Kulabo besifazane phakathi naleso "sikhathi senyanga," isisu sitholakale, izifiso zokudla, ukucasula, nokukhathala okuhambisana nenyanga yonyaka kungaba yindlela yokubuyiselwa kwempilo enkulu. Engeza i- migraine kule mix, futhi une iresiphi yosuku embhede.
Izindaba ezinhle ukuthi sinokuqonda kangcono ukuthi yini ebangelwa ukuhamba esikhathini sokuya esikhathini kanye nokuthi yini ongayenza ukuze uyiphathe.
I-Estrogen nokuya esikhathini sokuya kwe-Migraines
Abaningi be-migraine abagulayo bayabesifazane, futhi kuleli qembu, cishe amaphesenti angaba ngu-20 ukuya kwangu-30 ahlaselwe umjikelezo wokuya esikhathini , ngokusho kwe-athikili ka-2010 e- Current Pain and Headache Reports . Abacwaningi bathole uxhumano oluqinile phakathi kwama-hormone e-estrogen kanye nekhanda le-migraine, yingakho abesifazane bevame ukuthinteka kakhulu yi-migraines kunamadoda.
Ngokuvamile, amazinga e-estrogen aphezulu ayovimbela ikhanda le-migraine, kanti amazinga e-estrogen aphansi azoholela enhlokweni ye-migraine. Kodwa kungase kube ukushintshashintsha noma ukushintsha ku-estrogen okubangela i-migraine, hhayi nje ukuthi izinga liphansi. Lokho kusho ukuthi, ngenxa yokuthi amazinga e-estrogen wesifazane awela phansi lapho efika esikhathini, lapho sekuyisikhathi esenza ukuba ikhanda lenzeke kakhulu.
Noma kunjalo, kubalulekile ukuqaphela ukuthi wonke owesifazane uphenduka ngokuhlukile kuma-hormone, ngakho owesifazane angase abe nemigraines ehambisana ne-hormone, ngisho nalapho engenayo isikhathi sakhe.
Khumbula, kunezinto eziningana ezibangelwa ukuhamba kwemigraines njengokudla okuthile noma ushintsho ohlelweni lwakho lokulala.
I-Migraines ne-Menopause
Ngaphezu komjikelezo wokuya esikhathini, kunezinye izikhathi ngesikhathi sokuphila kwesifazane lapho amazinga akhe e-hormone ashintsha kakhulu, futhi lokhu kungathinta imithi ehlobene ne-hormone.
Ngokwesibonelo, abesifazane abaningi bathola ukuthi imishanguzo yabo iyancishiswa kakhulu noma iminyamalale ngesikhathi sokukhulelwa ngenxa yamazinga ajwayelekile we-estrogen. Kucatshangwa ukuthi lokhu "kungavikela" ubuchopho ngokumelene nemigraines. Ukucwilisa emazingeni e-estrogen ngemuva kokuzalwa kwengane kungabangela ukuphindaphindiwe.
Ukumiswa kwesikhashana nokumisa esikhathini kuyathinta amazinga e-hormone. Phakathi nalesi sikhathi, amazinga ama-hormone womzimba athambekele ekukhuphukeni futhi aweke ngokuphawulekayo, futhi lokhu kuguquka kungabangela izinhlungu zekhanda. Ngokufanayo, abesifazane abaningi bayaqaphela ukuthi imishanguzo yabo iyanyamalala ngenkathi ingena esikhathini sokuya esikhathini futhi ayisekho isikhathi sabo.
Okokugcina, abanye besifazane bathatha ukwelashwa kwe-hormone ukuphatha izimpawu zokuya esikhathini, futhi lokhu kungabangela ukwanda noma ukwehla kwekhanda lomuthi we-migraine, kuye ngokuthi umzimba wesifazane uphendula kanjani kuma-hormone athathwe.
