Kodi inunso mumakhala ndi mutu wopweteka pafupipafupi? Kodi uwu ukhoza kukhala mutu wopweteka kwambiri?

Kodi mumadwalanso mutu nthawi zonse? Nthawi zina si mutu wokha, koma mutu wosapiririka. Kukhala ndi mutu ngati uwu kwa masiku angapo pamwezi ndi vuto lalikulu pakuchita zinthu za tsiku ndi tsiku, sichoncho? Lero, tiyeni tikambirane za mutu wopitirira, kapena `(Chronic Migraine)`.

Kodi Mutu Wosatha wa Migraine ndi Chiyani?

Mwachidule, mutu waching'alang'ala wosatha umachitika pamene mutu umapweteka pafupipafupi, kapena tsiku lililonse. Zizindikiro zanu zimatha kusintha tsiku ndi tsiku, ndipo nthawi zina ola limodzi ndi ola limodzi. Izi zimapangitsa kuti zikhale zovuta kudziwa komwe mutu umodzi umathera ndi wina umayambira.

Kodi mutu ndi migraines ndi chinthu chimodzi?

Izi ndizofunikira kwambiri . Mutu waching'alang'ala si mutu wopweteka wokha. Pali kusiyana kwakukulu pakati pa ziwirizi.

Mutu wofala kwambiri (makamaka mtundu wofala monga ``Tension-type headache - TTH'') ukhoza kukhala wosasangalatsa pang'ono ndipo ungasokoneze zochita zathu za tsiku ndi tsiku. Koma sizoipa kwambiri moti zimatipangitsa kulephera kuchita ntchito zathu za tsiku ndi tsiku. Pankhaniyi, pali ululu pamutu kapena pankhope, koma sizikhudza ubongo mwachindunji.

Koma mutu waching'alang'ala ndi chinthu chomwe chimakhudza ubongo wanu mwachindunji . Ndicho chimene chimawapangitsa kukhala oipa kwambiri. Mukakhala ndi mutu waching'alang'ala, ukhoza kukhala wosapiririka kwambiri moti ngakhale kuchita zinthu za tsiku ndi tsiku kungakhale kosapiririka.

Kodi vutoli ndi lofala bwanji?

Padziko lonse lapansi, pakati pa 12% ndi 15% ya anthu ali ndi mutu waching'alang'ala. Komabe, mutu waching'alang'ala wosatha siwofala kwambiri. Akatswiri amati pakati pa 1% ndi 2.2% ya anthu padziko lonse lapansi ali ndi vutoli.

Nthawi zambiri, vuto la "Chronic Migraine" limeneli limakhudza kwambiri akazi .

Migraine nthawi zambiri imayamba pafupifupi nthawi ya unyamata ndipo imachepa pang'onopang'ono mukakula. Mukatha kusamba, nthawi zambiri mutu wa migraine sumachitika, kapena umatha pafupifupi kwathunthu.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro za mutu waching'alang'ala wosatha zimafanana ndi zizindikiro za mutu waching'alang'ala wa nthawi ndi nthawi. Kusiyana kwakukulu ndikuti umatenga nthawi yayitali ndipo umachitika pafupipafupi . Mutu umagwirizanitsidwanso ndi mutu.

Kuti mupeze matenda awa, muyenera kukwaniritsa zofunikira izi:

• Muyenera kukhala ndi mutu kapena mutu waching'alang'ala kwa masiku osachepera 15 pamwezi. Izi ziyenera kukhala kwa miyezi itatu yotsatizana.
• Komanso, mutu wanu uyenera kukhala ndi zizindikiro kapena makhalidwe a mutu waching'alang'ala kwa masiku osachepera 8 pamwezi. Izi ziyeneranso kukhalapo kwa miyezi itatu yotsatizana.

Kodi zizindikiro za mutu waching'alang'ala ndi ziti kwenikweni?

