Kei te tango tonu koe i ngā rongoā mō te ānini? Akohia tēnei ānini hou! (Ngā Ānini o te Ānini o te Ānini / Ngā Ānini o te Whakamahinga Rongoā)

He maha ngā wā ka pāngia koe e te mamae o te upoko? He mea noa ki a tātou te tango rongoā, te tango rānei i te rongoā mamae, me te tumanako ka tere te whakaora i aua wā. Engari, i mōhio koe i ētahi wā, mā te whakamahi nui rawa i ngā rongoā mamae ka kino ake te mamae o te upoko, ka tīmata he momo mamae hou? Koia mātou e kīia nei ko 'Ngā Mamae o te Utu Nui o te Rongoā'. Engari i roto i te reo whānui, e mōhiotia ana tēnei ko 'Ngā Mamae o te Puku'. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha ngā 'Papānga o te Upoko o te Ulo'? Kia mārama tātou!

Ki te whakarapopoto, ko ngā 'Rebound Headaches' he momo ānini ka puta mai ina nui rawa te rongoā e tangohia ana e koe mō ō ānini. He mate tuarua tēnei i te nuinga o te wā. Ko te tikanga, ki te mea kua pāngia koe e tētahi atu momo ānini, pērā i te 'cluster headaches', ka taea e koe te whakawhanake i te 'Rebound Headaches' mā te tango i te rongoā mō taua ānini i te nuinga o te wā. He mea noa tēnei mate i roto i te hunga e pāngia ana e te migraines.

Ka kiia tēnei ko te 'Rebound' nā te āhua o tōna putanga mai. Whakaarohia pēnei: ​​ina tangohia e koe he rongoā mō te ānini, ka memeha te mamae, ā, ka rongo koe i te whakamarie. Engari, i te memeha haere o te rongoā, ka "hoki" mai anō te mamae. He maha ngā wā , ka kino ake te mamae, ka kaha ake i mua. Koia i kiia ai ko te 'Rebound Headache'.

Ka taea tēnei āhuatanga te puta mai i ngā rongoā katoa kua tohua mō te migraines. Ko te tikanga, kāore e taea anake te puta mai i ngā rongoā kua tohua, engari i ngā rongoā whakamamae mamae hoki e hokona ana i waho o te kaute. Heoi, ko ētahi rongoā, inā koa ko ērā kei roto ngā matū kua whakahaeretia "Opioids" me "Barbiturates", ka nui ake te tūponotanga ka puta ai ēnei "Papānga Mamae o te Ulo".

He pēhea te auau o ēnei 'mate upoko hoki'?

Kāore i te tino noa te mamae o te upoko, engari he mea noa i roto i te iwi puta noa i te ao. E ai ki ngā tohunga, tata ki te 1% o te taupori o te ao e pāngia ana e tēnei mate. Ko ētahi pūrongo mai i te 0.5% ki te 2.6% te nui. He nui ake te noa o tēnei mate i roto i ngā wāhine.

He aha ngā tohu o te 'Rebound Headaches'?

He mate noa te upoko pakarukaru e pā ana ki te hunga e pāngia ana e te migraines, e te momo upoko taumaha rānei. Ka puta ngā tohu o ēnei upoko pakarukaru me ngā tohu o te upoko pakarukaru i pā ki a koe i mua. Kei roto i ēnei:

• Te mamae nui o te upoko.
• Te whakapairuaki.
• Ngenge, ngenge.
• Te uaua ki te arotahi ki tētahi mea.
• Ngā raruraru mahara.
• Te pouri, te manukanuka, te mataku rānei.

He tauira anō hoki tēnei mō te mamae o te upoko:

• Ka puta tēnei mamae i te oho ake i te ata, i muri tata mai rānei i te oho ake.
• Ina kai ahau i te rongoā, ka memeha mō tētahi wā, engari ina memeha te rongoā, ka hoki mai anō te mamae.
• Ko te mamae e hoki mai ana i muri i te paunga o te rongoā, tera pea ka kino atu i tō mua.
• Ina tupu tēnei, kāore he nui o te painga o te rongoā e tangohia ana e koe.

Whakaarohia, ka pāngia tonutia a Kamala e te migraines. I ia ata ka ara ake ia, ka taumaha, ka mamae hoki tōna mahunga. Ina inu ia i te rongoā, ka memeha mō tētahi wā, engari ina memeha te rongoā, ka hoki mai te mamae, ka kaha ake i mua. Tērā pea he mate anō tā Kamala e kīia nei ko te 'Rebound Headache'.

