Migraine

A migraine rudzi rwemusoro. Zvinogona kuitika nezviratidzo sekusvotwa, kurutsa, kana kunzwisisika kuchiedza uye kurira. Muvanhu vazhinji, kurwadziwa kunorwadza kunonzwika chete kudivi rimwe remusoro.

A migraine musoro unokonzereswa neakajairika huropi chiitiko. Ichi chiitiko chinogona kukonzerwa nezvinhu zvakawanda. Asi iyo chaiyo cheni yezviitiko inoramba isina kujeka. Nyanzvi zhinji dzezvokurapa dzinotenda kuti kurwiswa kunotanga muuropi uye kunosanganisira tsinga nzira uye makemikari. Iko shanduko dzinokanganisa kuyerera kweropa muuropi uye zvakapoterera nyama.

Migraine misoro inowanzo kutanga kuoneka pakati pemazera e10 ne45. Dzimwe nguva, ivo vanotanga kare kana gare gare. Migraines inogona kumhanya mumhuri. Migraines inoitika kazhinji muvakadzi kupfuura varume. Vamwe vakadzi, asi kwete vese, vane mashoma migraines kana vaine nhumbu.

Migraine kurwiswa kunogona kukonzerwa nechero yeanotevera:

• Kafeini kubvisa
• Shanduko mumatanho emahormone panguva yekuenda kumwedzi kwemukadzi kana nekushandisa mapiritsi ekudzivirira kubereka
• Shanduko mumaitiro ekurara, senge kusawana zvakakwana kurara
• Kunwa doro
• Kurovedza muviri kana kumwe kunetseka mumuviri
• Ruzha rukuru kana mwenje inopenya
• Kushaikwa kwekudya
• Hwema kana zvinonhuwira
• Kuputa kana kusvuta
• Kushungurudzika uye kusagadzikana

Migraines inogona zvakare kukonzerwa nezvimwe zvekudya. Anowanzozivikanwa ndeaya:

• Chokoreti
• Zvekudya zvemukaka, kunyanya mamwe machizi
• Chikafu chine monosodium glutamate (MSG)
• Chikafu chine tyramine, icho chinosanganisira waini tsvuku, chezi yakura, hove inoputa, chiropa chehuku, maonde, uye dzimwe bhinzi
• Zvibereko (avocado, bhanana, citrus michero)
• Nyama dzine nitrate (bhekoni, imbwa dzinopisa, salami, nyama dzakaporeswa)
• Hanyanisi
• Nzungu nedzimwe nzungu nembeu
• Yakagadziriswa, yakaviriswa, yakasanganiswa, kana marinated chikafu

Ichokwadi migraine misoro yemusoro haisi mhedzisiro yebundu repfungwa kana rimwe dambudziko rakakomba rekurapa. Wehutano chete ndiye anopa hunyanzvi mumusoro anogona kuona kana zviratidzo zvako zviri nekuda kwemigraine kana imwe mamiriro.

Kune maviri akakosha marudzi emigraines:

• Migraine neaura (classic migraine)
• Migraine isina aura (yakajairika migraine)

An aura iboka rehurongwa hwetsinga (neurologic) zviratidzo. Izvi zviratidzo zvinoonekwa sechiratidzo chekunyevera kuti migraine iri kuuya. Kazhinji kazhinji, chiratidzo chacho chinokanganiswa uye chinogona kusanganisira chero kana zvese zvinotevera.

• Kwenguva pfupi mapofu mavara kana mavara mavara
• Kuona kwakashata
• Kurwadziwa kweziso
• Kuona nyeredzi, mitsetse yegigzag, kana mwenje inopenya
• Tunnel chiratidzo (chete inokwanisa kuona zvinhu padyo nepakati penzvimbo yekutarisa)

Zvimwe zviratidzo zvehurongwa hwetsinga zvinosanganisira kugeza, kunetseka kuisa pfungwa, kuda kurutsa, kunetseka kuwana mazwi akakodzera, dzungu, kushaya simba, kuveveve, uye kurira. Zvimwe zvezviratidzo izvi zvakanyanya kushomeka nemusoro wemagraine. Kana iwe uine chero cheizvi zviratidzo, wako mupi angangodaro aronge bvunzo kuti awane chikonzero.

Aura inowanzoitika maminetsi gumi kusvika gumi nemashanu pamberi pemusoro, asi inogona kuitika maminetsi mashoma kusvika maawa makumi maviri nemana zvisati zvaitika. Musoro haugari uchitevera aura.

