ʻO Migraine

ʻO ka migraine kahi ʻano ʻeha o ke poʻo. Kūleʻa paha ia me nā ʻōuli e like me ka nausea, ka luaʻi, a i ʻole ka ʻike i ka mālam a me ke kani. I nā poʻe he nui, ʻike ʻia kahi ʻeha kukū ma kekahi ʻaoʻao o ke poʻo.

Hoʻokumu ʻia kahi maʻi migraine e ka hana lolo ʻole. Hiki ke hoʻomaka ʻia kēia hana e nā mea he nui. Akā ʻaʻole maopopo ke kaulahao o nā hanana. Manaʻo ka hapa nui o nā loea loea i ka hoʻomaka ʻana o ka hoʻouka i ka lolo a pili i nā ala nerve a me nā kemika. Hoʻopili nā loli i ke kahe o ke koko i ka lolo a me nā a puni.

Kū mua nā poʻo o migraine ma waena o nā makahiki he 10 a me 45. I kekahi manawa, hoʻomaka lākou ma mua a ma hope paha. Hiki paha i nā Migraines ke holo i loko o nā ʻohana. Kū pinepine nā Migraines i nā wahine ma mua o nā kāne. ʻO kekahi mau wahine, ʻaʻole naʻe he hapa ka nui o ka migraines ke hāpai lākou.

Hiki ke hoʻomaka ʻia nā hoʻouka Migraine e kekahi o kēia mau mea:

• Ka huki ʻana o ka ʻākena
• Hoʻololi i nā pae hormonone i ka wā o ka wahine o ka menstrual cycle a i ʻole me ka hoʻohana ʻana o nā lāʻau kaohi hānau
• Hoʻololi i nā hiʻohiʻona hiamoe, e like me ka lawa ʻole o ka hiamoe
• Ka inu lama
• ʻO ka hoʻoikaika kino a i ʻole ke koʻikoʻi koʻikoʻi kino
• Nū leo nui a i ʻole nā ​​kukui ʻōlinolino
• ʻAi ʻaina ʻole
• Nā ʻala a mea ʻala paha
• Ka puhihihi a i ʻole ka puhipaka
• Kaumaha a me ka hopohopo

Hiki ke hoʻomaka ʻia kekahi mau meaʻai nā Migraines. ʻO ka maʻamau ʻo:

• Kokoleka
• ʻO nā meaʻai waiū, ʻoi aku kekahi o nā paʻi waiū
• Nā meaʻai me ka monosodium glutamate (MSG)
• Nā meaʻai me ka tyramine, kahi e loaʻa ana i ka waina ʻulaʻula, ka tī kahiko, nā iʻa puhi ʻia, nā ʻā moa, nā fiku, a me kekahi mau pi
• Nā huaʻai (avocado, maiʻa, hua citrus)
• ʻAi i loko o nā nitrates (bacon, ʻīlio wela, salami, nāʻiʻo i hoʻōla ʻia)
• Onions
• ʻO ka peanuts a me nā nati a me nā ʻanoʻano
• Nā meaʻai i hana ʻia, hū, ʻūlū, a i marino ʻia paha

ʻAʻole ka hopena o ka maʻi migraine ʻoiaʻiʻo i kahi tumo lolo a i ʻole nā ​​pilikia olakino koʻikoʻi. ʻO kahi mea mālama mālama ola pilikino wale nō i loea i ka headache hiki ke hoʻoholo inā pili kāu mau ʻōuli i kahi migraine a i ʻole ke ʻano ʻē aʻe.

ʻElua ʻano nui o ka migraines:

• ʻO Migraine me ka aura (migraine maʻamau)
• ʻO Migraine me ka ʻole o ke aura (migraine maʻamau)

ʻO kahi aura kahi hui o nā ʻōnaehana ʻōnaehana (neurologic). Manaʻo ʻia kēia mau hōʻailona he hōʻailona hōʻailona e hiki mai ana kahi migraine. ʻO ka hapanui pinepine, hoʻopili ʻia ka hihi a hiki ke hoʻokomo i kekahi o nā mea aʻe paha:

• Nā kiko makapō kūlohelohe a i ʻole nā ​​kiko kala
• ʻIke makapō
• ʻEhaʻeha maka
• Ke ʻike nei i nā hōkū, nā laina zigzag, a i ʻole nā ​​kukui uila
• ʻIke Tunnel (hiki wale ke ʻike i nā mea kokoke i ke kikowaena o ke kahua o ka nānā)

ʻO nā ʻōnaehana ʻōnaehana ʻē aʻe e pili pū ana me ka yawning, ka paʻakikī noʻonoʻo ʻana, ka pīhoihoi, ka loaʻa ʻana o ka pilikia i ka loaʻa ʻana o nā huaʻōlelo kūpono, ka palaho, ka nāwaliwali, ka helu, a me ke kani ʻana. ʻO kekahi o kēia mau ʻōuli he mea liʻiliʻi ia me nā migraine. Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e kauoha paha kāu mea hāʻawi i nā hoʻokolohua e ʻike i ke kumu.

Kū pinepine kahi aura 10 i 15 mau minuke ma mua o ka maʻi poʻo, akā hiki ke hana i kekahi mau minuke i 24 mau hola ma mua. ʻAʻole ukali ka poʻo poʻo i ka aura.

ʻO nā poʻo poʻo maʻamau:

• E hoʻomaka me ka ʻehaʻeha a hele i loko o nā minuke i mau hola
• Ke kuʻi nei, ke kuʻi ʻana, a i ʻole ke kuʻi ʻana
• ʻOi aku ka maikaʻi ma kekahi ʻaoʻao o ke poʻo me ka ʻeha ma hope o ka maka a i ʻole ka hope o ke poʻo a me ka ʻāʻī
• ʻO 4 a 72 mau hola i hala

ʻO nā ʻōuli ʻē aʻe e kū me ka maʻi ʻeha pū me:

• ʻO Chills
• Hoʻonui i ka urination
• Ka luhi
• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi
• ʻIke i ka mālamalama a i ʻole ke kani
• Hoʻoulu

Lohi paha nā ʻōuli, ʻoiai ma hope o ka hala ʻana o ka migraine. Kapa ʻia kēia he hangover migraine. Hiki i nā ʻōuli ke hoʻohui pū:

• ʻAno ʻole ka noʻonoʻo noʻonoʻo, e like me ka maopopo ʻole o ka noʻonoʻo a me ka ʻoi paha o kou noʻonoʻo
• Pono ka hiamoe hou
• ʻEha ʻāʻī

Hiki i kāu mea hoʻolako ke ʻike pono i ka maʻi migraine ma ka nīnau ʻana e pili ana i kāu mau ʻōuli a me ka mōʻaukala o ka migraines. E hana ʻia kahi hoʻokolohua kino holoʻokoʻa e hoʻoholo inā pili kou poʻo i ka ʻeha o ka mākala, nā pilikia sinus, a i ʻole kahi maʻi lolo.

ʻAʻohe hoʻokolohua kikoʻī e hōʻike ai i ka hōʻeha maoli o kou poʻo. I ka hapanui o nā hihia, ʻaʻole pono nā hoʻokolohua kūikawā. E kauoha paha kāu mea hāʻawi i kahi scan CT a i ʻole MRI inā ʻaʻole āu i loaʻa ma mua. E kauoha ʻia paha ka hōʻoia inā loaʻa iā ʻoe kahi hōʻailona ʻē me kāu migraine, e like me ka nāwaliwali, nā pilikia hoʻomanaʻo, a i ʻole ka nalo o ka makaʻala.

Pono paha kahi EEG e kāpae i ka hopu ʻana. Hoʻopau ʻia kahi lumbar puncture (spinal tap).

ʻAʻohe lāʻau lapaʻau kūikawā no ka ulu poʻo o ka migraine. ʻO ka pahuhopu e mālama koke i kāu ʻōuli o ka migraine, a pale i nā ʻōuli ma o ka hōʻalo ʻana a i ʻole ka hoʻololi ʻana i kāu mau mea hoʻonāukiuki.

Ke aʻo nei kahi hana nui i ka mālama ʻana i kāu migraines ma ka home. Hiki i ka diary diache headache ke kōkua iā ʻoe e ʻike i nā mea o kou huhū. A laila hiki iā ʻoe a me kāu mea hāʻawi ke hoʻolālā pehea e pale ai i kēia mau mea hoʻonāukiuki.

Hoʻololi nā ola i:

• ʻO nā ʻano hiamoe maikaʻi, e like me ka lawa ʻana o ka hiamoe a me ka hiamoe ʻana i ka manawa like i kēlā me kēia pō
• ʻOi aku ka maikaʻi o ka ʻai ʻana, me ka haʻalele ʻole ʻana i nā pāʻina a me ka hōʻalo ʻana i kāu mau meaʻai
• Ka mālama ʻana i ke koʻikoʻi
• Ke kaupaona ʻana, inā ʻoi aku kou kaumaha

Inā loaʻa pinepine ʻoe i ka migraines, kauoha paha kāu mea hāʻawi i ka lāʻau e hōʻemi i ka nui o nā hoʻouka. Pono ʻoe e ʻai i ka lāʻau i kēlā me kēia lā no ka mea e pono ai. Pākuʻi ʻia paha nā lāʻau:

• Nā Antidepressants
• ʻO nā lāʻau kaomi koko, e like me beta blockers
• Nā lāʻau lapaʻau kūpale
• ʻO nā agena peptide pili i ka ʻaoʻao Calcitonin

Botulinum toxin type A (Botox) injection hiki paha ke kōkua i ka hōʻemi ʻana i ka neʻe ʻana o ka migraine inā kū lākou ma mua o 15 mau lā o ka mahina.

Loaʻa kekahi poʻe i ke kōkua me nā minelala a me nā wikamina. E hōʻoia me kāu mea lawelawe e ʻike inā kūpono ka riboflavin a i ʻole ka magnesium iā ʻoe.

E LAWE ANA I KA HANA

Lawe ʻia nā lāʻau ʻē aʻe i ka hōʻailona mua o kahi hoʻouka migraine. Kōkua pinepine nā lāʻau ʻeha over-the-counter (OTC), e like me ka acetaminophen, ibuprofen, a i ʻole aspirin ke akahai kāu migraine. E makaʻala i:

• ʻO ka lawe ʻana i nā lāʻau i ʻoi aku ma mua o 3 mau lā i ka pule e alakaʻi i ka hōʻeha hou i nā poʻo. He mau poʻo poʻo kēia e hoʻi hou nei ma muli o ka hoʻohana nui ʻia ʻana o ka lāʻau ʻeha.
• Lawe nui i ka acetaminophen hiki ke hōʻino i kou ake.
• Hiki i ka nui ibuprofen a i ʻole aspirin ke hoʻonāukiuki i kou ʻōpū a i ʻole nā ​​puʻupaʻa.

Inā ʻaʻole kōkua kēia mau lapaʻau ʻana, e nīnau i kāu mea hoʻolako e pili ana i nā lāʻau i kuhikuhi ʻia. Hoʻopili kēia i nā nasal sprays, supositories, a i ʻole nā ​​injection. ʻO ka hui o nā lāʻau i hoʻohana pinepine ʻia i kapa ʻia he triptans.

Hoʻopili kekahi o nā lāʻau migraine i nā kīʻaha koko. Inā pilikia ʻoe no ka maʻi puʻuwai a i ʻole he maʻi puʻuwai, e kamaʻilio me kāu mea hoʻolako ma mua o ka hoʻohana ʻana i kēia mau lāʻau. ʻAʻole pono e hoʻohana ʻia kekahi mau lāʻau migraine e nā wahine hāpai. E kamaʻilio me kāu mea hoʻolako e pili ana i ka lāʻau kūpono no ʻoe inā hāpai ʻoe a i ʻole ke hoʻolālā ʻana e hāpai.

Mālama nā lāʻau ʻē aʻe i nā ʻōuli o ka migraine, e like me ka nausea a me ka luaʻi. Hiki ke hoʻohana hoʻokahi ʻia a i ʻole me nā lāʻau ʻē aʻe e mālama i ka migraine ponoʻī.

ʻO Feverfew kahi mea kanu no ka migraines. Hiki ke hoʻokō ʻia no kekahi poʻe. Ma mua o ka hoʻohana ʻana i ka feverfew, e hōʻoia i ka ʻae a kāu mea hāʻawi. Kūʻai ʻia nā lāʻau lapaʻau lāʻau lapaʻau i kūʻai ʻia i nā hale kūʻai lāʻau lapaʻau a me nā hale kūʻai meaʻai olakino. Hana pū me kahi lāʻau lapaʻau hoʻomaʻamaʻa i ke koho ʻana i nā mea kanu.

KA PALE ANA I NA PALAPALA MIGRAINE

Inā ʻoi aku ka nui o kāu migraines ma mua o ʻelua mau manawa o ka pule me ka hoʻohana ʻia o nā triptans, hiki i kāu mea hāʻawi ke hoʻokau iā ʻoe i nā lāʻau e lawe i kēlā me kēia lā, i hiki ke pale i kāu neʻe. ʻO ka pahuhopu ka pale ʻana i ka pinepine o ka ulu ʻana o ka migraines a me ke koʻikoʻi o ka ʻeha o ke poʻo. Hiki i kēia mau ʻano lāʻau ke kōkua i ka pale ʻana a hōʻemi paha i ka ulu o ka migraine.

