Yu de tek mɛrɛsin fɔ ed we de at ɔltɛm? Dɔn lan bɔt dis nyu ed we de at! (Ribɔund Ɛd-aks / Ɛd-aks we yu de yuz mɛrɛsin pasmak)

Bɔku tɛm yu kin gɛt fɔ dil wit ed we de at? Na nɔmal tin fɔ mek wi tek mɛrɛsin ɔ mɛrɛsin fɔ mek wi nɔ fil pen wit di op se wi go gɛt wɛlbɔdi kwik kwik wan dɛn kayn tɛm dɛn de. Bɔt, yu no se sɔntɛnde, if yu yuz mɛrɛsin fɔ mɛn yu pen tumɔs, di ed kin wɔs, ɛn nyu kayn ed kin bigin? Na dat mek wi kin kɔl am pan mɛrɛsin ‘Mɛdikeshɔn Ɔvayuz Ɛd-aks’. Bɔt insay kɔmɔn langwej, dɛn kin kɔl dis ‘Rebound Headaches’. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na ‘Ribound Headaches’? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, ‘Rebound Headaches’ na wan kayn ed we kin apin we yu tek bɔku mɛrɛsin fɔ yu ed pen. Bɔrku tɛm dis na sɛkɔndari kɔndishɔn. Dis min se if yu dɔn ɔlrɛdi gɛt ɔda kayn ed pen, lɛk klasta ed pen, yu kin gɛt ‘Rebound Headache’ frɔm we yu tek di mɛrɛsin fɔ da ed pen de tumɔs. Dis sik kin mɔna pipul dɛm wae gɛt maygren.

Dɛn kɔl dis ‘Rebound’ bikɔs ɔf di we aw i kin apin. Tink bɔt am dis we: we yu tek mɛrɛsin fɔ mek yu ed at, di pen kin stɔp ɛn yu kin fil fri. Bɔt, as di mɛrɛsin de west, di pen de "ribaund" bak. Bɔrku tɛm , de pen kin wɔs ɛn tranga pas aw i bin de bifo. Na dat mek dɛn kɔl am ‘Rebound Headache.’

Dis sik kin kam frɔm ɛni mɛrɛsin wae dɛn gi yu fɔ maygren. Dat min se i nɔ kin apin nɔmɔ wit di mɛrɛsin dɛn we dɛn kin gi pɔsin, bɔt i kin apin bak wit di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen we dɛn nɔ kin bay. Bɔt sɔm mɛrɛsin dɛn, mɔ di wan dɛn we gɛt di tin dɛn we dɛn kin kɔntrol ``Opioids`` ɛn ``Barbiturates``, kin mek dɛn ``Rebound Headaches`` ya.

Aw kɔmɔn dis ‘ribɔund ed pen’?

Ribaund ed-ak nɔr kin bɔrku, bɔt i kin kɔmɔn pan pipul dɛm ɔlsay na di wɔl. Masta sabi pipul dɛm se lɛk 1% pan di pipul dɛm na di wɔl de sɔfa wit dis sik. Sɔm ripɔt dɛn kin kɔmɔt frɔm 0.5% to 2.6%. Dis sik kin mɔs pan uman dɛn.

Wetin na di sayn dɛm fɔ ‘Rebound Headaches’?

Ribaund ed pen na wan kɔmɔn tin wae kin apun pan pipul dɛm wae gɛt maygren ɔr tɛnsiɔn-tayp ed pen. De sayn dɛm fɔ ribound ed pen kin kam wit de simptom dɛm fɔ de ed pen wae yu bin gɛt bifo. Dɛn tin ya na:

• Di ed we de at bad bad wan.
• Fɔ fil lɛk se yu de fil lɛk yu nɔs.
• Taya, taya.
• I nɔ izi fɔ pe atɛnshɔn pan sɔntin.
• Prɔblɛm fɔ mɛmba tin dɛn.
• Pwɛl hat, wɔri, ɔr panik atak.

