Iziphi izimpawu ezihlobene nesigaba ngasinye se-migraine?
Uma ufunda ukubona izigaba ze-migraine, ungakwazi ukuphatha izimpawu kusenesikhathi, ukhawule ubude balezi ziqephu ezibuhlungu neziphazamisayo.
Ngokuqondile, ukwelashwa kokuqala kwe-migraine kungase kuhilele ukuthatha imithi ye-migraine ngokushesha, ukuphuza isiphuzo se-caffeinated, ukugeza noma ukuphumula-umgomo wokugcina lapha ukuvimbela ukuqhubeka kwe-migraine ngaphambi kokuba kube nzima futhi kukhubaze.
Izigaba ezine ze-Migraine
I-migraine yama-classic inezigaba ezine ezihlukene: ukuguquguquka kwemizwelo nokuthanda ukudla kwe- prodrome , ukuphazamiseka okubukwayo kwe-aura, ubuhlungu nokufelwa yisisindo sekhanda, nokukhathala kwe-postdrome.
Ungase ungaboni ngaso sonke isikhathi isigaba njalo uma une-migraine. Eqinisweni, isiqephu ngasinye se-migraine singase sihluke. Ucwaningo luye lwabonisa ukuthi abantu abaqaphela isigaba sokuqala se-migraine bakwazi ukubikezela ukuqala kwe-migraine cishe ngamaphesenti angama-72 kuya kwangu-93 yesikhathi. Ngokuqaphela indlela umzimba olandela ngayo ngaphambi kokuqala kwe-migraine, ungakwazi ukuvimbela noma ukuwagwema ngokuphelele.
Isigaba sokuqala: i-Prodrome
Cishe amaphesenti angama-30 kuya kwangu-40 abantu abane-migraines bahlangabezana nesigaba se-prodrome. Izimpawu zivame ukufika amahora angu-24 kuya kwangu-48 ngaphambi kokuqala ubuhlungu bekhanda. Izimpawu ze-Prodrome zingabandakanya:
- Ukukhathala
- Ukukhwabanisa okuvamile
- Ukugcinwa kwe-Fluid
- Ukwandisa ukuchama
- Ukuqina kobunzima, ikakhulukazi entanyeni, emuva nangobuso
- Ukuqokwa noma isifo sohudo
- Izifiso zokudla
- Ukucindezeleka noma ukucasula
- Ukubunzima ukugxila
- Ukuqina kwentamo
- I-nausea
- Ukuzwa kubanda
Isigaba sesibili: Aura
Cishe amaphesenti angu-15 ukuya kwangu-20 abantu abane-migraines abhekana ne-aura, noma ukuphazamiseka okubukwayo, okudlule inhloko yekhanda.
Ungase ubone isiphakamiso se-aura kuphela, okuyinto into ebizwa ngokuthi "i-migraine engathuli." Isigaba se-aura sivame ukuqala amaminithi noma amahora ngaphambi kokuqala ubuhlungu bekhanda, kodwa kungaqala ngemuva kokuba ubuhlungu bekhanda buqale noma buqhubeke nesigaba sekhanda.
Izimpawu ezibonakalayo phakathi ne-aura zingabandakanya:
- Umbono ophundlekile
- Ukubukeka kwezintambo (izinhlamvu ezincane ezihamba phambi kwamehlo)
- Ukukhanya kokukhanya noma umbala, noma umbono obonakalayo
- Indawo oyimpumputhe noma ngisho nobuphofu obuphelele esweni elilodwa
Izimpawu ezengeziwe zesigaba se-aura zingabandakanya:
- Ubumbulu noma ukubetha kwezandla, izinyawo, kanye / noma ubuso (ikakhulukazi emlonyeni)
- Intamo yentamo
- Ukungabi namandla
- I-Vertigo noma isiyezi
- Ukulahlekelwa ibhalansi
- Ukukhala ezindlebeni
- Umbono kabili
- Kunzima ukukhuluma
- Ukucabanga okuncane noma ukudideka
- Izinkinga ngokuhlushwa
- Izinguquko kumoya nomsebenzi wezinga
Ngenxa yokuthi ezinye zalezo zimpawu zingase zenzeke nezinye izimo, njenge-retina evinjiwe noma isifo sohlangothi, abantu ababhekana nanoma iyiphi yalezi zimpawu okokuqala kufanele bahlole nomhlinzeki wabo wezempilo ukuqinisekisa ukuthi izimpawu zabo ziwumphumela wesiqephu se-migraine hhayi into ethile okungathi sína noma esongela ukuphila.