Misoro kazhinji:

• Kutanga seyakagomarara kurwadziwa uye kuwedzera kuwedzera mukati memaminitsi kusvika maawa
• Kurova, kurova, kana kurova
• Ari kuwedzera kune rumwe rutivi rwemusoro nekurwadziwa kuseri kweziso kana kumashure kwemusoro nemutsipa
• Kwekupedzisira 4 kusvika maawa 72

Zvimwe zviratidzo zvinogona kuitika nemusoro zvinosanganisira:

• Kutonhora
• Kuwedzera weti
• Kuneta
• Kupererwa nechido
• Kusvotwa uye kurutsa
• Kunzwisisa kune mwenje kana kurira
• Kudikitira

Zviratidzo zvinogona kumira, kunyangwe mushure mekunge migraine yaenda. Izvi zvinonzi migraine hangover. Zviratidzo zvinogona kusanganisira:

• Kunzwa kusagadzikana mupfungwa, sekufunga kwako hakuna kujeka kana kupinza
• Kunoda kuwedzera kurara
• Neck kurwadziwa

Wako mupi anogona kuongorora migraine musoro nekubvunza nezve ako zviratidzo uye nhoroondo yemhuri yemigraines. Kuongorora kwakazara kwemuviri kunozoitwa kuti uone kana kutemwa nemusoro kwako kuri nekuda kwekushushikana kwemhasuru, sinus matambudziko, kana kusagadzikana kwehuropi.

Iko hakuna bvunzo chaiyo kuratidza kuti musoro wako uri migraine. Muzviitiko zvakawanda, hapana bvunzo dzakakosha dzinodiwa. Wako mupi anogona kuraira huropi CT kana MRI scan kana usati wambove nayo kare. Iyo bvunzo inogona zvakare kurairwa kana iwe uine zvisina kujairika zviratidzo neako migraine, kusanganisira kushaya simba, ndangariro matambudziko, kana kurasikirwa kwekusvinura.

EEG inogona kudikanwa kutonga kunze kwekubatwa. Lumbar puncture (musana tap) inogona kuitwa.

Iko hakuna chaiwo mushonga wemigraine musoro. Chinangwa ndechekurapa yako migraine zviratidzo ipapo, uye kudzivirira zviratidzo nekudzivirira kana kushandura zvinokonzeresa.

Nhanho yakakosha kudzidza kudzora yako migraines kumba. A diary yemusoro inogona kukubatsira iwe kuona ako ekurwadziwa nemusoro. Ipapo iwe nemupi wako munogona kuronga maitiro ekudzivirira izvi zvinokonzeresa.

Mararamiro ehupenyu anosanganisira:

• Miitiro yekurara iri nani, senge kurara zvakakwana uye kuenda kunorara panguva imwe chete manheru ega ega
• Zvirinani tsika dzekudya, kusanganisira kusadya chikafu uye kudzivirira chikafu chako chinokonzeresa
• Kugadzirisa kushungurudzika
• Kuderedza uremu, kana iwe uri kunyanya kufuta

Kana iwe uine kazhinji migraines, mupi wako anogona kupa mushonga kuti uderedze huwandu hwekurwiswa. Unofanirwa kutora mushonga mazuva ese kuti ubudirire. Mishonga inogona kusanganisira:

• Zvinodzvinyirira
• Ropa rekumanikidza mishonga, senge beta blockers
• Mishonga yekudzivirira kubata
• Calcitonin gene-inosangana peptide vamiririri

Majekiseni eBotulinum toxin erudzi A (Botox) anogona kubatsira kudzora migraine kurwisa kana ikaitika mazuva anopfuura gumi nemashanu pamwedzi.

Vamwe vanhu vanowana zororo nemaminerari uye mavitamini. Tarisa nemupi wako kuti uone kana riboflavin kana magnesium yakakunakira iwe.

KURAPA KURWISWA

Mimwe mishonga inotorwa pachiratidzo chekutanga chemigraine kurwisa. Over-the-counter (OTC) mishonga yemarwadzo, senge acetaminophen, ibuprofen, kana aspirin inowanzo batsira kana migraine yako iri nyoro. Ziva kuti:

• Kutora mishonga kweinopfuura mazuva matatu pasvondo kunogona kutungamira mukudzokerwa nemusoro. Aya ndiwo marwadzo emusoro anoramba achidzoka nekuda kwekunyanyisa kwemushonga wemarwadzo.
• Kutora yakawandisa acetaminophen kunogona kukuvadza chiropa chako.
• Yakawandisa ibuprofen kana aspirin inogona kutsamwisa dumbu rako kana itsvo.

Kana kurapwa uku kusingabatsire, bvunza mupi wako nezve mishonga yemishonga. Izvi zvinosanganisira mapfupa emumhino, makenduru, kana majekiseni. Boka remishonga rinonyanya kushandiswa rinonzi triptans.

Mimwe migraine mishonga inoderedza tsinga dzeropa. Kana iwe uri panjodzi yekuva nechirwere chemwoyo kana chirwere chemoyo, taura nemupi wako usati washandisa iyi mishonga. Mimwe mishonga yemigraine haifanirwe kushandiswa nevakadzi vane nhumbu. Taura nemupi wako nezvekuti ndeupi mushonga wakakukodzera kana iwe uri nepamuviri kana kuronga kuve nepamuviri.

Mimwe mishonga inobata zviratidzo zvemigraine, senge kusvotwa uye kurutsa. Inogona kushandiswa yoga kana pamwe chete nemimwe mishonga inobata iyo migraine pachayo.

