Kei te pāngia tonutia koe e te mamae o te upoko? I ētahi wā ehara i te mamae o te upoko anake, engari he migraine e kore e taea te manawanui. Ko te pāngia e te mamae o te upoko pēnei mō ngā rā maha o te marama he arai nui ki te mahi i ngā mahi o ia rā, kāore? I tēnei rā, me kōrero tātou mō tēnei mate migraine tonu, arā, te '(Maikura Mau)'.
He aha te Migraine Mau tonu?
He māmā noa iho, ko te migraine mau tonu he mamae upoko auau, he mamae upoko rānei i ia rā, i ia rā. Ka rerekē pea ō tohu i ia rā, i ētahi wā tae noa ki ia hāora. Nā tēnei ka uaua ki te tohu tika i te wāhi e mutu ai tētahi migraine, ā, ka tīmata ai tētahi atu.
He rite tonu te ānini me te migraines?
He mea tino nui tēnei. Ehara te migraine i te mamae upoko kino noa iho. He rerekētanga nui kei waenganui i ngā mea e rua.
He mamae upoko noa (ina koa he momo mamae upoko noa pēnei i te "momo mamae upoko taumaha - TTH"), ā, ka whakararuraru i ā tātou mahi o ia rā. Engari kāore i te kino rawa, ā, kāore e taea e tātou te mahi i ā tātou mahi o ia rā. I tēnei wā, he mamae kei te upoko, kei te mata rānei, engari kāore e pā tika ki te roro.
Engari, he pānga tika te migraines ki tō roro . Koia te mea e kino ai. Ina pāngia koe e te migraine, ka tino kore e taea te manawanui, tae noa ki te mahi i ngā mahi o ia rā, ka kore e taea te manawanui.
He pēhea te noa o tēnei āhuatanga?
I te ao whānui, kei waenganui i te 12% me te 15% o te tangata he mate migraine. Heoi, he iti ake te kitea o te mate migraine mau tonu. E ai ki ngā tohunga kei waenganui i te 1% me te 2.2% o te taupori o te ao he mate pēnei.
I te nuinga o te wā, ka nui ake te pānga o tēnei mate "Maikara Mau tonu" ki ngā wāhine .
I te nuinga o te wā ka tīmata ngā migraines i te wā o te pakeketanga, ā, ka heke haere i te pakeketanga. I muri i te menopause, kāore e puta ngā migraines, ka tata ngaro katoa rānei.
He aha ngā tohu o tēnei?
He rite ngā tohu o te migraine mau tonu ki ngā tohu o te migraine wā-poto. Ko te rerekētanga matua he roa ake tōna roa, ā, he maha ake ngā wā ka puta . E pā ana hoki te mamae o te upoko ki tēnei.
Hei whiwhi i tēnei tātaritanga, me tutuki e koe ngā whakaritenga e whai ake nei:
- Me pāngia koe e te mamae o te upoko, e te migraine rānei , mō te iti rawa 15 ngā rā i roto i te marama. Me pā tēnei mō te iti rawa e toru ngā marama karapīpiti.
- Me whakaatu hoki i roto i ō mamae upoko ngā tohumate, ngā āhuatanga rānei o te migraine mō te iti rawa e 8 ngā rā i roto i te marama. Me whakaatu hoki tēnei mō te iti rawa e toru ngā marama karapīpiti.
He aha tonu ngā tohu o te migraine?
He rerekē te āhua o te migraine mō te katoa, ā, i ētahi wā ka rerekē te pānga o te migraine ki te tangata kotahi. E whā ngā wāhanga matua (ahakoa kāore ngā migraine katoa e whai wāhanga e whā):
- (Pōtoroma): Koinei ngā tohu iti ka kitea e koe i mua i te tīmatanga o te migraine. Tērā pea ka whakaaro koe, "Āe... kei te tata ahau ki te pāngia e te migraine." Tērā pea ka pāngia koe e te mamae, te rerekētanga o te hiahia kai, me ētahi atu.
