Loaʻa pinepine anei iā ʻoe nā ʻeha poʻo? He migraine mau paha kēia?

Loaʻa mau anei iā ʻoe ke poʻo ʻeha? I kekahi manawa, ʻaʻole ia he poʻo ʻeha wale nō, akā he migraine hiki ʻole ke hoʻomanawanui. ʻO ka loaʻa ʻana o kahi poʻo ʻeha e like me kēia no kekahi mau lā o ka mahina he mea keakea nui ia i ka hana ʻana i nā hana o kēlā me kēia lā, ʻeā? I kēia lā, e kamaʻilio kākou e pili ana i kēia migraine e hoʻomau nei, a i ʻole ke ʻano `(Chronic Migraine)`.

He aha ka Migraine Mau Loa?

I ka ʻōlelo maʻalahi, ʻo ka migraine mau loa ka wā e loaʻa pinepine ai iā ʻoe, a i ʻole i kēlā me kēia lā, nā ʻeha poʻo. Hiki ke loli kāu mau hōʻailona mai kēlā lā a kēia lā, a i kekahi manawa he hola a hola. He mea paʻakikī kēia ke kuhikuhi pololei i kahi e pau ai kekahi migraine a hoʻomaka kekahi.

He like nā ʻeha poʻo a me nā migraines?

He mea nui loa kēia. ʻAʻole wale ka migraine he ʻeha poʻo nui. He ʻokoʻa nui ma waena o nā mea ʻelua.

ʻO ka ʻeha poʻo maʻamau (ʻoi aku hoʻi ke ʻano maʻamau e like me ka "Thension-type headache - TTH") hiki ke lilo i mea ʻoluʻolu ʻole a hiki ke hoʻopilikia i kā mākou hana o kēlā me kēia lā. Akā, ʻaʻole ia he mea ʻino loa e hiki ʻole ai iā mākou ke hana i kā mākou hana o kēlā me kēia lā. I kēia hihia, aia ka ʻeha ma ke poʻo a i ʻole ka maka, akā ʻaʻole ia e hoʻopilikia pololei i ka lolo.

Akā, ʻo ka migraines kekahi mea e hoʻopilikia pololei i kou lolo . ʻO ia ke kumu e ʻino ai lākou. Ke loaʻa iā ʻoe ka migraine, hiki ke hoʻomanawanui ʻole ʻia a hiki i ka hana ʻana i nā hana o kēlā me kēia lā ke hiki ʻole ke hoʻomanawanui.

Pehea ka maʻamau o kēia ʻano?

Ma ka honua holoʻokoʻa, ma waena o 12% a me 15% o ka poʻe i loaʻa i ka migraines. Eia nō naʻe, ʻaʻole i maʻamau ka migraine mau. Wahi a nā loea ma waena o 1% a me 2.2% o ka heluna kanaka o ka honua i loaʻa i kēia maʻi.

ʻO ka hapa nui o ka manawa, ʻoi aku ka hoʻopilikia ʻana o kēia maʻi "Chronic Migraine" i nā wahine .

Hoʻomaka pinepine nā migraines i ka wā ʻōpio a emi mālie i kou wā ʻelemakule. Ma hope o ka menopause, ʻaʻole pinepine nā migraines, a aneane nalo loa paha.

He aha nā hōʻailona o kēia?

Ua like nā hōʻailona o ka migraine mau loa me nā migraine episodic. ʻO ka ʻokoʻa nui, ʻo ia ka lōʻihi o kona mau ʻana a ʻike pinepine ʻia . Pili pū nā poʻo ʻeha me ia.

No ka loaʻa ʻana o kēia hōʻailona, ​​​​pono ʻoe e hoʻokō i nā koi aʻe:

• Pono ʻoe e loaʻa i ka ʻeha poʻo a i ʻole ka migraine no ka liʻiliʻi he 15 mau lā i ka mahina. Pono kēia no ka liʻiliʻi he ʻekolu mahina i ka lālani.
• Eia kekahi, pono e loaʻa i kou poʻo nā hōʻailona migraine a i ʻole nā ​​​​ʻano no ka liʻiliʻi he 8 mau lā i ka mahina. Pono hoʻi kēia e kū no ka liʻiliʻi he ʻekolu mahina i ka lālani.

He aha nā hōʻailona maoli o ka migraine?

