Migraine

Migraine is a common headache disorder affecting many people. It's estimated that 1 in 5 women, 1 in 16 men, and even 1 in 11 children experience migraines. Women are more prone to migraines, likely due to hormonal differences. Genetics and environmental factors also play a role. If a parent has migraines, there's about a 50% chance their child will develop them as well.

Triggers for migraine attacks are diverse and don't mean you are to blame for getting a migraine. Hormonal changes, especially fluctuations in estrogen during menstruation, pregnancy, or perimenopause, can be triggers. Other common triggers include certain medications, alcohol (especially red wine), too much caffeine, stress, bright lights, strong smells, changes in sleep patterns, weather changes, skipping meals, and certain foods like aged cheeses and processed foods.

Migraine symptoms can vary, but the hallmark is intense throbbing head pain on one side (or sometimes both). This pain can be severe enough to disrupt daily life. It's often accompanied by nausea, vomiting, and sensitivity to light and sound.

Some people experience prodrome symptoms—subtle warning signs before the main migraine—such as constipation, mood changes, food cravings, neck stiffness, increased urination, or frequent yawning. These prodrome symptoms can be difficult to recognize.

In about one-third of people with migraines, an aura may occur before or during the attack. An aura is a temporary, reversible neurological event, usually involving visual problems like seeing flashing lights, geometric patterns, or blind spots. Other neurological symptoms include numbness, tingling, or difficulty speaking. Aura symptoms typically build up over minutes and last for up to an hour.

After a migraine attack, a "post-drome" phase may follow, leaving you feeling drained, confused, or unwell for a day or so.

Diagnosing migraine is based on a clinical evaluation of symptoms reported by the patient. There's no lab test or scan to confirm a migraine diagnosis. If you have headache pain accompanied by light sensitivity, decreased function, and nausea, it's likely a migraine. Seeing a healthcare professional is essential for diagnosis and appropriate treatment.

Because migraine severity varies, treatment approaches also differ. Some people only need medication for immediate relief (acute treatment) during infrequent attacks, while others need both acute and preventative treatment. Preventive treatments aim to reduce the frequency and intensity of attacks. These might include daily medications, monthly injections, or injections/infusions every three months. The right combination of medication and lifestyle changes can significantly improve quality of life.

Managing migraine often involves lifestyle changes. The SEEDS method can help:

• Sleep: Establish a regular sleep schedule, limit screen time before bed, and create a relaxing bedtime routine.
• Exercise: Start with short, enjoyable physical activity and gradually increase duration and frequency.
• Eat healthy: Focus on a balanced diet, and stay well-hydrated.
• Diary: Track your migraine days, symptoms, and potential triggers in a diary (calendar, app, or notebook) to share with your doctor.
• Stress management: Practice techniques like therapy, mindfulness, biofeedback, or relaxation exercises to manage stress.

Remember, migraines are a significant health issue, and seeking professional medical help is important for appropriate diagnosis and treatment.

Hiki i nā migraine, ka mea e pilikia ai nā keiki a me nā ʻōpio a me nā mākua, ke holomua ma nā ʻehā pae: prodrome, aura, hoouka a me ka post-drome. ʻAʻole nā ​​​​kānaka a pau loa i loaʻa nā migraine e hele ma nā pae a pau.

Hoʻokahi a ʻelua paha lā ma mua o ka migraine, hiki iā ʻoe ke ʻike i nā loli iki e hōʻike ana i kahi migraine e hiki mai ana, me:

• Ka constipation.
• Nā makemake o ka ʻai.
• ʻO ka ʻāʻī paʻa.
• Hoʻonui ʻia ka urination.
• Hoʻopaʻa wai.
• Hoʻomau ka yawning.

No kekahi poʻe, hiki ke loaʻa ka aura ma mua a i ʻole i ka wā o nā migraine. ʻO nā auras nā hōʻailona hoʻihoʻi o ka ʻōnaehana nerve. ʻO ka mea maʻamau, he mea ʻike ʻia akā hiki nō hoʻi ke komo pū me nā pilikia ʻē aʻe. Hoʻomaka maʻamau kēlā me kēia hōʻailona me ka mālie, kūkulu ʻia ma luna o kekahi mau minuke a hiki ke lōʻihi a hiki i 60 mau minuke.

ʻO nā laʻana o nā auras migraine:

• Nā hanana ʻike, e like me ka ʻike ʻana i nā ʻano like ʻole, nā kiko mālamalama a i ʻole nā ​​​​kukui kukui.
• Nā nalowale o ka ʻike.
• Nā manaʻo o nā kui a me nā nila i ka lima a i ʻole ka wāwae.
• Nā nāwaliwali a i ʻole ka numbness ma ka maka a i ʻole hoʻokahi ʻaoʻao o ke kino.
• Paʻakikī ke ʻōlelo.

ʻO ka migraine maʻamau e lōʻihi mai 4 a 72 mau hola inā ʻaʻohe lāʻau lapaʻau. Pehea ka pinepine o ka loaʻa ʻana o nā migraine e ʻokoʻa mai ke kanaka a i ke kanaka. Hiki i nā migraine ke loaʻa pinepine ʻole a i ʻole e pā i nā manawa he nui i ka mahina.

