Yuav Kho Mob Migraines Li Cas Zoo
Mob taub hau migraine tsis yog tsuas yog mob taub hau ib txwm xwb. Feem ntau lawv rov tshwm sim dua, mob taub hau, feem ntau yog mob ib sab ntawm lub taub hau, thiab tuaj yeem nrog xeev siab, ntuav, thiab rhiab rau lub teeb (photophobia) thiab suab (phonophobia). Rau qee tus neeg, mob taub hau migraine kuj tseem muaj "aura" xws li lub teeb ci ntsa iab, tingling, lossis kev cuam tshuam qhov muag. Vim tias lawv qhov cuam tshuam tuaj yeem cuam tshuam cov dej num niaj hnub, kev nkag siab txog kev kho mob migraine kom zoo yuav tsum muaj kev daws teeb meem dav dav: txij li kev tswj hwm kev mob hnyav, kev tiv thaiv mus sij hawm ntev, kev hloov pauv hauv lub neej, thiab thaum twg yuav tsum nrhiav kev kho mob.
Kev Nkag Siab Txog Cov Yam Ua Rau Muaj Teeb Meem: Kauj Ruam Thawj Zaug Feem Ntau Yog Qhov Zoo Tshaj Plaws
Ib qho tseem ceeb tshaj plaws rau kev tswj hwm mob taub hau yog kev txheeb xyuas lawv cov teeb meem. Txhua tus neeg cov teeb meem sib txawv, thiab kev mob taub hau feem ntau yog cuam tshuam los ntawm kev sib xyaw ua ke ntawm ntau yam. Cov teeb meem feem ntau muaj xws li:
- Tsis tsaug zog lossis tsis raws sijhawm pw tsaug zog
- Kev ntxhov siab ntev lossis "mob taub hau uas tsis muaj zog" (mob taub hau migraine tshwm sim thaum kev ntxhov siab txo qis)
- Noj mov lig, haus dej ntau dhau, lossis haus caffeine ntau dhau
– Tej yam khoom noj xws li chocolate, cheese laus, cov khoom noj uas muaj MSG ntau, nqaij ua tiav lawm, cawv (tshwj xeeb yog cawv txiv hmab)
- Kev hloov pauv ntawm cov tshuaj hormones (piv txwv li ua ntej muaj hli)
- Kev raug rau lub teeb ci ntsa iab, ntxhiab tsw muaj zog, lossis suab nrov nrov
- Kev hloov pauv ntawm huab cua thiab cua siab
Ib txoj hauv kev zoo los txheeb xyuas cov yam ua rau mob taub hau yog sau ib phau ntawv teev cov mob taub hau uas ua rau mob taub hau: sau thaum twg mob taub hau, koj noj dab tsi, koj pw tsaug zog npaum li cas, koj ntxhov siab npaum li cas, koj ua ub ua no ntau npaum li cas, thiab cov tshuaj uas koj noj. Tom qab ob peb lub lis piam, feem ntau yuav pib tshwm sim.
Kev kho mob thaum muaj mob migraine (kev kho mob sai)
Lub hom phiaj ntawm kev kho mob sai sai yog kom tiv thaiv qhov mob sai li sai tau thiab txo cov tsos mob uas nrog los. Kev kho mob sai dua thaum ntxov, qhov tshwm sim zoo dua.
1. So thiab hloov kho qhov chaw ib puag ncig
Cov kauj ruam yooj yim tab sis feem ntau pab tau:
- Pw hauv ib chav tsaus ntuj thiab ntsiag to
- Siv lub tshuab txias rau ntawm lub hauv pliaj los yog lub tuam tsev
- Tsis txhob siv cov ntxaij vab tshaus ci ntsa iab thiab cov suab nrov nrov
- Haus dej kom tsis txhob qhuav dej
Rau qee cov neeg, kev pw tsaug zog luv luv tuaj yeem pab txo qhov mob.
2. Cov tshuaj tua kab mob (analgesics)
Rau cov mob migraines me me mus rau nruab nrab, qee cov tshuaj siv feem ntau yog:
- Paracetamol
- Ibuprofen los yog lwm yam NSAIDs
- Aspirin (tsis pom zoo rau cov menyuam yaus)
Cov tshuaj no zoo tshaj plaws yog tias noj sai li sai tau thaum pib muaj cov tsos mob. Txawm li cas los xij, kev siv tshuaj ntau dhau tuaj yeem ua rau mob taub hau. Feem ntau, tsis txhob siv cov tshuaj loog mob ntau tshaj 2-3 hnub hauv ib lub lim tiam yam tsis tau sab laj nrog kws kho mob.
