Ngaba nawe uneentloko ezibuhlungu rhoqo? Ngaba oku kungaba yi-migraine engapheliyo?

Ngaba nawe usoloko uphathwa ziintloko ezibuhlungu? Ngamanye amaxesha ayisiyontloko nje kuphela, kodwa yi-migraine enganyamezelekiyo. Ukuba nentloko ebuhlungu ngolu hlobo kangangeentsuku ezininzi ngenyanga ngumqobo omkhulu ekwenzeni imisebenzi yemihla ngemihla, akunjalo? Namhlanje, masithethe ngale migraine iqhubekayo, okanye imeko ethi `(Chronic Migraine)`.

Yintoni i-Chronic Migraine?

Ngamafutshane, i-migraine engapheliyo iyenzeka xa uneentloko ezibuhlungu rhoqo, okanye imihla ngemihla. Iimpawu zakho zinokutshintsha imihla ngemihla, kwaye ngamanye amaxesha iyure neyure. Oku kwenza kube nzima ukubona ngqo apho i-migraine enye iphela khona kwaye enye iqala khona.

Ngaba iintloko ezibuhlungu kunye ne-migraines ziyafana?

Oku kubaluleke kakhulu . I-migraine ayisiyongxaki nje yentloko ebuhlungu. Kukho umahluko omkhulu phakathi kwezi zimbini.

Intloko ebuhlungu eqhelekileyo (ingakumbi uhlobo oluqhelekileyo olufana ne-"Tension-type headache - TTH") inokuba yinto engathandekiyo kwaye inokuphazamisana nemisebenzi yethu yemihla ngemihla. Kodwa ayimbi kangako kangangokuba isenza singakwazi ukwenza imisebenzi yethu yemihla ngemihla. Kwimeko enjalo, kukho intlungu entlokweni okanye ebusweni, kodwa ayichaphazeli ngqo ingqondo.

Kodwa, iintloko ezibuhlungu zizinto ezichaphazela ngqo ingqondo yakho . Yiyo loo nto ezenza zibe mbi kakhulu. Xa unentloko ebuhlungu, kunokuba nzima kakhulu kangangokuba nokwenza imisebenzi yemihla ngemihla kunokuba nzima.

Ixhaphake kangakanani le meko?

Ehlabathini lonke, phakathi kwe-12% kunye ne-15% yabantu bane-migraine. Nangona kunjalo, i-migraine engapheliyo ayixhaphakanga kangako. Iingcali zithi phakathi kwe-1% kunye ne-2.2% yabemi behlabathi banale meko.

Uninzi lwexesha, le meko "ye-Chronic Migraine" ichaphazela kakhulu abafazi .

I-migraines idla ngokuqala ngexesha lokufikisa kwaye iyancipha kancinci kancinci njengoko ukhula. Emva kokuya exesheni, i-migraines ayisoloko isenzeka, okanye iphantse inyamalale ngokupheleleyo.

Zithini iimpawu zoku?

Iimpawu ze-migraine engapheliyo ziyafana nezo ze-migraine eyenzeka rhoqo. Umahluko omkhulu kukuba ihlala ixesha elide kwaye iyenzeka rhoqo . Intloko ebuhlungu nayo inxulunyaniswa nayo.

Ukuze ufumane olu xilongo, kufuneka uhlangabezane neemfuno ezilandelayo:

• Kufuneka ube nentloko ebuhlungu okanye i-migraine ubuncinane iintsuku ezili-15 ngenyanga. Oku kufuneka kube ubuncinane iinyanga ezintathu ezilandelelanayo.
• Kwakhona, iintloko zakho kufuneka zibandakanye iimpawu ze-migraine okanye iimpawu ubuncinane iintsuku ezisi-8 ngenyanga. Oku kufuneka kube khona ubuncinane iinyanga ezintathu ezilandelelanayo.

Zithini kanye kanye iimpawu ze-migraine?

