ʻŌlelo pinepine kāu keiki liʻiliʻi, "Māmā, ʻeha koʻu ʻōpū"? A i ʻole ke ʻeha nei ʻo ia i nā ʻeha ʻōpū e hoʻomaka koke a nalowale ma hope o kekahi manawa? I kekahi manawa manaʻo mākou he ʻeha ʻōpū maʻamau kēia, akā he mea ʻokoʻa iki paha kēia. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
He aha ka Migraine ʻōpū? E hoʻomaopopo pono kākou!
I ka ʻōlelo maʻalahi, he ʻano migraine kēia migraine ʻōpū. Akā, ma kahi o ke poʻo, ʻike nui ʻia ia he ʻeha ma ka ʻōpū. Hiki i kēia ʻeha ʻōpū ke piʻi aʻe mai ka waena a i ka koʻikoʻi . ʻO ka ʻoiaʻiʻo, hiki iā ia ke hoʻopilikia i ke keiki a hiki i kahi hiki ʻole iā ia ke hana i nā hana o kēlā me kēia lā.
Hiki i kēia ʻeha ke mau mai hoʻokahi hola a i 72 mau hola (3 lā) i ka manawa. Akā, ʻo ka maʻamau, he 17 mau hola ka lōʻihi. Loaʻa paha i kekahi mau keiki kahi migraine headache maʻamau i ka manawa like me kēia ʻeha ʻōpū. He mea nui hoʻi kēia e hoʻomanaʻo.
Wahi a nā kānaka noiʻi, aia kahi pilina ma waena o nā migraines a me nā ʻeha poʻo migraine. Manaʻo lākou he like nā mea hoʻoulu, nā hōʻailona, a me nā lāʻau lapaʻau no nā kūlana ʻelua. Manaʻo pū lākou he like paha ke kumu o nā kūlana ʻelua. No ka laʻana, 24% o ka poʻe me nā ʻeha poʻo migraine e ʻike pū i nā migraines i kekahi manawa o ko lākou ola. Hoʻohālikelike kēia me kahi 10% o ka heluna kanaka maʻamau.
ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana? Aia kāu keiki i waena o lākou?
ʻO ka migraines ʻōpū ka mea maʻamau i nā keiki ma lalo o 10 mau makahiki. Eia nō naʻe, hiki i nā pākeke ke loaʻa iā lākou, a he mea ia e hoʻomanaʻo ai.
Hoʻomaka pinepine ka maʻi ma kahi o 7 makahiki. Eia kekahi, ʻoi aku ka maʻamau o ke ʻano i waena o nā kaikamahine ma mua o nā keikikāne.
He aha nā kumu pilikia? ʻO wai ka mea i maʻalahi loa?
Inā loaʻa kekahi o kou ʻohana, e like me ka makuahine, ka makuakāne, a i ʻole nā kaikaina o kāu keiki, he nui ka pilikia o kāu keiki i ka loaʻa ʻana o ka migraines. ʻOi aku ma mua o 65% o nā keiki me ka migraines he hoahānau mua ko lākou i loaʻa i ka migraines.
ʻAʻole wale ia, ʻo nā keiki me nā maʻi olakino noʻonoʻo e like me ka hopohopo a me ke kaumaha e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o nā migraines ʻōpū a me ke poʻo. No laila, pono mākou e hopohopo e pili ana i ke olakino noʻonoʻo o ke keiki.
Pehea ka maʻamau o nā migraines ʻōpū? He mea maʻamau maoli anei kēia?
Ua manaʻo ʻia aia ma waena o 1% a me 4% o nā keiki kula i loaʻa kēia maʻi ʻōpū. Eia nō naʻe, manaʻoʻiʻo nā kānaka noiʻi he ʻoi aku ka nui o ka helu. ʻO kēia no ka mea ʻaʻole i ʻike pono ʻia ke ʻano a no laila ʻaʻole i hōʻike pono ʻia.
