Inhloko ye-migraine iyinhlobo yezinyosi ezingamangalisa ukuthi ziphutha ngengozi. Ukuzwa okubangelwa ezinye zezinhlungu ezinzima kakhulu ze-migraine kungabangela abagulayo be-migraine ukuba bazizwe sengathi bane-stroke. Ngezinye izikhathi ikhanda le-migraine lingase lifanane nesifo sokuthi singakwazi ngisho nokubhekwa kabi njenge-stroke kwisilungiselelo sezokwelapha.
Ngokuvamile, ukushaywa komzimba kungase kube nezici ezithile ezingavamile ezenza ukuthi kungabonakali kahle njengekhanda le-migraine.
Ezinye zezici zemivimbo kanye nekhanda le-migraine lihamba, futhi lezi zici ziyizizathu zokudideka. Kodwa-ke, kunezici ezimbalwa ezibalulekile phakathi kokushaywa komzimba kanye nokuphathwa kwekhanda okungasiza ekuhlukaniseni izimo ezimbili.
Ukufana Phakathi kwezibhamu vs Migraine Headaches
I-stroke ne-head migraine yizo zombili izenzakalo ezingabangela izimpawu ezihlukahlukene. Lokhu kusho ukuthi ayikho uphawu olulodwa oluchazwe uphawu lokuhweba olubonisa ukuthi kukhona ukushaywa kwe-migraine. Isimo ngasinye sibonakala ngezici eziningi, futhi ngokuvamile, akuzona zonke lezi zici ezikhona nazo zonke izifo noma zonke izinhlungu zekhanda.
Zombili izimo zingabangela umuzwa wokudideka, nakuba ukuphazamiseka kwesifo sokushaya isifo ngokuvamile kubonakala ngokudideka, kuyilapho ukuphazamiseka kwengqondo ye-migraine ngokuvamile kubangelwa ukuphazamiseka kobuhlungu obunzima.
Zombili izimo zingabangela ushintsho lombono noma ukulahleka kombono. Ukulahleka kombono kwesifo sokushaya isifo kuvame ukuchazwa njengendawo yempumputhe evela kumunye oyedwa noma kokubili amehlo, kanti izinguquko zombono wekhanda le-migraine zivame ukuchazwa njengezibani ezikhanyayo noma imigqa ye-squiggly. Noma kunjalo, ikhanda elincane le-migraine lingabangela ngempela ukulahlekelwa kombono weqiniso.
Zombili izimo zihlotshaniswa nesizungu noma inzwa yokuphenya. I-stroke kungenzeka kakhulu ukukhiqiza izinkinga zomzimba nezokubambisana kunekhanda le-migraine.
Ngokuvamile, zombili izimo zenza umuzwa wokuzizwa ukhululekile. Abantu abane-headaches ye-migraine bavame ukuchaza izimpawu zabo ngokuningiliziwe, kuyilapho abantu abane-stroke ngokuvamile bengakwazi ukuchaza izimpawu zabo futhi ngezinye izikhathi abakwazi ukuxhumana.
Zombili izimo zingase zidale ukuthi uzizwe futhi wenze njengokungathi awunjalo. Futhi zombili izimo zingase zizwe sengathi ziqhubeka zimbi kakhulu futhi zingapheli emehlweni.
Imigraines ivame ukuhlotshaniswa nobuhlungu, kuyilapho imivimbo ingavamile ukuhambisana nobuhlungu. Kodwa-ke, ngezinye izikhathi ukushaywa, ikakhulukazi ukushaywa okubangelwa ukuphuma kwegazi ebuchosheni (ukushaywa komzimba) noma ukuqothulwa kwemisipha (ukuphazamiseka kwamagciwane) kubangela ubuhlungu. Ubuhlungu obunzima be-migraine bungenza kube nzima ukucacisa ukuthi ubuhlungu obukhulu bekhanda buyi-stroke noma i-migraine ngempela. Ngokuvamile, ubuhlungu bekhanda lokushaya isisu ngokuzumayo nokuphazamisa, kuyilapho ubuhlungu besisu se-migraine buvame ukuhamba kancane kancane.
Izibhamu zibangelwa ubuthakathaka obulodwa, ubugovu obunhlangothi olulodwa, ukulahleka kombono okuyingxenye, ubunzima bokukhuluma, noma inhlanganisela yalezi zimpawu.
Imisipha ye-Migraine ivame ukuhlotshaniswa nobuthakathaka, ukunganaki, ukulahleka kombono noma izinkinga zokukhuluma. Nokho, ngezikhathi ezingavamile, i-migraines ingabangela lezi zimpawu zomzimba.
I-hypertension, okuyinto engapheli yomshuwalense wegazi ophezulu, ingenye yezici ezingozi eziyaziwa ukuthi ziholele ekushayweni. Izibhamu ezingenasisindo zomfutho wegazi ophezulu ngokweqile zingabangela isifo sokushaya isisu noma ikhanda lomuthi we-migraine uma umuntu esevele ejwayele kulezi zimo.