Wan pat de bak we dɛn ed pen ya kin apin:

• Dis pen kin kam wae yu wek na mɔnin ɔr jɔs afta yu wek.
• We a tek mɛrɛsin, i kin stɔp fɔ sɔm tɛm, bɔt we di mɛrɛsin west, di pen kin kam bak.
• Di pen we kin kam bak afta di mɛrɛsin dɔn west kin wɔs pas aw i bin de bifo.
• We dis kin apin, no ɔmɔs mɛrɛsin we yu tek nɔ go gɛt bɔku bɛnifit.

Imajin, Kamala kin gɛt maygren ɔltɛm. Ɛvri mɔnin we i wek, in ed kin ebi ɛn i kin fil pen. We i tek mɛrɛsin, i kin stɔp fɔ sɔm tɛm, bɔt we di mɛrɛsin west, di pen kin kam bak strɔng pas aw i bin de fil bifo. Kamala kin gɛt wan sik bak we dɛn kɔl ‘Rebound Headache’.

Wetin mek dɛn ‘ribɔund ed pen’ ya kin apin? Wetin na di tin dɛn we kin mek i apin?

‘Ribound Headaches’ kin apin we yu yuz tumɔs mɛrɛsin fɔ yu ed pen, bɔku tɛm tumɔs. Pan ɔl we ɛni mɛrɛsin we de mek pɔsin in ed at kin mek pɔsin gɛt dis sik, sɔm mɛrɛsin dɛn kin mek i gɛt dis sik kwik kwik wan.

Dis na di kayn mɛrɛsin wae kin mek yu gɛt ‘ribound ed pen’:

• `(Opioids)` (Opioids) ɛn kɔmbayn mɛrɛsin dɛn we gɛt opioid.
• Kɔmbayn mɛrɛsin dɛn we gɛt `(Barbiturate)`.
• Ergotamine ɛn kɔmbayn mɛrɛsin dɛn we gɛt ergotamine.
• Acetaminophen-aspirin-caffeine kɔmbayn mɛrɛsin dɛn.
• Triptan na wan klas fɔ drɔgs.
• Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID dɛn). Ɛgzampul dɛn: ibuprofen, diklofenak.
• Acetaminophen (dεn kכl am wit brand nem dεm lεk Panadol®).
• `(Kalsitonin jin-rεlatεd pεptida (CGRP) antagonist dεm)` (Kalsitonin jin-rεlatεd pεptida antagonist dεm).

Fɔ mek yu gɛt dɛn ‘ribɔund ed-aks’ ya, yu fɔ dɔn yuz dɛn mɛrɛsin ya fɔ di minimum nɔmba fɔ dez insay di mɔnt. Di nɔmba fɔ di de dɛn kin difrɛn frɔm wan mɛrɛsin to ɔda mɛrɛsin.

Chenj dεm na di pen signal kכntrכl (Pain sentralization) .

Pan ɔl we dis kin tan lɛk se i kɔmplikt, masta sabi bukman dɛn biliv se di simpul ansa na dat di we aw wi bɔdi de si pen, di we aw di pen signal dɛn de pas, kin chenj. We wi gɛt pen we nɔ de dɔn, di we aw wi bɔdi de prosɛs di pen signal dɛn kin chenj. Dis kin mek am izi fɔ mek di pen sayn dɛm apin, ɔr di we aw wi kin fil pen kin chenj (i kin fil tranga pas aw i bin de fil bifo, ɔr tin dɛm wae nɔr bin de at bifo wi at).

Dɔn bak, we yu de tek mɛrɛsin fɔ mek yu fil pen ɔltɛm, di we aw yu bɔdi de du di tin dɛn we de mek yu fil pen kin chenj. So yu kin gɛt fɔ bia wit di mɛrɛsin ɛn yu kin nid fɔ tek am mɔ. Ɔ yu nervɔs sistɛm kin chenj di we aw i de prosɛs di pen signal dɛm. Dɛn nid fɔ du mɔ risach fɔ no if dɛn tin ya kin mek pɔsin in ed pen bak.

Udat de pan ay risk fɔ gɛt ‘ribɔund ed pen’?

