Izigaba ze-Attack Migraine kanye nezimpawu
Lapho abantu abaningi becabanga ukuthi "i-migraine" bacabanga kuphela ngobuhlungu obubangela. Kodwa empeleni, isiqephu se-migraine sinokuningi kakhulu.
Isiqephu esivamile se-migraine empeleni sinezingxenye ezine, okubhekwa njengezigaba noma izingxenye. Kubalulekile ukuqaphela ukuthi akuwona wonke ama- migraineur ahlangabezana nazo zonke izigaba ezine. Futhi, iziqephu zingahlukahluka ngezigaba ezahlukahlukene ngesikhathi seziqephu ezihlukene.
Izigaba ezine zesigaba se-migraine yizi:
- I-Prodrome
- Aura
- Izinwele
- I-Postdrome
I-Prodrome
I-prodrome (ngezinye izikhathi ebizwa ngokuthi "inhloko yekhanda langaphambili") ingaba namahora athile noma ngisho nezinsuku ngaphambi kwesiqephu se-migraine. I-prodrome ingase ibhekwe njengokukhanya "okuphuzi" kwe-migraineur, isixwayiso sokuthi i-migraine iseduze.
Ngamaphesenti angama-60 ama-migraineurs anama-prodrome, angakusiza kakhulu ngoba, kwezinye izimo, unikeza ithuba, ukukhipha lesi siqephu. Ku-migraineurs abathola i-prodrome, yenza icala eliqinile lokugcina idayari ye-migraine nokuqaphela umzimba womuntu.
Izimpawu ezijwayelekile ze-prodrome yizo:
- Izifiso zokudla
- Ukuqokwa noma isifo sohudo
- Imodi iyashintsha: ukucindezeleka, ukucasula, njll.
- Ukuqina kobunzima, ikakhulukazi entanyeni
- Ukukhathala
- Ukukhwabanisa okungalawulwayo
- Ukugcinwa kwe-Fluid
- Imvamisa ekhulayo yokuchama
Aura
I-aura yiyona eyaziwa kakhulu ngezigaba. I-Aura ilandela i-prodrome futhi ivame ukuhlala ngaphansi kwehora.
Izimpawu nemiphumela ye-aura ihlukahluka kakhulu, kanti ezinye zingasabeka kakhulu, ikakhulukazi uma zithola okokuqala.
Ngenkathi abantu abaningi becabanga ukuthi i-aura ibukeka kahle, i-auras ingaba nezimpawu eziningi, kufaka phakathi:
- Izimpawu ezibonakalayo: izibani ezikhanyayo, imigqa ye-wavy, amabala, ukulahleka okuncane kokubona, umbono obonakalayo
- Ukuhlelwa okucacile (iphunga elimnandi elingekho)
- Ukucubungula noma ukuphazamiseka kobuso noma emaphethelweni ohlangothini lapho kuvela khona ikhanda
- Ukubunzima ukuthola amagama kanye / noma ukukhuluma
- Ukudideka
- I-Vertigo
- Ukukhubazeka ngokwengxenye
- Ukucubungula kwamabhuku (ukuzwa izinto ezingekho lapha
- Ukunciphisa noma ukulahlekelwa kokuzwa
- Inzwa enciphisa
- Ukuzivocavoca ukuzizwa nokuthinta
Cishe amaphesenti angu-20 e-migraineurs ahlangabezana ne-aura. Njengalapho i-prodrome, i-migraine aura, uma i-migraineur iyayiqaphela, ingaba yisixwayiso, futhi ngezinye izikhathi ivumela ukusetshenziswa kwemithi ukukhipha lesi siqephu ngaphambi kokuba ikhanda liqale.
Njengoba kuphawuliwe ekuqaleni, akuzona zonke iziqephu ze-migraine ezihlanganisa zonke izigaba. Nakuba kungavamile kakhulu, kunezinye iziqephu ze-migraine lapho umuntu abhekana khona ne-aura, kodwa ayikho ikhanda. Kukhona amagama amaningana asetshenziselwa lokhu okuhlangenwe nakho, kufaka phakathi "u-migraine othulile," "sans-migraine," nelithi "migraine elinganayo."
