He lu natna rapthlak tak, i lu a inthen ang maia hriat hi... Nang pawhin (Migraine) i nei em? Hemi chungchang hi han sawi ila!

A chang chuan lu na na tak, a sir khat atanga intan a, a puak ang maia inhriatna i nei thin em? Pawn lama i awm lai te, thawm ri nasa tak emaw, rim na tak emaw i tawn lai hian i lu a na zawkin i hria em? Tichuan migraine i nei mai thei a, chu chu kan sawi dawn a ni. Hei hi thil tithinrim tak a ni a, nitin hnathawh zawng zawng tibuaitu a ni. Chuvangin he migraine chungchang hi chipchiar takin han sawi ila.

Hei hi eng nge ni ``(Migraine)''? Zawi zawiin i zir ang u.

A awlsam zawngin, migraine hi lu na pangngai mai a ni lo. Lu natna nasa tak , mi pakhatin hammer hmanga a vuak emaw, thisen kalna kawng a puak emaw ang maia hriatna a ni. Lu sir khatah a hriat fo thin.

Heng ``(Migraine)`` lu na hi darkar li tal a awm thei a, a chang chuan ni tam tak pawh a awm thei bawk. Ni tam tak chhung i lu chu second tlemte ang maia na a nih chuan a hrehawm zia han ngaihtuah teh. He natna hi a pung zual sauh sauh a:

• Taksa hna engemaw i thawh hian (entir nan, kea kal, stairs chhoh).
• Eng êng tak (ni êng, kawngpui êng ang chi) hnuaia a awm chuan.
• Thawm ri nasa tak i hriat chuan .
• Rim na tak i rim chuan (rimtui thenkhat ang chi, meikhu).

Migraine hi nunna atana hlauhawm tak tak a ni thei. I nitin hnathawh leh inpawh tawnna a tibuai thei a ni. Mahse thu lawmawm tak chu enkawl dan tur a awm tih hi a ni.

Migraine chi hrang hrang a awm em?

Ni e, migraine chi hrang hrang a awm. A chi lian ber pahnih hmuh tur chu:

• Migraine with an Aura (Classic Migraine): Hetiang migraine chi hrang hrangah hian lu na tan hmain aura an tih symptom hrang hrang a lo lang thin.
• Migraine without aura (Common Migraine): Hetiang a nih chuan a hmaa kan sawi tawh ang khan aura symptoms awm lovin lu na hi a intan nghal a ni.

A awlsam zawngin ``aura'' hi lu na hmaa i hriat thin warning sign a ni. Chu chu rei lo teah kan sawi leh ang.

Heng chi lian pahnih bakah hian migraine chi dang pawh a awm a:

• Naupangte migraine (Abdominal Migraine): Hei hi lu na aiin pum na ang deuh a ni.
• Chronic Migraine: Thla khata ni 15 aia tam lu na i neih chuan hei hi a awm thei.
• Hemiplegic Migraine: Hei hian taksa sir khatah hun eng emaw chen a paralysis ang chi symptoms a thlen thei.
• Menstrual Migraine: Hei hi hmeichhiaah an thlasik hun nena inzawm a ni.
• Lu na lo Migraine (Silent Migraine): Hetah hian aura symptoms chauh lu na lovin a lo kal leh chhuak thin.
• Retinal Migraine / Ocular Migraine: A lan chhuah dan chu mit pakhatah hun eng emaw chen a hmuh theih lohna a ni.
• Migraine na tak, rei tak daih thei (Status Migrainosus): Hei hi natna khirh tak a ni a, darkar 72 aia rei a daih a ni.

Engtiang chiahin nge migraine hi a hluar?

Migraine hi a takah chuan i ngaihtuah aiin a tam zawk. Survey-ah chuan khawvel hmun hrang hrangah mi tam takin he natna hi an vei tih a tarlang. Chuvangin migraine i neih chuan nangmah chauh i ni lo tih hre reng ang che.