Hiki i ka migraine ke ʻokoʻa ke ʻano no kēlā me kēia kanaka, a i kekahi manawa ʻokoʻa ka ʻike ʻana o ke kanaka hoʻokahi. Hiki ke loaʻa i ʻehā mau pae nui (ʻoiai ʻaʻole nā ​​​​migraines āpau i loaʻa nā pae ʻehā):

• (Prodrome): ʻO kēia nā hōʻailona liʻiliʻi āu e ʻike ai ma mua o ka hoʻomaka ʻana o ka migraine. Manaʻo paha ʻoe, "Auē... Manaʻo wau e like me ka loaʻa ʻana o ka migraine iaʻu." Hiki iā ʻoe ke ʻike i nā mea e like me ka manaʻo ʻoluʻolu ʻole, ka loli o ka makemake, a pēlā aku.
• (Aura): Loaʻa kēia mau hōʻailona ke hoʻopilikia ʻia kekahi mau wahi o ka lolo. Hiki i nā hōʻailona ke komo pū me ka ʻike ʻana i nā kukui i mua o nā maka, ka mae ʻana o nā lālā, a me ka paʻakikī o ka ʻōlelo ʻana.
• ʻEha ke poʻo: ʻO kēia ke kahua nui a ʻeha loa o ka migraine.
• Postdrome: Ua like kēia me nā hopena ʻaoʻao āu e ʻike ai ma hope o ka migraine. Ua kapa kekahi poʻe he "migraine hangover." Hiki iā ʻoe ke luhi a me ke poʻo māmā.

I kēia manawa, i mea e pololei ai ke kapa ʻana iā ia he "Chronic Migraine", pono e hoʻokaʻawale ʻia kāu mau hōʻailona penei:

Migraine me ka ʻole o ka aura

Hiki i kēia ke mau ma waena o 4 a me 72 mau hola.

I ka wā o ke poʻo ʻeha, pono e loaʻa ma ka liʻiliʻi ʻelua o nā hōʻailona penei:

• ʻEha ma kekahi ʻaoʻao o ke poʻo (ʻākau a hema paha).
• Ua like ka ʻeha me ka ʻeha ʻūlū a hou.
• He ʻeha waena a ʻoi aku ka nui.
• ʻO ka ʻeha e hoʻonui ʻia i ka wā e hana ai i nā hana maʻamau (e like me ka hele wāwae a piʻi paha i nā alapiʻi), a i ʻole ka manaʻo e pale aku i kēlā mau hana.

Eia kekahi, i ka wā o ke poʻo ʻeha, pono e loaʻa ma kahi o hoʻokahi o nā hōʻailona penei:

• Ka luaʻi.
• Ka luaʻi ʻana.
• Loaʻa iā lākou nā ʻano like ʻole: photophobia a me phonophobia.

ʻO ka Migraine me ka aura

Pono e loaʻa kekahi a ʻoi aku paha o kēia mau ʻano `(Aura)` :

• Nā hōʻailona ʻike: ʻike ʻana i nā kukui i mua o nā maka, ʻike ʻana i ka noe, ʻike ʻana i nā ʻano zig-zag i mua o nā maka, a i ʻole nā ​​​​loli ʻike ʻē aʻe.
• Nā hōʻailona paʻakikī: ke kani ʻana, ka ʻūlū ʻana ma nā lālā.
• Nā hōʻailona o ka ʻōlelo/ʻōlelo: Paʻakikī i ka ʻōlelo ʻana, paʻakikī i ka hoʻomaopopo ʻana i ka mea a haʻi e ʻōlelo nei.
• Nā hōʻailona hoʻokele: `(Hemiplegia)` (nalowale ka ʻike a nāwaliwali paha ma kekahi ʻaoʻao - hiki ke hoʻopilikia i ke kino a/a i ʻole ka maka).
• Nā hōʻailona e pili ana i ka lolo: Ka nalowale o ka hoʻonohonoho ʻana, nā pilikia kaulike, vertigo, tinnitus, ʻeha o ka ʻōpū (e like me ka maʻi diarrhea a i ʻole ka constipation).
• Nā hōʻailona Retinal: Ka nalowale piha a hapa paha o ka ʻike ma kekahi maka, a i ʻole ka ʻike ʻana i nā kukui ʻālohilohi.

Eia kekahi, pono e hoʻokō ʻia ma ka liʻiliʻi he ʻekolu o nā pae hoʻohālikelike aʻe:

• Ma ka liʻiliʻi hoʻokahi hōʻailona "Aura" e pālahalaha mālie ana ma luna o 5 mau minuke a ʻoi aku paha.
• ʻO ka hiki ʻana mai o ʻelua a ʻoi aku paha nā hōʻailona "Aura" kekahi ma hope o kekahi.
• ʻO kēlā me kēia hōʻailona "Aura" e mau ana ma waena o 5 mau minuke a me 1 hola.
• Ma ka liʻiliʻi hoʻokahi hiʻohiʻona `(Aura)` ma kekahi ʻaoʻao wale nō.
• Ma ka liʻiliʻi loa, lilo kekahi o nā ʻano "Aura" i "hōʻailona maikaʻi" (ʻo ia hoʻi, ua hoʻohui ʻia kekahi mea hou ma muli o kēlā ʻano; ua nalowale loa a hapa paha ka hiki ke hoʻopilikia ʻia e nā "hōʻailona maikaʻi ʻole").
• ʻO ke poʻo ʻeha e hoʻomaka koke ma hope o ka aura a i ʻole i loko o 60 mau minuke o ka aura.