I ka wā o ka migraine, hiki iā ʻoe ke loaʻa:

• ʻEha maʻamau ma kekahi ʻaoʻao o kou poʻo, akā pinepine ma nā ʻaoʻao ʻelua.
• ʻEha e pā a i ʻole e pulu.
• Ke maʻalahi i ka mālamalama, ka leo, a i kekahi manawa ke ʻala a me ka pā.
• Nausea a me ka luaʻi.

Ma hope o ka hoouka ʻana o ka migraine, hiki iā ʻoe ke manaʻo luhi, huikau a holoi ʻia no kahi lā. Hōʻike kekahi poʻe i ka manaʻo hauʻoli. Hiki i ka neʻe koke ʻana o ke poʻo ke lawe mai i ka ʻeha hou no ka manawa pōkole.

Hoʻomaʻamaʻa pinepine ʻia nā migraines a ʻaʻole i mālama ʻia. Inā loaʻa pinepine iā ʻoe nā hōʻailona a me nā hōʻailona o ka migraine, e mālama i ka moʻolelo o kāu mau hoʻouka a pehea ʻoe i mālama ai iā lākou. A laila, e hana i kahi kūkā me kāu mea hoʻolako mālama ola e kūkākūkā i kāu mau poʻo ʻeha. ʻOiai inā loaʻa iā ʻoe kahi moʻolelo o nā poʻo ʻeha, e ʻike i kāu mea hoʻolako mālama ola inā loli ke ʻano a i ʻole nā ​​​​poʻo ʻeha i manaʻo ʻia he ʻokoʻa koke. E ʻike koke i kāu mea hoʻolako mālama ola a i ʻole e hele i ka lumi ulia pilikia inā loaʻa iā ʻoe kekahi o nā hōʻailona a me nā hōʻailona aʻe, kahi e hōʻike ai i kahi pilikia olakino koʻikoʻi: - Kahi poʻo ʻeha koke, ʻoi aku ka nui e like me ka hekili. - Poʻo ʻeha me ka maʻi wela, ka ʻāʻī paʻakikī, ka huikau, nā hoʻouka ʻana, ka ʻike ʻelua, ka maʻi a i ʻole ka nāwaliwali i kekahi ʻāpana o ke kino, kahi e hiki ai ke hōʻailona o ka hahau. - Poʻo ʻeha ma hope o ka hōʻeha poʻo. - Kahi poʻo ʻeha maʻi e ʻoi aku ka maikaʻi ma hope o ka ʻōhū, ka hoʻoikaika, ka hoʻoikaika a i ʻole ka neʻe koke. - ʻEha poʻo hou ma hope o 50 mau makahiki.

ʻAʻole maopopo loa nā kumu o ka migraine, akā, me he mea lā he kuleana ko nā genetics a me nā kumu o ke kaiapuni.

Loaʻa paha ka hoʻololi i ka brainstem a me kāna pilina me ka trigeminal nerve, kahi ala ʻeha nui. Pēlā nō paha nā pilikia i nā kemika o ka lolo - me ka serotonin, kahi mea kōkua e hoʻoponopono i ka ʻeha i kou ʻōnaehana nerve.

Ke noiʻi nei nā mea noiʻi i ke kuleana o ka serotonin i nā migraines. Loaʻa ke kuleana o nā neurotransmitters ʻē aʻe i ka ʻeha o ka migraine, me ka calcitonin gene-related peptide (CGRP).

He nui nā mea hoʻonāukiuki migraine, me kēia mau mea:

• Nā loli hormonal i nā wāhine. Me he mea lā ke hoʻonāukiuki nei nā loli i ka estrogen, e like me ma mua a i ʻole i ka wā o nā manawa menstrual, ka hāpai ʻana a me ka menopause, i nā poʻo ʻeha i nā wāhine he nui.

  Hiki i nā lāʻau hormonal, e like me nā oral contraceptives, ke hoʻoino i nā migraines. Eia naʻe, ʻike kekahi mau wāhine e emi pinepine ana kā lākou migraines i ka wā e lawe ana i kēia mau lāʻau lapaʻau.

• Mea inu. ʻO kēia mau mea he waiʻona, ʻoi aku ka waina, a me ka nui o ka caffeine, e like me ka kofe.

• Kaumaha. Hiki i ke kaumaha ma ka hana a i ʻole ka home ke hoʻokumu i nā migraines.

• Nā mea hoʻonāukiuki sensory. Hiki i nā kukui mālamalama a i ʻole nā kukui ʻālohilohi ke hoʻoulu i nā migraines, e like me nā leo nui. Hoʻonāukiuki nā ʻala ikaika - e like me ka mea ʻala, ka mea hoʻoino pena, ka uahi lua a me nā mea ʻē aʻe - i nā migraines i kekahi poʻe.

• Nā loli hiamoe. Hiki i ka nele o ka hiamoe a i ʻole ka nui o ka hiamoe ke hoʻonāukiuki i nā migraines i kekahi poʻe.

