Mfundo Zoona za Azimayi ndi Migraine Zomwe Zikudabwitsa Inu
Migraine imakhudza Achimereka oposa 36 miliyoni, ndipo monga momwe mukuganizira kale, amayi amakhudzidwa kuposa amuna. Kusiyana kwa kusiyana pakati pa amuna ndi akazi pakati pa migraine kumachitika chifukwa cha kusinthasintha kwa chilengedwe kwa mahomoni achikazi a estrogen.
Zowonjezereka, "Kuchepa kwa maselo a estrogen kumapangitsa kuti mwayi wodwala wa migraine uchitike," akutero Matthew S.
Robbins, MD, Pulofesa Wothandizira wa Clinical Neurology ku memiti ya board of the Albert Einstein College of Medicine ndi American Headache Society.
"Nthawi zambiri matenda a migraine ndi owopsa amafala kwambiri kwa amayi nthawi ya kuchepa kwa estrogen, monga nthawi yoyamba, atatha kubereka mwana (makamaka ngati sakuyamwitsa), komanso pakapita msambo pamene maulendo ali ovuta," akuwonjezera Dr. Mabalabvu.
Tiyeni tikambirane mfundo zisanu zokhudzana ndi amayi ndi migraine ndikuwonetseratu zopangika zomwe zimapangitsa kuti kugwirizana kwa mahomoni ndi chinthu chochititsa chidwi, koma cholemetsa.
Kusamba Kwambiri Kusagwirizana ndi Migraine Sungayankhire Mankhwala Anu Omwe Amasintha
Kusamba kwa msambo kumapezeka mkati mwawindo lapamwamba lotchedwa periimenstrual period, yomwe imayambira masiku awiri isanayambe kumayambiriro kwa msambo ndipo imathera tsiku lachitatu la nthawi ya mkazi. Chifukwa cha nthawi yoikidwiratu ndi yakuti kusamba kwa migraine kumakhulupirira kuti kunayambitsidwa ndi kuchepa kwa mayendedwe a estrogen omwe amapezeka musanayambe mkazi kuyamba nthawi yake.
Mbali yonyenga yokhudzana ndi msambo migraine ndikuti nthawi zambiri imakhala yovuta kwambiri ndipo imatha nthawi yaitali kusiyana ndi migraine yomwe imapezeka nthawi zina za mwezi. Izi zikhoza kupangitsa kuti munthu asamachite msambo ndithu, kuyesera. Koma dziwani kuti pali njira zingapo zomwe inu ndi dokotala mungathe kuzigwiritsa ntchito kuti mupeze mpumulo womwe mumayenera.
Njira yanu yoyamba ndi kulumphira pachitetezo chanu cha migraine mwamsanga. Mwa kuyankhula kwina, ngati miyeso yosavuta ngati kukhala mu chipinda chakuda kapena kugwiritsa ntchito phukusi lakuzizira sikumachepetsa ululu wanu, ndibwino kuti mupite patsogolo ndi triptan , mankhwala omwe amachititsa kuchiza mofulumira kwambiri ku migraine.
Kuwonjezera apo, ndizomveka kutenga triptan kuphatikizapo nonsteroidal anti-inflammatory (NSAID) monga ibuprofen kapena Aleve (naproxen). Dokotala wanu angalimbikitsenso mankhwala osakaniza mankhwala monga Treximet (sumatriptan / naproxen sodium).
Njira yachiwiri ndikuteteza kusamba kwa migraine kuti zisadzachitike pomwepo. Mayi akhoza kusankha mankhwala othandiza monga NSAID kapena triptan, Frova (frovatriptan) masiku asanu kapena asanu asanayambe kumwezi. Njira ina ndi magnesium , ngakhale kuti magnesium imatengedwa pafupifupi masabata awiri isanayambe nthawi yazimayi.
Mwinanso, kuti afike pamzu wa "estrogen," amayi ena amasankha kutenga mawonekedwe a estrogen (mwachitsanzo, khungu la pepala la estrogen) pamlungu musanafike kusamba. Komabe, ngati kusamba kwanu kusakhala kozolowereka, kupitiriza kubereka kungakhale njira yabwino kwambiri kuti pasakhale kugwa kwa estrogen.
Muyenera Kulankhulana ndi Dokotala Wanu Ngati Mukulandira Mapiritsi Oyamwitsa
Zowona kuti amayi omwe amamwa mapiritsi oletsa kubereka amakhala ndi chiopsezo chachikulu chokhala ndi stroke poyerekeza ndi amayi omwe samalandira mankhwala oletsa kubereka. Ngakhale kuti poyamba izi zimawopsya, amayi ambiri omwe amamwa mapiritsi oletsa kubereka ndi atsikana komanso sitiroko ndizochepa kwambiri.
