Migraine

Ko te mate pūwheo he mea noa rawa, e pā ana ki te kotahi o ia wahine e rima, te kotahi o ia tāne e 16, ā, tae noa ki te kotahi o ia tamariki e 11. E toru te nui o ngā whakaeke mate pūwheo i roto i ngā wāhine, pea ko te hua o ngā rerekētanga o te homoni. He pono he wāhi ngā take ira me te taiao i te whanaketanga o te mate pūwheo. Ā, no te mea he ira, he mea tuku iho. Ko te tikanga mena he mate pūwheo tētahi mātua, he 50 ōrau pea te tūponotanga ka whanake te mate pūwheo i te tamaiti. Ki te mate pūwheo koe, ka taea e ētahi take te whakaoho i te whakaeke. Heoi, ehara tēnei i te tikanga ki te whiwhi koe i te whakaeke mate pūwheo, ko tōna hara, me whakaaro koe ki tetahi hara, ki te whakama rānei mō ō tohu. Ka taea e ngā huringa homoni, ā, ko ngā rereketanga me te estrogen e puta ana i ngā wā o te menehune, te hapu me te perimenopause te whakaoho i te whakaeke mate pūwheo. Ko ētahi atu kaiwhakaoho e mohiotia ana ko ētahi rongoā, te inu waipiro, ina koa te waina whero, te inu nui o te caffeine, te ahotea. Te whakaohooho o te pūāhua pēnei i ngā mārama mārama, i ngā kakara kaha rānei. Ngā huringa moe, ngā huringa o te rangi, te ngaro kai, te kai rānei pēnei i ngā mīti kōkō, me ngā kai tukatuka.

Ko te tohu tino noa o te mate pūwheo ko te mamae o te upoko e pupuhi ana. Ka taea e tēnei mamae te kaha rawa kia āwangawanga ki ō mahi o ia rā. Ka taea hoki te wātea me te ruaki, me te ngawari ki te mārama me te tangi. Heoi, ka rereke te ahua o te mate pūwheo mai i tetahi tangata ki tetahi. Ka whiwhi etahi i nga tohu prodrome, te timatanga o te whakaeke mate pūwheo. Ka taea e enei te whakatupato ngāwari pēnei i te kōpū kōpū, ngā huringa ngākau, ngā hiahia kai, te uaua o te kaki, te nui o te mimi, te ngāwari rānei ki te ngākau. I etahi wā, kaore pea e mohio ngā tāngata ko ēnei ngā tohu whakatupato o te whakaeke mate pūwheo. I roto i te toru o ngā tāngata e noho ana me te mate pūwheo, ka puta pea te aura i mua atu rānei i te whakaeke mate pūwheo. Ko te aura te kupu e whakamahi ana tātou mō ēnei tohu neurologic wa poto e hoki ana. He mea tirohanga te nuinga, engari ka taea e rātou te whakauru i ētahi atu tohu neurologic. Ka hangaia te nuinga i roto i ngā meneti maha, ā, ka taea te roa ki te kotahi haora. Ko ngā tauira o te aura mate pūwheo ko ngā mea tirohanga pēnei i te kite i ngā āhua geometric, i ngā tohu mārama rānei, i ngā rama rānei, i te ngaro rānei o te tirohanga. Ka whanake etahi i te ngenge, i te pīpī rānei i tetahi taha o tō rātou mata, o tō rātou tinana rānei, te uaua rānei ki te kōrero. I te mutunga o te whakaeke mate pūwheo, ka raru pea koe, ka whakapohehe, ka horoia rānei mō te kotahi rā. Koinei te wā post-drome.

Ko te mate pūwheo he whakatau tākuta. Ko te tikanga ko te whakatau i runga i ngā tohu i whakaatuhia e te turoro. Kāore he whakamātautau taiwhanga, he rangahau whakaahua rānei e taea ai te whakatau i te mate pūwheo. I runga i ngā paerewa whakamātautau tāutauranga, ki te whai koe i ngā tohu o te mamae o te upoko e hono ana ki te ngawari ki te mārama, te heke o te mahi me te ruaki, pea he mate pūwheo koe. Tena tirohia tō kaimahi hauora mō te whakatau pea o te mate pūwheo me te maimoatanga motuhake o te mate pūwheo.