Migraine natna hi eng stage nge ni?

Migraine hian stage pali a nei tlangpui. Mahse, migraine apiangah hian stage pali hi mi zawng zawng hian an tawng vek lo. Mi thenkhat chuan stage thenkhat an skip mai thei.

1. Prodrome: Hei hi stage hmasa ber a ni. Heng symptoms te hi lu na hma darkar 24 vel ah a lang thei a ni.

2. `(Aura)` phase: `(Aura)` hi lu na hma lawka lo lang, hriatna, motor, tawng harsatna ang chi symptoms pawl a ni. Hei hi minute 5 atanga darkar khat vel a ni thei. A chang chuan `(Aura)` leh lu na hi a rualin a awm thei.

3. Lu na stage: Migraine lu na hi darkar 4 atanga darkar 72 vel (ni 3) vel a ni thei.

4. Postdrome: He phase hi darkar tlemte atanga ni hnih khat vel a ni tlangpui. A natna lan chhuah dan hi zu in nasa takin a hangover hnua a lan dan nen a inang a, chuvangin migraine hangover an ti bawk.

Stage pali zawh vek nan darkar 8 atanga 72 vel a ngai thei.

`(Migraine)` natna lan chhuah dan chu engte nge ni?

Migraine symptoms hi stage a zirin a inang lo. Tin, migraine zawng zawng hi a inang vek lo bawk. Heng stage zawng zawng hi a rualin i tawng lo mai thei.

Prodrome stage-a thil awm dan: 1.1.

• Mood inthlak danglam (thinrim, lungngaihna chauh).
• Thil ngaihtuah harsa tak a ni.
• Mut harsat.
• Chau leh chau lutuk tih hriatna.
• Luhai.
• riltam emaw, tuihal emaw zawka inhriatna.
• Zun chhuah fo thin.

`(Aura)` stage-a mizia: 1.1.

• Muscle chak lohna.
• Mit hmuh a danglam (mit hmaa streak, light hmuh, thil a fiah lo ang mai).
• Beng chhunga ri ri (`Tinnitus`) hriatna.
• Sensitivity to touch (miin i taksa a khawih ang maia hriat).
• Numbness, tingling tih hriatna.
• Thusawi harsa emaw, ngaihtuahna seng emaw.

Lu na phase a symptoms te chu:

• Lu na chu zawi zawiin a zual zel a. Hei hi lu sir khatah emaw, a sir lehlamah emaw a ni thei.
• Symptom dang pawh a awm thei bawk:
• Nausea leh luak chhuak.
• Eng, aw leh rim hriat theihna.

Thil thleng hnua thil thleng (`Postdrome`) ziarang:

• Chauhna, hahna.
• Kawngkhar khauh tak.
• Eng leh aw hriat theihna.
• Thil ngaihtuah harsa tak a ni.
• Luhai.
• Luak chhuak thei.

Migraine i neih hian engtin nge i awm?

Migraine lu na hi kawng hrang hrangin hriat theih a ni:

• Thluak hrual ang maiin.
• Telegram (`Pulsing`) ang maiin.
• Thil pakhatin i lu a rawn deng (`Pounding`) ang maiin a lang.
• Dull, rit tak a ni.

Migraine hian mi zawng zawng a nghawng dan a inang lo thei. Mild atanga na tak thlengin an awm thei. Natna hi lu sir khatah a intan a, a sir lehlamah a kal thei bawk. Natna hi mit, hmai leh a chang chuan hmai, sinus, hmui emaw, kawr emaw thlengin a darh thei bawk.

Migraine hi eng chen nge a awm theih?

Hei pawh hi mi hrang hrangah a inang lo. Mi thenkhat chuan kum khatah migraine vawi khat chauh an nei thei. Mi dangte chuan kar khatah pakhat an nei thei bawk. A vaiin mi tam zawk chuan thla khatah migraine vawi hnih atanga pali vel an nei thin. A tam zawkah chuan zing lamah an lo kal tlangpui. Engtikah nge migraine a lo thlen dawn tih chiang taka sawi theih a ni lo. Mahse, a châng chuan, entîr nân, hmeichhiate chuan an period hma emaw, stressor lian tak hnuah emaw migraine a lo thleng tih hriatna an nei thei a ni.

