Ngakhale zingaoneke kuti migraine yanu ndi yovuta kwambiri pamoyo wanu, pali njira zowonjezerapo kuti mukhale osamala kwambiri kuti musamangokhala ndi mphamvu.
Njira zisanu izi zidzakuthandizani kukonzanso chithandizo cha migraine (motsogoleredwa ndi dokotala):
- Kuchita Makhalidwe Abwino
- Kuwona Sing'anga Wachikulire
- Kusunga Migraine Diary
- Kutenga Mankhwala Anu Achikondi a Migraine Moyenera
- Kugwiritsa Ntchito Mankhwala Omwe Amathandiza Kugonjetsa Migraine (Ngati Olembedwa)
Njira Yoyamba: Kuchita Zizolowezi Zathanzi
Ndikofunika kumvetsetsa kuti pamene mukuyambitsa kupepuka ndi / kapena kuthana ndi chinthu chofunika kwambiri pa kayendetsedwe ka migraine, mwina simungakhale chinthu choyamba kuti muganizire pamene mukuyamba kubwezeretsa thanzi lanu la migraine.
M'malo mwake, ayambe ndi zofunikira. Yesetsani kukhala ndi chizoloŵezi cha tsiku ndi tsiku chomwe chimalimbikitsa thanzi labwino ndi thanzi. Izi zikuphatikizapo:
- kudya zakudya zathanzi zokhala ndi zipatso, ndiwo zamasamba, mbewu zonse, ndi mapuloteni owonda
- kusankha zakudya-nthawi zomwe zimakhala zofanana tsiku ndi tsiku komanso osati zochepa kuti mukhale ndi njala yodetsa nkhaŵa
- kukhala ndi madzi osungunuka monga madzi osungunuka, madzi amchere, kapena kuponyera mandimu mumadzi kuti akupangitse kukoma kwake
- Kukhala ndi chizolowezi chogona nthawi zonse-kukagona nthawi imodzimodzi usiku uliwonse ndi kudzuka nthawi yomweyo (ngakhale pamapeto a sabata).
- kuchita zinthu zosangalatsa nthawi zonse (mwachitsanzo, yoga, kusinkhasinkha, kuwerenga, kumvetsera nyimbo)
- Kugwiritsa ntchito maola 150 pa sabata (ndibwino kuti izi zikhale ngati magawo 30 pamasiku asanu ndi awiri). Kuchita masewero olimbitsa thupi (mwachitsanzo, kuthamanga, kuyenda mofulumira, kuvina mpira, kuwirikiza tennis)
Njira Yachiwiri: Kuwona Udokotala Wachikulire Wanu
Ndikofunika kuona dokotala wanu wamkulu, kuphatikizapo katswiri wanu wamutu kapena katswiri wa sayansi (ngati muli nalo). Mwanjira imeneyi, vuto lililonse la mankhwala lingathe kuthandizidwa-mukhoza kudabwa momwe mbali zina za thanzi lanu zikukhudzira matenda a migraine.
Mwachitsanzo, kambiranani ndi dokotala wanu mavuto alionse ogona. Kusungunuka, mutu wa m'mawa, kumalimbikitsa kusuntha miyendo, kapena kuvutika kugwa kapena kugona kungasonyeze vuto lalikulu la kugona monga matenda obisala, matenda osabisala, kupanikizika, kapena nkhawa.
Ndikofunika kukambirana kusintha kwa thupi kapena zizindikiro za thupi ndi dokotala, ngakhale simukudziwa kuti ndizofunikira. Mwachitsanzo, kuchepa kwa thupi, kusowa chidwi ndi zochita, ndi / kapena kudzimva kuti ndi wolakwa kapena wopanda chiyembekezo nthawi zambiri zikhoza kukhala zizindikiro ndi zizindikiro za kuvutika maganizo-ndipo kafukufuku amasonyeza kuti kuchiza matenda anu kungakuthandizeni migraines (ndi mosiyana).
Mfundo zina zofunika kuti mudziwe ndi dokotala wanu wamkulu ndi awa:
- mndandanda wa mankhwala omwe mukuwatenga, kuphatikizapo mavitamini owonjezera, mavitamini, kapena zitsamba
- kugwiritsa ntchito mowa ndi caffeine
- Zina mwa zowawa za thupi lanu (mwachitsanzo, "kupweteka kwa m'khosi mwanga" kapena "Ndikumva kupweteka konse") - izi zikhoza kusonyeza kupweteka kwachiwiri komwe kumachitika pamodzi ndi migraines, monga fibromyalgia kapena myofascial trigger point
Njira Yachitatu: Kulemba Izo Zonse
Pamene lingaliro la kusunga mutu wa migraine liwoneke ngati lovuta (kapena ngakhale sukulu yakale), mungadabwe kuti ndi lofunika motani.