No te mea he whānuitanga nui o te kaha o te mate me te mate pūwheo, he whānuitanga nui hoki o ngā mahere whakahaere. Me whai etahi i te mea e kiia ana e tātou he maimoatanga koi, he maimoatanga whakaora rānei mō ngā whakaeke mate pūwheo iti. I te wā e hiahia ana ētahi atu ki te maimoatanga koi me te maimoatanga ārai. Ka whakaiti te maimoatanga ārai i te auau me te kaha o ngā whakaeke mate pūwheo. He rongoā waha ia rā pea, he werohanga ia marama, he werohanga me ngā whakauru rānei e tukuna ana ia toru marama. Ka taea e ngā rongoā tika me ngā huringa noho ora te awhina i te whakapai ake i ngā oranga o te hunga e noho ana me te mate pūwheo. He huarahi hei whakahaere me te whakaiti i ngā kaiwhakaoho o te mate pūwheo mā te whakamahi i te tikanga SEEDS. Ko te S mō te moe. Whakapaihia tō mahi moe mā te pupuri ki tetahi kaupapa motuhake, te whakaiti i ngā mata me ngā raruraru i te pō. Ko te E mō te whakakori tinana. Tīmata iti, e rima meneti kotahi wiki, ā, whakaitihia haere te roa me te auau kia waiho hei tikanga. Ā, pupuri ki te nekehanga me ngā mahi e pai ana koe. Ko te E mō te kai hauora, ngā kai pai te rite i te toru o ngā wā ia rā, ā, kia makona. Ko te D mō te tātai. Tātarihia ō rā mate pūwheo me ō tohu i roto i te tātai. Whakamahia he kārena, he kaupapa mahi rānei, he taupānga rānei. Kawea mai taua tātai ki ō hui whakatutuki me tō tākuta hei arotake. Ko te S mō te whakahaere ahotea hei awhina i te whakahaere i ngā whakaeke mate pūwheo e whakaohohia ana e te ahotea. Whakaarohia te rongoā, te hinengaro, te biofeedback, me ētahi atu tikanga whakamahinga e mahi ana mōu.

Ka taea e ngā mate pūwheo, e pā ana ki ngā tamariki, ngā taitamariki me ētahi atu tāngata pakeke, te haere i roto i ngā wāhanga e whā: te prodrome, te aura, te whakaeke me te post-drome. Kāo te katoa o te hunga e pā ana ki ngā mate pūwheo e haere ana i ngā wāhanga katoa.

Kotahi, rua rā atu i mua i te mate pūwheo, ka kite pea koe i ngā huringa ngawari e whakatupato ana i te mate pūwheo e haere mai ana, tae atu ki:

• Te kōpū kōpuku.
• Ngā hiahia kai.
• Te uaua o te kaki.
• Te nui o te mimi.
• Te pupuri wai.
• Te ngākau nui ki te ngākau.

Mō ētahi atu tāngata, ka puta pea te aura i mua atu rānei i ngā mate pūwheo. Ko ngā aura he tohu hurihuri o te pūnaha io. He mea whakairoiro te nuinga, engari ka taea hoki te whakauru atu i ētahi atu raruraru. Ka timata ia tohu i te iti, ka hangaia i roto i ngā meneti maha, ā, ka roa pea tae atu ki te 60 meneti.

Ko ētahi tauira o ngā aura mate pūwheo ko:

• Ngā mea whakairoiro, pēnei i te kite i ngā āhua rerekē, ngā pōtae mārama, ngā rama rānei.
• Te ngaro o te tirohanga.
• Ngā pūngāwerewere me ngā pūngāwerewere i te ringa, te waewae rānei.
• Te ngoikore, te kore rānei o te mata, te taha kotahi rānei o te tinana.
• Te uaua ki te kōrero.

Ka roa pea te mate pūwheo mai i te 4 ki te 72 haora ki te kore e rongoā. Ka rerekē te maha o ngā mate pūwheo e puta ana i te tangata ki te tangata. Ka puta pea ngā mate pūwheo i te iti, ka rānei i ngā wā maha i te marama.

I te wā o te mate pūwheo, ka pea koe:

• Te mamae i te taha kotahi o tō upoko, engari i ngā taha e rua.
• Te mamae e pupuhi ana, e pupuhi ana rānei.
• Te ngawari ki te mārama, te tangi, ā, i etahi wā te kakara me te pa.
• Te ruaki me te ruaki.

I muri i te whakaeke mate pūwheo, ka raru pea koe, ka whakapohehe, ka horoia mo te rā kotahi. Ka pōhēhē ētahi atu i te harikoa. Ka taea e te nekehanga o te upoko te kawe mai i te mamae ano mō te wa poto.

Ko te nuinga o te mate pūwheo kaore e kitea, kaore hoki e rongoa. Ki te maha atu ōu tohu me ōu tohu mo te mate pūwheo, tuhia te rerekētanga o ōu whakaeke me te āhuatanga o tō rongoa. Na, whakaritea he whakatau ki tō kaiwhakarato hauora hei kōrero mō ō upoko mamae.Ahakoa kei a koe te hītori o te mamae o te upoko, tirohia tō kaiwhakarato hauora ki te huri te tauira, ki te rereke rānei te ahua o ō upoko mamae. Tirohia tonutia tō kaiwhakarato hauora, ki te haere rānei koe ki te ruma mō te urupare ki te whai koe i ētahi o enei tohu me ēnei tohu, ka taea te tohu i tetahi raruraru hauora nui ake:- Upoko mamae ohorere, nui, penei i te whatitiri.- Upoko mamae me te kirika, te kaki kōtiti, te whakapohehe, te ngau, te tiro rua, te ngenge, te ngoikore ranei i tetahi wāhanga o te tinana, ka taea te tohu i te pēhanga.- Upoko mamae i muri i te whara o te upoko.- Upoko mamae roa e kino ake ana i muri i te mare, te kaha, te ngākau mamae, te nekehanga ohorere ranei.- Te mamae hou o te upoko i muri i te 50 tau.