Izinwele
Isigaba sezinsizwa ngokuvamile siyingxenye ebuthakathaka kakhulu yesiqephu se-migraine. Imiphumela yayo ayinqunyelwe ekhanda kepha ithinta wonke umzimba. Ubuhlungu bekhanda lungaba nzima kangangokuthi kunzima ukuqonda ngalabo abangakaze bazibonele.
Lesi sigaba ngokuvamile sihlala kumahora angu-72 kuya kwangu-72.
Ezimweni ezingavamile lapho kuhlala khona isikhathi esingaphezu kwamahora angu-72, kuthiwa yi- status migrainosus , futhi kufanele kutholakale ukunakekelwa kwezokwelapha. Ubuhlungu buvame ukuvuthwa noma yikuphi okwenziwa ngokomzimba.
Ezinye izici zesigaba sekhanda zingafaka:
- Ubuhlungu bekhanda obuvame ukubuhlungu, noma ngakolunye uhlangothi (lobu buhlungu bungadlulela kolunye uhlangothi noma bube ngamanye amazwe)
- I-phonophobia (ukuzwela ukuzwakala)
- Isithombephobia (ukuzwela ukukhanya)
- I-nausea nokuhlanza
- Uhudo noma ukuqotshwa
- Ukuxubana kwe-Nasal kanye / noma impumu egijima
- Ukucindezeleka noma ukukhathazeka okukhulu
- Ukushisa okushisayo nama-chills
- Isizungu
- Ukugcinwa amanzi ngokweqile noma ukugcinwa kwamanzi, ngokuya komzimba womuntu ngamunye
I-Postdrome
Uma ikhanda seliphelile, isiqephu se-migraine asisekho. I-postdrome (ngezinye izikhathi ebizwa ngokuthi i-post-headache) ilandela ngokushesha ngemva kwalokho.
Abantu abaningi bachaza i-postdrome njengokuzwa "njenge-zombie" noma "hungover." Le mizwa ivame ukubalwa ngemithi ethathwe ukuphatha i-migraine, kodwa ingabangelwa yi-migraine ngokwayo.
Izimpawu zokuthunyelwa kwesikhashana ziye zaboniswa ukuba zihambisane futhi mhlawumbe zibangelwa ukugeleza kwegazi okungavamile kanye nokufunda kwe-EEG kwaze kwafika amahora angu-24 ngemuva kokuphela kwesigaba sekhanda. Ezimweni lapho i-prodrome kanye / noma i-aura ehlangene ngaphandle kwesigaba sekhanda, i-postdrome kungenzeka isenzeka. Izimpawu ze-postdrome zifaka:
- Ukukhathala
- Imodi iyashintsha
- Ubuthakathaka bemisipha
- Ukuzivocavoca noma ubukhulu obunzima
- Ukuhlushwa okuncane
- Intamo yentamo
Izwi elivela
Isithombe esikhulu lapha ukuthi kuningi kakhulu kwisiqephu se-migraine kunesifo sekhanda kuphela. Kodwa izindaba ezinhle ukuthi kulabo abahlukunyezwa yi-migraines, kungaba nzuzo enkulu ekufundeni ngalezi zigaba. Uma usukwazi ukuwabona, unethuba elingcono lokugwema noma okungenani ukunciphisa ubuhlungu bekhanda lakho.
> Imithombo:
> Giffin NJ, Lipton RB, iSilberstein SD, u-Olesen J, iGoadsby PJ. I-migraine postdrome. Isifundo se-eleary electronic. I-Neurology. 2016 Jul 19; 87 (3): 309-13.
> Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia 2013; 33 (9): 629-808.
> Lampl C, Rudolph M, Deligianni CI, Mitsikostas DD. Ubuhlungu bezinsizane ku-migraine ye-episodic: uphawu lwe-premonitory noma ingxenye yokuhlaselwa? I-J Headache Pain . 2015; 16: 80.
> I-National Institute of Neurological Disorder and Stroke. (2017). Amakhanda: Ithemba Ngokucwaninga.
> Ng-Mak DS et al. Imiqondo esemqoka ye-migraine postdrome: isifundo sekhwalithi sokuthuthukisa imibuzo yemibuzo ye-post-migraine. Izinwele . 2011 Jan; 51 (1): 105-17.