• Ka hoʻoikaika kino. Hiki i ka hoʻoikaika kino ikaika, me ka moekolohe, ke hoʻoulu i nā migraines.

• Nā lāʻau lapaʻau. Hiki i nā oral contraceptives a me nā vasodilators, e like me ka nitroglycerin, ke hoʻoino i nā migraines.

• ʻAi. Hiki i nā cheese kahiko a me nā meaʻai paʻakai a me nā meaʻai i hana ʻia ke hoʻonāukiuki i nā migraines. Pēlā nō paha ka haʻalele ʻana i nā meaʻai.

• Nā mea hoʻohui meaʻai. ʻO kēia mau mea he mea ʻono ʻo aspartame a me ka mea mālama monosodium glutamate (MSG), i loaʻa i nā meaʻai he nui.

He mau kumu e hoʻonui ai i kou pilikia i ka loaʻa ʻana o nā migraine, me kēia mau mea:

• Mōʻaukala ʻohana. Inā loaʻa iā ʻoe kekahi lālā o kou ʻohana me nā migraine, a laila nui ka manawa e loaʻa ai iā ʻoe nō hoʻi.
• Makahiki. Hiki i nā migraine ke hoʻomaka i kekahi makahiki, ʻoiai ka mea mua pinepine e kū mai ana i ka wā ʻōpiopio. Hoʻonui pinepine nā migraine i kou mau makahiki 30, a hoʻemi mālie i ka ʻino a me ka pinepine ʻana i nā makahiki e hiki mai ana.
• Ke kāne a wahine paha. ʻEkolu mau manawa ka nui o ka loaʻa ʻana o nā migraine i nā wāhine ma mua o nā kāne.
• Loli hormonal. No nā wāhine i loaʻa nā migraine, hiki ke hoʻomaka nā poʻo ʻeha ma mua iki a ma hope koke paha o ka hoʻomaka ʻana o ka menstruation. Hiki nō hoʻi ke loli i ka wā hāpai a i ʻole menopause. Hoʻomaikaʻi maʻamau nā migraine ma hope o ka menopause.

ʻO ka lawe pinepine ʻana i nā lāʻau ʻeha e hiki ai ke hoʻoulu i nā poʻo ʻeha koʻikoʻi mai ka hoʻohana nui ʻana i nā lāʻau lapaʻau. Me he mea lā ʻoi aku ka nui o ka pilikia me ka aspirin, acetaminophen (Tylenol, a me nā mea ʻē aʻe) a me nā hui caffeine. Hiki nō hoʻi ke loaʻa nā poʻo ʻeha mai ka hoʻohana nui ʻana inā lawe ʻoe i ka aspirin a i ʻole ibuprofen (Advil, Motrin IB, a me nā mea ʻē aʻe) no ka lōʻihi ma mua o 14 mau lā i ka malama a i ʻole nā triptans, sumatriptan (Imitrex, Tosymra) a i ʻole rizatriptan (Maxalt) no ka lōʻihi ma mua o ʻeiwa mau lā i ka malama.

Loaʻa nā poʻo ʻeha mai ka hoʻohana nui ʻana i nā lāʻau lapaʻau i ka wā e pau ai ka hōʻoluʻolu ʻana o nā lāʻau lapaʻau i ka ʻeha a hoʻomaka e hoʻoulu i nā poʻo ʻeha. A laila, hoʻohana hou ʻoe i nā lāʻau ʻeha, kahi e hoʻomau ai i ke kaʻina hana.

ʻO ka migraine kahi maʻi o ka hana kūponoʻole i loko o ke kūlana o ka hoʻolālā lolo maʻamau. Hōʻike wale ka MRI o ka lolo iā ʻoe e pili ana i ke ʻano o ka lolo akā hōʻike iki loa ia iā ʻoe e pili ana i ka hana o ka lolo. A ʻo ia ke kumu ʻaʻole e hōʻike ʻia ka migraine ma kahi MRI. No ka mea, he hana kūponoʻole ia i loko o ke kūlana o ka hoʻolālā maʻamau.

He mea hōʻino loa ka migraine no kekahi poʻe. ʻOiaʻiʻo, ʻo ia ke kumu lua o ka hōʻino ma ka honua holoʻokoʻa. ʻAʻole wale ka ʻeha ka hōʻino ʻana o nā hōʻailona, ​​akā ʻo ka maʻalahi i ka mālamalama a me ke kani, a me ka nausea a me ka luaʻi.

He ākea ka laulā o ka nui o ka maʻi migraine. Aia kekahi poʻe pono wale i ka hoʻōla wikiwiki a i ʻole ka mālama ʻana i ka migraine no ka mea he mau manawa liʻiliʻi ko lākou mau hoʻouka migraine. Akā aia kekahi poʻe e loaʻa ana i nā hoʻouka migraine pinepine, ʻelua a ʻekolu paha manawa i ka hebedoma. Inā hoʻohana lākou i nā mālama hoʻōla wikiwiki no kēlā me kēia hoʻouka, hiki ke alakaʻi i nā pilikia ʻē aʻe. Pono kēlā poʻe i kahi papa hana mālama pale e hōʻemi i ka pinepine a me ka nui o nā hoʻouka. Hiki i kēlā mau mālama pale ke lilo i lāʻau lapaʻau i kēlā me kēia lā. Hiki iā lākou ke lilo i nā inikini i hoʻokahi mahina a i ʻole nā ​​lāʻau inikini ʻē aʻe i hāʻawi ʻia i kēlā me kēia ʻekolu mahina.

