Ingabe ingane yakho ivame ukuba nobuhlungu besisu? Kungaba yi-migraine yesisu!

Ingabe ingane yakho encane ivame ukuthi, “Mama, isisu sami sibuhlungu”? Noma ingabe ihlushwa izinhlungu zesisu eziqala ngokuzumayo bese ziphela ngemva kwesikhashana? Ngezinye izikhathi sicabanga ngalokhu njengobuhlungu besisu obuvamile, kodwa lokhu kungaba yinto ehlukile kancane. Yilokho esizokhuluma ngakho namuhla.

Kuyini i-Abdominal Migraine? Ake siqonde kahle!

Kalula nje, le migraine yesisu iwuhlobo lwe-migraine. Kodwa esikhundleni sekhanda elibuhlungu, izwakala kakhulu njengobuhlungu esiswini. Lobuhlungu besisu buvame ukusuka kobuphakathi kuya kobukhulu . Eqinisweni, bungathinta ingane kuze kube yilapho ingakwazi ngisho nokwenza imisebenzi yansuku zonke.

Lobuhlungu bungahlala kusukela ehoreni elilodwa kuya emahoreni angu-72 (izinsuku ezi-3) ngesikhathi . Kodwa ngokuvamile buhlala cishe amahora angu-17. Ezinye izingane zingase zibe nekhanda elibuhlungu le-migraine ngesikhathi esifanayo nalokhu buhlungu besisu. Lokhu kubalulekile futhi ukukukhumbula.

Abacwaningi bathi kukhona ukuxhumana phakathi kwe-migraines kanye nekhanda elibuhlungu le-migraine. Bakholelwa ukuthi izimbangela, izimpawu, kanye nokwelashwa kwazo zombili lezi zimo kuyafana. Bakholelwa nokuthi imbangela eyisisekelo yalezi zimo zombili ingase ifane. Isibonelo, abantu abangu-24% abanekhanda elibuhlungu le-migraine nabo babhekana ne-migraines ngesikhathi esithile empilweni yabo. Lokhu kuqhathaniswa cishe no-10% wabantu abavamile.

Ubani othinteka kakhulu yilesi simo? Ingabe ingane yakho iphakathi kwabo?

I-migraine yesisu ivame kakhulu ezinganeni ezingaphansi kweminyaka eyi-10. Kodwa-ke, abantu abadala nabo bangaba nayo, futhi lokho kuyinto okufanele uyikhumbule.

Lesi sifo sivame ukuqala cishe eminyakeni engu-7. Futhi, lesi simo sivame kakhulu phakathi kwamantombazane kunabafana.

Yiziphi izinto ezibangela ingozi? Ubani osengozini enkulu?

Uma othile emndenini wakho, njengomama wengane yakho, ubaba, noma izingane zakubo, enesifo sokuqaqamba kwamalunga, ingane yakho isengozini enkulu yokuba nesifo sokuqaqamba kwamalunga. Izingane ezingaphezu kuka-65% ezine-migraines zinezihlobo ezisezingeni lokuqala ezine-migraines.

Akukhona lokho kuphela, izingane ezinezimo zempilo yengqondo njengokukhathazeka nokucindezeleka nazo zisengozini enkulu yokuthola ikhanda elibuhlungu esiswini nasekhanda. Ngakho-ke, kudingeka sikhathazeke nangempilo yengqondo yengane.

Zivame kangakanani izigameko zekhanda ezibangelwa yisisu? Ingabe lokhu kuvamile ngempela?

Kulinganiselwa ukuthi phakathi kuka-1% no-4% wezingane zesikole zinalesi sibungu sesisu. Kodwa-ke, abacwaningi bakholelwa ukuthi inani lingase libe phezulu. Lokhu kungenxa yokuthi lesi simo asihlolwanga kahle ngakho-ke asibikwa kakhulu.

Phakathi kwabantu abadala, i-migraine yesisu ayivamile kakhulu.

Ziyini izimpawu? Uzibona kanjani?

Uphawu oluyinhloko lwalesi sihloko se-migraine esiswini ubuhlungu besisu . Lobuhlungu buvame ukwenzeka phakathi kwesisu, eduze kwenkaba. Ngezinye izikhathi bungazwakala njengobuhlungu obungajabulisi, noma bungafika njengobuhlungu obubukhali. Izinga lobuhlungu lingaba phakathi noma libe likhulu kakhulu.

