Ingabe nawe uphathwa yikhanda njalo? Ingabe lokhu kungaba yi-migraine engapheli?

Ingabe nawe uphathwa yikhanda ngaso sonke isikhathi? Ngezinye izikhathi akuyona nje ikhanda elibuhlungu, kodwa i-migraine engabekezeleleki. Ukuba nekhanda elibuhlungu kanje izinsuku eziningana ngenyanga kuyisithiyo esikhulu ekwenzeni imisebenzi yansuku zonke, akunjalo? Namuhla, ake sixoxe ngale migraine eqhubekayo, noma isimo '(I-Migraine Engapheli)'.

Kuyini i-Chronic Migraine?

Kalula nje, i-migraine engapheli yilapho uphathwa yikhanda elibuhlungu njalo, noma ngisho nsuku zonke. Izimpawu zakho zingashintsha usuku nosuku, futhi ngezinye izikhathi ihora nehora. Lokhu kwenza kube nzima ukukhomba ngqo ukuthi i-migraine eyodwa iphela kuphi kanti enye iqala kuphi.

Ingabe ikhanda elibuhlungu kanye ne-migraines kuyinto efanayo?

Lokhu kubaluleke kakhulu . I-migraine akuyona nje ikhanda elibuhlungu. Kunomehluko omkhulu phakathi kwalokhu okubili.

Ikhanda elibuhlungu elivamile (ikakhulukazi uhlobo oluvamile olufana ne-"Tension-type headache - TTH") lingaba yinto engakhululekile futhi lingaphazamisa imisebenzi yethu yansuku zonke. Kodwa akukubi kangako ukuthi lisenza singakwazi ukwenza imisebenzi yethu yansuku zonke. Kulesi simo, kukhona ubuhlungu ekhanda noma ebusweni, kodwa abuthinti ngqo ubuchopho.

Kodwa, i-migraines yinto ethinta ngqo ubuchopho bakho . Yilokho okwenza ibe yimbi kakhulu. Uma unesifo se-migraine, singaba nzima kakhulu kangangokuthi ngisho nokwenza imisebenzi yansuku zonke kungaba nzima kakhulu.

Sivame kangakanani lesi simo?

Emhlabeni jikelele, abantu abaphakathi kuka-12% no-15% bane-migraine. Kodwa-ke, i-migraine engapheli ayivamile kangako. Ochwepheshe bathi phakathi kuka-1% no-2.2% wabantu emhlabeni banalesi simo.

Esikhathini esiningi, lesi simo "se-Chronic Migraine" sibathinta kakhulu abesifazane .

I-migraines ivame ukuqala cishe ngesikhathi sokuthomba futhi iyancipha kancane kancane njengoba ukhula. Ngemva kokunqamuka kokuya esikhathini, i-migraines ivame ukungaveli, noma icishe inyamalale ngokuphelele.

Ziyini izimpawu zalokhu?

Izimpawu ze-migraine engapheli zifana neze-migraine eyenzeka ngezikhathi ezithile. Umehluko omkhulu ukuthi ihlala isikhathi eside futhi ivela kaningi . Ikhanda elibuhlungu nalo lihlotshaniswa nalo.

Ukuze uthole lokhu kuxilongwa, kufanele uhlangabezane nezidingo ezilandelayo:

• Kumelwe ube nekhanda noma i-migraine okungenani izinsuku ezingu-15 ngenyanga. Lokhu kumele kube okungenani izinyanga ezintathu zilandelana.
• Futhi, ikhanda lakho elibuhlungu kumele lihlanganise izimpawu noma izici ze-migraine okungenani izinsuku ezingu-8 ngenyanga. Lokhu kumele futhi kube khona okungenani izinyanga ezintathu zilandelana.

Ziyini ngempela izimpawu ze-migraine?

