Ngā Mea Me Mōhio Mō te Mate Māhunga: Tōna Whakamārama, Ngā Momo, Ngā Tohu, me te Whakahaere
He aha ngā Āhuatanga Motuhake o te Mate Māhunga Migraine e Rerekē ai i Ētahi Atu Momo Māhunga?
Ko te migraine he momo māhunga ka tīmata i ngā wā katoa o te oranga, he maha ka whakahou anō, ā, i ētahi wā ka roa i ngā hāora, i ētahi wā ka tae ki ngā rā. Ko te nuinga ka pā ki te hunga kei te wā mahi, ā, kei runga rawa i te rārangi o ngā mate mauroa e pā ana ki te ngaronga ā-mahi puta noa i te ao. Ina koa ki ngā wāhine, he nui ake te kitea i te hunga tāne; e ai ki ngā rangahau, tata ki te kotahi o ia rima wāhine ka pāngia, ā, i te hunga tāne kotahi o ia rua tekau. Ahakoa ka tīmata pea te migraine i te wā tamariki, ko te nuinga ka tīmata i te taiohitanga, ā, ka heke pea te auau i te pakeketanga, ina koa i muri i te wā o te menopause.
He aha ngā Āhuatanga Kē o te Migraine?
Ko te migraine he mate roro ka taea te roa mō te oranga katoa, ā, ka puta i ngā wā rerekē hei raru māhunga. I te nuinga o te wā, ka kitea te māhunga i tētahi taha anake, he kaha, he patupatu te āhua. He maha ka piri atu ngā tohu pēnei i te ruaki, te whakapōuri, te aro ki te rama me te oro. I ētahi wā ka noho kore mamae te tangata i waenga i ngā raru.
He nui te wāhi o te ira tangata i te whanaketanga o te migraine. Ka piki te tūpono ki te hunga he hītori ā-whānau. Engari ehara i te ira anake, he wāhi nui anō tō ngā āhuatanga taiao. He mea nui kia mōhio ehara te migraine i te mate tuku iho anake, engari he pānga anō tō te ira me te taiao.
He aha ngā Momo Matua o te Migraine?
E rua ngā rōpū matua o te migraine i te tirohanga haumanu:
Migraine Kāore he Aura: Koinei te momo tino kitea. Ka roa te raru māhunga i te nuinga o te wā mō te 4-72 hāora. He maha ka pā ki tētahi taha anake, ā, ka kaha ake i te mahi tinana. Ka piri atu te aro ki te rama, te oro rānei.
Migraine me te Aura: E 10% pea o te hunga migraine. I mua tata i te tīmatanga o te māhunga – he tata ki te kotahi hāora i mua – ka puta ngā tohu roro pērā i te raru kite (rārangi kōpiko, uira rama, wāhi koretake i te tirohanga), te kākā, te ngoikore, te āmaimai, te raru kōrero. He ōrite te kaha o ngā raru aura me ngā raru kāore he aura.
Haunga ēnei, ahakoa he onge, kua tautuhia hoki ngā momo pērā i te migraine mauroa (he iti rawa te 15 rā ia marama he māhunga, ā, 8 rā he raru migraine), me te migraine pea.
He Aha te Take o te Migraine? He aha ngā Mea Whakakōkī?
Ahakoa kāore anō kia tino mārama ngā take o te migraine, e whakaponohia ana ka puta nā ngā rerekētanga mahi i waenga i ngā uaua me ngā io o te roro. He māmā ake te roro o te hunga migraine ki ētahi whakaoho, ā, he maha ngā āhuatanga o roto, o waho hoki ka whakakōkī i te tīmatanga o te raru.
He wāhi tō te ira tangata i te hanganga o te migraine; ina koa ki te whānau he hītori migraine, ka piki te tūpono. Heoi anō, ko te pēhanga hinengaro, te koretake o te moe, ngā rerekētanga homoni, ngā rerekētanga huarere me te wā, ētahi kai me ngā inu, ngā haunga taiao, te pā ki te oro, ka taea te whakakōkī i te raru migraine i ia tangata.