3. Cov tshuaj tshwj xeeb rau mob taub hau migraine: triptans
Yog tias qhov mob nruab nrab mus rau hnyav lossis tsis zoo dua nrog cov tshuaj analgesics ib txwm muaj, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj triptans (piv txwv li, sumatriptan, rizatriptan). Cov tshuaj triptans ua haujlwm rau cov hlab ntsha thiab cov hlab ntsha uas cuam tshuam nrog kev mob taub hau migraines.
Cov Ntaub Ntawv Tseem Ceeb:
- Triptans tsis haum rau txhua tus, tshwj xeeb tshaj yog cov neeg uas muaj tej yam mob plawv, ntshav siab tsis tswj tau, lossis keeb kwm mob stroke.
- Zoo tshaj plaws thaum noj thaum pib mob (tsis yog thaum mob hnyav heev lawm).
4. Kov yeej qhov xeev siab thiab ntuav
Feem ntau qhov xeev siab ua rau nws nyuaj rau nqos lossis nqus cov tshuaj. Cov kws kho mob qee zaum ntxiv cov tshuaj antiemetics (tshuaj tiv thaiv xeev siab). Ntxiv rau kev pab txo qhov xeev siab, qee cov tshuaj antiemetics kuj txhim kho kev nqus cov tshuaj migraine.
Mob taub hau rov tshwm sim dua: kev tiv thaiv (kev tiv thaiv)
Yog tias mob taub hau rov tshwm sim ntau zaus—piv txwv li, ntau tshaj 4 hnub mob taub hau hauv ib hlis, qhov mob ntawd ua rau mob heev, lossis cov tshuaj kho mob tsis txaus—tej zaum yuav xav txog kev tiv thaiv mus sij hawm ntev. Lub hom phiaj tsis yog kom tshem tawm cov mob taub hau tag nrho, tab sis kom txo qhov mob ntau zaus, ntev npaum li cas, thiab qhov hnyav.
1. Tshuaj tiv thaiv kab mob
Cov kws kho mob xaiv tau cov tshuaj raws li tus neeg mob tus mob, cov kab mob uas muaj ua ke, thiab cov kev mob tshwm sim. Cov pab pawg uas siv ntau suav nrog:
- Cov tshuaj beta-blockers (piv txwv li propranolol)
- Qee cov tshuaj antidepressants (piv txwv li, amitriptyline tsawg tsawg)
- Cov tshuaj tiv thaiv kev qaug dab peg (piv txwv li topiramate)
– Muaj tej zaum, tej kev kho mob tshwj xeeb xws li CGRP inhibitors los yog botulinum toxin (feem ntau yog rau cov mob taub hau ntev) yuav raug txiav txim siab raws li kev ntsuam xyuas ntawm tus kws kho mob.
Cov tshuaj tiv thaiv feem ntau siv sijhawm ob peb lub lis piam los qhia txog cov txiaj ntsig, thiab qhov zoo tshaj plaws, lawv yuav tsum tau soj ntsuam tsis tu ncua kom paub txog qhov ua tau zoo thiab kev kam rau siab.
2. Kev kho mob tsis siv tshuaj rau kev tiv thaiv
Txoj kev no feem ntau muaj feem cuam tshuam loj heev thiab tuaj yeem ua ke nrog tshuaj:
- Kev tswj kev ntxhov siab: kev xav, kev ua pa, kev sau ntawv, CBT (kev kho tus cwj pwm kev xav) txoj kev
– Kev tawm dag zog aerobic tsis tu ncua: taug kev sai sai, caij tsheb kauj vab, ua luam dej 3-5 zaug hauv ib lub lim tiam (tsis txhob tawm dag zog ntau dhau tam sim ntawd)
- Kev kho mob lub cev yog tias muaj teeb meem ntawm caj dab/cov leeg uas ua rau mob taub hau
- Biofeedback rau qee tus neeg mob tuaj yeem txo qhov zaus ntawm kev tawm tsam.
Kev hloov pauv hauv lub neej: lub hauv paus uas feem ntau tsis quav ntsej
Kev kho mob migraines tsis yog tsuas yog hais txog kev siv tshuaj xwb, tab sis kuj yog hais txog kev ua neej niaj hnub. Qhov tseem ceeb yog tiv thaiv lub cev kom tsis txhob "xav tsis thoob" los ntawm kev hloov pauv loj heev.