He aha i puta ai ēnei 'mate upoko hoki'? He aha ngā take?

Ka puta ngā 'Upoko Mahunga' ina nui rawa te rongoā e whakamahia ana e koe mō ō upoko mahunga, he maha tonu ngā wā. Ahakoa ka taea e tētahi rongoā upoko mahunga te whakaputa i tēnei āhuatanga, he nui ake te tūponotanga ka tere ake te whakaputa o ētahi rongoā.

Koinei ngā momo rongoā ka pā mai ai ngā 'mate upoko hoki':

• `(Ngā Opioid)` (Ngā Opioid) me ngā rongoā whakakotahi kei roto ngā opioid.
• Ngā rongoā whakakotahi kei roto ko te `(Barbiturate)`.
• Ergotamine me ngā rongoā whakakotahi kei roto ko te ergotamine.
• Ngā rongoā whakakotahitanga o te acetaminophen-aspirin-caffeine.
• He momo rongoā ngā triptan.
• Ngā rongoā anti-inflammatory kore-steroidal (NSAID). Tauira: ibuprofen, diclofenac.
• Acetaminophen (e mōhiotia ana i raro i ngā ingoa waitohu pēnei i a Panadol®).
• `(Ngā kaitukino peptide e pā ana ki te ira Calcitonin (CGRP))` (Ngā kaitukino peptide e pā ana ki te ira Calcitonin).

Hei whakawhanake i ēnei 'mate upoko hoki', me whakamahi koe i ēnei rongoā mō te iti rawa o ngā rā ia marama. Ka rerekē te maha o ngā rā i ia rongoā, i ia rongoā.

Ngā huringa o te whakahaere tohu mamae (Te pokapū o te mamae)

Ahakoa he uaua te ahua o tēnei, e whakapono ana ngā tohunga ko te whakautu māmā ko te āhua o te kitenga o te mamae e ō tātou tinana, te āhua o te tukunga o ngā tohu mamae, ka rerekē. Ina pāngia tātou e te mamae mau tonu, ka rerekē te āhua o te tukatuka a ō tātou tinana i ngā tohu mamae. Mā tēnei ka māmā ake te puta o ngā tohu mamae, ka rerekē rānei te āhua o te mamae e pā ana ki a tātou (ka kaha ake te ahua i mua, ka mamae rānei ngā mea kāore i mamae i mua).

Waihoki, ina tangohia e koe ngā rongoā whakamamae mamae i ia wā, ka rerekē te huarahi e tukatuka ai tō tinana i ngā tohu mamae. Nō reira, ka whanake pea tō manawanui ki te rongoā, ā, ka hiahia koe ki ngā horopeta teitei ake. Tērā pea ka rerekē te huarahi e tukatuka ai tō pūnaha io i ngā tohu mamae. Me nui ake ngā rangahau hei whakatau mēnā ka whai wāhi ēnei āhuatanga ki te hokinga mai o te ānini.

Ko wai kei te nui ake te mōrearea ki te pāngia e te 'mate upoko hoki'?

He nui ake te kitea o te mate upoko hoki i roto i ngā wāhine, inā koa ko te hunga i waenga i te 30 me te 50 tau te pakeke. Ko ēnei e whai ake nei ka nui ake te mōrearea:

• Ngā tāngata whai `(Metabolic syndrome)`.
• Ko te hunga e kai ana i te nui atu i te 200 mirigramu o te kawheine i ia rā.
• Ngā tāngata whai raruraru hauora hinengaro, inā koa te pouri, te manukanuka, te mate mataku, me te mate ahotea muri-trauma (PTSD).
• Ngā tāngata e waranga ana ki te whakamahi tupeka (Te mate whakamahi tupeka).
• Ngā tāngata whai hītori whānau mō ngā 'Rebound Headaches', te mate whakamahi matū/mate whakamahi waipiro rānei.

He aha ngā raruraru o tēnei āhuatanga?

He maha ngā raruraru ka puta mai i te 'rebound headaches':

• Te huri hei migraines mau tonu.
• Te whakawhirinaki ki ngā rongoā, inā koa ki ngā matū kua whakahaeretia.
• Ka pāngia pea koe e te paitini, te nui rawa rānei o te rongoā mēnā ka nui rawa te rongoā e tangohia ana.
• Ngā raruraru i puta mai i ngā NSAID, hei tauira, ngā mate puku me te toto i roto i te wahi kai o runga.
• Ka nui haere, ka kino haere rānei ngā tohu o te 'Rebound Headache'.

