Ungazi Kanjani Uma Ubhekene Nekhanda Eliyikhanda leHormonal

-Delile

• Yini ikhanda lekhanda le-hormonal?
• Yini ebangela ubuhlungu bekhanda le-hormonal?
• Uvimbela kanjani ikhanda lekhanda le-hormonal?
• Ungayelapha kanjani ikhanda le-hormonal?
• Buyekeza kwe-

Ikhanda liyamunca. Noma ngabe kubangelwa yingcindezi, ukungezwani komzimba, noma ukungalali, lowo muzwa wekhanda elibuhlungu eliza ngamandla ungakugcwalisa ngokwesaba futhi ubuyele emuva embundwini omnyama wombhede wakho. Futhi lapho ubuhlungu bekhanda bubangelwa ama-hormone, bungenza ukuvimbela nokwelapha kube nzima nakakhulu. Lapha, lokho okushiwo ochwepheshe mayelana nekhanda le-hormonal nokuthi ungabhekana kanjani nalo. (Okuhlobene: Yini ama-Ocular Migraines futhi ahluke kanjani kuma-Migraines ajwayelekile?)

Yini ikhanda lekhanda le-hormonal?

Nakuba ikhanda elibuhlungu noma i-migraine kungenzeka noma nini, ikhanda elibuhlungu le-hormonal noma i-migraine ihlehliswa ngokuqondile phakathi nomjikelezo wakho wokuya esikhathini. Kokubili ukuphathwa yikhanda kwe-hormonal kanye ne-migraines kubangelwa ukuguquguquka kwama-hormone okwenzeka phakathi nomjikelezo wokuya esikhathini, kusho uThomas Pitts, MD, udokotela wezinzwa eHudson Medical Wellness eNew York City. Kuyaphawuleka lapha ukuthi ikhanda kanye migraines kukhona hhayi eyodwa futhi efanayo - njengoba nje noma yimuphi umuntu ophethwe yi-migraine engapheli ezokutshela.

Uma ungenaso isiqiniseko sokuthi ubhekene nekhanda elihambisana nokuya esikhathini noma i-migraine, yehlela esikhathini nesikhathi. Ubuhlungu bekhanda kanye nemigraines okubangelwa ama-hormone ngokuvamile kwenzeka phakathi nezinsuku ezinhlanu kuya kweziyisikhombisa ngokuqondile ngaphambi nangesikhathi sokuya esikhathini, kusho uJelena M. Pavlovic, M.D., uchwepheshe wekhanda e-Montefiore Headache Centre eNew York City.

Izinhlungu zekhanda zama-hormone, ezaziwa nangokuthi yikhanda le-PMS, ngokuvamile lihlukaniswa njengezinhlungu zekhanda elicindezelayo. Kuvamile ukuthi ubuhlungu bekhanda buhambisane nokukhathala, induna, ubuhlungu bamalunga, ukwehla kokuchama, ukuqunjelwa, kanye nokuntuleka kokuxhumana, kanye nokwanda kwesifiso noma izifiso zikashokoledi, usawoti, noma utshwala, ngokusho kweNhloko Yesizwe Isisekelo.

Izimpawu ze-migraine ezihlobene nokuya esikhathini zilingisa lezo ongazizwa ngemigraines ejwayelekile, enjengecala elilodwa, elibuhlungu ekhanda elihambisana nesicanucanu, ukuhlanza, noma ukuzwela kumalambu akhanyayo nemisindo. Le migraines ye-hormonal ingahle ilandelwe noma ingalandelwa i-aura, engafaka phakathi ukubona izinto ezinhlakeni ezibukwayo, noma ukuqaphela ukuzwela ekukhanyeni, umsindo, iphunga, kanye / noma ukunambitha, kusho uDkt Pitts.

Yini ebangela ubuhlungu bekhanda le-hormonal?

Ubuhlobo phakathi kwama-hormone nekhanda elibuhlungu yinkimbinkimbi futhi abuqondi ngokuphelele, kusho uDkt. Pavlovic. "Siyazi ukuthi imigraines isengozini enkulu yokushintshashintsha kwamahomoni, ikakhulukazi izinguquko emazingeni e-estrogen," kuchaza yena.

Kukhona ubudlelwane obucacile phakathi kwamahomoni nezinhlungu zekhanda, futhi lokhu kuyiqiniso ikakhulukazi kwi-migraine ephazamisa kakhulu. Amahomoni—njenge-estrogen—angase aqalise uchungechunge lwezenzakalo oluyinkimbinkimbi oluhilela izinzwa, imithambo yegazi, nemisipha, okungase kuhlangane futhi kubangele i-migraine ehlobene nokuya esikhathini, ingxenye yekhanda elibuhlungu lama-hormone, kusho uDkt. Pitts.

