I-Migrane & Headache

Ukwelashwa Okungcono Kakhulu Kwekhanda Le-Migraine e-Hyderabad

Izibhedlela ze-CARE zisemkhankasweni wokusiza iziguli ukuthi zilwe nekhanda elibuhlungu kanye ne-migraine. I-migraine ichazwa njengekhanda elibuhlungu elingabangela ukuzwa kwe-pulsing noma ubuhlungu obuhlabayo, ngokuvamile ohlangothini olulodwa lwekhanda lakho. Futhi, kuvame ukuhambisana nokuhlanza, isicanucanu, nokuzwela umsindo/ukukhanya. Leli khanda lekhanda liza njengokuhlasela okungase kuthathe amahora ambalwa noma izinsuku. Iziguli zibika ubuhlungu obukhulu obungase buphazamise imisebenzi yansuku zonke. 

Ezimweni ezimbi kakhulu, i-aura ifika njengophawu oluyisixwayiso ngaphambi noma ngisho nekhanda elibuhlungu. Le aura ingase yenzeke ngokuphazamiseka okubukwayo njengamabala angaboni noma ukukhanya kokukhanya kanye nokuphazamiseka okuhlobene. Kuhambisana nokushoshozela ohlangothini olulodwa lwengalo, umlenze, noma ubuso futhi ngisho ungabhekana nobunzima ekukhulumeni. 

Imithi isiza ekuvimbeleni i-migraines futhi iguqule ukuthi ibe buhlungu kancane. Imithi efanele kanye noshintsho endleleni yokuphila nemithi yokuzisiza kube usizo. 

Izimpawu ze-migraine ziyahlukahluka kuzo zonke. Leli khanda lekhanda lenzeka ngezigaba ezahlukene. Izigaba zingabandakanya:-

I-Prodrome

Izinsuku noma amahora ngaphambi kwekhanda elibuhlungu cishe amaphesenti angu-60 abantu aqaphela izimpawu ze-migraine ezifana:

• Ukuvimbela

• Ukoma okukhulu 

• Uhudo noma ukuqotshwa 

• I-Mood iyashintsha 

• Ukukhathala 

• Ukuntula isifiso sokudla noma izifiso zokudla 

• Ukuzwela ephunga, umsindo, noma ukukhanya

Aura 

Izimpawu ze-aura zisuka ohlelweni lwezinzwa futhi ngokuvamile zihlanganisa ukubona. Lezi zivame ukuqala ngesivinini esincane futhi zihlala cishe imizuzu engu-5-20. Isiguli singase sizizwe:

• Umbono womhubhe 

• Bona imigqa ye-wavy, amachashazi amnyama, ukukhanya okukhanyayo, futhi ngezinye izikhathi imibono engekho (izinto ezingekho empeleni)

• Ukuzwa ukuba ndikindiki nokuluma ohlangothini olulodwa lomzimba

• Ukungakwazi ukubona 

• Hhayi ukucaca enkulumweni 

• Ukuzwa ubunzima emilenzeni noma ezingalweni 

• Ukukhala kuzwakala ezindlebeni 

• Ukushintsha kokunambitha, ukuthinta, noma ukuhogela 

Attack 

Ikhanda elinkenkethayo elinkenkethayo ngokuvamile liqala njengobuhlungu obufiphele futhi liqala ukukhula nobuhlungu obuhlabayo. Lokhu ngokuvamile kuqala ukuba kubi kakhulu ngesikhathi sokusebenza komzimba. Ubuhlungu futhi busuka ohlangothini lwekhanda luye kwenye. Ungaqala uyizwe phambi kwekhanda bese ithinta ikhanda lonke. Ngesikhathi se-migraine, cishe u-80% weziguli zibika isicanucanu kanye nobuhlungu bekhanda kanti ezinye ziyaphalaza. Kukhona abaquleka noma ababukeka bephaphathekile futhi bephaphathekile. 

I-Postdrome 

Ngemva kwekhanda elibuhlungu, lesi sigaba singase siqhubeke usuku. Izimpawu zingase zihlanganisa;