Me pēhea te mōhio ki te 'mate upoko hoki'?

Ka taea e te tākuta te tātaritanga i te 'Rebound Headaches' e ai ki ngā paearu o te International Classification of Headache Disorders. Ko ēnei paearu ko:

• Te mamae o te upoko mō te iti rawa 15 ngā rā i te marama, e pā ana ki tētahi mamae o mua.
• Kua whakamahia te rongoā i ia wā hei rongoā i te ānini mō te toru marama neke atu rānei.
• Kāore tēnei ānini e tino ōrite ana ki tētahi atu mate hauora, ki tētahi atu take rānei.

Kāore he whakamātautau motuhake i tēnei wā hei tautuhi i ngā 'mate upoko pakaru'.

Me pēhea te rongoā i te 'mate upoko hoki'? He rongoā tuturu kei reira mō tēnei?

He tino ngāwari te rongoā i te mate upoko hoki anō. Ahakoa kāore he "rongoa" tuturu mō ēnei mate, ka taea e te maimoatanga te āwhina ki te whakamutu rawa i ēnei mate.

Ko ngā kōwhiringa maimoatanga ko:

1. Te whakamutu i te rongoā, i ngā rongoā rānei e puta ai te mate upoko rebound: Koinei te taahiraa tino nui hei rongoā i te mate upoko rebound. Kia tika ai te mahi a tēnei, me whakamutu rawa te rongoā e pā ana. Mō ētahi rongoā, inā koa ko ngā opioids, ko ngā barbiturates rānei, ka whakaitihia mārire e tō tākuta tō horopeta hei āwhina i te ārai i ngā tohumate tango.Mā tō tākuta koe e ārahi ki te whakamutu haumaru i te tango i tēnei rongoā.

2. Ngā rongoā rerekē: I a koe e whakamutu ana i te rongoā e puta ai ō mamae upoko, ka taea e koe te whakamahi i ētahi atu rongoā hei whakahaere i ō tohu mamae upoko. Ka kiia ēnei he rongoā piriti. He rongoā ēnei e mahi rerekē ana i te rongoā e puta ai ō mamae upoko. Ko ētahi tauira ko ngā werohanga Onabotulinumtoxin A (e mōhiotia ana ko Botox®), ngā NSAID roa-mahi (pēnei i te naproxen), ngā rongoā ārai-ohorere rānei (pēnei i te topiramate).

3. Ngā maimoatanga kore rongoā: Ka āwhina ēnei i tō tinana me tō hinengaro kia urutau ki ngā huringa o te maimoatanga. He mea nui rawa ēnei mēnā kei a koe ngā tohu pēnei i te manukanuka, te pouri rānei. Kei roto i ēnei ko te hinengaro whakaora, te urupare koiora, te whakaora hinengaro, me te whakangungu whakangā. Ka taea e ngā maimoatanga hauora hinengaro, inā koa ko ērā e āwhina ana i a koe ki te whakaiti i ō taumata ahotea, te āwhina i te ārai i te hokinga mai o te mamae o te upoko ā muri ake nei.

Ko te mea nui, kaua e mutu, e tīmata rānei i te rongoā i tāu e pai ai me te kore he tohutohu a te taote. Me mahi i ngā mea katoa i raro i te tirotiro a te tākuta.

He aha ngā raruraru/ngā pānga taha o te maimoatanga?

Ko tētahi pānga taha pea o te maimoatanga ko te pikinga wā poto o ngā tohu o te ānini. Ka taea te whakaiti i tēnei pānga taha mā te āta whakaiti haere i te nui o te rongoā e tangohia ana e koe i tēnei wā ('tapering off'). Waihoki, mā te whakamahi i ngā 'Bridge Medications' kua whakahuatia ake nei, i ngā rongoā rerekē rānei, ka āwhina i tēnei.

Mena he whakawara ngā rongoā e tangohia ana e koe, pērā i ngā opioids, i ngā barbiturates rānei, tera pea ka pāngia koe e ngā tohumate tango ina mutu te tango. He maha ngā wā ka āwhina tō tākuta i a koe ki te karo i tēnei mā te whakaiti haere i tō horopeta.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Ko te roa o te ora ka whakawhirinaki ki te momo rongoā i whakamahia e koe, te horopeta i tangohia e koe, me ētahi atu āhuatanga. Ka taea e tō tākuta te whakamārama pai i tō roa o te ora me te aha ka taea e koe te mahi mōna.

He aha te mea ka tupu mēnā kei a au ngā 'Papānga o te Ulo'?

Mena kei a koe ngā 'Rebound Headaches', ka taea e koe te tumanako ka kino haere te huringa o ngā mamae o te upoko i te mea ka haere tonu koe ki te tango i te rongoā e puta ai te 'Rebound Headaches'. Hei whakakore i tēnei āhuatanga, he mea nui kia mutu te rongoā, ngā rongoā rānei e puta ai te 'Rebound Headaches'.

Kia pēhea te roa o te 'mate upoko hoki'?

Ka roa pea te mamae o te upoko e hoki mai ana i te wā e tangohia ana e koe te rongoā e puta ai. Ka rerekē te roa o te mamae o te upoko, ā, he maha ngā āhuatanga ka pā ki te roa o tōna roa. Ka taea e tō tākuta te whakamārama pai ake i ngā mea ka puta mai i ō mamae o te upoko.

Kia pēhea te roa ka memeha atu ngā 'mate upoko hoki'?

Ka kite te nuinga o te tangata i te memeha haere o ō rātou mamae upoko, ā, ka mutu i roto i ngā marama e rua. I ngā wā tino kino, ka roa pea ki te ono marama. I roto i taua wā, ka āwhina tō tākuta i a koe ki te whakahaere i ō tohu me te whakaiti i tōna pānga ki a koe. Ka aroturukihia hoki e rātou ō tohu mēnā e tika ana kia tino whai hua ai tō maimoatanga.

He aha te tirohanga mō ngā 'Papānga o te upoko'?

He pai te āhua o te hokinga mai o te ānini o te upoko, ina koa mēnā ka kitea wawetia e koe, ā, ka whiwhi maimoatanga.

He angitu te maimoatanga i te nuinga o te wā ki te āwhina i te hunga e pāngia ana e tēnei mate. Heoi, ka taea e te mate te "hoki anō" me te hoki mai anō o te mamae o te upoko. Ki te mea kei te whakaaro koe kei te hoki anō koe, he mea nui kia kōrero wawe koe ki tō tākuta. Mā te rongoā wawe i ngā 'mamae o te upoko e hoki anō' ka taea te whakapoto i te wā e ora ai, ā, ka māmā ake.

Ki te kore e rongoatia, ki te whakaroa rānei te maimoatanga, kāore e pai te āhua. Ka pā kino pea te hokinga mai o te ānini ki te kounga o tō oranga. Waihoki, ki te roa tonu tō whakamahi i te rongoā e puta ai te hokinga mai o te ānini, ka uaua ake te ora. Koia te take he mea nui te tātaritanga me te maimoatanga wawe.

Ka taea te ārai i te hokinga mai o te upoko?

Ae, he mate tino taea te ārai i te 'Rebound Headaches'. Ko te mea nui ko te whakawhāiti i te nui o tetahi momo rongoā mō te mamae o te upoko e whakamahia ana e koe.

Ki ētahi tāngata, kāore e taea te karo i te mamae o te upoko – inā koa ko te migraines (e 80% o ngā mamae o te upoko e hoki mai ana). E mōhio ana te hunga kua pāngia e te migraines ehara i te mamae ngawari noa iho. Ka rerekē mai i te ngawari ki te morearea. Ki te kore he maimoatanga, ka takoto noa ētahi tāngata i roto i te rūma pōuri, marino kia ngaro ra ano te migraine.

Ehara i te mea pai te hoki anō o te ānini, engari kāore hoki i te pai te maha o ngā ānini. He waimarie, kua whakatuwheratia e ngā maimoatanga hou (ina koa ko ngā maimoatanga ārai) te kuaha ki te aukati i ngā ānini, ki te whakawhāiti rānei i tōna auau. Ka taea e ēnei maimoatanga te āwhina ki te whakaiti i te maha o ngā ānini ka pā ki a koe. Ka taea hoki e koe te kōrero ki tō tākuta mō ngā mea e whakaoho ana i tō ānini, me te karo i aua mea.

Mā tēnei koe e āwhina ki te whakaiti i te maha o ngā wā e hiahiatia ana e koe ki te tango i ngā rongoā "whakaora" hei whakamutu i ō migraines. Tērā pea he nui tēnā hei ārai i te hokinga mai o te mamae o te upoko.