Ma diyala angakhale othandiza kwambiri pakuthandiza madokotala ndikutsimikizira kuti mukudwala matenda a migraine. Kumbukirani, nthawizonse n'zotheka kuti muli ndi vuto losiyana la mutu kapena vuto la migraine kusiyana ndi zomwe munaganizira, kapena kuposa zomwe wodwala wothandizira adalandira kuti muli nacho. Mukhozanso kukhala ndi kupweteka kwa mutu umodzi kapena matenda a migraine akuchitika panthawi yomweyo. Mndandanda wofotokozera mwatsatanetsatane ungathandize dokotala kutulutsa zonsezi.
Pofuna kudziwa zomwe zimayambitsa, diary yanu ikhoza kukuunikira ku zakudya, zizoloŵezi, kuwonetsetsa, ndi zovuta zomwe zingagwirizane ndi migraines. Ntchito yosavuta yolemba ingakhalenso yothandizira-mtundu wa zosangalatsa, pamene iwe umatenga nthawi yoti uwerenge maganizo ako ndi kusamalira thanzi lako.
Ngati kulemba m'magazini sikukukhudzani, yesetsani kulemba manotsi mu foni yanu, pogwiritsa ntchito tepi yaing'ono, kapena kupempha thandizo lolembera mnzanu kapena mnzanuyo (chifukwa chabwino chokhala ndi nthawi imodzi yabwino pamodzi).
Njira Yoyamba: Kugwiritsa Ntchito Mankhwala Anu Achikondi a Migraine Moyenera
Anthu ambiri omwe ali ndi migraine sakudziwa nthawi yomwe angatengere mankhwala awo a migraine. Izi sizosadabwitsa, makamaka kwa iwo amene akupirira matenda osaphatikizapo migraine-zingakhale zovuta kufotokozera pakati pa mutu umene wakhalapo masiku ambiri ("suli kutha") ndi mutu watsopano umene umaphulika pambuyo pa mutu wopweteka.
Chinthu china ndi chakuti anthu ena omwe ali ndi migraine ali pangozi kapena akudwala matenda opweteka kwambiri . Izi zikutanthauza kuti munthu amachititsa mtundu wina wa matenda a mitu pamwamba pa vuto lawo lomwe lakhalapo kale, limene lingasokoneze chithunzichi.
Ndipotu, musadabwe ngati dokotala wanu akukupemphani kuti musamamwe mankhwala achidule a migraine kumayambiriro kwa dongosolo lanu la mankhwala. Izi zikutanthawuza kukuthandizani (ngakhale kungakhale koyipa poyamba), kotero dokotala wanu angadziwe ngati mankhwala opweteka kwambiri a mutu amachititsa kuti muvutike kumutu.
Zifukwa ziwirizi ndi chifukwa chake ndikofunika kwambiri kupeza thandizo la migraine kwa dokotala wanu, kawirikawiri katswiri wamaganizo ngati migraines yanu ndi yachilendo. Ndi dokotala, mukhoza kudziwa kusiyana pakati pa migraine "pa" ndi migraine "kutali" masiku, kuti mutha kulandira migraine mofulumira pamene ululu uli wofewa.
Dokotala wanu angakuphunzitseni momwe mungatengere mankhwala anu achidule a migraine, monga pali zovuta zingapo. Mwachitsanzo, anthu ambiri samatenga mlingo woyenera panthawi yoyamba ya migraine.
Ena samadziwa kuti mankhwala awo angathe (ndipo ayenera) kutengedwanso pa nthawi inayake pambuyo pa mlingo woyamba, asanayambe kuwona kuti siwothandiza.
Komabe, ena sazindikira kuti pali mankhwala angapo apadera. Mwachitsanzo, pali triptans yomwe imapezeka ngati mankhwala amphongo kapena jekeseni yomwe ingaperekedwe pansi pa khungu.