Intloko ebuhlungu ingavakala yahlukile kumntu wonke, kwaye ngamanye amaxesha nomntu ofanayo uya kuba nayo ngendlela eyahlukileyo. Kunokubakho amanqanaba amane aphambili (nangona kungengawo onke amanqanaba entloko anezigaba ezine):

• (Prodrome): Ezi ziimpawu ezincinci ozivayo ngaphambi kokuba i-migraine iqale. Usenokucinga, "Owu... ndiziva ngathi ndiza kuba ne-migraine." Usenokufumana izinto ezifana nokungakhululeki, utshintsho ekutyeni, njl.
• (Aura): Ezi mpawu zenzeka xa iindawo ezithile zobuchopho zichaphazeleka. Iimpawu zingabandakanya ukubona izibane phambi kwamehlo, ukungaziva mnandi emalungeni, kunye nobunzima bokuthetha.
• Intloko ebuhlungu: Eli lelona nqanaba liphambili nelibuhlungu kakhulu le-migraine.
• I-Postdrome: Oku kufana nemiphumo emibi ozivayo emva kwe-migraine. Abanye abantu bayibiza ngokuba yi-"migraine hangover." Usenokuziva udiniwe kwaye unentloko ebuhlungu.

Ngoku, ukuze uchaze ngokuchanekileyo xa uyibiza ngokuba yi-"Chronic Migraine", iimpawu zakho mazihlulwe ngolu hlobo lulandelayo:

I-Migraine engena-aura

Oku kunokuhlala phakathi kweeyure ezi-4 ukuya kwezingama-72.

Ngexesha lesigaba sentloko, kufuneka kubekho ubuncinane ezimbini kwezi mpawu zilandelayo:

• Intlungu kwelinye icala lentloko (nokuba yeyasekunene okanye yeyasekhohlo).
• Intlungu ifana nentlungu ehlabayo nehlabayo.
• Intlungu iphakathi ukuya kwenkulu.
• Intlungu eyandayo xa usenza imisebenzi eqhelekileyo (njengokuhamba okanye ukunyuka izinyuko), okanye ukuziva ngathi uyayiphepha loo misebenzi.

Kwakhona, ngexesha lesigaba sentloko, kufuneka kubekho ubuncinane enye yezi mpawu zilandelayo:

• Isicaphucaphu.
• Ukuhlanza.
• Ukuba ne -photophobia kunye ne-phonophobia.

I-Migraine ene-aura

Kufuneka kubekho olunye okanye ngaphezulu kwezi mpawu zilandelayo ze-`(Aura)` :

• Iimpawu ezibonakalayo: ukubona izibane phambi kwamehlo, ukubona inkungu, ukubona iipateni ezigobileyo phambi kwamehlo, okanye olunye utshintsho olubonakalayo.
• Iimpawu ezinxulumene nokuchukumisa: ukurhawuzelela, ukurhawuzelela emilenzeni.
• Iimpawu zokuthetha/zolwimi: Ubunzima bokuthetha, ubunzima bokuqonda oko kuthethwa ngabanye.
• Iimpawu zentshukumo yomzimba: `(Hemiplegia)` (ukulahlekelwa zingqondo okanye ubuthathaka kwicala elinye - kunokuchaphazela umzimba kunye/okanye ubuso).
• Iimpawu ezinxulumene ne-Brainstem: Ukulahlekelwa kukulungelelaniswa, iingxaki zokulinganisela, i-vertigo, i-tinnitus, ukuphazamiseka kwesisu (njengorhudo okanye ukuqhinwa).
• Iimpawu ze-retina: Ukulahlekelwa ngokupheleleyo okanye kancinci kokubona kwelinye iliso, okanye ukubona izibane ezikhanyayo.

Kwakhona, kufuneka kuhlangatyezwane nemigaqo emithathu kwezi zilandelayo:

• Ubuncinane uphawu olunye lwe-"Aura" olusasazeka kancinci kancinci ngaphezu kwemizuzu emihlanu nangaphezulu.
• Ukubonakala kweempawu ezimbini okanye ezingaphezulu ze-"Aura" kulandelana.
• Uphawu ngalunye lwe-"Aura" luhlala phakathi kwemizuzu emi-5 kunye neyure e-1.
• Ubuncinane uphawu olunye lwe-`(Aura)` lukhona kwicala elinye kuphela.
• Ubuncinane olunye lweempawu ze-"Aura" luba "luphawu oluhle" (oko kuthetha ukuba kukho into entsha eyongezwayo ngenxa yolo phawu; amandla okuchaphazeleka "ziimpawu ezimbi" alahleka ngokupheleleyo okanye kancinci).
• Intloko ebuhlungu eqala emva nje kwe-aura okanye kwimizuzu engama-60 emva kwe-aura.