• Ubuthakathaka noma ubuhlungu bemisipha 

• Ukuzizwa uhlanya futhi ukhathele

• Ukuntula isifiso sokudla noma izifiso zokudla

• Umuzwa wenjabulo noma ukuqabuleka

Ukucindezeleka - Uma umuntu ecindezelekile, ubuchopho bakhe buqala ukukhulula amakhemikhali afakazela ukuthi anesibopho sokuvusa izinguquko zemithambo yegazi futhi kuholele ku-migraine. 
Izinguquko ze-Hormonal - Abesifazane abaningi babika ubuhlungu bekhanda lapho isikhathi sabo siseduze noma lapho bekhulelwe noma ngesikhathi sokuvuthwa. Ezinye izimpawu zibangelwa amaphilisi okulawula inzalo noma ukunqamuka kokuya esikhathini okusebenzisa i-hormone replacement therapy. 
Ukudla - Akumangazi ukuthi ezinye iziphuzo noma ukudla okunjengotshwala, ushizi, noma izithasiselo ezifana ne-monosodium ne-nitrate kungase kube nesibopho sokuvusa kwabanye abantu. 
Ukudla kwe-caffeine - Uma uthola i-caffeine eningi noma ungayitholi leyo mali oyijwayele kungase kubangele ubuhlungu bekhanda. Uma isetshenziswe kahle, i-caffeine iphinde isetshenziswe njengokwelapha ukuhlaselwa kwe-acute migraine. 
Izinzwa - Izibani ezikhanyayo, imisindo ephezulu, nephunga elinamandla kungase kubangele i-migraine.
Isimo sezulu siyashintsha - Ukushintsha kwengcindezi ye-barometric, izivunguvungu, imimoya enamandla, njll kungase kube nomthelela ekuhlaselweni kwemigraine. 
Ukulala kuyashintsha - Uma uqala ukulala kakhulu noma ukulala kancane, kusho ukuthi futhi kuyisici sokuba nekhanda elibuhlungu. 

Izinhlobo ezahlukene ze-migraine

Kunezinhlobo ezahlukene ze-migraines ezingase zibangele ubuhlungu bekhanda. Okuvame kakhulu i-migraine ngaphandle kwe-aura noma i-migraine ene-aura. Amanye amakhanda abuhlungu ahlanganisa:

• I-migraine ethule - Kukhona izimpawu ze-aura ngaphandle kokuba nekhanda elibuhlungu. 
• I-migraine yokuya esikhathini - Uma ikhanda elibuhlungu lihlotshaniswa nokuya esikhathini kwabesifazane. 
• I-migraine yesisu - Iza nokucanuzela kwenhliziyo, ubuhlungu besisu, nokuhlanza. 
• I-Vestibular migraine - Lokhu kubangelwa izinkinga ze-vertigo, ibhalansi, noma ukuhlanza kanye nesicanucanu noma ngaphandle kwekhanda elibuhlungu. 
• I-Ophthalmic migraine - Leli khanda le-migraine lihlotshaniswa nokulahlekelwa okuphelele kombono noma umbono oyingxenye kwelinye noma womabili iso. 

Ukwelashwa kwekhanda elibuhlungu kanye ne-migraine

Alikho ikhambi eliphelele le-migraines kodwa yebo, sisiza iziguli zethu ukuthi ziyimise noma ziyivimbele ngemithi. Kukusiza futhi ukwehlisa izimpawu futhi uyeke ukuba zimbi nakakhulu. Ikakhulukazi, izindlela zokwelapha zethu zihlola ubuhlungu bekhanda elibuhlungu ngokuphakamisa izinguquko ezithile endleleni yokuphila, izindlela zokwelapha zokuphumula, ukunciphisa ingcindezi, nokukhuthaza amaphethini amahle okulala. Ochwepheshe bethu baphinde baphakamise imithi yesicanucanu ngendlela elula. Imithi ye-Lasmiditan inqunyelwe ukunciphisa isicanucanu, ubuhlungu, nokuzwela komsindo noma ukukhanya. 

Ukuxilongwa kwe-migraine okwenziwa yi-CARE Hospitals 

Odokotela bethu bakubuza imibuzo ukuze balandelele umlando wakho wezempilo ngokwezimpawu. Bangaphinde bakucele ukuthi ugcine idayari yezimpawu ozibona njalo. Kuhle ukuwabhala phansi kanje:

• Izimpawu eziyinhloko nokuthi zikulimaze kanjani

• Ukuvama kwalezi zimpawu 

• Isikhathi esiphelele esiphelele njengamahora, usuku noma ngaphezulu kosuku olulodwa

• Umlando we-migraine emndenini 

• Ekhawuntani imithi oyithathayo noma esinye isithako esisetshenziswayo

• Imithi eke yaphuzwa kudala

Ngemuva kokuqaphela lezi zimpawu, ochwepheshe bethu baphinde ba-oda izivivinyo ukuthola imbangela yezimpawu, njenge:

• I-ECG (Electroencephalogram 

• Ukuhlolwa kwezithombe ezifana ne-CT scans noma i-MRI 

• Ukuhlolwa kwegazi

Iphathwa kanjani i-migraines?

Ubuhlungu bekhanda be-Migraine yisimo esingapheli esingenalo ikhambi, kodwa ukuphathwa okuphumelelayo kanye nokuthuthukiswa okungenzeka. Kunezindlela ezimbili eziyinhloko zokwelapha ezisekelwe emithini: ukukhipha isisu kanye nokuvimbela.

• Imithi yokuhushula izisu iphumelela kakhulu uma ithathwa ngezimpawu zakuqala ze-migraine, kuhle uma ubuhlungu buthambile. Le mithi ihlose ukumisa noma ukunciphisa inqubo ye-migraine, inikeze ukukhululeka ezimpawu ezifana nobuhlungu, isicanucanu, nokuzwela ukukhanya. Eminye imithi ekhipha izisu isebenza ngokunciphisa imithambo yegazi, iyibuyisele esimweni sayo esivamile futhi inciphise ubuhlungu obushayayo.