He mea nui: Me whai tonu koe i ngā tohutohu a tō tākuta mō te horopeta me te auau o te tango i tō rongoā. He mea nui tēnei hei āwhina i te ārai i te 'mate upoko anō'. Kaua e tango i te rongoā neke atu i te mea i tūtohutia e tō tākuta – ahakoa ngā rongoā kāore e hiahiatia he rongoā.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe ngā 'mate upoko hoki', he mea nui kia whai i ngā tohutohu a tō tākuta mō te rongoā. Ko tētahi o ngā mea tino nui o taua maimoatanga ko te whakamutu i te whakamahi i te rongoā, i ngā rongoā rānei i puta ai ngā 'mate upoko hoki' i te tuatahi. Mā te mahi pera ka tere ake te memeha o ngā mate upoko.

Āhea ahau me toro atu ki taku tākuta?

I te rongoā i te mate upoko hoki, me toro atu koe ki tō tākuta e ai ki te taunakitanga. Me toro atu hoki koe ki tō tākuta mēnā ka kite koe i tētahi huringa o te auau, o ngā tohu rānei o tō mate upoko, mēnā rānei ka huri ō tohu ki te wāhi e whakararuraru ai i ō mahi o ia rā.

Kāore te ānini o te upoko e kino ana i a ia anō. Heoi, ko ētahi rongoā e tangohia ana e ētahi tāngata hei rongoā ka kino pea.

He aha te āhua o te 'rebound headache'?

He rite te ahua o te ānini o te upoko ki ngā ānini o mua. Heoi, he maha ngā wā ka kaha ake i ngā ānini o mua. Tērā pea ka pāngia koe e ētahi atu tohu, pērā i te manukanuka, te pouri rānei.

Ka kino ake rānei te mamae o te upoko i te kawheine?

Āe, ki te nui atu i te 200 mirikaramu kawheine e kainga ana e koe i ia rā. Mā te whakawhāiti i tō kai kawheine ka nui ake te tūponotanga ka angitu tō maimoatanga, ā, ka whakawhāiti hoki i te kaha o te 'mate upoko hoki'.

Ina pāngia koe e te mamae nui, te mamae anō hoki, te mamae o te upoko, te mamae o te upoko rānei, ka kore e taea te manawanui ki te whakaaro kāore he rongoā hei rongoā mō ēnei mamae. Heoi anō, tera atu anō ētahi huarahi hei rongoā mō ō mamae o te upoko. Ka taea e ēnei te āwhina i a koe ki te whakaiti i te hiahia ki ngā rongoā ka puta ai he 'mamae anō'.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

E hoa, ko tāku tumanako kua mārama ake koe ki tēnei mate e kiia nei ko te 'Rebound Headaches'. Kia maumahara, ehara i te mea pai te tango i ngā rongoā whakamamae mamae mō te mamae o te upoko i ngā wā katoa. Mā te mahi pēnā ka kino ake tō mamae o nāianei, ka hua ake ēnei mea e kiia nei ko te 'Rebound Headaches'.

• Mena he maha ngā wā e pāngia ana koe e te mamae o te upoko, ā, kua maha ngā rā e kai ana koe i te rongoā, me toro atu koe ki te tākuta mō ētahi tohutohu.
• Kaua e whakanui ake i te horopeta o te rongoā, kaua hoki e tango i ngā wā maha atu i tōu e pai ai, ki te kore i tohua e tō tākuta.
• Ki te kitea koe he 'mate upoko anō', kaua e mataku. He pai ngā maimoatanga mōna. Ko te mea nui ko te whakamutu i te tango i te rongoā i puta ai.
• Ka taea te whakaora rawa i tēnei mate mā roto i ngā maimoatanga rerekē me ngā huringa āhua noho e ai ki ngā tohutohu a te taote.

Mā te maimoatanga tika, ehara i te mea ka taea e koe te whakakore noa i ngā 'Papānga o te Upoko o te Mahunga', engari ka taea hoki e koe te karo i ngā rongoā e hua ai aua pānga. Kātahi ka taea e koe te mahi me te noho i tō oranga i te ara e hiahia ana koe, me te kore e herea e ō tohu o te mamae o te upoko. Kia tere tō ora!

` Mamae upoko, rongoā whakamamae, mamae upoko anō, migraines, whakamahi kino i ngā rongoā, mamae upoko, tohutohu hauora