Migraine hi engte nge ni?

Researcher-te chuan migraine awm chhan dik tak hi an la hmuchhuak lo a, mahse zirchianna hrang hrangah chuan genetic influence a awm tih hmuhchhuah a ni.

Lu na i neih hian i thisen kalna nerve thenkhat chuan i thluak ah natna signal an thawn thin. Hei hian i lu chhunga nerve leh thisen kalna kawngte chu inflammation thlentu thil a chhuah tir thin. Heng nerve te hian engvangin nge hetiang hian an tih tih erawh a la chiang lo.

Migraine natna thlentu (triggers) te chu engte nge ni?

`Trigger` chu symptoms intan tir thei thil a ni. `(Migraine)` tichhuaktu ber thenkhat chu hetiang hi a ni:

• Rimtawng. (Exam i neih dawn emaw, in lama harsatna avanga pressure nasa tak i neih hunah emaw, he `(Migraine)` hi a pung tih han ngaihtuah teh. Chu chu stress hian i `(Migraine)` a nghawng mai thei tihna a ni.)
• Hormone inthlak danglamna (a bik takin hmeichhiaah).
• Damdawi thenkhat.
• Mut dan inthlak danglam (mut tlem, mut tam).
• Khaw lum leh khaw vawt inthlak danglam.
• Taksa thawhrim lutuk.
• Addictive substances (caffeine, zuk leh hmuam ang chi).
• Chaw ei skip.
• Eng êng tak, thawm ri nasa tak emaw, rimtui tak tak emawa inhnimhnawihna.

I doctor chuan i migraines tichhuaktu chu eng thilin nge a hriat theih nan a pui thei che a ni. Migraine diary ziak turin an ti mai thei che. He diary-ah hian i migraine hi engtikah nge a lo intan tih te, engtin nge a awm tih te, eng chen nge a awm tih te i ziak thei ang.

Eng ei leh in nge migraine tichhuak?

I taksa hian ei tur thenkhata chemical leh preservatives te hi a sensitive thei a ni. Hetiang sensitivity hi a bik takin trigger dang nena a inzawm chuan migraine vei theihna a tipung thei a ni.

Migraine thlentu ei tur tam tak thenkhat chu:

• Cheese upa tawh tak tak te.
• Zu in tur te.
• Chocolate.
• Chaw ei tur additives nitrates leh MSG te.
• Sa processed emaw preserved emaw (hot dog, pepperoni ang chi) te.
• Chaw fermented emaw pickled emaw (e.g. kimchi, soy sauce) te.

`(Migrate)` hi thlah kal zel atanga lo chhuak thil a ni em?

Ni e, migraine hi thlah khat atanga thlah dangah a kai darh thei a ni. Migraine vei zinga 80% vel chuan an chhungkuaah first-degree relative (nu, pa, unau) an nei a, he natna hi an nei a ni.

Tute nge migraine vei theihna sang zawk?

Migraine hian tu pawh a nghawng thei a, naupang emaw puitling emaw pawh nise. Mahse , hmeichhia hian mipa aiin migraine an nei tam zawk.

Migraine vei theihna tur risk factor dang thenkhat chu:

• Chhungkaw zingah mi pakhatin migraine a nei a.
• Damdawi lam thil dang (depression, lungkhamna, mut harsatna, epilepsy ang chi) te .
• Zuk leh hmuam thil hman fo.

Engtin nge `(Migraine)` hi kan hriat theih ang?

