Fɔ bɔku uman dɛn, we dɛn kin gɛt mɔnt na tin we nɔ kin izi fɔ dɛn, nɔto so? Apat frɔm di bɛlɛ pen ɛn bɔdi we de at, i kin kɔmɔn bak fɔ mek sɔm pipul dɛn gɛt siriɔs ed pen. Wi kin kɔl dis ‘Period Headache’ ɔ ‘Mɛnstrual Maygren ’ . Dis na rili wan sik we tan lɛk maygren we kin kam wit chenj dɛn na di ɔmon .
Fɔ tɔk am simpul wan, ‘period headache’ na wan kayn maygren we kin apin arawnd di tɛm we yu de gɛt mɔnt , ɔ jɔs bifo ɔ we yu de gɛt mɔnt. Di men tin we kin mek dis apin na di chenj we di ɔmon dɛn kin chenj na wi bɔdi. Bɔku tɛm, i kin apin na wan say na di ed. De pen kin wɔs wae yu de muv muv, ɔr wae yu de na brayt layt, strɔng smel, ɔr big nɔys. Sɔntɛnde, i kin stɔp insay sɔm awa, bɔt i kin las fɔ sɔm dez.
We yu de tɔk to dɔktɔ, yu kin tɔk sɔntin lɛk dis:
- Maygren we yu de gɛt we yu de si yu mɔnt ɔ maygren we gɛt fɔ du wit yu mɔnt .
- Ɔmon Ɛd-aks ɔ Ɔmon Ɛd-aks
- Piɔriɔd Maygren
- Maygren we gɛt ɔmon
Wetin na di kɔnekshɔn bitwin ɔmon ɛn dɛn ed we de at?
Yu go de wɔnda aw dɛn ɔmon ya kin mek yu ed pen. wεl, di כmon εstrojen de mεntal involv in dis ‘ period ed ache’. Jɔs bifo yu prɛgnɛshɔn bigin, yu ɛstrojen lɛvɛl go dɔŋ wantɛm wantɛm.
Bɔku tɛm, di maygren we yu gɛt bifo yu gɛt bɛlɛ kin apin insay di tɛm bifo yu prɛgnɛshɔn, we ɔl tu di ɛstrojen ɛn prɔjɛstɛron lɛvɛl kin smɔl pas ɔl. Fɔ tɔk am simpul wan, we yu ɔmon dɛn de chenj, i kin afɛkt yu ed we de at.
Aw ɔmon ed we de at kin fil?
Yu go dɔn notis se di ed pen we kin kam wit dis tɛm kin tranga smɔl pas ɔda ed we kin at ɔltɛm. Bɔrku pipul kin tɔk bɔt de pen lɛk wae pɔrsin de bit, puls, ɔr de bit .
Aw dis sik kin kɔmɔn?
Infakt, bɔku pipul dɛn de sɔfa wit dis prɔblɛm. Na avrej, na lɛk 12% pan di pipul dɛn na AmɛrikaMaygren dɛn de . Fɔ dɛn wan ya, 60% pan di pipul dɛm we gɛt prɛgnɛshɔn ɛn maygren kin ripɔt se dɛn kin gɛt dɛn maygren ya arawnd dɛn mɔnt saykl. So dis nɔto sɔntin we jɔs apin to yu.
Wetin na di sayn dɛm we de sho se pɔsin gɛt maygren we i de gɛt mɔnt ?
We dis ed pen , yu kin gɛt wan ɔr mɔr pan dɛn sayn ya:
- Ɛd at - I kin bigin lɛk smɔl pen ɛn go bifo te i gɛt siriɔs pen.
- Fɔ sɛnsitiv to layt, sawnd, ɛn smɛl - Ivin di smɔl layt ɔ sawnd kin bi we pɔsin nɔ go ebul fɔ bia.
- Di skel kin fil tan lɛk ɔ i kin at we yu tɔch am .
- Fɔd nɔ kin te .
- Diziz we pɔsin kin gɛt .
- Di vishɔn we nɔ klia .
- Fɔ fil se yu taya .
- Nɔs ɛn vɔmit, bɛlɛ at, bɛlɛ pen .
- Fɔ fil tu hot (we yu de swet) ɔ kol (we yu de shek shek) .
Usay na di ed dis ed we de at kin apin?
Bɔrku tɛm, dis ‘pɛriɔd ed pen’ kin afɛkt wan say nɔmɔ na di ed. Bɔku tɛm, dɛn kin fil di pen na di fɔrɛst. Bɔt sɔntɛnde, i kin apin na ɔda say dɛn ɛn muf frɔm wan ples to ɔda ples. Dis kin difrɛn smɔl frɔm wan pɔsin to ɔda pɔsin.
Ustɛm dis ed we de at kin bigin?