Kutheni le nto ezi migraines zenzeka?

I-Migraines inokuba yimfuza . Oku kuthetha ukuba ukuba umntu kusapho lwakho, ingakumbi abazali bakho okanye ootatomkhulu noomakhulu, unesifo se-migraine, nawe unokuba naso.

Ukongeza, kukho nezinye izinto ezininzi abaphandi abacinga ukuba zinokuba negalelo kule migraine:

• Utshintsho ekuhambeni kwegazi ngenxa yokwanda okanye ukuncitshiswa kwemithambo yegazi engqondweni.
• Ukuphazamiseka okwethutyana ekudlulisweni kwemiqondiso yombane kwiiseli zobuchopho.
• Utshintsho kwiikhemikhali zobuchopho. Umzekelo, utshintsho kumanqanaba ee-neurotransmitters ezifana ne-serotonin.
• Imiqondiso engalunganga evela kwimicu yemithambo-luvo ejikeleze amehlo okanye kwezinye iindawo zentloko.
• Ukungasebenzi kakuhle kwamaziko okucubungula iintlungu kunye nemiqondiso kwiindawo ezahlukeneyo zobuchopho.
• Intlungu engapheliyo ibangela utshintsho kwindlela umzimba oqonda kwaye uziva ngayo iintlungu.

Ziziphi izinto ezibangela umngcipheko ezinegalelo kolu phuhliso?

Ezi zinto zilandelayo zinokunyusa umngcipheko wakho wokuba nemigraines engapheliyo, okanye zenze ezi zikhoyo zibe zimbi ngakumbi:

• Ukutyeba kakhulu.
• Ukwenzakala entloko, umzekelo ukuxhuzula.
• Ezinye izifo ezingapheliyo, ingakumbi izifo ezinxulumene neentlungu ezifana ne-fibromyalgia.
• Iingxaki zempilo yengqondo, umzekelo, ukudakumba okanye ixhala.
• Iingxaki zokulala, ingakumbi i-sleep apnea.

Ngaba i-migraine eqhelekileyo ingaba yi-migraine engapheliyo?

Ewe, ngamanye amaxesha i-migraine eqhelekileyo, eyenzeka ngamaxesha athile, "inokutshintsha" ibe yi-migraine engapheliyo. Oku kwenzeka ngeenkqubo ezingaqondwa ngokupheleleyo ziingcali.

Kodwa kukho into enye efunyenweyo. Kukuba ukusetyenziswa kakhulu kwamayeza athile kagqirha kunokuba ngunobangela woku. Xa sisithi "ukusetyenziswa kakhulu," akuthethi ukuba kukho ingxaki yokusebenzisa iziyobisi. Oku kunokwenzeka nokuba kukho amayeza angengomlutha.

Ngoko ke, ukuba ungumntu ofumana iintloko ezibuhlungu ngamanye amaxesha, iingcali zicebisa ngamandla ukuba kungcono ungasebenzisi amayeza athile rhoqo. Ukusetyenziswa kakhulu kwamayeza ngamanye amaxesha kunokuba sisizathu sokwanda kweentloko ezibuhlungu.

Zithini izinto ezibangela i-migraine?

Ukutya, iziselo, izinto ezithile, ivumba, izandi, okanye izinto ezithile kunye neemeko ezikwindalo zinokubangela i-migraine kwiiyure ezimbalwa okanye iintsuku ezimbalwa. Ezi zizinto esizibiza ngokuba zi-migraine triggers .

Ezi zezona "Triggers" zixhaphakileyo:

• Uxinzelelo lulungile, ixhala lilungile.
• Utshintsho lwehomoni olunxulumene nokuya exesheni.
• Indlala okanye ukuphelelwa ngamanzi emzimbeni.
• Utshintsho kuxinzelelo lomoya (njengolo lwenzeka xa kutshintsha imozulu).
• Kulungile ukulala kakhulu, kwaye kulungile ukungalali ngokwaneleyo.
• Ezinye iivumba, iziqholo.
• Ukutya okuthile okanye izongezo zokutya (itshizi endala, iwayini ebomvu, itshokholethi, kunye nenyama endala okanye egciniweyo zezona mizekelo zibalaseleyo).
• Ukukhanya (ezinye iintlobo zokukhanya, okanye umzuzwana nje wokukhanya okuvela kwinto ekhazimlayo, kunokubangela intloko ebuhlungu).
• I-Caffeine (ingakumbi ukuba uthatha kakhulu, kodwa kulungile ukuthatha ngaphantsi kunesiqhelo).
• Ezinye izandi, ingakumbi izandi ezivakala kancinci (njengesandi se-jackhammer) okanye izandi ezivakala kakhulu (njengesandi sezixhobo zamandla), zinokuba
• Ukusela amayeza okunyanga iintloko ezibuhlungu rhoqo (oku kubizwa ngokuba ziintloko ezibuhlungu ezibangelwa kukusebenzisa amayeza okanye "iintloko ezibuhlungu ezibuyela umva").

