Amaqiniso Ngabesifazane Nama-Migraine Angase Akumangele
I-Migraine ithinta abantu baseMelika abangaphezu kwezigidi ezingu-36, futhi njengoba kungenzeka usuvele usolungile, abesifazane bathinteka ngaphezu kwamadoda. Ukungafani kobulili ku-migraine kwenzeke kubangelwa ukushintsha kwezemvelo kwe-female hormone estrogen.
Ngokuqondile, "Ukuncipha kwamazinga e-estrogen kwandisa amathuba okuhlaselwa kwe-migraine," kusho uMathewu S.
URobbins, MD, uProfesa ohlangene we-Clinical Neurology e-Albert Einstein College of Medicine kanye nelungu lebhodi lebhodi le-Headache Society le-American.
"Imvamisa ye-migraine nokuqina kungase kuvame kakhulu kubantu besifazane ngesikhathi sokunciphisa i-estrogen, efana nesikhathi esithile senkathi yakho, ngemuva kokuletha ingane (ikakhulukazi uma ingawuncelisi), futhi ngesikhathi sokuya esikhathini lapho amazinga ajwayelekile," kunezela uDkt. Robbins.
Ake sihlole amaqiniso amahlanu mayelana nabesifazane ne-migraine futhi avule ama-twist futhi aphendukele okwenza lolu xhumano olusekelwe ku-hormone luyisenzakalo esithakazelisayo, kodwa esiyimithwalo.
Ukuya esikhathini sokugaya i-Migraine Kungase Kungaphenduli Emithonjeni Yakho Ejwayelekile
Ukuhamba esikhathini sokuya esikhathini kwenzeka esikhathini esingapheli isikhathi esibizwa ngokuthi i-perimenstrual period, eqala izinsuku ezimbili ngaphambi kokuqala kokugeleza kokuya esikhathini futhi iphela ngosuku lwesithathu isikhathi somfazi. Isizathu salesi sikhathi esinqunyiwe sokuthi ukuhamba esikhathini sokugaya kuthathwa ukuthi kubangelwa ukwehla kwamazinga e-estrogen okwenzeka ngaphambi kokuba owesifazane aqale isikhathi sakhe.
Ingxenye ekhohlisayo mayelana ne-migraine yokuya esikhathini ukuthi yinto evame kakhulu kakhulu futhi ihlala isikhathi eside kune-migraine eyenzeka ngezikhathi ezithile zenyanga. Lokhu kungenza ukwelashwa kwe-migraine esikhathini esincane kunqubo encane, yokuzama. Kodwa qiniseka ukuthi kunezinyathelo ezimbalwa wena nodokotela wakho ongazisebenzisa ukuze uthole ukukhululeka okufanelwe.
Isu lakho lokuqala ukugxuma ekuphatheni ukuhlasela kwakho kwe-migraine ngangokunokwenzeka. Ngamanye amazwi, uma izinyathelo ezilula ezifana nokuphumula egumbini elimnyama noma ukufaka iphakethe elibandayo akunciphisi ubuhlungu bakho, kungcono ukuqhubekela phambili nge- triptan , imithi esetshenziselwa ukuphatha ngokulinganisela ukuya kwe-migraine enzima.
Ngaphezu kwalokho, kunengqondo ukuthatha i-triptan ngokuhambisana ne-nonsteroidal anti-inflammatory (NSAID) njenge-ibuprofen noma i-Aleve (naproxen). Udokotela wakho angase ancoma ngisho nemithi yokuhlanganiswa kwemithi efana ne-Treximet (i-sumatriptan / naproxen sodium).
Isu sesibili ukuvimbela ukungena kwe-menstrual ukuya esikhathini sokuqala. Owesifazane angase akhethe ukuthatha imithi yokuvimbela njenge-NSAID noma i-triptan ehlala isikhathi eside, i-Frova (frovatriptan) izinsuku ezinhlanu noma eziyisithupha ngaphambi kokuqala kokuya esikhathini. Enye indlela i- magnesium , nakuba i-magnesium ivame ukuthathwa cishe amasonto amabili ngaphambi kokuqala kwesikhathi sowesifazane.
Ngaphandle kwalokho, ukuze afike emmpandeni we-estrogen wehla, abanye besifazane bakhetha ukuthatha uhlobo lwe-estrogen (isibonelo, i-estrogen isikhumba isikhumba noma iphilisi) phakathi nesonto ngaphambi kokuya esikhathini. Kodwa-ke, uma imijikelezo yakho yokuya esikhathini engejwayelekile, ukulawulwa kokuzalwa okuqhubekayo kungaba isu elingcono ngakho-ke akukho ukwehla kwe-estrogen yemvelo.
