I-Upside, I-Downside, Naphakathi Phakathi
Uma u-migraineur ongamelana nezindlela ezivamile zokwelashwa kwe-migraine, wena nomchwepheshe wakho wekhanda kungenzeka ukuthi uxoxe ngokuhlinzwa kwe-migraine.
Ukuhlinzwa kuyinto enkulu, noma kunjalo. Kungumsebenzi omkhulu onemiphumela emibi engaba khona, kuyabiza, futhi kusenakuvinjelwa.
Ake sibuyekeze isifundo esisodwa ekuhlinzekeni kwe-migraine ukubona ukuthi uphumelele kangakanani (noma cha).
Kungakhathaliseki, sicela ucabange noma yikuphi ukuhlinzwa okucabangayo nodokotela wakho oyinhloko nodokotela wezinzwa.
Ingabe Ukuhlinzwa Kwe-Migraine Kusebenza?
Ucwaningo olulodwa lwezokwelapha lwePlastiki neZokuvuselela kabusha lwahlola iziguli ezingu-91 ezathola ukuhlinzwa kwe-migraine. Ngaphambi kokuhlinzwa, abahlanganyeli baqala ukuthola isilingo sokujova umjovo we- botulinum ukuze baqinisekise amasayithi abo okubamba i-migraine.
Inkolelo yalokhu hlobo lokuhlinzeka ukuthi ukucindezelwa kwamagundane ekhanda nasentanyeni kudala imithra-migqa-ngakho-ke ngenkathi ubuthi lwe-botulinum lunganciphisa okwesikhashana ubuhlungu, ukususwa kokuhlinzwa kwesakhiwo sokucindezela (i-muscle noma igatsha lezinzwa) kuzolinganisa imiphumela ye-botulinum, kodwa ube isikhathi eside noma unomphela.
I-four migraine trigger sites esetshenziselwa umjovo kulesi sifundo ihlanganisa:
- ebunzini
- amathempeli
- isifunda se-occipital noma emuva kwekhanda
- I-Intranasal (i-trigger iphuzu ngaphakathi ekhaleni)
Kulesi sifundo, abahlanganyeli balandelwe emva kweminyaka eyodwa nanhlanu.
Iningi lalingabesifazane (isilinganiso seminyaka engama-43) futhi sathola ukuxilongwa kwe-migraine ngaphandle kwe-aura. Ngemuva konyaka owodwa, amaphesenti angu-92 abahlanganyeli abike okungenani amaphesenti angu-50 ukunciphisa ubude, ubude, noma ukuqina kwamagraines abo. Ngisho kangcono, cishe amaphesenti angu-35 aqaphele ukuqedwa okuphelele kwemigraines yabo.
Phakathi neminyaka emine eyalandela yokulandelela, abathintekayo abayishumi abazange balandele, futhi abayishumi abahlanganyeli abafakiwe kulolu cwaningo ngenxa yokuqhutshwa okuqhubekayo kwamasayithi ahlukene okuthutha ama-migraine. Ngemuva kweminyaka emihlanu, amaphesenti angu-88 alabo ababambe iqhaza abathola impendulo enhle ekusebenziseni kwabo kokuqala kanye nokuhlinzwa kuphela, ngamaphesenti angama-29 abika ukuqedwa okuphelele kwezinsizi zabo zekhanda kanye namaphesenti angu-59 abheka ukwehla okukhulu.
Kulolu cwaningo, kwakukhona iqembu lokulawula labahlanganyeli abangu-25 (futhi banokuxilongwa kwe-migraine ngaphandle kwe-aura) abathola ama-saline injection. Nokho, azange alandelwe iminyaka emihlanu. Eqinisweni, banikezwa amajoka e-Botox ngemuva kokumaka okulandelwa ngonyaka owodwa, okwabalelwa ku-17 ababambe iqhaza ukuthi bavumelane.