- (Aura): Ka puta ēnei tohu ina pāngia ētahi wāhanga o te roro. Ko ētahi o ngā tohu ko te kite i ngā rama i mua i ngā kanohi, te ngoikore o ngā peka me ngā waewae, me te uaua ki te kōrero.
- Te ānini: Koinei te wāhanga matua me te wāhanga tino mamae o te migraine.
- Postdrome: He rite tēnei ki ngā pānga taha ka pā ki a koe i muri i te migraine. E kīia ana e ētahi he "migraine hangover". Tērā pea ka ngenge koe, ka pōuri hoki te mahunga.
Nā, kia tika ai te kī ko te "Maikara Mau tonu", me whakarōpūtia ō tohumate penei:
Migraine kāore he aura
I te nuinga o te wā ka roa tēnei i waenga i te 4 me te 72 hāora.
I te wā o te ānini, me kitea kia rua o ngā tohu e whai ake nei:
- Te mamae i te taha kotahi o te upoko (i te taha matau, i te taha maui rānei).
- He rite te mamae ki te mamae werowero, ki te mamae wero.
- He mamae ngawari ki te kino.
- Te mamae ka piki ake i te wā e mahi ana i ngā mahi noa (pēnei i te hikoi, te piki arawhata rānei), te hiahia rānei ki te karo i aua mahi.
Waihoki, i te wā o te ānini, me kitea tētahi o ngā tohu e whai ake nei:
- Whakapairuaki.
- Te ruaki.
- Kei a koe te photophobia me te phonophobia.
Migraine me te aura
Me whai i tētahi, i ētahi atu rānei o ngā āhuatanga `(Aura)` e whai ake nei :
- Ngā tohu tirohanga: te kitenga i ngā rama i mua i ngā kanohi, te kitenga i te kohu, te kitenga i ngā tauira pikopiko i mua i ngā kanohi, ētahi atu huringa tirohanga rānei.
- Ngā tohu e pā ana ki te pā: te ngau, te kōwiri i ngā peka.
- Ngā tohu o te kōrero/reo: He uaua ki te kōrero, he uaua ki te mārama ki ngā kōrero a ētahi atu.
- Ngā tohu nekehanga: `(Hemiplegia)` (te ngaronga o te māramatanga, te ngoikore rānei i te taha kotahi - ka pā ki te tinana me/ranei te mata).
- Ngā tohu e pā ana ki te kakau roro: Te ngaronga o te taurite, ngā raruraru taurite, te pororaru, te tinnitus, te mamae o te puku (pēnei i te korere, te mate kōroke rānei).
- Ngā tohu o te retina: Te ngaronga katoa, te ngaronga wāhanga rānei o te tirohanga o te kanohi kotahi, te kite rānei i ngā rama e mura ana.
Me tutuki hoki kia toru o ngā paearu e whai ake nei:
- Kotahi te tohu "Aura" neke atu rānei ka horapa haere mō te 5 meneti, neke atu rānei.
- Ko te putanga mai o ngā tohu "Aura" e rua, neke atu rānei, tetahi i muri i tetahi.
- E rima meneti ki te kotahi hāora te roa o ia tohu "Aura".
- Kotahi te āhuatanga `(Aura)` kei te taha kotahi anake.
- Kotahi pea o ngā āhuatanga o te "Aura" ka huri hei "tohu pai" (arā, ka tāpirihia he mea hou nā taua āhuatanga; ka ngaro katoa, ka ngaro rānei te kaha ki te pāngia e ngā "tohu kino").
- He mamae upoko ka tīmata tonu i muri i te aura, i roto rānei i te 60 meneti o te aura.
He aha i puta ai ēnei migraines?
Ka taea e te mate pōuri te tuku iho . Ko te tikanga tēnei, ki te pāngia tētahi o tō whānau e te mate pōuri, inā koa ō mātua, ō koroua rānei, ka nui ake te tūponotanga ka pāngia koe e te mate pōuri.
Hei tāpiritanga, he maha atu anō ngā āhuatanga e whakaarohia ana e ngā kairangahau ka whai wāhi pea ki tēnei mate migraine:
- Ngā panonitanga o te rere o te toto nā te whānui, te whaiti rānei o ngā oko toto i roto i te roro.
