I ētahi wā ka pāngia tātou e te mamae o te upoko, tika? Kāore tātou e mōhio kei hea te mamae i haere atu i te wā i tangohia ai e tātou he pire, i moe rānei mō tētahi wā. Engari whakaarohia te mamae tonu o te taha kotahi o tō upoko... ehara i te mea mō te rā kotahi, e rua rānei, engari mō ngā marama. I ētahi wā ka kore e taea te manawanui te mamae. Koinei te āhua o te mamae o te upoko motuhake ka kōrerohia e tātou i tēnei rā, ko te Hemicrania Continua te ingoa. Ahakoa he ingoa tēnei kāore pea koe e mōhio ki te whakarongo, kei roto i tō tātou hapori ētahi tāngata e pāngia ana e tēnei mate. Nō reira, he mea tino nui te mōhio ki tēnei mōu me ō whanaunga.
He aha te Hemicrania Continua?
Ahakoa te ahua uaua o tēnei ingoa, he tino māmā noa iho tōna tikanga. E rua ngā kupu Latina i hangaia ai. Ko te tikanga o "Hemicrania" ko "te haurua o te upoko." Ko te tikanga o "Continua" ko "te haere tonu." Nō reira, he "mamae tonu i te taha kotahi o te upoko."
E kiia ana tēnei e ngā tākuta he mate upoko tuatahi . Ko te tikanga, kāore he āhuatanga hauora e pā ana ki te upoko (pēnei i te pukupuku roro, i te mate rānei) e puta ai te upoko. He āhuatanga tēnei e tīmata ana hei upoko. Nō reira, kāore he mea e wehi ai, engari he mea tino nui kia tautuhia, kia tika ai te rongoā.
E rua ngā momo matua o tēnei.
E rua ngā momo matua o te mamae o te upoko Hemicrania Continua.
- Momo mau tonu: I tēnei momo, ka pāngia koe e te mamae o te upoko i ngā wā katoa, ā, kāore e mutu. He mamae tonu, ā, kāore e kitea he whakaoranga.
- Momo e hokihoki ana: I tēnei momo, ka pā mai te mamae o te upoko i ia rā mō te ono marama pea, kātahi ka roa mō ngā wiki, mō ngā marama rānei, kāore he mamae. Ka tīmata anō ngā mamae o te upoko. Me te mea nei ka haere mai, ka haere atu.
He aha ngā tohu o tēnei mamae upoko?
He maha ngā āhuatanga motuhake hei wehewehe i tēnei ānini mai i ētahi atu ānini noa. Ka whakatakotoria e au ēnei ki roto i tētahi ripanga pēnei kia māmā ake ai te mārama.
| Te āhua o te āhuatanga | Whakaahuatanga |
|---|---|
| Ngā tohu matua | |
| Mamae i tetahi taha | Ka pā tonu te mamae ki te taha kotahi o te māhunga me te mata. Ki te mea kei te taha matau, kei te taha matau tonu, ā, ki te mea kei te taha maui, kei te taha maui tonu. Kāore te taha e huri. |
| Mamae tonu | Me roa tēnei mamae mō te iti rawa e toru marama. He mamae ngawari, he mamae puhoi tonu. |
| Ngā whakaekenga mamae nui | Haunga taua mamae puhoi tonu, ka puta he mamae koi, e toru ki te rima ngā wā i te rā. Ka roa pea tēnei mō ētahi meneti, ētahi hāora rānei. |
| Ngā tohu tāpiri e haere tahi ana me te ānini (ka puta anō ēnei i te taha kotahi me te mamae) | |
| Ngā tohu e pā ana ki te kanohi | - Te whero o te kanohi i te taha o te mamae. — Kei te rere ngā roimata i taua kanohi. - Kamo kamo e piko ana (Ptosis). - Te uaua ki te titiro ki te mārama (photophobia). |
| Ngā tohu e pā ana ki te ihu | - Te ihu pupuhi i te taha o te mamae. - He ihu pupuhi i tērā taha. |
| Ētahi atu āhuatanga | - Whakapairuaki me te ruaki. - He uaua ki te whakarongo ki ngā haruru nui. |
He aha ngā āhuatanga ka piki ake ai te mamae?