Zeziphi iingxaki ezinokubangela oku?

Iingxaki ezibangelwa yi-migraines zinokwenzeka, kodwa aziqhelekanga . Eminye imizekelo yile:

• `(Status migrainosus)` (intloko ebuhlungu kakhulu ehlala iintsuku ezingaphezu kwezintathu).
• Izibetho.
• Ukuxhuzula okunxulunyaniswa ne-`(Aura)`.
• Ukuhlaselwa yintliziyo (oku kunqabile kakhulu).

Oogqirha bayibona njani le nto?

Ugqirha uxilonga esi sifo (Chronic Migraine) ngokudibanisa iindlela ezahlukeneyo. Okokuqala, badla ngokwenza uvavanyo lwemithambo-luvo. Emva koko bakubuze imibuzo embalwa malunga nembali yakho yempilo, ubomi bemihla ngemihla, imikhwa yakho, kunye nemisebenzi yakho. Imibuzo eqhelekileyo ebuzwayo yile:

• Intloko yakho ivakala njani? Ngokukodwa, inkcazo yakho yentlungu, ukuba iphi entlokweni yakho, kunye nokuba intlungu inzima kangakanani.
• Ngaba wakha waba nentloko ebuhlungu ngaphambili? Ukuba kunjalo, uyifumana kangaphi?
• Ngaba kukho ezinye iimpawu ezihamba nentloko ebuhlungu? (ezifana nokuva ukukhanya okanye isandi)
• Ngaba usela iziselo ezine-caffeine? Ukuba kunjalo, usela kangakanani rhoqo?
• Ngaba unayo nayiphi na "Izinto Ezibangela Intloko Ebuhlungu" ezenza intloko yakho ibe mandundu? (njengokutya, isiselo, ivumba, ingxolo)
• Ulala ixesha elingakanani? Injani imikhwa yakho yokulala kutshanje?
• Zithini iinqanaba zakho zoxinzelelo kunye nokuxhalaba ngokubanzi? Ngaba unaso nasiphi na isizathu sokuziva uxinezelekile okanye uxhalabile, ngoku okanye kutshanje?

Luhlobo luni lovavanyo olwenziwayo ukuze kufunyanwe oku?

Ugqirha wakho unokuyalela uvavanyo oluthile. Banokuyalela novavanyo lwemifanekiso, olufana ne-CT scan, ukuze basuse iimeko ezisongela ubomi, ezifana ne-stroke. Oku kudla ngokwenziwa ukuba uneempawu ze-neurological ezinzima, ingakumbi i-hemiplegia (ukulahlekelwa yingqondo kwelinye icala lomzimba). Olu luphawu oluqhelekileyo lokukhubazeka. Kwiimeko ezingezizo ezingxamisekileyo, i-MRI scan inokwenziwa ukongeza kwi-CT scan okanye endaweni yayo.

Ezinye iimvavanyo zingenziwa ngokuxhomekeke kwiimpawu zakho. Ugqirha wakho ngumntu ofanelekileyo ukukuxelela ngezi mvavanyo kunye nesizathu sokuba zifuneka.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa ngokupheleleyo?

Unyango lwe-migraine engapheliyo lufana kakhulu nonyango lwe-migraine eqhelekileyo. Eyona nto iphambili ngamayeza . Kukho iintlobo ezimbini eziphambili zonyango:

1. Unyango lokuthintela: Kule meko, amayeza asetyenziselwa ukuthintela iintloko ezibuhlungu, okanye ukunciphisa ubukhali bazo okanye ukuphindaphindeka kwazo ukuba ziyenzeka.

