Ngaba nawe uphathwa ziintloko ezibuhlungu kakhulu ngexesha lokuya esikhathini? (Menstrual Migraine) Makhe sithethe ngale nto!

Kwabaninzi abafazi, ukuya exesheni lixesha elinzima, akunjalo? Kunye neentlungu zesisu kunye neentlungu zomzimba, kuqhelekile ukuba abanye abantu babe neentloko ezibuhlungu kakhulu. Oku sikubiza ngokuba yi -'Period Headache' okanye 'Menstrual Migraine ' . Esi sisifo esifana ne-migraine esiza notshintsho lweehomoni .

Ngamafutshane, 'intloko ebuhlungu ngexesha lokuya exesheni' luhlobo lwe-migraine eyenzeka ngexesha lokuya exesheni kwakho ngenyanga, okanye ngaphambi okanye ngexesha lokuya exesheni. Isizathu esiphambili soku kukutshintsha kweehomoni emizimbeni yethu. Ihlala ivela kwelinye icala lentloko. Intlungu inokuba mandundu xa uhambahamba, okanye xa ukhanyiswe kukukhanya okuqaqambileyo, ivumba elinamandla, okanye ingxolo enkulu. Ngamanye amaxesha iyaphela kwiiyure ezimbalwa, kodwa inokuhlala iintsuku.

Xa uthetha nogqirha, usenokuthi:

• Iintloko ezibuhlungu zokuya exesheni okanye iintloko ezibuhlungu ezinxulumene nokuya exesheni .
• Iintloko zeHormone okanye iintloko zeHormonal
• Iintloko ezibuhlungu ngexesha lokukhulelwa
• Iintlungu zeHormonal

Yintoni edibanisa iihomoni kunye nezi ntloko zibuhlungu?

Usenokuba uzibuza ukuba la mahormone anokubangela njani iintloko ezibuhlungu. Kaloku, i-hormone i-estrogen ibandakanyeka kakhulu kule ' ntloko ebuhlungu'. Ngaphambi kokuba uqale ukuya exesheni, amanqanaba akho e-estrogen ehla ngequbuliso.

I-migraines yangaphambi kokuya exesheni idla ngokuvela ngexesha elingaphambi kokuba uye exesheni, xa amanqanaba e-estrogen kunye ne -progesterone esezantsi. Ngamafutshane, xa ii-hormone zakho zitshintsha, oku kunokuchaphazela intloko yakho.

Injani intloko ebuhlungu ebangelwa ziihormone?

Usenokuba uqaphele ukuba iintloko ezibuhlungu ezihambisana nale xesha zinzima ngakumbi kunezinye iintloko eziqhelekileyo. Abantu abaninzi bachaza iintlungu njengokuva ukubetheka, ukubetha, okanye ukurhawuzelela .

Ixhaphake kangakanani le meko?

Enyanisweni, abantu abaninzi banengxaki le. Ngokomyinge, malunga ne-12% yabantu baseMelikaKukho iintloko ezibuhlungu . Kubo, ama-60% abantu abaneentloko ezibuhlungu kunye neentloko ezibuhlungu baxela ukuba bazifumana ezi ntloko ezibuhlungu ngexesha lokuya exesheni kwabo ngenyanga. Ngoko ke oku akuyonto eyenzeka kuwe kuphela.

Zithini iimpawu ze- migraine yokuya exesheni ?

Xa le ntloko ibuhlungu, unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:

• Intloko ebuhlungu - Ingaqala njengentlungu encinci ize iqhubekele kwintlungu enzima.
• Uvelwano ekukhanyeni, kwisandi, nakwivumba - Nokuba kukukhanya okanye isandi esincinci sinokunganyamezeleki.
• Intloko yentloko isenokuvakala ithambile okanye ibuhlungu xa ichukunyiswa .
• Ukutya akunancasa .
• Isiyezi .
• Umbono ofipheleyo.
• Ndiziva ndidiniwe .
• Isicaphucaphu nokuhlanza, isisu esibuhlungu, iintlungu zesisu .
• Ukuziva ushushu kakhulu (ukubila) okanye ukubanda (ukungcangcazela) .

Ivela phi entlokweni le ntloko?

Ixesha elininzi, le 'ntloko ebuhlungu' ichaphazela icala elinye lentloko kuphela . Intlungu idla ngokuvakala ebunzini. Nangona kunjalo, ngamanye amaxesha inokwenzeka kwezinye iindawo kwaye isuke kwenye indawo iye kwenye. Oku kunokwahluka kancinci kumntu nomntu.

Iqala nini le ntloko ibuhlungu?

I-migraines yokuya exesheni inokuhlala iintsuku ezimbini ngaphambi kokuba ixesha lakho liqale ukuya kuthi ga kwiintsuku ezintathu emva kokuba ixesha lakho lifikile .

Kutheni ndiba neentloko ezibuhlungu ngexesha lokuya exesheni?

Isizathu esiphambili soku kukutshintsha kwamanqanaba eehomoni zakho . I-estrogen yenye yeehomoni ezimbini eziphambili zesini emzimbeni wethu. Amanqanaba e-estrogen afikelela kwinqanaba eliphezulu phakathi komjikelo wakho wokuya exesheni aze ehle aye kumanqanaba aphantsi ngexesha lakho lokuya exesheni. Olu tshintsho lwe-hormone ngequbuliso lulo olubangela ukuba intloko ibe buhlungu ngakumbi. I-estrogen yonyusa ukuvakalelwa kwentlungu yakho.

Zithini izinto ezibangela ezi ntloko zibuhlungu?

Isizathu esiphambili kukutshintsha kweehomoni, ingakumbi utshintsho kwi-estrogen. Kwakhona, ukuba uthatha amayeza athile achaphazela iihomoni, umzekelo:

• Iipilisi zokulawula inzala .
• Unyango lokutshintsha iihomoni .

Ukuba uziva ngathi ufumana iintloko ezibuhlungu rhoqo okanye eziqatha ngakumbi ngelixa usebenzisa eli yeza, qiniseka ukuba uthetha nogqirha wakho . Usenokukwazi ukukunika elinye iyeza elinedosi ephantsi ye-estrogen, okanye atshintshe indlela olisebenzisa ngayo eli yeza.

Ngubani osengozini enkulu yokuba nale ntloko ibuhlungu?

Ukuba uya exesheni , usemngciphekweni wokuba neentloko ezibuhlungu zokuya exesheni. Kwakhona, ukuba uneentloko ezibuhlungu emva kokuya exesheni, okanye ukuba umntu kusapho lwakho unentloko ezibuhlungu (ufuzo/imbali yosapho) , usemngciphekweni omkhulu.

Ziziphi iingxaki ezinokuvela ngenxa yale ntloko ibuhlungu?

Iintloko ezibuhlungu ngexesha lokuya esikhathini zingayiphazamisa imisebenzi yakho yemihla ngemihla . Usenokungakwazi ukwenza imisebenzi eqhelekileyo okanye ukuthatha inxaxheba kwimisebenzi eqhelekileyo xa unayo. Ngokungafaniyo nezinye iintloko ezibuhlungu, ungazixela kwangaphambili ukuba ziza kufika nini, kodwa kusenokufuneka ucwangcise ubomi bakho kuzo. Kodwa ungakhathazeki, ugqirha unokukunceda uzilawule.

Ungazi njani ngokuqinisekileyo ukuba le 'yintloko ebuhlungu'?

Ugqirha uza kufumanisa ukuba uneentloko ezibuhlungu xa usexesheni ngokukuxilonga nokwenza uvavanyo lokuthintela ezinye iimeko ezibangela iimpawu ezifanayo. Ngexesha lovavanyo lwakho, ugqirha wakho uya kufuna ukufunda okungakumbi malunga neempawu zakho ze-migraine. Banokukubuza imibuzo efana nale:

• Ungachaza ubunzima bentlungu ozivayo kwaye ibuhlungu phi entlokweni yakho ?
• Ingaba intlungu iyahlaba? Iyahlaba? Okanye iyahlaba?
• Ufumana kangaphi ezi migraines?
• Ngaba ukwenza nantoni na kuyenza intloko yakho ibe ngcono okanye ibe mbi ngakumbi?
• Ndixelele ukuba usela amayeza othini ukunciphisa iintlungu kwaye uwasebenzisa kangaphi .
• Zeziphi izinto ozenzayo, ukutya, izinto ezibangela uxinzelelo, okanye iimeko ocinga ukuba zibangele le migraine ?
• Ngaba uyazi ukuba kukho umntu ofumana i-migraines kusapho lwakho ?
• Ubuziva njani ngaphambi kokuba intloko ebuhlungu ifike, ngexesha layo, nasemva kokuba iphelile?

Ugqirha wakho unokuyalela uvavanyo lwegazi kunye novavanyo lwemifanekiso (njenge-CT scan okanye i-MRI scan) ukuqinisekisa ukuba akukho zizathu zimbi ezibangela intloko yakho.