Ukuvimbela i-Migraine yokuya esikhathini
Ngenxa yokuthi i- migraine yokuya esikhathini isuke ibangelwa amazinga e-hormone aphansi, ukuthatha amaphilisi okulawula ukubeletha okugcina amazinga e-hormone womzimba angasiza ekunciphiseni ukuhamba komama kokuya esikhathini. Amaphilisi okulawula ukubeletha enikeza owesifazane isikhathi sokuya esikhathini ngezikhathi anganciphisa imithwalo yezinyanga ngokuqeda isikhathi sowesifazane futhi ngaleyo ndlela i-migraines ehlobene.
Nokho, khumbula ukuthi umzimba wonke wesifazane uphendula ama-hormone ngokuhlukile, ngakho-ke owesifazane angase azame ukuzama izindlela ezimbalwa zokulawula ukubeletha ngaphambi kokuthola okunciphisa noma okuqeda ukugaya kwakhe kokuya esikhathini.
Yingakho abanye odokotela beluleka ukusebenzisa ukulawula ukubeletha ngezinsuku ezimbalwa ze-placebo, besebenzisa ama-estrogen control control patches ngesikhathi seviki le-placebo, noma ukusebenzisa i-progestin ukulawulwa kokuzalwa kuphela ukuvimbela ukuhamba komama.
Abesifazane bangathatha imithi yokuvimbela imithi efana neFrova (frovatriptan) ezinsukwini ezimbalwa ngaphambi kwesikhathi sakhe kanye nezinsuku ezimbalwa zokuqala zesikhathi sakhe. Ukufunda ukuqaphela ezinye izimbangela ze-migraine, njengokucindezeleka, ukuntuleka kokulala, noma ukudla okungajwayelekile, kungasiza futhi ukuvimbela ukuhamba kwemithi .
Ukwelapha Ubuhlungu Bokuphela Kwesisindo
Ukugaya imithi kuphethwe ngendlela efana ne-migraines evamile.
Lokhu kuhlanganisa ukusebenzisa i-relief reliever, njenge-acetaminophen noma ibuprofen. Ngaphezu kwalokho, udokotela wakho angakunikeza imithi ye-migraine uma ngaphezulu kokunciphisa ubuhlungu be-counter akuphumelelanga, njenge- triptan .
Ezinye izindlela zokunakekela ezingase zisebenze ekunciphiseni ubuhlungu zifaka ukusikhipha, ukusebenzisa ice, nokuphumula ekamelweni elimnyama, elithule. Uma ungakatholi ukuphumula ngalezi zinyathelo ezilula noma nge-triptan, qiniseka ukuthi uthintana nomchwepheshe wezinsizwa (isibonelo, isazi sezinzwa zegazi) izindlela zokwelashwa ezingase zikusebenzele kangcono.
Izwi elivela
Okubalulekile lapha ukuthi siyazi izinguquko ze-estrogen cishe zihilelekile ku-migraine pathogenesis yabesifazane, kodwa asazi kahle ukuthi kanjani, futhi ingahluka kusuka kwabesifazane kuya kubafazi.
Khumbula futhi, ukuguqulwa kwamagraines kungaba okuhlangenwe nakho okuyingqayizivele kubantu, ngakho lokho okusebenza kumuntu oyedwa kungase kungasebenzi komunye. Zama ukubekezela phakathi nenqubo yakho yezinsindo nephutha uma ulwa nokuhamba kwakho kokuya esikhathini. Abaningi besifazane bangathola usizo, kodwa kungathatha isikhathi esithile.
Imithombo:
MacGregor EA. Ukuvimbela nokwelashwa kokuthatha esikhathini sokuya esikhathini. Izidakamizwa. 2010 Okthoba 1; 70 (14): 1799-818.
Russell MB. I-genetic of migraine yokuya esikhathini: ubufakazi be-epidemiological. Isikhwama se-Curr Pain Rep. 2010 Okthoba; 14 (5): 385-8.
> Tepper, DE. (2013). I-American Headache Society. Ibhokisi lamathuluzi ekhanda: Ukuya esikhathini sokuya kwe-Migraine .