Ribaund ed pen kin mɔs pan uman dɛn, mɔ di wan dɛn we ol bitwin 30 ɛn 50. Dɛn tin ya bak kin gɛt bɔku risk:

• Pipul wae gɛt `(Mɛtabolik sindrom)`.
• Pipul dɛn we de it pas 200 miligram kafin fɔ wan de.
• Pipul wae gɛt mɛntɛl hεlth prɔblɛm, mɔr lɛk pwɛl hat, wɔri, panik disɔda, ɛn post-traumatic stress disorder (PTSD).
• Pipul dɛn we gɛt adikshɔn to smok (Tobacco use disorder).
• Pipul wae gɛt famili histri fɔ ‘Rebound Headaches’ ɔr sɔbstans yus disɔda/alcohol use disorder.

Wetin na de prɔblɛm wae kin kam wit dis sik?

Bɔku kɔmplikeshɔn dɛn de we kin apin bikɔs ɔf ‘ribɔund ed pen’:

• Fɔ bi maygren we nɔ de mɛn.
• Dipen pan mɛrɛsin, mɔ di tin dɛn we dɛn kin kɔntrol.
• If yu tek bɔku mɛrɛsin, dat kin mek yu gɛt pɔyzin ɔ yu tek am pasmak.
• Kɔmplikɛshɔn dɛn we NSAID kin kam wit, fɔ ɛgzampul, bɛlɛ ɔlsa ɛn ɔpa gastrointestinal blɔd.
• ‘Ribound Headache’ simptom dεm kin kam bכku כ sכmtεm sכmtεm.

Aw fɔ no ‘ribɔund ed pen’?

Dɔktɔ kin no se i gɛt ‘Ribaund Ɛd-aks’ akɔdin to di Intanɛshɔnal Klasifikɛshɔn fɔ Ɛd-ak Disɔda krayteria. Dɛn krayteria ya na:

• Fɔ gɛt ed pen fɔ at le 15 dez insay di mɔnt, we i kam pan ed pen we bin dɔn de bifo.
• Fɔ dɔn yuz mɛrɛsin ɔltɛm fɔ trit ed we de at fɔ at le tri mɔnt.
• Dis ed we de at nɔ kin rili kɔmpia to ɛni ɔda mɛrɛsin ɔ kɔz.

Naw, no patikyula tɛst nɔ de we go ebul fɔ no ‘ribɔund ed pen’.

Aw fɔ trit ‘ribɔund ed pen’? Yu tink se mɛrɛsin de fɔ dis sote go?

Ribaund ed pen na wan sik we dɛn kin rili trit. Wae no definitiv "cure" nɔr de fɔ dis, tritmɛnt kin ɛp fɔ stɔp dɛn ed pen ya kɔmplit wan.

Di tritmɛnt dɛn we yu kin gɛt na:

1. Fɔ stɔp di mɛrɛsin ɔr mɛrɛsin wae de mek yu gɛt di ed pen we de kam bak: Dis na di impɔtant tin fɔ trit di ed we de kam bak. Fɔ mek dis wok fayn, dɛn fɔ stɔp di mɛrɛsin we dɛn de tɔk bɔt kpatakpata. Fɔ sɔm mɛrɛsin dɛn, mɔ di opioid ɔ barbiturates, yu dɔktɔ go ridyus yu doz smɔl smɔl fɔ ɛp fɔ mek yu nɔ gɛt di sayn dɛn we yu nɔ de tek.Yu dɔktɔ go gayd yu fɔ no aw fɔ stɔp fɔ tek dis mɛrɛsin sef wan.

2. Ɔda mɛrɛsin: Wae yu de stɔp di mɛrɛsin wae de mek yu ed pen bak, yu kin yuz ɔda mɛrɛsin fɔ kɔntrol yu ed pen. Dɛn kɔl dɛn tin ya brij mɛrɛsin. Dis na mɛrɛsin wae de woke difrɛn frɔm de mɛrɛsin wae de mek yu ed pen bak. Sɔm ɛgzampul dɛn na Onabotulinumtoxin A injɛkshɔn (we dɛn kin kɔl bak Botox®), NSAID dɛn we de wok fɔ lɔng tɛm (lɛk naproxen), ɔ mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik (lɛk topiramate).