I-migraine ingazwakala ihlukile kuwo wonke umuntu, futhi ngezinye izikhathi ngisho nomuntu ofanayo uzobhekana nayo ngendlela ehlukile. Kungaba nezigaba ezine eziyinhloko (yize kungezona zonke i-migraine ezinezigaba ezine):

• (Prodrome): Lezi yizimpawu ezincane ozizwayo ngaphambi kokuba kuqale i-migraine. Ungase ucabange, "Oh... ngizizwa sengathi sengizoba ne-migraine." Ungase uzwe izinto ezifana nomuzwa wokungakhululeki, ushintsho ekuthandeni ukudla, njll.
• (Aura): Lezi zimpawu zenzeka lapho izindawo ezithile zobuchopho zithinteka. Izimpawu zingase zihlanganise ukubona ukukhanya phambi kwamehlo, ukungazweli ezithweni zomzimba, kanye nobunzima bokukhuluma.
• Ikhanda elibuhlungu: Lesi yisigaba esiyinhloko nesibuhlungu kakhulu se-migraine.
• I-Postdrome: Lokhu kufana nemiphumela emibi oyizwayo ngemva kwe-migraine. Abanye abantu bakubiza ngokuthi "i-migraine hangover." Ungase uzizwe ukhathele futhi unekhanda elibuthakathaka.

Manje, ukuze sikubize ngokunembile ngokuthi "i-Chronic Migraine", izimpawu zakho kufanele zihlukaniswe kanje:

I-Migraine engena-aura

Lokhu ngokuvamile kungahlala phakathi kwamahora angu-4 kuya kwangu-72.

Ngesikhathi sesigaba sekhanda, okungenani izimpawu ezimbili ezilandelayo kumele zibe khona:

• Ubuhlungu ohlangothini olulodwa lwekhanda (kungaba kwesokudla noma kwesobunxele).
• Ubuhlungu buzwakala njengobuhlungu obuhlabayo nobuhlabayo.
• Ubuhlungu buphakathi kuya kobukhulu.
• Ubuhlungu obandayo lapho wenza imisebenzi evamile (njengokuhamba noma ukukhwela izitebhisi), noma uzizwa sengathi ufuna ukugwema imisebenzi enjalo.

Futhi, ngesikhathi sesigaba sekhanda, okungenani eyodwa yalezi zimpawu ezilandelayo kufanele ibe khona:

• Isicanucanu.
• Ukuhlanza.
• Ukuba ne-photophobia kanye ne-phonophobia.

I-Migraine ene-aura

Isici esisodwa noma ngaphezulu kwe-`(Aura)` elandelayo kumele sibe khona :

• Izimpawu ezibonakalayo: ukubona izibani phambi kwamehlo, ukubona inkungu, ukubona amaphethini azungezayo phambi kwamehlo, noma ezinye izinguquko ezibonakalayo.
• Izimpawu zokuthinta: ukuthuthumela, umuzwa wokuhlaba ezithweni.
• Izimpawu zenkulumo/ulimi: Ubunzima bokukhuluma, ubunzima bokuqonda lokho abanye abakushoyo.
• Izimpawu zokunyakaza komzimba: `(Hemiplegia)` (ukulahlekelwa ukwazi noma ubuthakathaka ohlangothini olulodwa - kungathinta umzimba kanye/noma ubuso).
• Izimpawu ezihlobene ne-Brainstem: Ukulahlekelwa ukuhambisana, izinkinga zokulinganisela, i-vertigo, i-tinnitus, ukuphazamiseka kwesisu (njengohudo noma ukuqunjelwa).
• Izimpawu ze-retinal: Ukulahlekelwa umbono okuphelele noma okuyingxenye kweso elilodwa, noma ukubona izibani ezikhanyayo.

Futhi, okungenani ezintathu zezindlela ezilandelayo kumele zihlangatshezwe:

• Okungenani uphawu olulodwa lwe-"Aura" olusakazeka kancane kancane ngemizuzu emihlanu noma ngaphezulu.
• Ukuvela kwezimpawu ezimbili noma ngaphezulu ze-"Aura" kulandelana.
• Isibonakaliso ngasinye se-"Aura" sihlala phakathi kwemizuzu emi-5 nehora eli-1.
• Okungenani isici esisodwa `(Aura)` sikhona ohlangothini olulodwa kuphela.
• Okungenani esinye sezici ze-"Aura" siba "uphawu oluhle" (okusho ukuthi kukhona okusha okungeziwe ngenxa yaleso sici; ikhono lokuthinteka "yizimpawu ezimbi" lilahleka ngokuphelele noma kancane).
• Ikhanda eliqala ngokushesha ngemva kwe-aura noma kungakapheli imizuzu engama-60 kusukela ku-aura.

Kungani lezi migraine zenzeka?

