Created at:1/16/2025
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Migraine ifite aura ni ubwoko bwihariye bw’ububabare bw’umutwe bwa migraine buza hamwe n’ibimenyetso by’umuburo bita "aura" - impinduka z’amaso, iz’imyumvire, cyangwa iz’imvugo bibaho mbere cyangwa mu gihe cy’ububabare bw’umutwe. Abantu bagera kuri 25-30% bafite migraine bagira ibi bimenyetso by’indwara z’imitsi, bishobora kuba birimo amatara adakomeye, ibice by’amaso bitabonwa, kumva uburibwe, cyangwa kugira ikibazo cyo kuvuga.
Tekereza kuri aura nk’uburyo ubwonko bwawe buguha ubutumwa ko migraine ije. Ibi bimenyetso bisanzwe bigenda bigaragara buhoro buhoro mu minota 5-20 kandi bikaba bigaragara igihe kitarenze isaha imwe mbere y’uko ububabare bw’umutwe butangira.
Migraine ifite aura ni indwara y’imitsi aho ibimenyetso byihariye by’umuburo bibaho mbere cyangwa hamwe n’ububabare bw’umutwe bwa migraine. Aura ibaho kubera impinduka z’igihe gito mu mikorere y’amashanyarazi mu bwonko bwawe, cyane cyane mu bice bishinzwe gutunganya amaso.
Mu gihe cya aura, uturemangingo tw’imitsi mu bwonko bwawe turakora mu buryo budasanzwe nk’umuraba. Ibi bituma habaho ibimenyetso wihariye ushobora kugira, nko kubona umurongo uhindagurika cyangwa kumva uburibwe mu maso cyangwa mu ntoki.
Ububabare bw’umutwe bukurikira busanzwe ari ububabare bukomeye buhora buhindagurika, buranga migraine. Ariko kandi, bamwe mu bantu bagira aura batagira ububabare bw’umutwe na gato - ibi bita "migraine ituje" cyangwa "aura ya migraine idafite ububabare bw’umutwe."
Ibimenyetso bya migraine ifite aura bibaho mu byiciro, kandi kubimenya bishobora kugufasha kwitegura icyo kizakurikira. Abantu benshi babona ibimenyetso byabo bya aura bigenda bigaragara buhoro buhoro aho kugaragara icyarimwe.
Dore ibimenyetso bya aura bisanzwe ushobora kugira:
Nyuma y’icyiciro cy’aura, birashoboka ko uzabona ibimenyetso bisanzwe by’ububabare bwa migraine. Ibi bisanzwe birimo ububabare bukomeye bukomera ku ruhande rumwe rw’umutwe, kugira uburibwe bw’umucyo n’ijwi, isereri, rimwe na rimwe no kuruka.
Icyiciro cyose, kuva kuri aura kugeza ku gukira umutwe, gishobora kumara amasaha 4 kugeza kuri 72. Bamwe bumva bananiwe cyangwa bafite ubwenge buke mu gihe cy’umunsi umwe cyangwa ibiri nyuma yaho, abaganga babita icyiciro cya "postdrome".
Auras ziboneka ni zo zisanzwe, zigira ingaruka ku bantu bagera kuri 90% bafite migraine ifite aura. Ibi bimenyetso bibaho kubera ko igice cy’ubwonko gishinzwe gutunganya amaso gikora nabi by’igihe gito.
Ushobora kubona amatara adakira asa n’ibirahure byamenetse cyangwa amazi, akenshi bizwi nka "scintillating scotomas." Bamwe bavuga ko babona umucyo uhindagurika ufite ishusho ya C, ukajya kwagura buhoro buhoro mu maso yabo.
Ibice bitaboneka bishobora kandi kuvuka, aho igice cy’uburebure bwawe bw’amaso gihinduka umwijima cyangwa bigorana kubona. Ibi bisanzwe bitangira bito hanyuma bikakura mu minota 10-30 mbere yo kuzimira buhoro buhoro.
Auras z’imikurire zituma habaho uburibwe, kudatuza, cyangwa kumva nk’aho hari ibintu bito byinjira mu ruhu, bisanzwe bikurikira uburyo runaka. Iyi mimerere isanzwe itangirira mu ntoki hanyuma igakwirakwira mu kuboko buhoro buhoro.