No ke aha e loaʻa ai kēia mau migraines?

Hiki i nā migraines ke hoʻoilina . ʻO ke ʻano kēia inā loaʻa kekahi o kou ʻohana, ʻoiai kou mau mākua a kūpuna paha, i ka migraines, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.

Eia kekahi, aia kekahi mau kumu ʻē aʻe a nā mea noiʻi e manaʻo nei e hiki ke kōkua i kēia migraine:

• Nā loli i ke kahe o ke koko ma muli o ka hoʻonui ʻia ʻana a i ʻole ka haiki ʻana o nā kīʻaha koko i loko o ka lolo.
• He hoʻopilikia manawa pōkole i ka hoʻoili ʻana o nā hōʻailona uila i loko o nā hunaola lolo.
• Nā loli i nā kemika o ka lolo. No ka laʻana, nā loli i nā pae o nā neurotransmitters e like me ka serotonin.
• Nā hōʻailona hewa e hele mai ana mai nā olonā aʻalolo a puni nā maka a i ʻole mai nā ʻāpana ʻē aʻe o ke poʻo.
• Ka hana pono ʻole ʻana o ka ʻeha a me nā kikowaena hana hōʻailona ma nā wahi like ʻole o ka lolo.
• ʻO ka ʻeha mau ke kumu o nā loli i ke ʻano o ke kino e ʻike ai a manaʻo ai i ka ʻeha.

He aha nā kumu pilikia e kōkua ai i kēia hoʻomohala ʻana?

Hiki i nā kumu aʻe ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i nā migraines mau loa, a i ʻole e hoʻonui i nā mea e kū nei:

• Ka momona.
• Nā ʻeha poʻo, no ka laʻana nā concussions.
• ʻO nā maʻi maʻi ʻē aʻe, ʻoiai nā maʻi e pili ana i ka ʻeha e like me ka fibromyalgia.
• Nā pilikia olakino noʻonoʻo, no ka laʻana, ke kaumaha a me ka hopohopo paha.
• Nā maʻi hiamoe, ʻoi aku hoʻi ka apnea hiamoe.

Hiki i ka migraine maʻamau ke lilo i migraine mau loa?

ʻAe, i kekahi manawa hiki i kahi migraine maʻamau, i kekahi manawa ke "lilo" i migraine mau loa. Hana ʻia kēia ma o nā kaʻina hana i maopopo ʻole ai i nā loea.

Akā, hoʻokahi mea i ʻike ʻia. ʻO ia ka hoʻohana nui ʻana i kekahi mau lāʻau lapaʻau i kuhikuhi ʻia e ke kauka ke kumu o kēia. Ke ʻōlelo mākou "hoʻohana nui ʻana," ʻaʻole ia he manaʻo no ka hoʻohana ʻana i nā mea ʻona. Hiki ke hana ʻia kēia me nā lāʻau lapaʻau ʻaʻole hoʻohui.

No laila, inā ʻoe kekahi kanaka e loaʻa pinepine ana i ka migraines, ʻōlelo ikaika nā loea he mea maikaʻi ke pale aku i ka hoʻohana pinepine ʻana i kekahi mau lāʻau lapaʻau. ʻO ka hoʻohana nui ʻana i nā lāʻau lapaʻau i kekahi manawa hiki ke lilo i mea hoʻoulu e hoʻonui ai i ka migraines.

He aha nā mea hoʻoulu migraine?

ʻO ka meaʻai, kekahi mau mea, nā ʻala, nā leo, a i ʻole kekahi mau mea a me nā kūlana i ke kaiapuni e hiki ke hoʻoulu i ka migraine i loko o kekahi mau hola a i ʻole kekahi mau lā. ʻO kēia nā mea a mākou e kapa nei he mau mea hoʻoulu migraine .

Eia nā "Triggers" maʻamau:

• Ua maikaʻi ke kaumaha, ua maikaʻi ka hopohopo.
• Nā loli hormonal e pili ana i ka menstruation.
• Ka pōloli a i ʻole ka make wai.
• Nā loli i ke kaomi lewa (e like me nā mea e kū mai ana me nā loli o ke aniau).
• ʻAʻohe pilikia ke hiamoe nui loa, a ʻaʻohe pilikia ke loaʻa ʻole o ka hiamoe lawa.
• Kekahi mau ʻala, nā mea ʻala.
• ʻO kekahi mau meaʻai a i ʻole nā ​​​​mea hoʻohui i nā meaʻai (ka tīhi kahiko, ka waina ʻulaʻula, ke kokoleka, a me nā ʻiʻo i ʻelemakule a mālama ʻia paha he mau laʻana maikaʻi).
• Mālamalama (ʻo kekahi mau ʻano kukui, a i ʻole kahi kekona wale nō o ke kukui mai kahi mea ʻālohilohi, hiki ke hoʻoulu i ka migraine).
• ʻO ka caffeine (ʻoi aku hoʻi inā lawe nui ʻoe, akā ua maikaʻi ke lawe liʻiliʻi ma mua o kāu e lawe mau ai).
• ʻO kekahi mau leo, ʻoiai nā leo alapine haʻahaʻa (e like me ke kani o ka jackhammer) a i ʻole nā ​​leo alapine kiʻekiʻe (e like me ke kani o nā mea hana mana), aia paha
• ʻO ka lawe ʻana i ka lāʻau lapaʻau no nā ʻeha poʻo pinepine (ua kapa ʻia kēia he ʻeha poʻo medication overuse a i ʻole "rebound headaches").

