Nini ukuthetha nodokotela wakho malunga nemigqaliselo ye-migraine
Imfundo yezeMpiloUkubetha, ukukhupha iintlungu. Ubuntununtunu ekukhanyeni nakwisandi. Isicaphucaphu nokugabha. Ukuba ungomnye we Izigidi ezingama-38 zaseMelika ezifumana imigraine , uyazibona ezi mpawu. Kwaye, unokufuna amayeza unyango lwe-migraine ukunceda.
Ngubani ochaphazelayo?
Izifundo ziqikelela ukuba phakathi kwe-10% kunye ne-13% yabantu kwihlabathi liphela bahlala ne-migraine. Ngapha koko, phantse i-5 yezigidi zamaMelika zinamava okungenani enye ye-migraine ngenyanga, kwaye ngaphezulu kwesigidi se-11 sithi imigraine ibangela ukukhubazeka okumodareyitha.
Kodwa amanani ahluka kakhulu ngokobudala nangokwesini. Abasetyhini banamathuba aphindwe kathathu njengamadoda ukuba abe ne-migraine. Malunga ne-20% yabasetyhini base-US kunye ne-9.7% yamadoda afumana intloko ebuhlungu okanye i-migraine kwezi nyanga zintathu zidlulileyo, ngokophando oluthile olwenziwe Amaziko e-U.S. OLawulo noKuthintela izifo (I-CDC). Iingxelo zentlungu yakutshanje ye-migraine itshintshiwe ngobudala. Umzekelo, i-24.7% yabasetyhini abaneminyaka eyi-18-44 ubudala baxele ukuba banentloko ebuhlungu okanye i-migraine kwiinyanga ezintathu ezidlulileyo. Kodwa phakathi kwabasetyhini abaneminyaka engama-75 nangaphezulu, ipesenti yabantu abane-migraine yakutshanje kuphela yi-6.3%.
Ke yintoni umntu onemigraine yokwenza? Ukuba iintloko zakho zihlala zikho, kunokuba lixesha lokufuna uncedo kwiingcali.
Iyeza leMigraine
Xa unentloko eqhelekileyo, unokufikelela kwi-counter-the-counter reliever pain like naproxen, Tylenol, okanye Advil. Okanye unokusela amanzi nje kancinci kwaye ulale phantsi kwigumbi elipholileyo, elimnyama, nelizolileyo kancinci. Rhoqo, oku akonelanga ekunkqonkqozeni migraine.
Ngelixa kungekho nyango lwe-migraine, zimbini iindlela ezisebenzayo zonyango lwe-migraine ngamayeza, ngokwe-National Institute of Neurological Disorders kunye neStroke kwiiNational Institutes of Health. Indlela yokuqala kukuthintela ukuhlaselwa kwe-migraine, kwaye okwesibini kukukhulula iintlungu kwiimpawu ze-migraine nje ukuba kwenzeke uhlaselo.
Ezinxulumene: Dibana neUbrelvy, iyeza elitsha elamkelweyo le-FDA elinyanga i-migraine
Amayeza kagqirha kuthintelo lwe-migraine
Iingxelo ze-NINDS ukuba unyango lothintelo lwe-migraine lubandakanya ukusetyenziswa kweziyobisi kunye notshintsho kwindlela yokuziphatha. Abantu abafumana iintloko rhoqo be-migraine kufuneka basebenzise iindlela zokulawula uxinzelelo, ezinje ngokuzilolonga, ukucamngca, i-biofeedback, kunye nezinye iindlela zokuphumla.
Ngoku ka UMahan chehrenama , MD, i-neurologist kunye ne-migraine ingcali eMcLean, eVirginia, abaguli kufuneka baqwalasele amayeza othintelo ukuba ngaba uhlaselo lwabo lwe-migraine luhlala luhlasela (ngaphezulu kohlaselo ukuya kolwesithandathu ngenyanga) okanye ukukhubaza kakhulu. Amayeza othintelo ngokubanzi asekwe kugqirha, ngaphandle kwezincedisi ezithile ezinje ngemagniziyam oxide, utshilo. Ezi ziyobisi zithintelayo zinokunceda abaguli baphendule ngcono kwiintlungu zokuphelisa amayeza ukuba ngaba kwenzeka i-migraine.