Kufanele Ukhulume Nodokotela Wakho Uma Uthatha Amaphilisi Okulawula Ukuzalwa
Kuyiqiniso ukuthi abesifazane abaphethe amaphilisi okulawula ukubeletha banengozi enkulu yokuba nesifo uma kuqhathaniswa nabesifazane abangathathi amaphilisi okulawula ukubeletha. Ngenkathi lokhu kungase kuzwakale kuyayethusa, iningi labesifazane abaphethe amaphilisi okulawula ukubeletha bangabesifazana abasha kanye nesifo sokushaya isifo kuyinto engavamile kakhulu kule ndawo.
Lokhu kusho ukuthi abesifazane abaphethe amaphilisi okuvimbela ukubeletha abasengozini enkulu yokushaywa yisifo yibo abanezinye izici ezingozini (isibonelo, abesifazane abhema noma abanomfutho wegazi ophakeme) -neziphakamiso zibonisa ukuthi i-migraine ne- aura nayo iyingozi (nakuba ubufakazi besayensi abukodwa njengezinye izinkinga).
Okubalulekile lapha uma unemigraine ne-aura, ukusebenzisa amaphilisi okulawula ukuzalwa kungase kungaphephile, ikakhulukazi uma okuqukethwe kwe-estrogen kuphezulu. Ukuze uphephe futhi usebenze kahle, kufanele ukhulume nomjozi wezinzwa zakho, udokotela wezinzwa, noma udokotela oyinhloko yokunakekela ukuze uqonde kangcono izingozi nezinzuzo.
Ungase Uthole I-Breath Migraine Ngesikhathi Ubungqingili
Ibhonasi eyengeziwe yokondla ingane yakho ngesikhathi sokukhulelwa ukuthi ungathola u-brera migraine, ikakhulukazi ngesikhathi se-trimester yesibili nesithathu, uma amazinga e-estrogen akho ephakeme. Eqinisweni, amaphesenti angaba ngu-70 wabesifazane abanomlando we-migraine inothi ngcono kule nkathi yokukhulelwa kwabo.
Lokho kuthiwa, cishe amaphesenti amahlanu abika ukuhlaselwa kwe-migraine yabo, futhi abanye ababikho ushintsho. Ngokuthakazelisayo, abesifazane abahlangabezana nokuthatha isikhathi sokuya esikhathini kanye ne-migraine ngaphandle kwe-aura cishe banomqondo wokuthuthukisa i-migraine ngesikhathi sokukhulelwa.
Ukuphazamiseka kwalokhu "i-migraine yokuthola ngcono ngesikhathi sokukhulelwa" kwenzeka ukuthi ngemva kokukhulelwa, ngesikhathi sokuhamba kwesikhathi, ukuhlasela kwakho kwe-migraine kungabuya ngokuphindiselela. Noma kunjalo, ucwaningo lubonisa ukuthi ukubeletha kungase kube yisivikelo. Lokhu kunengqondo, futhi, njengoba ukuncelisa i-stabilizes amazinga e-estrogen emzimbeni.
Okubalulekile lapha, kusho uDkt. Robbins, ukuthi, "Ukuphathwa kwe-Migraine ekukhulelweni empeleni kuqala kahle ngaphambi kokukhulelwa ukuze kuqondwe ukuthi yikuphi okungahambi kwemithi ngesikhathi sokukhulelwa kufanele kubekwe phambili, nokuthi yiziphi izindlela zokwelashwa ezingase zibe ziphephile futhi ziphumelele."
Ungaba neMigraine Ukuqhubekela Phambili
Ukunqamuka kwesikhashana kuyisimo ngesikhathi lapho owesifazane eyeka ukujikeleza kokuya esikhathini izinyanga ezingu-12. Kusho ukuthini lokhu ngokwezinto eziphilayo? Kusho ukuthi ama-ovaries wesifazane ayeke ukukhiqiza i-hormone estrogen.
Ukumiswa kwesikhashana yisikhathi sesikhathi nje ngaphambi kokuya esikhathini sokuya esikhathini lapho ama-ovaries wesifazane eqala ukungasebenzi futhi angenzi i-estrogen eningi njengoba enza ngesikhathi sokuzala komfazi. Lawa mazinga e-estrogen eguqukayo (futhi ejwayelekile) yiwona obangela izimpawu zakudala zesikhashana sokufana nokukhanya okushisayo nezinguquko esikhathini sokuya esikhathini.