Doctor chuan taksa enfiahna leh thluak enfiahna hmangin migraine a hriat theih ang. I medical history leh chhungkaw hriselna chungchang pawh a zawt ang. I natna lan chhuah dan hriat belh duh chuan i doctor chuan zawhna a zawt thei ang:

• Eng symptom nge i neih?
• I lu natna chu engtin nge a awm tih leh a awmna hmun i sawi thei ang em?
• I symptoms te hi engtiang chiahin nge a nasat?
• Eng chen nge symptoms hi a awm tawh?
• Lu natna tizualtu thil a awm em?

Doctor chuan thisen test leh imaging test, CT scan emaw MRI emaw hmanga lu na chhan dang hriatchhuah tir a ti thei bawk. Damdawi lam thil dang tih loh nan EEG (Electroencephalogram) pawh tih theih a ni bawk.

Tuin nge `(Migraine)` hi a hmuhchhuah?

Migraine i nei nia i hriat chuan i chhungkaw doctor (PCP - Primary Care Physician) nen inbia hmasa phawt ang che.Migraine natna hi a hmuchhuak thei a, a enkawl thei bawk. A tul chuan lu natna lama mithiam emaw, neurologist emaw hnenah a refer ang che.

Migraine hi engtin nge kan enkawl ang?

Migraine natna hi damdawi a la awm lo. Mahse doctor chuan i migraine symptoms te chu a enkawl thei che a ni. Chutianga tih theih dan tlangpui pathum a awm a, chungte chu:

• Damdawi hman dan.
• Migraine thlentu thilte pumpelh.
• Damdawi dang hmanga enkawlna.

Migraine tan hian eng damdawi nge pek thin?

I doctor chuan migraine enkawlna tur damdawi a pe thei ang. Damdawi chi hnih a awm a, chungte chu:

1. Migraine laka invenna damdawi: Hengte hi migraine chhinchhiahna hmasa berah ei theih a ni. Heng damdawi te hian migraine symptoms natna, natna, leh sensitivity te chu a titawp emaw, a tihziaawm emaw a ni.

• Damdawi pek dan tlangpui: `(Triptans - e.g. Sumatriptan)`, `(Lasmiditan - Ditans group of medications)`, `(Rimegepant, Ubrogepant - Gepants group of medications)`, `(Dihydroergotamine)`, `(Prochlorperazine)`, Antiemetic damdawi - e.g. Metoclopramide hmanga siam a ni`.

2. Migraine Preventive Medication: I natna lan chhuah dan na tak tak, nitin hnathawh tibuaitu i neih chuan emaw, migraine i neih fo chuan i doctor chuan heng venna damdawi te hi a pe thei ang. Heng damdawi te hian migraine vei tam leh nasat zia a tiziaawm a ni. Hengte hi nitin ei thin a ni tlangpui.

• Damdawi pek tlangpui: Antiseizure damdawi - e.g. Valproic acid, Topiramate), Beta-blockers te hi a awm a, e.g. Atenolol, Propranolol, Nadolol), Calcium channel tikhawlo thei - e.g. Verapamil), Monoclonal antibody - e.g. Erenumab, Fremanezumab, Galcanezumab), lungngaihna damdawi thenkhat (Tricyclic antidepressants - e.g. Amitriptyline, Nortriptyline, Doxepin; SNRIs - e.g. Venlafaxine, Duloxetine).

He damdawi hi chi hrang hrang a awm thei a:

• Vun hnuaiah injection pek a ni.
• Damdawi ei tur.
• Hnar hmanga spray a ni.
• Vein (`Intravenously - IV`) ah pek a ni.
• Suppository a ni.

Nang leh i doctor chuan in natna lan chhuah dan tur enkawl nan damdawi tha ber, damdawi inkawp leh a hman dan tur te in sawiho thei ang. Damdawi zawng zawng hi lu natna specialist emaw general practitioner emaw enkawlna hnuaiah hman tur a ni. Damdawi dang ang bawkin doctor-in a tih ang chiaha ei a pawimawh.

Damdawi dawr atanga lei theih natna tidamtu damdawi te pawh i zir dawn teh ang!