Mutu waching'alang'ala umamveka mosiyana kwa aliyense, ndipo nthawi zina ngakhale munthu yemweyo amakumana nawo mosiyana. Pakhoza kukhala magawo akuluakulu anayi (ngakhale kuti si mitu yonse ya mutu waching'alang'ala yomwe ili ndi magawo onse anayi):

• (Prodrome): Izi ndi zizindikiro zazing'ono zomwe mumamva mutu usanayambe. Mungaganize kuti, "O... ndikumva ngati ndili pafupi kudwala mutu." Mungakumane ndi zinthu monga kusasangalala, kusintha kwa chilakolako, ndi zina zotero.
• (Aura): Zizindikirozi zimachitika pamene madera ena a ubongo akhudzidwa. Zizindikiro zake zingaphatikizepo kuona kuwala pamaso pa maso, dzanzi m'miyendo, komanso kuvutika kulankhula.
• Mutu: Iyi ndi gawo lalikulu komanso lopweteka kwambiri la mutu waching'alang'ala.
• Pambuyo pa drome: Izi zikufanana ndi zotsatirapo zoyipa zomwe mumamva mutatha kupweteka mutu. Anthu ena amatcha "migraine hangover." Mutha kumva kutopa komanso mutu wopepuka.

Tsopano, kuti titchule molondola kuti "Chronic Migraine", zizindikiro zanu ziyenera kugawidwa m'magulu motere:

Mutu waching'alang'ala wopanda aura

Izi nthawi zambiri zimatha pakati pa maola 4 ndi 72.

Pa nthawi ya mutu, zizindikiro ziwiri mwa izi ziyenera kukhalapo:

• Ululu mbali imodzi ya mutu (kumanja kapena kumanzere).
• Ululuwo umamveka ngati ululu wopweteka kwambiri komanso wobaya.
• Ululu wake ndi wapakati mpaka wovuta kwambiri.
• Ululu womwe umawonjezeka pochita ntchito zachizolowezi (monga kuyenda kapena kukwera masitepe), kapena kumva ngati mukufuna kupewa ntchito zotere.

Komanso, panthawi ya mutu, chimodzi mwa zizindikiro zotsatirazi chiyenera kukhalapo:

• Kusanza.
• Kusanza.
• Kukhala ndi photophobia ndi phonophobia.

Mutu waching'alang'ala wokhala ndi aura

Chimodzi mwa zizindikiro zotsatirazi za `(Aura)` chiyenera kukhalapo :

• Zizindikiro zooneka: kuona kuwala pamaso pa maso, kuona chifunga, kuona mawonekedwe a zig-zag pamaso pa maso, kapena kusintha kwina kwa maso.
• Zizindikiro zogwira: kumva kuwawa, kumva kuluma m'miyendo.
• Zizindikiro za kulankhula/chilankhulo: Kuvuta kulankhula, kuvutika kumvetsa zomwe ena akunena.
• Zizindikiro za kayendedwe ka thupi: `(Hemiplegia)` (kutaya chidziwitso kapena kufooka mbali imodzi - kungakhudze thupi ndi/kapena nkhope).
• Zizindikiro zokhudzana ndi ubongo: Kulephera kugwirizana, mavuto a kulinganiza bwino, chizungulire, kulira m'makutu, kusokonezeka m'mimba (monga kutsegula m'mimba kapena kudzimbidwa).
• Zizindikiro za retinal: Kutaya kwathunthu kapena pang'ono kwa masomphenya m'diso limodzi, kapena kuwona magetsi oyaka.

Komanso, zinthu zitatu mwa izi ziyenera kukwaniritsidwa:

• Chizindikiro chimodzi cha "Aura" chomwe chimafalikira pang'onopang'ono kwa mphindi 5 kapena kuposerapo.
• Kupezeka kwa zizindikiro ziwiri kapena zingapo za "Aura" chimodzi pambuyo pa china.
• Chizindikiro chilichonse cha "Aura" chimakhala pakati pa mphindi 5 ndi ola limodzi.
• Mbali imodzi yokha ya `(Aura)` imapezeka mbali imodzi yokha.
• Chimodzi mwa zizindikiro za "Aura" chimakhala "chizindikiro chabwino" (kutanthauza kuti china chatsopano chimawonjezeredwa chifukwa cha khalidwe limenelo; kuthekera kokhudzidwa ndi "zizindikiro zoipa" kumatayika kwathunthu kapena pang'ono).
• Mutu umayamba nthawi yomweyo pambuyo pa aura kapena mkati mwa mphindi 60 kuchokera pa aura.

Nchifukwa chiyani mutu wa mutu uwu umachitika?

Matenda a mutu waching'alang'ala amatha kutengera chibadwa . Izi zikutanthauza kuti ngati wina m'banja mwanu, makamaka makolo anu kapena agogo anu, ali ndi mutu waching'alang'ala, inunso muli ndi mwayi waukulu woti muwadwalitse.