Ahakoa kaore i tino mohiotia ngā take o te mate pūwheo, e kite ana te ira tangata me ngā āhuatanga o te taiao he wāhi nui tō rāua mahi.

Ka pā pea ngā huringa i te pūtake o te roro me ōna hononga ki te pūnaha nerve trigeminal, he huarahi nui o te mamae, ki te mate nei. Ka pā pea hoki ngā koretake i ngā matū o te roro—ka uru atu ki te serotonin, e āwhina ana i te whakahaere i te mamae i roto i tō pūnaha io.

E ako ana ngā kairangahau i te mahi a te serotonin i ngā mate pūwheo. He wāhi nui te mahi a ētahi atu neurotransmitters i te mamae o te mate pūwheo, tae atu ki te peptide e hono ana ki te gene calcitonin (CGRP).

He maha ngā mea ka pā te mate pūwheo, tae atu ki:

• Ngā huringa o te homoni i ngā wāhine. E āhua ana ngā rereketanga o te estrogen, pēnei i te wā i mua atu rānei i te wā o ngā wā, te hapu me te menopause, ka pā te mamae i ngā wāhine maha.

Ka taea hoki e ngā rongoā homoni, pēnei i ngā rongoā whakahaere whānau, te whakaiti i te mate pūwheo. Heoi, ka kite etahi wahine ka iti haere te mate pūwheo i te wā e inu ana i ēnei rongoā.

• Ngā inu. Kei roto i ēnei te waiū, ina koa te waina, me te nui rawa o te caffeine, pēnei i te kōpi.
• Te ahotea. Ka taea e te ahotea i te mahi rānei i te kāinga te pā te mate pūwheo.
• Ngā whakaohooho o ngā pūngao. Ka taea e ngā mārama mārama rānei e whiti ana te pā te mate pūwheo, pēnei i ngā āhuatanga o te reo nui. Ko ngā kakara kaha—pēnei i te hinu kakara, te whakapaipai peita, te paowa tuarua me ētahi atu—ka pā te mate pūwheo ki ētahi tangata.
• Ngā huringa moe. Ko te ngaro o te moe rānei te nui rawa o te moe ka taea te pā te mate pūwheo ki ētahi tangata.
• Te kaha tinana. Ko te kaha tinana nui, tae atu ki te mahi taangata, ka taea te whakaohooho i te mate pūwheo.
• Ngā rongoā. Ka taea e ngā rongoā whakahaere whānau me ngā vasodilators, pēnei i te nitroglycerin, te whakaiti i te mate pūwheo.
• Ngā kai. Ka taea e ngā mīti kōeke me ngā kai tote me ngā kai tukatuka te pā te mate pūwheo. Ka taea hoki e te kore kai te pā.
• Ngā taapiri kai. Kei roto i ēnei te mea reka aspartame me te mea tiaki monosodium glutamate (MSG), kei roto i ngā kai maha.

Ngā huringa o te homoni i ngā wāhine. E āhua ana ngā rereketanga o te estrogen, pēnei i te wā i mua atu rānei i te wā o ngā wā, te hapu me te menopause, ka pā te mamae i ngā wāhine maha.

Ka taea hoki e ngā rongoā homoni, pēnei i ngā rongoā whakahaere whānau, te whakaiti i te mate pūwheo. Heoi, ka kite etahi wahine ka iti haere te mate pūwheo i te wā e inu ana i ēnei rongoā.

He maha ngā take ka nui ake ai te tūponotanga o te mate tākihi, tae atu ki ēnei:

• Hītori whānau. Ki te pēhea te mema o tō whānau he mate tākihi, katahi ka nui te tūponotanga ka puta mai ki a koe.
• Tau. Ka taea te tīmata o te mate tākihi i tetahi tau, ahakoa ko te nuinga o te wā ka puta tuatahi i te wā o te taitamariki. Ka piki ake te mate tākihi i ngā tau tekau o te toru tekau, ā, ka iti haere te kaha me te iti haere te maha i ngā tekau tau e whai ake nei.
• Ira tangata. E toru te whakawhānui o te tūponotanga o ngā wāhine ki te whiwhi mate tākihi atu i ngā tāne.
• Ngā huringa homoni. Ki ngā wāhine he mate tākihi, ka taea te tīmata o ngā mamae o te upoko i mua tata atu rānei i muri tata mai rānei i te tīmatanga o te wā. Ka taea hoki te whakarerekē i te wā hapu, i te wā rānei o te menopause. Ka pai ake te mate tākihi i muri i te menopause.