Izinhlungu ezivame kakhulu zekhanda le-hormonal zibangelwa ezinsukwini ezimbalwa ngaphambi kokuqala komjikelezo wakho wokuya esikhathini. "Ukuguquguquka kwamazinga e-estrogen ne-progesterone ngokuvamile kubangela ukuthi ubuhlungu bekhanda bubonakale ezinsukwini ezintathu ngaphambi kwesikhathi sakho," kusho u-Kecia Gaither, M.D. ongudokotela wezokwelapha okhulelwe nomama e-NYC Health Hospitals/Lincoln. Ukwelashwa esikhundleni se-hormonal, amaphilisi okulawula inzalo, ukukhulelwa, noma ukuyeka ukuya esikhathini nakho kungabangela ukushintsha kwama-hormone futhi kube ezinye izimbangela ezingabangela ikhanda elibuhlungu, kunezela uDkt. Gaither. (Okuhlobene: Lokho Isihogo Segazi Esingumqeqeshi Wesikhathi?)

"Amazinga e-Estrogen ancipha ngokushesha ezinsukwini ezinhlanu ngaphambi kokuqala kokuya esikhathini, futhi lelo thonsi lihlobene ngqo ne-migraine ehlobene nokuya esikhathini," kusho uDkt. Pavlovic. Ukuhlukaniswa okusemthethweni kuqaphela izinsuku ezinhlanu (izinsuku ezimbili ngaphambi kokuqala ukopha kanye nezinsuku ezintathu zokuqala zokopha) njenge-migraine ehlobene nokuya esikhathini. Kodwa-ke, ukuthi iwindi lokuthambekela kwe-migraine lingaba lide noma lifushane kwabanye abantu, uyanezela. (Okuhlobene: Engikufundile Ngokuba Nekhanda Lekhanda Elingapheli.)

Uvimbela kanjani ikhanda lekhanda le-hormonal?

Ubuhlungu bekhanda noma i-migraines ebangelwa ama-hormone kungaba nzima ukuvimbela. Ngenxa ye-biology, ukushintshashintsha kwama-hormone nokuya esikhathini kuyingxenye yesipiliyoni esivamile sokuzalwa ngama-chromosomes amabili e-X. Uma ubhekene nengcindezi noma ukuqina ebunzini lakho noma ukuqhuma, ubuhlungu obuhlangothini olulodwa (ikakhulukazi uma buhambisana ne-aura enqunyelwe umjikelezo wakho wokuya esikhathini, isinyathelo sokuqala kufanele kube ukuvakashela udokotela wakho wokunakekelwa oyinhloko noma i-gynecologist ukuqinisekisa ukuthi Ukuphathwa yikhanda kuhlobene ne-hormone futhi akukho nkinga yezempilo eyisisekelo, kusho uDkt Gaither.

Izinkinga zokuya esikhathini, njengokuphuma kwegazi ngokweqile, imijikelezo engajwayelekile, nemijikelezo engabanjwanga noma eyengeziwe kungaba yicala lekhanda lakho le-hormonal, futhi ukwelapha imbangela eyisisekelo kuyisinyathelo sokuqala sokuthola usizo, kusho uDkt Pitts. I-Hormonal migraines nayo ingaba uphawu lwezifo ze-endocrinological, njengesifo sikashukela noma i-hypothyroidism ngoba uhlelo lwe-endocrine lubhekele ukukhiqizwa kwamahomoni emzimbeni wonke. Uma udokotela wakho ethola inkinga ye-endocrine, ukwelapha isimo okuyisona kungenzeka kusize nekhanda lakho le-hormonal, kusho uDkt Pitts.

Uma udokotela wakho engatholi noma yimuphi umbandela ongaba yimbangela yekhanda lakho le-hormonal, khona-ke "ngincoma iziguli zilandelele isikhathi sazo kanye nezinsuku ikhanda elivela ngazo zisebenzisa iphephabhuku noma uhlelo lokusebenza lwezempilo imijikelezo embalwa ukunikeza ibalazwe lomgwaqo lokwelashwa, " kusho uDkt Pitts.

Njengoba lokhu kuhlaselwa kuvame ukuhlangana, okuholela ezinsukwini ezinhlanu kuya kweziyisikhombisa zekhanda noma i-migraines, kubalulekile ukubaphatha njengeyunithi. Olunye uhlelo olukhona lwegeyimu lubizwa ngokuthi yi-mini preventing, evumela ukwelashwa kwekhanda le-hormonal kulabo abanezikhathi ezijwayelekile (njengaphakathi, ezingaguquguquki) nezinhlungu zekhanda ezingabikezelwa, kusho uDkt Pavlovic. Ukuqaphela lapho ukuphathwa yikhanda noma i-migraines kungenzeka kakhulu kubalulekile ukuthola ukuthi ngabe kubangelwa yini ukuqala komjikelezo wakho wokuya esikhathini, ukukhomba ukuthi zingaki izinsuku ezihlala kuzo, futhi uthole ukwelashwa okufanele kuwe.