I-migraine ingaba yifa . Lokhu kusho ukuthi uma othile emndenini wakho, ikakhulukazi abazali bakho noma ogogo nomkhulu, enesifo se-migraine, kungenzeka kakhulu ukuthi nawe ube naso.

Ngaphezu kwalokho, kunezinye izici eziningana abacwaningi abacabanga ukuthi zingaba nomthelela kule migraine:

• Izinguquko ekugelezeni kwegazi ngenxa yokwanda noma ukuncishiswa kwemithambo yegazi ebuchosheni.
• Ukuphazamiseka kwesikhashana ekudlulisweni kwezimpawu zikagesi emaseli obuchopho.
• Izinguquko kumakhemikhali obuchopho. Isibonelo, izinguquko emazingeni ama-neurotransmitter njenge-serotonin.
• Izimpawu ezingalungile ezivela emicu yezinzwa ezungeze amehlo noma kwezinye izingxenye zekhanda.
• Ukungasebenzi kahle kwezikhungo zokucubungula ubuhlungu nezimpawu ezingxenyeni ezahlukene zobuchopho.
• Ubuhlungu obuqhubekayo bubangela izinguquko endleleni umzimba obona futhi uzwa ngayo ubuhlungu.

Yiziphi izinto ezibangela ingozi ezibangela lokhu kuthuthukiswa?

Lezi zici ezilandelayo zingandisa ingozi yakho yokuthola i-migraines engapheli, noma zenze ezikhona zibe zimbi kakhulu:

• Ukukhuluphala ngokweqile.
• Ukulimala ekhanda, isibonelo ukuxhuzula kwekhanda.
• Ezinye izifo ezingamahlalakhona, ikakhulukazi izifo ezihlobene nobuhlungu njenge-fibromyalgia.
• Izinkinga zempilo yengqondo, isibonelo, ukucindezeleka noma ukukhathazeka.
• Izinkinga zokulala, ikakhulukazi i-sleep apnea.

Ingabe i-migraine evamile ingaba yi-migraine eqhubekayo?

Yebo, ngezinye izikhathi i-migraine evamile, eyenzeka ngezikhathi ezithile ingaguquka ibe yi-migraine engapheli. Lokhu kwenzeka ngezinqubo ngisho nochwepheshe abangaziqondi ngokugcwele.

Kodwa into eyodwa etholakele. Ukuthi ukusetshenziswa ngokweqile kwemithi ethile kadokotela kungaba yimbangela yalokhu. Uma sithi "ukusebenzisa ngokweqile," akusho ukuthi ukusetshenziswa kabi kwezidakamizwa. Lokhu kungenzeka ngisho nangemithi engeyona eyomlutha.

Ngakho-ke, uma ungumuntu ophathwa yikhanda elibuhlungu ngezikhathi ezithile, ochwepheshe bacebisa kakhulu ukuthi kungcono ukugwema ukusebenzisa imithi ethile njalo. Ukusebenzisa imithi ngokweqile kungaba yimbangela yokwanda kwekhanda elibuhlungu ngezinye izikhathi.

Ziyini izimbangela ze-migraine?

Ukudla, iziphuzo, izinto ezithile, iphunga, imisindo, noma izinto ezithile nezimo endaweni ezungezile kungabangela i-migraine zingakapheli amahora ambalwa noma izinsuku ezimbalwa. Lokhu yilokho esikubiza ngokuthi izimbangela ze-migraine .

Lezi yizona "Izibangeli" ezivame kakhulu:

• Ukucindezeleka kulungile, ukukhathazeka kulungile.
• Izinguquko zama-hormone ezihlobene nokuya esikhathini.
• Indlala noma ukuphelelwa amanzi emzimbeni.
• Izinguquko ekucindezelweni komoya (njengalezo ezenzeka ngokushintsha kwesimo sezulu).
• Kulungile ukulala kakhulu, futhi kulungile ukungalali ngokwanele.
• Amanye amaphunga, amakha.
• Ukudla okuthile noma izithasiselo ekudleni (ushizi omdala, iwayini elibomvu, ushokoledi, kanye nenyama endala noma egciniwe yizibonelo ezinhle).
• Ukukhanya (ezinye izinhlobo zokukhanya, noma ngisho nomzuzwana nje wokukhanya okuvela kokuthile okukhazimulayo, kungabangela ikhanda elibuhlungu).
• I-caffeine (ikakhulukazi uma uthatha kakhulu, kodwa kulungile ukuthatha okuncane kunalokho okuvamile).
• Eminye imisindo, ikakhulukazi imisindo evamise ukuzwakala kancane (njengomsindo wesando se-jackhammer) noma imisindo evamise ukuzwakala kakhulu (njengomsindo wamathuluzi kagesi), ingaba
• Ukuthatha imithi yokwelapha ikhanda elibuhlungu njalo (lokhu kubizwa ngokuthi imithi ebangela ikhanda elibuhlungu ngokusebenzisa kakhulu noma "ikhanda elibuhlungu elibuyela emuva").