Me Pēhea te Mōhio ki ngā Tohu o te Migraine?
Ko te migraine he tikanga e whā ngā wā matua e whai ake nei:
1. Wā Prodrom:
I ngā hāora, i te rā rānei i mua i te raru, ka puta ngā tohu pēnei i te riri, te rerekē o te wairua, te kore hiahia, ngā rerekētanga moe me te kai, te pakari i te kakī.
2. Wā Aura:
Ehara i te mea ka kitea i te katoa, engari i ētahi ka puta i mua i te māhunga, i te tīmatanga rānei, ngā raru kite, rongo rānei, roro rānei (hei tauira, uira rama, wāhi koretake i te tirohanga, te rongo koretake, te kākā, te raru kōrero). He iti iho i te kotahi hāora te roa o ngā tohu aura.
3. Wā Mamae (Māhunga):
Ko te māhunga i te nuinga o te wā kei tētahi taha o te māhunga, he patupatu, he kaha; engari ka pā hoki ki te katoa o te māhunga. He maha ka piri atu te ruaki, te whakapōuri, te aro ki te rama, te oro, te haunga hoki. He āwhina te moe, te whakatā i te wāhi pōuri, pukuoro hoki. Ka roa tēnei wā i ngā hāora, i ngā rā rānei.
4. Wā Postdrom:
I muri i te whakangā o te mamae, ka puta te ngenge, te rangirua, te mamae māhunga māmā, me te raru arotahi mō ētahi hāora, rā rānei.
Me Pēhea te Tautuhi me te Whakamana i te Migraine?
Ka tautuhia te migraine mā te kitea o ngā tohu motuhake. Ka uiuia te tau tīmatanga o ngā raru, ngā āhuatanga o ngā tohu me ngā āhuatanga piri. Kāore e hiahiatia te tirohanga, te whakamātautau taiwhanga rānei i te nuinga o te wā; engari mēnā he rerekē te mate, he take kē pea, ka taea te whakamātau anō. He mea tika kia rapu āwhina i te mātanga roro mō te tautuhi.
He aha ngā Mea Whakakōkī i ngā Raru Migraine?
He rerekē ngā whakakōkī ki ia tangata, engari ko ēnei ngā tino kitea:
Te peke kai, te noho hiakai rānei
Te koretake o te moe
Te pēhanga hinengaro
Te pā ki te rama kanapa, te oro nui, te haunga kaha rānei
Te waipiro (ina koa te waina whero)
Ngā kai pēnei i te tiakarete, ngā mīti tukatuka, ngā tīhi kua pirau
Ngā rerekētanga homoni (hei tauira: te wā o te mate wahine)
Ngā rerekētanga huarere, te poke o te hau
Te hikareti me te paoa tuarua
He mea nui te mōhio ki ēnei whakakōkī, te karo hoki i te mea ka taea hei whakaiti i te auau o ngā raru.
He Aha te Pānga o te Kai ki te Migraine?
Kua mōhiotia he hononga kei waenga i ngā kai motuhake me ngā raru migraine. Ko ngā mīti tukatuka he nitiriti pēnei i te tōtiti, te ham, te sausage; te tiakarete; ngā tīhi nui tiramini; ētahi inu kakara, inu makariri rānei; ngā kai parai hinu hoki ka taea te whakakōkī i te māhunga. Waihoki, ka taea e te kawhe, te tī, te waipiro rānei te pā ki te tūpono o te raru. Nō reira, he pai kia whai i ngā kai e whakakōkī ana i te mamae, kia mahia ngā tikanga tika hei ārai.
He Aha ngā Tikanga Rongoā mō te Whakahaere Migraine?