ʻO ia ke kumu he mea nui loa ka mālama pale. Me ka mālama pale, hiki iā mākou ke hōʻemi i ka pinepine a me ka nui o nā hoʻouka i ʻole ʻoe e loaʻa ana i nā hoʻouka ma mua o ʻelua manawa i ka hebedoma. Eia naʻe, no kekahi poʻe, ʻoiai ka mālama pale, hiki iā lākou ke loaʻa mau nā hōʻailona migraine pinepine i ka hebedoma. No lākou, aia nā koho lāʻau ʻole no ka mālama ʻana i ka ʻeha, e like me ka biofeedback, nā ʻenehana hoʻomaha, ka hoʻoponopono ʻana i ka ʻano noʻonoʻo, a me ka nui o nā mea hana ʻaʻole lāʻau lapaʻau no ka mālama ʻana i ka ʻeha migraine.

ʻAe, ʻo ia kahi koho no ka mālama pale o ka migraine maʻi. Hāʻawi ʻia kēia mau inikini onabotulinum toxin A e kāu kauka i kēlā me kēia hebedoma 12 e hōʻemi i ka pinepine a me ka nui o nā hoʻouka migraine. Eia naʻe, nui nā koho mālama pale like ʻole. A he mea nui ia no ʻoe ke kamaʻilio me kāu kauka e pili ana i ka koho kūpono loa no ʻoe.

ʻO ke ala maikaʻi loa e hui pū ai me kāu hui lapaʻau, ʻo ia ka, helu hoʻokahi, e loaʻa i kahi hui lapaʻau. Nui nā kānaka e noho ana me ka migraine ʻaʻole i kamaʻilio me kahi kauka e pili ana i kā lākou mau hōʻailona. Inā loaʻa iā ʻoe nā poʻo e pono ai ʻoe e hoʻomaha i kahi lumi pouli, kahi āu e hiki ai ke maʻi i kou ʻōpū. E ʻoluʻolu e kamaʻilio me kāu limahana mālama ola e pili ana i kāu mau hōʻailona. Hiki iā ʻoe ke loaʻa ka migraine a hiki iā mākou ke mālama i ka migraine. He maʻi maʻi ka migraine. A no ka mālama maikaʻi ʻana i kēia maʻi, pono nā mea maʻi e hoʻomaopopo i ka maʻi. ʻO ia ke kumu e kuhikuhi aku ai au i ka hoʻokūkū i koʻu mau mea maʻi a pau. E aʻo e pili ana i ka migraine, e komo i nā hui hoʻokūkū mea maʻi, e kaʻana like i kāu huakaʻi me nā poʻe ʻē aʻe, a e hoʻoikaika ʻia ma o ka hoʻokūkū a me nā hana e wāwahi i ka hōʻino o ka migraine. A pū kekahi, hiki i ka mea maʻi a me ka hui lapaʻau ke mālama i ka maʻi migraine. Mai kānalua e nīnau i kāu hui lapaʻau i nā nīnau a i ʻole nā ​​hopohopo āu e loaʻa ai. ʻO ka ʻike piha ka mea nui loa. Mahalo no kou manawa a ke lana nei mākou i kou ola.

Inā loaʻa iā ʻoe nā migraines a i ʻole kahi moʻolelo ʻohana o nā migraines, e ʻike paha kahi loea i aʻo ʻia i ka mālama ʻana i nā poʻo, i kapa ʻia ʻo neurologist, i nā migraines ma muli o kāu moʻolelo lapaʻau, nā hōʻailona, ​​a me kahi hoʻokolokolo kino a me ka neurological.

Inā kūponoʻole kāu kūlana, paʻakikī a lilo koke i mea koʻikoʻi, hiki i nā hoʻokolohua e kāpae i nā kumu ʻē aʻe no kou ʻeha ke komo:

• Kahi MRI scan. Hoʻohana kahi magnetic resonance imaging (MRI) scan i kahi kahua magnetic ikaika a me nā nalu radio e hana i nā kiʻi kikoʻī o ka lolo a me nā kīʻaha koko. Kūleʻa nā MRI scans i ka ʻike ʻana i nā tumors, nā hahau, ke kahe koko i loko o ka lolo, nā maʻi, a me nā kūlana lolo a me nā ʻōnaehana nerve ʻē aʻe, i ʻike ʻia he neurological.
• Kahi CT scan. Hoʻohana kahi computerized tomography (CT) scan i kahi moʻo o nā X-rays e hana i nā kiʻi cross-sectional kikoʻī o ka lolo. Kūleʻa kēia i ka ʻike ʻana i nā tumors, nā maʻi, ka hōʻino ʻana o ka lolo, ke kahe koko i loko o ka lolo a me nā pilikia olakino ʻē aʻe e hiki ke hoʻoulu i nā poʻo.