Kuva ku kuboko kwawe, ikimenyetso cyo kubabara kenshi kijya mu maso yawe, cyane cyane hafi y’akanwa na rurimi. Iyi nzira iba mu minota 5-20 kandi bishobora kumva bidasanzwe niba utarigeze ubimenya.
Bamwe na bo bagira impinduka mu kunuka cyangwa mu buryohe mu gihe cy’ikimenyetso cy’ububabare bw’umutwe. Izi mpinduka z’imikorere y’umubiri ni igihe gito kandi zisubira mu buryo busanzwe igihe ikibazo cy’ububabare bw’umutwe kirangiye.
Ububabare bw’umutwe bufite ikimenyetso buterwa n’ikintu cyitwa "cortical spreading depression" - umuraba w’imikorere y’amashanyarazi utembera ku mubiri w’ubwonko bwawe. Uyu muraba uhungabanya by’agateganyo imikorere isanzwe y’ubwonko mu bice byagizweho ingaruka, ugatera ibimenyetso by’ikimenyetso ubona.
Impamvu nyamukuru y’uyu muraba w’amashanyarazi ntiyumvikana neza, ariko abashakashatsi bemeza ko bijyanye n’impinduka z’imisemburo y’ubwonko n’umuvuduko w’amaraso. Ubwonko bwawe buhinduka bufite ubushobozi bwo kwakira ibintu bitandukanye, bigatuma izi mpinduka z’amashanyarazi zishobora kubaho.
Ibintu byinshi bishobora gutera ikibazo cy’ububabare bw’umutwe bufite ikimenyetso:
Uburere bw’umuryango na bwo bugira uruhare runini. Niba ufite abagize umuryango wa hafi bafite ububabare bw’umutwe, ni byiza ko nawe ubona.
Ni byiza kuzirikana ko ibintu bitera migraine bishobora gutandukana cyane ukurikije umuntu ku wundi. Icyatera migraine kuri umwe bishobora kutazagira icyo bikora ku wundi, ariyo mpamvu kwandika ibyo uba uhanganye na byo mu gitabo cyihariye cy’uburwayi bwa migraine bishobora kugira akamaro cyane.
Wagomba kujya kwa muganga niba ufite ibimenyetso bishya bya aura, cyangwa se bihinduka, cyane cyane niba utari warigeze ubifite. Nubwo migraine ifite aura muri rusange atari ikintu cy’akaga, ni ingenzi kwipimisha kugira ngo hamenyekane neza uburwayi ufite.
Shaka ubufasha bwa muganga ako kanya niba ufite kimwe muri ibi bimenyetso by’uburwayi:
Ugomba kandi kujya kubona umuvuzi niba migraine yawe igenda ikomeza kuba nyinshi, cyangwa ikomeye, cyangwa ikubuza gukora imirimo yawe ya buri munsi. Bashobora kugufasha gutegura gahunda yo kuvura ikubereye.
Niba ufite imyaka irenga 50 kandi ukaba ubona ibimenyetso bya aura ku nshuro ya mbere, ni ingenzi cyane kwipimisha. Nubwo migraine ishobora gutangira mu myaka yose, ibimenyetso bishya by’ubwonko ku bantu bakuze bisaba isuzuma ry’imbitse.
Ibintu byinshi bishobora kongera ibyago byo kurwara migraine ifite aura, kandi kubyumva bishobora kugufasha gucunga neza uburwayi bwawe. Hari ibintu bimwe na bimwe udashyiraho, mu gihe ibindi ushobora kubikora ukoresheje imibereho myiza.
Dore ibintu by’ingenzi byongera ibyago byo kurwara migraine ifite aura:
Ibintu bijyanye n’ubuzima busanzwe bishobora kandi kugira ingaruka ku byago byawe. Umuvuduko mwinshi, kudasinzira neza, n’imirire imwe n’imwe bishobora gutuma ugira amahirwe menshi yo kurwara migraine ifite aura.
Icy’ingenzi, bamwe babona ko migraine yabo ihinduka uko igihe gihita. Ushobora gutangira ufite migraine idafite aura hanyuma ukagira ibimenyetso bya aura, cyangwa ibinyuranye nabyo. Iyi mpinduka ni ibisanzwe kandi ntibyerekana ikibazo gikomeye.
Abantu benshi barwaye migraine ifite aura ntabwo bagira ingaruka mbi zikomeye, ariko ni byiza kumva ibyashoboka. Kumenya bishobora kugufasha kumenya igihe ikintu gikenewe kuvurwa.