Migraine symptoms na lo tak tak i neih chuan over-the-counter damdawi ei hian a pui thei a ni. Heng damdawi te hi ibuprofen, aspirin, acetaminophen, naproxen, leh caffeine te an ni.

>

Mahse heng natna tidamtu damdawi te hi i ei dawnin i fimkhur hle a ngai a ni. A châng chuan i ei tam lutuk chuan ``Analgesic-rebound headaches'' an tih lu na i nei thei a, a nih loh leh i addicted thei bawk. Heng natna tidamtu chi hrang hrangte hi kar khatah vawi hnih atanga vawi thum aia tam i ei chuan doctor hnenah hrilh ngei ang che. Chumi hnuah chuan damdawi \ha zawk, a duh angin a pe thei ang.

Migraine thlentu thilte pumpelh

I doctor chuan i migraines tichhuaktu chu eng nge ni tih hriat tumin a pui thei che a ni. Migraine diary ziak turin a ti mai thei che. He diary hian i migraine hi engtikah nge a lo intan tih te, i rilru put hmang te, eng chen nge a awm tih te ziak turin a pui thei che a ni. I ei leh in, leh i thil tih chungchang chipchiar takin i dah belh thei bawk a, chu chuan a tibuaitu eng pawh i hriat theih nan a pui thei ang.

Tunlai hian smartphone apps pawh a awm a, hei hian hetiang hian migraine diary i siam thei a ni.

I `Trigger` i hriat chian hnuah, chu chu pumpelh turin hma i la thei ang. Hei hi a theih reng reng lo a, mahse i `Triggers` hriat reng hian `(Migraine)` a lo intan tirh atanga hriatchhuah leh enkawlna kawngah a pui thei hle.

Entirnan, i trigger chu stress a nih chuan mental health counselor i biak theih a, chu chu enkawl danah tanpuina i dawng thei bawk. Chaw ei loh laia migraine symptoms i neih chuan i phone-ah alarm set la, a hun takah ei tur i hriat nawn tir thei bawk.

Migraine natna enkawlna dang

Migraine control thei tur damdawi dang engemaw zat a awm bawk. Chung zingah chuan:

• Vitamin, mineral emaw thlai chi (e.g. `(Riboflavin - Vitamin B2)`, `(Magnesium)`, `(Feverfew)`, `(Butterbur)` emaw `(Co-enzyme Q10)`) ei.
• Relaxation hmanraw (e.g., Yoga) te.
• Acupuncture hmanga tih a ni.
• Biofeedback a ni.
• `(Botulinum toxin chi A - Botox®)` injection hmanga tihdam theih a ni.

A pawimawh ber chu migraine enkawlna dang i tan hmain i doctor nen inbiakna neih hmasak phawt a ni.

Naupai laiin migraines tan eng nge tih tur?

Naupai emaw, naupai tum emaw, migraine i neih chuan doctor nen inbiakna neihpui ngei ngei tur a ni. I doctor chuan i naupai laiin migraine damdawi ei lo turin a fuih thei che a, emaw, naupai i ni mai thei tih i ngaihtuah thei bawk a, damdawi thenkhat chuan i naute piang lai hmasawnna a nghawng thei a ni.

I doctor chuan migraine enkawlna dang, acetaminophen ang chi natna tihdamna tur a rawt thei ang.

Migraine i neih hian eng nge i tih thin?

Migraine i neih hian hahdamna engemaw chen i neih theih nan thil tlemte i tih theih a awm a:

• Room thim, reh leh lum takah chawlh hahdam rawh.
• I hmaiah emaw, i kawr hnung lamah emaw puan tui lum emaw, tui lum emaw (a `compress`) hnim chu dah la.
• Lu massage pe fo thin ang che.
• Hmai sir lehlama circle tight tak takte chu pressure zawi zawiin pe rawh.
• I rilru chu thlamuang takin vawng la (meditation ang chi thil ti rawh).

`(Migraine)` hi eng nge a hmalam hun?