I waena o nā pākeke, he mea kakaikahi loa nā migraines ʻōpū.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona nui o kēia migraine ʻōpū ka ʻeha ʻōpū . ʻO ka maʻamau, ʻike ʻia kēia ʻeha ma waenakonu o ka ʻōpū, a puni ka piko. I kekahi manawa hiki ke manaʻo ʻia he ʻeha palupalu, a i ʻole hiki ke hele mai me he ʻeha ʻoi. Hiki i ke kiʻekiʻe o ka ʻeha ke kaulike a koʻikoʻi paha.
ʻO ke ʻano ʻē o kēia ʻano ʻeha, ʻo ia ka hoʻomaka koke ʻana a nalowale koke. E like me ka mea i ʻōlelo ʻia ma mua, hiki ke mau mai hoʻokahi hola a i 72 mau hola.
Ma waho aʻe o kēia mau hōʻailona nui, hiki iā ʻoe a i kāu keiki ke loaʻa nā hōʻailona e like me:
- Keʻokeʻo .
- ʻAnorexia , ʻo ia hoʻi ka nalowale o ka makemake e ʻai .
- Ka luaʻi .
- Luaʻi .
- Ke loaʻa nei ka ʻeha poʻo .
Ma waho aʻe o kēia, hiki i kekahi poʻe ke ʻike i nā hōʻailona ʻē aʻe i ʻike ʻia i ka wā o ka migraines, e like me ka ʻike i ka mālamalama ʻālohilohi (photophobia) a me ka ʻike i ka walaʻau nui (phonophobia) .
ʻO ka manawa ma waena o nā hanana o kēia ʻeha ʻōpū hiki ke loli mai kekahi mau pule a i kekahi mau mahina. ʻO ka maʻamau, ʻaʻohe hōʻailona i ka wā ʻaʻole ʻeha ka ʻōpū.
No ke aha e loaʻa ai kēia mau ʻeha ʻōpū? He aha nā kumu?
ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka migraines ʻōpū, akā he mau kuhiakau ko lākou.
ʻO ke kuhiakau nui, ʻo ia ka ʻōnaehana nerve o ka poʻe me ka migraines he mea koʻikoʻi ʻole ia. ʻO ka mea nui, ʻo nā neurons sensory mua a me ke kikowaena o ka spinal i loko o kēia ʻōnaehana he mea nui ma ʻaneʻi. Manaʻo nā kānaka noiʻi he hiki i kekahi mau kumu genetic, nā kumu psychological a me nā mea pilikanaka, a me nā mea pili i ke kaiapuni ke hoʻopilikia i kēia hypersensitivity.
Ke hoʻopilikia ʻia kekahi e kahi mea hoʻonāukiuki, e like me ka maʻi neʻe a i ʻole ke kaumaha, hoʻokuʻu ko lākou kino i nā ʻelele kemika i kapa ʻia he neurotransmitters ma ke ʻano ʻē. Ma waena o kēia mau mea, ua manaʻo ʻia ʻo ka serotonin ke kumu nui o ka ʻeha o ka ʻōpū.
He aha nā mea hoʻonāukiuki e hoʻonui ai a hoʻonui paha i kēia maʻi?
Hiki i kekahi mau kūlana a me nā mea ke hoʻonui i kēia mau migraines ʻōpū, ʻo ia hoʻi hiki iā lākou ke hoʻomaka i kahi mea hou a hoʻonui paha i kahi mea e kū nei. Hiki ke ʻokoʻa kēia mau mea mai kēlā kanaka a i kēia kanaka.
Eia kekahi mau mea hoʻonāukiuki maʻamau e hoʻopilikia i nā poʻe he nui:
- Kaumaha : Kaumaha i hoʻokumu ʻia e nā mea e like me ka hana kula a me nā pilikia ʻohana .
- Ka hiamoe kūpono ʻole a me nā ʻano hiamoe like ʻole.
- Hoʻokē ʻai lōʻihi.
- Ka maloʻo ʻana o ka wai.
- Ka Huakaʻi a me ka Maʻi Neʻe.
- Hoʻoikaika kino.