Kuphatikiza apo, pali zinthu zina zingapo zomwe ofufuza akuganiza kuti zingayambitse mutu waching'alang'ala uwu:

• Kusintha kwa kayendedwe ka magazi chifukwa cha kufalikira kapena kuchepa kwa mitsempha yamagazi muubongo.
• Kusokonezeka kwakanthawi kwa kutumiza kwa zizindikiro zamagetsi m'maselo a ubongo.
• Kusintha kwa mankhwala muubongo. Mwachitsanzo, kusintha kwa kuchuluka kwa ma neurotransmitters monga serotonin.
• Zizindikiro zolakwika zochokera ku mitsempha yozungulira maso kapena mbali zina za mutu.
• Kusagwira bwino ntchito kwa malo operekera ululu ndi zizindikiro m'mbali zosiyanasiyana za ubongo.
• Ululu wopitirira muyeso umayambitsa kusintha kwa momwe thupi limazindikira ndikumva ululu.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli zomwe zimapangitsa kuti pakhale vutoli?

Zinthu zotsatirazi zingakulitse chiopsezo chanu chokhala ndi mutu waching'alang'ala wosatha, kapena kukulitsa zomwe zilipo kale:

• Kunenepa kwambiri.
• Kuvulala mutu, mwachitsanzo kugwedezeka kwa mutu.
• Matenda ena osatha, makamaka matenda okhudzana ndi ululu monga fibromyalgia.
• Mavuto amisala, mwachitsanzo, kuvutika maganizo kapena nkhawa.
• Matenda ogona, makamaka matenda opumira m'tulo.

Kodi mutu waching'alang'ala wamba ungasanduke mutu waching'alang'ala wopitirira?

Inde, nthawi zina mutu waching'alang'ala wabwinobwino, womwe nthawi zina umatha "kusintha" kukhala mutu waching'alang'ala wosatha. Izi zimachitika kudzera m'njira zomwe ngakhale akatswiri sazimvetsa bwino.

Koma chinthu chimodzi chapezeka. Ndi chakuti kugwiritsa ntchito mopitirira muyeso mankhwala enaake a dokotala kungakhale chifukwa cha izi. Tikanena kuti "kugwiritsa ntchito mopitirira muyeso," sizitanthauza vuto la kugwiritsa ntchito mankhwala osokoneza bongo. Izi zitha kuchitika ngakhale ndi mankhwala osagwiritsa ntchito mankhwala osokoneza bongo.

Choncho, ngati ndinu munthu amene nthawi zina mumadwala mutu waching'alang'ala, akatswiri amalangiza mwamphamvu kuti ndi bwino kupewa kugwiritsa ntchito mankhwala ena pafupipafupi. Kugwiritsa ntchito mankhwala mopitirira muyeso nthawi zina kungakhalenso chifukwa chomwe chimawonjezera mutu waching'alang'ala.

Kodi zimayambitsa mutu wa mutu wa migraine ndi ziti?

Chakudya, zakumwa, zinthu zina, fungo, mawu, kapena zinthu zina ndi zochitika zina m'deralo zingayambitse mutu waching'alang'ala mkati mwa maola ochepa kapena masiku angapo. Izi ndi zomwe timazitcha kuti zimayambitsa mutu waching'alang'ala .

Izi ndi ``Triggers`` zodziwika bwino:

• Kupsinjika maganizo kuli bwino, nkhawa ili bwino.
• Kusintha kwa mahomoni kokhudzana ndi kusamba.
• Njala kapena kutaya madzi m'thupi.
• Kusintha kwa kuthamanga kwa mpweya (monga komwe kumachitika ndi kusintha kwa nyengo).
• Palibe vuto kugona kwambiri, ndipo palibe vuto kusagona mokwanira.
• Mafungo ena, zonunkhira.
• Zakudya zina kapena zowonjezera (tchizi yakale, vinyo wofiira, chokoleti, ndi nyama yakale kapena yosungidwa ndi zitsanzo zabwino).
• Kuwala (mitundu ina ya magetsi, kapena ngakhale sekondi imodzi yokha ya kuwala kuchokera ku chinthu chowala, kungayambitse mutu waching'alang'ala).
• Kafeini (makamaka ngati mutenga kwambiri, koma palibe vuto kutenga pang'ono kuposa momwe mumachitira nthawi zonse).
• Ma sound ena, makamaka ma sound otsika (monga sound ya jackhammer) kapena ma sound apamwamba (monga sound ya zida zamagetsi), ndi
• Kugwiritsa ntchito mankhwala pafupipafupi pa mutu (izi zimatchedwanso mankhwala opweteka mutu pogwiritsa ntchito mopitirira muyeso kapena "mutu wobwerera m'mbuyo").