Maygren we yu gɛt we yu de gɛt mɔnt kin de frɔm tu dez bifo yu prɛgnɛshɔn bigin te lɛk tri dez afta yu prɛgnɛshɔn .
Wetin mek a kin gɛt ed pen we a de gɛt prɛgnɛshɔn?
Di men rizin fɔ dis na di chenj we yu ɔmon lɛvɛl de chenj . Ɛstrojen na wan pan di tu men ɔmon dɛn we de na wi bɔdi fɔ du mami ɛn dadi biznɛs. di εstrojen lεvεl dεm kin kכmכt na di midul pan yu mεnstral saykl εn afta dat i kin dכn to dεn lכs lεvεl dεm we yu de pεriכd. Dis chenj we di ɔmon dɛn kin chenj wantɛm wantɛm na in kin mek pɔsin gɛt ed pen mɔ. Ɛstrojen de mek yu ebul fɔ fil pen mɔ ɛn mɔ.
Wetin na de tin wae kin mek pɔrsin gɛt dɛn ed pen ya?
Di men tin we kin mek i apin na di chenj we di ɔmon dɛn kin chenj, mɔ di chenj we di ɛstrojen kin chenj. Dɔn bak, if yu tek sɔm mɛrɛsin dɛn we de afɛkt di ɔmon dɛn, fɔ ɛgzampul:
- Pils dɛn we dɛn kin yuz fɔ kɔntrol pikin .
- Ɔmon riplesmɛnt tɛrapi .
If yu fil se yu de gɛt maygren ɔltɛm ɔ yu de gɛt mɔ bad bad maygren we yu de tek dis mɛrɛsin, mek shɔ se yu tɔk to yu dɔktɔ . I kin ebul fɔ gi yu difrɛn mɛrɛsin wit smɔl doz ɔf ɛstrojen, ɔ chenj di we aw yu de tek di mɛrɛsin.
Udat de pan denja pas ɔl fɔ gɛt dis ed we de at?
If yu gɛt prɛgnɛshɔn , yu de pan denja fɔ gɛt dɛn ed pen ya we yu de gɛt we yu de gɛt mɔnt. Dɔn bak, if yu gɛt maygren afta yu prɛgnɛshɔn, ɔ if sɔmbɔdi na yu famili gɛt maygren (genetic predisposition/family history) , yu kin gɛt ay risk bak.
Us prɔblɛm dɛn kin kam wit dis ed we de at?
Di ed we yu kin gɛt we yu de at kin rili ambɔg di tin dɛn we yu kin du ɛvride . Yu nɔ go ebul fɔ wok ɔ tek pat pan di tin dɛn we yu de du nɔmal wan we yu gɛt dɛn. Nɔr lɛk ɔda ed pen, yu kin no ustɛm dɛn go kam, bɔt yu kin gɛt fɔ plan yu layf arawnd dɛn. Bɔt nɔ wɔri, dɔktɔ kin ɛp yu fɔ manej dɛn.
Aw yu go no fɔ tru if dis na ‘period headache’?
Dɔktɔ go no if yu gɛt ed we de at na yu tɛm bay we i go chɛk yu ɛn du tɛst fɔ no ɔda tin dɛn we kin mek yu gɛt di sem kayn sik. We dɛn de du yu ɛgzam, yu dɔktɔ go want fɔ no mɔ bɔt di sayn dɛn we yu gɛt fɔ gɛt maygren. Dɛn kin aks yu kwɛstyɔn dɛn lɛk:
- Yu kin tɔk bɔt aw di pen we yu de fil bad ɛn usay i de at na yu ed ?
- Yu tink se di pen de blo? We yu de blo? Ɔ fɔ chuk pɔsin?
- Aw ɔltɛm yu kin gɛt dɛn maygren ya?
- We yu du ɛnitin, i kin mek yu ed pen bɛtɛ ɔ i kin mek yu wɔs?
- Tel mi us mɛrɛsin yu de tek fɔ ridyus di pen ɛn aw ɔltɛm yu de tek am .
- Us tin dɛn we yu kin du, it, tin dɛn we kin mek yu strɛs, ɔ tin dɛn we yu tink se dɔn mek dis maygren ?
- Yu no if ɛnibɔdi na yu famili gɛt maygren ?
- Aw yu bin fil bifo di ed pen kam, di tɛm we i bin de at, ɛn afta i dɔn stɔp?
Yu dɔktɔ kin ɔda bak fɔ mek dɛn du blɔd tɛst ɛn imej tɛst (lɛk CT skan ɔ MRI skan) fɔ mek shɔ se no ɔda tin nɔ de we kin mek yu ed at.