- Nā meaʻai kiʻekiʻe i nā amines: Nā hua citrus e like me nā ʻalani a me nā lime, kokoleka, tīhi, salami, a me ka ham.
- Nā meaʻai i loaʻa nā ʻono hana , nā kala, a me ka monosodium glutamate ( MSG ).
- Nā kukui ʻālohilohi a ʻālohilohi.
- ʻO ka ʻai ʻana ma mua o 200 milligrams o ka caffeine (ʻo ia hoʻi, ka caffeine i loaʻa i ke kofe, ke kī, a me kekahi mau mea inu palupalu)
E noʻonoʻo, loaʻa i kahi keiki ka ʻeha ʻōpū ke hoʻi mai lākou mai kahi huakaʻi hoʻomaha, a i ʻole ke kokoke mai kahi hoʻokolohua. ʻO kēia nā mea e like me nā 'Triggers'.
Pehea e ʻike ai ke kauka i kēia?
He mea paʻakikī iki ka ʻike ʻana i kēia migraine ʻōpū, no ka mea, he nui nā kūlana a me nā kumu ʻē aʻe e hiki ai ke hōʻeha i ka ʻōpū.
Eia kekahi, hiki ke paʻakikī i nā keiki ʻōpio ke wehewehe pololei i ko lākou ʻeha a haʻi i ka ʻokoʻa ma waena o ka ʻeha ʻōpū maʻamau a me kēia.
ʻAʻohe hoʻokolohua lab kikoʻī a i ʻole nā hoʻokolohua kiʻi e hiki ke ʻike i kēia ʻano migraine ʻōpū. No laila, hilinaʻi nui nā kauka i ka ʻike maikaʻi o nā hōʻailona o ke keiki a me ka mōʻaukala olakino.
Pono hoʻi ke kauka e hōʻoia ʻaʻohe pilikia olakino ʻē aʻe e hoʻoulu ai i nā hōʻailona like. Eia kekahi laʻana:
- ʻO ka maʻi luaʻi Cyclic
- Nā ʻōpū ʻōpū
- Ka maʻi o Crohn
- ʻO ka maʻi ʻōpū huhū (IBS)
- Nā kūlana e pili ana i ka ʻōpū mimi a i ʻole nā puʻupaʻa.
E hana ke kauka nāna e nānā i kāu keiki i kēia mau mea:
- Ua aʻo pono ʻia ka mōʻaukala olakino o ke keiki a me ka ʻohana.
- Hana ʻia kahi hoʻokolokolo kino.
- Hiki ke kauoha ʻia nā hoʻokolohua e like me ka ultrasound ʻōpū a i ʻole X-ray e kāpae i nā kūlana olakino ʻē aʻe.
He aha nā lāʻau lapaʻau no kēia? Pehea ʻoe e mālama ai?
ʻAʻohe lāʻau lapaʻau kūikawā no kēia ʻeha ʻōpū. No laila, ʻo ke kumu nui o ka mālama ʻana, ʻo ia ka pale ʻana i kēia maʻi mai ka hanana ʻana. Eia kekahi, aia nā ala e mālama ai i kēia ʻeha ʻōpū ke hoʻomaka.
Pehea ʻoe e pale ai i kēia mai ka hana ʻana? (Kāohi ʻana)
I mea e pale aku ai i kēia mau ʻeha ʻōpū, he mea nui e hoʻomaopopo i nā mea hoʻonāukiuki i loaʻa i kāu keiki. ʻO kekahi o nā ala maikaʻi loa e hana ai i kēia, ʻo ia ka mālama ʻana i kahi Puke Moʻolelo Hōʻailona e pili ana i nā hōʻailona o kāu keiki, nā mea a lākou e ʻai ai, a me nā mea a lākou e ʻike ai. Hiki i kēia ke lilo i ala maikaʻi loa e ʻike ai i nā mea hoʻonāukiuki.
