Kodi ndi zizindikiro ziti zomwe zimagwirizanitsidwa ndi gawo la migraine?
Ngati mumadziwa kuzindikira mgwirizano wa migraine, mutha kuchiza matendawa mwamsanga, kuchepetsa nthawi ya zowawa zomwe zimapweteka komanso zosokoneza.
Kwenikweni, chithandizo cham'mbuyomu cha migraine chingaphatikizepo kumwa mankhwala a migraine mwamsanga, kumwa mowa wa khofi, kumwa, kapena kupuma-cholinga chachikulu apa ndikuletsa kuyenda kwa migraine musanafike poipa ndi kulepheretsa.
Gawo Lina la Migraine
Migraine yachidule imakhala ndi magawo anayi osiyana: kusinthasintha maganizo ndi zolakalaka za zakudya za prodrome , kupotoza maso kwa ma aura, ululu ndi mseru wa mutu, ndi kutopa kwa postdrome.
Simungathe kuchita gawo lililonse mukakhala ndi migraine. Ndipotu, mutu uliwonse wa migraine ukhoza kukhala wosiyana. Kafukufuku wasonyeza kuti anthu omwe amadziwa gawo loyamba la migraine amatha kulongosola kuti kusintha kwa migraine kumakhalapo mpaka 72 mpaka 93 peresenti ya nthawiyo. Podziwa momwe thupi limatsatira musanayambe migraine, mungathe kuwateteza kapena kuwapewa.
Phase 1: Prodrome
Pafupifupi anthu 30 mpaka 40 peresenti ya anthu omwe ali ndi migraines amadziwa kuti pulogalamuyi ndi yotani. Zizindikiro zimakhala zochitika maola 24 mpaka 48 musanamve kupweteka kwa mutu. Zizindikiro za Prodrome zingaphatikizepo:
- Kutopa
- Kuthamanga kawirikawiri
- Kusungirako zamagetsi
- Kuwonjezera kukodza
- Kupweteka kwa minofu, makamaka m'khosi, kumbuyo, ndi nkhope
- Kutsekula kapena kutsekula m'mimba
- Kulakalaka chakudya
- Kusokonezeka maganizo kapena kukwiya
- Kuvuta kuika maganizo
- Kuuma kwa misasa
- Nausea
- Kumva kuzizira
Gawo Lachiŵiri: Aura
Pafupifupi anthu 15 kapena 20 peresenti ya anthu omwe ali ndi migraines amawona aura, kapena kupotoka kwa maso, kumayambiriro kwa mutu.
Mukhoza kungoona gawo la aura, lomwe ndi chinthu chodabwitsa chotchedwa "calm migraine." Gawo la aura limayambira mphindi kapena maola asanayambe kupweteka kwa mutu, koma ikhoza kuyamba mutamva kupweteka kwa mutu kumapitirizabe kumutu.
Zizindikiro zooneka pa aura zingaphatikizepo:
- Masomphenya obisika
- Kuwonekera kwa zowonongeka (zing'onozing'ono zomwe zimayandama pamaso pa maso)
- Kuwala kwa kuwala kapena mtundu, kapena masomphenya ophwanyika
- Malo osawona kapena ngakhale khungu lathunthu mu diso limodzi
Zizindikiro zina za gawo la aura zingaphatikizepo:
- Kunjenjemera kapena kugwedeza manja, mapazi, ndi / kapena nkhope (makamaka kuzungulira pakamwa)
- Khosi lamtundu
- Kufooka
- Vuto kapena chizungulire
- Kutaya malire
- Kulira mu makutu
- Masomphenya awiri
- Kuvuta kulankhula
- Kulowera kuganiza kapena kusokonezeka
- Mavuto ndi maganizo
- Kusintha mukumverera ndi msinkhu wa ntchito
Chifukwa chakuti zizindikiro zina zikhoza kuchitika ndi zina, monga retina kapena kupwetekedwa, anthu omwe akudwala matendawa nthawi yoyamba ayenera kufufuza ndi odwala awo kuti atsimikizire kuti zizindikiro zawo zimachokera ku msampha wa migraine osati chinachake zoopsa kwambiri kapena zowopsya.
Gawo Lachitatu: Kumutu
Iyi ndiyo gawo lomwe limagwirizanitsidwa ndi migraines. Mutu wa migraine ndi umodzi umodzi, kupweteka kapena kupweteka kwambiri.
Zimayambitsa maola pakati pa 4 mpaka 72 a zolimbitsa thupi-kupweteka kwa mutu omwe amatenga nthawi yaitali kuposa maola 72 akutchedwa "status migrainosus," ndipo amafunika kuchipatala mwamsanga. Kwenikweni, mutu umakhala wosokoneza kwambiri pa magawo.
Pofuna kupewa kuwonjezeka kwa mutu, anthu omwe afika pambaliyi nthawi zambiri amaimitsa ntchito zonse ndikugona mu chipinda chodetsa nkhawa, kupeŵa zokopa zonse. Kuphatikiza pa kupweteka kumutu kwa mutu, kumutu kumagwirizanitsidwa ndi zizindikiro zina zosautsa, kuphatikizapo:
- Kumvetsetsa kwakukulu ( photophobia ), phokoso ( phonophobia ) ndi fungo
- Nausea
- Kuthamanga
- Kupweteka kochuluka ndi zochitika zathupi (monga kuyenda kapena kukwera mmwamba kapena kutsika masitepe)
Gawo lachinayi: Postdrome
Pafupifupi 68 peresenti ya anthu omwe ali ndi migraines amapitiriza kuona zizindikiro zingapo ngakhale atapweteka mutu. Zisonyezo zotsalirazi zingapitirire kwa maola ambiri kapena ngakhale masiku, ngakhale kuti nthawi yayitali ndi pafupifupi tsiku. Zizindikiro za gawo la postdrome likhoza kukhala:
- Kutopa
- Kufooka
- Kukhumudwa
- Nkhawa
- Kusokonezeka maganizo
- Kuvuta kuika maganizo
- Chifundo chochepa
- Khosi lamtundu
- Nausea, photophobia, ndi phonophobia
Mawu ochokera
Mungathe kulemba zolemba zomwe mumaziwona pafupipafupi-ofufuza apeza kuti zingakhale zothandiza kukuthandizani kumvetsa bwino migraines yanu. Kufufuza tsatanetsatane wa zizindikiro zanu zamagraine kungakuloleni kulongosola kuti mwayamba bwanji migraine. Podziwa momwe thupi lanu limayendera ndi migraine yomwe imabwera, mungathe kuletsa kuyambika kumeneku.
Zotsatira:
Cutrer, MF, Moskowitz MA. Mutu ndi Zowawa Zina. Cecil Textbook ya Internal Medicine . 23rd ed. 2008.
Giffin NJ, Lipton RB, Silberstein SD, Olesen J, Goadsby PJ. Migraine postdrome Kuwerenga zamagetsi kumaphunzira. Neurology. 2016 Jul 19; 87 (3): 309-13.
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Lim, C. Kumutu, Migraine. Ferri's Clinical Advisor . Kope loyamba. 2008.