Kodi izi zingayambitse mavuto otani?

Mavuto omwe amabwera chifukwa cha mutu waching'alang'ala amatha kuchitika, koma si zachilendo . Zitsanzo zina ndi izi:

• `(Status migrainosus)` (mutu wopweteka kwambiri womwe umatenga masiku opitilira atatu).
• Kukwapulidwa.
• Kugwidwa ndi khunyu komwe kumakhudzana ndi `(Aura)`.
• Matenda a mtima (izi sizichitika kawirikawiri).

Kodi madokotala amazindikira bwanji izi?

Dokotala amazindikira vutoli (Chronic Migraine) mwa kuphatikiza njira zingapo. Choyamba, nthawi zambiri amachita mayeso a mitsempha. Kenako amakufunsani mafunso angapo okhudza mbiri yanu ya thanzi, moyo wanu watsiku ndi tsiku, zizolowezi zanu, ndi zochita zanu. Mafunso omwe amafunsidwa kawirikawiri ndi awa:

• Kodi mutu wanu umamveka bwanji? Makamaka, kufotokozera kwanu ululu, komwe uli m'mutu mwanu, komanso kuchuluka kwa ululuwo.
• Kodi munayamba mwadwalapo mutu waching'alang'ala? Ngati ndi choncho, mumadwala kangati?
• Kodi pali zizindikiro zina zomwe zimayenderana ndi mutu? (monga kukhudzidwa ndi kuwala kapena phokoso)
• Kodi mumamwa zakumwa zokhala ndi caffeine? Ngati ndi choncho, nthawi zambiri mumamwa mowa wochuluka bwanji?
• Kodi muli ndi "Zinthu Zoyambitsa" zomwe zimapangitsa mutu wanu kukhala wovuta kwambiri? (monga chakudya, zakumwa, fungo, phokoso)
• Kodi nthawi zambiri mumagona nthawi yayitali bwanji? Kodi zizolowezi zanu zogona zakhala bwanji posachedwapa?
• Kodi nkhawa zanu ndi kuchuluka kwa nkhawa zanu ndi kotani? Kodi muli ndi chifukwa chilichonse chokhalira ndi nkhawa kapena nkhawa, tsopano kapena posachedwapa?

Ndi mayeso amtundu wanji omwe amachitidwa kuti apeze izi?

Dokotala wanu angakupatseni mayeso ena. Angakuuzeninso mayeso ojambulira zithunzi, monga CT scan, kuti athetse matenda omwe angakupheni, monga sitiroko. Izi nthawi zambiri zimachitika ngati muli ndi zizindikiro zazikulu za mitsempha, makamaka hemiplegia (kutayika kwa chidziwitso mbali imodzi ya thupi). Ichi ndi chizindikiro chofala cha ziwalo zopuwala. Pazochitika zosayembekezereka, MRI scan ingachitike kuwonjezera pa kapena m'malo mwa CT scan.

Mayeso ena angachitike kutengera zizindikiro zanu. Dokotala wanu ndiye munthu wabwino kwambiri woti akuuzeni za mayesowa komanso chifukwa chake akufunika.

Kodi mankhwala ake ndi otani? Kodi angathe kuchiritsidwa kwathunthu?

Chithandizo cha mutu waching'alang'ala chosatha chimafanana kwambiri ndi chithandizo cha mutu waching'alang'ala wamba. Chofunika kwambiri ndi mankhwala . Pali mitundu iwiri ikuluikulu ya chithandizo:

1. Chithandizo chodzitetezera: Pankhaniyi, mankhwala amagwiritsidwa ntchito poletsa mutu waching'alang'ala kuchitika, kapena kuchepetsa kuopsa kwake kapena kuchuluka kwake ngati achitika.

2. Mankhwala opulumutsa: Mankhwalawa amagwiritsidwa ntchito kuchepetsa nthawi ndi kuopsa kwa mutu waching'alang'ala.

Kuphatikiza apo, pali njira zina zachipatala zomwe zingagwiritsidwe ntchito pa `(Chronic Migraine)`. Uphungu wa zaumoyo wamaganizo ungakhalenso gawo lofunika kwambiri la chithandizo.