Ma keʻano laulā, hiki iā ʻoe ke hana i kēia mau mea ma ke ʻano he pale ʻana:
- Ka Hoʻokele ʻana i ke Kaumaha: E hoʻomaʻamaʻa i nā hoʻolālā hoʻoponopono olakino e kōkua i ka hoʻokele ʻana i ke kaumaha. He mea kōkua nui nō hoʻi ka Cognitive Behavioral Therapy (CBT) i ka hoʻokele ʻana i ke kaumaha.
- E makaʻala i ka wā e hele ai: He mea nui e pale i ka maʻi neʻe. Ke hele nei i nā wahi lōʻihi, hiki iā ʻoe ke hoʻōki pinepine a kaupalena i kāu huakaʻi i nā wahi kiʻekiʻe.
- E hiamoe maikaʻi: He mea nui ka lawa ʻana o ka hiamoe no ka poʻe me ka migraines. ʻO ka mālama ʻana i kahi manawa moe maʻamau a me ka hoʻomaʻamaʻa ʻana i ka hoʻomaʻemaʻe hiamoe maikaʻi e hiki ke kōkua i ka pale ʻana i ka hoʻopilikia ʻana o ka hiamoe. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ke koʻikoʻi o ka ʻeha.
- Ke pale ʻana i nā mea paʻakikī i nā maka: Hiki i nā kukui ʻālohilohi ke hoʻonui i kēia ʻano, no laila e noho mamao aku mai iā lākou i ka hiki.
- Ke pale ʻana i nā mea hoʻonāukiuki i ka meaʻai: E ʻike i nā meaʻai e hoʻonui ai i nā hōʻailona o kāu keiki a hoʻāʻo e hoʻopau iā lākou mai ka ʻai a kāu keiki. Eia kekahi, e hōʻemi i nā meaʻai i loaʻa ka MSG (Ajinomoto) a me nā mea ʻono a me nā kala hana .
Nā lāʻau lapaʻau pale
ʻAʻohe lāʻau lapaʻau a ka U.S. Food and Drug Administration (FDA) i ʻae kūikawā ʻia no ka mālama ʻana i nā poʻo migraine. Eia nō naʻe, hiki i kekahi mau kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau "off-label," ʻo ia hoʻi ua ʻae ʻia lākou no nā kūlana ʻē aʻe. He nui nā lāʻau lapaʻau e kōkua ana i ka pale ʻana i nā poʻo migraine e kōkua pū i ka pale ʻana i nā poʻo migraine.
Ua hōʻike ʻia nā noiʻi e hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka migraines:
- ʻO Cyproheptadine
- ʻO Pizotifen `(Pizotifen)`
- ʻO ka Propranolol `(Propranolol)`
- ʻO Flunarizine `(Flunarizine)`
Pono e lawe ʻia kēia mau mea ma ke ʻōlelo aʻoaʻo a ke kauka wale nō.
He aha kāu e hana ai ke paʻakikī nā mea? (Episode Treatment)
Ke loaʻa i kāu keiki ka migraine, e hoʻomaha iā lākou i kahi pouli a mālie. ʻO ke kau ʻana i kahi lole pulu a i ʻole kahi ʻeke hau ma ko lākou lae hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona.
Eia kekahi, hiki i ke kauka o kāu keiki ke ʻōlelo a kuhikuhi paha i nā lāʻau lapaʻau no nā manawa paʻakikī:
- Nā Lāʻau Anti-inflammatory Nonsteroidal (NSAID): No ka laʻana , ibuprofen a i ʻole aspirin . (He mea nui ka ʻōlelo aʻoaʻo lapaʻau i ka wā e hāʻawi ai i ka aspirin i nā keiki.)
- Nā lāʻau lapaʻau hoʻēmi i ka nausea .
- Nā Triptans (nā Agonists Receptor Serotonin) .
He aha ke ʻano o kēia kūlana i ka wā e hiki mai ana? (Wānana)
ʻO ka nūhou maikaʻi, ʻo nā keiki me ka migraines e ulu pinepine lākou ma mua o ko lākou migraines i ka wā ʻōpio. Ma kahi o 60% o nā keiki e hoʻopau loa i ka pilikia i ka hopena o nā makahiki ʻōpio.