2. Amayeza okuhlangula: La mayeza asetyenziselwa ukunciphisa ixesha kunye nobunzima bokuhlaselwa yi-migraine.

Ukongeza, kukho ezinye iinkqubo zonyango ezinokusetyenziswa kwi-`(Chronic Migraine)`. Ingcebiso ngempilo yengqondo nayo inokuba yinxalenye ebalulekileyo yonyango.

Amayeza okuthintela

La mayeza aluncedo kakhulu kwimeko ethi `(Chronic Migraine)`, kuba anciphisa ukuxhaphaka kwe-migraines, okanye anciphise nobunzima bayo. Olu hlobo lwamayeza ludla ngokunikezelwa:

• Ii-Angiotensin II receptor blockers (ARBs) (umz. i-candesartan)
• Amanye amayeza okuthintela ukuxhuzula (umz. i-valproic acid, i-topiramate)
• Amayeza okudakumba (umz. i-amitriptyline, i-nortriptyline, i-venlafaxine)
• Ii-Beta-blockers (umz. i-atenolol, i-metoprolol, i-propranolol)
• Iinaliti zeBotulinum toxin (Botox®)
• Ii-calcium channel blockers (ii-CCB) (umz., i-verapamil, i-flunarizine)
• Unyango lwe-injection olusekelwe kwi-antibody ye-monoclonal (umz., i-erenumab, i-fremanezumab, i-galcanezumab)

Amayeza okuhlangula

La mayeza asetyenziselwa ukunciphisa ixesha kunye/okanye ubukhali be-migraine xa esenzeka. Nangona kunjalo, iingcali zithi kufuneka zisetyenziswe ngononophelo . Ukusetyenziswa kakhulu kwala mayeza kunokukhokelela ekuphuhlisweni okanye ekubeni mandundu kwe-migraines engapheliyo.

Amayeza athengiswa ngaphandle kwekhawuntara (OTC) kunye nee-NSAID

Ezi ziintlobo zamayeza athengiswa ngaphandle kwemvume kagqirha kunye ne-"NSAIDs" (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ezinokusetyenziselwa ukunyanga iintloko ezibuhlungu:

• I-Acetaminophen (ekwaziwa ngokuba yiParacetamol, Tylenol®, Panadol®)*
• I-aspirin
• I-Ibuprofen (ekwaziwa ngokuba yi-Advil®, i-Motrin®)
• I-Naproxen (ifumaneka phantsi kwamagama anje nge-Aleve®)

*> Qaphela: I-Acetaminophen ayisiyo i-NSAID. Nangona kunjalo, idla ngokubizwa ngokuba yi-NSAID kuba ifumaneka ngaphandle kwekhawuntara kwaye ineempawu ezifanayo.*

Amanye amayeza e-migraine athengiswa ngaphandle kwemvume kagqirha aqulethe i-caffeine kunye ne-NSAIDs. Kungcono ukuthetha nogqirha wakho malunga nokusebenzisa iimveliso ezine-caffeine. Kwakhona, funda ilebheli ngononophelo xa usebenzisa amayeza ukuqinisekisa ukuba awuwasebenzisi ngokungazi.

Amayeza eTriptan

La ngamayeza okuqala adla ngokumiselwa xa uphathwa yi-migraine. Eminye imizekelo yile: `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`.

Nangona kunjalo, ugqirha wakho usenokuba nombono owahlukileyo malunga nokusebenzisa ezi ntloko zibuhlungu ezingapheliyo. Kuba ukuzisebenzisa rhoqo kunokukhokelela kwiintloko ezibuhlungu ezigqithisileyo ngamayeza, okanye iintloko ezibuhlungu eziqhelekileyo zinokuba zizifo ezingapheliyo.

I-Ergotamine

Eli yeza linciphisa imithambo yegazi engqondweni kwaye lichaphazela ukucutshungulwa kwemiqondiso yentlungu.

Amayeza alawulwayo nadityanisiweyo

La mayeza aqulethe i-NSAID kunye nesithako esilawulwayo, njenge-barbiturate okanye i-opioid painkiller. La mayeza awasoloko esetyenziselwa ukunyanga iintloko ezingapheliyo kuba anokuyenza mandundu imeko.