Mankhwala Oletsa Kutupa

Mankhwalawa ndi othandiza kwambiri pa matenda a `(Chronic Migraine)`, chifukwa amachepetsa kuchuluka kwa mutu waching'alang'ala, kapena kuchepetsa kuopsa kwake. Mankhwala amtunduwu nthawi zambiri amaperekedwa:

• Angiotensin II receptor blockers (ARBs) (monga candesartan)
• Mankhwala ena oletsa kugunda kwa mtima (monga valproic acid, topiramate)
• Mankhwala oletsa kuvutika maganizo (monga amitriptyline, nortriptyline, venlafaxine)
• Beta-blockers (monga atenolol, metoprolol, propranolol)
• Jakisoni wa poizoni wa Botulinum (Botox®)
• Ma calcium channel blockers (CCBs) (monga verapamil, flunarizine)
• Mankhwala ochizira jakisoni pogwiritsa ntchito ma antibodies a monoclonal (monga erenumab, fremanezumab, galcanezumab)

Mankhwala Opulumutsa

Mankhwalawa amagwiritsidwa ntchito kuchepetsa nthawi ndi/kapena kuopsa kwa mutu waching'alang'ala akachitika. Komabe, akatswiri amati ayenera kugwiritsidwa ntchito mosamala . Kugwiritsa ntchito mopitirira muyeso mankhwalawa kungayambitse kapena kuipira kwa mutu waching'alang'ala wosatha.

Mankhwala Ogulitsa Mankhwala Osagulitsidwa ndi Kampani (OTC) ndi NSAIDs

Izi ndi mitundu ya mankhwala ogulitsidwa kunja kwa chipatala ndi "NSAIDs" (mankhwala oletsa kutupa omwe si a steroidal) omwe angagwiritsidwe ntchito pochiza mutu waching'alang'ala:

• Acetaminophen (yomwe imadziwikanso kuti Paracetamol, Tylenol®, ndi Panadol®)*
• Aspirin
• Ibuprofen (yomwe imadziwikanso kuti Advil®, Motrin®)
• Naproxen (ikupezeka pansi pa mayina monga Aleve®)

*> Dziwani: Acetaminophen si NSAID. Komabe, nthawi zambiri imatchedwa NSAID chifukwa imapezeka popanda kugulitsidwa ndipo ili ndi makhalidwe ofanana.*

Mankhwala ena a mutu waching'alang'ala omwe amagulitsidwa popanda chilolezo cha dokotala amakhala ndi caffeine pamodzi ndi NSAIDs. Ndibwino kulankhula ndi dokotala wanu za kugwiritsa ntchito mankhwala omwe ali ndi caffeine. Komanso, werengani mosamala chizindikirocho mukamamwa mankhwala kuti muwonetsetse kuti simukumwa mankhwalawa mosadziwa.

Mankhwala a Triptan

Awa ndi mankhwala oyamba omwe nthawi zambiri amaperekedwa kwa mutu waching'alang'ala. Zitsanzo zina ndi izi: `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`.

Komabe, dokotala wanu angakhale ndi maganizo osiyana pankhani yogwiritsira ntchito izi pa mutu waching'alang'ala wosatha. Chifukwa kuzigwiritsa ntchito pafupipafupi kungayambitse mutu wopweteka kwambiri pogwiritsa ntchito mankhwala, kapena mutu waching'alang'ala wamba ukhoza kukhala wokhalitsa.

Ergotamine

Mankhwalawa amachepetsa mitsempha yamagazi muubongo ndipo amakhudza momwe zizindikiro za ululu zimagwirira ntchito.

Mankhwala olamulidwa ndi ophatikizana

Mankhwalawa ali ndi NSAID ndi mankhwala ena olamulidwa, monga barbiturate kapena opioid painkiller. Mankhwalawa nthawi zambiri sagwiritsidwa ntchito pochiza mutu waching'alang'ala chifukwa amatha kukulitsa vutoli.