Yiziphi izinkinga ezingabangelwa yilokhu?

Izinkinga ezibangelwa yikhanda elibuhlungu zingavela, kodwa azivamile . Ezinye izibonelo yilezi:

• `(Isimo se-migrainosus)` (i-migraine enzima kakhulu ehlala izinsuku ezingaphezu kwezintathu).
• Ukushaya kwenhliziyo.
• Ukuquleka okuhlobene ne-`(Aura)`.
• Ukuhlaselwa yinhliziyo (lokhu akuvamile kakhulu).

Odokotela bakuthola kanjani lokhu?

Udokotela uxilonga lesi simo (i-Chronic Migraine) ngokuhlanganisa izindlela eziningana. Okokuqala, bavame ukwenza ukuhlolwa kwezinzwa. Bese bekubuza imibuzo embalwa mayelana nomlando wakho wezempilo, impilo yansuku zonke, imikhuba yakho, kanye nemisebenzi yakho. Imibuzo evamile ebuzwayo yile:

• Ikhanda lakho lizwakala kanjani? Ngokukhethekile, incazelo yakho yobuhlungu, ukuthi bukuphi ekhanda lakho, nokuthi ubuhlungu bukhulu kangakanani.
• Wake waba ne-migraine ngaphambili? Uma kunjalo, uyithola kangaki?
• Zikhona yini ezinye izimpawu ezihambisana nekhanda elibuhlungu? (njengokuzwela ukukhanya noma umsindo)
• Ingabe uyaziphuza iziphuzo ezine-caffeine? Uma kunjalo, uvame ukuphuza okungakanani?
• Ingabe unazo "izinto ezibangela ikhanda elibuhlungu" ezenza ikhanda lakho libe libi kakhulu? (njengokudla, iziphuzo, amaphunga, imisindo)
• Uvame ukulala isikhathi esingakanani? Imikhuba yakho yokulala ibinjani muva nje?
• Angakanani amazinga akho okucindezeleka nokukhathazeka? Ingabe unesizathu sokuzizwa ucindezelekile noma ukhathazekile, manje noma muva nje?

Hlobo luni lokuhlolwa olwenziwayo ukuthola lokhu?

Udokotela wakho angase akucele ukuhlolwa okuthile. Angase akucele ukuhlolwa kwezithombe, njenge-CT scan, ukuze kunqunywe izimo ezisongela ukuphila, njenge-stroke. Lokhu kuvame ukwenziwa uma unezimpawu ezinkulu zemizwa, ikakhulukazi i-hemiplegia (ukulahlekelwa ukwazi kolunye uhlangothi lomzimba). Lolu uphawu oluvamile lokukhubazeka. Ezimweni ezingezona eziphuthumayo, ukuskena kwe-MRI kungenziwa ngaphezu kwe-CT scan noma esikhundleni sayo.

Ezinye izivivinyo zingenziwa kuye ngezimpawu zakho. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ngalezi zivivinyo nokuthi kungani zidingeka.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungalapheka ngokuphelele?

Ukwelashwa kwe-migraine engapheli kufana kakhulu nokwelashwa kwe-migraine ejwayelekile. Into eyinhloko imithi . Kunezinhlobo ezimbili eziyinhloko zokwelapha:

1. Ukwelashwa kokuvimbela: Kulokhu, imithi isetshenziselwa ukuvimbela i-migraines ukuthi ingenzeki, noma ukunciphisa ubukhali bayo noma ukuvama kwayo uma ivele.