ʻO ka mālama ʻana i ka migraine, ʻo ia ka hoʻopau ʻana i nā hōʻailona a me ka pale ʻana i nā hoʻouka hou. Ua hoʻolālā ʻia nā lāʻau lapaʻau he nui no ka mālama ʻana i nā migraine. ʻO nā lāʻau lapaʻau i hoʻohana ʻia e hakakā i nā migraine, ua komo lākou i ʻelua mau māhele nui:

• Nā lāʻau lapaʻau e hoʻoemi ai i ka ʻeha. I ʻike ʻia hoʻi ma ke ʻano he mālama ʻana i ka manawa koke a i ʻole ka mālama ʻana i ka hoʻopau ʻana, lawe ʻia kēia mau ʻano lāʻau i ka wā o nā hoʻouka migraine a ua hoʻolālā ʻia e hoʻopau i nā hōʻailona.
• Nā lāʻau lapaʻau pale. Lawe mau ʻia kēia mau ʻano lāʻau, pinepine i kēlā me kēia lā, e hoʻemi i ka nui a i ʻole ka pinepine o nā migraine. Loaʻa kāu mau koho mālama ma muli o ka pinepine a me ka nui o kou mau ʻeha poʻo, inā loaʻa iā ʻoe ka nausea a me ka luaʻi me kou mau ʻeha poʻo, pehea ka hōʻino o kou mau ʻeha poʻo, a me nā kūlana olakino ʻē aʻe āu e loaʻa nei. Hana maikaʻi loa nā lāʻau lapaʻau i hoʻohana ʻia e hoʻoemi i ka ʻeha migraine i ka wā i lawe ʻia ai i ka hōʻailona mua o ka migraine e hele mai ana - i ka manawa koke e hoʻomaka ai nā hōʻailona o ka migraine. ʻO nā lāʻau lapaʻau hiki ke hoʻohana ʻia e mālama ai, ʻo ia:
• Nā mea hoʻoemi ʻeha. ʻO kēia mau mea hoʻoemi ʻeha ma luna o ka pākaukau a i ʻole nā ​​mea hoʻoemi ʻeha i kauoha ʻia e komo pū me ka aspirin a i ʻole ibuprofen (Advil, Motrin IB, a me nā mea ʻē aʻe). I ka wā lōʻihi loa, hiki i kēia mau mea ke hoʻokumu i nā ʻeha poʻo ma muli o ka hoʻohana nui ʻana i nā lāʻau lapaʻau, a me nā ʻōpū a me ke kahe koko ma ka ʻōpū gastrointestinal. Hiki ke kōkua nā lāʻau lapaʻau hoʻoemi migraine e hui pū ana i ka caffeine, aspirin a me ka acetaminophen (Excedrin Migraine), akā maʻamau wale nō i ka ʻeha migraine māmā.
• Triptans. Hoʻohana ʻia nā lāʻau lapaʻau i kauoha ʻia e like me ka sumatriptan (Imitrex, Tosymra) a me ka rizatriptan (Maxalt, Maxalt-MLT) no ka mālama ʻana i ka migraine no ka mea e kāohi ana lākou i nā ala ʻeha ma ka lolo. I ka wā i lawe ʻia ma ke ʻano he papa, inikini a i ʻole nā ​​pūpū ihu, hiki iā lākou ke hoʻoemi i nā hōʻailona he nui o ka migraine. ʻAʻole paha lākou i palekana no ka poʻe i pilikia i ka hahau a i ʻole ka maʻi naʻau.
• Lasmiditan (Reyvow). Ua ʻāpono ʻia kēia papa ʻaina waha hou no ka mālama ʻana i ka migraine me a i ʻole me ka aura. I nā hoʻokolohua lāʻau lapaʻau, ua hoʻomaikaʻi nui ʻo lasmiditan i ka ʻeha poʻo. Hiki i ka lasmiditan ke loaʻa ka hopena sedative a hoʻokumu i ka dizziness, no laila, ʻōlelo ʻia nā kānaka e lawe ana iā ia ʻaʻole e hoʻokele a hoʻohana i nā mīkini no ka liʻiliʻi o ʻewalu hola.
• Nā mea hoʻokūkū calcitonin gene-related peptides waha, i ʻike ʻia ma ke ʻano he gepants. ʻO Ubrogepant (Ubrelvy) a me rimegepant (Nurtec ODT) nā gepants waha i ʻāpono ʻia no ka mālama ʻana i ka migraine i nā pākeke. I nā hoʻokolohua lāʻau lapaʻau, ʻoi aku ka maikaʻi o nā lāʻau mai kēia papa ma mua o ka placebo i ka hoʻoemi ʻana i ka ʻeha ʻelua hola ma hope o ka lawe ʻana iā lākou. Ua kūleʻa nō hoʻi lākou i ka mālama ʻana i nā hōʻailona migraine e like me ka nausea a me ka maʻalahi i ka mālamalama a me ke kani. ʻO nā hopena ʻaoʻao maʻamau e komo pū me ka waha maloʻo, ka nausea a me ka nui o ka hiamoe. ʻAʻole pono e lawe ʻia ʻo Ubrogepant a me rimegepant me nā lāʻau lapaʻau inhibitor CYP3A4 ikaika e like me kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ka maʻi kanesa.
• Intranasal zavegepant (Zavzpret). Ua ʻāpono hou ʻia kēia pūpū ihu e ka Food and Drug Administration e mālama i nā migraines. He gepant ʻo Zavegepant a ʻo ia wale nō ka lāʻau migraine e hele mai ma ke ʻano he pūpū ihu. Hāʻawi ia i ka hoʻoemi ʻana i ka ʻeha migraine i loko o 15 mau minuke a 2 mau hola ma hope o ka lawe ʻana i kahi pāpale hoʻokahi. Hoʻomau ka lāʻau lapaʻau i ka hana a hiki i 48 mau hola. Hiki iā ia ke hoʻomaikaʻi i nā hōʻailona ʻē aʻe e pili ana i ka migraine, e like me ka nausea a me ka maʻalahi i ka mālamalama a me ke kani. ʻO nā hopena ʻaoʻao maʻamau o ka zavegepant e komo pū me ka loli i ka ʻono, ka ʻoluʻolu ʻole o ka ihu a me ka huhū o ka ʻāʻī.
• Nā lāʻau lapaʻau opioid. No nā kānaka i hiki ʻole ke lawe i nā lāʻau lapaʻau migraine ʻē aʻe, hiki i nā lāʻau lapaʻau opioid narcotic ke kōkua. No ka mea hiki iā lākou ke lilo i mea hoʻomaʻamaʻa nui, hoʻohana mau ʻia kēia mau mea inā ʻaʻohe mālama ʻē aʻe i kūleʻa.