Njira zachipatala

Pali njira zingapo zamankhwala zomwe zingathandize ndi mutu waching'alang'ala wosatha:

• Kulimbikitsa mitsempha: Izi nthawi zambiri zimagwiritsa ntchito mitsempha ya vagus, mitsempha ya occipital (kumbuyo kwa mutu), ndi mitsempha ya supraorbital (pamphumi).
• Kulimbikitsa mphamvu ya maginito ya Transcranial (TMS): Izi zimagwiritsa ntchito mphamvu ya maginito kuti ikhudze ntchito yamagetsi ya ubongo.
• Njira zina zochiritsira: Mankhwala ena, monga acupuncture, angathandizenso anthu ena. Ngakhale kuti izi sizofala kwambiri, zingakhale zothandiza kwa anthu ena. Pali madokotala ophunzitsidwa bwino komanso akatswiri azaumoyo omwe amapereka chithandizochi.

Thandizo la thanzi la maganizo

Chithandizo cha maganizo (mawu ovomerezeka omwe amagwiritsidwa ntchito pofotokoza za chithandizo cha matenda amisala) angathandize anthu omwe ali ndi nkhawa komanso nkhawa, zomwe zonsezi zingayambitse mutu waching'alang'ala. Pali mitundu yambiri ya chithandizo cha maganizo, kotero mungasankhe imodzi yomwe ingakuthandizeni.

Kodi ndingayembekezere chiyani?

Mutu waching'alang'ala ndi gawo losokoneza kwambiri pa moyo. Zingakhale zovuta kwambiri, nthawi zina zosatheka, kuchita zinthu za tsiku ndi tsiku. Ntchito, ntchito zapakhomo, zosangalatsa, ndi maubwenzi onse amasokonekera.

Mutu waching'alang'ala wosatha ndi pamene mutu waching'alang'ala umachitika kwa masiku osachepera asanu ndi atatu pamwezi kwa miyezi itatu. Popeza umachitika pafupipafupi, akatswiri amauona ngati wolemala ndipo ukhoza kusokoneza kwambiri moyo.

Migraine nthawi zambiri si yoopsa. Koma imatha kusokoneza kwambiri moyo. Ikhozanso kuwonjezera chiopsezo cha matenda oopsa monga sitiroko ndi matenda a mtima. Zizindikiro zina za mutu wa mutu zimatha kufanana ndi zizindikiro za sitiroko. Chifukwa chake, kuyang'aniridwa ndi dokotala ndi chithandizo ndizofunikira.

Kodi izi zitenga nthawi yayitali bwanji?

Izi zimasiyana malinga ndi munthu. Kwa ena, zimatha miyezi, zaka, kwa ena, komanso zimatha zaka zambiri.

Mbiri ya banja, mavuto a munthu, zinthu zomwe zimayambitsa mutu waching'alang'ala, komanso kupambana kwa chithandizo zonsezi zingakhudze izi. Dokotala wanu angakupatseni upangiri wabwino kwambiri wa nthawi yomwe vutoli lidzathe kupirira, komanso zomwe mungachite kuti muchepetse nthawi yomwe lidzakhudze moyo wanu.

Kodi chiyembekezo cha izi ndi chotani?

Mutu waching'alang'ala wosatha ndi chinthu chomwe chingasinthe moyo wonse. Nkhani yabwino ndi yakuti pakati pa 26% ndi 70% ya anthu pamapeto pake adzabwereranso ku mutu waching'alang'ala wa episodic. Komabe, anthu ena nthawi zina amasinthasintha pakati pa mutu waching'alang'ala wosatha ndi mutu waching'alang'ala wa episodic .

Kuchuluka kwa mutu waching'alang'ala kumachepa ndi ukalamba. Kwa akazi, izi zimatha kuchepetsedwa kwambiri kapena kutheratu atatha kusamba.

Kodi izi zingathe kupewedwa? Kapena chiopsezo chotenga matendawa chingachepe?

Popeza akatswiri samvetsa bwino chifukwa chake kapena momwe vutoli (Chronic Migraine) limakulira, n'zosatheka kuliletsa 100% . Ngakhale anthu ena angachepetse chiopsezo chawo, omwe ali ndi mbiri ya m'banja lawo akhozabe kudwala matendawa, ngakhale atasamala.