2. Imithi yokusiza: Le mithi isetshenziselwa ukunciphisa ubude kanye nobukhali bokuhlaselwa yikhanda elibuhlungu.

Ngaphezu kwalokho, kunezinqubo ezithile zezokwelapha ezingasetshenziswa `(I-Chronic Migraine)`. Ukwelulekwa ngempilo yengqondo nakho kungaba yingxenye ebalulekile yokwelashwa.

Imithi Yokuvimbela

Le mithi iwusizo kakhulu kulesi simo (i-Chronic Migraine)`, ngoba inciphisa ukuvama kwe-migraine, noma inciphise nobunzima bayo. Lezi zinhlobo zemithi zivame ukunikezwa:

• Ama-Angiotensin II receptor blockers (ARBs) (isib. i-candesartan)
• Eminye imithi yokuvimbela ukuquleka (isib. i-valproic acid, i-topiramate)
• Ama-antidepressants (isib. i-amitriptyline, i-nortriptyline, i-venlafaxine)
• Ama-beta-blockers (isib. i-atenolol, i-metoprolol, i-propranolol)
• Imijovo ye-Botulinum toxin (Botox®)
• Ama-calcium channel blockers (ama-CCB) (isb., i-verapamil, i-flunarizine)
• Ukwelashwa ngomjovo osekelwe kuma-antibody e-monoclonal (isb., i-erenumab, i-fremanezumab, i-galcanezumab)

Imithi Yokusindisa

Le mithi isetshenziselwa ukunciphisa isikhathi kanye/noma ubukhali be-migraines uma ivela. Kodwa-ke, ochwepheshe bathi kufanele isetshenziswe ngokuqapha . Ukusebenzisa le mithi ngokweqile kungaholela ekukhuleni noma ekubhebhethekeni kwe-migraines engapheli.

Imithi ethengiswa ngaphandle kwemithi kadokotela (OTC) kanye nama-NSAID

Lezi izinhlobo zemithi ethengiswa ngaphandle kwemithi kadokotela kanye "nama-NSAID" (imithi elwa nokuvuvukala engeyona eye-steroidal) engasetshenziswa ukwelapha i-migraines:

• I-Acetaminophen (eyaziwa nangokuthi i-Paracetamol, i-Tylenol®, i-Panadol®)*
• I-aspirini
• I-Ibuprofen (eyaziwa nangokuthi i-Advil®, i-Motrin®)
• I-Naproxen (itholakala ngaphansi kwamagama afana ne-Aleve®)

*> Qaphela: I-Acetaminophen akuyona i-NSAID. Kodwa-ke, ivame ukubizwa ngokuthi i-NSAID ngoba itholakala ngaphandle kwekhawunta futhi inezakhiwo ezifanayo.*

Eminye imithi ye-migraine ethengiswa ngaphandle kwemithi kadokotela iqukethe i-caffeine kanye nama-NSAID. Kungumqondo omuhle ukukhuluma nodokotela wakho mayelana nokusebenzisa imikhiqizo equkethe i-caffeine. Futhi, funda ilebula ngokucophelela lapho uthatha imithi ukuqinisekisa ukuthi awuyithathi ngokungazi.

Izidakamizwa ze-Triptan

Lena imithi yokuqala evame ukunqunyelwa i-migraines. Ezinye izibonelo yilezi: `(Almotriptan)`, `(Eletriptan)`, `(Frovatriptan)`, `(Naratriptan)`, `(Rizatriptan)`, `(Sumatriptan)`, `(Zolmitriptan)`.

Kodwa-ke, udokotela wakho angase abe nombono ohlukile mayelana nokusebenzisa lezi zimpawu zekhanda elibuhlungu elingamahlalakhona. Ngoba ukuzisebenzisa njalo kungaholela ekuphathweni kabi kwekhanda ngokweqile ngemithi, noma ngisho nekhanda elibuhlungu elivamile lingaba elihlala njalo.

I-Ergotamine

Lo muthi unciphisa imithambo yegazi ebuchosheni futhi uthinta ukucutshungulwa kwezimpawu zobuhlungu.

Imithi elawulwayo nehlanganisiwe

Le mithi iqukethe i-NSAID kanye nomuthi olawulwayo, njenge-barbiturate noma i-opioid painkiller. Le mithi ayivame ukusetshenziswa ukwelapha i-migraines engapheli ngoba ingenza isimo sibe sibi kakhulu.