Ko te inu i nga rongoa mamae i nga wa maha rawa ka taea te whakaoho i nga mamae o te mahunga e tino nui ana te whakamahinga o nga rongoa. Kei te ahua te tino morearea ki te aspirin, acetaminophen (Tylenol, etahi atu) me nga whakakotahitanga o te caffeine. Ka puta ano pea nga mamae o te mahunga nui atu ki te inu koe i te aspirin, ibuprofen ranei (Advil, Motrin IB, etahi atu) mo te neke atu i te 14 nga ra ia marama, triptans ranei, sumatriptan (Imitrex, Tosymra) tetahi rizatriptan ranei (Maxalt) mo te neke atu i te iwa nga ra ia marama.

Ka puta nga mamae o te mahunga e tino nui ana te whakamahinga o nga rongoa ina mutu te whakaora a nga rongoa i te mamae ka timata te whakaoho i nga mamae o te mahunga. Katahi ka whakamahi koe i etahi atu rongoa mamae, ka haere tonu te porowhita.

Kaore he uauatanga

Ko te migraine he mate o te mahi rerekee i roto i te āhuatanga o te hanganga roro noa. Ka kōrerotia e te MRI o te roro te hanganga o te roro anake, engari ka iti rawa te kōrero mō te mahi a te roro. Ā, koia te take e kore ai te migraine e puta ki runga i te MRI. Nō te mea he mahi rerekee i roto i te āhuatanga o te hanganga noa.

He tino whakahaunga te migraine mō ētahi tangata. Koinei tonu te tuarua o ngā take o te whakahaunga puta noa te ao. Kāore ko te mamae anake ngā tohu whakahaunga, engari ko te ngawari ki te mārama me te tangi, me te ruaki hoki.

He whānuitanga o te kaha o te mate i roto i te migraine. E torutoru ngā tāngata e hiahia ana ki te whakaora, ki te rongoā pakari rānei mō te migraine, nā te mea he iti ngā whakaeke migraine. Engari kei reira ētahi atu tāngata e whiwhi ana i ngā whakaeke migraine maha, pea rua, toru rānei wā i te wiki. Ki te whakamahi rātou i ngā rongoā whakaora mō ia whakaeke, ka āhei pea te arahi ki ētahi atu raruraru. Me whai mahere rongoā ārai ētahi atu tāngata kia whakaitihia te auau me te kaha o ngā whakaeke. Ko aua rongoā ārai pea ngā rongoā o ia rā. Pea ngā weronga kotahi i te marama, atu rānei ngā rongoā weronga e tukuna ana kotahi i ngā toru marama.

Koia te take i tino nui ai te rongoā ārai. Mā te rongoā ārai, ka taea e tātou te whakaiti i te auau me te kaha o ngā whakaeke kia kaua e nui atu i te rua ngā whakaeke i ia wiki. Heoi, mō ētahi tangata, ahakoa te rongoā ārai, pea ka nui tonu ngā tohu migraine i ia wiki. Mō rātou, kei reira ngā kōwhiringa kore-rongoā mō te whakaora i te mamae, pēnei i te biofeedback, ngā tikanga whakahaumaru, te rongoā whāinga-ā-whakaaro, me te maha o ngā taputapu he kōwhiringa kore-rongoā mō te whakaora i te mamae migraine.

Ae, koinei te kōwhiringa mō te rongoā ārai o te migraine roa. Ka tukuna ēnei weronga onabotulinum toxin A e tō tākuta kotahi i ngā wiki 12 kia whakaitihia te auau me te kaha o ngā whakaeke migraine. Heoi, he maha ngā kōwhiringa rongoā ārai rerekē. Ā, he mea nui kia kōrero koe ki tō tākuta mō te kōwhiringa pai mōu.

Ko te huarahi pai ki te hono atu ki tō rōpū hauora, ko te tuatahi, te whiwhi i tētahi rōpū hauora. He tokomaha ngā tāngata e noho ana me te migraine kāore ano i kōrero ki tētahi tākuta mō ō rātou tohu. Ki te whai koe i ngā mamae i te wā e hiahia ana koe ki te okioki i roto i tētahi ruma pouri, i te wā pea e mate ai tō puku. Tena kōrero atu ki tō kaimahi hauora mō ō tohu. Pea he migraine tōu, ā, ka taea e tātou te whakaora i te migraine. He mate roa te migraine. Ā, hei whakahaere pai i tēnei mate, me mārama ngā turoro ki te mate. Koia te take i tūtohu ai au i te tautoko ki aku turoro katoa. Akohia te migraine, uru atu ki ngā rōpū tautoko turoro, whakawhitiwhiti i tō haerenga ki ētahi atu, ā, kia kaha ake mā te tautoko me ngā kaha ki te wawahi i te whakama o te migraine. Ā, tahi atu, ka taea e te turoro me te rōpū hauora te whakahaere i te mate o te migraine. Kaua rawa e whakaroa ki te ui ki tō rōpū hauora i ngā pātai, i ngā āwangawanga rānei kei a koe. Ko te mōhio he mea nui. Mauruuru mō tō wā, ā, e mihi ana mātou ki a koe.