Feverfew mushonga we migraines. Inogona kushanda kune vamwe vanhu. Usati washandisa feverfew, ita shuwa kuti wako mupi anotendera. Mishonga yemakwenzi inotengeswa muzvitoro zvemishonga uye zvitoro zvekudya zvehutano haina kudzorwa. Shanda nachiremba akadzidzisa mishonga yemakwenzi pakusarudza mishonga.

KUDZIVIRIRA MIGRAINE MISHURE YEMAHARA

Kana yako migraines ikaitika kanopfuura kaviri pasvondo zvisinei nekushandiswa kwetriptans, mupi wako anogona kukuisa pamishonga yekutora mazuva ese, izvo zvinogona kubatsira kudzivirira migraines yako. Icho chinangwa ndechekudzivirira kuti kazhinji migraines inoitika uye kuti yakanyanya sei kutemwa nemusoro. Aya marudzi emishonga anogona kubatsira kudzivirira kana kudzora migraine kutemwa nemusoro:

• Mishonga inowanzoshandiswa pakukwira kweropa, (se beta-blockers, angiotensin blockade agents, uye calcium channel blockers)
• Mimwe mishonga inoshandiswa kurapa kushushikana
• Mimwe mishonga inoshandiswa kurapa pfari, inonzi anticonvulsants
• Botulinum toxin mhando A majekiseni evarwere vakasarudzwa

Zvishandiso zvitsva zvinopa akasiyana marudzi etsinga ekusimudzira kana remagineti kukurudzira ari kuongororwawo pakurapa kwemusoro wemusoro. Basa ravo chairo pakurapa migraines rinoramba risina kujeka.

Munhu wega wega anopindura zvakasiyana pakurapwa. Vamwe vanhu vane migraines kashoma uye vanoda zvishoma kurapwa. Vamwe vanofanirwa kutora mishonga yakati wandei kana kutomboenda kuchipatara dzimwe nguva.

Migraine misoro ndiyo njodzi yekurohwa. Njodzi yakakwira kune vanhu vanosvuta, kunyanya kuvakadzi vane migraines inoitika neaura. Mukuwedzera pakusasvuta, vanhu vane migraines vanofanira kudzivisa dzimwe njodzi dzekurohwa. Izvi zvinosanganisira:

• Kutora mapiritsi ekudzivirira kubereka
• Kudya chikafu chisina hutano, izvo zvinogona kukonzera cholesterol yakawanda kana kuwedzerwa kweropa

Fonera 911 kana:

• Iwe uri kusangana "neakaipisisa musoro wehupenyu hwako."
• Iwe une kutaura, kuona, kana kufamba kwematambudziko kana kurasikirwa kwehuremu, kunyanya kana usati wave nezviratidzo izvi nemigraine kare.
• Musoro unotanga pakarepo.

Ronga musangano kana kufonera mupiki wako kana:

• Musoro wako wemusoro kana marwadzo anochinja.
• Mishonga yaimboshanda haichabatsiri.
• Iwe une mhedzisiro kubva kumushonga wako.
• Iwe urikutora mapiritsi ekudzivirira kuberekwa uye une migraine misoro.
• Musoro wako unorwadza zvakanyanya kana wakarara pasi.

Kurwadziwa nemusoro - migraine; Vascular musoro - migraine

• Kutemwa nemusoro - chii chekubvunza chiremba wako

• Migraine musoro
• Migraine chikonzero
• CT scan yehuropi
• Central nervous system uye yekumusoro tsinga system

American Headache Sosaiti. IAmerican headache society chinzvimbo chirevo chekubatanidza nyowani migraine kurapwa kuchipatara tsika. Kutemwa nemusoro. 2019; 59 (1): 1-18. PMID: 30536394 www.ncbi.nlm.nih.gov/pubmed/30536394.

Dodick DW. Migraine. Lancet. 2018; 391 (10127): 1315-1330. PMID: 29523342 www.ncbi.nlm.nih.gov/pubmed/29523342.

Garza I, Schwedt TJ, Robertson CE, Smith JH. Kutemwa nemusoro uye mamwe marwadzo ecraniofacial. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 103.

Herd CP, Tomlinson CL, Rick C, et al. Botulinum chepfu yekudzivirira migraine muvakuru. Cochrane Database Syst Zvak. 2018; 6: CD011616. PMID: 29939406 pubed.ncbi.nlm.nih.gov/29939406/.

Hershey AD, Kabbouche MA, O'Brien HL, Kacperski J. Musoro wemusoro. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 613.

Dzidzira gwara rekuvandudza chidimbu Neurology. 2020; 94 (1): 50. PMID: 31822576 pubed.ncbi.nlm.nih.gov/31822576/.

Tassorelli C, Diener HC, Dodick DW, et al. Nhungamiro yeInternational Headache Society yemiedzo inodzorwa yekurapa kwekudzivirira kwekusingaperi migraine muvakuru. Cephalalgia. 2018; 38 (5): 815-832. PMID: 29504482 pubmed.ncbi.nlm.nih.gov/29504482/.