3. Tritmɛnt dɛn we nɔ gɛt mɛrɛsin: Dɛn tin ya kin ɛp yu bɔdi ɛn maynd fɔ ajɔst to di chenj dɛn we de apin na di tritmɛnt. Dɛn tin ya impɔtant mɔr if yu gɛt sɔm kayn sik lɛk fɔ wɔri ɔr pwɛl hat. Dɛn tin ya na saykotɛrapi, bayɔfidbak, hipnotɛrapi, ɛn trenin fɔ rilaks. Mental hεlth tritmεnt, εspεshali dεn wan dεm wae de εp yu fכ ridyus yu strεs lεvεl, kin εp fכ mek yu nɔr rεbכnd ed pen bak tumara bambay.

Di tin we impɔtant pas ɔl na, nɔ stɔp ɔ bigin fɔ tek mɛrɛsin lɛk aw yu want if yu nɔ gɛt dɔktɔ advays. Du ɔltin ɔnda dɔktɔ in sɔpɔtishɔn.

Wetin na di kɔmplikeshɔn/sayd ifɛkt dɛm wae de kam wit tritmɛnt?

Wan sayd ɛfɛkt we pɔsin kin gɛt we i de trit am na we di sayn dɛn we de sho se di ed de at fɔ sɔm tɛm. Dis sayd ɛfɛkt kin smɔl bay we yu tek tɛm ɛn smɔl smɔl yu de ridyus di mɛrɛsin we yu de tek naw (`tapering off`). Dɔn bak, fɔ yuz di ‘Bridge Medications’ we wi bin dɔn tɔk bɔt ɔ ɔda mɛrɛsin dɛn kin ɛp fɔ dis.

If di mɛrɛsin dɛn we yu de tek na adikshɔn, lɛk opioid ɔ barbiturates, yu kin gɛt sayn fɔ lɛf fɔ tek am we yu stɔp fɔ tek dɛn. Bɔku tɛm, yu dɔktɔ go ɛp yu fɔ avɔyd dis bay we i go ridyus di mɛrɛsin we yu de tek smɔl smɔl.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Di tɛm fɔ wɛl kin dipen pan di kayn mɛrɛsin we yu bin yuz, di doz we yu tek, ɛn sɔm ɔda tin dɛn. Yu dɔktɔ kin ɛksplen di bɛst tɛm fɔ yu fɔ wɛl ɛn wetin yu kin du bɔt am.

Wetin kin apin if a gɛt ‘Rebound Headaches’?

If yu gɛt ‘Rebound Headaches’, yu kin ɛkspɛkt wan saykl fɔ ed pen we go wɔs as lɔng as yu kɔntinyu fɔ tek di mɛrɛsin we de mek di ‘Rebound’. Fɔ rivɛns dis kɔndishɔn, i impɔtant fɔ stɔp di mɛrɛsin ɔ di mɛrɛsin dɛn we de mek yu gɛt di ‘Ribound Headaches’.

Aw lɔŋ ‘ribɔund ed-aks’ kin las?

Ribaund ed pen kin las as lɔng as yu tek di mɛrɛsin wae de kɔz am. Di lɔng tɛm we ed de at kin difrɛn, ɛn bɔku tin dɛn de we kin afɛkt aw lɔng i kin te. Yu dɔktɔ kin ɛksplen fayn fayn wan wetin fɔ ɛkspɛkt frɔm yu ed we de at.

Aw lɔŋ i kin tek fɔ mek ‘ribɔund ed pen’ go?

Bɔrku pipul dɛn go si dɛn ed pen we de kam bak kin stɔp ɛn stɔp insay tu mɔnt. If i sik pasmak, i kin tek siks mɔnt. Insay da tɛm de, yu dɔktɔ go ɛp yu fɔ kɔntrol yu sik dɛn ɛn ridyus di impak we dɛn kin gɛt pan yu. Dɛn go wach yu sik dɛn bak as nid de fɔ mek shɔ se yu tritmɛnt de wok.