• Nā lāʻau lapaʻau anti-nausea. Hiki i kēia mau mea ke kōkua inā hele mai kou migraine me ka aura me ka nausea a me ka luaʻi. ʻO nā lāʻau lapaʻau anti-nausea e komo pū me ka chlorpromazine, metoclopramide (Gimoti, Reglan) a i ʻole prochlorperazine (Compro, Compazine). Lawe mau ʻia kēia mau mea me nā lāʻau lapaʻau ʻeha. Nā mea hoʻoemi ʻeha. ʻO kēia mau mea hoʻoemi ʻeha ma luna o ka pākaukau a i ʻole nā ​​mea hoʻoemi ʻeha i kauoha ʻia e komo pū me ka aspirin a i ʻole ibuprofen (Advil, Motrin IB, a me nā mea ʻē aʻe). I ka wā lōʻihi loa, hiki i kēia mau mea ke hoʻokumu i nā ʻeha poʻo ma muli o ka hoʻohana nui ʻana i nā lāʻau lapaʻau, a me nā ʻōpū a me ke kahe koko ma ka ʻōpū gastrointestinal. Hiki ke kōkua nā lāʻau lapaʻau hoʻoemi migraine e hui pū ana i ka caffeine, aspirin a me ka acetaminophen (Excedrin Migraine), akā maʻamau wale nō i ka ʻeha migraine māmā. Dihydroergotamine (Migranal, Trudhesa). Loaʻa ma ke ʻano he pūpū ihu a i ʻole ka inikini, ʻoi aku ka maikaʻi o kēia lāʻau i ka wā i lawe ʻia ai ma hope koke o ka hoʻomaka ʻana o nā hōʻailona migraine no nā migraines e mau ana ma mua o 24 mau hola. Hiki i nā hopena ʻaoʻao ke komo pū me ka hoʻonui ʻana o ka luaʻi a me ka nausea e pili ana i ka migraine. Intranasal zavegepant (Zavzpret). Ua ʻāpono hou ʻia kēia pūpū ihu e ka Food and Drug Administration e mālama i nā migraines. He gepant ʻo Zavegepant a ʻo ia wale nō ka lāʻau migraine e hele mai ma ke ʻano he pūpū ihu. Hāʻawi ia i ka hoʻoemi ʻana i ka ʻeha migraine i loko o 15 mau minuke a 2 mau hola ma hope o ka lawe ʻana i kahi pāpale hoʻokahi. Hoʻomau ka lāʻau lapaʻau i ka hana a hiki i 48 mau hola. Hiki iā ia ke hoʻomaikaʻi i nā hōʻailona ʻē aʻe e pili ana i ka migraine, e like me ka nausea a me ka maʻalahi i ka mālamalama a me ke kani. ʻO nā hopena ʻaoʻao maʻamau o ka zavegepant e komo pū me ka loli i ka ʻono, ka ʻoluʻolu ʻole o ka ihu a me ka huhū o ka ʻāʻī. ʻAʻole palekana kekahi o kēia mau lāʻau lapaʻau e lawe i ka wā hāpai. Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, mai hoʻohana i kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ka kamaʻilio mua ʻana me kāu mea hoʻolako mālama ola. Hiki i nā lāʻau lapaʻau ke kōkua i ka pale ʻana i nā migraines pinepine. Hiki i kāu mea hoʻolako mālama ola ke ʻōlelo aku i nā lāʻau lapaʻau pale inā loaʻa iā ʻoe nā ʻeha poʻo pinepine, lōʻihi a i ʻole koʻikoʻi e pane maikaʻi ʻole i ka mālama ʻana. ʻO ka pahuhopu o ka lāʻau lapaʻau pale, ʻo ia ka hoʻemi ʻana i ka pinepine o kou loaʻa ʻana i ka migraine, pehea ka nui o nā hoʻouka, a me ka lōʻihi o lākou. ʻO nā koho e komo pū me:
• Nā lāʻau lapaʻau anti-seizure. Hiki i ka valproate a me ka topiramate (Topamax, Qudexy, a me nā mea ʻē aʻe) ke kōkua inā loaʻa iā ʻoe nā migraines liʻiliʻi, akā hiki ke hoʻokumu i nā hopena ʻaoʻao e like me ka dizziness, nā loli kaumaha, ka nausea a me nā mea hou aku. ʻAʻole ʻōlelo ʻia kēia mau lāʻau lapaʻau no nā wahine hāpai a i ʻole nā ​​wahine e hoʻāʻo ana e hāpai.
• Nā inikini Botox. Kūkulu nā inikini o onabotulinumtoxinA (Botox) ma kahi o kēlā me kēia 12 mau wiki e kōkua i ka pale ʻana i nā migraines i kekahi mau pākeke.
• Nā antibodies monoclonal calcitonin gene-related peptides (CGRP). ʻO Erenumab-aooe (Aimovig), fremanezumab-vfrm (Ajovy), galcanezumab-gnlm (Emgality), a me eptinezumab-jjmr (Vyepti) nā lāʻau lapaʻau hou i ʻāpono ʻia e ka Food and Drug Administration e mālama i nā migraines. Hāʻawi ʻia lākou i kēlā me kēia mahina a i ʻole kēlā me kēia hapaha ma ka inikini. ʻO ka hopena ʻaoʻao maʻamau loa kahi pane ma ka wahi inikini.
• Atogepant (Qulipta). He gepant kēia lāʻau lapaʻau e kōkua i ka pale ʻana i nā migraines. He papa ʻaina ia i lawe ʻia ma ka waha i kēlā me kēia lā. Hiki i nā hopena ʻaoʻao o ka lāʻau lapaʻau ke komo pū me ka nausea, ka constipation a me ka luhi.
• Rimegepant (Nurtec ODT). He kūikawā kēia lāʻau lapaʻau no ka mea he gepant ia e kōkua i ka pale ʻana i nā migraines ma kahi o ka mālama ʻana i nā migraines e like me ka pono. E nīnau i kāu mea hoʻolako mālama ola inā kūpono kēia mau lāʻau lapaʻau no ʻoe. ʻAʻole palekana kekahi o kēia mau lāʻau lapaʻau e lawe i ka wā hāpai. Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, mai hoʻohana i kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ka kamaʻilio mua ʻana me kāu mea hoʻolako.