Eia nō naʻe, ma kahi o 70% o nā keiki i loaʻa i ka migraines e loaʻa i nā ʻeha poʻo migraine ma hope aku o ke ola, i ka wā ʻōpio a i ʻole ka wā makua.
Inā pilikia kēia ʻano pilikia o kaʻu keiki, pehea lā e hiki ai iaʻu ke kōkua?
Hiki i kēia ʻeha ʻōpū ke hoʻopilikia i ka naʻau no ke keiki a me ʻoe. Hiki iā ia ke hoʻopilikia i ke ola kaiaulu a me nā hana kula o ke keiki. No laila, ʻo ka mea nui loa, ʻo kou manaʻoʻiʻo i kāu keiki a kākoʻo i ko lākou olakino.
E kamaʻilio ākea me ke kauka o kāu keiki e pili ana i kāna mau hōʻailona. E haʻi iā lākou inā loaʻa kekahi o kou ʻohana i ka migraines. E kūkākūkā me kāu kauka inā paha he migraine ka ʻeha o ka ʻōpū o kāu keiki.
E lōʻihi paha ka manawa, akā e hoʻāʻo e ʻike i nā "mea hoʻonāukiuki" e hoʻopilikia nei i kāu keiki. Inā hiki, e mālama i kāu keiki mai iā lākou aku. A laila hiki iā ʻoe ke pale aku i nā pilikia like ʻole mai ka wā e hiki mai ana.
Āhea ʻoe e ʻike ai i ke kauka?
Inā luaʻi pinepine kāu keiki ma muli o kēia ʻeha ʻōpū, e ʻike pono i ke kauka. I kēlā hihia, pono paha kāu keiki e lawe ʻia i ka haukapila e kāohi i ka luaʻi ʻana a pale a mālama paha i ka maloʻo i hoʻokumu ʻia e ka nalowale nui o ka wai o ke kino.
He mea kaumaha loa ka ʻike ʻana i kahi keiki e ʻeha ana. ʻO ka mea maikaʻi loa āu e hiki ai ke hana no lākou, ʻo ia ke kākoʻo iā lākou, e kamaʻilio me kā lākou kauka, a e ʻimi i nā ala e hoʻokele ai i ko lākou migraines ʻōpū. No ka mea hiki ke loaʻa nā mea hoʻonāukiuki kikoʻī, ʻo ka mālama ʻana i kahi puke moʻolelo o nā hana a kāu keiki, nā kūlana, a me nā hōʻailona hiki ke kōkua iā ʻoe e ʻike i nā mea hoʻonāukiuki i ka hala ʻana o ka manawa.
ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)
ʻAe, e hoʻomanaʻo aku kākou iā ʻoukou i kekahi mau mea a kākou i kamaʻilio ai i kēia lā a mākou e manaʻo nei he mea nui iā ʻoukou:
- He maʻi maoli ka migraine ʻōpū. ʻAʻole ia he ʻeha ʻōpū wale nō.
- ʻIke pinepine ʻia kēia i waena o nā keiki ʻōpio.
- ʻOi aku ka nui o ka pilikia inā loaʻa kekahi o ka ʻohana i ka migraines.
- He mea nui loa ka ʻike ʻana i nā hōʻailona a me ka ʻimi ʻana i ke kōkua lapaʻau.
- ʻO ka ʻike ʻana i nā mea hoʻonāukiuki a me ka noho ʻana ma kahi ʻē aʻe e kōkua nui i ka kaohi ʻana i kēia maʻi.
- Mai hopohopo, e emi ana kēia maʻi no ka hapa nui o nā keiki i ko lākou wā ʻelemakule.
- Inā loaʻa i kāu keiki kekahi mea e like me kēia, he mea nui loa kāu kākoʻo, kou hoʻomaopopo ʻana, a me kou mālama ʻana iā ia.
Manaʻolana mākou he mea kōkua kēia ʻike iā ʻoe. Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, e ʻoluʻolu e nīnau i ke kauka no ka ʻōlelo aʻo.
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