Ukuyeka iMigraines Ngethuba lexesha lakho lokuLawula
Ukuya esikhathini kunesistim sokuthatha i-migraine kubafazi. Iindaba ezilungileyo kukuba kukho iinketho ezininzi zokuphatha unyango lwakho lokuya esikhathini, kubandakanya iipilisi zokulawula ukuzalwa.
Iisiseko zeMigraine yokuNyuka
Ukuhamba kwimizuzu migraines isiteyiphi naphakathi kwimihla emibini ngaphambi kweentsuku ezintathu emva kokuqala kokuhamba kokuya esikhathini, kwaye ngelanga, bahlala bexineke kwaye bengaphenduli kakhulu kumachiza kunokuhlaselwa kwe-migraine okwenzeka kwezinye iindawo zenyanga.
Nangona izazinzulu aziqinisekanga ukuba kutheni ezi zihlaselo zivela, kukho ubungqina obuqinileyo bokuthi u- estrogen , i-hormone ekunceda ukulawula umjikelezo wesini, ibandakanyeka.
Enye inyelelo kukuba ukuwa kwe-estrogen eyenzeka kwangaphambi kokuya esikhathini kwenza ukuba iingingqi zengqondo zibandakanyeke kwi-migraine, zibangele ukuhlaselwa. Oku kuxhaswa yilokuba abesifazana abane-migraines bavame ukufumana i-migraines ngaphezulu ngexesha elide-ixesha elide ngaphambi kokumiswa komzimba xa amazinga e-estrogen wesifazane eguqukayo.
Ngokufanayo, ngexesha lesibini kunye neyesithathu lokukhulelwa, abaninzi abafazi bafumana imiphumo ye-migraine, ephindwa kwakhona kubangelwa ngamazinga aphezulu a-estrogen emzimbeni womfazi.
Nangona abanye besetyhini bafumana ama-migraines asemanyeni, ahlaselwa kuphela ngexesha lokuya esikhathini, abaninzi abafazi bahlaselwa kwimigraines ehambelana nokuya esikhathini, ezihlaselwa ngokunyuka kwexesha, kunye nezinye iinyanga.
Ukunyuka kweMigraines Kwangathi Kukhuselwe
Ukunyuka kwemizi kwimigraines kunokuthintelwa kunye ne- triptans ende ende, njengeFrova (frovatriptan) okanye i-Amerge (naratriptan). Ngokuqhelekileyo, zithathwa iintsuku ezintlanu ukuya ezintandathu kwixesha eliqhelekileyo, eliqala iintsuku ezimbini ngaphambi kokuhamba kwexesha. Olunye ukhetho abanye oogqirha bancoma i-magnesium, nangona kufuneka ukuba kuthathwe ixesha elide, malunga neveki ezimbini ngaphambi kokuba iqela lomfazi liqale.
Kwababhinqileyo abathile, ukuthatha ipilisi yokulawula ukuzalwa, kunye ne-estrogen kunye ne-progestin, inokunciphisa ukuphindaphindiweyo kweemigraines zokuya esikhathini . Inyiyo emva kokusebenzisa iipilisi zokulawula ukuzalwa ngokuqhubekayo kukuba iipilisi zikhusela nayiphi na i-droprogen ephawulekayo eyenziwa kumjikelezo wakho.
Ngaba Ndingumviwa wokuLawula ukuLawula ngokuqhubekayo iiPilisi kwiMithraines yam ukuya esikhathini?
Ezinye izinto zembali yakho yezonyango ziya kufuneka ziqwalaselwe ngaphambi kokuba ugqirha wakho atyumbe iipilisi zokulawula izizalo. Ngokomzekelo, ngokwe-American College of Obstetricians kunye neGynecologists, umfazi onama-migraines unokumiselwa ukudibanisa u-estrogen-progesterone ukuzalwa kuphela xa unemigraines ngaphandle kwe-aura .
Oku kungenxa yokuba ukuthatha i-migraine ne-aura kwandisa umngcipheko we-stroke, kwaye le mngcipheko unokunyuka ukwanda ngokuthatha iipilisi zokulawula ukuzala, ngakumbi i-estrogen. Ezinye izinto eziphikisana nobuchule bakho bokuthabatha ukulawulwa kokuzalwa kubandakanya ukutshaya, iminyaka engama-35 okanye ngaphezulu, okanye iimeko ezithile zempilo, njengengcinezelo ephezulu yegazi okanye imbali yegazi le-clot.
Ukuba ugqirha wakho ubeka iipilisi zokulawula izizalo zakho kwimigraines, ungathabatha iipilisi ngokuqhubekayo ukugcina amanqanaba akho e-estrogen ahlala ehlala.
Oku kuthetha ukunqumla iipilisi ze-placebo xa unemiqulu yeepilisi yeentsuku ezingama-28, okanye uthatha ipilisi imihla ngemihla (akukho ukuphuka okufunekayo) ukuba unemiqulu yeepilisi ezingama-21.
Nangona ezinye iindlela zokulawula ukuzalwa ziyakunceda ukukhusela i-migraine yokuya esikhathini, kufuneka kuqatshelwe ukuba abantu abaninzi bahlaselwa ngokukhawuleza emva kokuba iipilisi zivaliwe, okanye ngeengongoma ezingenasipilisi zenyanga.
ILizwi
Kubalulekile ukugcina engqondweni ukuba iipilisi zokulawula izibeleko zingabi yindlela efanelekileyo yokuphatha imigraines yakho.
Nceda uqhagamshelane nogqirha wakho ukuze ubone ukuba isicwangciso sonyango esingcono kunani. Ugqirha wakho unokucela ukuba ugcine idayari yokuhlaselwa kwakho kweenyanga eziliqela, ukhangele rhoqo xa ufumana i-migraine kunye nemihla yokuhamba kwakho.
Ngaloo ndlela ugqirha wakho unokugqiba ukuba ngaba bambalwa, ezinye okanye ezininzi ze-migraines zibangelwa ukuya esikhathini
Imithombo:
De Leo V. Ukudibanisa ukukhulelwa komlomo kubasetyhini abaneemigraine ngaphandle kokungena. Fertil Steril. 2011 Oct; 96 (4): 917-20.
I-Edlow AG & Batz D. Iindlela zokukhulelwa kwezilwanyana zeHormonal kubafazi abaneentloko: ukuhlaziywa kobungqina. Ukuphononongwa kwe-Obstetrics and Gynecology 2010 Intwasahlobo; 3 (2): 55-65.
MacGregor EA. Ukuthintela kunye nokunyanga kokunyuka kwelanga. Zi yobisi. 2010 Oct 1; 70 (14): 1799-818.
UMartin VT. (nd). Umama weNtloko weMerika. Ukunyuka kweMigraine: Iinkqubo ezintsha zokuThengisa noTyango.
I-Nappi RE, i-Merki-Feld GS, i-Terreno E, i-Pellegrinelli A, ne-Viana M. Hormonal yokukhulelwa kwabesetyhini abane-migraine: iprogesterone-contraception kuphela yinto ekhethekileyo? J Ubuhlungu bentloko . 2013; 14 (1): 6.