Iinkqubo zonyango

Kukho iinkqubo ezininzi zonyango ezinokunceda nge-migraines engapheliyo:

• Ukuvuselela imithambo-luvo: Oku kudla ngokusebenzisa imithambo-luvo ye-vagus, imithambo-luvo ye-occipital (ngasemva kwentloko), kunye nemithambo-luvo ye-supraorbital (ebunzini).
• Ukukhuthazwa kwemagnethi ye-Transcranial (TMS): Oku kusebenzisa intsimi yemagnethi ukuze kuchaphazele umsebenzi wombane wengqondo.
• Unyango olungezinye: Olunye unyango, olufana ne-acupuncture, lunokunceda abanye abantu. Nangona ezi zingaqhelekanga, zinokuba luncedo kwabanye abantu. Kukho oogqirha abaqeqeshiweyo kunye neengcali zempilo ezibonelela ngolu nyango.

Uncedo lwempilo yengqondo

Unyango lwengqondo (igama elisemthethweni elisetyenziselwa unyango lwempilo yengqondo) linokunceda abantu abanengxaki yoxinzelelo kunye nexhala, zombini ezi zinto zinokubangela iintloko ezibuhlungu. Kukho iintlobo ezininzi ze-psychotherapy, ngoko ungakhetha enye ekulungeleyo.

Ndingalindela ntoni?

I-Migraines yinxalenye ephazamisayo nephazamisayo ebomini. Kunokuba nzima kakhulu, ngamanye amaxesha akunakwenzeka, ukwenza imisebenzi yemihla ngemihla. Umsebenzi, imisebenzi yasekhaya, izinto ozithandayo, kunye nobudlelwane nabantu bonke buyaphazamiseka.

I-migraine engapheliyo iyenzeka xa i-migraine isenzeka ubuncinane iintsuku ezisibhozo ngenyanga kangangeenyanga ezintathu. Ngenxa yokuba isenzeka rhoqo, iingcali zicinga ukuba ibangela ukukhubazeka kwaye inokubangela ukuphazamiseka okukhulu ebomini.

I-Migraines ayisoloko iyingozi. Kodwa inokuphazamisa kakhulu ubomi. Ingandisa nomngcipheko weemeko ezisongela ubomi ezifana ne-stroke kunye nokuhlaselwa yintliziyo. Ezinye iimpawu ze-migraine zinokufana neempawu ze-stroke. Ke ngoko, ulwalathiso lwezonyango kunye nonyango olukhethekileyo lubalulekile.

Oku kuza kuhlala ixesha elingakanani?

Oku kuyahluka kumntu nomntu. Kwabanye, kungathatha iinyanga, iminyaka, kwabanye, kungathatha amashumi eminyaka.

Imbali yosapho, iimeko zomntu, izinto ezibangela i-migraine, kunye nempumelelo yonyango zonke ezi zinto zinokuchaphazela oku. Ugqirha wakho angakunika icebiso elihle malunga nokuba iya kuhlala ixesha elingakanani kwimeko yakho, kunye nento onokuyenza ukunciphisa ixesha eliya kuchaphazela ubomi bakho.

Iyintoni imbono yoku?

I-migraine engapheliyo yinto enokutshintsha ubomi bonke. Iindaba ezimnandi zezokuba phakathi kwama-26% nama-70% abantu ekugqibeleni baya kubuyela kwi-migraine engapheliyo. Nangona kunjalo, abanye abantu baya kutshintshatshintsha phakathi kwe-migraine engapheliyo kunye ne-migraine engapheliyo ngamanye amaxesha.

Ukuxhaphaka kwentloko ebuhlungu kuncipha ngokukhula. Kwabasetyhini, oku kunokuncipha kakhulu okanye kuphele ngokupheleleyo emva kokuya exesheni.

Ngaba oku kungathintelwa? Okanye ngaba umngcipheko wokukufumana ungancitshiswa?

Ngenxa yokuba iingcali aziqondi ngokupheleleyo ukuba kutheni okanye njani le meko (Chronic Migraine) ikhula, akunakwenzeka ukuyithintela nge-100% . Nangona abanye abantu benokunciphisa umngcipheko wabo, abo banembali yentsapho basenokuba nayo, nokuba balumkile.

Ukuba ukhe uphathwe yi-migraine ngamaxesha athile, into onokuyenza kukuthintela ukuba amayeza akho angajiki abe yi-migraine eqhelekileyo. Ukuze wenze oku, thetha nogqirha wakho malunga nendlela yokusebenzisa amayeza akho ngokufanelekileyo kunye nendlela yokunciphisa umngcipheko wakho.