Wetin na di lukin-grɔn fɔ ‘Rebound Headaches’?

De luk fɔ ribaund ed-aks kin jɔs fayn, mɔ if yu no am kwik ɛn gɛt tritmɛnt.

Bɔrku tɛm, tritmɛnt kin fayn fɔ ɛp pipul dɛm wae gɛt dis sik. Bɔt di kɔndishɔn kin ``rilaps'' ɛn ed kin kam bak. If yu fil lɛk se yu de gɛt di sik bak, i impɔtant fɔ tɔk to yu dɔktɔ kwik kwik wan. If yu trit ‘ribɔund ed-aks’ kwik kwik wan kin shɔt di tɛm we i kin tek fɔ wɛl ɛn mek i izi.

If dɛn nɔ trit am, ɔ if di tritmɛnt delay, de luk nɔr fayn. Ribɔund ed pen kin gɛt rili bad impak pan yu kwaliti layf. Dɔn bak, di mɔ yu kɔntinyu fɔ yuz di mɛrɛsin we de mek yu ed pen bak, na di mɔ i go at fɔ mek yu wɛl. Dis na di rizin we mek i rili impɔtant fɔ no di sik kwik kwik wan ɛn fɔ trit am.

Yu tink se dɛn kin mek pɔsin nɔ gɛt ed we de at bak?

Yes, ‘Rebound Headaches’ na wan sik wae yu kin ebul fɔ avɔyd. Di men tin na fɔ stɔp ɛni kayn mɛrɛsin we yu de yuz fɔ mek yu ed at.

Fɔ sɔm pipul dɛm, ed pen – mɔ maygren (we de mek 80% pan di ed pen we de kam bak) – nɔ go ebul fɔ avɔyd. Ɛnibɔdi we dɔn gɛt maygren no se dɛn nɔto jɔs dull pen. Dɛn kin bigin fɔ mek dɛn vɛks smɔl to tin dɛn we kin mek pɔsin in layf de pan denja. If sɔm pipul dɛn nɔ gɛt tritmɛnt, dɛn kin jɔs ledɔm na dak ɛn kwayɛt rum te di maygren go.

Ribaund ed pen nɔto gud tin, bɔt maygren we yu kin gɛt ɔltɛm nɔ fayn bak. Bɔt gud tin na dat, nyu tritmɛnt dɛn (espɛshali di tritmɛnt dɛn we de mek pɔsin nɔ gɛt di sik) dɔn opin di domɔt fɔ mek pɔsin nɔ gɛt maygren ɔ fɔ mek i nɔ gɛt bɔku igen. Dɛn tritmɛnt ya kin ɛp fɔ ridyus di nɔmba fɔ di maygren wae yu kin gɛt. Yu kin tɔk bak to yu dɔktɔ bɔt di tin dɛn we kin mek yu gɛt maygren ɛn avɔyd dɛn.

Dis go ɛp yu fɔ ridyus di nɔmba fɔ di tɛm we yu nid fɔ tek "rescue" meds fɔ stɔp yu maygren. Dat kin bi inof fɔ mek yu nɔ gɛt ed pen bak.

Impɔtant: Yu fɔ fala yu dɔktɔ in instrɔkshɔn ɔltɛm bɔt aw fɔ tek yu mɛrɛsin ɛn aw fɔ tek yu mɛrɛsin. Dis impɔtant fɔ ɛp fɔ mek yu nɔ gɛt ‘ribɔund ed pen’. Nɔ tek mɔ mɛrɛsin pas aw yu dɔktɔ tɛl yu fɔ tek am – ivin di mɛrɛsin dɛn we yu kin bay na kɔt.

Aw a kin kia fɔ misɛf?