He aha nā pilikia e hiki ai i kēia ke hana?

Hiki ke loaʻa nā pilikia mai ka migraines, akā he mea maʻamau ʻole ia. Eia kekahi mau laʻana:

• `(Status migrainosus)` (he migraine koʻikoʻi loa e mau ana ma mua o ʻekolu lā).
• Nā hahau.
• Nā ʻōʻili e pili ana me `(Aura)`.
• Nā hōʻeha puʻuwai (he mea kākaʻikahi loa kēia).

Pehea e ʻike ai nā kauka i kēia?

Hoʻomaopopo ke kauka i kēia maʻi (Chronic Migraine) ma ka hoʻohui ʻana i kekahi mau ʻano hana. ʻO ka mea mua, hana pinepine lākou i kahi hoʻokolohua neurological. A laila nīnau lākou iā ʻoe i kekahi mau nīnau e pili ana i kou mōʻaukala olakino, ke ola o kēlā me kēia lā, kāu mau hana maʻamau, a me nā hana. ʻO nā nīnau maʻamau i nīnau ʻia penei:

• Pehea ke ʻano o kou ʻeha poʻo? ʻO kāu wehewehe ʻana i ka ʻeha, ma hea i loko o kou poʻo, a pehea ka nui o ka ʻeha.
• Ua loaʻa anei iā ʻoe kahi migraine ma mua? Inā pēlā, pehea ka pinepine o kou loaʻa ʻana iā lākou?
• Aia kekahi mau hōʻailona ʻē aʻe e hele pū me ke poʻo ʻeha? (e like me ke ʻano o ka mālamalama a i ʻole ke kani)
• Ke inu nei ʻoe i nā mea inu i loaʻa ka caffeine? Inā pēlā, ehia ka nui āu e inu mau ai?
• Loaʻa iā ʻoe kekahi mau "mea hoʻonāukiuki" e hoʻonui ai i kou migraines? (e like me ka meaʻai, ka mea inu, nā ʻala, nā walaʻau)
• ʻEhia ka lōʻihi o kou hiamoe mau ʻana? Pehea kou mau ʻano hiamoe i kēia mau lā?
• He aha kou mau pae koʻikoʻi a me ka hopohopo? He kumu anei kou e hopohopo ai, i kēia manawa a i ʻole i kēia manawa koke aku nei?

He aha nā ʻano hoʻokolohua e hana ʻia e ʻike ai i kēia?

Hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua. Hiki iā lākou ke kauoha i nā hoʻokolohua kiʻi, e like me ka CT scan, e kāpae i nā kūlana hoʻoweliweli ola, e like me ka hahau ʻana. Hana pinepine ʻia kēia inā loaʻa iā ʻoe nā hōʻailona neurological koʻikoʻi, ʻoiai ka hemiplegia (nalowale ka ʻike ma kekahi ʻaoʻao o ke kino). He hōʻailona maʻamau kēia o ka maʻi lolo. I nā hihia ʻaʻole pilikia, hiki ke hana ʻia kahi MRI scan ma waho aʻe o ka CT scan a ma kahi paha o ka CT scan.

Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe ma muli o kāu mau hōʻailona. ʻO kāu kauka ke kanaka kūpono loa e haʻi iā ʻoe e pili ana i kēia mau hoʻokolohua a me ke kumu e pono ai lākou.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla loa ʻia?

Ua like loa ka mālama ʻana no ka migraine mau loa me ka mālama ʻana no nā migraine maʻamau. ʻO ka mea nui ka lāʻau lapaʻau . ʻElua ʻano nui o ka mālama ʻana:

1. Lāʻau pale: Ma kēia, hoʻohana ʻia ka lāʻau lapaʻau e pale aku i ka migraines mai ka hanana ʻana, a i ʻole e hōʻemi i ko lākou koʻikoʻi a i ʻole ka pinepine inā loaʻa.

2. Nā lāʻau hoʻopakele: Hoʻohana ʻia kēia mau lāʻau e hōʻemi i ka lōʻihi a me ke koʻikoʻi o ka hoʻouka ʻana o ka migraine.

