Chifukwa Chimene Chimapangitsa Munthu Kusuntha Pakati pa Kusamba
Ngati mwapeza kuti migraine yanu imachitika nthawi zambiri kapena kumayambiriro kwa msambo komanso kuti migraine izi zimatha nthawi yayitali, ndizovuta kwambiri ndipo zimakhala zosavomerezeka ndi mankhwala omwe amathandiza kupweteka kwa migraine, simuli nokha.
Pali mitundu iŵiri ya kusamba kwa migraines yokhudzana ndi kusamba:
- Kusamba kwabwino kopanda miguine popanda aura
- Migraine yokhudzana ndi msambo popanda aura.
Ngati muli ndi magazi okhaokha opanda aura, zida zanu zimachitika pokhapokha panthawi yomwe imakhalapo. Izi zikutanthauza kuti ayamba masiku awiri musanafike msambo mpaka masiku atatu mutangoyamba kumene kusamba. Kuti azimayi azisamba msambo popanda aura, mkazi ayenera kuyesedwa ndi migraine m'magulu awiri kapena atatu.
Mofananamo ndi msambo wosamba wa migraine wopanda aura, migraine yokhudzana ndi msambo popanda aura imapezeka nthawi yoyamba nthawi yosachepera awiri kapena itatu. Koma ndi mtundu uwu wa migraine, mkazi amatha kukhala ndi migraines popanda auras nthawi zina panthawi yake, monga nthawi ya kuvuta, mwachitsanzo.
Kodi Amuna Ambiri Amakhala Otani?
Malinga ndi bungwe la American Headache Society, kufalikira kwa msambo woyera wa msambo popanda aura kumapezeka pakati pa 7 ndi 19 peresenti ya amayi omwe ali ndi migraines.
Migraine yokhudzana ndi msambo popanda aura imapezeka 35 mpaka 51 peresenti ya akazi omwe ali ndi migraine. Mwa kuyankhula kwina, kusamba kwa migraines n'kofala.
N'chifukwa Chiyani Amachita Kusamba?
Chifukwa chachikulu chokhudzana ndi kuchepa kwa estrogen komwe kumapezeka msanafike kusamba. Makamaka, kukhalapo kwa estrogen kumagwirizanitsidwa ndi kuchuluka kwa serotonin mu ubongo.
Mwa kuyankhula kwina, kuchepa kwa estrogen kumatanthauza kuchepa kwa serotonin.
Izi ndizofunikira chifukwa serotonin imagwirizanitsidwa (mwa njira yovuta) kwa njira ya munthu ya ululu wa trigeminovascular, ndipo njirayi imakhulupirira kuti imathandiza kwambiri kupanga migraine.
Nthano ina yokhudza kusamba kwa migraines imaphatikizapo momwe akazi amazindikirira kupweteka, zomwe zingasinthe nthawi yonse ya msambo. Mwachitsanzo, mu phunziro limodzi, kupweteka kwapadera kunali kwakukulu pa nthawi yoyamba ndi kumaliseche, kusiyana ndi pakati pa msambo kapena nthawi ya kuvuta.
Kodi Mmene Migraine Amagwirizanirana ndi Amuna Amachitira Motani?
Ma triptans , sumatriptan, ndi rizatriptan zapezeka kuti zothandiza kuthetsa migraines zokhudzana ndi msambo.
Mefenamic acid (Ponstel), anti-steroidal anti-inflammatory ( NSAID ), inapezedwanso kukhala yogwira mtima. Mu phunziro limodzi, mefenamic acid, pa mlingo wa 500mg katatu tsiku ndi tsiku, anapatsidwa kumayambiriro kwa msambo migraine ndipo amatengedwa kuti azikhala nthawi ya kusamba.
Chonde dziwani kuti mefenamic acid ndi NSAID . NSAID zili ndi zotsatira zingapo zoyipa ndipo ziyenera kupeŵedwa ndi anthu ena, makamaka omwe ali ndi mbiri yakupha m'mimba, matenda a impso, ndi / kapena matenda a mtima.
Nthawi zonse muzikambirana za mankhwala omwe mumakhala nawo nthawi yayitali ndi dokotala wanu.
Kodi Kusamba Kwambiri Kumayambitsidwa Bwanji?
Ngati mumayamba msambo migraines nthawi zambiri, dokotala wanu angapereke mankhwala othandiza. Mankhwala a triptans aatali, monga frovatriptan kapena naratriptan, otengedwa masiku 5 mpaka 6 (atayikidwa kawiri tsiku ndi tsiku) m'nthaŵi yamakono amawonetsedwa kukhala othandiza kuchepetsa chiwerengero cha migraines yokhudzana ndi kusamba. Komabe, nkofunika kuzindikira kuti palibe triptan yomwe FDA imavomerezedwa kuti iteteze migraine panthawiyi.
NSAIDs monga Aleve (naproxen) amatenga kawiri tsiku lililonse pa nthawi yopuma ingathandizenso kuchepetsa kapena kuchepetsa kuchepa kwa msambo migraine.
Magnesium kuyambira tsiku la 15 lanulo ndikupitirira mpaka misozi ikuyamba ingakhale yothandiza. Pomaliza, estrogen supplementation kapena kupitiriza kubereka njira zingathenso kugwiritsidwa ntchito poletsa kusamba kwa migraines.
Pali zotsutsana ndi ma triptans onse ndi mankhwala a estrogen, choncho chonde tsimikizirani kuti akatswiri a pamutu amakaonana ndi dokotala wanu wamkulu kuti atsimikizire kuti ali otetezeka kwa inu.
Mawu Ochokera
Si zachilendo kuti migraine yanu ichitike nthawi zina panthawi yanu, makamaka nthawi yomwe amayamba msambo, choncho musamadzimva nokha. Izi zikuti, migraines yanu imatha kuchiritsidwa bwino-ingakhale yofunikira kupirira pang'ono ndi mayesero. Lankhulani ndi dokotala ngati mwawona chitsanzo ichi momwe zingakhudzire dongosolo lanu la mankhwala.
> Zotsatira:
> Gilmore B, ndi Michael M. Kuchiza Mankhwala Opweteka a Migraine. Am Phys Physician. 2011 Feb 1; 83 (3): 271-80.
Hamal E. Serotonin ndi migraine: biology ndi matenda. Cephalalgia. 2007 Nov; 27 (11): 1293-300.
Komiti Yoyang'anira Mutu ya Komiti Yapadziko Lonse Yamutu. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Tepper, DE. American Headache Society. Bokosi la Zopangira Mutu. Kusamba Mwezi Migraines .