Ahakoa kāore anō kia kitea he rongoā pūmau, he maha ngā tikanga whai hua hei whakaiti i te auau me te kaha o ngā raru, hei whakapiki i te kounga oranga. Ka whakaritea te rongoā e te rata kia hāngai ki te auau o te tono, te kaha o te raru, me ngā mate piri.
Rongoā
E rua ngā rōpū matua o ngā rongoā migraine:
Rongoā mō te raru ohorere: Hei whakaiti i te māhunga ohorere me ngā tohu piri. Ka taea te whakamahi i ngā rongoā māmā, ngā rongoā anti-inflammatories, ngā triptan, me ētahi atu rongoā motuhake i raro i te tohutohu a te rata.
Rongoā ārai (prophylactic): Mō te hunga e rua, neke atu rānei ngā raru migraine ia marama, he roa ngā raru, he tino pā ki te oranga. Ka whakamahia ngā beta blocker, ngā antidepressant, ngā antiepileptic, ngā calcium channel blocker, me te botulinum toxin type A. Me whakahaere te rongoā kia auau, kia āta whakahaere.
I ngā rōpū e rua, me whakamahi ngā rongoā i raro i te tirotiro a te rata, me te inenga tika. Mēnā he nui te ruaki, ka taea e tō rata te tūtohu i ngā rongoā antiemetiki.
Ngā Tikanga Kore Rongoā me ngā Panonitanga Āhua Noho
He wāhi nui tō ngā panonitanga āhua noho i te ārai i ngā raru migraine:
Te moe auau, te moe kounga
Te kai taurite, te kai hauora
Te whakahaere i te pēhanga hinengaro, ngā tikanga whakangā me te manawa
Te mahi tinana, te korikori auau
Te tautuhi i ngā whakakōkī, te karo hoki i te mea ka taea
Waihoki, e ai ki ētahi rangahau, ka whai hua pea ngā tāpiritanga pēnei i te magnesium, te huaora B2, te coenzyme Q10 mō te whakahaere migraine. Engari kāore ēnei e whai hua ki te katoa, ā, me whakamahi i raro i te tohutohu a te mātanga. Ina whiriwhiri i ngā hua rongoā rākau, ngā tāpiritanga rānei, me aro ki ngā pānga kino pea, me tiaki hoki i te ate me ētahi atu rongoā tinana.
He Aha ngā Mea Hei Aro ki te Ārai i ngā Raru Migraine?
Hei whakaiti i ngā raru, ka taea e koe te whai i ēnei tohutohu:
Kaua e noho hiakai roa, ā, me kai auau.
Tiakina te auau o te moe, karo i te nui rawa, te iti rawa rānei o te moe.
Whakaritea he wā mō ngā tikanga whakangā, yoga, te manawa hoki hei karo i te pēhanga hinengaro.
Me karo i ngā huringa āhuarangi, ngā hau tonga, ngā kakara e whakapataritari ana, me ngā rama kaha, ki te taea, kia noho tawhiti i ēnei āhuatanga o te taiao.
Me tuhi koe i ngā kai e whakapaetia ana hei take, kia taea ai te hanga rārangi motuhake mōu mō ngā mea e whakaoho ana.
Whāiti i te kai waipiro me te hikareti, ā, me karo hoki i te paoa tupeka.
Te Whakahaere i te Mate Māhunga me te Hiranga o te Tautoko a te Mātanga
Me maumahara, mēnā kāore e rongoāhia te mate māhunga, kāore rānei e whakahaere tika, ka tino heke te kounga o te oranga. Ina kaha ake ngā tohu, ka uaua rānei tō oranga ia rā, ko te huarahi tika ko te toro atu ki tētahi mātanga roro. Mā te arotakenga a te mātanga, ka taea te whai hua i ngā rongoā me ngā tohutohu motuhake mō te mate māhunga.