Izinqubo zezokwelapha

Kunezindlela eziningana zezokwelapha ezingasiza nge-migraines engapheli:

• Ukuvuselelwa kwemizwa: Lokhu kuvame ukusebenzisa i-vagus nerve, i-occipital nerve (emuva kwekhanda), kanye ne-supraorbital nerve (ebunzini).
• Ukukhuthazwa kwamagnetic okudluliselwe ku-cranial (TMS): Lokhu kusebenzisa insimu yamagnetic ukuthonya umsebenzi kagesi wobuchopho.
• Ezinye izindlela zokwelapha: Ezinye izindlela zokwelapha, njenge-acupuncture, nazo zingasiza abanye abantu. Nakuba lezi zingavamile, zingaba usizo kwabanye abantu. Kukhona odokotela abaqeqeshiwe kanye nochwepheshe bezempilo abahlinzeka ngalezi zindlela zokwelapha.

Usizo lwezempilo yengqondo

Ukwelashwa kwengqondo (igama elisemthethweni elisetshenziselwa ukwelashwa kwempilo yengqondo) lingasiza abantu abanokucindezeleka nokukhathazeka, kokubili okungabangela ikhanda elibuhlungu. Kunezinhlobo eziningi zokwelashwa kwengqondo, ngakho ungakhetha eyodwa ekusebenzelayo.

Yini engingayilindela?

I-migraines iyingxenye ephazamisayo nephazamisayo kakhulu empilweni. Kungaba nzima kakhulu, ngezinye izikhathi ngisho nokungenzeki, ukwenza imisebenzi yansuku zonke. Umsebenzi, imisebenzi yasekhaya, izinto ozithandayo, kanye nobudlelwano nabantu konke kuyaphazamiseka.

I-migraine engapheli yilapho i-migraines ivele khona okungenani izinsuku eziyisishiyagalombili ngenyanga izinyanga ezintathu. Ngenxa yokuthi ivela kaningi, ochwepheshe bayibheka njengekhubazayo futhi ingaba ukuphazamiseka okukhulu empilweni.

I-migraine ngokuvamile ayiyona ingozi. Kodwa ingaphazamisa kakhulu impilo. Ingandisa futhi ingozi yezimo ezisongela impilo ezifana nesifo sohlangothi kanye nokuhlaselwa yinhliziyo. Ezinye izimpawu ze-migraine zingafana nezimpawu zesifo sohlangothi. Ngakho-ke, ukubhekwa kwezokwelapha kanye nokwelashwa ochwepheshe kubalulekile.

Lokhu kuzohlala isikhathi esingakanani?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Kwabanye, kungase kuhlale izinyanga, iminyaka, kwabanye, kungase kuhlale ngisho namashumi eminyaka.

Umlando womndeni, izimo zomuntu siqu, izinto ezibangela i-migraine, kanye nempumelelo yokwelashwa konke kungathinta lokhu. Udokotela wakho angakunikeza iseluleko esingcono kakhulu sokuthi kuzohlala isikhathi esingakanani esimweni sakho, nokuthi yini ongayenza ukuze unciphise isikhathi esizothinta impilo yakho.

Iyini inhloso yalokhu?

I-migraine engapheli yinto engashintsha impilo yonke. Izindaba ezinhle ukuthi abantu abaphakathi kuka-26% no-70% bazogcina bebuyele kwi-migraine eyenzeka ngezikhathi ezithile. Kodwa-ke, abanye abantu bazoshintsha phakathi kwe-migraine engapheli kanye ne-migraine eyenzeka ngezikhathi ezithile.

Ukuvama kwe-migraines kwehla ngokuguga. Kwabesifazane, lokhu kungancishiswa kakhulu noma kuqedwe ngokuphelele ngemva kokunqamuka kokuya esikhathini.

Ingabe lokhu kungavinjelwa? Noma ingabe ingozi yokukuthola ingancishiswa?

Ngenxa yokuthi ochwepheshe abaqondi ngokugcwele ukuthi kungani noma kanjani lesi simo (i-Chronic Migraine) siqala, akunakwenzeka ukusivimbela ngokuphelele . Nakuba abanye abantu benganciphisa ingozi yabo, labo abanomlando womndeni basengayithola, noma ngabe baqaphile.