Ngati nthawi zina mumadwala mutu waching'alang'ala, chinthu chokhacho chomwe mungachite ndikuletsa kuti mankhwala anu asasinthe kukhala mutu waching'alang'ala wamba. Kuti muchite izi, lankhulani ndi dokotala wanu za momwe mungagwiritsire ntchito mankhwala anu moyenera komanso momwe mungachepetsere chiopsezo chanu.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi mutu waching'alang'ala wosatha, pali zinthu zambiri zomwe mungachite kuti mudzisamalire. Yesani izi:

• Sungani buku lanu la mutu waching'alang'ala. Izi zimathandiza kwambiri kumayambiriro kwa matendawa, koma zimathandiza mosasamala kanthu kuti mwakhala mukudwala mutu waching'alang'ala kwa nthawi yayitali bwanji. Izi zikuthandizani kuona momwe mutu wanu waching'alang'ala umasinthira pakapita nthawi. Izi ndizofunikira kwambiri pankhani yopeza zomwe zimayambitsa mutu waching'alang'ala.
• Konzani moyo wanu.Zimene mumadya komanso kuchuluka kwa zochita zanu zingakhudze mutu waching'alang'ala. Ngakhale kuti kuchita masewera olimbitsa thupi nthawi zina kungawonjezere kapena kuyambitsa mutu waching'alang'ala, kupeza njira zochitira zinthu zolimbitsa thupi kungathandizenso kukonza zizindikiro zanu. Ndikofunikanso kukhala ndi kulemera koyenera, chifukwa kunenepa kwambiri komanso kunenepa kwambiri kungayambitse mutu waching'alang'ala wosatha.
• Musaope kupempha thandizo kuchokera ku ukadaulo. Mafoni ambiri ali ndi mapulogalamu omwe amatha kulemba ndikutsatira mutu wanu wa mutu. Mapulogalamu ambiri ndi aulere, koma ena ali ndi njira zolipirira zokhala ndi zinthu zambiri. Muthanso kugwiritsa ntchito mapulogalamu ena, monga mapulogalamu a nyengo, kuti akuchenjezeni za zinthu zomwe zingayambitse mutu wanu wa mutu, monga kuipitsidwa kwa mpweya kapena kusintha kwa kuthamanga kwa mpweya.
• Dziwani zomwe zimayambitsa mutu wanu wa mutu. Mukadziwa zomwe zimayambitsa mutu wanu wa mutu, mutha kuzipewa kapena kuchepetsa zomwe zimakhudza moyo wanu. Izi zikuthandizani kuchepetsa kuchuluka kwa mutu wanu wa mutu. Iyi ndi njira yofunika kwambiri yosinthira mutu wa mutu wa mutu wa mutu kukhala mutu wamba.
• Lankhulani ndi ena omwe ali ndi vutoli. Pali zambiri zomwe mungaphunzire kuchokera kwa anthu ena omwe ali ndi mutu waching'alang'ala wosatha. Mutha kulowa nawo magulu othandizira m'dera lanu. Muthanso kupeza magulu othandizira pa malo ochezera a pa Intaneti kapena kudzera pa mawebusayiti a mabungwe othandizira mutu waching'alang'ala.

Ndi zinthu ziti zomwe sindingathe kudya kapena kumwa?

Zinthu zomwe zimayambitsa mutu waching'alang'ala ndi zosiyana kwa aliyense. Kulemba buku lanu la zochitika kungakuthandizeni kuzindikira ndikupewa zinthu zomwe zimayambitsa mutu waching'alang'ala.

Kawirikawiri, `(Trigger)` imakonzedwa pogwiritsa ntchito njira zofanana ndi zakudya zina. Zitsanzo:

• Kuphika: Njira imeneyi imagwiritsidwa ntchito popanga zakumwa zoledzeretsa monga vinyo, mowa, cider, ndi zakumwa zoledzeretsa. Ndikofunikanso popanga tchizi, yogati, ndi mitundu ina ya buledi (monga mtanda wa sourdough).
• Kusunga: Njira iyi imagwiritsidwa ntchito posunga zakudya monga ndiwo zamasamba ndi nyama. Zitsanzo zake ndi monga nkhaka, sauerkraut, kimchi, mazira, ndi nyama.
• Kuchiritsa ndi kukalamba: Njirayi imagwiritsidwa ntchito posunga nyama. Zakudya zina zosungira, makamaka nitrates ndi nitrites, zingayambitse mutu waching'alang'ala. Kukalamba zakudya zina, makamaka nyama ndi tchizi, kungayambitsenso mutu.

Kodi ndiyenera kupita kwa dokotala liti kapena kufunsa upangiri wa dokotala?

