Ingabe Ukuhlinzwa Ngepulasitiki Yisichotho UMariya Ukudlala Ngokulwa Nemigraines?
-Delile
Kusukela aqeda isikole samabanga aphansi, uHillary Mickell ubelwa nemigraines.
"Kwesinye isikhathi ngiba nezithupha ngosuku, bese ngingenalo isonto lonke, kodwa bese ngiba nemigraines kaningi izinyanga eziyisithupha eziqondile," kusho uMickell, uchwepheshe wezokukhangisa waseSan Francisco oneminyaka engu-50 . “Ngenkathi ngiphishekela ukuqala kwami imidlalo eminyakeni embalwa eyedlule babamba umgqigqo. Kuthatha nje okuningi kwakho ukusebenza lapho ubhekene nobuhlungu obunjalo. Kufinyelela eqophelweni lokuthi ungazizwa ungumuntu ophelele. ”
UMickell akayedwa ekukhungathekeni kwakhe. Cishe owesifazane oyedwa kwabayisihlanu asebekhulile e-US uhlangabezana nemigraines engalimaza kakhulu. Isiqephu esijwayelekile singahlala kuze kufinyelele kumahora angama-72 futhi abantu abaningi abakwazi ukusebenza ngokujwayelekile ngaleso sikhathi. Ubuhlungu obunzima, obuthakathaka kaningi buletha isicanucanu, ukudangala, ukuzwela ngokweqile, ukukhubazeka okuyingxenye, i-vertigo nokuhlanza. Ukunanela amazwi kaMickell, kunzima ukuzizwa “uphilile.”
KuMickell, i-migraines ikwi-DNA yomndeni wakhe. Umama wakhe, ubaba wakhe nodadewabo nabo balwa ne-migraines engapheli njalo. Futhi njenganoma ngubani ophila nesifo esingelapheki, uHillary nomndeni wakhe bafune ikhambi elifanele lokusiza ukuphatha ubuhlungu nokuvama kwemigraines, kepha ukuthola ukwelashwa kudume kanzima.
Ngenxa yobunzima be-migraines obuyinkimbinkimbi futhi obungaqondakali kahle, iziguli eziningi zithola ukuzuza okungatheni kuma-painkillers e-counter, futhi imishanguzo kadokotela ye-migraine isetshenziswa kuphela yiziguli. Lokhu kushiye abaningi bebodwa behlola izindlela zokwelapha ezingezona ezendabuko.
“Uyiqambe igama, sengikwenzile,” kusho uMickell ngocingo. “Ngihlinzwe ngomuntu, ngenze ama-triptan, ama-vasodilator, ngasebenza nodokotela bezokwelapha, ngaphuza imishanguzo yokulwa nokuquleka, ngisho nensangu yezokwelapha ukuze ngiqonde ngqo iTopamax neVicodin. Konke. Bonke abanamazinga ahlukahlukene okuphatha ubuhlungu, empeleni. ”
Ngokwengeziwe, eziningi zalezi zinketho zinemiphumela engemihle, njengokulaliswa “ukulala” okunganciphisa umkhiqizo womuntu.
I-Botox yokukhululeka kwe-migraine
Njengoba ochwepheshe nabagulayo be-migraine behluleka ukuqonda i-migraines, enye yezinkolelo zakamuva zikhombisa ukuthi zingabangelwa ukucasuka kwezinzwa noma "ukuzwa" izinzwa ekhanda. Yilokhu kutholakala kwamaphoyinti okuqala okuholele ekusetshenzisweni kwecala kwe-botoulinum toxin A noma i- "Botox" njengokwelashwa. Ngokuyinhloko, i-Botox isiza ngokuvimba izimpawu ezithile zamakhemikhali ezinzwa zakho.
I-Botox yaba esinye sezinyathelo ezasebenza kakhulu kuHillary owazama emva kokuvuma ukusetshenziswa kwayo kwemigraines engapheli ngo-2010. Ngesikhathi esimisiwe, udokotela wakhe wajova imithamo eminingi ezindaweni ezithile eceleni kwebhuloho lekhala lakhe, amathempeli, ibunzi, intamo, nangaphezulu emuva.
Ngeshwa, noma kunjalo, iBotox ayihlali unomphela. Imithi iyaphela, futhi ukuqhubeka nokwelashwa kweBotox kwemigraines, uzodinga imijovo njalo ezinyangeni ezintathu. “Ngizamile iBotox amahlandla ambalwa, kwathi ngenkathi yehlisa ubunzima nobude bemigraines yami, kodwa akuzange kunciphise izehlakalo,” kusho uMickell.
Ukuhamba ngaphansi komese
Eminyakeni embalwa kamuva, uskwiza wakhe wamkhombisa isifundo nguDkt. Oren Tessler, Umsizi kaProfesa Wezokwelapha Emtholampilo eLSU Health Sciences Centre eNew Orleans School of Medicine. Kuwo, iqembu lodokotela abahlinzayo bepulasitiki nabakha kabusha lisebenzise ukuhlinza kwezimonyo zezimonyo ukucindezela, noma "ukukhulula" izinzwa ezibangela i-migraines. Imiphumela? Izinga lokuphumelela elingama-90% phakathi kweziguli.