Ke hoʻomaka nā hōʻailona o ka migraine, e ho'āʻo e hele i kahi lumi mālie a pouli. E pani i kou mau maka a hoʻomaha a i ʻole e moe. E kau i kahi lole anuanu a i ʻole ka ʻeke hau i kāʻei ʻia i loko o ka kāwele a i ʻole ka lole ma kou lae a inu nui i ka wai.

Hiki paha i kēia mau hana ke hōʻoluʻolu i ka ʻeha o ka migraine:

• E ho'āʻo i nā hana hoʻomaha. Hāʻawi nā biofeedback a me nā ʻano aʻo hoʻomaha ʻē aʻe iā ʻoe i nā ala e mālama ai i nā kūlana pilikia, kahi e kōkua ai i ka ho'ēmi ʻana i ka nui o nā migraine āu e loaʻa ai.
• E hoʻomohala i kahi papa hana hiamoe a ʻai. Mai moe nui a liʻiliʻi paha. E kau a hahai i kahi papa hana hiamoe a ala mau i kēlā me kēia lā. E ho'āʻo e ʻai i nā meaʻai i ka manawa like i kēlā me kēia lā.
• E inu nui i nā wai. ʻO ka noho wai, ʻo ka wai ke kumu nui, hiki ke kōkua.
• E mālama i kahi puke moʻolelo poʻoʻeha. ʻO ka hoʻopaʻa ʻana i kāu mau hōʻailona i loko o ka puke moʻolelo poʻoʻeha e kōkua iā ʻoe e aʻo hou aku e pili ana i nā mea e hoʻonāukiuki ai i kāu mau migraine a me ka lāʻau lapaʻau e pono loa ai. E kōkua pū ia i kāu mea lawelawe ola e ʻike i kou kūlana a me ka hahai ʻana i kou holomua ma waena o nā kipa.
• E hoʻoikaika mau. Hoʻemi ka hoʻoikaika kino aerobic i ke kaumaha a hiki ke kōkua i ka pale ʻana i ka migraine. Inā ʻae kāu mea lawelawe ola, e koho i ka hana aerobic āu e makemake ai, e like me ka hele wāwae, ka ʻauʻau a me ke kaʻa paikikala. E hoʻomehana mālie, akā, no ka mea, hiki i ka hoʻoikaika kino wikiwiki a ikaika ke hoʻokumu i nā poʻoʻeha.