1. Pw tsaug zog tsis tu ncua: pw tsaug zog thiab sawv tsis tu ncua, tsis txhob nyob lig.
2. Noj tsis tu ncua: tsis txhob hla pluas tshais, muab khoom noj txom ncauj kom zoo rau kev noj qab haus huv kom tiv thaiv cov piam thaj hauv cov ntshav kom tsis txhob poob qis.
3. Haus dej kom txaus: Kev haus dej ntau yog qhov ua rau muaj teeb meem.
4. Txwv kev haus caffeine: me ntsis caffeine tuaj yeem pab tau qee tus neeg, tab sis kev haus caffeine ntau dhau lossis tam sim ntawd tuaj yeem ua rau muaj kev tsis haus caffeine.
5. Tswj kev siv lub vijtsam: siv hom hmo ntuj, kho teeb pom kev zoo, so koj ob lub qhov muag.
6. Paub txog theem prodromal: qee tus neeg muaj cov cim qhia thaum ntxov xws li caj dab txhav, qaug zog, thiab kev hloov pauv ntawm lub siab. Qhov no yuav yog lub sijhawm zoo tshaj plaws los pib kho mob.
Cov tshuaj ntxiv thiab cov kev kho mob sib xyaw: tuaj yeem pab tau, tab sis xaiv cov tshuaj zoo
Qee cov tshuaj ntxiv muaj pov thawj zoo ntawm kev ua haujlwm zoo rau qee tus neeg, xws li magnesium, riboflavin (vitamin B2), lossis CoQ10. Txawm li cas los xij, qhov ntau npaum li cas, qhov zoo ntawm cov khoom, thiab kev haum rau txhua tus neeg sib txawv. Nws yog qhov zoo tshaj plaws los sab laj nrog kws kho mob, tshwj xeeb tshaj yog tias koj cev xeeb tub, pub niam mis, muaj kab mob raum, lossis noj tshuaj tsis tu ncua.
Cov kev kho mob ntxiv xws li acupuncture kuj tau tshaj tawm tias pab tau qee tus neeg, txawm hais tias cov txiaj ntsig tsis zoo ib yam.
Thaum twg koj yuav tsum mus ntsib kws kho mob lossis chav kho mob ceev?
Nrhiav kev kho mob tam sim ntawd yog tias:
- Mob taub hau tam sim ntawd, hnyav heev ("mob taub hau xob laim")
- Mob taub hau nrog rau qhov tsis muaj zog ntawm ob txhais ceg, hais lus tsis meej, tsis meej pem, qaug dab peg, tsaus muag
- Kub taub hau heev, caj dab txhav, pob khaus, lossis tsis nco qab
- Mob taub hau tshiab thaum muaj hnub nyoog ntau dua 50 xyoo, lossis muaj kev hloov pauv loj heev ntawm tus cwj pwm mob migraine
- Mob taub hau loj zuj zus tuaj thiab cov tshuaj kho mob tsis zoo
– Koj cev xeeb tub thiab muaj mob taub hau hnyav (yuav tsum tau soj ntsuam tshwj xeeb)
Xaus
Kev kho mob migraines kom zoo yuav tsum muaj lub tswv yim tsom mus rau: txheeb xyuas cov yam ua rau mob taub hau, kho cov mob hnyav sai li sai tau, xav txog kev kho mob tiv thaiv yog tias rov tshwm sim ntau zaus, thiab tswj kev ua neej kom ruaj khov. Kev sib xyaw ua ke ntawm cov kev ntsuas no feem ntau yuav ua rau muaj txiaj ntsig zoo tshaj plaws. Yog tias koj cov mob taub hau migraines feem ntau ua rau koj mob lossis tsis zoo dua nrog kev saib xyuas tus kheej, kev sab laj nrog kws kho mob yog qhov pom zoo heev rau kev noj tshuaj thiab kev soj ntsuam kom raug.
Yog tias koj txaus siab, kuv tuaj yeem pab koj tsim ib txoj kev npaj tswj kev mob taub hau uas haum rau koj tus kheej raws li: koj cov mob taub hau ntau npaum li cas hauv ib hlis, seb koj puas muaj aura, cov tshuaj uas ua rau mob taub hau, thiab cov tshuaj uas koj tau sim.