Ki te whai koe i ngā migraine, i te hītori whānau o ngā migraine rānei, ka tino whakatau te tohunga kua whakangungua ki te whakaora i ngā mamae, e kiia nei ko te neurologist, i ngā migraine i runga i tō hītori hauora, tohu, me te whakamātautau tinana me te neurology.

Ki te koretake, uaua rānei tō āhua, ka puta pēhea rānei te kino, ngā whakamātautau hei whakakore i ētahi atu take mō tō mamae pea:

• He tātaritanga MRI. Ka whakamahi tētahi tātaritanga whakaata pūkaha maikuku (MRI) i tētahi mara maikuku kaha me ngā ngaru reo hei whakaputa i ngā whakaahua taipitopito o te roro me ngā oko toto. Ka āwhina ngā tātaritanga MRI ki te whakatau i ngā mate pukupuku, ngā mate toto, te toto i roto i te roro, ngā mate, me ētahi atu āhuatanga o te roro me te pūnaha io, e kiia nei ko ngā āhuatanga neurological.
• He tātaritanga CT. Ka whakamahi tētahi tātaritanga tātaritanga rorohiko (CT) i tētahi raupapa X-rays hei whakaputa i ngā whakaahua tapawha taipitopito o te roro. Ka āwhina tēnei ki te whakatau i ngā mate pukupuku, ngā mate, te kino o te roro, te toto i roto i te roro me ētahi atu raruraru hauora pea e pā ana ki ngā mamae.

Ko te whakaoranga o te mate pūwheko e whai ana ki te mutu i ngā tohu, ā, ki te aukati i ngā whakaeke e haere mai ana. He maha ngā rongoā kua hoahoahia hei whakaora i ngā mate pūwheko. Ko ngā rongoā e whakamahia ana hei whawhai i ngā mate pūwheko ka tū kotahi ki ngā kāwai whānui e rua:

• Ngā rongoā whakaora mamae. E mohiotia ana hoki ko te whakaora pakari, ko te whakaora rānei e mutu ana, ko ēnei momo rongoā ka inuhia i te wā o ngā whakaeke o te mate pūwheko, ā, kua hoahoahia hei mutu i ngā tohu.
• Ngā rongoā aukati. Ko ēnei momo rongoā ka inuhia tonu, maha tonu i ia rā, hei whakaiti i te kaha, te tūponotanga rānei o ngā mate pūwheko. Ko ō kōwhiringa whakaora e whakawhirinaki ana ki te tūponotanga me te kaha o ō mamae o te upoko, ahakoa kei a koe te ruaki me te ruaki me ō mamae o te upoko, te āwangawanga o ō mamae o te upoko, me ētahi atu āhuatanga hauora kei a koe. Ko ngā rongoā e whakamahia ana hei whakaora i te mamae o te mate pūwheko ka pai te mahi ina inuhia i te tohu tuatahi o te mate pūwheko e haere mai ana—i te tīmatanga o ngā tohu o te mate pūwheko. Ko ngā rongoā ka taea te whakamahi hei whakaora i te mate pūwheko ko:
• Ngā kaiwhakaora mamae. Kei roto i ēnei kaiwhakaora mamae i runga i te kaute, i te rongoā rānei, te aspirin, te ibuprofen rānei (Advil, Motrin IB, ētahi atu). Ki te inu roa, ka pāngia pea e ēnei ngā mamae o te upoko e pā ana ki te rongoā, ā, pea ngā mate pūkahukahu me te toto i roto i te pūnaha kai. Ka āwhina pea ngā rongoā whakaora mate pūwheko e whakakotahi ana i te caffeine, te aspirin me te acetaminophen (Excedrin Migraine), engari ko te nuinga ki te mamae ngawari o te mate pūwheko.
• Triptans. Ko ngā rongoā rongoā penei i te sumatriptan (Imitrex, Tosymra) me te rizatriptan (Maxalt, Maxalt-MLT) e whakamahia ana hei whakaora i te mate pūwheko, nā te mea ka aukati i ngā huarahi mamae i roto i te roro. Ina inuhia hei pire, hei pupuhi, hei whakainu ihu rānei, ka taea e rātou te whakaora i ngā tohu maha o te mate pūwheko. Kāore pea e haumaru mō te hunga kei te tūpono ki te pēhanga toto, ki te mate ngākau rānei.
• Lasmiditan (Reyvow). Ko tēnei papa waha hou kua whakaaetia hei whakaora i te mate pūwheko me te aura rānei, kāore rānei. I roto i ngā whakamātautau rongoā, i pai ake te whakaora a lasmiditan i te mamae o te upoko. Ka taea e te lasmiditan te pānga moe, me te whatiwhati, na reira ka tohutohuhia ki te hunga e inu ana kia kaua e taraiwa, e whakahaere rānei i ngā mīhini mo te iti rawa e waru haora.
• Ngā kaiwhakakore i te calcitonin gene-related peptides, e mohiotia ana ko ngā gepants. Ko te Ubrogepant (Ubrelvy) me te rimegepant (Nurtec ODT) he gepants waha kua whakaaetia hei whakaora i te mate pūwheko i roto i ngā pakeke. I roto i ngā whakamātautau rongoā, i nui ake te whai hua o ngā rongoā mai i tēnei kāwai i te placebo ki te whakaora i te mamae i muri i te rua haora i te inu. I whai hua anō hoki rātou ki te whakaora i ngā tohu o te mate pūwheko penei i te ruaki me te ngawari ki te mārama me te tangi. Ko ngā pānga taha noa ko te waha maroke, te ruaki me te nui o te moe. Kaua e inu i te Ubrogepant me te rimegepant me ngā rongoā kaiwhakakore CYP3A4 kaha penei i ētahi rongoā e whakamahia ana hei whakaora i te mate pukupuku.
• Intranasal zavegepant (Zavzpret). I whakaaetia e te Food and Drug Administration i te wā tata nei tēnei whakainu ihu hei whakaora i ngā mate pūwheko. Ko te Zavegepant he gepant, ko te rongoā mate pūwheko anake e puta mai ana hei whakainu ihu. Ka kawea mai e ia te whakaora mamae o te mate pūwheko i roto i te 15 meneti ki te 2 haora i muri i te inu kotahi. Ka mau tonu te mahi o te rongoā mo te 48 haora. Ka taea hoki e ia te whakapai ake i ētahi atu tohu e pā ana ki te mate pūwheko, penei i te ruaki me te ngawari ki te mārama me te tangi. Ko ngā pānga taha noa o te zavegepant ko te huringa o te āhua o te reka, te kore ngāwari o te ihu me te mamae o te korokoro.
• Ngā rongoā opioid. Mō te hunga kaore e taea te inu i ētahi atu rongoā mate pūwheko, ka āwhina pea ngā rongoā opioid narcotic. Nā te mea ka taea te whakawhirinaki nui, ka whakamahia noa ēnei mena kaore he atu whakaora e whai hua ana.
• Ngā rongoā anti-nausea. Ka taea e ēnei te āwhina mena kei te haere tahi tō mate pūwheko me te aura me te ruaki me te ruaki. Kei roto i ngā rongoā anti-nausea te chlorpromazine, te metoclopramide (Gimoti, Reglan) te prochlorperazine rānei (Compro, Compazine). Ko ēnei ka inuhia me ngā rongoā mamae. Ngā kaiwhakaora mamae. Kei roto i ēnei kaiwhakaora mamae i runga i te kaute, i te rongoā rānei, te aspirin, te ibuprofen rānei (Advil, Motrin IB, ētahi atu). Ki te inu roa, ka pāngia pea e ēnei ngā mamae o te upoko e pā ana ki te rongoā, ā, pea ngā mate pūkahukahu me te toto i roto i te pūnaha kai. Ka āwhina pea ngā rongoā whakaora mate pūwheko e whakakotahi ana i te caffeine, te aspirin me te acetaminophen (Excedrin Migraine), engari ko te nuinga ki te mamae ngawari o te mate pūwheko. Dihydroergotamine (Migranal, Trudhesa). Kei te wātea hei whakainu ihu, hei pupuhi rānei, ko tēnei rongoā te tino whai hua ina inuhia i muri tata mai i te tīmatanga o ngā tohu o te mate pūwheko mō ngā mate pūwheko e roa atu i te 24 haora. Ko ngā pānga taha ka uru atu te kino o te ruaki me te ruaki e pā ana ki te mate pūwheko. Intranasal zavegepant (Zavzpret). I whakaaetia e te Food and Drug Administration i te wā tata nei tēnei whakainu ihu hei whakaora i ngā mate pūwheko. Ko te Zavegepant he gepant, ko te rongoā mate pūwheko anake e puta mai ana hei whakainu ihu. Ka kawea mai e ia te whakaora mamae o te mate pūwheko i roto i te 15 meneti ki te 2 haora i muri i te inu kotahi. Ka mau tonu te mahi o te rongoā mo te 48 haora. Ka taea hoki e ia te whakapai ake i ētahi atu tohu e pā ana ki te mate pūwheko, penei i te ruaki me te ngawari ki te mārama me te tangi. Ko ngā pānga taha noa o te zavegepant ko te huringa o te āhua o te reka, te kore ngāwari o te ihu me te mamae o te korokoro. Kāore e haumaru te inu i ētahi o ēnei rongoā i te wā hapu. Ki te hapu koe, ki te ngana rānei koe ki te hapu, kaua e whakamahi i ēnei rongoā kaore i te kōrero tuatahi ki tō kaiwhakarato hauora. Ka taea e ngā rongoā te āwhina ki te aukati i ngā mate pūwheko maha. Ka tūtohu pea tō kaiwhakarato hauora i ngā rongoā aukati mena kei a koe ngā mamae o te upoko maha, roa, kaha rānei e kore e whakautu pai ki te whakaora. Ko te rongoā aukati e whai ana ki te whakaiti i te maha o te whiwhi mate pūwheko, te kaha o ngā whakaeke, me te roa o te roa. Ko ngā kōwhiringa ko:
• Ngā rongoā anti-seizure. Ka āwhina pea te valproate me te topiramate (Topamax, Qudexy, ētahi atu) mena kei a koe ngā mate pūwheko iti ake, engari ka pāngia pea e ngā pānga taha penei i te whatiwhati, te huringa taumaha, te ruaki me ētahi atu. Kāore i tūtohutia ēnei rongoā mō ngā wāhine hapu, mō ngā wāhine e ngana ana ki te hapu rānei.
• Ngā pupuhi Botox. Ko ngā pupuhi o te onabotulinumtoxinA (Botox) i ia 12 wiki pea ka āwhina ki te aukati i ngā mate pūwheko i ētahi pakeke.
• Ngā antibodies monoclonal calcitonin gene-related peptides (CGRP). Ko te Erenumab-aooe (Aimovig), te fremanezumab-vfrm (Ajovy), te galcanezumab-gnlm (Emgality), me te eptinezumab-jjmr (Vyepti) he rongoā hou kua whakaaetia e te Food and Drug Administration hei whakaora i ngā mate pūwheko. Ka hoatuhia ia marama, ia toru marama rānei mā te pupuhi. Ko te pānga taha tino noa ko te āhuatanga i te wāhi pupuhi.
• Atogepant (Qulipta). Ko tēnei rongoā he gepant e āwhina ana ki te aukati i ngā mate pūwheko. He papa e inuhia ana i te waha ia rā. Ko ngā pānga taha pea o te rongoā ka uru atu te ruaki, te kōpū kōpū me te ngenge.
• Rimegepant (Nurtec ODT). He motuhake tēnei rongoā nā te mea he gepant e āwhina ana ki te aukati i ngā mate pūwheko hei tāpiri ki te whakaora i ngā mate pūwheko i te mea e hiahiatia ana. Pātai atu ki tō kaiwhakarato hauora mena he tika ēnei rongoā mōu. Kāore e haumaru te inu i ēnei rongoā i te wā hapu. Ki te hapu koe, ki te ngana rānei koe ki te hapu, kaua e whakamahi i ēnei rongoā kaore i te kōrero tuatahi ki tō kaiwhakarato.