Uma uke waba ne-migraine ngezikhathi ezithile, okuwukuphela kwento ongayenza ukuvimbela imithi yakho ukuthi ingaguquki ibe yi-migraine evamile. Ukuze wenze lokhu, khuluma nodokotela wakho mayelana nendlela yokusebenzisa imithi yakho ngendlela efanele kanye nendlela yokunciphisa ingozi yakho.

Ngizinakekela kanjani?

Uma une-migraines engapheli, kunezinto eziningi ongazenza ukuze uzinakekele. Zama lezi zinto:

• Gcina ijenali yekhanda elibuhlungu. Lokhu kuyasiza kakhulu ezigabeni zokuqala, kodwa kuyasiza kungakhathaliseki ukuthi usunesikhathi eside kangakanani unekhanda elibuhlungu. Lokhu kuzokusiza ubone ukuthi ikhanda lakho elibuhlungu lishintsha kanjani ngokuhamba kwesikhathi. Lokhu kubaluleke kakhulu uma kuziwa ekutholeni izinto ezibangela ikhanda elibuhlungu.
• Phatha indlela yakho yokuphila.Lokho okudlayo kanye nezinga lomsebenzi wakho kungathinta i-migraine. Nakuba umsebenzi womzimba ngezinye izikhathi ungaba mubi kakhulu noma ubangele i-migraine, ukuthola izindlela zokuhlala umatasa kungasiza ekuthuthukiseni izimpawu zakho. Kubalulekile futhi ukugcina isisindo esinempilo kuwe, njengoba ukukhuluphala ngokweqile kanye nokukhuluphala ngokweqile kungabangela i-migraine engapheli.
• Ungesabi ukufuna usizo kwezobuchwepheshe. Ama-smartphone amaningi anezinhlelo zokusebenza ezingabhalisa futhi zilandelele i-migraine yakho. Izinhlelo zokusebenza eziningi zimahhala, kodwa ezinye zinezinketho ezikhokhelwayo ezinezici ezengeziwe. Ungasebenzisa futhi ezinye izinhlelo zokusebenza, njengezinhlelo zokusebenza zesimo sezulu, ukukuxwayisa ngezinto ezingase zibangele i-migraine yakho, njengokungcola komoya noma izinguquko ekucindezelekeni komoya.
• Thola izinto ezibangela i-migraine. Uma usuzazi ukuthi yiziphi izinto ezibangela i-migraine, ungazigwema noma unciphise umthelela ezinawo empilweni yakho. Lokhu kuzokusiza ukunciphisa ukuvama kwe-migraine yakho. Lena yindlela eyinhloko yokuguqula i-migraine engapheli ibe yi-migraine evamile futhi.
• Khuluma nabanye abanalesi simo. Kuningi ongakufunda kwabanye abantu abane-migraine engapheli. Ungajoyina amaqembu okusekela endaweni yakini. Ungathola futhi amaqembu okusekela ezinkundleni zokuxhumana noma kumawebhusayithi ezinhlangano ze-migraine.

Yiziphi izinto engingenakuzidla noma engingaziphuzi?

Izinto ezibangela i-migraine zihlukile kuwo wonke umuntu. Ukubhala phansi i-migraine kungakusiza ukuthi ubone futhi ugweme izinto ezibangela i-migraine.

Ngokuvamile, i-`(Trigger)` ilungiswa kusetshenziswa izindlela ezifanayo nezinye ukudla. Izibonelo:

• Ukubilisa: Le nqubo isetshenziselwa ukwenza iziphuzo ezidakayo njengewayini, ubhiya, i-cider, kanye notshwala. Kubalulekile futhi ekwenzeni ushizi, i-yogurt, kanye nezinye izinhlobo zesinkwa (isb., i-sourdough).
• Ukukha: Le ndlela isetshenziselwa ukulondoloza ukudla okufana nemifino nenyama. Izibonelo zifaka phakathi ama-pickle, i-sauerkraut, i-kimchi, amaqanda, nenyama.
• Ukwelapha nokuguga: Le ndlela isetshenziselwa ukulondoloza inyama. Ezinye izithasiselo, ikakhulukazi ama-nitrate nama-nitrites, zingabangela ikhanda elibuhlungu. Ukuguga okunye ukudla, ikakhulukazi inyama noshizi, nakho kungaba yimbangela.

Kufanele ngibone nini udokotela noma ngifune iseluleko sezokwelapha?