Migraine hi mi hrang hrangah a inang lo. Hun rei lote chhung atan an ni a, mahse dam chhung zawngin an lo lang leh thei. Migraine hi damdawi a awm lo. Mahse i doctor chuan rang taka enkawl turin a pui thei che a, an nasatzia pawh a ti tlem thei bawk. I tana enkawlna dik tak zawn nan hun engemaw chen a la ngai mai thei. I natna lan chhuah dan a ṭhat chhoh zel dan chu doctor hnenah hrilh ngei ang che.

Migraine hi ven theih a ni em?

Migraine zawng zawng hi i veng thei lo. Mahse doctor-in a tih angin invenna damdawi ei hian migraine vei tamna leh a nasatzia chu i tihziaawm thei a ni. I triggers te pawh i zir thei a, i doctor nen thawk hovin i pumpelh thei bawk.

Engtikah nge Doctor ka hmuh ang?

Chutiang hunah chuan doctor i pan ngei tur a ni:

• Symptom thar a lo lang a nih chuan.
• Symptoms a zual chuan.
• Enkawlna atanga side effect a awm chuan .

Hei hi emergency a ni! Tunah hian damdawi in hnai ber pan rawh!

* I dam chhunga i lu na ber (`Thunderclap headache`) i neih chuan.

* Neurological symptoms thar i neih ngai loh (thus harsa, kal harsa, mit hmuh harsatna, hriatrengna hloh, seizures, numbness/tingling) i neih chuan.

* Lu hliam hnua lu na i neih chuan.

Hetiang hunah hian 1990 (Sri Lanka-a emergency ambulance service) call emaw, damdawi in pan nghal emaw theihnghilh suh!

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i hmuh hunah hetiang zawhna hi i zawt thei ang:

• He migraine hi hun kal zelah a bo dawn em ni?
• Eng damdawi nge i rawt?
• Engtin nge migraine hi ka ven theih ang?
• Eng ang migraine nge ka neih?
• Ka migraine hi chronic anga ngaih a ni em?

Lu na i lo nei tawh mai thei, mahse migraine hi thil danglam tak a ni. Khawvel hi a tawp tawh ang maiin a lang thei a, a bo theih nan engmah tih theih a awm lo. I natna lan chhuah dan chu rei lo te chhung atan ni mahse, hun a tawp tawh ang maiin i inhria thei a, migraine i neih laiin i dodal thei bawk. Mahse migraine a lo awm chuan a enkawl dan tur leh i ni tibuaitu tur venna tur enkawlna a awm. Hemi kawngah hian doctor hian a pui thei che a, chutiang chuan i migraine hian i nun a thunun thei lo.

He thawnthu (`Take-Home Message`) atanga kan hriat reng tur pawimawh tak tak te

Okay, chuti a nih chuan tunah hian `(Migraine)` chungchang hi kan sawi tam tawh hle. A tawi zawngin, .

• Migraine hi lu na mai a ni lo , a na hle thei a, nunna atana hlauhawm tak a ni thei bawk.
• A chhan, a thlentu leh a lan chhuah dan hrang hrang a awm . I triggers te hi eng nge ni tih hriat a pawimawh.
• Migraine tihreh nan damdawi tha tak tak leh enkawlna dang a awm bawk. Damdawi lam thurawn lak a tha ber.
• Emergency a nih chuan warning signs te chu hre reng ang che . Chung zinga pakhat tal i tawn chuan damdawi lam pan nghal rawh.
• Nangmah chauh i ni lo, mi tam takin he dinhmun hi an tuar a ni. Hriatna leh puihna dik tak i neih chuan migraines nen i nung thei ang.

Chuvangin, heng symptoms te hi i neih chuan doctor pan a, thurawn lak hlau suh. Tichuan nang pawh he `(Migraine)` tibuaitu hi i paih bo thei ang a, i hrisel thei ang!

` Migraine, migraine, lu na, aura, migraine tichhuaktu, migraine enkawlna