Izi zati, amayi omwe ali ndi mapiritsi oletsa kubereka omwe ali pachiopsezo chachikulu cha matenda a sitiroko ndi omwe ali ndi zifukwa zina zoopsa (mwachitsanzo, amayi omwe amasuta fodya kapena omwe ali ndi mphamvu yambiri ya magazi) -ndipo maphunziro amasonyeza kuti migraine ndi aura ndizoopsa (ngakhale umboni wa sayansi suli wolimba kwambiri monga zifukwa zina zoopsa).
Mfundo yaikulu apa ndi yakuti ngati muli ndi migraine ndi aura, kugwiritsa ntchito mankhwala oletsa kubereka sikungakhale otetezeka, makamaka ngati maestrogen ali oposa. Kuti mukhale otetezeka komanso ogwira ntchito, muyenera kulankhula ndi azimayi anu a zachipatala, a sayansi ya ubongo, kapena dokotala wamkulu kuti mumvetse bwino za ngozi ndi zopindulitsa.
Mutha Kukhala ndi Tsamba la Migraine Pakati pa Mimba
Bhonasi yowonjezera yowonjezera mwana wanu wamng'ono pamene ali ndi mimba ndikuti mutha kukhala ndi breather migraine, makamaka panthawi yachiwiri ndi yachitatu, pamene mayendedwe anu a estrogen ali pachimake. Ndipotu, mpaka 70 peresenti ya amayi omwe ali ndi mbiri ya migraine kulemba bwino pa nthawi ya mimba yawo.
Izi zinati, pafupifupi asanu mwa magawo asanu aliwonse amafotokoza kuti akuthawa kwambiri, ndipo enawo sanena kuti palibe kusintha. Chochititsa chidwi n'chakuti amayi omwe amatha msambo migraine ndi migraine popanda aura amatha kuzindikira kupititsa patsogolo kwa migraine panthawi yoyembekezera.
Zotsalira za "migraine" zimakhala bwino pakapita mimba "chodabwitsa ndi chakuti pambuyo poti mimba, panthawi yoberekera, msana wanu umatha kubwezera ndi kubwezera. Ngakhale, kafukufuku amasonyeza kuti kunyamwitsa kungakhale kotetezera. Izi zimakhala zomveka, komanso, pamene kuyamwitsa kumawongolera miyeso ya estrogen mu thupi.
Mfundo yaikulu apa, inanena kuti, "Kugonjera kwa migraine kumayamba makamaka asanatenge mimba kuti adziwe kuti palibe mankhwala omwe akuyandikira pamene mimba iyenera kukhala yofunika kwambiri, komanso kuti mankhwala am'tsogolo angakhale otetezeka komanso ogwira mtima."
Mukhoza Kukhala ndi Migraine Yowonjezera Pakufika Panthawi
Kusuta nthawi ndi nthawi yomwe mayi amasiya kusamba kwa miyezi 12. Kodi izi zikutanthawuza chiyani zamoyo? Izi zikutanthauza kuti mazira a mkazi amasiya kupanga hormone estrogen.
Kusintha kwa nthawi ndi nthawi yomwe imangotsala pang'ono kusamba pamene mimba yamayi imayamba kugwira ntchito ndipo siimapanga estrogen monga momwe anachitira pa zaka za kubadwa kwa mkazi. Mankhwala oterewa otembenuka (ndi ambiri otsika) ndi omwe amachititsa kuti zizindikiro zapachiyambi zowoneka ngati kutentha ndi kusintha kwa msambo.
Kuphatikiza pa zizindikiro zosasangalatsa izi, amayi omwe ali ndi migraine amatha kupwetekedwa mutu kwambiri panthawi yopuma. Malingana ndi kafukufuku wa mutu wa mutu, chiopsezo cha mitu yapamwamba (yomwe imatchedwa mutu wa 10 kapena masiku ambiri pamwezi) yowonjezera ndi 60 peresenti ya amayi omwe ali ndi migraine, poyerekeza ndi amayi omwe ali ndi mutu wa migraine.
"Chifukwa chake" kumbuyo kwa msinkhu wa migraine pakapita nthawi sikumveka bwino, koma akatswiri amakhulupirira kuti kusintha kwakukulu kwa magulu a estrogen monga choyambirira.