Ngati muli ndi mutu waching'alang'ala nthawi zonse, muyenera kupita kwa dokotala nthawi zonse.Muyenera kuonana ndi katswiri wa mitsempha (nthawi zambiri katswiri wa mitsempha) kuti akalandire chithandizo china. Dokotala wanu adzakupatsani nthawi yoti mupiteko. Komanso, ngati muwona kusintha kulikonse mu zizindikiro zanu, makamaka ngati zikukhudza zochita zanu za tsiku ndi tsiku, moyo wanu, kapena zochita zanu, lankhulani ndi dokotala wanu nthawi yomweyo.

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Ngati muli ndi zizindikiro za matenda aakulu kapena omwe angakupheni, pitani kuchipatala mwamsanga. Zitsanzo:

• Mutu wopweteka kwambiri: Uwu ndi mutu womwe umayamba mwadzidzidzi ndipo umakhala woopsa kwambiri pakangopita mphindi zochepa. Izi zitha kukhala chizindikiro cha kutuluka magazi muubongo.
• Mutu waukulu: Izi zikutanthauza kuti mumamva ngati muli ndi mutu woopsa kwambiri pa moyo wanu. Izi zitha kukhala chizindikiro cha aneurysm ya ubongo, kutuluka magazi muubongo, kapena sitiroko.
• Hemiplegia: Ichi ndi chizindikiro chachikulu cha ziwalo zopuwala . Ngati mukukumana ndi izi, simungathe kudziwa ngati ndi mutu waching'alang'ala kapena sitiroko . Hemiplegia yomwe imayamba chifukwa cha mutu waching'alang'ala nthawi zambiri imatha pakapita nthawi, koma musayembekezere kuti itha. Ngati yachedwa kwambiri, ikhoza kubweretsa kuwonongeka kwa ubongo kapena imfa.

Kodi matenda a Migraine osatha ndi vuto lalikulu?

Mutu wopweteka nthawi zonse (kupatula nthawi zina) siwowopsa mwachindunji, koma ndi woopsa kwambiri . Mutu wopweteka ukhoza kupangitsa moyo kukhala wovuta kwambiri, zomwe zimapangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku, ndipo nthawi zina sizingatheke. Chifukwa chakuti zimachitika kawirikawiri, akatswiri amaona kuti ndi vuto lalikulu.

Kodi izi zidzatha konse?

Inde, mutu waching'alang'ala wosatha (ndi mutu waching'alang'ala wonse) ukhoza kutha. Njira imodzi ndi kukalamba. Ukhozanso kukhala mutu waching'alang'ala wokhazikika, nthawi zina (episodic migraine). Nthawi zambiri chimenecho ndiye cholinga chachikulu cha chithandizo. Mutu waching'alang'ala wokhazikika ndi wosavuta kuulamulira, wosavuta kuuchiza, komanso wosasokoneza moyo chifukwa suchitika kawirikawiri.

Pomaliza, zinthu zoti muzikumbukira

Mutu waching'alang'ala si mutu wopweteka wokha. Mukadwala mutu waching'alang'ala, nthawi zambiri mumayenera kukhala m'chipinda chamdima komanso chete. Chifukwa kuwala ndi phokoso zimatha kuyambitsa ululu wosapiririka, nseru, ndi zizindikiro zina zambiri. Kukhala m'chipinda chamdima komanso chete sikuchotsa zizindikirozo. Zimangoletsa kuti zisakule kwambiri. Ngati muli ndi mutu waching'alang'ala, mwina mukudziwa kuti zizindikirozi zimakwiyitsa kwambiri. Koma nthawi zina zimakhala zokwiyitsa kwambiri kuyesa kuzifotokozera anthu omwe sakuzimvetsa komanso omwe ali ndi lingaliro lolakwika la momwe akumvera.

Mwamwayi, mutu waching'alang'ala wosatha nthawi zambiri umatha kuchiritsidwa. Ngakhale kusintha pang'ono pa moyo wanu watsiku ndi tsiku kungachepetse kuchuluka ndi kuopsa kwa mutu waching'alang'ala.Mwa kuyesa kuthana ndi mutu waching'alang'ala wanu mothandizidwa ndi dokotala wanu, mutha kuchepetsa kuchuluka ndi kuopsa kwa mutu waching'alang'ala wanu. M'malo mokhala ndi mutu waching'alang'ala umodzi pambuyo pa wina, mutha kuyang'ana kwambiri pa moyo wanu ndikusangalala nawo. Musadandaule, simuli nokha. Madokotala ndi okondedwa anu angakuthandizeni.

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