Isizathu Sokuba Ukucindezeleka Kuqala Ngesikhathi Esesikhathini
Uma uthola ukuthi i- migraine yakho ivela njalo kakhulu ngaphambi noma ekuqaleni kokuya esikhathini nokuthi lezi zifo zokuhlasela zihlala isikhathi eside, zikhulu kakhulu futhi aziphenduli kangako emithini yemithi yokusiza ubuhlungu be-migraine, awuyedwa.
Kunezinhlobo ezimbili ze-migraines eziphathelene nokuya esikhathini:
- I-migraine yangokomzimba ehlanzekile ngaphandle kwe-aura
- I-migraine ehambisana nomzimba ngaphandle kwe-aura.
Uma une-migraines ehlanzekile yokuya esikhathini ngaphandle kwe-aura, ukuhlaselwa kwakho kuvele kuphela ngesikhathi se-perimenstrual. Lokhu kusho ukuthi baqala izinsuku ezimbili ngaphambi komjikelezo wokuya esikhathini ukuya kwezinsuku ezintathu emva kokuqala kokuya esikhathini. Ukuze ngokweqile ube ne-migraine ehlanzekile yokuya esikhathini ngaphandle kwe-aura, owesifazane kufanele ahlaselwe lokhu kuhlaselwa kwe-migraine emijikelezweni emibili kokuya kwezintathu noma esikhathini esithile.
Njengoba kufana ne-migraine ehlanzekile yokuya esikhathini ngaphandle kwe-aura, i-migraine ehlobene nokuya esikhathini ngaphandle kwe-aura iyenzeka ngesikhathi se-perimenstrual okungenani emijikelezweni emibili yokuya esikhathini. Kodwa ngaloluhlobo lwe-migraine, owesifazane angabuye abe nemigraines ngaphandle kwe-auras ngezikhathi ezithile emjikelezweni wakhe, njengokungathi ngesikhathi sokuvuthwa, isibonelo.
Zivamile kangakanani ukuya esikhathini sokuya esikhathini?
Ngokusho kwe-American Headache Society, ukusabalala kwe-migraine ehlanzekile yokuya esikhathini ngaphandle kwe-aura kubangelwa ngamaphesenti angu-7 ukuya kwangu-19 abesifazane abano-migraines.
I-migraine ehlobene nomzimba ngaphandle kwe-aura ibonakala ngamaphesenti angu-35 kuya kwangu-51 amabhinqa ane-migraine. Ngamanye amazwi, ukuhamba kwe-menstrual migraines kuvamile.
Kungani Ukuya Kwesikhashana Kuqubuka I-Migraines?
Isizathu esikhulu kunazo zonke sibhekene nokunciphisa i-estrogen eyenzeka nje ngaphambi kokuya esikhathini. Ngokuqondile, ukuba khona kwe-estrogen kuhlotshaniswa namazinga akhulayo we-serotonin ebuchosheni.
Ngamanye amazwi, ukwehla kwe-estrogen kusho ukuhla kwe-serotonin.
Lokhu kubalulekile ngoba i-serotonin ixhunyanisiwe (ngendlela eyinkimbinkimbi) emgwaqweni womuntu we-trigeminovascular pain, futhi le ndlela ikholelwa ukuthi idlala indima ebalulekile ekwakheni i-migraine.
Enye inkolelo mayelana nokuthatha isikhathi sokuya esikhathini kuhilela indlela abesifazane abazwa ngayo ubuhlungu, okungenzeka bahluke phakathi nesikhathi sokuhamba esikhathini. Isibonelo, esifundweni esisodwa, ukuqonda ubuhlungu bekuphakeme ngesikhathi sokuqala kokuya esikhathini nokuya esikhathini, ngokungafani nokuya esikhathini noma ngesikhathi sokuvota.
I-Migraines Ehlobene Nezikhathi Zithinta Kanjani?
I- triptans , i-sumatriptan, ne-rizatriptan zitholakale ziphumelela ekunciphiseni imishanguzo ehlobene nokuya esikhathini.
I-mefenamic acid (i-Ponstel), i-non-steroidal anti-inflammatory ( NSAID ), nayo itholakale isebenza kahle. Kwesinye isifundo, i-mefenamic acid, ngesilinganiso sama-500mg kathathu nsuku zonke, yanikezwa ekuqaleni kwe-migraine yokuya esikhathini bese isetshenziselwa isikhathi sokuhamba esikhathini.
Sicela wazi ukuthi i-mefenamic acid i- NSAID . Ama-NSAID anemiphumela eminingana engalungile futhi kufanele agwenywe ngabanye abantu, ikakhulukazi labo abanomlando wesisu lokuphuma kwegazi, isifo sezinso, kanye nesifo senhliziyo.
Hlala uxoxisana nanoma yimiphi imithi oyithatha ngaphambili nodokotela wakho.
Ukuya esikhathini seMigraines Kuvinjelwe kanjani?
Uma uthola imithi ye-migraines njalo, udokotela wakho angancoma imithi yokuvimbela. Ama- triptan asebenza isikhathi eside, afana ne-frovatriptan noma i-naratriptan, athathwe izinsuku ezingu-5 kuya kwezingu-6 (ekhonjiswe kabili nsuku zonke) esikhathini sokuphela kuboniswa ukuthi iphumelela ekunciphiseni inani lemigraines ephathelene nokuya esikhathini. Nokho, kubalulekile ukuqaphela ukuthi akukho triptan i-FDA evunyelwe ukuvimbela i-migraine ngalesi sikhathi.
Ama-NSAID afana ne-Aleve (naproxen) athatha kabili nsuku zonke phakathi nenkathi ye-perimenstrual ingase ibe usizo ekuvinjeni noma ekunciphiseni ubuhlungu be-migraine yokuya esikhathini.
I-Magnesium eqala ngosuku lwe-15 yomjikelezo wakho futhi uqhubeke kuze kufike ama-mens angase asebenze. Okokugcina, ukwesekwa kwe-estrogen noma ukulawulwa kokuzalwa okuqhubekayo kungasetshenziselwa ukuvimbela imithi ye-migraines.
Kunokuphikisana kokubili kwe-triptans kanye ne-estrogen therapy, ngakho-ke sicela uqiniseke ukuthi ochwepheshe bakho bekhanda babonisana nodokotela wakho wokunakekela oyinhloko ukuqinisekisa ukuthi baphephile kuwe.
Izwi elivela
Kuyinto engavamile ukuthi imishanguzo yakho ivele ngezikhathi ezithile emjikelezweni wakho, ikakhulukazi esikhathini sokuya esikhathini, ngakho ungazizwa uwedwa. Lokho kusho ukuthi i-migraines yakho ingaphathwa ngendlela efanele-ingase idinga nje ukubekezela kanye nesilingo nesiphambeko. Khuluma nodokotela wakho uma ubona leli phethini njengoba kungathinta uhlelo lwakho lwezokwelapha.
> Imithombo:
> Gilmore B, & Michael M. Ukwelashwa kwe-Acute Heartache. Am Fam Physician. 2011 Feb 1; 83 (3): 271-80.
UHamal E. Serotonin kanye ne-migraine: i-biology kanye nomthelela emtholampilo. I-Cephalalgia. 2007 Nov; 27 (11): 1293-300.
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.
I-Tepper, DE. I-American Headache Society. Ibhokisi lamathuluzi ekhanda. Ukuya esikhathini sokuya eMigraines .