Kunamacala amaningi angabangela ukuguqulwa kusuka ku-migraine ye-episodic ibe yi-migraine engapheli. Imithi yokwelapha ngokweqile iyinhloko, kanti ezinye izinto ezingenzeka (mhlawumbe ezingabonakali kalula) ziwukukhuluphala, ukucindezeleka, ukusebenzisa i-caffeine ngokweqile, ukuhlunga nokulala kwezifo.
Kungaba nzima ukuthola ukuthi yikuphi okubangela "isikhathi" se-migraines yakho .
Futhi, kubantu abaningi, akusona nje isici esisodwa, kodwa ukusebenzisana okuyinkimbinkimbi kwezici eziningi, okungaba yinselele ukuhlukana.
Kodwa ukwamukela le mikhuba emine enempilo kungase kuguqule imishanguzo yakho engapheli - futhi ingabe i-migraine engeke ibe khona ngesikhathi esisodwa ingaba nokuphathwa okuningi kunokuthi kwenzeke cishe nsuku zonke?
Ukuhlanzeka Ukulala Ukuguqula I-Migraine Engapheli
Kulabo ababhekene nemikhuba emibi yokulala - njengokulala ngokweqile, ukulala, noma ukuphazamisa ukulala - i-migraine engapheli ingase ishintshwe ngokuguqula ukulala kokuziphatha, ngokusho kocwaningo olwenziwe ekhanda . Le mikhuba yokuziphatha yokuziphatha ephilile ihlanganisa:
- Ukunamathela ngesikhathi sokulala esivumelanayo nokuvumela isikhathi samahora angu-8 embhedeni (isb., 10: 00 kuya ku-6 ekuseni).
- Ukuqeda ithelevishini, ukufunda, amakhompiyutha, amafoni, nomculo embhedeni. Ungase umangale ngokufunda. Uma ujabulela ukufunda ngaphambi kokulala, funda egumbini lakho lokuphumula ukuze ukhathele bese ushaya isaka, ushiye ibhuku lakho ngemuva kwetafula lekhofi.
- Ukusebenzisa inqubo yokuboniswa ukuze unciphise isikhathi sokulala. Ukubukeka kufana nokuzibheka nokuzindla futhi kuhlanganisa ukwakha isithombe engqondweni yakho esikusiza ukuba ukhululeke - njengokukhohlisa ingqondo yakho ekuphumuleni ngokujulile futhi elele.
- Ukudla isidlo semini emahoreni angu-4 noma ngaphezulu ngaphambi kokulala nokunciphisa ukudla kwakho oketshezi kungakapheli amahora amabili okulala.
Ukuyeka ukulala.
Thatha Imithi Yakho Yokuvimbela I-Migraine
Kunemithi emibili yokuvimbela imithi yokuvimbela impraine engapheli, njenge-anticonvulsant Topamax (topiramate) ne- Botox (onabotulinumtoxin A).
Ezinye izidakamizwa zokuvimbela ezibandakanya zihlanganisa i-anticonvulsant Neurontin (gabapentin), i-Amitriptyline (i-Elavil) ene-anti-depressant, noma i-muscular relaxant Zanaflex (Tizanidine). Ukuthola imithi efanele kungaba yinto ekhohlisayo, noma ngenxa yemiphumela emibi noma ukuphikisana kwezokwelapha.
Isibonelo, i-Topamax (i-topiramate) ingaba nemiphumela emibi njengokwenyuka kwesisindo, ukuphazamiseka, ukukhathala, ukukhathala, ukukhungatheka ukugxila, umlomo omile kanye nokucabangela. I-Botox idinga ukuthi umjovo ube yimisipha ebusweni enezimo ezimbi ezingabandakanya:
- ubuhlungu bentamo
- ijwabu leso lidonsela phansi
- injection site injection
- ubunzima bomzimba
- ikhanda
Lapho uthola imithi efanele yokuvimbela , isihluthulelo ukubekezela nokulandela kahle udokotela wakho. Udokotela wakho kuyodingeka afake isitifiketi sakho kwizinga lokulwela (umthamo lapho umuthi empeleni usebenza khona ukunciphisa imishanguzo yakho) ngenkathi unciphisa amandla okuba nemiphumela emibi. Kuyinkinga ebucayi ngakho zama konke okusemandleni akho ukuthi ungayeki - noma uma unenkinga, khuluma nodokotela wakho. Kulungile ukulungisa kabusha imithi yakho, ungadangali.
