Ingabe nawe uphathwa yikhanda elibuhlungu ngesikhathi sokuya esikhathini? (I-Menstrual Migraine) Ake sixoxe ngalokhu!

Kwabesifazane abaningi, ukuya esikhathini kuyisikhathi esinzima, akunjalo? Kanye nobuhlungu besisu nobuhlungu bomzimba, kuvamile nokuthi abanye abantu babe nekhanda elibuhlungu kakhulu. Lokhu sikubiza ngokuthi 'Ikhanda Elibuhlungu Lesikhathi' noma ' Ikhanda Elibuhlungu Lesikhathi Sokuya Esikhathini' . Empeleni lesi yisimo esifana nekhanda elibuhlungu elihambisana nokushintsha kwama-hormone .

Kalula nje, 'ikhanda elibuhlungu ngesikhathi sokuya esikhathini' uhlobo lwe-migraine oluvela cishe ngesikhathi somjikelezo wakho wokuya esikhathini wanyanga zonke, noma ngaphambi noma ngesikhathi sokuya esikhathini kwakho. Imbangela eyinhloko yalokhu izinguquko zamahomoni emizimbeni yethu. Ngokuvamile kwenzeka ohlangothini olulodwa lwekhanda. Ubuhlungu bungaba bubi nakakhulu uma uhambahamba, noma uma ubhekene nokukhanya okukhulu, iphunga elinamandla, noma umsindo omkhulu. Ngezinye izikhathi buyaphela phakathi namahora ambalwa, kodwa bungahlala izinsuku eziningi.

Uma ukhuluma nodokotela, ungase usho into efana nale:

• I-Migraines Yokuya Esikhathini Noma I-Migraines Ehlobene Nokuya Esikhathini .
• Ubuhlungu Bekhanda Obubangelwa Ama-hormone noma Ubuhlungu Bekhanda Obubangelwa Ama-hormone
• I-Migraines Yesikhathi
• I-Migraines yama-hormone

Kuyini ukuxhumana phakathi kwama-hormone nalezi zinhlungu zekhanda?

Ungase uzibuze ukuthi la ma-hormone angabangela kanjani ikhanda elibuhlungu. Nokho, i-hormone i-estrogen ihileleke kakhulu kulokhu ' kubuhlungu kwekhanda ngesikhathi sokuya esikhathini'. Ngaphambi nje kokuba uqale ukuya esikhathini, amazinga akho e-estrogen ehla ngokuzumayo.

I-migraines yangaphambi kokuya esikhathini ivame ukwenzeka ngesikhathi esingaphambi kokuya esikhathini, lapho amazinga e-estrogen kanye ne-progesterone esephansi kakhulu. Kalula nje, uma ama-hormone akho eshintsha, kungathinta ikhanda lakho.

Kuzwakala kanjani ikhanda elibuhlungu ngama-hormone?

Kungenzeka ukuthi uqaphele ukuthi izinhlungu zekhanda ezihambisana nalesi sikhathi zinzima kakhulu kunezinye izinhlungu zekhanda ezivamile. Abantu abaningi bachaza izinhlungu njengokuzwa kokushaya, ukushaya, noma ukushaya .

Sivame kangakanani lesi simo?

Eqinisweni, abantu abaningi bahlushwa yile nkinga. Ngokwesilinganiso, cishe ama-12% abantu baseMelikaKukhona i-migraine . Kulabo, abantu abangu-60% abanesikhathi sokuya esikhathini kanye ne-migraines babika ukuthi bathola le migraines ngesikhathi somjikelezo wabo wokuya esikhathini wanyanga zonke. Ngakho-ke lokhu akuyona into eyenzeka kuwe kuphela.

Ziyini izimpawu ze- migraine yokuya esikhathini ?

Uma kwenzeka lokhu kukhanda , ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ikhanda elibuhlungu - Lingaqala njengobuhlungu obuncane bese liqhubekela ebuhlungwini obukhulu.
• Ukuzwela ukukhanya, umsindo, kanye nephunga - Ngisho nokukhanya okuncane noma umsindo kungaba nzima ukuwubekezelela.
• Isikhumba sekhanda singase sizizwe sithambile noma sibuhlungu uma sithintekile .
• Ukudla akunambitheki .
• Isiyezi .
• Umbono ofiphele.
• Ukuzizwa ukhathele .
• Ukucanuzela kwenhliziyo nokuhlanza, isisu esibuhlungu, ubuhlungu besisu .
• Ukuzizwa ushisa kakhulu (ukujuluka) noma ukubanda (ukuthuthumela) .

Kukuphi ekhanda lapho kuvela khona leli khanda elibuhlungu?