Eia kekahi, aia kekahi mau kaʻina hana lapaʻau e hiki ke hoʻohana ʻia no ka `(Chronic Migraine)`. Hiki i ke aʻo ʻana i ke olakino noʻonoʻo ke lilo i ʻāpana koʻikoʻi o ka mālama ʻana.

Nā lāʻau pale

He mea pono loa kēia mau lāʻau lapaʻau no ke ʻano `(Chronic Migraine)`, no ka mea, hoʻemi lākou i ke alapine (frequency) o nā migraines, a i ʻole e hoʻemi i ke koʻikoʻi o lākou. ʻO ka maʻamau, hāʻawi ʻia kēia mau ʻano lāʻau lapaʻau:

• Nā mea pale i ka mea loaʻa Angiotensin II (ARBs) (e.g. candesartan)
• ʻO kekahi mau lāʻau antiseizure (e like me ka valproic acid, topiramate)
• Nā lāʻau antidepressant (e.g. amitriptyline, nortriptyline, venlafaxine)
• Nā mea pale beta (e.g. atenolol, metoprolol, propranolol)
• Nā inikini botulinum toxin (Botox®)
• Nā mea pale i ke kahawai calcium (CCB) (e.g., verapamil, flunarizine)
• Nā lāʻau lapaʻau inikini e pili ana i ka antibody monoclonal (e.g., erenumab, fremanezumab, galcanezumab)

Nā lāʻau lapaʻau hoʻopakele

Hoʻohana ʻia kēia mau lāʻau lapaʻau e hōʻemi i ka lōʻihi a/a i ʻole ke koʻikoʻi o nā migraines ke loaʻa. Eia nō naʻe, ʻōlelo nā loea e hoʻohana pono ʻia me ke akahele . ʻO ka hoʻohana nui ʻana i kēia mau lāʻau lapaʻau hiki ke alakaʻi i ka ulu ʻana a i ʻole ka hoʻonui ʻia ʻana o nā migraines mau loa.

Nā lāʻau lapaʻau ma luna o ke kūʻai aku (OTC) a me nā NSAID

ʻO kēia nā ʻano lāʻau lapaʻau i kūʻai ʻia ma luna o ke kauka a me nā "NSAID" (nā lāʻau anti-inflammatory nonsteroidal) hiki ke hoʻohana ʻia e mālama i ka migraines:

• ʻO ka Acetaminophen (ʻike ʻia hoʻi ʻo Paracetamol, Tylenol®, Panadol®)*
• ʻAspirina
• ʻO Ibuprofen (ʻike ʻia hoʻi ʻo Advil®, Motrin®)
• ʻO Naproxen (loaʻa ma lalo o nā inoa e like me Aleve®)

*> Nānā: ʻAʻole ʻo Acetaminophen he NSAID. Eia nō naʻe, ua kapa pinepine ʻia ʻo ia he NSAID no ka mea loaʻa ia ma luna o ke kūʻai aku a he mau waiwai like.*

Aia kekahi mau lāʻau migraine ma luna o ke kūʻai aku i ka caffeine me nā NSAID. He manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā huahana i loaʻa ka caffeine. Eia kekahi, e heluhelu pono i ka lepili i ka wā e lawe ana i nā lāʻau lapaʻau e hōʻoia ʻaʻole ʻoe e lawe nei i kēia me ka ʻike ʻole.

Nā lāʻau lapaʻau Triptan

ʻO kēia nā lāʻau lapaʻau laina mua i kuhikuhi pinepine ʻia no ka migraines. ʻO kekahi mau laʻana: `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`.

Eia nō naʻe, ʻokoʻa paha ka manaʻo o kāu kauka e pili ana i ka hoʻohana ʻana i kēia mau mea no nā migraines mau loa. No ka mea, ʻo ka hoʻohana pinepine ʻana iā lākou e hiki ke alakaʻi i ka hoʻohana nui ʻana i nā lāʻau lapaʻau, a i ʻole hiki i nā migraines maʻamau ke lilo i mau loa.

ʻErgotamine

Hoʻohaiki kēia lāʻau lapaʻau i nā kīʻaha koko i loko o ka lolo a hoʻopilikia i ka hana ʻana o nā hōʻailona ʻeha.

Nā lāʻau lapaʻau i kāohi ʻia a hui pū ʻia

Aia i loko o kēia mau lāʻau lapaʻau kahi NSAID a me kahi mea i kāohi ʻia, e like me ka barbiturate a i ʻole ka lāʻau hoʻopau ʻeha opioid. ʻAʻole hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau e mālama i nā migraines mau loa no ka mea hiki iā lākou ke hoʻonui i ke kūlana.