Yeka Ukusebenzisa Imithi Yakho Ye-Migraine
Ukusebenzisa imishanguzo yakho yokunciphisa ubuhlungu, kungakhathaliseki ukuthi yimithi yokwelapha (njenge- triptan ) noma imithi ephezulu kakhulu (njenge- NSAID ), iyisisusa esijwayelekile sokuthuthukiswa kwe-migraine engapheli. Ngaphezu kwalokho, ngokusebenzisa ngokweqile imithi yokunciphisa ubuhlungu, imishanguzo yokuvimbela imithi kaningi ayisebenzi - i-double whammy.
Izindaba ezinhle ukuthi ukuyeka imishanguzo yakho engasetshenzisiwe kungamisa ikhanda lakho futhi kuguqule imishanguzo yakho engapheli. Nakuba imishanguzo eminingi ingaqedwa ngokushesha, qiniseka ukuthi ukhuluma nodokotela wakho uma imithi yakho iqukethe ama- butalbital compounds noma uma uthatha ama-opioid amaningi, njengoba le mithi idinga ukuyeka kancane kancane ngaphansi kokuqondiswa udokotela.
Ukuzivocavoca Ukuguqula I-Migraine Engapheli
Kunzima ukusho ngalesi sikhathi ukuthi ukuzivocavoca kunganciphisa ngqo inombolo yakho ye-migraines ngenyanga. Kodwa izifundo zesayensi zisekela ukusetshenziswa kwayo ekunciphiseni ubuhlungu be-migraine ngokushintsha indlela ubuhlungu obucubungulwa ngayo ebuchosheni nangokusebenzisa izikhungo zobuchopho ebuchosheni.
Ngaphezu kwalokho, ukukhuluphala kungasiza ekuguqulweni kusuka episodic kuya migraines engapheli, futhi ukuvivinya umzimba njalo kungavimbela ukukhuluphala.
Khumbula, ukuzivocavoca akusho ukuthi ukuya ejimini - ukuhamba ngokukhululekile nomngane, ukubhukuda, isigaba seZumba, ukuhamba ngebhayisikili, ukuhamba ngezinyawo, noma ukujoyina iqembu lezemidlalo elikhuphisanayo kungenza kube ngcono futhi kusabalulekile njengokuzivocavoca. Khetha umsebenzi okulungile kuwe, nokuthi ujabulele.
Izwi elivela
Kuzijabulisa ukuthatha isimo esisebenzayo empilweni yakho ye-migraine. Qala ngokwenza uhlu, ubuze umlingani wakho ukuthi akusize ukukugqugquzela, futhi uhlele uhlelo lokukhonkolo nodokotela wakho. Ungakwazi ukuguqula i-migraines yakho - kungase kube nzima nakakhulu kwabanye, futhi ungase ube nama-ups and downs, kodwa ama-ups (ayikho izinsuku ze-migraine) azokhazimula. Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha.
Imithombo:
Ahn, A. (2013). Kungani ukuvivinya umzimba kunciphisa i-migraine? Imibiko Yamanje Yobuhlungu Nezinhloko, 17 (12): 379.
Bigal, ME, Lipton, RB (2006). Ukukhuluphala kuyinto engozini yokuguqulwa kwe-migraine kodwa hhayi isifo esibuhlungu esingavamile. I-Neurology, 67 (2): 252-257.
U-Calhoun, AH, & Ford, S. Ukuziphatha kokuguquka kokulala kungabuyisa ukuguqulwa kwe-migraine kuya ku-migraine ye-episodic. Inhloko , 47 (8): 1178-83.
Kikuchi, H., Yoshiuhchi, K., Yamamoto, Y., Komaki, G., Akabayashi, A. (2011). Ingabe ukulala kukhulisa ikhanda lokuhlukunyezwa kwengqondo ?: Ucwaningo olusebenzisa ukuhlolwa kwesikhashana kokusebenza kwemvelo nokusebenza kwe-actigraphy. Imithi ye-BioPsychoSocial , 12; 5: 10.
Imvula JC, & Poceta JS. (2012). Izinwele ezihlobene nokulala. Imitholampilo ye-Neurologic, Nov; 30 (4): 1285-98.
Schwedt, TJ (2014). Migraine engapheliyo. BMJ, 24; 348: g1416.
I-Silberstein SD, i-Holland S, i- Freitag F, et al. (2012). Ukubuyekezwa okusekelwe ebukhosini: Ukuphathwa kwe-pharmacologic yokuvimbela i-episodic migraine kubantu abadala: umbiko we-Quality Standards Subcommittee ye-American Academy of Neurology kanye ne-American Headache Society. I-Neurology , 78: 1337.