Yisho ukuthini lemiphumela? Yebo, kuyilapho kubonakala sengathi inombolo ehloniphekile yabahlanganyeli ithole inzuzo kusuka ekuhlinzekeni, hhayi amaphesenti amakhulu ayeqedile ngokuphelele ama-migraines awo.
Kukhona nezinkinga ngesifundo futhi. Iqembu lokulawula lalilinganiselwe kakhulu kuneqembu lokucwaninga, futhi abahlanganyeli eqenjini lokulawula abazange bahlinzeke ngokuhlinzwa kabi (ukuhlinzeka nge-placebo noma ukuhlinzwa okungalungile) -kungekho ukufaniswa kweqembu lokulawula emakethe oneminyaka emihlanu (okwenza kunzima kakhulu ukulawula umphumela we-placebo).
Futhi, kuthiwani ngalabo abathintekayo abayishumi abaye bathola ukuhlinzwa okungeziwe-lokhu kusho ukuthini ngenzuzo yokuhlinzwa kwabo kokuqala? Akucaci ukuthi imiphi imithi ababambiqhaza abayithatha phakathi nalolu cwaningo, nokuthi lokhu kudlale kanjani indima ekuphuleni kwabo ubuhlungu.
I-Flip-side ye-Surgra Migraine
Njengoba ukuhlinzeka kungenelela okuphuthumayo kwe-migraines, ungalindela ukungaqiniseki kokunye. Kwesinye, kunemiphumela emibi ekuhlinzeni okufana nokukhishwa kwamanzi noma ukuma okwesikhashana kwekhaleni uma indawo yokuhlinza ihilela ngaphakathi kwempumu. Ukubamba ukukhwabanisa kungahle kwenzeke uma indawo yokuhlinza ibunzini.
Eminye imiphumela emibi ingafaka ukutheleleka, ukunganaki, noma ukufakwa kwethempeli ngesayithi eliyi-botulinum ye-toxin.
Ukukhathazeka okukhulu yi-responsebo ye-placebo yokuhlinzwa kwe-migraine. Impendulo ye-placebo ibhekisela esigulini esibheke ngcono ekuboniseni izimpawu zabo (kulokhu kukhanda kwabo) kusukela emthonjeni wengqondo wokuthola ukwelashwa (ukuhlinzwa kulokhu), kunokuba ukwelashwa uqobo. Impendulo ye-placebo iye yabhalwa kahle ezincwadini zezokwelapha futhi kuyisimo esinamandla.
Ngokubanzi, inani eliphakeme lezifundo ezibonisa ubufakazi obuhle bokuhlinzwa kokugaya i-migraine liphansi, okwenza odokotela abaningi baqaphele ngokuncoma iziguli zabo.
Izwi kusuka
Ukuhlinzwa okuqhubekayo kwe-migraine kuyinkqubo echitha isikhathi, ebiza kakhulu edinga ukuhlolisisa ngokucophelela ukuxilongwa kwakho. Njengoba njalo, yiba nesineke, uphelele futhi usebenze ezinqumweni zakho zokunakekelwa kwezempilo.
> Imithombo:
> Diener HC, i-Schorn CF, iBinge IU, i-Dodick DW. Ukubaluleka kwe-placebo ekucwaningweni kwekhanda. > Cephalagia > 2008; 28 (10): 1003-11.
> Guyuron B, Js Kriegler, Davis J, Amini SB. Ukunakekelwa okuphelele okwelashwa kwekhanda le-migraine. I-Plast Reconstr Surg 2005, 115 (1): 1-9.
> Guyuron B, Js Kriegler, Davis J, Amini SB. Imiphumela emihlanu yeminyaka yokwelapha ukwelashwa kwekhanda le-migraine. I-Plast Reconstr Surg 2011 Feb; 127 (2): 603-8.
> Mathew PG. Ukuhlaziywa okubalulekile kwe-migraine kubangela ukuhlinzwa kokuqeda indawo. > Inhloko yekhanda >. 2014 Jan; 54 (1): 142-52.