Ngaphandle kwalezi zimpawu ezingathandeki, abesifazane abane-migraine bangase bahlakulele ikhanda elingaphezulu ngesikhathi sokuqala. Ngokwesifundo se- Headache, ingozi yamahlandla aphezulu (okuchazwa njengekhanda eli-10 noma ngaphezulu kwezinyanga ngenyanga) lenyuka ngamaphesenti angu-60 kubafazi besifo se-migraine, uma kuqhathaniswa nabesifazane be-premenopausal abane-migraine.
I "kungani" ngemuva kwemvamisa ephakeme ye-migraine ekuhambeni kwesikhathi akucaci ngokuphelele, kodwa ochwepheshe bacabanga ukuthi ukushintshashintsha okungahambi kahle kwamazinga e-estrogen njengendoda eyinhloko.
Izindaba ezinhle ukuthi kunezindlela zokunciphisa ubuhlungu bakho be-migraine njengoba uqala uhambo lokuya esikhathini. Abesifazane abaningi bathola usizo ngezokwelapha ezahlukene ze-hormone eziqinisa amazinga e-estrogen.
I-Migraine Yakho Ingathuthukisa (noma i-Worsen) ekupheleni kwesikhathi
Ucwaningo luyaphikisana uma kuziwa ekuhlukaniseni isixhumanisi phakathi kwe-migraine nokunqamuka kwesikhashana. Ngamanye amazwi, ucwaningo oluningi lubonisa ukuthi i-migraine yabesifazane iba ngcono ngemva kokuya esikhathini sokuya esikhathini, kanti nokho ezinye izifundo zibonisa ukuthi ziyadlula, ikakhulukazi uma owesifazane ene-migraine engapheli.
Kusho ukuthini lokhu? Kungenzeka ukuthi kunezici eziningi ezibandakanyekile kune-estrogen kuphela uma kuziwa ku-postmenopausal migraine. Kwabesifazane abathile, amazinga aphansi (nakuba ephansi kakhulu) e-estrogen emizimbeni yabo ngemva kokuya esikhathini sokuya esikhathini angase abe isizathu sokuthi i-migraine ilahleke.
Ehlangothini le-flip, abanye besifazane bangase babone ukuhlaselwa okuningi kwe-migraine ngemva kokumisa okwesikhashana, futhi lokhu kwanda imvamisa ye-migraine cishe akuxhunywanga ngqo ku-estrogen. Ngokwesibonelo, ukucindezeleka okwandayo, ukuphazamiseka kokulala nokushintsha kwemizwelo njengokushintsha ukucindezeleka kuvamile esikhathini sokuqala nokuya esikhathini, futhi lezi zici (ngaphezulu kokusengozini komuntu wesifazane okhona kakade ekuthuthukiseni i-migraine) kungabangela ukuhlaselwa okuningi.
Esinye isibonelo sokuqala esikhathini sokuya esikhathini (kanye nobudala obuphakathi, ngokuvamile) ubuhlungu bomzimba nobuhlungu. Uma owesifazane ethatha imithi eminingi yobuhlungu ukuze alwe nokubili ubuhlungu bakhe be-migraine kanye nohlangene, lokhu kungabangela isifo sekhanda esibizwa ngokuthi imithi yokwelapha ngokweqile . Nakuba lokhu akuyona i-migraine, kungenza kube nzima ukwenza isithombe (cabanga ngenye ikhanda ngaphezulu kwesinye isisu).
Okokugcina, uma udokotela wakho esolwa ukuthi i-estrogen isusa ekunqumeni kokuya esikhathini yisizathu sokuhlaselwa kwe-migraine yakho, ukwelashwa kwe-hormone esikhundleni sakho kungakuzuzisa. Nakuba, njenge-migraine yokuya esikhathini, ukuthatha i-estrogen kungase kubenze kabi ukufudumala kwabanye besifazane-esinye isibonelo se-migraine-estrogen conundrum.
Izwi elivela
I-Migraine yisifo esilimazayo, futhi ukulawula kungaba yinselele-kodwa kukhona usizo olutholakalayo. Sicela ufune ukunakekelwa ochwepheshe bezempilo okwazi ubuchwepheshe ekwelapheni ikhanda kanye ne-migraine.
Hlala unethemba, njengoba ukwelashwa kwe-migraine kuye kwazuza umfutho omkhulu eminyakeni embalwa edlule. Kunezinhlobo eziningi zokwelapha ezitholakalayo namuhla, ngisho nangaphezulu emgqeni wekusasa kunanini ngaphambili.
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