- He whakararuraru rangitahi i te tuku tohu hiko i roto i ngā pūtau roro.
- Ngā panonitanga ki ngā matū o te roro. Hei tauira, ngā panonitanga ki ngā taumata o ngā neurotransmitters pēnei i te serotonin.
- Ngā tohu hē e puta mai ana i ngā muka io e karapoti ana i ngā kanohi, i ētahi atu wāhanga rānei o te upoko.
- Te hē o te mahi a te mamae me ngā pokapū tukatuka tohu i ngā wāhanga rerekē o te roro.
- Ka puta ngā huringa i te āhua o te tinana e mōhio ai, e rongo ai hoki i te mamae nā te mamae tonu.
He aha ngā āhuatanga mōrearea e whai wāhi ana ki tēnei whanaketanga?
Ko ngā āhuatanga e whai ake nei ka piki ake pea tō tupono ki te whakawhanake i ngā migraines mau tonu, ka kino ake rānei ngā mea o mua:
- Te momonatanga.
- Ngā whara o te upoko, hei tauira, te whatiwhatinga o te roro.
- Ko ētahi atu mate pūmau, ina koa ko ngā mate e pā ana ki te mamae pērā i te fibromyalgia.
- Ngā raruraru hauora hinengaro, hei tauira, te pouri, te manukanuka rānei.
- Ngā mate moe, inā koa ko te apnea moe.
Ka taea e te migraine noa te huri hei migraine pumau?
Ae, i ētahi wā ka taea e te migraine noa, ā-wā, te "huri" hei migraine mau tonu. Ka puta tēnei mā roto i ngā tukanga kāore anō kia tino māramahia e ngā tohunga.
Engari kotahi te mea kua kitea. Ko te whakamahinga nui rawa o ētahi rongoā kua tohua he take pea tēnei. Ina kīia te "whakamahi nui rawa," ehara i te mea he mate whakamahi matū. Ka taea tēnei te tupu ahakoa ngā raau taero kāore e whakararuraru.
Nō reira, ki te mea he tangata koe e pāngia ana e te mate pōuri i ētahi wā, ka tino tohutohu ngā tohunga kia kaua e whakamahi pinepine i ētahi rongoā. Ka taea hoki e te nui rawa o te whakamahinga o ngā rongoā te whakanui ake i te mate pōuri.
He aha ngā mea e whakaoho ai te migraine?
Ka taea e te kai, te inu, ētahi matū, ngā kakara, ngā oro, ētahi mea, ētahi āhuatanga rānei i roto i te taiao te whakaoho i te migraine i roto i ētahi haora, i ētahi rā rānei. Koinei ngā mea e kiia nei e tātou he mea whakaoho migraine .
Koinei ngā "Pūtake" tino kitea:
- Kāore he aha te ahotea, kāore he aha te manukanuka.
- Ngā huringa homoni e pā ana ki te paheketanga.
- Te hiakai, te matewai rānei.
- Ngā panonitanga o te pēhanga o te hau (pērā i ngā mea e puta mai ana i ngā panonitanga o te rangi).
- Kāore he aha te nui o te moe, ā, kāore he aha te kore e nui te moe.
- Ko ētahi kakara, he hinu kakara.
- Ko ētahi kai, ko ētahi tāpiringa rānei ki ngā kai (te tīhi tawhito, te waina whero, te tiakarete, me ngā mīti kua koroheketia, kua tiakina rānei hei tauira matua).
- Mārama (ka taea e ētahi momo mārama, ahakoa he hēkona noa iho o te mārama mai i tētahi mea kanapa, te whakaoho i te migraine).
- Te kawheine (ina koa mēnā ka nui rawa te kawhe, engari kāore he aha kia iti iho i tō tikanga).
- Ko ētahi oro, inā koa ko ngā oro auau iti (pērā i te tangi o te hama hiko) me ngā oro auau teitei (pērā i te tangi o ngā taputapu hiko), he mea rānei
- Te tango rongoā mō te ānini pinepine (e kiia ana tēnei ko te ānini whakamahi nui rawa i ngā rongoā, ko te "ānini hoki e hoki mai ana").