• Imithi yokuvimbela (prophylactic) ingase iphakanyiswe lapho i-migraines inzima, eyenzeka izikhathi ezingaphezu kwezine ngenyanga, futhi iphazamisa kakhulu imisebenzi yansuku zonke. Le mithi ihlose ukunciphisa imvamisa nokuqina kwe-migraines. Ngokuvamile zithathwa njalo nsuku zonke ukusiza ukuvimbela ukuqala kwe-migraines.

Yimiphi imithi esetshenziselwa ukukhulula ubuhlungu be-migraine?

Kunemithi eminingana engasetshenziswa ukukhulula ubuhlungu be-migraine. Ukukhethwa kwemithi kuncike ebukhulu be-migraine, izintandokazi zomuntu ngamunye, nanoma yiziphi izimo zempilo ezingaphansi. Nazi ezinye izinhlobo ezivamile zemithi esetshenziselwa ukwelapha ubuhlungu be-migraine:

• I-Over-the-counter (OTC) Izidambisi Zobuhlungu: Izidambisi zinhlungu ezinganqunyelwe njenge-ibuprofen (i-Advil, i-Motrin), i-naproxen (i-Aleve), ne-aspirin zingasiza ekudambiseni ubuhlungu obuncane be-migraine obumaphakathi. Lokhu ngokuvamile ukwelashwa komugqa wokuqala kubantu abaningi.
• I-Triptans: I-Triptans ikilasi lemithi kadokotela eklanyelwe ukwelapha imigraines. Basebenza ngokunciphisa imithambo yegazi nokunciphisa ukuvuvukala ebuchosheni. Amanye ama-triptan avamile ahlanganisa i-sumatriptan (Imitrex), i-rizatriptan (i-Maxalt), ne-eletriptan (Relpax).
• I-Ergotamines: I-Ergotamines ingelinye ikilasi lemithi kadokotela engasetshenziselwa i-migraines. Avamise ukunqunywa kunama-triptan futhi ngokuvamile acatshangelwa lapho ezinye izindlela zokwelapha zingaphumeleli.
• Imithi Yokulwa NeNausea: I-Migraines ivame ukubangela isicanucanu nokuhlanza. Imithi efana ne-ondansetron (Zofran) noma i-metoclopramide (i-Reglan) ingasiza ekudambiseni isicanucanu futhi ithuthukise ukubekezelelana kwezinye izindlela zokwelapha ze-migraine.
• Imithi Ehlanganisiwe: Eminye imithi ihlanganisa isidambisi sobuhlungu ne-caffeine noma ezinye izithako ukuze ithuthukise ukusebenza kwayo. Isibonelo i-Excedrin Migraine, ehlanganisa i-aspirin, i-acetaminophen, ne-caffeine.

Izibhedlela ze-CARE zingcono kakhulu ukuxhumana nazo ukuze uthole ukwelashwa okungcono kakhulu kwe-migraine eNdiya, okuhlanganisa ikhanda kanye nezixazululo ze-migraine. Ochwepheshe bethu banikeza izindlela ezingcono kakhulu zokuhlola nokugwema izimbangela ze-migraine. Kanye nemithi, siphinde siphakamise izindlela zokulawula ingcindezi njengokuphefumula kahle, i-yoga, ukuzindla, nokuzivocavoca umzimba okulingene. Phumula ngokwanele futhi uphuze uketshezi oluningi. Lawula imikhuba yokudla futhi ube nokudla ngezikhathi ezimfishane nangemva nje. Xhumana nathi namuhla!

Imibuzo Evame Ukubuzwa

1. Uyini umehluko phakathi kwe-migraine nekhanda elibuhlungu?

Izinhlungu zekhanda ziyigama elivamile lanoma yikuphi ubuhlungu ekhanda, kuyilapho i-migraines iwuhlobo oluthile lwekhanda elibuhlungu elibonakala ngobuhlungu obunzima bokushaywa, ngokuvamile ohlangothini olulodwa lwekhanda, kanye nezimpawu ezengeziwe ezifana nokucanuzela kwenhliziyo, ukuhlanza, nokuzwela ekukhanyeni nomsindo.

2. Yiziphi izimbangela ezivamile ze-migraine?

Izimbangela ze-Migraine zingahluka kumuntu nomuntu kodwa zingabandakanya ukucindezeleka, izinguquko zehomoni, ukudla okuthile (njengoshizi osekhulile, i-caffeine, kanye nenyama egayiwe), ukuphelelwa amanzi emzimbeni, ukuntula ubuthongo, nezici zemvelo.

3. Kufanele ngifune nini usizo lwezokwelapha ngekhanda elibuhlungu noma i-migraine?

Kufanele ufune usizo lwezokwelapha ngokushesha uma ubhekana nekhanda elibuhlungu noma elizumayo elingafani nanoma yiliphi owake waba nalo ngaphambili, uma unezimpawu zemizwa njengobuthakathaka noma ukudideka kanye nekhanda elibuhlungu, noma uma ikhanda lakho lihlotshaniswa nokulimala ekhanda.