Isigaba sesithathu: Inhloko
Lesi yisigaba esivame ukuhambisana nemigraines. Ikhanda le-migraine lubuhlungu obulodwa, obubuhlungu noma obuhlungu obuhlungu.
Idala amahora angu-4 kuya ku-72 okulinganisela ukuba abe nobuhlungu obukhulu-ikhanda elihlala isikhathi esingaphezu kwamahora angu-72 abizwa ngokuthi "isimo migrainosus," futhi badinga ukwelashwa ngokushesha. Ngokuvamile, ikhanda liyisiphazamiso kunazo zonke zezigaba.
Ukuze ugweme ukwandisa ubuhlungu bekhanda, abantu abaye bafinyelela lesi sigaba bavame ukuyeka yonke imisebenzi bese belala endaweni elithule, ebumnyameni, begwema konke ukugqugquzela. Ngaphandle kobuhlungu bekhanda lokudonsa, ikhanda lekhanda livame ukuhlotshaniswa nezinye izimpawu ezingavamile, kufaka phakathi:
- Ukuzwela okukhulu ukukhanya ( photophobia ), umsindo (i- phonophobia ) nokuhogela
- I-nausea
- Ukuvota
- Ubuhlungu obukhulayo nokusebenza ngokomzimba (njengokuhamba noma ukukhuphuka phezulu noma phansi)
Isigaba sesine: i-Postdrome
Cishe amaphesenti angu-68 abantu abane-migraines baqhubeka bebona izimpawu eziningi ngisho nangemva kokuba ikhanda labo liyeke. Lezi zimpawu ezisele zingase ziqhubeke amahora ambalwa noma ngisho nezinsuku, nakuba ubude obuphakathi bungaba usuku. Izimpawu zesigaba se-postdrome zingabandakanya:
- Ukukhathala
- Ukungabi namandla
- Ukuthukuthela
- Ukukhathazeka
- Ukucindezeleka
- Ukubunzima ukugxila
- Uthando lwe-Scalp
- Intamo yentamo
- I-nausea, i-photophobia, ne-phonophobia
Izwi kusuka
Ungagcina iphephabhuku lokurekhoda izimpawu ozizwayo ngesikhathi abacwaningi be-migraine babonisa ukuthi kungasiza ekusizeni kangcono ukuqonda imigraines yakho. Ukulandelela imininingwane ethize kanye nesikhathi sezimpawu zakho ze-migraine kungakuvumela ukuba ubikezele ukuqala kwe-migraine. Ngokujwayele indlela umzimba wakho ophendula ngayo ku-migraine ezayo, ungakwazi ukuvimbela ukuqala kokuhlasela.
Imithombo:
U-Cutrer, MF, uMoskowitz MA. Izikhwehlela nezinye izinhlungu zekhanda. I-Cecil Bookbook ye-Medicine yangaphakathi . Umhlaka wesi-23. 2008.
Giffin NJ, Lipton RB, iSilberstein SD, u-Olesen J, iGoadsby PJ. I-migraine postdrome Isifundo se-electronic diary. 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.
Lim, C. Amathukuthelela, i-Migraine. Umqondisi we-Ferri's Clinical . Uhlelo lokuqala. 2008.