Esikhathini esiningi, leli 'khanda elibuhlungu lesikhathi' lithinta uhlangothi olulodwa lwekhanda kuphela . Ubuhlungu buvame ukuzwakala ebunzini. Kodwa-ke, ngezinye izikhathi bungenzeka kwezinye izindawo futhi busuke endaweni eyodwa uye kwenye. Lokhu kungahluka kancane kumuntu nomuntu.

Iqala nini le nkinga yekhanda?

I-migraine yokuya esikhathini ingahlala kusukela ezinsukwini ezimbili ngaphambi kokuqala kokuya esikhathini kuze kube cishe ezinsukwini ezintathu ngemva kokuya esikhathini .

Kungani ngiphathwa yikhanda ngesikhathi ngisesikhathini?

Isizathu esiyinhloko salokhu izinguquko emazingeni akho ama-hormone . I-Estrogen ingenye yama-hormone amabili ayinhloko emzimbeni wethu. Amazinga e-Estrogen afinyelela phezulu phakathi nomjikelezo wakho wokuya esikhathini bese ehla aye emazingeni awo aphansi kakhulu phakathi nesikhathi sakho sokuya esikhathini. Lolu shintsho oluzumayo kuma-hormone yilona olwenza kube nokwenzeka kakhulu ukuba ikhanda liqaqambe. I-Estrogen ikhulisa ukuzwela kwakho ubuhlungu.

Yiziphi izinto ezibangela lezi zinhlungu zekhanda?

Imbangela eyinhloko izinguquko zamahomoni, ikakhulukazi izinguquko ku-estrogen. Futhi, uma uthatha imithi ethile ethinta amahomoni, isibonelo:

• Amaphilisi okuvimbela inzalo .
• Ukwelashwa kokushintsha ama-hormone .

Uma uzizwa sengathi uthola i-migraines evame kakhulu noma enzima kakhulu ngenkathi uthatha lo muthi, qiniseka ukuthi ukhuluma nodokotela wakho . Angase akwazi ukukunika umuthi ohlukile onesilinganiso esiphansi se-estrogen, noma ashintshe indlela othatha ngayo umuthi.

Ubani osengozini enkulu yalolu daba lwekhanda?

Uma uya esikhathini , usengozini yokuthola lezi zinkinga zobuhlungu bekhanda zokuya esikhathini. Futhi, uma unama-migraine ngemva kokuya esikhathini, noma uma othile emndenini wakho enama-migraine (uhlobo lofuzo/umlando womndeni) , usengozini enkulu.

Yiziphi izinkinga ezingavela ngenxa yalolu daba lwekhanda?

Ubuhlungu bekhanda obuhambisana nesikhathi bungaphazamisa imisebenzi yakho yansuku zonke . Ungase ungakwazi ukusebenza noma ukuhlanganyela emisebenzini evamile uma unabo. Ngokungafani nezinye izinhlungu zekhanda, ungabikezela ukuthi zizofika nini, kodwa kungase kudingeke uhlele impilo yakho kuzo. Kodwa ungakhathazeki, udokotela angakusiza ukuthi uziphathe.

Wazi kanjani ukuthi lokhu 'kuyikhanda elibuhlungu ngesikhathi sokuya esikhathini'?

Udokotela uzonquma ukuthi unekhanda elibuhlungu yini ngesikhathi sokuya esikhathini ngokukuhlola nokwenza izivivinyo ukuze akhiphe ezinye izimo ezibangela izimpawu ezifanayo. Ngesikhathi sokuhlolwa kwakho, udokotela wakho uzofuna ukufunda kabanzi ngezimpawu zakho ze-migraine. Bangase bakubuze imibuzo efana nalokhu:

• Ungakwazi yini ukuchaza ubukhulu bobuhlungu obuzwayo nokuthi bubuhlungu kuphi ekhanda lakho ?
• Ingabe ubuhlungu buyahlaba? Buyahlaba? Noma buhlaba?
• Uvame kangakanani ukuthola lezi migraines?
• Ingabe ukwenza noma yini kwenza ikhanda lakho libe ngcono noma libe libi kakhulu?
• Ngitshele ukuthi umuthi owuthathayo ukunciphisa ubuhlungu nokuthi uwuthatha kangaki .
• Yimiphi imisebenzi, ukudla, izinto ezibangela ukucindezeleka, noma izimo ocabanga ukuthi kungenzeka ukuthi zibangele le migraine ?
• Uyazi ukuthi kukhona yini emndenini wakho ohlushwa yi-migraine ?
• Wazizwa kanjani ngaphambi kokuba ikhanda lifike, phakathi nalo, nangemva kokuba liphelile?

Udokotela wakho angase futhi acele ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe (njenge-CT scan noma i-MRI scan) ukuqinisekisa ukuthi azikho ezinye izimbangela zekhanda lakho.