Ka tīmata ngā tohu o te mate pūkau, whakamātauria te haere ki te ruma mārama, ngāwari. Kati tō kanohi ka okioki rānei ka moe. Whakanohoia he kākahu makariri, he peketua huka rānei i tāia ki te tauera, ki te kākahu rānei ki tō rae, ka inu wai maha.

Ka āwhina pea ēnei mahi ki te whakaora i te mamae o te mate pūkau:

• Whakamātauria ngā tikanga whakahaumaru. Ka whakaako ngā tikanga whakahaumaru me ētahi atu momo whakangungu whakahaumaru ki a koe i ngā huarahi hei whakahaere i ngā āhuatanga pēhanga, ā, ka āwhina pea i te whakaiti i te maha o ngā mate pūkau e pā ana ki a koe.
• Whakawhanakehia he mahinga moe me te kai. Kaua e moe rawa atu, kaua hoki e iti rawa. Whakatūria ka whai i te mahinga moe me te ara ake i ia rā. Whakamātauria te kai i ngā wā kai kotahi i ia rā.
• Inu wai maha. Ko te noho makuku, ina koa ki te wai, ka āwhina pea.
• Tūhonohia he tātai mamae o te ulu. Ko te tuhi i ō tohu ki te tātai mamae o te ulu ka āwhina i a koe ki te ako atu mō ngā mea e whakaohooho ana i ō mate pūkau me te rongoā tino whai hua. Ka āwhina hoki i tō kaiwhakarato hauora ki te whakatau i tō āhuatanga me te aroturuki i tō ahunga whakamua i waenganui i ngā haerenga.
• Whakapakaritia te tinana. Ka whakaitihia e te whakapakari tinana aerobiki te pēhanga, ā, ka āwhina pea i te ārai i te mate pūkau. Ki te whakaae tō kaiwhakarato tiaki, tīpakohia te mahi aerobiki e pai ana koe, pēnei i te hikoi, te kauhoe me te hikoi paihikara. Whakamahana noa atu, engari, no te mea ka taea e te whakapakari tinana ohorere, kaha te whakaohooho i ngā mamae o te ulu.