He aha ngā raruraru ka pā mai i tēnei?
Tērā pea ka puta ngā raruraru mai i te migraines, engari he onge noa iho . Ko ētahi tauira ko:
- `(Status migrainosus)` (he migraine tino kino e roa ana mō ngā rā e toru).
- Ngā whiu.
- Ngā mate hopuhopu e pā ana ki te `(Aura)`.
- Ngā whakaekenga manawa (he tino onge tēnei).
Me pēhea te kite a ngā tākuta i tēnei?
Ka tātaritatia tēnei mate (Maikara Mau tonu) e te tākuta mā te whakakotahi i ētahi tikanga. Tuatahi, ka whakahaerehia e rātou he whakamātautau io. Kātahi ka pātai atu rātou ki a koe mō tō hītori hauora, tō oranga o ia rā, ō tikanga, me ngā mahi. Ko ngā pātai e pātaihia ana ko:
- He aha te āhua o tō mamae upoko? Me whakamārama mai tō mamae, tō wāhi i roto i tō upoko, me te kaha o te mamae.
- Kua pāngia koe e te migraine i mua? Mena koinā, e hia ngā wā ka pāngia koe e ēnei?
- He tohu anō kei te haere tahi me te ānini? (pērā i te aro ki te mārama, ki te tangi rānei)
- Kei te inu koe i ngā inu kei roto te kawheine? Mena koinā, e hia te nui o te kawheine e inuhia ana e koe i te nuinga o te wā?
- He "mea whakaoho" kei a koe e kino ake ai tō migraines? (pēnei i te kai, te inu, ngā kakara, ngā haruru)
- Kia pēhea te roa o tō moe? Kei te pēhea ō tikanga moe i ngā wā tata nei?
- He aha ngā taumata o tō ahotea me tō manukanuka whānui? He take kei a koe e pāngia ai e te ahotea, e te manukanuka rānei, i nāianei, i ngā wā tata nei rānei?
He aha ngā momo whakamātautau e mahia ana hei kimi i tēnei?
Tērā pea ka tonoa e tō tākuta ētahi whakamātautau. Tērā pea ka tonoa hoki e rātou he whakamātautau whakaahua, pērā i te matawai CT, hei whakakore i ngā āhuatanga morearea ki te ora, pērā i te whiu. He maha ngā wā ka mahia tēnei mēnā he nui ngā tohumate io kei a koe, inā koa ko te hemiplegia (te ngaronga o te māramatanga i tetahi taha o te tinana). He tohu noa tēnei o te pararutiki. I ngā take ehara i te mea ohorere, ka taea te mahi i te matawai MRI hei tāpiri atu ki te matawai CT, hei whakakapi rānei i te matawai CT.
Tērā pea ka mahia ētahi atu whakamātautau i runga i ō tohumate. Ko tō tākuta te tangata pai rawa atu hei kōrero ki a koe mō ēnei whakamātautau me te take e hiahiatia ai.
He aha ngā rongoā mō tēnei? Ka taea te whakaora katoa?
He rite tonu te maimoatanga mō te migraine mau tonu ki te maimoatanga mō ngā migraine noa. Ko te mea nui ko te rongoā . E rua ngā momo maimoatanga matua:
1. Maimoatanga ārai: I roto i tēnei, ka whakamahia te rongoā hei ārai i te puta o te migraines, hei whakaiti rānei i tōna kaha, i tōna auau rānei mēnā ka puta.
2. Ngā rongoā whakaora: Ka whakamahia ēnei rongoā hei whakaiti i te roa me te kaha o te whakaekenga o te migraine.
Hei tāpiritanga, kei reira ētahi tikanga hauora ka taea te whakamahi mō te `(Maikara Mau tonu)`. He wāhanga nui anō hoki o te maimoatanga te whaikōrero hauora hinengaro.