Isici esingavamile salesi simo esibuhlungu ukuthi siqala ngokuzumayo futhi siphele cishe ngokushesha. Njengoba kushiwo ngaphambili, singahlala kusukela ehoreni elilodwa kuya emahoreni angu-72.

Ngaphezu kwalezi zimpawu eziyinhloko, wena noma ingane yakho ningase nibe nezimpawu ezifana nalezi:

• Ubumhlophe .
• I-Anorexia , okusho ukulahlekelwa yisifiso sokudla .
• Isicanucanu .
• Ukuhlanza .
• Ukuthola ikhanda elibuhlungu .

Ngaphezu kwalokhu, abanye abantu bangase babe nezinye izimpawu ezibonakala ngesikhathi sokuqaqamba kwekhanda, njengokuzwela ukukhanya okukhulu (i-photophobia) kanye nokuzwela umsindo omkhulu (i-phonophobia) .

Isikhathi esiphakathi kweziqephu zalokhu buhlungu besisu singasukela emavikini ambalwa kuya ezinyangeni ezimbalwa. Ngokuvamile, azikho izimpawu ngesikhathi sobuhlungu obungesona isisu.

Kungani kuvela lezi zinhlungu zesisu? Ziyini izimbangela?

Abacwaningi abakazi kahle ukuthi yini ebangela i-migraine esiswini, kodwa banemibono embalwa.

Umbono oyinhloko ukuthi uhlelo lwezinzwa lwabantu abane-migraines luzwela ngokungadingekile. Ikakhulukazi, ama-neuron omgogodla ayinhloko kanye nama-central spinal kulesi simiso abalulekile lapha. Abacwaningi bakholelwa ukuthi izici ezithile zofuzo, izici zengqondo nezenhlalo, kanye nezici zemvelo zingathonya lokhu kuzwela.

Uma umuntu ebhekene ne-trigger, njengokuzizwa ekhathele noma ukucindezeleka, umzimba wakhe ukhipha amakhemikhali abizwa ngokuthi ama-neurotransmitters ngendlela engajwayelekile. Kulawa, kucatshangwa ukuthi i-serotonin ihileleke kakhulu ebuhlungwini besisu.

Yiziphi izinto ezibangela lesi simo ukuba sibi noma sibi kakhulu?

Izimo nezinto ezithile zingabangela ukuthi la ma-migraine esiswini akhule, okusho ukuthi angaqala amasha noma abe mabi kakhulu kunalawo akhona. Lokhu kungahluka kuye ngomuntu nomuntu.

Nazi ezinye zezinto ezivame ukubangela izinkinga ezithinta abantu abaningi:

• Ukucindezeleka : Ukucindezeleka okubangelwa izinto ezifana nomsebenzi wesikole nezinkinga zomndeni .
• Ukungalali ngokwanele kanye nezindlela zokulala ezingajwayelekile.
• Ukuzila ukudla isikhathi eside.
• Ukuphelelwa amanzi emzimbeni.
• Ukugula Kokuhamba Nokuhamba.
• Ukuzivocavoca umzimba.
• Ukudla okunama-amine amaningi: Izithelo ze-citrus ezifana namawolintshi nama-lime, ushokoledi, ushizi, i-salami, ne-ham.
• Ukudla okuqukethe ukunambitheka okwenziwa , imibala, kanye ne-monosodium glutamate ( MSG ).
• Izibani ezikhanyayo, ezikhanyayo.
• Ukudla i-caffeine engaphezu kwama-milligram angu-200 (okungukuthi, i-caffeine etholakala ekhofini, etiyeni, nakwezinye iziphuzo ezibandayo)

Cabanga nje, ingane ihlushwa yisisu lapho ibuya ohambweni lweholide, noma lapho kusondela ukuhlolwa. Lezi yizinto ezifana 'nezibangela'.

Udokotela uhlonza kanjani lokhu?

Empeleni kunzima kancane ukuthola lesi sifo esibizwa ngokuthi yi-stomach migraine, ngoba kunezinye izimo eziningi nezimbangela ezingabangela ubuhlungu besisu.

Futhi, kungaba nzima ngezingane ezincane ukuchaza ubuhlungu bazo ngokunembile nokuhlukanisa phakathi kobuhlungu besisu obuvamile nalokhu.

Azikho izivivinyo ezithile zelebhu noma izivivinyo zezithombe ezingaxilonga lolu hlobo lwe-migraine yesisu. Ngakho-ke, odokotela bathembele kakhulu ekuqondeni kahle izimpawu zengane kanye nomlando wezokwelapha.