Ingaruka mbi zisanzwe zijyanye n’ingaruka ku buzima bwawe bwa buri munsi kuruta ibibazo bikomeye by’ubuvuzi. Ariko rero, hari ibintu bimwe na bimwe by’ubuvuzi ukwiye kumenya:
Ubushakashatsi bwerekanye ko hari ibyago bike byo kurwara indwara yo mu bwonko ku bantu barwaye migraine ifite aura, cyane cyane abagore barunda cyangwa bakoresha imiti y’amagi ifite estrogen. Ariko rero, ibyago nyakuri bikomeza kuba bike cyane kuri benshi.
Ingaruka ku buzima bwo mu mutwe na byo bikwiye kuzirikanwa. Migraine ihoraho ishobora gutera kwiheba no guhangayika, niyo mpamvu ubuvuzi burambuye bugomba kwita ku mibereho y’amarangamutima hamwe n’ibimenyetso by’umubiri.
Nubwo utazibuza ibintu byose bya migraine, hari uburyo bwinshi bwiza bwo kugabanya kenshi kwabyo n’uburemere bwabyo. Kwiringira kwibanda ku kwirinda ibintu byawe bwite no kugira imibereho myiza.
Kumenya ibintu byawe ni intambwe ya mbere mu kwirinda. Komereza ku kwandika ibyabaye igihe ibintu bibaye, ibyo warize, uko waraye, urwego rw’umunaniro, n’ibindi bintu byose bishobora kuba bifite aho bihuriye.
Dore ingamba zo kwirinda zizewe zishobora kugufasha:
Kuri bamwe, imiti yo kwirinda ishobora kugirwa inama niba migraine iba kenshi cyangwa ikagira ingaruka ku buzima bwa buri munsi. Iyi miti ifatwa buri munsi kugabanya kenshi n'uburemere bw'ibibazo.
Ibintu bijyanye n'imisemburo ni ingenzi ku bagore, cyane cyane ku bijyanye no guhitamo imiti y'ubuzima bw'imyororokere n'imiti yo gusimbuza imisemburo. Muganire kuri ibyo bintu n'abaganga bawe kugira ngo mubone uburyo butekanye kuri wewe.
Kumenya migraine ifatanye na aura bishingira ahanini ku buryo usobanura ibimenyetso byawe n'amateka yawe y'ubuzima. Nta kizami runaka kigaragaza neza migraine, bityo muganga wawe azibanda ku kumva uko ibimenyetso byawe bigenda.
Umuganga wawe azakubaza ibibazo birambuye ku bimenyetso byawe bya aura, harimo uko bigenda, igihe biba, n'uko ububabare bw'umutwe bumva. Azifuza kandi kumenya amateka y'umuryango wawe n'ibintu bishobora gutera ibibazo.
Isuzuma rishingiye ku mahame yihariye yashyizweho n'ishyirahamwe mpuzamahanga ry'ububabare bw'umutwe. Kuri migraine ifatanye na aura, ugomba kuba waragize ibitero byibuze bibiri bifite ibimenyetso bya aura biranga bikagenda buhoro buhoro kandi bikagenda burundu.
Rimwe na rimwe, bishobora gusabwa ko hakorwa ibizamini byiyongereye kugira ngo habeho gukuraho izindi ndwara, cyane cyane niba ibimenyetso byawe bitamenyekanye cyangwa bihindutse vuba aha. Ibyo bishobora kuba bikubiyemo:
Komeza wibuke ko ibi bizamini bisanzwe bisanzwe ku bantu barwaye migraine. Bikorwa kugira ngo habeho kwemeza ko nta kindi kintu gitera ibimenyetso byawe aho kugira ngo hemezwe uburwayi bwa migraine.
Ubuvuzi bwa migraine ifite aura busanzwe bugizwe n’uburyo bubiri: guhagarika igice gikomeye cya migraine no gukumira ibindi bizaba. Gahunda y’ubuvuzi iboneye igenwa ku giti cyawe hashingiwe ku bimenyetso byawe, umubare w’ibice, n’uburyo bigira ingaruka ku buzima bwawe bwa buri munsi.
Mu gihe cya migraine ikomeye, intego ni uguhagarika ububabare n’ibimenyetso bifitanye isano vuba bishoboka. Gufata imiti hakiri kare mu gice, byiza mu gihe cya aura, kenshi bitanga umusaruro mwiza.