Nā kaʻina hana lapaʻau

Aia kekahi mau kaʻina hana lapaʻau e hiki ke kōkua me ka migraines mau loa:

• Hoʻoulu ʻana i ke aʻalolo: Hoʻohana pinepine kēia i ke aʻalolo vagus, ke aʻalolo occipital (ma ke kua o ke poʻo), a me nā aʻalolo supraorbital (ma ka lae).
• Hoʻoulu ʻana o ka magnetic transcranial (TMS): Hoʻohana kēia i kahi kahua magnetic e hoʻohuli i ka hana uila o ka lolo.
• Nā lāʻau lapaʻau ʻē aʻe: Hiki i nā lāʻau lapaʻau ʻē aʻe, e like me ka acupuncture, ke kōkua i kekahi poʻe. ʻOiai ʻaʻole maʻamau kēia mau mea, hiki ke kōkua iā lākou no kekahi poʻe. Aia nā kauka aʻo a me nā loea olakino e hāʻawi nei i kēia mau lāʻau lapaʻau.

Kōkua olakino noʻonoʻo

Hiki i ka Psychotherapy (ka huaʻōlelo kūhelu i hoʻohana ʻia no ka mālama ʻana i ke olakino noʻonoʻo) ke kōkua i nā poʻe me ke kaumaha a me ka hopohopo, ʻo ia mau mea ʻelua e hiki ke kōkua i ka migraines. Nui nā ʻano psychotherapy, no laila hiki iā ʻoe ke koho i hoʻokahi e kūpono iā ʻoe.

He aha kaʻu e manaʻo ai?

He ʻāpana hoʻopilikia a hoʻopilikia loa nā migraines i ke ola. Hiki ke paʻakikī loa, i kekahi manawa hiki ʻole ke hana i nā hana o kēlā me kēia lā. Ua hoʻopilikia ʻia ka hana, nā hana o ka hale, nā leʻaleʻa, a me nā pilina pili kanaka.

ʻO ka migraine mau loa ka wā e loaʻa ai ka migraines no ka liʻiliʻi o ʻewalu mau lā i ka mahina no ʻekolu mahina. Ma muli o ko lākou hanana pinepine ʻana, manaʻo nā loea he mea hoʻopilikia lākou a hiki ke lilo i mea hoʻopilikia nui i ke ola.

ʻAʻole maʻamau ka migraines i mea weliweli. Akā hiki iā lākou ke hoʻopilikia nui i ke ola. Hiki iā lākou ke hoʻonui i ka pilikia o nā maʻi e hoʻoweliweli i ke ola e like me ka hahau ʻana a me ka hōʻeha puʻuwai. Hiki i kekahi mau hōʻailona migraine ke like me nā hōʻailona hahau. No laila, he mea nui ka nānā ʻana a me ka mālama ʻana o nā kauka kūikawā.

Pehea ka lōʻihi o kēia?

ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hiki ke mau i nā mahina, nā makahiki, no kekahi poʻe, hiki paha ke mau i nā makahiki he ʻumi.

Hiki i ka mōʻaukala ʻohana, nā kūlana pilikino, nā mea hoʻoulu migraine, a me ka holomua o ka mālama ʻana ke hoʻopilikia i kēia. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka lōʻihi o kona mau ʻano, a me nā mea hiki iā ʻoe ke hana e hōʻemi i ka nui o ka manawa e hoʻopilikia ai i kou ola.

He aha ka manaʻo no kēia?

ʻO ka migraine mau loa he mea ia e hiki ke loli i ke ola holoʻokoʻa. ʻO ka nūhou maikaʻi, ma waena o 26% a me 70% o ka poʻe e hoʻi hou i ka migraine episodic. Eia nō naʻe, e hoʻololi kekahi poʻe ma waena o ka migraine mau loa a me ka migraine episodic i kēlā me kēia manawa.

Hoʻemi ʻia ke alapine (frequency) o ka migraines me ka ʻelemakule. I nā wāhine, hiki ke hoʻemi nui ʻia a hoʻopau loa ʻia paha ma hope o ka menopause.

Hiki ke pale ʻia kēia? A i ʻole hiki ke hoʻēmi ʻia ka pilikia o ka loaʻa ʻana?

No ka mea, ʻaʻole maopopo loa i nā loea ke kumu a pehea paha e ulu ai kēia maʻi (Chronic Migraine), ʻaʻole hiki ke pale aku iā ia 100% . ʻOiai hiki i kekahi poʻe ke hōʻemi i ko lākou pilikia, hiki nō i ka poʻe me ka mōʻaukala ʻohana ke loaʻa iā ia, ʻoiai inā e akahele lākou.

Inā loaʻa iā ʻoe nā migraines i kekahi manawa, ʻo ka mea wale nō hiki iā ʻoe ke hana, ʻo ia ke pale aku i kāu lāʻau lapaʻau mai ka lilo ʻana i migraine maʻamau. No ka hana ʻana i kēia, e kamaʻilio me kāu kauka e pili ana i ka hoʻohana pono ʻana i kāu lāʻau lapaʻau a pehea e hōʻemi ai i kou pilikia.

Pehea wau e mālama ai iaʻu iho?