Ndingazinyamekela njani?

Ukuba unesifo sentloko esingapheliyo, zininzi izinto onokuzenza ukuze uzinyamekele. Zama ezi zinto:

• Gcina ijenali yakho yentloko ebuhlungu. Oku kuluncedo kakhulu kwizigaba zokuqala, kodwa kuluncedo nokuba sele unentloko ebuhlungu ixesha elide kangakanani. Oku kuya kukunceda ubone indlela ezitshintsha ngayo iintloko zakho ngokuhamba kwexesha. Oku kubaluleke kakhulu xa kufikwa ekufumaneni izinto ezibangela ukuba uphathwe yintloko ebuhlungu.
• Lawula indlela yakho yokuphila.Oko ukutyayo kunye nenqanaba lomsebenzi wakho kunokuchaphazela i-migraine. Nangona umsebenzi womzimba ngamanye amaxesha unokuba mandundu okanye ubangele i-migraine, ukufumana iindlela zokuhlala usebenza kunokunceda ukuphucula iimpawu zakho. Kubalulekile nokugcina ubunzima obusempilweni kuwe, njengoko ukutyeba kakhulu kunye nokutyeba kakhulu kunokubangela i-migraine engapheliyo.
• Musa ukoyika ukufuna uncedo kubuchwepheshe. Iifowuni ezininzi zineapps ezinokubhalisa kwaye zilandelele iintloko zakho ezibuhlungu. Iiapps ezininzi zisimahla, kodwa ezinye zineendlela ezihlawulelwayo ezineempawu ezingaphezulu. Ungasebenzisa nezinye iiapps, ezifana neeapps zemozulu, ukukwazisa ngezinto ezinokubangela iintloko zakho ezibuhlungu, ezifana nongcoliseko lomoya okanye utshintsho kuxinzelelo lomoya.
• Zibone izinto ezibangela i-migraine. Wakuba uzazi izinto ezibangela i-migraine onayo, ungaziphepha okanye unciphise impembelelo ezinayo ebomini bakho. Oku kuya kukunceda ukunciphisa ukuphindaphindeka kwe-migraine onayo. Le yindlela ephambili yokuguqula i-migraine engapheliyo ibe yi-migraine eqhelekileyo kwakhona.
• Thetha nabanye abanale meko. Zininzi izinto onokuzifunda kwabanye abantu abaneentloko ezingapheliyo. Ungajoyina amaqela enkxaso kwindawo okuyo. Ungafumana amaqela enkxaso kumaqonga eendaba ezentlalo okanye kwiwebhusayithi zemibutho yentloko ezibuhlungu.

Zeziphi izinto endingenakuzitya okanye ndingaziseli?

Izinto ezibangela i-migraine zahlukile kumntu wonke. Ukubhala phantsi i-migraine kunokukunceda uchonge kwaye uphephe izinto ezibangela i-migraine.

Rhoqo, i-`(Trigger)` ilungiswa kusetyenziswa iindlela ezifanayo nezinye ukutya. Imizekelo:

• Ukubilisa: Le nkqubo isetyenziselwa ukwenza iziselo ezinxilisayo ezifana newayini, ibhiya, i-cider, kunye notywala. Ikwabalulekile ekwenzeni itshizi, iyogathi, kunye nezinye iintlobo zesonka (umz., i-sourdough).
• Ukugalela: Le ndlela isetyenziselwa ukugcina ukutya okufana nemifuno nenyama. Imizekelo ibandakanya iipickles, i-sauerkraut, i-kimchi, amaqanda kunye nenyama.
• Ukunyanga nokwaluphala: Le ndlela isetyenziselwa ukugcina inyama. Ezinye izinto zokugcina ukutya, ingakumbi ii-nitrate kunye nee-nitrites, zinokubangela intloko ebuhlungu. Ukwaluphala kwezinye izinto zokutya, ingakumbi inyama kunye netshizi, nako kunokuba yimbangela.

Ndifanele ndimbone nini ugqirha okanye ndifune ingcebiso kagqirha?