• Hoʻohana mau ʻia nā lāʻau no ke kaomi koko kiʻekiʻe, (e like me beta-blockers, angiotensin blockade agents, a me nā calcium blockers)
• Hoʻohana ʻia kekahi mau lāʻau e mālama i ke kaumaha
• ʻO kekahi mau lāʻau i hoʻohana ʻia e mālama i ka hopu ʻana, i kapa ʻia he anticonvulsants
• Botulinum toxin type A nā injection no nā mea maʻi wae

Ke loiloi ʻia nei nā hāmeʻa hou e hāʻawi i nā ʻano ʻokoʻa o ka stimulate nerve a i ʻole stimulate magnetics no ka mālama ʻana i ka ulu o ka migraine. ʻAʻole maopopo kā lākou kuleana maoli i ka mālama ʻana i ka migraines.

ʻ differentlylelo ʻokoʻa kēlā me kēia kanaka i ka lāʻau. Kākaʻikahi wale ka loaʻa ʻana o ka migraines a ʻaʻole pono iki i kahi lāʻau. Pono nā poʻe ʻē aʻe i nā lāʻau a i ʻole hele i ka haukapila i kekahi manawa.

ʻO Migache headache kahi mea pilikia i ka maʻi maʻi. ʻOi aku ka kiʻekiʻe o ka makaʻu i ka poʻe puhipaka, ʻoi aku i nā wahine i loaʻa ka migraines me ka aura. Ma waho o ka puhipaka ʻole, pono i ka poʻe me migraines e hōʻalo i nā kumu weliweli ʻē aʻe no ka hahau. Pākuʻi ʻia kēia mau mea:

• Ke lawe nei i nā pila hoʻomalu hānau
• ʻO ka ʻai ʻana i nā meaʻai pono ʻole, hiki ke hoʻoulu i ke kiʻekiʻe o ke kolesterol a i ʻole ke kiʻekiʻe o ke koko

Kāhea iā 911 inā:

• Ke loaʻa nei iā ʻoe ka "ʻeha poʻo loa i kou ola."
• Loaʻa iā ʻoe ka ʻōlelo, ʻike, a i ʻole nā ​​pilikia neʻe a i ʻole ka nalowale o ke kaulike, keu hoʻi inā ʻaʻole i loaʻa iā ʻoe kēia mau ʻōuli me ka migraine ma mua.
• Hoʻomaka koke kahi maʻi poʻo.

E hoʻonohonoho i kahi manawa a kāhea i kāu mea hāʻawi inā:

• Hoʻololi kāu lauana ʻeha a ʻeha paha.
• ʻAʻole kōkua nā hana i hana mua.
• Loaʻa iā ʻoe nā hopena ʻaoʻao mai kāu lāʻau.
• Ke lawe nei ʻoe i nā lāʻau hoʻomalu hānau a loaʻa i ka maʻi migraine.
• ʻOi aku ka ʻeha o kou poʻo ke moe i lalo.

ʻEha poʻo - migraine; ʻEha poʻo vascular - migraine

• Headache - he aha e nīnau aku ai i kāu kauka

• ʻEha poʻo Migraine
• Kumu Migraine
• CT scan o ka lolo
• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

ʻAmelika Headache Society. ʻO ke kūlana kaiaulu kuʻikuʻi poʻo ʻAmelika i ka hoʻopili ʻana i nā hana hou migraine i ka hana lapaʻau. ʻEha poʻo. 2019; 59 (1): 1-18. PMID: 30536394 www.ncbi.nlm.nih.gov/pubmed/30536394.

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

ʻO Garza I, Schwedt TJ, Robertson CE, Smith JH. Headache a me nā ʻeha craniofacial ʻē aʻe. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 103.

Herd CP, Tomlinson CL, Rick C, et al. ʻO nā toxin Botulinum no ka pale ʻana i ka migraine i nā mākua. ʻO Cochrane Database Syst Rev. 2018; 6: CD011616. PMID: 29939406 pubmed.ncbi.nlm.nih.gov/29939406/.

Hershey AD, Kabbouche MA, O'Brien HL, Kacperski J. Headaches. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 613.

Hōʻuluʻulu kuhikuhi alakaʻi hōʻuluʻulu manaʻo: Hoʻomaʻamaʻa koʻikoʻi o ka migraine i nā keiki a me nā ʻōpio: Hōʻike o ka Hoʻomohala Alakaʻi, ka hoʻolaha ʻana, a me ka lālā hoʻokō o ka American Academy of Neurology a me ka American Headache Society. Neurology. 2020; 94 (1): 50. PMID: 31822576 pubmed.ncbi.nlm.nih.gov/31822576/.

ʻO Tassorelli C, Diener HC, Dodick DW, et al. Nā Kūlana o ka International Headache Society no ka hoʻāʻo ʻana i ka hoʻāla ʻana i ka mālama pale ʻana i ka migraine maʻi mau i nā mākua. ʻO Cephalalgia. 2018; 38 (5): 815-832. PMID: 29504482 pubmed.ncbi.nlm.nih.gov/29504482/.