Ngā Rongoā Ārai
He tino whai hua ēnei rongoā mō te mate `(Maikara Mau tonu)`, nā te mea ka whakaiti i te auau o te maikara, ka whakaiti rānei i te kaha o aua mate. Ko ēnei momo rongoā ka hoatuhia:
- Ngā aukati i te angiotensin II receptor (ARB) (hei tauira, candesartan)
- Ko ētahi rongoā ārai-hopu (hei tauira, te waikawa valproic, te topiramate)
- Ngā rongoā ārai pouri (hei tauira, amitriptyline, nortriptyline, venlafaxine)
- Ngā aukati-beta (hei tauira, atenolol, metoprolol, propranolol)
- Ngā werohanga paitini botulinum (Botox®)
- Ngā aukati hongere konupūmā (CCB) (hei tauira, verapamil, flunarizine)
- Ngā maimoatanga werohanga e hangai ana ki te paturopi monoclonal (hei tauira, erenumab, fremanezumab, galcanezumab)
Ngā Rongoā Whakaora
Ka whakamahia ēnei rongoā hei whakaiti i te roa me/ranei te kaha o te migraines ina puta. Heoi, e kī ana ngā tohunga me tūpato te whakamahinga . Mēnā ka nui rawa te whakamahinga o ēnei rongoā, ka taea e rātou te whakawhanake, te kino rānei o te migraines mau tonu.
Ngā rongoā kore-tohu (OTC) me ngā NSAID
Koinei ngā momo rongoā ka taea te hoko kore-tohu me ngā "NSAID" (ngā rongoā anti-inflammatory kore-steroidal) ka taea te whakamahi hei rongoā i te migraines:
- Acetaminophen (e mōhiotia ana ko Paracetamol, Tylenol®, Panadol®)*
- Āpipirini
- Ibuprofen (e mōhiotia ana ko Advil®, Motrin®)
- Naproxen (e wātea ana i raro i ngā ingoa pēnei i a Aleve®)
*> Kia mōhio: Ehara te Acetaminophen i te NSAID. Heoi, e kiia ana he NSAID nā te mea e wātea ana i runga i te kaute, ā, he rite tonu ngā āhuatanga.*
Kei roto i ētahi rongoā migraine kore utu he kawheine me ngā NSAID. He mea pai kia kōrero koe ki tō tākuta mō te whakamahi i ngā hua kei roto he kawheine. Pānuihia hoki te tapanga i te wā e tango ana koe i ngā rongoā kia kore ai koe e tango i ēnei me te kore mōhio.
Ngā rongoā Triptan
Koinei ngā rongoā tuatahi e tohua ana mō ngā migraines. Ko ētahi tauira ko: `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`.
Heoi anō, tera pea he rerekē te whakaaro o tō tākuta mō te whakamahinga o ēnei mō ngā migraines mau tonu. Nā te mea mā te whakamahi pinepine ka arahi pea ki te whakamahinga nui o ngā rongoā hei ārai i te mamae o te upoko, ā, ka taea rānei e ngā migraines auau te noho hei mate mau tonu.
Ergotamine
Ka whakawhāitihia e tēnei rongoā ngā oko toto i roto i te roro, ā, ka pā ki te tukatuka o ngā tohu mamae.
Ngā rongoā whakahaere me ngā rongoā whakakotahi
Kei roto i ēnei rongoā he NSAID me tētahi matū whakahaeretia, pērā i te barbiturate, te opioid rānei, he rongoā mamae rānei. Kāore ēnei rongoā e whakamahia ana hei rongoā i te migraines mau tonu nā te mea ka kino ake te āhua.
Ngā tikanga hauora
He maha ngā tikanga hauora ka taea te āwhina i te migraines mau tonu:
- Te whakaohooho io: He maha ngā wā ka whakamahia te io vagus, te io occipital (kei muri o te mahunga), me ngā io supraorbital (kei te rae).
- Te whakaohooho aukume whakawhiti angaanga (TMS): Ka whakamahia he papa aukume hei awe i te mahi hiko o te roro.