If yu gɛt ‘rebound headaches’, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn fɔ aw fɔ trit am. Wan pan di impɔtant tin dɛm na da tritmɛnt de na fɔ stɔp fɔ yuz di mɛrɛsin ɔr drɔgs wae bin mek yu gɛt di ‘ribound headaches’ fɔs. If yu du dat, i go ɛp fɔ mek di ed we de at dɔn kɔmɔt kwik kwik wan.

Ustɛm a fɔ go to mi dɔktɔ?

We yu de trit ed we de at we de kam bak, yu fɔ go to yu dɔktɔ lɛk aw dɛn tɛl yu fɔ du. Yu fɔ go to yu dɔktɔ bak if yu notis ɛni chenj na di frɛkuɛns ɔ di sayn dɛm we yu kin gɛt pan yu ed pen, ɔ if yu sik chenj to di say we dɛn kin ambɔg di tin dɛm we yu kin du ɛvride.

Ribaund ed-aks nɔr denja fɔ insɛf. Bɔt sɔm mɛrɛsin dɛn we sɔm pipul dɛn kin tek fɔ trit dɛn kin denja.

Aw ‘ribɔund ed-aks’ kin fil?

‘Rebound headaches’ fil lɛk di ed pen we yu bin gɛt bifo. Bɔt bɔku tɛm, dɛn kin tranga pas aw dɛn bin de bifo. Yu kin gɛt ɔda sayn dɛn bak, lɛk fɔ wɔri ɔr pwɛl hat.

Yu tink se kafinɛ de mek di ed we de at bak we yu de it bak?

Yɛs, if yu de it pas 200 miligram kafin ɛvride. If yu nɔ it bɔku kafinɛ, dat kin mek yu gɛt mɔ chans fɔ mek yu tritmɛnt go bifo ɛn i kin mek yu nɔ gɛt bɔku ‘ribɔund ed pen’.

We yu gɛt siriɔs ed pen, we de kam bak, ɔr ɔl tu yu gɛt ed pen ɔ maygren, yu nɔ go ebul fɔ bia fɔ tink se yu nɔ go gɛt ɛni mɛrɛsin fɔ trit am. Bɔt ɔda we dɛn de fɔ trit yu maygren. Dɛn tin ya kin ɛp yu fɔ ridyus di nid fɔ mɛrɛsin we kin mek yu gɛt ‘ribɔund ed pen’.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Diya padi, a op se naw yu dɔn ɔndastand dis kɔndishɔn we dɛn kɔl ‘Rebound Headaches’. Mɛmba se, i nɔ fayn fɔ tek mɛrɛsin fɔ mek yu ed at ɔltɛm. If yu du dat, i kin mek yu ed pen we yu dɔn gɛt, wɔs, we kin mek yu gɛt dɛn tin ya we dɛn kɔl ‘Rebound Headaches’.

• If yu ed kin at ɔltɛm ɛn yu dɔn de tek mɛrɛsin fɔ sɔm dez insay wan row, mek shɔ se yu go to dɔktɔ fɔ advays.
• Nɔ inkrisayz di doz fɔ di mɛrɛsin ɔ tek am mɔ pas aw yu fil fayn fɔ it, pas nɔmɔ yu dɔktɔ tɛl yu.
• If dɛn no se yu gɛt ‘ribɔund ed pen’, nɔ panik. Gud tritmɛnt dɛn de fɔ am. Di men tin na fɔ stɔp fɔ tek di mɛrɛsin we mek i kam.
• Dis kכndyushכn kin kכmplit kכl wit כda tritmεnt dεm εn chenj in layf stεyl lεk aw mεdikal advays se.

If yu gɛt di rayt tritmɛnt, yu nɔ go jɔs ebul fɔ pul ‘Rebound Headaches’, bɔt yu kin avɔyd di mɛrɛsin dɛn we de mek yu gɛt am. Dɔn yu kin go du yu wok ɛn liv yu layf di we aw yu want, ɛn yu nɔ go stɔp yu ed pen. Wi de wish yu fɔ wɛl kwik kwik wan!

` Ed pen, pen kil, ribaund ed pen, maygren, mɛrɛsin abiuz, ed pen, mɛrɛsin advays