Amahitamo y’ubuvuzi bukomeye harimo:
Ku bantu barwara migraine kenshi, imiti ikumirwa ifatwa buri munsi ishobora kugabanya cyane umubare w’ibice. Ibi bikubiyemo ubwoko butandukanye bw’imiti yateguwe mbere ku zindi ndwara ariko byagaragaye ko bifite akamaro mu gukumira migraine.
Ubuvuzi budakoresha imiti na bwo bufite uruhare runini. Ibi birimo uburyo bwo guhangana n'umunaniro, imyitozo ngororamubiri ya buri gihe, guhindura imirire, no kuryama bihagije.
Icyiciro cya aura ubwacyo nticyifuza ubuvuzi bwihariye kuko ari icyiciro gito kandi gikira ubwacyo. Ariko, akenshi iki ni cyo gihe cyiza cyo gufata imiti y'uburwayi bwa migraine kugira ngo ukumire cyangwa ugabanye ububabare bw'umutwe bukurikira.
Mu gihe cya aura, shaka ahantu hatuje, h'umwijima ngo uruhuke niba bishoboka. Irinde gutwara imodoka cyangwa gukoresha imashini niba ufite ibibazo by'amaso cyangwa ibindi bimenyetso by'ubwonko bishobora kugira ingaruka ku mutekano wawe.
Bamwe basanga gushyira igikonjo cy'ubukonje cyangwa ubushyuhe ku mutwe wabo mu gihe cya aura bishobora gufasha gukumira migraine yuzuye gutera, nubwo ibi bidasanzwe ku muntu ku wundi.
Guhangana na migraine iri kumwe na aura murugo bisobanura kwitaho vuba mu gihe cy'uburwayi hamwe n'ingamba zihoraho zo gukumira ibindi bitero. Kugira gahunda yiteguye bishobora kugufasha kumva ufite ubushobozi bwo kugenzura igihe ibimenyetso bitangiye.
Iyo ubona ibimenyetso bya aura bitangiye, fata imiti yawe ya muganga ako kanya niba uyifite. Uko utangira vuba kuvura migraine, ni ko ushobora kuyihagarika cyangwa kugabanya uburemere bwayo.
Kora ahantu heza kuri wowe:
Uburyo bworoshye bwo kuruhuka na bwo bushobora gufasha. Gerageza guhumeka buhoro buhoro kandi cyane cyangwa kuruhuka imitsi yawe buhoro buhoro niba uzi ubu buryo. Bamwe basanga gukora imyitozo yoroheje y’ijosi n’amagaragara bibafasha.
Tegura ibikoresho byo kuvura migraine ufite imiti yawe, icupa ry’amazi, iziburiburi, n’ibindi bikoresho bikuruhura. Kugira byose hamwe bigufasha kudakoresha imbaraga nyinshi igihe utari kumva neza.
Gutegura uruzinduko rwawe kwa muganga bishobora kugufasha kubona gahunda y’ubuvuzi iboneye. Umuganga wawe azakenera amakuru arambuye yerekeye ibimenyetso byawe kugira ngo akore ubuvuzi neza kandi agutere inama y’ubuvuzi bukwiye.
Mbere y’uruzinduko rwawe, tanga gutangira kwandika ibyabayeho bya migraine niba utarabikora. Andika igihe ibyo bibazo bibaho, uko ibimenyetso byawe bya aura bigaragara, igihe biba, n’uko igihe cy’ububabare bw’umutwe kibamo.
Zana amakuru akurikira mu ruzinduko rwawe:
Andika ibibazo ushaka kubaza mbere y’uruzinduko rwawe. Ibi bishobora kuba ibibazo bijyanye n’uburyo bwo kuvura, guhindura imibereho, cyangwa igihe ukwiye gushaka ubuvuzi bwihuse.
Ntukabe umerewe nabi no kuba ufite ibisubizo byose cyangwa amakuru yuzuye. Muganga wawe amenyereye gukorana n’abarwayi kugira ngo asobanukirwe uburyo ibimenyetso bigaragara kandi azakuyobora muri uwo mujyo.
Migraine ifatanye n’aura ni indwara y’imitekerereze ishobora kuvurwa kandi ikaba iza ku bantu benshi. Nubwo ibimenyetso bya aura bishobora gutera ubwoba igihe bibaye bwa mbere, gusobanukirwa icyabaye bishobora kugabanya impungenge no kunoza ubushobozi bwawe bwo kubikemura.