Ka āwhina hoki te whakapakari tinana ki te ngaro taumaha, ki te pupuri rānei i te taumaha tinana hauora, ā, e whakaarohia ana ko te momona he take i roto i ngā mate pūkau.

Whakapakaritia te tinana. Ka whakaitihia e te whakapakari tinana aerobiki te pēhanga, ā, ka āwhina pea i te ārai i te mate pūkau. Ki te whakaae tō kaiwhakarato tiaki, tīpakohia te mahi aerobiki e pai ana koe, pēnei i te hikoi, te kauhoe me te hikoi paihikara. Whakamahana noa atu, engari, no te mea ka taea e te whakapakari tinana ohorere, kaha te whakaohooho i ngā mamae o te ulu.

Ka āwhina hoki te whakapakari tinana ki te ngaro taumaha, ki te pupuri rānei i te taumaha tinana hauora, ā, e whakaarohia ana ko te momona he take i roto i ngā mate pūkau.

Ka āwhina pea ngā rongoā kore-nō te tikanga ki te mamae o te mate pūkau roa.

• Acupuncture. Kua kitea e ngā whakamātautau hauora ka āwhina pea te acupuncture ki te mamae o te ulu. I roto i tēnei rongoā, ka whakauruhia e te kaimahi maha ngā ngira angiangi, ngāwari ki ētahi wāhi o tō kiri i ngā tohu kua whakaritea.
• Biofeedback. E kitea ana he whai hua te biofeedback ki te whakaora i te mamae o te mate pūkau. Ka whakamahi tēnei tikanga whakahaumaru i ngā taputapu motuhake hei whakaako ki a koe me pēhea te tirotiro me te whakahaere i ētahi o ngā whakautu tinana e pā ana ki te pēhanga, pēnei i te pēhanga uaua.
• Rongoā whāinga whanonga mā te hinengaro. Ka whai hua pea te rongoā whāinga whanonga mā te hinengaro ki ētahi tangata e pā ana ki ngā mate pūkau. Ka whakaako tēnei momo rongoā hinengaro ki a koe me pēhea te pānga o ngā whāinga me ngā whakaaro ki te āhua o tō kite i te mamae.
• Whakaaroaro me te yoga. Ka whakaora pea te whakaaroaro i te pēhanga, he mea mohio he whakaohooho o ngā mate pūkau. Mena ka mahitia i ia wā, ka whakaiti pea te yoga i te auau me te roa o ngā mate pūkau.
• Ngā otaota, ngā huaora me ngā kohuke. He ōrite ngā mōhiohio e āwhina ana ngā otaota feverfew me te butterbur ki te ārai i ngā mate pūkau, ki te whakaiti rānei i tōna kaha, ahakoa he rerekē ngā hua o ngā rangahau. Kāore te butterbur e tūtohutia nā te raruraru haumaru.

Ka whakaiti pea te nui o te riboflavin (vitamin B-2) i te auau me te kaha o ngā mamae o te ulu. Ka whakaiti pea ngā taapiri Coenzyme Q10 i te auau o ngā mate pūkau, engari he nui ake ngā rangahau e hiahiatia ana.

Kua whakamahia ngā taapiri Magnesium hei whakaora i ngā mate pūkau, engari he rerekē ngā hua.

Ngā otaota, ngā huaora me ngā kohuke. He ōrite ngā mōhiohio e āwhina ana ngā otaota feverfew me te butterbur ki te ārai i ngā mate pūkau, ki te whakaiti rānei i tōna kaha, ahakoa he rerekē ngā hua o ngā rangahau. Kāore te butterbur e tūtohutia nā te raruraru haumaru.

Ka whakaiti pea te nui o te riboflavin (vitamin B-2) i te auau me te kaha o ngā mamae o te ulu. Ka whakaiti pea ngā taapiri Coenzyme Q10 i te auau o ngā mate pūkau, engari he nui ake ngā rangahau e hiahiatia ana.

Kua whakamahia ngā taapiri Magnesium hei whakaora i ngā mate pūkau, engari he rerekē ngā hua. Pātai atu ki tō kaiwhakarato hauora mena he tika ēnei rongoā mōu. Ki te hapu koe, kaua e whakamahi i ētahi o ēnei rongoā i mua i te kōrero ki tō kaiwhakarato.