- Ngā maimoatanga rerekē: Tērā pea ka āwhina ētahi atu maimoatanga, pērā i te wero ngira, i ētahi tāngata. Ahakoa kāore i te tino noa ēnei, tera pea ka āwhina i ētahi tāngata. He tākuta me ngā tohunga hauora kua whakangungua e whakarato ana i ēnei maimoatanga.
Āwhina hauora hinengaro
Ka taea e te rongoā hinengaro (te kupu whaimana mō te rongoā hauora hinengaro) te āwhina i te hunga e pāngia ana e te ahotea me te manukanuka, ā, ka taea e ēnei te whai wāhi atu ki te mate migraine. He maha ngā momo rongoā hinengaro, nō reira ka taea e koe te whiriwhiri i tētahi e pai ana māu.
He aha taku e tumanako ai?
He wāhanga tino whakararuraru, whakararuraru hoki te mate pōuriuri o te ao. He tino uaua, he kore rawa hoki e taea te mahi i ngā mahi o ia rā, i ētahi wā. Ka whakararuraruhia te mahi, ngā mahi o te whare, ngā hākinakina, me ngā whanaungatanga pāpori.
Ko te migraine mau tonu ko te puta o te migraine mō te iti rawa i te waru ngā rā i te marama mō ngā marama e toru. Nā te mea he maha tonu te puta mai, e whakaaro ana ngā tohunga he mea whakararuraru, ā, he mea nui ki te oranga.
Kāore i te tino mōrearea ngā mate pōuri. Engari ka tino whakararuraru i te ora. Ka taea hoki e rātou te whakanui ake i te mōrearea o ngā mate e morearea ana ki te ora pērā i te whiu me te mate ngakau. Ka rite ētahi tohu o te mate pōuri ki ngā tohu o te whiu. Nō reira, he mea nui te tirotiro me te maimoatanga hauora motuhake.
Kia pēhea te roa o tēnei?
He rerekē tēnei i ia tangata, i ia tangata. Mō ētahi, ka roa pea mō ngā marama, mō ngā tau, mō ētahi atu, ka roa pea mō ngā tekau tau.
Ka pā pea tēnei ki te hītori whānau, ngā āhuatanga whaiaro, ngā mea e whakaoho ana i te migraine, me te angitu o te maimoatanga. Ka taea e tō tākuta te hoatu tohutohu pai rawa atu mō te roa o te wā e mau ai tēnei āhuatanga mō tō mate, me te aha ka taea e koe te mahi hei whakaiti i te roa o te wā e pā ai ki tō oranga.
He aha te tirohanga mō tēnei?
He mea ka rerekē te mate migraine mau tonu i roto i te ao katoa. Ko te rongo pai, i waenganui i te 26% me te 70% o te tangata ka hoki anō ki te mate migraine wā-poto. Heoi, ka huri ētahi tāngata i waenga i te mate migraine mau tonu me te mate migraine wā-poto i ētahi wā.
Ka heke te auau o te migraines i te kaumātuatanga. Mō ngā wāhine, ka taea te whakaiti nui, te whakakore rawa rānei i tēnei i muri i te menopause.
Ka taea te ārai i tēnei? Ka taea rānei te whakaiti i te mōrearea o te whanaketanga?
Nā te mea kāore ngā tohunga i te tino mārama he aha, he pēhea rānei te whanaketanga o tēnei mate (Maikara Mau tonu), kāore e taea te ārai i te 100% . Ahakoa ka taea e ētahi tāngata te whakaiti i tō rātou mōrearea, ka taea tonu e te hunga whai hītori whānau te pāngia e tēnei mate, ahakoa ka tūpato rātou.
Mena ka pāngia koe e te mate pōuri i ētahi wā, ko te mea anake ka taea e koe ko te ārai i tō rongoā kia huri hei mate pōuri noa. Hei mahi i tēnei, kōrero ki tō tākuta mō te whakamahinga tika o tō rongoā me te whakaiti i tō mōrearea.
Me pēhea taku tiaki i ahau anō?