Njira yachisanu: Kugwiritsa Ntchito Mankhwala Omwe Amathandiza Kugonjetsa Migraine (Ngati Adalembedwa)
Cholinga cha mankhwala oteteza migraine ndi kuchepetsa nambala, msinkhu, ndi / kapena kupweteka kwa migraine, komanso kuchepetsa kugwiritsa ntchito mankhwala ovuta a migraine (zomwe zingayambitse mankhwala osokoneza bongo).
Izi zanenedwa, mungadabwe kumva kuti mankhwala achilendo amathandiza kuti achepetse chiwerengero cha migraine ndi osachepera theka mkati mwa miyezi itatu. Izi zikutanthauza kuti musayambe kumwa mankhwala anu oteteza chifukwa chakuti mukupitiriza kupeza migraines. Kumbukirani, migraines si "kuchiritsidwa," koma imayang'aniridwa.
Ngati simukukondwera ndi mankhwala anu othawirako chifukwa cha mphamvu, zotsatirapo, kapena nkhawa zina, chonde lankhulani ndi dokotala poyamba. Musayime nokha.
N'kofunikanso kudziwa kuti pali zifukwa zingapo zomwe adokotala angapangire mankhwala othandizira kuti asamangogwiritsira ntchito mankhwalawa.
Mwachitsanzo, ngati munthu akudwala masewera 4 kapena ambiri pamwezi, ayenera kuyerekezedwa kuti aziteteza mankhwala osokoneza bongo.
Kuphatikiza apo, kugwidwa kwa migraine komwe kumakhudza kwambiri moyo wa munthu kapena kuthekera kugwira ntchito tsiku ndi tsiku (ngakhale njira zowonongeka monga kusintha kwa moyo ndi kugwiritsa ntchito mankhwala ovuta a migraine) ayenera kulingalira mozama mankhwala a chithandizo cha migraine.
Pomalizira pake, anthu ena sangathe kulekerera mankhwala ovuta a migraine kapena amatsutsana (mwachitsanzo, munthu yemwe ali ndi matenda a mtima sangathe kutenga NSAID kapena triptan ). Izi zikhoza kukhala zizindikiro zina zothandizira mankhwala a migraine.
Muyeneranso kudziŵa kuti kutenga mankhwala othandizira a migraine sikuli kudzipereka kwa moyo wonse. Anthu ambiri amatenga miyezi 6 mpaka 9. Kawirikawiri ndi mlatho wabwino kuti anthu apeze mphamvu zowonongeka mpaka atha kuyambitsa zovuta zomwe zingayambitse kapena mankhwala achidule omwe amathandiza kwambiri.
Nkhani yabwino ndi yakuti pali mankhwala ambiri omwe amachititsa kuti asamalidwe, omwe ali ndi zotsatira zake zapadera, njira zothandizira, ndi ma dosing. Choncho, zingatengere kuleza mtima musanapeze mankhwala oteteza omwe akukuthandizani.
Zitsanzo za njira zothandizira zothandizira anthu odwala matendawa zimaphatikizapo:
- Topamax (topiramate)
- Depakote (divalproex / sodium)
- Inderal (propanolol)
- Toprol (metoprolol)
Mawu Ochokera
Pitirizani kuyesetsa kuti mudziwe zambiri za inu kapena migraines ya wokondedwa wanu. Ngakhale pali mankhwala othandiza ambiri omwe alipo, zingatengere kugwira ntchito mwakhama komanso kuleza mtima kuti mupite kumsana momwe mungagwiritsire ntchito mankhwala osamalitsa.
> Zotsatira:
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. Mayiko Osiyanasiyana a Mutu wa Matenda: Mutu 3 (beta version). Cephalalgia. 2013; 33 (9): 629-808.
> Jensen R et al. Mutu waukulu wa matenda opatsirana mutu (BDHD) umavomerezedwa bwino ndipo umathandiza pa matenda a mutu. maphunziro ochuluka a ku Ulaya ndi ku Latin America. Cephalalgia . 2011 Nov31 (15): 1549-60.
> Loder E, Burch R, Rizzoli P. Zotsatira za 2012 AHS / AAN zothandizira kupewa matenda a episodic migraine: mwachidule ndi kufanana ndi njira zina zamakono zamakono. Mutu . 2012 Jun; 52 (6): 930-45.
> Silberstein SD. Kuchiza mankhwala osokoneza bongo. Continuum (Minneap Minn) . 2015 Aug; 21 (4 Kumutu): 973-89.
> Sungani MW. Kufufuza ndi kuchiza matenda a migraine osatha. Adv Adv Chronic Dis. 2015 May; 6 (3): 115-23.