Hiki i ka hoʻoikaika kino mau ke kōkua iā ʻoe e nalowale i ke kaumaha a i ʻole e mālama i ke kaumaha kino olakino, a manaʻo ʻia ʻo ka momona he kumu i nā migraines.

E hoʻoikaika mau. Hoʻemi ka hoʻoikaika kino aerobic i ke kaumaha a hiki ke kōkua i ka pale ʻana i ka migraine. Inā ʻae kāu mea lawelawe ola, e koho i ka hana aerobic āu e makemake ai, e like me ka hele wāwae, ka ʻauʻau a me ke kaʻa paikikala. E hoʻomehana mālie, akā, no ka mea, hiki i ka hoʻoikaika kino wikiwiki a ikaika ke hoʻokumu i nā poʻoʻeha.

Hiki i ka hoʻoikaika kino mau ke kōkua iā ʻoe e nalowale i ke kaumaha a i ʻole e mālama i ke kaumaha kino olakino, a manaʻo ʻia ʻo ka momona he kumu i nā migraines.

Hiki i nā lāʻau lapaʻau kūikawā ʻole ke kōkua i ka ʻeha migraine maʻi mau.

• Acupuncture. Ua ʻike nā hoʻokolohua lapaʻau ua hiki ke kōkua ka acupuncture i ka ʻeha poʻo. I loko o kēia lāʻau lapaʻau, hoʻokomo ka mea hana i nā nila lahilahi he nui, hoʻolei ʻia i loko o nā wahi he nui o kou ʻili ma nā kiko i hoʻomaopopo ʻia.
• Biofeedback. Me he mea lā he pono ka biofeedback i ka hoʻopakele ʻana i ka ʻeha migraine. Hoʻohana kēia ʻano hoʻomaha i nā lako kūikawā e aʻo iā ʻoe pehea e nānā a kaohi ai i kekahi mau pane kino e pili ana i ke kaumaha, e like me ke kaumaha o nā ʻiʻo.
• Cognitive behavioral therapy. Hiki i ka cognitive behavioral therapy ke pōmaikaʻi i kekahi poʻe me nā migraines. Hāʻawi kēia ʻano psychotherapy iā ʻoe pehea e hoʻopili ai nā hana a me nā manaʻo i ke ʻano o kou ʻike ʻana i ka ʻeha.
• Noʻonoʻo a me ka yoga. Hiki i ka noʻonoʻo ke hoʻopakele i ke kaumaha, ʻo ia ka mea hoʻonāukiuki i nā migraines. I ka hana mau ʻana, hiki i ka yoga ke hoʻemi i ka pinepine a me ka lōʻihi o nā migraines.
• Nā lāʻau lapaʻau, nā wikamina a me nā minelala. Aia kekahi hōʻike e hiki i nā lāʻau lapaʻau feverfew a me butterbur ke pale aku i nā migraines a i ʻole e hoʻemi i ko lākou koʻikoʻi, ʻoiai ua hui ʻia nā hopena o ka noiʻi. ʻAʻole paipai ʻia ʻo Butterbur ma muli o nā pilikia palekana.

Hiki i ka nui o ka riboflavin (vitamin B-2) ke hoʻemi i ka pinepine a me ka koʻikoʻi o nā poʻoʻeha. Hiki i nā mea hoʻohui Coenzyme Q10 ke hoʻemi i ka pinepine o nā migraines, akā pono nā noiʻi nui aʻe.

Ua hoʻohana ʻia nā mea hoʻohui Magnesium e mālama i nā migraines, akā me nā hopena hui.

Nā lāʻau lapaʻau, nā wikamina a me nā minelala. Aia kekahi hōʻike e hiki i nā lāʻau lapaʻau feverfew a me butterbur ke pale aku i nā migraines a i ʻole e hoʻemi i ko lākou koʻikoʻi, ʻoiai ua hui ʻia nā hopena o ka noiʻi. ʻAʻole paipai ʻia ʻo Butterbur ma muli o nā pilikia palekana.

Hiki i ka nui o ka riboflavin (vitamin B-2) ke hoʻemi i ka pinepine a me ka koʻikoʻi o nā poʻoʻeha. Hiki i nā mea hoʻohui Coenzyme Q10 ke hoʻemi i ka pinepine o nā migraines, akā pono nā noiʻi nui aʻe.

Ua hoʻohana ʻia nā mea hoʻohui Magnesium e mālama i nā migraines, akā me nā hopena hui.

E nīnau i kāu mea lawelawe ola inā kūpono kēia mau lāʻau lapaʻau no ʻoe. Inā hāpai ʻoe, mai hoʻohana i kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ka kamaʻilio mua ʻana me kāu mea lawelawe.