le alesi wosena le wo ɖokui me ŋu.

Dzɔgbenyuietɔe la, woate ŋu ada taɖuame si nɔa anyi didi zi geɖe. Tɔtrɔ suesuesue siwo nàwɔ le wò gbesiagbegbenɔnɔ me gɔ̃ hã ate ŋu aɖe taɖuame ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ.Ne èdze agbagba be yeakpɔ wò taɖuame gbɔ to wò ɖɔkta ƒe kpekpeɖeŋu me la, àte ŋu aɖe wò taɖuame ƒe dzidziɖedzi kple eƒe sesẽ dzi akpɔtɔ. Le esi teƒe be nànɔ agbe kple taɖuame ɖekaɖeka la, àte ŋu alé fɔ ɖe wò agbe ŋu ahase vivi nɛ. Mègatsi dzi o, menye wò ɖeka koe o. Ðɔktawo kple wò lɔlɔ̃tɔwo ate ŋu akpe ɖe ŋuwò.

` Taɖuame, Taɖuame si nɔa anyi didi, Taɖuame, Taɖuame, Taɖuame ƒe Dzesiwo, Taɖuame ƒe Atikewɔwɔ, Taɖuame ƒe Nuwɔnawo