Ukuyeka i-Migraines Phakathi Nesikhathi Sakho Ngokulawula Ukuzalwa
Ukuya esikhathini kuyisimo esivamile samakhosikazi. Izindaba ezinhle ukuthi kunezinketho eziningi zokwelapha imithi yakho, okufaka amaphilisi okulawula ukuzalwa okuqhubekayo.
Okuyisisekelo se-Menstrual Migraine
Ukuya esikhathini sokuya esikhathini sokuya esikhathini ezinsukwini ezimbili ngaphambi kokuya kwezinsuku ezintathu emva kokuqala kokuya esikhathini, futhi ngeshwa, bavame kakhulu ukulalela imithi kunokuhlaselwa kwe-migraine okwenzeka kwezinye izingxenye zenyanga.
Nakuba ososayensi abaqiniseki ngokuphelele ukuthi kungani lokhu kuhlaselwa kwenzeka, kukhona ubufakazi obuqinile bokuthi i- estrogen , i-hormone esiza ukulawula umjikelezo wesimiso, ihilelekile.
Enye inkolelo ukuthi ukwehla kwe-estrogen okwenzeka ngaphambi kokuya esikhathini kuyabangela izifunda zobuchopho ezihileleke ekutheni kube nokuhlaselwa, okubangela ukuhlaselwa. Lokhu kusekelwa yiqiniso lokuthi abesifazane abane-migraines bathambekele ekutholeni imishanguzo eminye ekupheleni kwesikhathi-isikhathi esithile ngaphambi kokuya esikhathini sokuqala uma amazinga e-estrogen wesifazane eguqukayo.
Ngokufanayo, phakathi neyesibili neyesithathu yokukhulelwa, abesifazane abaningi bathola usizo lwe-migraine, okuphinde kubhekiswe emazingeni aphezulu a-estrogen emzimbeni wesifazane.
Ngenkathi abanye besifazane bezwa ukuhlanza kokuya esikhathini okuhlanzekile, okuwukuhlasela okukwenzeka kuphela ngesikhathi sokuya esikhathini, abesifazane abaningi bahlushwa yi-migraines ehambisana nokuya esikhathini, kanye nokuhlaselwa kwe-migraine okwenzeka ngesikhathi sokuya esikhathini, kanye nezinye izikhathi zenyanga.
Ukuthi ukuya esikhathini sokuya esikhathini kungahle kugwenywe kanjani
Ukuhamba esikhathini sokugaya kungavinjelwa nge- triptans ende esebenza isikhathi eside, njengoFrova (frovatriptan) noma i-Amerge (naratriptan). Ngokuvamile, kuthathwa izinsuku ezinhlanu kuya kweziyisithupha esikhathini sokuphela, okuqala izinsuku ezimbili ngaphambi kokugeleza kokuya esikhathini. Enye indlela abanye odokotela batusa ngayo i-magnesium, nakuba idinga ukuthathwa isikhathi eside, cishe amasonto amabili ngaphambi kokuqala kwesikhathi sowesifazane.
Kwabesifazane abathile, ukuthatha iphilisi yokulawula ukuzalwa kokuhlanganiswa okuqhubekayo, okubandakanya kokubili i-estrogen ne-progestin, kunganciphisa imvamisa yezinkinga zokuya esikhathini . Imfundiso yokusebenzisa amaphilisi okulawula ukuzalwa okuqhubekayo ukuthi amaphilisi avimbela noma yikuphi ukwehla kwe-estrogen okuphawulekayo okungenzeki kumjikelezo wakho.
Ngingumuntu Ofuna Ukuqhubeka Nokulawula Ukuzalwa Kwami Amaphilisi Okungena Kwami I-Migraines?
Ezinye izici zomlando wakho wezokwelapha zizodinga ukucatshangelwa ngaphambi kokuba udokotela wakho athole amaphilisi okulawula ukuzalwa. Ngokwesibonelo, ngokusho kwe-American College of Obstetricians kanye namaGynecologists, owesifazane one-migraine angase abekwe inhlanganisela yokulawula ukuzalwa kokuzalwa kwe-estrogen-progesterone kuphela uma ene- migraines ngaphandle kwe-aura .
Lokhu kungenxa yokuthi ukuba ne-migraine ne-aura kwandisa ingozi yokushaywa yisifo, kanti lokhu kungase kwande kakhulu ngokuthatha amaphilisi okulawula ukubeletha, ikakhulukazi okuqukethwe okuphezulu kwe-estrogen. Ezinye izinto eziphikisana nekhono lakho lokuthatha inhlanganisela yokulawula ukuzalwa zibandakanya ukubhema, iminyaka engu-35 noma ngaphezulu, noma izimo ezithile zezempilo, njengengcindezi ephezulu yegazi noma umlando we-clot yegazi.
Uma udokotela wakho ebeka amaphilisi okulawula ukubeletha ngenxa ye-migraines yakho, ungathatha amaphilisi ngokuqhubekayo ukugcina amazinga e-estrogen akho njalo.
Lokhu kusho ukweqa amaphilisi we-placebo uma unepilisi yezinsuku ezingu-28, noma uthatha iphilisi nsuku zonke (akukho ukweqa okudingekayo) uma unamaphakethe wezinsuku ezingu-21.
Yize ezinye zezindlela zokulawula ukubeletha eziqhubekayo zingasiza ekuvimbeleni i-migraine yokuya esikhathini, kufanele kuqashelwe ukuthi abantu abaningi bahlushwa ngokushesha ngemuva kokuba amaphilisi amisiwe, noma ngesikhathi samaphilisi mahhala enyangeni.
Izwi elivela
Kubalulekile ukukhumbula ukuthi amaphilisi okulawula ukubeletha angeke abe yindlela engcono kakhulu yokwelapha imishanguzo yakho.
Sicela uxhumane nodokotela wakho ukuze anqume ukuthi iyiphi indlela engcono kakhulu yokwelapha. Udokotela wakho angakucela ukuthi ugcine idayari yokuhlaselwa kwakho izinyanga ezimbalwa, ubona njalo lapho uthola i-migraine nezinsuku zokugeleza kokuya esikhathini.
Ngale ndlela udokotela wakho anganquma ukuthi bambalwa yini, amanye noma amaningi akho e-migraines abangela ukuya esikhathini
Imithombo:
De Leo V. Ukuhlanganiswa kokubeletha komlomo phakathi kwabesifazane abanezinkinga zokuya esikhathini ngaphandle kwe-aura. I-Fertil Steril. 2011 Oct; 96 (4): 917-20.
I-Edlow AG & Batz D. Ukukhethwa kokukhulelwa kokubeletha kwabesifazane abanenhloko: ukubuyekezwa kobufakazi. Ukuhlolwa kwe-Obstetrics and Gynecology 2010 Spring; 3 (2): 55-65.
MacGregor EA. Ukuvimbela nokwelashwa kokuthatha esikhathini sokuya esikhathini. Izidakamizwa. 2010 Okthoba 1; 70 (14): 1799-818.
UMartin VT. (nd). I-American Headache Society. Ukuya esikhathini sokuya esikhathini: I-New Approaches to diagnosis and Treatment.
I-Nappi RE, i-Merki-Feld GS, i-Terreno E, i-Pellegrinelli A, ne-Viana M. Hormonal kokukhulelwa kwabesifazane abane-migraine: i-progesterone kuphela-yokukhetha ukubeletha okungcono? I-J Headache Pain . 2013; 14 (1): 6.