Kuwusizo kakhulu kuwe nodokotela wakho ukugcina idayari yekhanda elibuhlungu, idayari yekhanda elibuhlungu. Kuyo, bhala phansi ukuthi yiziphi izimpawu onazo, ukuthi unesikhathi esingakanani, nokuthi yini eyenza ikhanda lakho elibuhlungu libe ngcono noma libe libi kakhulu.

Ingabe ngidinga ukubona uchwepheshe ngalokhu?

Uma uphathwa yikhanda njalo ngesikhathi sokuya esikhathini, khuluma nodokotela wakho oyinhloko kuqala.Uzokudlulisela kuchwepheshe wekhanda uma kudingeka.

Ungayiphatha kanjani 'ikhanda elibuhlungu ngesikhathi sokuya esikhathini'?

Imithi ivame ukusetshenziswa ukwelapha ikhanda elibuhlungu lokuya esikhathini . Nazi ezinye zemithi evamile udokotela angase ayinikeze:

• Amaphilisi okuvimbela inzalo ngomlomo: Uma usuvele uthatha amaphilisi okuvimbela inzalo, udokotela angashintsha uhlobo noma umthamo wephilisi ukuze anciphise izinguquko ezinkulu kuma-hormone ahlobene nokuya esikhathini kwakho.
• Imithi yokulwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Ama-NSAID asiza ukunciphisa ubuhlungu. Udokotela wakho angancoma ukuthi uthathe ama-NSAID ezinsukwini ezimbili kuya kwezintathu ngaphambi kokuqala kokuya esikhathini kanye nasezinsukwini ezimbalwa zokuqala kokuya esikhathini.
• Ama-Triptans (ama-agonist akhethekile e-serotonin receptor): Ama-Triptans uhlobo oluvamile lwemithi esetshenziselwa ukwelapha i-migraines. Ungayithatha ukuze umise ubuhlungu lapho izimpawu ziqala. Afika ngesimo samaphilisi, imijovo, noma izifutho zamakhala.
• Ukwelashwa ngama-hormone: Ukuze kusizwe ekuphatheni izinguquko zama-hormone ngesikhathi sakho sokuya esikhathini, izithasiselo ze-estrogen zingasiza ekulinganiseni ama-hormone akho. Lokhu kuza ngesimo samaphilisi, ama-gel esitho sangasese sowesifazane, noma i-patch ongayisebenzisa phakathi nesonto lokuya esikhathini kwakho.

Ngezinye izikhathi, imithi elandelayo isetshenziswa njengokwelashwa kokuqala kwekhanda elibuhlungu kakhulu lokuya esikhathini :

• Imithi yokuvimbela ukuqunjelwa ( isib. i-topiramate, i-valproate).
• Ama-antidepressants (isib. i-amitriptyline, i-venlafaxine).
• Imithi yokunciphisa umfutho wegazi (isib. i-propranolol, i-candesartan).

Eminye imithi ingafaka:

• I-Metoclopramide.
• Izitha ze-Calcitonin gene-related peptide (CGRP).
• I-Dihydroergotamine.

Udokotela wakho angase futhi ancome ukuthatha izithasiselo ezifana nalezi:

• I-Magnesium oxide ( 400 milligrams [mg] ngesikhathi sokulala).
• I-Riboflavin (200 milligrams kabili ngosuku).
• I-CoQ10 (ama-milligram angu-300 ekuseni).

Udokotela angase azame umuthi owodwa noma inhlanganisela yemithi yokwelapha ikhanda elibuhlungu ngesikhathi sokuya esikhathini, ukuze athole ukuthi yini ekusebenzela kahle kakhulu.Le mithi isebenza kahle kakhulu uma ithathwa ngesheduli eqinile. Udokotela wakho uzokusiza ukuthi unqume izikhathi ezingcono kakhulu zokuyithatha ukuze avimbele noma alawule izimpawu zakho.

Ngingayilawula kanjani le nkinga yekhanda ngaphandle kwemithi?

Kunezinto ezimbalwa ongazenza ukuze uphathe ikhanda lakho le-hormone ngokwemvelo ngaphandle kwemithi. Kodwa-ke, kungadingeka uzame kancane ukuthola ukuthi yini ekusebenzelayo nokuthi yini ekusebenzelayo. Isibonelo, uma uzwa ubuhlungu obukhulu futhi uzizwa ushisa ngaphandle, zama ukuhlala ekamelweni elipholile nelimnyama .

Amanye amathiphu ambalwa:

• Lala ngokwanele .
• Yidla ukudla okunempilo, okufike ngesikhathi (ungayeki ukudla) .
• Yenza umsebenzi womzimba ojwayelekile .
• Lawula ukucindezeleka .