Kuluncedo kakhulu kuwe nakugqirha wakho ukugcina idayari yentloko ebuhlungu, idayari yentloko ebuhlungu. Kuyo, bhala phantsi iimpawu onazo, ixesha onazo, kunye nento eyenza ukuba intlungu yakho yokuya exesheni ibe ngcono okanye ibe mbi.

Ngaba kufuneka ndibone ingcali yoku?

Ukuba uneentloko ezibuhlungu rhoqo ngexesha lokuya esikhathini, thetha nogqirha wakho kuqala.Uza kukuthumela kwingcali yentloko ukuba kuyimfuneko.

Ungayinyanga njani 'intloko ebuhlungu ngexesha lokuya esikhathini'?

Amayeza adla ngokusetyenziswa ukunyanga iintloko ezibuhlungu xa umntu esiya exesheni . Nazi ezinye iindlela eziqhelekileyo ugqirha anokuzinika:

• Iipilisi zokulawula ukuzala ezithethwa ngomlomo: Ukuba sele usela iipilisi zokulawula ukuzala, ugqirha unokutshintsha uhlobo okanye umthamo wepilisi ukuze kuncitshiswe utshintsho olukhulu kwiihomoni ezinxulumene nokuya kwakho exesheni.
• Amayeza okulwa nokuvuvukala angengowe-steroidal (NSAIDs): Ii-NSAIDs zinceda ekunciphiseni iintlungu. Ugqirha wakho unokucebisa ukuba uthathe ii-NSAIDs kwiintsuku ezimbini ukuya kwezintathu ngaphambi kokuba uqale ukuya exesheni kwaye kwiintsuku ezimbalwa zokuqala zokuya exesheni.
• IiTriptans (i-selective serotonin receptor agonists): IiTriptans luhlobo oluqhelekileyo lwamayeza asetyenziselwa ukunyanga iintloko ezibuhlungu. Ungazithatha ezi ukuze uyeke iintlungu xa iimpawu ziqala. Ziza ngendlela yeepilisi, iinaliti, okanye izitshizi zeempumlo.
• Unyango lweeHormone: Ukuze uncede ekulawuleni utshintsho lweeHormone ngexesha lokuya exesheni, izongezo ze-estrogen zinokukunceda ukulinganisela iiHormone zakho. Ezi ziza ngendlela yeepilisi, iiJeli zeVaginal, okanye iPatch onokuyisebenzisa ngeveki yokuya exesheni kwakho.

Ngamanye amaxesha, la mayeza alandelayo asetyenziswa njengonyango lokuqala lwe-migraines enzima yokuya exesheni :

• Amayeza okuthintela ukuxhuzula ( umz. i-topiramate, i-valproate).
• Amayeza okudakumba (umz. i-amitriptyline, i-venlafaxine).
• Amayeza okulwa noxinzelelo lwegazi (umz. ipropranolol, icandesartan).

Amanye amayeza angabandakanya:

• I-Metoclopramide.
• Ii-Calcitonin gene-related peptide (CGRP) antagonists.
• I-Dihydroergotamine.

Ugqirha wakho unokucebisa nokuba uthathe izongezo ezifana nezi:

• I-Magnesium oxide ( 400 milligrams [mg] ngexesha lokulala).
• I-Riboflavin (200 milligrams kabini ngemini).
• I-CoQ10 (300 milligrams kusasa).

Ugqirha angazama iyeza elinye okanye indibaniselwano yamayeza okunyanga iintloko ezibuhlungu ngexesha lokuya esikhathini, ukuze afumane eyona ikulungeleyo.La mayeza asebenza kakuhle xa ethathwa ngexesha elimiselweyo. Ugqirha wakho uya kukunceda umisele amaxesha afanelekileyo okuwasebenzisa ukuthintela okanye ukulawula iimpawu zakho.

Ndingayilawula njani le ntloko ibuhlungu ngaphandle kwamayeza?

Kukho izinto ezimbalwa onokuzenza ukuze ulawule iintloko zakho zehomoni ngokwemvelo ngaphandle kwamayeza. Nangona kunjalo, unokufuna ukuzama kancinci ukuze ufumane ukuba yintoni ekusebenzelayo nengasebenziyo. Umzekelo, ukuba uziva iintlungu ezingaphezulu kwaye uziva ushushu ngaphandle, zama ukuhlala kwigumbi elipholileyo nelimnyama .

Ezinye iingcebiso ezimbalwa:

• Lala ngokwaneleyo .
• Yitya ukutya okunesondlo esifanelekileyo, ngexesha elifanelekileyo (ungatyi ukutya) .
• Yenza umthambo rhoqo .
• Lawula uxinzelelo .