Mena kei a koe te mate pōuri mau tonu, he maha ngā mea ka taea e koe te mahi hei tiaki i a koe anō. Whakamātauria ēnei mea:
- Puritia he pukapuka mō te mate migraine. He tino āwhina tēnei i ngā wāhanga tōmua, engari he mea whai hua ahakoa te roa o tō mate migraine. Mā tēnei koe e āwhina ki te kite i te huringa o ō mate migraine i roto i te wā. He mea nui tēnei ina tae ki te kimi i ngā mea e whakaoho ana i tō mate migraine.
- Whakahaerehia tō āhua noho.Ka pā pea ngā kai e kainga ana e koe me tō taumata mahi ki ngā migraines. Ahakoa ka taea e te korikori tinana te whakararuraru, te whakaoho rānei i ngā migraines, mā te kimi huarahi hei noho kaha ka taea hoki te whakapai ake i ō tohu. He mea nui anō hoki kia mau tonu tō taumaha hauora, nā te mea ka taea e te momona me te taumaha rawa te whai wāhi ki te migraines mau tonu.
- Kaua e wehi ki te rapu āwhina mai i te hangarau. He maha ngā waea atamai he taupānga hei tuhi me te aroturuki i ō mate pōuri. He kore utu te nuinga o ngā taupānga, engari he kōwhiringa utu kei ētahi me ētahi atu āhuatanga. Ka taea hoki e koe te whakamahi i ētahi atu taupānga, pērā i ngā taupānga huarere, hei whakatūpato i a koe ki ngā mea ka whakaoho i ō mate pōuri, pērā i te parahanga o te hau, i ngā huringa rānei o te pēhanga o te hau.
- Tāutuhia ngā mea e whakaoho ana i te migraine. Kia mōhio koe ki ngā mea e whakaoho ana i a koe, ka taea e koe te karo i aua mea, te whakaiti rānei i te pānga ki tō oranga. Mā tēnei ka āwhina i a koe ki te whakaiti i te auau o ō migraine. He huarahi matua tēnei ki te huri anō i ngā migraine mau tonu ki ngā migraine noa.
- Kōrero ki ētahi atu e pāngia ana e tēnei mate. He nui ngā mea ka taea e koe te ako mai i ētahi atu tāngata e pāngia ana e te mate pōuri mau tonu. Ka taea e koe te whakauru atu ki ngā rōpū tautoko i tō rohe. Ka kitea hoki e koe ngā rōpū tautoko i runga i ngā papaaho pāpāho pāpori, i roto rānei i ngā paetukutuku o ngā whakahaere mate pōuri.
He aha ngā mea kāore e taea e au te kai, te inu rānei?
He rerekē ngā mea e whakaoho ana i te migraines mō ia tangata. Mā te pupuri i tētahi pukapuka tuhi migraines ka āwhina i a koe ki te tautuhi me te karo i ngā mea e whakaoho ana i a koe.
He maha ngā wā ka rite te whakarite o te `(Trigger)` ki ētahi atu kai. Hei tauira:
- Te Whakapūpū: Ka whakamahia tēnei tukanga hei hanga inu waipiro pērā i te waina, te pia, te cider, me ngā waipiro kaha. He mea nui anō hoki mō te hanga tiihi, miraka kawa, me ētahi momo taro (hei tauira, te rewena rewena).
- Te pīkara: Ka whakamahia tēnei tikanga hei tiaki i ngā kai pēnei i ngā huawhenua me te mīti. Hei tauira, ko ngā pīkara, te sauerkraut, te kimchi, ngā hua manu, me ngā mīti.
- Te whakamaroke me te whakatōtō: Ka whakamahia tēnei tikanga hei tiaki i ngā mīti. Ka taea e ētahi matū tiaki, inā koa ko ngā nitrates me ngā nitrites, te whakaoho i te migraines. Ka taea hoki e te whakatōtō i ētahi kai, inā koa ko te mīti me te tiihi, te whakaoho.
Āhea ahau me toro atu ki te tākuta, me rapu tohutohu hauora rānei?