Uma une-migraines engapheli, kufanele njalo ubonane nodokotela.Kuzodingeka ubonane nodokotela wezinzwa (ngokuvamile udokotela wezinzwa) ukuze uthole ukwelashwa okulandelayo. Udokotela wakho uzokunikeza isimiso sokuvakashela kwakho. Futhi, uma ubona noma yiziphi izinguquko ezimpawu zakho, ikakhulukazi uma zithinta imisebenzi yakho yansuku zonke, indlela yokuphila, noma imisebenzi, khuluma nodokotela wakho ngokushesha.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu zesimo sezempilo esingathi sína noma esisongela ukuphila, iya ekamelweni lezimo eziphuthumayo ngokushesha. Izibonelo:

• Ikhanda elibuhlungu eliqala ngokuzumayo futhi libe libi kakhulu ngemizuzu embalwa. Lokhu kungaba uphawu lokopha ngaphakathi kobuchopho.
• Ikhanda elibuhlungu kakhulu: Lokhu kusho ukuthi uzizwa sengathi unekhanda elibuhlungu kakhulu empilweni yakho. Lokhu kungaba uphawu lwe-brain aneurysm, ukopha ebuchosheni, noma isifo sohlangothi.
• I-Hemiplegia: Lesi uphawu olukhulu lokukhubazeka . Uma ubhekana nalokhu, ungase ungakwazi ukubona ukuthi i-migraine noma i-stroke . I-Hemiplegia ebangelwa i-migraine ivame ukuphela ngemva kwesikhashana, kodwa ungalindi ukuthi iphele. Uma sekwephuzile kakhulu, ingaholela ekulimaleni kobuchopho unomphela noma ekufeni.

Ingabe i-Chronic Migraine iyisimo esibucayi?

I-migraine engapheli (ngaphandle kwezimo ezingavamile) ayisongeli impilo ngqo, kodwa iyingozi kakhulu . I-migraine ingenza impilo ibe nzima kakhulu, yenze kube nzima ukwenza imisebenzi yansuku zonke, futhi ngezinye izikhathi ingenzeki. Ngenxa yokuthi yenzeka kaningi, ochwepheshe bayibheka njengesimo esibi kakhulu.

Ingabe lokhu kuyoke kuphele ngokuphelele?

Yebo, i-migraines engapheli (kanye ne-migraines ngokuvamile) ingaphela. Enye indlela iwukukhula. Ingaba futhi i-migraine evamile, eyenzeka ngezikhathi ezithile (i-episodic migraine). Leyo ngokuvamile iwumgomo oyinhloko wokwelashwa. I-migraines evamile kulula ukuyilawula, kulula ukuyiphatha, futhi ayiphazamisi kakhulu impilo ngoba ayiveli njalo.

Okokugcina, izinto okufanele uzikhumbule

I-migraine akuyona nje ikhanda elibuhlungu. Uma uthola i-migraine, uvame ukuhlala ekamelweni elimnyama nelithule. Ngoba ukukhanya nomsindo kungabangela ubuhlungu obungabekezeleleki, isicanucanu, nezinye izimpawu eziningi. Ukuba segumbini elimnyama nelithule akuzenzi izimpawu ziphele. Kumane kuzivimbele ekubeni zibe zimbi kakhulu. Uma une-migraine, cishe uyazi ukuthi lezi zimpawu ziyacasula kakhulu. Kodwa ngezinye izikhathi kuyacasula nakakhulu ukuzama ukuzichazela abantu abangazazi futhi abanombono ongalungile ngokuthi zizizwa kanjani.

Ngenhlanhla, i-migraines engapheli ingelashwa kaningi. Ngisho nezinguquko ezincane empilweni yakho yansuku zonke zinganciphisa ukuvama kanye nobukhali be-migraines.Ngokuzama ukulawula i-migraine yakho ngosizo lukadokotela wakho, unganciphisa ukuvama kanye nobukhali be-migraine yakho. Esikhundleni sokuphila ne-migraine eyodwa emva kwenye, ungagxila empilweni yakho futhi uyijabulele. Ungakhathazeki, awuwedwa. Odokotela nabathandekayo bakho bangakusiza.

I - Migraine, I-Migraine Engapheli, Ikhanda Elibuhlungu, Ikhanda Elibuhlungu, Izimpawu Ze-Migraine, Ukwelashwa Kwe-Migraine, Izinto Ezibangela I-Migraine