Kuyohlala isikhathi esingakanani lokhu kukhanda?

Ungaba nesifo sokuqaqamba kwamalunga esibelethweni uze ufinyelele esikhathini sokunqamuka kokuya esikhathini. Umgomo wokwelashwa ukunciphisa noma ukuvimbela ukuvama kwalezi zinhlungu zekhanda ngesikhathi sokuya esikhathini.

Iyini ikusasa lalesi simo?

Ngokwelashwa, abantu abaningi bangalindela imiphumela emihle yekhanda labo lokuya esikhathini. Njengoba kunezindlela eziningana zokwelapha, kungathatha imijikelezo eminingana yokuya esikhathini ukuthola ukwelashwa okusebenza kahle kuwe. Lokhu kusho ukuthi kungathatha isikhathi.

Eminye imithi isebenza kahle uma ithathwa ngesimiso esiqinile. Ukugcina ikhalenda yemijikelezo yakho yokuya esikhathini, ukusebenzisa amaphilisi okuvimbela inzalo, noma ukusebenzisa uhlelo lokusebenza kufoni yakho ukuze ulandelele ukuya kwakho esikhathini kungakusiza ukuphatha lokhu. Udokotela wakho angakusiza ukuthola ukwelashwa okufanele kwesimo sakho.

Ingabe 'ikhanda elibuhlungu ngesikhathi sokukhulelwa' lingavinjelwa?

Yebo, udokotela angakusiza ukuthi uphathe futhi uvimbele lezi 'zinhlungu zekhanda zokuya esikhathini'. Nakuba kungezona zonke izinhlungu zekhanda ezingavinjelwa, udokotela wakho angakunikeza imithi yokuvimbela ongayithatha nsuku zonke. Umthamo ungadinga ukwanda njengoba isikhathi sakho sokuya esikhathini sisondela. Khuluma nodokotela wakho ngezindlela zokuvimbela i-migraines yokuya esikhathini . Angancoma isimiso sokwelashwa esikusebenzela kahle kakhulu.

Kufanele ngimbone nini udokotela?

Bona udokotela kulesi simo:

• Uma uphathwa yikhanda elibuhlungu kakhulu ngesikhathi sokuya esikhathini .
• Uma inani noma ubunzima bekhanda lakho elibuhlungu bukhuphuka, noma uma iphethini yakho yekhanda ishintsha .
• Uma uhlangabezana nemiphumela emibi emisha noma ehlukile .
• Uma imithi oyithathayo yokwelapha ikhanda lakho elibuhlungu ibonakala ingasasebenzi, noma uma ithinta ikhwalithi yempilo yakho.

Uma kwenzeka isimo esiphuthumayo, shayela u-1990, noma uye e-Emergency Treatment Unit (ETU) ngokushesha:

• Uma ngokuzumayo uqala ukuba nekhanda elibuhlungu .
• Uma unesifo sekhanda esizwakala sengathi "yisifo sekhanda esibi kakhulu empilweni yami" ...
• Uma uphathwa yikhanda ngemuva kokulimala ekhanda .
• Uma uhlangabezana nezimpawu zezinzwa ongakaze ube nazo ngaphambili, njengobunzima bokukhuluma, ukulahlekelwa yibhalansi, izinkinga zokubona, ukudideka kwengqondo, ukuxhuzula, noma ukuba ndikindiki .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ingabe nginesifo 'sekhanda elibuhlungu' noma olunye uhlobo lwe-migraine?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ikhona imiphumela emibi yalokhu kwelashwa?
• Yini engingayenza ukuze ngivimbele ikhanda elibuhlungu esikhathini esikhathini esizayo?

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma kufika isikhathi sakho sokuya esikhathini, uzwa ukungakhululeki okuningi, njengobuhlungu besisu, ubuhlungu bomzimba, kanye nokushintshashintsha kwemizwelo. Kodwa uma uthola i-migraine, kungaba kubi nakakhulu. Kodwa, izindaba ezinhle ukuthi, akudingeki 'ubekezelele' i-migraine yokuya esikhathini njalo uma uya esikhathini. Udokotela angakusiza ukuphatha lezi zinkinga zobuhlungu bekhanda. Imithi inganciphisa ukuvama nobukhali balezi zinkinga zobuhlungu bekhanda. Kukhona nezindlela zokuzivimbela. Ngakho-ke, uma ubhekene nale nkinga, ungabi namahloni noma wesabe ukukhuluma nodokotela.

I-Migraine, Ubuhlungu Bekhanda Obubangelwa Ama-Hormonal, I-Migraine Yokuya Esikhathini , Ukuya Esikhathini, Ukwelashwa Kwekhanda, Impilo Yabesifazane, I-Estrogen