Mena kei a koe te Hemicrania Continua, ka taea e ētahi mea te whakararu i tō migraines. Ko ngā mea matua e rua ko:
- Te inu waipiro
- Te whai wāhi atu ki ngā mahi tinana uaua
Whakaarohia, ka kino haere ētahi atu momo ānini ina nui haere te ahotea, ina kore rānei koe e moe nui, tika? Engari he mea miharo, kāore ēnei mea e tino pā ki ngā ānini o Hemicrania Continua. He mea nui tēnei hei āwhina i te tautuhi i tēnei momo ānini.
He aha i puta ai tēnei momo mamae o te upoko?
Kāore anō kia tino mōhiotia e ngā tākuta te pūtake o ēnei mamae upoko, engari e kī ana ngā rangahau i ētahi mea.
- Te mumura o te sinus cavernous: He wāhi tēnei i roto i tō tātou roro e tiaki ana i ngā oko toto nui, i ngā io, me ngā mea pēnei i te repe pituitary. E whakaarohia ana ko te mumura i tēnei wāhi pea te take.
- Ngā uaua whānui: Ka whānui haere ngā oko toto e tuku toto ana ki te roro, ka pāngia ai te roro e te pēhanga io.
- He raruraru ki te mahi a te io trigeminal: Koinei te io matua e kawe ana i ngā kare ā-roto mai i te mata ki te roro. E whakapaetia ana ko te mamae pea i puta mai i tētahi hapa o tana mahi.
Ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te kitea i roto i ngā wāhine .
Me pēhea te tātaritanga a te tākuta i tēnei?
Ina haere koe ki te tākuta me ēnei tohu, ko te mea tuatahi ka mahia e ia ko te tirotiro i a koe me te pātai atu mō ō tohu. Ka pātai atu ia ki a koe i ngā pātai pēnei i te wāhi e mamae ana, te roa o te mamae, te āhua o te mamae, me te auau o te kaha o te mamae.
Tērā pea ka tono atu tō tākuta kia tuhia he pukapuka rātaka mō te mamae o te upoko hei āwhina i a koe. He mea tino nui tēnei. Tuhia ngā mea e whai ake nei ki roto:
- Te rā me te wā i pā mai ai te mamae o te upoko.
- Kei te wāhi tonu e mamae ai te upoko.
- E whakaaro ana ahau mēnā i piki ake te mamae i muri i te mahi i tetahi mea.
- Kia pēhea te roa o te mamae nui?
- He tohu anō kei te haere tahi me te ānini pēnei i te whakapairuaki, te wai rānei o ngā kanohi?
Mā ēnei mōhiotanga, ka taea e tō tākuta te mārama ake ki tō āhua. Hei tāpiri, ka tonoa pea e rātou he matawai CT (matawai tomography rorohiko) he matawai MRI rānei (matawai whakaahua aukume) kia mōhio ai kāore he raruraru kē atu o tō roro.
Ko tēhea te rongoā pai rawa atu mō te Hemicrania Continua?
Ko te mea pai rawa atu mō tēnei mamae upoko he tino whai hua te rongoā. Ko te rongoā matua me te tino whai hua mō tēnei ko te Indomethacin .
He rongoā te Indomethacin nō roto i tētahi akomanga rongoā e kīia ana ko ngā rongoā anti-inflammatory kore-steroidal (NSAID). Mā te whakaiti i te mumura me te mamae o te tinana ka mahi.
I te nuinga o te wā, ka kī atu te tākuta kia tangohia e koe tēnei rongoā i roto i te horopeta iti e toru ngā wā i te rā. He mea tino nui kia tangohia tēnei rongoā me te kai . Ki te kore, ka puta pea ngā āhuatanga pēnei i te mamae o te puku. He mea whakamiharo, i roto i te rā kotahi, e rua rānei i muri i te tīmatanga o tēnei rongoā, kua tata ngaro katoa te mamae o te nuinga o te tangata. He pono ka taea e koe te tumanako i ngā hua pai i roto i te wiki kotahi.