KuHillary, kungenzeka ukuthi kuncishiswe imvamisa nobukhulu be-migraines yakhe nebhonasi eyengeziwe yokuhlinzwa kwezimonyo kuzwakale njengokuwina, ngakho-ke ngo-2014 wathola udokotela ohlinzayo wepulasitiki eLos Altos, eCalifornia owayesazi kahle izinzwa -umsebenzi ohlobene.
Umbuzo wakhe wokuqala awubhekise kudokotela ukuthi ngabe into enzima njengokuhlinzwa izosebenza yini. "Wathi kimi," Uma wenze i-Botox ye-migraines futhi lokho kuphumelele, lokho kuyinkomba enhle yokuthi lolu hlobo lokuhlinzwa lungasebenza. '”
Inqubo uqobo lwayo yenziwa ngokugula kwabangaphandle futhi imvamisa ingaphansi kwehora lephuzu ngalinye le-trigger elisebenza lingasebenzi. Uma kuphumelele, imvamisa namandla we-migraines kuncishiswe kakhulu ngaphezulu kweminyaka emibili.
"Basho ngokuyisisekelo ukuthi" Akukho okubi. Azikho izinzwa. Ubuso bakho abuzukuthola ifloppy, futhi akukho lutho olungahamba kabi. Bekungeke nje kusebenze. '”
Ngemuva kokuphila konke elwa ne-migraine ebuthaka nokuzama izindlela zokwelashwa eziningi zokuvimbela, ekugcineni uHillary wagcina engasenawo i-migraine.
“Ngichithe iminyaka eyishumi edlule nginikela isigamu sesikhathi sami ekuphatheni i-migraines,” kusho uMickell, “kodwa ngemuva kokuhlinzwa sengineminyaka emibili ngingenayo i-migraines. Ngisanda kuqala ukuphathwa yikhanda, kodwa bengingeke ngize ngikuqhathanise ne-migraine yami ejwayelekile. ”
Uyanezela: “Ngitshele wonke umuntu ngakho. “Asikho isizathu sokungakwenzi lokho. Akubizi izindleko. Futhi izinga lomthelela liyamangalisa. Angikholwa ukuthi abantu abazi ngayo futhi abakhulumi ngayo. ”
Kulabo abacabanga ukuhlinzekwa nge-eyelift for migraines, sicele iseluleko ku-plastic surgeon uCatherine Hannan MD.
Q:
Ngabe abantu abahlushwa yimigraines engapheli kufanele babe ngaphansi komese ngaphambi kokunquma ezinye izinqubo?
A:
Abaphethwe yi-Migraine kufanele baqale babone udokotela wezinzwa ukuze athole umlando ophelele nokuhlolwa komzimba. Odokotela abaningi bezinzwa baqala ngezindlela zokwelapha ze-pharmacologic ngoba iziguli eziningi ziyazuza kulokho. Ngokwengeziwe, njengoba iningi lodokotela abahlinzayo bepulasitiki bengakabi nale nqubo, kungaba yinselele ukuthola umhlinzeki ngaphandle kwesikhungo semfundo edolobheni elikhulu.
UCatherine Hannan, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.
Q:
Ngabe iBotox ibe nempumelelo yesikhathi eside ngeziguli?
A:
I-toxin ye-botulinum ihlale iphela ezigulini eziningi ngemuva kwezinyanga ezingaba ngu-3, ngakho-ke iyindlela yokwelapha esebenzayo kepha hhayi eyelaphayo.
UCatherine Hannan, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.Q:
Ngabe ukuthola ukuhlinzekwa ngepulasitiki kuyisixazululo esisebenza ngempumelelo uma kuqhathaniswa neBotox noma ezinye izindlela zokwelapha ezingasebenzi kahle?
A:
Izazi eziningi ze-neurologists zizama imithi kuqala, bese kuba imijovo yeBotox, ngaphambi kokuhlinzwa kube inketho. Yize lokhu kungasho ukuthi ukukhokha okuningi okubizayo ngokuhamba kwesikhathi, kungaba ukuphela kwendlela. Isiguli kungenzeka singakwazi ukuthola udokotela ohlinzayo we-migraine, noma lowo owemukela umshuwalense wakhe. Uhlelo ngalunye lomshuwalense lwehluke kakhulu futhi iziguli kufanele zihlole nomshuwalense wazo mayelana nokufaneleka kwalezi zinzuzo.
UCatherine Hannan, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.Q:
Ngabe ukuhlinzwa kwezimonyo isichotho sikaMariya kudlala umphakathi we-migraine ongapheli obekulangazelelwa?
A:
Ezigulini ezikhethiwe ezihlulekile ukwelashwa kwendabuko kwe-migraine, ngokuqinisekile kuyindlela ephephile futhi ephumelelayo enesikhathi sokuphumula esincane nezinkinga ezimbalwa. Udokotela wezinzwa onguchwepheshe we-migraine angasiza ekuhloleni nasekunqumeni ukuthi isiguli singumuntu ofanelekayo yini.
UCatherine Hannan, Izimpendulo ze-MDA zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.
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