Amayeza othintelo athathwa yonke imihla, nokuba awunantloko. Banokubandakanya:
- Ii-anticonvulsants, ezinje nge Ngaphezulu (topiramate) okanye i-valproic acid
- I-Tricyclic antidepressants, enje nge-Elavil ( mzantsiweb ) okanye iPamelor ( mzantsiweb )
- Ibhlokhi yeBeta , njengeLopressor ( imoloprolol okanye Inderal ( ipropranolol )
- IBotox
- Iibhlokhi zesitayile seCalcium, ezinje ngeCardizem ( mzantsi okanye uCanan ( mzantsiweb )
- CGRP inhibitors, ezinje nge UAimovig (erenumab), Ubungqongqo (galcanezumab), okanye Uhambo (i-fremanezumab). IVyepti (eptinezumab) ibikhona yamkelwe yi-FDA , kodwa ayikafumaneki kwimarike.
Ezinxulumene: Ngaba kufuneka uthathe i-Topamax kwimigraines yakho?
Amayeza okuphuma kwimigraine
Phantse sonke isigulana esifuna ukhathalelo lonyango lwe-migraine siyakufuna imigqaliselo yokuphuma kwemigraine. Lawa ngamayeza athatyathwa ekuqaleni kwe-migraine ukukhupha isisu okanye ukumisa uhlaselo.
Uninzi lwezigulana ezifuna ukhathalelo lonyango ngokubhekisele kwintloko yazo ziye zangaphumelela ekuzinyangeni ngokukuko kunye ne-counter non-prescription analgesics, utshilo uGqirha Chehrenama. Ke ukuba uye wakhetha ikhemesti yakho ye-Excedrin kwaye intloko yakho ayisayi kuguquka, mhlawumbi lixesha lokuba ubuze ugqirha wakho amayeza kagqirha.
Ezinye iziyobisi ezikhupha isisu zichazwe ngokuthe ngqo njenge-triptans. IiTriptans Ludidi oludumileyo lweziyobisi. Basebenza ngokukhuthaza i-serotonin kwingqondo, eyanciphisa ukuvuvukala kunye nokunciphisa imithambo yegazi, ukuyeka i-migraine. IiTriptans zibandakanya iAxert (almotriptan), Ukuhlaziya ( eletriptan , UFrova ( frovatriptan ), Ukuhamba (naratriptan), UMaxalt ( mzantsaweb ), Imitrex ( isyatriptan ), kunye Zomig ( zolmitriptan ). Amachiza amatsha aliqela asandula ukwamkelwa kunyango lwe-migraine: Reyvow ( lasmiditan ) kunye Ubrelvy ( ubrogepant ).
Kodwa ugqirha wakho unokukhetha ukumisela i-non-migraine meds ethile yokuphelisa isisu, njengeziyobisi ezingezizo ezokulwa nokudumba (i-NSAID). Uya kuba nakho ukukunika elona cebo lonyango liqinisekileyo kunye nonyango olusekwe kwiimpawu zakho ezithile, ukhetho lwezolawulo lweziyobisi, kunye neziphumo ebezingalindelekanga zonyango.
Ezinxulumene: Ingakanani ibuprofen ekhuselekileyo ukuyithatha?
Ukuba isigulana sinesicaphucaphu okanye ukugabha [ngexesha le-migraine], kunqabile ukuba bafunxe imilebe yomlomo ngokufanelekileyo kwaye ngesiqhelo kuya kufuna ukwenziwa okungathethi ngomlomo kwe-migraine abortive, njenge-nasal spray okanye inaliti engaphantsi, utshilo uGqirha Chehrenama.
Ke ukuba ungomnye wezigidi zabantu baseMelika abahlala ne-migraine, thetha nogqirha wakho malunga nonyango.