Ukuba unesifo sentloko esingapheliyo, kufuneka uhlale ubonana nogqirha.Kuya kufuneka ubone ingcali yezifo zengqondo (idla ngokuba yingcali yezifo zengqondo) ukuze ufumane unyango olulandelayo. Ugqirha wakho uza kukunika ishedyuli yokutyelela kwakho. Kwakhona, ukuba ubona naluphi na utshintsho kwiimpawu zakho, ingakumbi ukuba luchaphazela imisebenzi yakho yemihla ngemihla, indlela ophila ngayo, okanye imisebenzi yakho, thetha nogqirha wakho ngoko nangoko.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba uneempawu zesifo esinzulu okanye esisongela ubomi bakho, yiya kwigumbi longxamiseko ngokukhawuleza. Imizekelo:

• Intloko ebuhlungu eqala ngequbuliso ize ibe qatha ngakumbi kwimizuzu embalwa. Oku kungaba luphawu lokopha ngaphakathi engqondweni.
• Intloko ebuhlungu kakhulu: Oku kuthetha ukuba uziva ngathi unentloko ebuhlungu kakhulu ebomini bakho. Oku kungaba luphawu lwe-brain aneurysm, ukopha kwegazi ebuchotsheni, okanye istroke.
• I-Hemiplegia: Olu luphawu olukhulu lokukhubazeka . Ukuba uhlangabezana nale meko, usenokungakwazi ukubona ukuba yi-migraine okanye i-stroke . I-Hemiplegia ebangelwa yi-migraine idla ngokuphela emva kwexesha elithile, kodwa ungalindi ukuba iphele. Ukuba sele kudlule ixesha , inokukhokelela ekonakaleni kwengqondo okanye ekufeni.

Ngaba i-Chronic Migraine yimeko enzulu?

Iintloko ezingapheliyo (ngaphandle kweemeko ezingaqhelekanga) azisongeli ubomi ngokuthe ngqo, kodwa ziyingozi kakhulu . Iintloko ezibuhlungu zinokwenza ubomi bube nzima kakhulu, zenze kube nzima ukwenza imisebenzi yemihla ngemihla, kwaye ngamanye amaxesha zingenzeki. Ngenxa yokuba zenzeka rhoqo, iingcali zizijonga njengemeko enzulu.

Ngaba oku kuya kuze kuphele ngokupheleleyo?

Ewe, iintloko ezingapheliyo (kunye neentloko ezibuhlungu ngokubanzi) zinokuphela. Enye indlela kukukhula. Inokuba yintloko ebuhlungu eqhelekileyo, ngamanye amaxesha (intloko ebuhlungu eyenzeka ngexesha elithile). Leyo yeyona njongo iphambili yonyango. Iintloko ezibuhlungu eziqhelekileyo kulula ukuzilawula, kulula ukuzinyanga, kwaye aziphazamisi kangako ubomi kuba azenzeki rhoqo.

Okokugqibela, izinto ekufuneka uzikhumbule

I-migraine ayisiyongxaki nje ebuhlungu yentloko. Xa ufumana i-migraine, kufuneka uhlale kwigumbi elimnyama nelithuleyo. Kuba ukukhanya nengxolo kunokubangela iintlungu ezinganyamezelekiyo, isicaphucaphu, kunye nezinye iimpawu ezininzi. Ukuba kwigumbi elimnyama nelithuleyo akuzenzi iimpawu ziphele. Kuzithintela ukuba zingabi mandundu. Ukuba une-migraine, mhlawumbi uyazi ukuba ezi mpawu ziyacaphukisa kakhulu. Kodwa ngamanye amaxesha kuyacaphukisa nangakumbi ukuzama ukuzichazela abantu abangazaziyo kwaye abanombono ongalunganga malunga nokuba baziva njani.

Ngethamsanqa, iintloko ezingapheliyo zinokunyangeka. Nokuba utshintsho oluncinci kubomi bakho bemihla ngemihla lunokunciphisa ukuphindaphindeka kunye nobukhali beentloko ezibuhlungu.Ngokuzama ukulawula iintloko zakho ezibuhlungu ngoncedo logqirha wakho, unokunciphisa ukuxhaphaka kunye nobukhali beentloko zakho ezibuhlungu. Endaweni yokuphila nentloko enye emva kwenye, unokugxila ebomini bakho kwaye uyonwabele. Ungakhathazeki, awuwedwa. Oogqirha kunye nabantu obathandayo banokukunceda.

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