Udokotela kufanele futhi aqinisekise ukuthi azikho ezinye izimo zempilo ezibangela izimpawu ezifanayo. Isibonelo:

• Isifo Sokuhlanza Nge-Cyclic
• Izilonda Zesisu
• Isifo sikaCrohn
• I-Irritable Bowel Syndrome (IBS)
• Izinkinga ezihlobene nesinye noma izinso.

Udokotela ohlola ingane yakho uzokwenza okulandelayo:

• Umlando wezokwelapha wengane nomndeni ufundwa ngokucophelela.
• Kuhlolwa umzimba.
• Ukuhlolwa okufana ne-ultrasound yesisu noma i-X-ray kungacelwa ukuze kunqunywe ezinye izimo zezokwelapha.

Yiziphi izindlela zokwelapha lokhu? Ukuphatha kanjani?

Akukho ukwelashwa okuqondile kwalokhu buhlungu besisu okwamanje. Ngakho-ke, ukugxila okuyinhloko kokwelashwa ukuvimbela lesi simo ukuthi singenzeki. Futhi, kunezindlela zokwelapha lokhu buhlungu besisu uma sekuqala.

Ukuvimbela kanjani lokhu ukuthi kungenzeki? (Ukuvimbela)

Ukuze uvimbele lezi zinhlungu zesisu, kubalulekile ukuqonda ukuthi yiziphi izimbangela ingane yakho enazo. Enye yezindlela ezinhle kakhulu zokwenza lokhu ukugcina iJenali Yezimpawu mayelana nezimpawu zengane yakho, lokho ekudlayo, nalokho ekuzwayo. Lokhu kungaba yindlela enhle yokubona izimbangela.

Ngokuvamile, ungenza okulandelayo njengezinyathelo zokuvimbela:

• Ukulawula Ukucindezeleka: Zijwayeze amasu okubhekana nesimo okunempilo ukusiza ekulawuleni ukucindezeleka. Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) nakho kuyasiza kakhulu ekulawuleni ukucindezeleka.
• Qaphela lapho uhamba: Kubalulekile ukugwema ukucasuka. Uma uhamba amabanga amade, ungama njalo futhi unciphise uhambo lwakho oluya ezindaweni eziphakeme.
• Lala kahle: Ukulala ngokwanele kubalulekile kubantu abane-migraines. Ukugcina isikhathi sokulala njalo nokuzijwayeza inhlanzeko yokulala kungasiza ekuvimbeleni ukuphazamiseka kokulala. Lokhu kungasiza futhi ekunciphiseni ubuhlungu obukhulu.
• Ukugwema izinto ezilukhuni emehlweni: Izibani ezikhanyayo nezikhanyayo zingase zibe zimbi kakhulu lesi simo, ngakho-ke gwema ukuzibona ngangokunokwenzeka.
• Ukugwema Izinto Ezibangela Ukudla: Thola ukudla okubonakala sengathi kuyandisa izimpawu zengane yakho bese uzama ukuzisusa ekudleni kwengane yakho. Futhi, nciphisa ukudla okuqukethe i-MSG (Ajinomoto) kanye nokunambitheka nemibala yokwenziwa .

Imithi Yokuvimbela

I-U.S. Food and Drug Administration (FDA) ayinayo imithi evunyelwe ngqo ukwelapha ikhanda elibuhlungu elibangelwa yi-migraine. Kodwa-ke, abanye odokotela bangase banikeze imithi ethile "engavunyelwe," okusho ukuthi ivunyelwe kwezinye izimo. Imithi eminingi esiza ukuvimbela ikhanda elibuhlungu elibangelwa yi-migraine iyasiza futhi ukuvimbela ikhanda elibuhlungu elibangelwa yi-migraine.

Ucwaningo lukhombisile ukuthi le mithi ingasiza ekuvimbeleni i-migraines:

• I-Cyproheptadine
• I-Pizotifen `(Pizotifen)`
• I-Propranolol `(Propranolol)`
• I-Flunarizine `(Flunarizine)`

Lezi kufanele zithathwe kuphela ngeseluleko sezokwelapha.

Wenzani uma izinto ziba nzima? (Ukwelashwa Kweziqephu)

Uma ingane yakho ihlushwa yikhanda elibuhlungu, yiphumuze endaweni emnyama nethule. Ukubeka indwangu emanzi noma iphakethe leqhwa ebunzini layo nakho kungasiza ekunciphiseni izimpawu.