Icy’ingenzi cyane ni uko ubuvuzi bufatika buhari. Hamwe n’ubumenyi bw’indwara n’uburyo bwiza bwo kuvura, abantu benshi barwaye migraine ifatanye n’aura bashobora kugabanya cyane ibimenyetso byayo kandi bagumane ubuzima bwiza.
Gukorana bya hafi n’abaganga bamenye indwara ya migraine ni ingenzi mu gushaka uburyo bukwiye bwo kuvura. Ibi bishobora kuba imiti, guhindura imibereho, n’uburyo bwo guhangana n’umunaniro buhuye n’imimerere yawe.
Wibuke ko guhangana na migraine akenshi ari inzira ikeneye igihe. Jya wihangana mu gihe wowe n’itsinda ry’abaganga mukorana kugira ngo mubone icyakora neza mu gukumira no kuvura ibyo bibazo.
Yego, ushobora kugira ibimenyetso bya aura udatangiye kubabara umutwe. Iyi ndwara yitwa “migraine ituje” cyangwa “migraine aura idafite umutwe.” Iramenyekanye cyane uko abantu bakura, kandi igera kuri 4% by’abaturage.
Ibimenyetso bya aura ni kimwe n’ibyo bibaho mbere y’ububabare bw’umutwe busanzwe bwa migraine. Ushobora kubona ibimenyetso byo kubura ubushobozi bwo kubona, kumva utaryarya, cyangwa kugira ibibazo byo kuvuga, ariko nta bubabare bw’umutwe bukurikira. Ibi bibaho muri rusange nta cyo bibangamira ariko bigomba gukurikiranwa n’abaganga.
Aura ya migraine ubwayo ntabwo ari ikintu cy’akaga, nubwo bishobora gutera ubwoba igihe ubona bwa mbere. Ibimenyetso biterwa n’impinduka z’igihe gito, zisubira inyuma mu mikorere y’ubwonko kandi bikagenda mu gihe kitarenze isaha imwe.
Ariko rero, hariho ibyago bike byiyongereye byo kugira umwijima mu bwonko bifitanye isano na migrane ifite aura, cyane cyane mu bagore barunda cyangwa bakoresha imiti irimo estrogen. Ibyago nyakuri bikomeza kuba bike cyane, ariko ni byiza kubiganiraho na muganga wawe, cyane cyane ku bijyanye no guhitamo imiti ibuza imbyaro.
Aura ya migrane iramara iminota hagati ya 5 na 60, igihe gisanzwe kiba iminota 10-30. Ibimenyetso bisanzwe bigenda bigaragara buhoro buhoro mu minota mike aho kugaragara mu buryo butunguranye.
Niba ibimenyetso bya aura byawe bimara igihe kirekire cyane cyangwa bikageraho mu buryo butunguranye, ugomba gushaka ubufasha bw’abaganga. Ibimenyetso by’indwara z’imitsi bikomeye cyangwa bigeraho mu buryo butunguranye bishobora kugaragaza ubundi burwayi bukenewe gusuzuma.
Yego, stress ni kimwe mu bintu bisanzwe bitera migrane ifite aura. Stress ikomeye iterwa n’ibintu runaka na stress idakira irashobora kongera ibyago byo kugira ibitero bya migrane.
Icy’ingenzi, bamwe babona ko babona migrane mu gihe cyo “kuruhuka” nyuma ya stress, nko mu mpera z’icyumweru cyangwa mu ntangiriro z’ibiruhuko. Kwiga ubuhanga bwo guhangana na stress no kugira gahunda zihoraho bishobora kugabanya ibyago bya migrane bifitanye isano na stress.
Uburyo bwa migrane buhinduka uko umuntu akura, ariko ibi bihinduka cyane ukurikije umuntu ku giti cye. Bamwe basanga aura yabo igenda igabanuka cyangwa igabanuka uko bakura, abandi bashobora kubona ko iba ikomeye.
Abagore benshi babona impinduka mu buryo bwa migrane mu gihe cy’ihindagurika ry’imisemburo. Bamwe bagira migrane mike muri rusange, abandi bashobora kubona impinduka mu bimenyetso bya aura. Ihindagurika rihambaye ryose mu buryo bwawe bwa migrane rigomba kuganirwaho n’umuganga wawe.