Inā loaʻa iā ʻoe nā migraines mau loa, nui nā mea hiki iā ʻoe ke hana e mālama iā ʻoe iho. E hoʻāʻo i kēia mau mea:

• E mālama i kahi puke moʻolelo no ka migraine. He mea kōkua nui kēia i nā wā mua, akā he mea pono ia no ka lōʻihi o kou loaʻa ʻana i ka migraine. E kōkua kēia iā ʻoe e ʻike pehea e loli ai kou migraine i ka hala ʻana o ka manawa. He mea nui loa kēia i ka wā e loaʻa ai nā mea hoʻonāukiuki.
• E hoʻokele i kou nohona.Hiki i nā mea āu e ʻai ai a me kāu pae hana ke hoʻopilikia i nā migraines. ʻOiai hiki i ka hana kino ke hoʻonui a hoʻoulu paha i nā migraines i kekahi manawa, hiki i ka loaʻa ʻana o nā ala e noho hana ai ke kōkua i ka hoʻomaikaʻi ʻana i kāu mau hōʻailona. He mea nui hoʻi e mālama i ke kaumaha olakino nou, no ka mea, hiki i ka momona a me ke kaumaha ke kōkua i nā migraines mau loa.
• Mai makaʻu e ʻimi i ke kōkua mai ka ʻenehana. Loaʻa i nā kelepona he nui nā polokalamu e hiki ke hoʻopaʻa a hahai i kāu mau migraines. He manuahi nā polokalamu he nui, akā loaʻa i kekahi nā koho uku me nā hiʻohiʻona hou aku. Hiki iā ʻoe ke hoʻohana i nā polokalamu ʻē aʻe, e like me nā polokalamu aniau, e hoʻomaopopo iā ʻoe i nā mea e hoʻoulu ai i kāu mau migraines, e like me ka haumia o ka ea a i ʻole nā ​​​​loli i ke kaomi lewa.
• E ʻike i nā mea hoʻonāukiuki o kou migraine. Ke ʻike ʻoe i nā mea hoʻonāukiuki āu, hiki iā ʻoe ke pale aku iā lākou a hōʻemi paha i ko lākou hopena i kou ola. E kōkua kēia iā ʻoe e hōʻemi i ke alapine o kou migraines. He ala koʻikoʻi kēia e hoʻololi hou i nā migraines mau i nā migraines maʻamau.
• E kamaʻilio me nā poʻe ʻē aʻe i loaʻa i kēia maʻi. Nui nā mea hiki iā ʻoe ke aʻo mai nā poʻe ʻē aʻe i loaʻa i ka migraines mau loa. Hiki iā ʻoe ke hui pū me nā hui kākoʻo ma kou wahi. Hiki iā ʻoe ke loaʻa nā hui kākoʻo ma nā kahua pāpili kaiapili a i ʻole ma o nā pūnaewele o nā hui migraine.

He aha nā mea hiki ʻole iaʻu ke ʻai a inu paha?

He ʻokoʻa nā mea hoʻonāukiuki i ka migraines no kēlā me kēia kanaka. Hiki i ka mālama ʻana i kahi puke moʻolelo migraine ke kōkua iā ʻoe e ʻike a pale aku i kāu mau mea hoʻonāukiuki.

I ka manawa pinepine, hoʻomākaukau ʻia ʻo `(Trigger)` me ka hoʻohana ʻana i nā ʻano hana like me nā meaʻai ʻē aʻe. Nā Laʻana:

• Hoʻomoʻa ʻana: Hoʻohana ʻia kēia kaʻina hana e hana i nā mea inu ʻona e like me ka waina, ka pia, ka cider, a me nā ʻuhane. He mea nui nō hoʻi ia i ka hana ʻana i ka tīhi, ka yogurt, a me kekahi mau ʻano berena (e.g., ka sourdough).
• Ka hoʻopaʻakai ʻana: Hoʻohana ʻia kēia ʻano hana no ka mālama ʻana i nā meaʻai e like me nā mea kanu a me ka ʻiʻo. ʻO nā laʻana e komo pū me nā paʻakai, sauerkraut, kimchi, hua manu, a me nā ʻiʻo.
• Ka hoʻōla ʻana a me ka ʻelemakule ʻana: Hoʻohana ʻia kēia ʻano hana e mālama i nā ʻiʻo. Hiki i kekahi mau mea mālama, ʻoiai nā nitrates a me nā nitrites, ke hoʻoulu i ka migraines. ʻO ka ʻelemakule ʻana o kekahi mau meaʻai, ʻoiai ka ʻiʻo a me ka tīhi, hiki ke lilo i mea hoʻoulu.

Āhea wau e ʻike ai i ke kauka a ʻimi paha i ke kōkua lapaʻau?