Ngaphezu kwalokho, udokotela wengane yakho angancoma noma anikeze imithi elandelayo ngezikhathi zobunzima:

• Imithi Engavimbi Ukuvuvukala (ama-NSAID): Isibonelo , i-ibuprofen noma i-aspirin . (Iseluleko sezokwelapha sibalulekile lapho kunikezwa izingane i-aspirin.)
• Imithi Yokulwa Nokucanuzela Kwesisu .
• Ama-Triptan (Ama-Serotonin Receptor Agonists) .

Iyini inkambo yesikhathi esizayo yalesi simo? (Isibikezelo)

Izindaba ezinhle ukuthi izingane ezine-migraine zivame ukukhula zidlule i-migraine yazo cishe ngesikhathi sokuthomba. Cishe u-60% wezingane uzobe eseqede ngokuphelele le nkinga ngasekupheleni kweminyaka yobusha.

Kodwa-ke, cishe ama-70% ezingane ezike zaba ne-migraines zizoba nekhanda elibuhlungu kamuva ekuphileni, kungaba sebusheni noma ebudaleni.

Uma ingane yami ibhekene nobunzima obunjalo, ngingasiza kanjani?

Lokhu kuhlungu kwesisu kungaba yinto ekhathazayo ngokomzwelo enganeni nakuwe. Kungathinta impilo yengane yomphakathi kanye nomsebenzi wesikole. Ngakho-ke, into ebaluleke kakhulu ukuthi ukholelwe enganeni yakho futhi umele impilo yayo.

Khuluma ngokukhululekile nodokotela wengane yakho ngezimpawu zayo. Mtshele uma kukhona emndenini wakho one-migraine. Xoxa nodokotela wakho ukuthi ubuhlungu besisu sengane yakho bungabangelwa yi-migraine.

Kuzothatha isikhathi, kodwa zama ukuthola ukuthi yiziphi "Izinto Ezibangela Ukukhathazeka" ezenza ingane yakho ibe nzima kakhulu. Uma kungenzeka, gcina ingane yakho kude nayo. Khona-ke ungavimbela ubunzima obufanayo ukuthi bungenzeki esikhathini esizayo.

Kufanele ubonane nini nodokotela?

Uma ingane yakho ihlanza kaningi ngenxa yalokhu buhlungu besisu, qiniseka ukuthi ubona udokotela. Uma kunjalo, ingane yakho kungadingeka ilaliswe esibhedlela ukuze ilawule ukuhlanza futhi ivimbele noma yelaphe ukuphelelwa amanzi emzimbeni okubangelwa ukulahlekelwa amanzi emzimbeni ngokweqile.

Ukubona ingane isezinhlungwini kuyakhathaza kakhulu. Into engcono kakhulu ongayiyenzela yona ukuyimela, ukhulume nodokotela wayo, futhi uthole izindlela zokulawula i-migraines yesisu sayo. Njengoba kungaba khona izinto ezithile ezibangela lokhu, ukugcina incwadi yemisebenzi yengane yakho, izimo, kanye nezimpawu zayo kungakusiza ukuthi ubone izinto ezibangela lokhu ngokuhamba kwesikhathi.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Kulungile, ake sikukhumbuze izinto ezimbalwa esikhulume ngazo namuhla esicabanga ukuthi zibalulekile kuwe:

• I-migraine yesisu iyisimo sangempela. Akuyona nje ubuhlungu besisu.
• Lokhu kubonakala kakhulu ezinganeni ezincane.
• Ingozi iphezulu uma othile emndenini enesifo sekhanda elibuhlungu.
• Kubaluleke kakhulu ukuqaphela izimpawu nokufuna iseluleko sezokwelapha.
• Ukuthola izimbangela nokuhlala kude nazo kuzosiza kakhulu ekulawuleni lesi simo.
• Ungakhathazeki, lesi simo sizophela ezinganeni eziningi njengoba zikhula.
• Uma ingane yakho inenkinga efana nale, ukwesekwa kwakho, ukuqonda, kanye nokunakekela kwakho kubaluleke kakhulu kuyo.

Sithemba ukuthi lolu lwazi luzokusiza. Uma wena noma ingane yakho ninayo noma iyiphi yalezi zimpawu, sicela uxhumane nodokotela ukuze uthole iseluleko.