Ngā Pātai Auau
1. Ka taea te rongoā i te mate māhunga?
Ahakoa kāore e taea te whakakore katoa i te mate māhunga, mā te rongoā tika me te whakarite i te āhua noho, ka taea te whakaiti i te auau me te kaha o ngā whakaeke. Ka taea e te nuinga o ngā tūroro te whai oranga mā ngā tohutohu a te mātanga.
2. He pānga tō te mate māhunga ki te puku roro?
Kāo, kāore te mate māhunga e hono ana ki ngā puku roro. Engari, mēnā ka puta he rerekētanga ohorere i tō māhunga, he mamae hou, he tohu roro, he rerekētanga kē atu rānei, me pātai tonu ki te rata.
3. He mōrearea ake te mate māhunga me te aura?
Kāore te mate māhunga me te aura i te mōrearea ake i te mate māhunga kāore he aura. Heoi, i ētahi wā ka pā he koretake o te kite, he raruraru kōrero rānei i te wā o te aura. He mea nui te aroturuki a te rata.
4. Ka kitea te mate māhunga i ngā tamariki?
Āe, ka tīmata te mate māhunga i te wā o te tamarikitanga. Heoi, i ētahi wā ka rerekē ngā amuamu, ā, he uaua ake te kimi i te mate mā ngā tamariki. Mēnā ka whakapae he mate māhunga kei te tamaiti, me arotake e te mātanga.
5. He aha ngā mea e whakaoho ana i te mate māhunga?
Ko te pēhanga, te koretake o te moe, te peke kai, ētahi kai me ngā inu, ngā huringa homoni, te rama tino kaha, ngā kakara me ngā oro o te taiao, me ngā huringa āhuarangi ngā tino take e mōhiotia ana hei whakaoho.
6. He aha ngā kai me karo mō te mate māhunga?
Ka tūtohuhia kia karo i ngā kai mīti tukatuka, ngā tīhi kua pirau, te tiakarete, ētahi momo waipiro, ngā kai momona me te parai, me ngā kai he nui te nitrate, te tiramine rānei.
7. Ka puta he kino mauroa i te mate māhunga?
Kāore te mate māhunga e pā he kino mauroa ki ngā whekau; heoi, mēnā kāore e rongoāhia, ka tino heke te kounga o te oranga.
8. Me whakamahi tonutia aku rongoā?
Me whakamahi i ngā rongoā kua tohua e tō rata, i te nui me te wā kua whakaritea. Me karo i ngā rerekētanga ohorere, ā, kaua e whakamutu i te rongoā mehemea kāore anō kia kōrero ki tō rata.
9. He pai ngā hua āpiti mō te mate māhunga?
Kei reira ētahi taunakitanga ka whai hua pea te konupora, te huaora B2, me te koenzīma Q10, engari me whakamahi mā te tohutohu a tō rata anake.
10. Āhea au me toro ki te rata?
Mēnā ka puta he rerekētanga ohorere, he kaha rawa atu rānei i tō māhunga, te ngaro o te hinengaro, te ruaki, te kite rua, te uaua ki te hīkoi, te koretake o te taurite rānei, me rapu āwhina hauora.
11. He pai te korikori tinana mō te mate māhunga?
He pai te korikori tinana māmā, auau hoki mō te hauora whānui, ā, ka whai hua hoki mō te whakahaere i te mate māhunga. Engari, i ētahi wā ka whakaoho te korikori taumaha i ngā whakaeke, nō reira me whakarite i tō hōtaka korikori mā te kōrero ki tō rata.
Ngā Rauemi
World Health Organization (WHO) — Headache disorders: https://www.who.int/news-room/fact-sheets/detail/headache-disorders
International Headache Society (IHS) — The International Classification of Headache Disorders
American Migraine Foundation — Migraine Overview
American Academy of Neurology — Migraine Guidelines
Silberstein SD, et al. "Migraine prevention." The Lancet, 2017.
The Global Burden of Disease Study, The Lancet, 2017.