Mena kei a koe te migraines mau tonu, me toro atu koe ki te tākuta i ngā wā katoa.Me toro atu koe ki tētahi tākuta roro (he tākuta roro te nuinga o te wā) hei rongoā whai muri. Mā tō tākuta koe e hoatu he wātaka mō ō haerenga. Waihoki, ki te kite koe i ētahi huringa o ō tohu, inā koa ka pā ki ō mahi o ia rā, ki tō momo noho, ki ō mahi rānei, kōrero tonu atu ki tō tākuta.
Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Mena kei te pāngia koe e ngā tohu o tētahi mate hauora kino, e mōrearea ana rānei ki te ora, haere tonu ki te rūma whawhati tata. Hei tauira:
- Te ānini o te whatitiri: He ānini tēnei e tīmata ohorere ana, ā, ka kaha haere i roto i ētahi meneti. He tohu pea tēnei kei te toto i roto i te roro.
- He ānini nui: Ko te tikanga tēnei kei te pēhia koe e te ānini kino rawa atu o tō ao. He tohu pea tēnei nō te aneurysm roro, he toto roro, he whiu rānei.
- Hemiplegia: He tohu nui tēnei o te pararutiki . Ki te pāngia koe e tēnei, kāore pea koe e mōhio mēnā he migraine , he whiu rānei . Ko te hemiplegia i puta mai i te migraine ka memeha haere i muri i tētahi wā, engari kaua e tatari kia memeha. Ki te roa rawa, ka arahi pea ki te kino o te roro tuturu, ki te mate rānei.
He mate kino te Migraine Mau tonu?
Kāore ngā migraines pumau (engari i ētahi wā onge) e tino mōrearea ki te ora, engari he kino rawa atu . Ka taea e ngā migraines te whakauaua i te oranga, ka uaua ki te mahi i ngā mahi o ia rā, ā, i ētahi wā ka kore e taea. Nā te mea he maha tonu te puta mai, e whakaaro ana ngā tohunga he mate kino.
Ka memeha rawatia rānei tēnei i tētahi wā?
Ae, ka taea e ngā migraines mau tonu (me ngā migraines whānui) te memeha haere. Ko tētahi huarahi ko te koroheketanga. Ka taea hoki te huri hei migraines auau, ā-wā (migraine ā-wā). Koinei te whāinga matua o te maimoatanga. He māmā ake te whakahaere i ngā migraines auau, he māmā ake te rongoā, ā, he iti ake te whakararuraru i te oranga nā te mea kāore e puta pinepine ana.
Hei whakamutunga, ngā mea hei maumahara
Ehara i te mea he ānini kino noa iho te migraine. Ina pāngia koe e te migraine, me noho tonu koe i roto i tētahi rūma pōuri, marino. Nā te mea ka taea e te mārama me te haruru te whakararu i te mamae, te whakapairuaki, me te maha atu o ngā tohu. Kāore te noho i roto i tētahi rūma pōuri, marino e whakakore i ngā tohu. Ka ārai noa i te kino haere. Mēnā he migraine tōu, e mōhio ana pea koe he tino hoha ēnei tohu. Engari i ētahi wā he nui ake te hoha ki te whakamārama i ēnei ki te hunga kāore e mārama ana ki a rātou, ā, he whakaaro hē tō rātou mō ō rātou kare ā-roto.
He waimarie, he maha ngā wā ka taea te rongoā i ngā migraines mau tonu. Ahakoa ngā huringa iti o tō oranga o ia rā, ka taea te whakaiti i te auau me te kaha o ngā migraines.Mā te ngana ki te whakahaere i ō migraines me te āwhina a tō tākuta, ka taea e koe te whakaiti i te auau me te kaha o ō migraines. Engari i te noho tahi me te migraines i muri i tētahi, ka taea e koe te arotahi ki tō oranga me te pārekareka ki taua mea. Kaua e manukanuka, ehara i te mea ko koe anake. Ka taea e ngā tākuta me ō whanaunga te āwhina i a koe.
` Maikara, Maikara Mau tonu, Mamae upoko, Mamae upoko, Ngā tohu o te maikara, Te rongoā o te maikara, Ngā mea e pā mai ai te maikara











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