Nkhani yabwino ndi yakuti pali njira zothetsera ululu wako wa migraine pamene ukuyamba ulendo wopita kusamba. Amayi ambiri amapeza mpumulo ndi mankhwala osiyanasiyana a mahomoni omwe amachititsa kuti mazitiro a estrogen akhale olimba.
Migraine Yanu Ikhoza Kupititsa patsogolo (kapena Worsen) mu Kusamba
Kafukufuku akutsutsana pakudziwa mgwirizano pakati pa migraine ndi kusamba kwa nthawi. Mwa kuyankhula kwina, kafukufuku ambiri amasonyeza kuti migraine mwa amayi amayamba bwino pakapita msinkhu, komabe maphunziro ena amasonyeza kuti zimaipiraipira, makamaka ngati mayi ali ndi matenda aakulu a migraine.
Kodi izi zikutanthauza chiyani? N'kutheka kuti palinso zinthu zina zomwe zimagwiritsa ntchito osati iserojeni pankhani ya postmenopausal migraine. Kwa amayi ena, maseĊµera olimba (ngakhale otsika kwambiri) a estrogen m'matupi awo atatha kusamba angakhale chifukwa cha migraine yawo ikutha.
Pazithunzi zina, amayi ena amatha kuona kupweteka kwa migraine pambuyo pa kutha kwa thupi, ndipo izi zinawonjezereka mafupipafupi a migraine mwina sangagwirizane ndi estrogen. Mwachitsanzo, kupanikizika kowonjezereka, kusokonezeka kwa tulo ndi kusinthasintha kumasintha monga kupsinjika maganizo kumakhala kofala panthawi yopuma komanso kusamba, ndipo izi (pamwamba pa chiopsezo cha amayi omwe alipo kale pakulera migraine) zingayambitse chiwembu.
Chitsanzo china chachikulire pa kutha kwa nthawi (ndi zaka zapakati, mwachidziwikire) ndi zowawa komanso zowawa. Ngati mayi amamwa mankhwala opweteka kwambiri kuti athetse vuto lake lopweteka kwambiri, izi zingayambitse matenda okhudza kupweteka kwa mutu omwe amatchedwa kuti mankhwala opweteka kwambiri . Ngakhale izi siziri migraine, zingasokoneze chithunzichi (ganizirani mutu pamutu wa mutu wina).
Potsirizira pake, ngati dokotala akuganiza kuti estrogen imatha kuchepetsa kusamba kwa thupi ndi zomwe zimayambitsa matenda a migraine, mankhwala opatsirana pogwiritsa ntchito hormone akhoza kukuthandizani. Ngakhale, mofanana ndi msambo wa migraine, kutenga estrogen kungapangitse kuti amayi ena asamavutike ndi migraine-chitsanzo china cha migraine-estrogen conundrum.
Mawu Ochokera
Migraine ndi matenda olepheretsa, ndipo kuyang'anira kungakhale kovuta-koma pali thandizo. Chonde funani chisamaliro kuchokera kwa katswiri wa zaumoyo yemwe ali ndi luso la kuchiza mutu ndi migraine.
Khalani ndi chiyembekezo, monga chithandizo cha migraine chawonjezeka kwambiri m'zaka zingapo zapitazi. Pali mankhwala ambiri a migraine omwe alipo masiku ano, komanso ambiri muipi yamtsogolo mtsogolo kuposa kale lonse.
> Zotsatira:
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. "International Classification of Headache Disorders: Edition 3 (beta version)." Cephalalgia 2013; 33 (9): 629-808.
> MacGregor EA. Mutu m'mimba. Chipatala cha Neurol . 2012 Aug, 30 (3): 835-66.
> Martin, VT, Pavlovic, J., Fanning, KM, Buse, DC, Reed, ML, & Lipton, RB (2016). Kusintha kwa nthawi ndi kusamba kwa thupi kumayanjanitsidwa ndi kupweteka kwa mimba kwa amayi omwe ali ndi migraine: Zotsatira za kufala kwa American migraine ndi kuphunzira kupewa. Mutu. Feb; 56 (2): 292-305.
> Martin V. Migraine ndi kusintha kwa menopausal. Neurol Sci. 2014 May; 35 Suppl 1: 65-9.
> Roach RE, Helmerhorst FM, WJ Lijferng, Stijnen T, Algra A, Dekkers OM. Kuphatikizana ndi njira zothandizira pakamwa: chiopsezo cha matenda a myocardial infroction ndi stroke ischemic. Cochrane Database Rev Rev 2015 Aug 27; (8): CD011054 .