Uma kutholakala iwindi elingaguquguquki, yithi uthola ikhanda njalo ngenyanga ezinsukwini ezimbili ngaphambi kokuqala kwesikhathi sakho, udokotela wakho angaphakamisa uhlelo lwemithi. Isibonelo, ungathatha i-over-the-counter i-NSAID (i-nonsteroidal anti-inflammatory drug) - efana ne-Aleve - usuku ngaphambi kokuthi ulindele ukuthi ikhanda lizoqala futhi liqhubeke kulo lonke iwindi lakho lekhanda, kusho uDkt.Pavlovic. Ukuhlonza iwindi lekhanda kusho ukuthi umuthi wezinhlungu ungasetshenziswa kuphela ngesikhathi sakho njengokwelashwa kwezimpawu, esikhundleni sokudinga ukuthatha incwadi kadokotela nsuku zonke (noma ngabe awunazo izimpawu) njengoba ubungaphathwa yikhanda elingapheli noma isimo se-migraine, kuchaza uDkt. Ama-Pitts. (I-FYI, ukusebenzisa kwakho kungasiza ekunciphiseni ubungozi be-migraines.)

Ungayelapha kanjani ikhanda le-hormonal?

Ukulawulwa kokuzalwa okususelwa ku-Estrogen kungathuthukisa noma kubhebhethekise ikhanda le-hormonal kuye ngesimo ngasinye. "Ukulawulwa kokuzalwa okusekelwe ku-Estrogen kungasetshenziswa njengendlela yokwelapha ngisho nokushintshashintsha kwe-estrogen, futhi ngethemba lokudambisa ubuhlungu bekhanda," kusho uDkt. Pavlovic. Uma ukuqaqanjelwa yikhanda kwe-hormonal kwenzeka okokuqala noma kubi kakhulu lapho uqala ukulawula ukubeletha okususelwa ku-estrogen, yeka ukuthatha bese wenza i-aphoyintimenti nodokotela wakho. Kodwa-ke, uma i-migraines yakho ihambisana ne-auras (noma ngabe yenziwa ngehomoni noma cha), amaphilisi aqukethe i-estrogen kufanele agwenywe, ngoba angakhuphula ubungozi bokushaywa unhlangothi ngokuhamba kwesikhathi futhi andise izinga lakho lokuphefumula, umfutho wegazi, ukushaya kwenhliziyo, kanye kuthinta imizwa nokulala, kusho uDkt Pitts. (Okuhlobene: Into Ethusayo Okufanele Uyazi Uma Ukulawulwa Kokubeletha futhi Uthole I-Migraines)

Nakuba isikhathi eside, imithi yansuku zonke iyindlela yabaningi yokuphatha ikhanda elibuhlungu noma i-migraines, ungakhetha futhi ukwelapha izimpawu. Ngokuya ngobukhulu bezinhlungu, ngaphezu kokunciphisa izinhlungu, njenge-acetaminophen noma ibuprofen, kungaba yindlela elula yokuhlasela, kusho uDkt Gaither. Kunezinombolo eziningi ze-NSAID ezingagunyaziwe, ama-NSAID kadokotela, nezinye izindlela zokwelapha eziqondene ne-migraine ezingazanywa, kusho uDkt. Pavlovic. Udokotela wakho angakweluleka ukuthi iyiphi inketho ongazama kuqala kepha ukukhetha okuhle kakhulu ukuthi yikuphi okukusebenzela kangcono. Qala ukuphuza imithi ngokushesha nje lapho izimpawu ziqala ukuzama ukunqanda olunye usuku lwekhanda elibuhlungu. Ucwaningo luye lwabonisa ukuthi izengezo ze-magnesium nazo zingasiza ekwelapheni i-migraines, kusho uDkt Pavlovic.

Kunezinhlobo eziningi zokwelashwa ezingezona ezokwelapha ezitholakalayo, njenge-acupuncture noma i-massage therapy, kusho uDkt Pitts. Ucwaningo ku-Cleveland Journal of Medicine lubonisa nemiphumela ethembisayo ye-biofeedback ekwelapheni ubuhlungu bekhanda, kusho uDkt Gaither. I-Biofeedback kanye nokukhululeka kwemisipha okuqhubekayo kuyizindlela ezamukelwa kabanzi kunazo zonke ezingezona izidakamizwa zokulawulwa kwekhanda nokuvimbela, ngokusho kwe-American Migraine Foundation. I-Biofeedback iyindlela yokusebenza komzimba esebenzisa ithuluzi lokuqapha ukuphendula komzimba, njengokucindezela kwemisipha noma ukushisa, njengoba umuntu ezama ukuguqula leyo mpendulo. Umgomo ukwazi ukubona nokunciphisa ukusabela komzimba wakho ekucindezelekeni ukuvimbela noma ukunciphisa ikhanda elibuhlungu ngokuhamba kwesikhathi. (Bheka futhi: Ungawasebenzisa Kanjani Amafutha Abalulekile eMigraines.)

Okokugcina, ungakubukeli phansi ukuhlola ukuziphatha kwakho njengokuthi uthola ukuvivinya umzimba kangakanani, ukulala, kanye ne-hydration. “Ukuhlonza izimbangela ezifana nekhwalithi yokungalali kahle, ukugeleza kwamanzi nokudla okunempilo, nempilo yengqondo nakho kungaba neqhaza ekulungiseni ikhanda elibuhlungu lehomoni,” kusho uDkt. Pitts.

Buyekeza kwe-