Inā loaʻa iā ʻoe nā migraines mau loa, pono ʻoe e ʻike mau i ke kauka.Pono ʻoe e ʻike i kahi neurologist (pinepine he neurologist) no ka mālama ʻana. E hāʻawi kāu kauka iā ʻoe i kahi papa hana no kāu mau kipa. Eia kekahi, inā ʻike ʻoe i kekahi mau loli i kāu mau hōʻailona, ​​ʻoiai inā pili lākou i kāu mau hana o kēlā me kēia lā, kou nohona, a i ʻole kāu mau hana, e kamaʻilio koke me kāu kauka.

Āhea wau e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi koʻikoʻi a hoʻoweliweli paha i ke ola, e hele koke i ka lumi pilikia. Nā Laʻana:

• ʻEha poʻo: He ʻeha poʻo kēia e hoʻomaka koke ana a lilo i mea koʻikoʻi i loko o kekahi mau minuke. Hiki i kēia ke lilo i hōʻailona o ke kahe ʻana o ke koko i loko o ka lolo.
• ʻO ke poʻo ʻeha nui: ʻO ke ʻano kēia ua manaʻo ʻoe ua loaʻa iā ʻoe ka ʻeha ʻeha loa o kou ola. He hōʻailona paha kēia o kahi aneurysm o ka lolo, kahi kahe koko o ka lolo, a i ʻole kahi hahau.
• Hemiplegia: He hōʻailona nui kēia o ka maʻi lolo . Inā ʻike ʻoe i kēia, ʻaʻole paha ʻoe e ʻike inā he migraine a he hahau paha . ʻO ka hemiplegia i hoʻokumu ʻia e ka migraine e nalowale ma hope o kekahi manawa, akā mai kali a nalowale. Inā ua lohi loa, hiki iā ia ke alakaʻi i ka hōʻino mau loa o ka lolo a i ʻole ka make.

He maʻi koʻikoʻi anei ka Migraine mau?

ʻAʻole hoʻoweliweli pololei nā migraines mau (koe wale nō i nā hihia kakaikahi), akā he koʻikoʻi lākou . Hiki i nā migraines ke hoʻolilo i ke ola i mea paʻakikī loa, e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā, a i kekahi manawa hiki ʻole. Ma muli o ka hana pinepine ʻana, manaʻo nā loea he maʻi koʻikoʻi lākou.

E nalo loa aku anei kēia?

ʻAe, hiki i nā migraines mau loa (a me nā migraines ma ke ʻano laulā) ke nalo. ʻO kekahi ala, ʻo ia ka ʻelemakule. Hiki nō hoʻi ke lilo i migraine maʻamau, i kekahi manawa (episodic migraine). ʻO ia ka pahuhopu nui o ka mālama ʻana. ʻOi aku ka maʻalahi o ka hoʻomalu ʻana i nā migraines maʻamau, maʻalahi ke mālama ʻia, a emi iki ka hoʻopilikia ʻana i ke ola no ka mea ʻaʻole lākou e hana pinepine.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAʻole wale ka migraine he ʻeha poʻo ʻino. Ke loaʻa iā ʻoe ka migraine, pono pinepine ʻoe e noho i loko o kahi lumi pouli a mālie. No ka mea, hiki i ka mālamalama a me ka walaʻau ke hoʻoulu i ka ʻeha hiki ʻole ke hoʻomanawanui, ka nausea, a me nā hōʻailona ʻē aʻe he nui. ʻO ka noho ʻana i loko o kahi lumi pouli a mālie, ʻaʻole ia e hoʻopau i nā hōʻailona. Hoʻōki wale ia iā lākou mai ka ʻoi aku ka ʻino. Inā loaʻa iā ʻoe ka migraines, ʻike paha ʻoe he mea hoʻonāukiuki loa kēia mau hōʻailona. Akā i kekahi manawa ʻoi aku ka hoʻonāukiuki ke hoʻāʻo e wehewehe iā lākou i ka poʻe i hoʻomaopopo ʻole iā lākou a he manaʻo hewa ko lākou e pili ana i ko lākou manaʻo.

ʻO ka mea pōmaikaʻi, hiki ke mālama pinepine ʻia nā migraines mau loa. ʻOiai nā loli liʻiliʻi i kou ola o kēlā me kēia lā hiki ke hōʻemi i ke alapine a me ke koʻikoʻi o nā migraines.Ma ka hoʻāʻo ʻana e hoʻokele i kāu migraines me ke kōkua o kāu kauka, hiki iā ʻoe ke hōʻemi i ka pinepine a me ke koʻikoʻi o kāu migraines. Ma kahi o ka noho ʻana me kekahi migraine ma hope o kekahi, hiki iā ʻoe ke kālele i kou ola a hauʻoli iā ia. Mai hopohopo, ʻaʻole ʻoe hoʻokahi. Hiki i nā kauka a me kāu poʻe aloha ke kōkua iā ʻoe.

ʻO Migraine, Migraine mau, ʻEha poʻo, ʻEha poʻo, Nā hōʻailona Migraine, Lāʻau Migraine, Nā mea hoʻoulu Migraine