I kin rili ɛp fɔ yu ɛn yu dɔktɔ fɔ kip wan maygren jɔnal, we na dayari fɔ ed we de at. Insay de, rayt us sayn dɛn yu gɛt, aw lɔng yu gɛt dɛn, ɛn wetin de mek yu maygren we yu de gɛt we yu de si yu mɔnt bɛtɛ ɔ wɔs.
A nid fɔ go to spɛshal pɔsin fɔ dis?
If yu kin gɛt ed pen ɔltɛm we yu de gɛt prɛgnɛshɔn, tɔk to yu praymari dɔktɔ fɔs.I go rifer yu to spɛshal dɔktɔ we de mɛn yu ed we de at if nid de.
Aw fɔ trit ‘period headaches’?
Bɔku tɛm dɛn kin yuz mɛrɛsin fɔ mɛn maygren we pɔsin kin gɛt we i de gɛt mɔnt . Na sɔm kɔmɔn mɛrɛsin dɛn we dɔktɔ kin gi yu:
- Pils fɔ kɔntrol bɔn pikin dɛn we yu de it: If yu dɔn ɔlrɛdi de tek bɔn kɔntrol pils, dɔktɔ kin chenj di kayn ɔ di doz fɔ di pils fɔ ridyus di big chenj dɛn we de apin na di ɔmon dɛn we gɛt fɔ du wit yu prɛgnɛshɔn.
- Nɔn-stɛroyd anti-inflammatory mɛrɛsin (NSAID): NSAID de ɛp fɔ ridyus pen. Yu dɔktɔ kin se yu fɔ tek NSAID tu to tri dez bifo yu prɛgnɛshɔn bigin ɛn fɔ di fɔs dez we yu gɛt prɛgnɛshɔn.
- Triptan (selective serotonin receptor agonists): Triptan na wan kɔmɔn kayn mɛrɛsin we dɛn kin yuz fɔ trit maygren. Yu kin tek dɛn tin ya fɔ stɔp di pen we di sik bigin. Dɛn kin kam lɛk pils, injɛkshɔn, ɔ sprɛy na yu nos.
- Ɔmon tɛrapi: Fɔ ɛp fɔ kɔntrol di chenj dɛn we de apin na di ɔmon dɛn we yu de gɛt prɛgnɛshɔn, ɛstrojen sɔpɔtmɛnt kin ɛp fɔ balans yu ɔmon dɛn. Dɛn tin ya kin kam lɛk pils, vagina jel, ɔ pat we yu kin yuz insay di wik we yu de gɛt prɛgnɛshɔn.
Sɔntɛnde, dɛn kin yuz dɛn mɛrɛsin ya as fɔs layn tritmɛnt fɔ siriɔs maygren we de kam na di mɔnt :
- Antiseizure mεdikeshכn dεm ( e.g. topiramate, valproate).
- Antidipreshɔn (e.g. amitriptyline, venlafaxine).
- Antihaypatensives (e.g. propranolol, kandesartan).
Ɔda mɛrɛsin dɛn kin bi:
- Mɛtɔklɔpramid.
- kalsitonin jin-rεlatεd pεptida (CGRP) antagonist dεm.
- Dihaydroɛrgotamin.
Yu dɔktɔ kin tɛl yu bak fɔ tek sɔm tin dɛn lɛk:
- Magnɛsiɔm ɔksayd ( 400 miligram [mg] we yu de slip).
- Riboflavin (200 miligram tu tɛm insay di de).
- CoQ10 (300 miligram na mɔnin).
Dɔktɔ kin tray wan mɛrɛsin ɔr wan kɔmbayn mɛrɛsin fɔ trit yu ed we de at na yu tɛm, fɔ fɛn wetin go woke fayn fɔ yu.Dɛn mɛrɛsin ya kin wok fayn we dɛn tek dɛn pan strikt schedule. Yu dɔktɔ go ɛp yu fɔ no di bɛst tɛm fɔ tek dɛn fɔ mek yu nɔ gɛt ɔ kɔntrol yu sik dɛn.
Aw a go ebul fɔ kɔntrol dis ed we de at we a nɔ tek mɛrɛsin?
Sɔm tin dɛn de we yu kin du fɔ mek yu ebul fɔ kɔntrol yu ɔmon ed pen bay we yu nɔ tek mɛrɛsin. Bɔt yu go nid fɔ tray smɔl fɔ no wetin de wok fɔ yu ɛn wetin nɔ de wok fɔ yu. Fɔ ɛgzampul, if yu fil mɔ pen ɛn fil wam na do, tray fɔ de na rum we kol ɛn dak .
Sɔm ɔda advays dɛn:
- Gɛt inof slip .
- It tin dɛn we balans ɛn it di rayt tɛm (nɔ skip it) .
- Ɛnjɔy fɔ du bɔku tin dɛn ɔltɛm .
- Kɔntrol strɛs .
Aw lɔng dis ed we de at go las?