Intloko ebuhlungu iza kuhlala ixesha elingakanani?

Unokufumana iintloko ezibuhlungu xa usexesheni ude ufikelele kwixesha lokuyeka ukuya exesheni. Injongo yonyango kukunciphisa okanye ukuthintela ukuphindaphindeka kwezi ntloko zibuhlungu ngexesha lokuya exesheni.

Iyintoni ikamva lale meko?

Ngonyango, abantu abaninzi banokulindela iziphumo ezilungileyo zeentloko zabo zexesha lokuya esikhathini. Ekubeni kukho iindlela ezahlukeneyo zonyango, kungathatha imijikelo emininzi yokuya exesheni ukuze ufumane unyango olukulungeleyo. Oku kuthetha ukuba kungathatha ixesha.

Amanye amayeza asebenza kakuhle xa ethathwa ngeshedyuli engqongqo. Ukugcina ikhalenda yemijikelo yakho yokuya exesheni, ukusebenzisa iipilisi zokulawula ukuzalwa, okanye ukusebenzisa i-app kwifowuni yakho ukulandelela ixesha lakho lokuya exesheni kunokukunceda ulawule oku. Ugqirha wakho unokukunceda ufumane unyango olufanelekileyo kwimeko yakho.

Ngaba 'intloko ebuhlungu' ingathintelwa?

Ewe, ugqirha unokukunceda ukulawula nokuthintela ezi 'ntloko zibuhlungu'. Nangona ingezizo zonke iintloko ezibuhlungu ezinokuthintelwa, ugqirha wakho unokukunika amayeza okuthintela ukuba uthathe yonke imihla. Umthamo unokufuneka wonyuswe njengoko ixesha lakho lisondela. Thetha nogqirha wakho ngeendlela zokuthintela iintloko ezibuhlungu zokuya exesheni . Angakucebisa ishedyuli yonyango ekulungeleyo.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha kule meko:

• Ukuba uphathwa yintloko ebuhlungu kakhulu ngexesha lokuya exesheni .
• Ukuba inani okanye ubukhali bentloko yakho ebuhlungu buyanda, okanye ukuba indlela ophatha ngayo intloko yakho iyatshintsha .
• Ukuba ufumana iziphumo ebezingalindelekanga ezintsha okanye ezahlukeneyo .
• Ukuba amayeza owasebenzisayo ukunyanga iintloko ezibuhlungu awasasebenzi, okanye ukuba achaphazela umgangatho wobomi bakho.

Kwimeko yongxamiseko, fowunela ku-1990, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko:

• Ukuba ngequbuliso uqala ukuba nentloko ebuhlungu .
• Ukuba unentloko ebuhlungu evakala ngathi "yeyona ntloko ibuhlungu ebomini bam" ...
• Ukuba uqaqanjelwa yintloko emva kokwenzakala entloko .
• Ukuba ufumana iimpawu zemithambo-luvo ongazange ube nazo ngaphambili, ezinje ngobunzima bokuthetha, ukulahlekelwa yibhalansi, iingxaki zokubona, ukudideka kwengqondo, ukuxhuzula, okanye ukuba ndindisholo .

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Ngaba ndinayo 'intloko ebuhlungu' okanye olunye uhlobo lwe-migraine?
• Ucebisa luphi unyango?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga zale ndlela yonyango?
• Ndingenza ntoni ukuthintela iintloko ezibuhlungu ngexesha lokuya exesheni kwixesha elizayo?

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Xa kufika ixesha lakho lokuya exesheni, ufumana ukungakhululeki okuninzi, okufana neentlungu zesisu, iintlungu zomzimba, kunye nokutshintsha kweemvakalelo. Kodwa xa ufumana i-migraine, inokuba mbi nangakumbi. Kodwa, iindaba ezimnandi zezokuba, akufuneki 'unyamezele' ii-migraines zokuya exesheni ngalo lonke ixesha xa usexesheni. Ugqirha anokukunceda ulawule ezi ntloko zibuhlungu. Amayeza anokunciphisa ukuphindaphindeka kunye nobunzima bezi ntloko zibuhlungu. Kukwakho neendlela zokuzithintela. Ngoko ke, ukuba unengxaki le, ungabi nantloni okanye woyike ukuthetha nogqirha.

Intloko ebuhlungu, Iintloko ezibuhlungu zeHormonal, Intloko ebuhlungu yokuya exesheni , Ukuya exesheni, Unyango lwentloko ebuhlungu, Impilo yabasetyhini, i-estrogen