Kia kore rawa tō mamae upoko, ka whakaitihia mārire e tō tākuta te horopeta o tō rongoā. Ko tāna whāinga he hoatu ki a koe te horopeta iti rawa hei whakahaere i ō tohumate.
Kia tūpato hoki tātou ki ngā pānga taha o te Indomethacin.
Pērā i ngā rongoā katoa, he iti noa ngā pānga taha o tēnei, engari kāore e pāngia te katoa.
| Ngā pānga taha o te Indomethacin | |
|---|---|
| Ngā pānga taha e kitea whānuitia ana | |
| Te kōroke | Korere |
| Pōuriuri | Te tangi i roto i ngā taringa |
| Ruaki | |
| Ngā pānga kino nui me whai whakaaro, ā, me ripoata tonu ki te tākuta | |
| Te pikinga o te tere o te ngakau | Mamae tuara |
| Te uaua ki te manawa (dyspnea) | Kirika |
| Te mamae i te wā e mimi ana (dysuria) | He kiri mākūkū , he mākūkū, he pupuhi |
| Mamae nui o te puku | Pupuhi tinana |
| Ngā huringa tirohanga | |
He kōwhiringa kē atu anō mēnā kāore e whai hua te Indomethacin?
He maha ngā wā ka taea e te Indomethacin te whakahaere i tēnei āhuatanga. Heoi, kāore pea ētahi tāngata e kaha ki te tango i tēnei nā ngā pānga taha. Mena koinā, ka tūtohu pea tō tākuta i ētahi atu rongoā.
- Amitriptyline
- Ngā corticosteroids
- Ngā aukati COX-2 (hei tauira, celecoxib)
- Gabapentin
- Meratonīni
- Topiramate
- Naproxen
Haunga ēnei rongoā, i ētahi wā, ka whakaarohia pea e te tākuta ētahi atu maimoatanga, pērā i ngā werohanga botulinum toxin-A me te whakaohooho i te nerve vagus.
He tūponotanga kino tēnei āhuatanga? He aha te āhua o te tirohanga?
Koinei te mea tino nui. Ehara te Hemicrania Continua i te mate morearea, ehara hoki i te mate e whakamate ana i te ora. Waihoki, ehara i te tohu o tētahi atu mate kino. Nō reira kaua e wehi.
Heoi, ko te hunga kua pāngia e tēnei momo mamae tonu anake ka mōhio ki te uaua o te noho tahi me ia. Tērā pea he uaua ki te mahi i ō mahi o ia rā, me te whakaaro mārama. Ka pāngia hoki tō hauora hinengaro e te mamae tonu.
He tino hoha te noho me tēnei mamae tonu. Tērā pea kāore koe e hiahia ki te ara ake i te moenga, ki te haere ki te mahi, ki te kata rānei, ki te kōrero ki ngā hoa. Ahakoa te mahi i ngā mahi māmā noa iho, ka rite pea koe ki te mahi rua te kaha ina mamae koe.
Engari ko te rongo pai he tino ngāwari te rongoā i tēnei mate . Mā te mahi tahi me tō tākuta ki te kimi i te maimoatanga me te horopeta tika māu, ka taea e koe te hoki ki tō oranga noa me te kore he whakararuraru.
Karere Tangohia ki te Kāinga
- Ko te Hemicrania Continua he mamae pumau, he mamae e pupuhi ana i te taha kotahi o te upoko. Ka taea te haere tahi me ngā whakaekenga kino.
- Ka kitea anō hoki ngā tohu pēnei i te whero o te kanohi i te taha o te mamae, te roimata, me te ihu pupū.
- Ehara tēnei āhuatanga i te mea mōrearea ki te ora, ehara hoki i te tohu o tētahi atu mate kino.
- Ko te rongoā matua me te tino whai hua mō tēnei ko te Indomethacin.
- Ki te pāngia koe e te mamae upoko pēnei tonu, kaua e warewarehia, engari me toro atu ki tētahi tākuta whai tohu, ki tō "tākuta" rānei. Mā te tātaritanga tika me te maimoatanga tika, ka taea e koe te ora katoa.
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