Yu kin gɛt maygren we yu de gɛt we yu de gɛt mɔnt te yu rich di tɛm we yu de menɔpauz. Di gol fɔ tritmɛnt na fɔ ridyus ɔr nɔr gɛt dɛn ed pen ya ɔltɛm we yu de gɛt prɛgnɛshɔn.
Wetin na di lukin-grɔn fɔ dis sityueshɔn?
Wit tritmɛnt, bɔrku pipul kin ɛkspɛkt gud rizulyt fɔ dɛn period ed pen. Bikɔs bɔku tritmɛnt dɛn de we yu kin gɛt, i kin tek sɔm tɛm dɛn we yu kin gɛt mɔnt fɔ fɛn di tritmɛnt we go wok fɔ yu. Dis min se i kin tek sɔm tɛm.
Sɔm mɛrɛsin dɛn kin wok fayn we dɛn tek dɛn pan strikt schedule. If yu kip kalenda fɔ yu mɔnt saykl, yuz bɔn kɔntrol pils, ɔ yuz ap na yu smart fon fɔ trak yu prɛgnɛshɔn kin ɛp yu fɔ kɔntrol dis. Yu dɔktɔ kin ɛp yu fɔ fɛn di rayt tritmɛnt fɔ yu sik.
Yu tink se dɛn kin mek pɔsin nɔ gɛt ‘period headache’?
Yes, dכkta kin εp yu fכ mεnεj εn prεvεnt dεn ‘period headaches’ ya. Pan ɔl we nɔto ɔl ed pen dɛn go ebul fɔ avɔyd, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ gɛt ed pen fɔ tek ɛvride. Di doz kin nid fɔ inkrisayz as yu prɛgnɛshɔn de kam nia. Tɔk to yu dɔktɔ bɔt aw fɔ mek yu nɔ gɛt maygren we yu de gɛt mɔnt . I kin tɛl yu bɔt aw fɔ trit yu we go wok fayn fɔ yu.
Ustɛm a fɔ go to dɔktɔ?
Si dɔktɔ we gɛt dis kayn tin:
- If yu gɛt siriɔs ed pen wit yu prɛgnɛshɔn .
- If di nɔmba ɔ di kayn we aw yu de gɛt maygren go bɔku, ɔ if di we aw yu de ed de at chenj .
- If yu gɛt nyu ɔ difrɛn sayd ɛfɛkt dɛn .
- If i tan lɛk se di mɛrɛsin dɛn we yu de tek fɔ trit yu maygren nɔ de wok igen, ɔ if dɛn de afɛkt yu kwaliti layf.
If ɛnitin apin, kɔl 1990, ɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
- If yu bigin fɔ gɛt ed pen wantɛm wantɛm .
- If yu gɛt ed pen we de fil lɛk di "worst headache of my life" ...
- If yu gɛt ed we de at afta yu dɔn wund yu ed .
- If yu gɛt sɔm kayn nyurolɔjik sayn dɛm wae yu nɔr dɔn ɛva gɛt bifo, lɛk wae yu nɔr kin ebul fɔ tɔk fayn, yu nɔr kin ebul fɔ balans, yu nɔr kin si fayn, yu maynd kin kɔnfyus, yu kin gɛt sik, ɔr yu nɔr kin fil fayn .
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu go si dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- A gɛt ‘period headache’ ɔ ɔda kayn maygren?
- Us tritmɛnt yu kin advays?
- Ɛni bad tin de we dis tritmɛnt kin du?
- Wetin a go du fɔ mek a nɔ gɛt ed we de at na di tɛm we a de du tin tumara bambay?
Di impɔtant tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .
We yu prɛgnɛshɔn kam, yu kin gɛt bɔku prɔblɛm dɛn lɛk we yu bɛlɛ kin at, yu bɔdi kin at, ɛn yu maynd kin chenj. Bɔt we yu gɛt maygren, i kin wɔs pas dat. Bɔt, di gud nyus na dat, yu nɔ nid fɔ ‘put up wit’ maygren we yu de gɛt we yu de gɛt mɔnt ɛvri tɛm we yu gɛt prɛgnɛshɔn. Dɔktɔ kin ɛp yu fɔ kɔntrol dɛn ed we de at. Mɛrɛsin kin mek dɛn ed pen ya nɔ bɔku ɛn aw i kin rili bad. We dɛn de bak fɔ mek dɛn nɔ gɛt dɛn. So, if yu de sɔfa wit dis prɔblɛm, nɔ shem ɔ fred fɔ tɔk to dɔktɔ.
Maygren, Ɔmon ed pen, Maygren we yu de gɛt we yu de si , we yu de gɛt ed pen, Tritmɛnt fɔ ed pen, uman dɛn wɛlbɔdi, Ɛstrojen
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