Umxube Weengxaki
Xa ufumana i-migraine, ngaba nawe ufumanisa ukuba ukuxhamla kunye nokuxhatshazwa kwe-pit-in-in-gut-sensation eyaziwa ngokuba yisisulu? I-nausea iyakwenzeka ngaphakathi kwimiqathango yamathambo amaninzi kubandakanya izifo, izifo zesisu kunye neengxaki zengqondo. I-Migraines, nangona kunjalo, yinto eqhelekileyo yokuqhenqa. Makhe sihlolisise le nxu lumano yeentloko kunye neencyulo ngokubanzi.
Umxube Weengxaki
Amava okubamba isicuphuzelo kwimigraineurs yinto eqhelekileyo kwaye imithwalo. Kukho iingxaki ezimbini ezibalulekileyo ezenzeka ngenxa yesicongciso esihamba neentlungu zentloko:
- Isihlunu sisoloko sikhathaza ukuhlaselwa kwe-migraine.
- I-casino yenza ukwelashwa kwe-migraines kunzima ngakumbi.
Ziyintoni eziqhelekileyo ngeNausea Ngethuba lokuhlaselwa kwe-Migraine?
Kuhlolisiso olulodwa kwiNtloko , malunga nama-6500 abantu abaye bahlushwa yi-epradic migraines, isiqingatha esinesisindo esiphakamileyo esiphambanisayo , esichazwa njengesiqhwala esenzekayo ≥ isiqingatha sexesha ngeentloko. Phantse ama-30 ekhulwini abikwa ukuba bafumana isicarucu ngaphantsi kwesigamu sexesha kunye ne-migraines yabo, kunye neepesenti ezingaphezu kwemashumi amabini anika ingxelo okanye ayifumaneki ncane. Uphando lwafumanisa ukuba i-nasusea ephezulu ixhaphake kakhulu kubasetyhini kunamadoda.
Ingxaki # 1: I-Nausea igcina i-Migraine Attack
Uvavanyo olukhankanywe ngentla apha kwiNtloko lufumene ukuba abantu abaye bafumana isicupunu se-high-frequency ne-headaches babenokukwazi ukufumana ezinye iimpawu ezibalulekileyo ze-migraine ezifana ne- photophobia , i- phonophobia , intlungu enkulu yentloko kunye nentlungu ebuhlungu ngemisebenzi eqhelekileyo.
Ukongezelela, xa kuthelekiswa nabantu abaneentlanzi eziphambene ne-frequency frequency versus no-no-rare rare occurring of nausea ngentlungu yentloko, abo abanesicathulo se-nausea bekunokwenzeka ukuba baye kwikhefu lezonyango kwimisebenzi yabo okanye babe nokukhubazeka emsebenzini.
Ekugqibeleni, kwesi sifundo esifanayo, ama-migraineurs anikwe i-Headache Impact Test (i-HIT-6), ithuluzi lombuzo wesithandathu okanye uvavanyo oluthatyathwa ukuchonga impembelelo yentloko yomntu kwimisebenzi yemihla ngemihla.
Umzekelo, umbuzo omnye wokuvavanya "Kwiiveki ezidlulileyo ze-4, kaninzi kangakanani uzive ukhathele kakhulu ukwenza umsebenzi okanye imisebenzi yansuku zonke ngenxa yeentloko zakho?" Aba bathathi-nxaxheba baphendula ngokuthi: "Akunakwenzeka, ngezinye izikhathi, ngezinye iinkhathi, ngokuqhelekileyo, okanye rhoqo. "Iziphumo zabonisa ukuba malunga nesiqingatha salabo abanesisindo esiphambanisayo esiphakamileyo se-HIT-6.
Ingxaki # 2: I-Nausea Iindleko zokuNyango
Enye ingxaki yokubandezeleka kwintloko kunye nesisonguluko kukuba izigulane zihlala zimanqika ukuthabatha imithi yazo ye-migraine. Enyanisweni, kwi-National Headache Survey ngo-2010, aba-4 kwabangu-10 abafudukayo kwi-United States baqaphele ukuba belibale okanye baphephe ukuthabatha amayeza ngenxa yokufudumala kwe-migraine kunye / okanye ukuhlanza. Ukulahla okanye ukuphepha imithi ye-migraine kunokunyusa ixesha lokuhlaselwa kwe-migraine, ukwandisa ukusebenza komgangatho kunye nobomi bomgangatho wonke. Ukongezelela, ukuhlanza okanye i-nausea, ngokwayo, ingavimbela ukuxilwa kwamachiza, ukunika unyango lwe-migraine engasebenzi.