Isizathu sokuthi kukhona ukuqina okunamandla phakathi kwezimpawu zekhanda le-migraine kanye nezimpawu zesifo sokushaya isifo ukuthi bobabili babangelwa izinguquko ebuchosheni.
Kodwa, umehluko phakathi kwe-migraine ne-stroke ibaluleke ngaphezu kokufana.
Umehluko Phakathi Kokushaywa Kwesifo Nokushaya Kwekhanda
I-stroke ne-head migraine ingase ifinyeleleke uma kuziwa kwezinye izimpawu, kodwa kunezinye izimpawu ezingavamile, futhi okubaluleke kakhulu, imiphumela yokuhlolwa kwezokwelapha kulezi zimo ihluke kakhulu, njengokwelashwa.
I-headache ye-migraine ivamise umcimbi ophindaphindiwe. Esikhathini esiningi, ikhanda lomuntu lokuqala le-migraine ayikhiqiza ukwehluleka kwemiqondo njengokwebuthakathaka, ukulahlekelwa kwemizwelo noma ukulahleka kombono. Ngeshwa, noma kunjalo, kukhona okungafani nalomthetho futhi ngezinye izikhathi umuntu owake waqala ukuthatha i-migraine angase ahlotshaniswe nokuhluleka kwegazi.
Izikhanda ze-Migraine zivame ukuhlotshaniswa nezimbangela. Kukhona izidakamizwa ezidumile ezenza izifo zekhanda ze-migraine, futhi lezi zimbangela aziphazamisi wonke umuntu ohlangabezana nemigraine ngendlela efanayo. Ayaziwa ukuthi izidakamizwa zidala ukuphazamiseka okungazelelwe, nakuba izindlela zokudla ezimbi ziholela ekwenzeni i-hypertension namazinga e-cholesterol okuholela ekushayweni esikhathini eside.
Ezinye izinto ezingadala ikhanda lomuthi we-migraine ngaphandle kokudla zifaka izinguquko ze-hormone, njengalezo ezibangelwa umjikelezo wokuya esikhathini, ukucindezeleka, ukuntuleka kokulala, umsindo omnandi namafutha amakhemikhali.
Ukushaya isifo akuvamile ukuhlotshaniswa nalezi zimbangela zokuphila ezivamile futhi kungenzeka ukuthi kuncishiswe ukuguqulwa okwedlulele ekucindezelekeni kwegazi noma ukushaya kwenhliziyo okungavamile, kokubili yizenzakalo ongalindele ukuba uzizwe.
Izibhamu zithinta kakhulu abantu asebekhulile kuneminyaka engama-60 futhi abanezinkinga ezinjengezinhliziyo , umfutho wegazi ophakeme, ukuphazamiseka kwegazi noma i-cholesterol ephezulu. Lezi zinto eziyingozi azihlotshaniswa nemigraines. Imisipha ye-Migraine iqala ngo-20s noma ama-30 womuntu, futhi akuyona into engavamile ukuba umuntu aqale ukuba nemigraines ngemuva kweminyaka engama-50.
Imigraines kanye nokushaywa yizimo zombili ezihlobene nokuthambekela kofuzo. Umuntu onomlando womndeni wesifo sokushaya isifo kungenzeka ukuthi abe nemivimbo, kuyilapho umuntu onomlando womndeni we-migraines kungenzeka kakhulu ukuba abe nemisipha ye-migraine.
Kungenzeka yini ukuthi umgudu we-Migraine ube isisu?
Ezimweni ezingavamile, ikhanda le-migraine lingabangela isifo. Lokhu kubizwa ngokuthi i-infarction eguquguqukayo, futhi akuvamile ukuthi iningi labantu abahlushwa ikhanda le-migraine ngeke libhekane nale nkinga engavamile.
Ingabe Ukushaya Isisu Kungenza I-Migraine Ikhanda Lekhanda?
Abanye abasindile ngengozi baqala ukuzwa ikhanda ngemva kokushaywa isifo . Ngokujwayelekile, lezi zinsizwa azichazwa njengezinsizwa ze-migraine futhi azivame ukuhlotshaniswa nezimpawu ze-neurological. Imisakazo yokuthukuthela i-post-stroke ngokuvamile ilawulwa ngemithi yokwelashwa ikhanda.
I-Migraine vs. Ukuhlaselwa kwe-Ischemic ephansi (TIA)
Omunye umehluko obalulekile phakathi kwesifo sokushaya isisu kanye nekhanda le-migraine ukuthi isiqephu siphelela isikhathi esingakanani. I-stroke ingunaphakade, kanti ikhanda le-migraine lingokwengqayizivele. I-stroke ibangela ukulimala okuqhubekayo kobuchopho ngenxa yokungabi khona kwegazi ebuchosheni, obulimaza izicubu zobuchopho, okuholela ekukhubazekeni okungapheli. Ikhanda le-migraine ngumcimbi wesikhashana othuthukisa futhi awubangeli ukulimala kobuchopho.
Kodwa-ke, isimo esibizwa ngokuthi ukuhlasela kwe-ischemic okwesikhashana (TIA) yisisindo esincane esingaguquguqukayo esibangelwa ukuphazamiseka okuncane kokunikezwa kwegazi ebuchosheni obuxazulula ngokuphelele ngaphandle kokulimaza ubuchopho obungapheli. Ngokuvamile, abantu abathola i-TIA basengozini yokushaywa isisu futhi cishe banomdlavuza. Iningi labantu abane-TIAs banezici zokulimala. Uma izici eziyingozi zingaphethwe ngokwemithi, lokhu kungandisa kakhulu amathuba okuba nesifo sohlangothi.
I-headache ye-migraine ne-TIA yomibili yesikhashana. Kodwa umphumela we-TIA unzima ngempela. Futhi yingakho kubalulekile ukufuna ukunakekelwa kwezokwelapha uma uhlangabezana nanoma yiziphi izimpawu zezinzwa lapho unesifo sekhanda. Udokotela wakho angakuhlola futhi angase ahlele ezinye izivivinyo zokuxilonga ezingasiza ukuhlonza ukuthi ngabe uhlangabezana ne-TIAs noma i-migraine ikhanda.
Ezinye zalezi zivivinyo zihlanganisa ukuhlolwa kwe- imaging njenge-Brain CT, i-Brain MRI, i-Brain MR Angiogram, i-Brain CT Angiogram noma i-carotid ultrasound. Okunye ukuhlolwa okungasiza ekuhlolweni kwe-TIA okungenzeka kuhlanganisa i-electroencephalogram (EEG), i-electrocardiogram (EKG), i-echocardiogram noma ukuhlolwa kwegazi okhethiwe. Udokotela wakho anganquma ukuthi yikuphi kwalokhu kuhlolwa okulungile kuwe, uma kukhona, ngokusekelwe incazelo yakho eningiliziwe yomcimbi nokuhlolwa kwakho ngokomzimba. Iningi labantu abaye laba ne-TIA engenakudinga akudingi konke lokhu kuhlolwa kodwa kungadinga ambalwa kubo, kuye ngesimo ngasinye.
Ngokuvamile, uma uke waba ne-TIA, ukuhlolwa okukodwa noma okuningi kungase kube okungavamile, kuyilapho ukuhlolwa kulindeleke ukuthi kube okuvamile uma unekhanda le-migraine. Yiqiniso, umuntu oye waba nekhanda lomuthi we-migraine kungenzeka abe nesisindo esisodwa noma ngaphezulu sengozini yokucindezeleka, noma ngabe umcimbi wawungeyona isisu noma i-TIA.
I-Treatment for Migraine Headaches kanye neSprokes
Izikhwama ze-Migraine nezibethwayo ziphathwa ngokuhluke kakhulu komunye nomunye. Izikhanda ze-Migraine zidinga ukwelashwa ngezidakamizwa ezikhanda ikhanda ezingavimbele noma zithuthukise isifo. Imithi esetshenziselwa ukushaya isifo ayivimbeli noma ithuthukise ikhanda lekhanda lokudabuka. Ngemuva kwesifo, abantu abaningi banezinga lokukhubazeka futhi badinga ukubamba iqhaza ekwelapheni ngokomzimba nasekuvuseleleni.
Izwi elivela
Akuvamile ukudideka ngokuthi ngabe uhlangabezana nekhanda lomuthi noma i-stroke. Uma ungakwazi ukutshela ukuthi unesifo sokushaya isisu noma ikhanda le-migraine, kubalulekile ukuthola ukunakekelwa kwezokwelapha ukuze ungaboni ukukhubazeka okuhlala unomphela ku-stroke.
Uma uhlushwa yi-migraine ikhanda, kunezindlela zokwelapha eziphumelelayo ezitholakalayo ukuvimbela ama-migraine akho ukuthi angenzeki futhi kunezokwelapha ezingasusa ikhanda lakho lekhanda uma uthola.
Uma ngabe unesihlungu noma i-TIA, kufanele wazi ukuthi kuye kwaba nokuthuthuka okukhulu ekuvikeleni nasekwelaleni imivimbo eminyakeni edlule nokuthi uyama ithuba elinamandla kakhulu lokuvimbela ukukhubazeka uma ufuna usizo lwezokwelapha.
> Imithombo:
> I-infraction ye-Migrainous: izici ezingozini ezingozini kanye nokwelapha, uLaurell K, Lundström E, Curr Pain Headache Rep. 2012 Jun; 16 (3): 255-60