Sisiphi Isixazululo? Izinketho zokwelapha kwiNtloko kunye Nausea
Iindaba ezilungileyo kukuba kukho inketho ezininzi apho ukuphatha intlungu yentloko yakho, ngelixa ucinga nge-nausea ehlobene ne-migraine. I-Triptans i-migraine imithi efumanekayo kwiifom ezininzi, ezingasetyenziswa njengezonyango zokuqala zonyango zokumodareyitha ukuhlaselwa kwe-migraine.
Ezi ziqulatho ziquka: i-spray sprays, iipilisi zamanqatha ngokukhawuleza (ezixutywe naphezu kokuhlanza) kunye neenjini ezingaphantsi. Ezi zenye iifomu zemithi e-migraine zivumela ukuba zintuthuzelo kunye nokuphucula ukuphucula, ukuba i-migraineur ine-nausea concomitant kunye / okanye ukuhlanza. Khumbula, i-triptan iphikisana nabantu abaneentliziyo zesifo senhliziyo, isifo, isifo esiphezulu segazi, okanye i-hemiplegic okanye i-basilar migraine.
I-Antiemetics, efana ne-metoclopromaide (Reglan), enokunikezwa nge-intravenously okanye ngokusebenzisa i-vein, nayo iphinde ibe nempilo emihle yonyango kwaye ixhaphake kwiSebe elixakekileyo.
I-Dihydroergotamine ( DHE 45 , i-Migranal) yenye inketho. Eli nyanga lijojowe okanye lilawulwa nge-intranasally. Ukudibanisa i-antimetic kunye ne-dihydroergotamine yinto enokuyisebenzisa kwaye ngamanye amaxesha kusetyenziswa ngamasebe aphuthumayo ukwenzela unyango olunzulu lwe-migraine. Nceda uqaphele ukuba i-dihydroergotamine ayikwazi ukusetyenziswa ngokubambisana ne-triptans kwaye iyaphikisana ngokupheleleyo nokukhulelwa, kunye nabantu abaneengcinezelo zegazi ezingapheliyo kunye / okanye isifo senhliziyo.
Ezinye iindlela zonyango ziquka i-intravenous steroid, njenge- dexamethasone , edlalwa ngokongeza kwezinye i-migraine therapies. I-Lidocaine yonyango elingaqhelekanga kwimigraines, elinika uncedo olukhawulezayo, nangona ukuphindaphinda kuqhelekile. I-Lidocaine ilawulwa ngokubanzi ngamaconsi emisipha, ngelixa isigulane silala nentloko yayo yajika kwicala lentlungu.
Isishwankathelo
Ukufika kwinqanaba lasekhaya apha kukuba i-nausea ihamba rhoqo neentlungu zentloko, ezinokunyusa ukuhlaselwa kwe-migraine kunye / okanye ukwenza unyango lunzima kakhulu, njengokuba imigraineurs ifuna ukuphepha ukuthatha imithi ngomlomo.
Kukho izisombululo, nangona kunjalo, njenge-intranasal triptans okanye imishanguzo emfutshane / engaphantsi kwemizimba enokulawulwa kwisebe elingxamisekileyo okanye kwiofisi yegqirha. Ukuba ufumana ubunzima bokusongela isisu ngenxa yakho, qha ga mshelana nodokotela wakho ukwenzela ukuba ezinye iindlela zokwelapha kumachiza omlomo zingabuyekezwa.
Imithombo
I-Gilmore B & Michael M Ukwelashwa kwekhanda lomlenze we-migraine. I-Phys Physician. 2011 Feb 1; 83 (3): 271-280.
I-Lipton RB, i-Buse DC, i-Saiers J, i-Fanning KM, i-Serrano D, i-Reed ML. Ukuphindaphinda kunye nomthwalo weentlanzi ezinxulumene nentloko: iziphumo ezivela kwi-American Migraine Prevalence and Prevention (I-AMPP isifundo.
INtloko yeSizwe. Ucwaningo lwezonyango lwe-Migraine. Epreli 2010. Kufumaneka apha: http://www.headaches.org/NHF_Programs/NHF_Web_Surveys (kufumaneka ngoNovemba 6, 2013).
INKCAZELO: Ulwazi olukule ndawo lusetyenziswe kuphela ngeenjongo zolwazi kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukucebisa, ukuxilonga, kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .