Ukwazi njani ukuba ujongana neHormonal Headache

Umxholo

• Yintoni intloko yehomoni?
• Yintoni ebangela intloko yehomoni?
• Uyithintela njani intloko ebuhlungu yehomoni?
• Ungayinyanga njani i-hormonal headache?
• Uphengululo lwe

Intloko iyanya. Nokuba kubangelwa luxinzelelo, i-allergies, okanye ukunqongophala kokulala, loo mvakalelo yentloko ebuhlungu ezayo inokukuzalisa uloyiko kwaye ujike ubuyele kulwanga olumnyama lwebhedi yakho. Kwaye xa iintloko zibangelwa zihomoni, zinokuthintela kwaye zibanyanzise nangakumbi. Apha, zithini iingcali malunga neentloko ze-hormonal kunye nendlela yokujongana nazo. (Eyeleleneyo: Yintoni i-Ocular Migraines kwaye yahluke njani kwiMigraines rhoqo?)

Yintoni intloko yehomoni?

Ngelixa intloko ebuhlungu okanye i-migraine inokwenzeka nanini na, i-hormonal headache okanye i-migraine icwangciswe ngokukodwa ngexesha lokuya esikhathini. Zombini iintloko ze-hormonal kunye ne-migraines zibangelwa ukuguquguquka kwehomoni okwenzeka ngexesha lokuya esikhathini, uthi uThomas Pitts, M.D., i-neurologist e-Hudson Medical Wellness kwisixeko saseNew York. Kubalulekile ukuba uqaphele apha ukuba iintloko kunye ne-migraine hayi inye kwaye iyafana - kanye njengokuba nasiphi na isigulo esinganyangekiyo se-migraine sikuxelele.

Ukuba awuqinisekanga ukuba ujongene nentloko enxulumene nokuba sexesheni okanye migraine, kuyehla ukuya kwixesha kunye nexesha. Intloko kunye nemigraines ebangelwa ngamahomoni kaninzi iyenzeka ngexesha leentsuku ezintlanu ukuya kwezisixhenxe ngokuthe ngqo ngaphambi nangethuba lokuya esikhathini, uthi uJelena M. Pavlovic, M.D., ingcali yeentloko kwi-Montefiore Headache Centre kwisixeko saseNew York.

Iintloko zeHormone, ezaziwa ngokuba ziintloko ze-PMS, zihlala zihlelwa njengentloko ebuhlungu. Kuqhelekile ukuba iintlungu zentloko zihambe kunye nokudinwa, i-acne, intlungu edibeneyo, ukunciphisa ukuchama, ukuqhina, kunye nokungabikho kokulungelelaniswa, kunye nokwanda kokutya okanye ukunqwenela itshokolethi, ityuwa, okanye utywala, ngokutsho kweNtloko yeSizwe. Isiseko.

Iimpawu ze-migraine ezinxulumene nokuya exesheni zifana nezo unokuzifumana nge-migraines eqhelekileyo, efana necala elinye, intloko ebuhlungu ekhatshwa sisicaphucaphu, ukuhlanza, okanye ukuziva izibane eziqaqambileyo kunye nezandi. Ezi migraines zehomoni zinokuthi okanye zingaphambi kwe-aura, ezinokuthi zibandakanye ukubona izinto kumhlaba obonwayo, okanye ukuqaphela uvakalelo ekukhanyeni, kwisandi, kunuka, kunye / okanye incasa, utshilo uGqirha Pitts.

Yintoni ebangela intloko yehomoni?

Ubudlelwane phakathi kwamahomoni kunye neentloko zinzima kwaye aziqondwa ngokupheleleyo, utsho uDkt Pavlovic. “Siyazi ukuba imigraines ichaphazeleka ngakumbi kukuguquguquka kwehomoni, ngakumbi utshintsho kumanqanaba e-estrogen,” uyachaza.

Kukho ubudlelwane obucacileyo phakathi kwamahomoni kunye nentloko ebuhlungu, kwaye oku kuyinyani ngokukodwa kwimigraine ephikisayo. IiHormone- ezinje nge-estrogen-zinokuseta uthotho olunzima lweziganeko ezibandakanya imithambo-luvo, imithambo yegazi, kunye nemisipha, enokuthi iguquke kwaye ibangele imigraine enxulumene nokuya esikhathini, iseti yentloko yehomoni, utshilo uGqirha Pitts.

Uninzi lweentloko eziqhelekileyo zehomoni zibangelwa iintsuku ezimbalwa ngaphambi kokuqala komjikelezo wakho wokuya esikhathini. "Ukuguquguquka kwe-estrogen kunye namanqanaba eprogesterone ngokuqhelekileyo kubangela ukuba iintloko zibonakale kwiintsuku ezintathu ngaphambi kokuba uye kwixesha lakho," utshilo uKecia Gaither, MD ugqirha we-ob-gyn kunye nomntwana okhulelweyo kwi-NYC Health Hospitals/Lincoln. I-Hormonal replacement therapy, iipilisi zokulawula ukuzala, ukukhulelwa, okanye ukuyeka ukuya exesheni kunokubangela ukuba amanqanaba e-hormone atshintshe kwaye ezinye izizathu ezinokubangela iintloko ze-hormonal, wongezelela uDkt Gaither. (Inxulumene: Yintoni isihogo segazi nguMqeqeshi weXesha?)

"Amanqanaba e-Estrogen ancipha ngokukhawuleza malunga neentsuku ezintlanu ngaphambi kokuqala kokuya exesheni, kwaye laa thontsi lihambelana ngqo ne-migraine enxulumene nokuya esikhathini, utshilo uGqirha Pavlovic. Uluhlu olusemthethweni luqaphela iintsuku ezintlanu (iintsuku ezimbini ngaphambi kokuqala kokuphuma kwegazi kunye neentsuku ezintathu zokuqala zokuphuma kwegazi) njenge-migraine ehambelana nokuya esikhathini. Nangona kunjalo, ukuba ifestile ye-migraine yokuthambeka kunokuba lide okanye lifutshane kwabanye abantu, uyongeza. (Into endiyifundileyo ngokuba neMigraines engapheliyo.)

Uyithintela njani intloko ebuhlungu yehomoni?

Intloko okanye imigraines ebangelwa zihomoni kunokuba nzima ukuyikhusela. Enkosi kwibhayoloji, ukuguquguquka kwehomoni kunye nokuya exesheni yinxalenye yamava aqhelekileyo okuzalwa neechromozomi ezimbini ze-X. Ukuba ufumana uxinzelelo okanye ukuqina ebunzini lakho okanye ukubetha, intlungu kwicala elinye (ingakumbi ukuba ihamba kunye ne-aura yexesha lokuya esikhathini, inyathelo lokuqala kufuneka libe kukundwendwela ugqirha wakho oyintloko okanye i-gynecologist ukuqinisekisa ukuba intloko ebuhlungu inxulumene nehomoni kwaye akukho nkxalabo yezempilo ephantsi, utshilo uGqr Gaither.

Ingxaki yokuya exesheni, njengokuphuma kakhulu kwegazi, imijikelezo engaqhelekanga, kunye nemijikelezo ephosiweyo okanye eyongezelelweyo kunokuba sisityholo kwintloko yakho yehomoni, kwaye ukunyanga oyena nobangela inyathelo lokuqala lokufumana uncedo, utshilo uGqirha Pitts. I-Hormonal migraines ingaba ngumqondiso wezifo ze-endocrinological, ezifana nesifo sikashukela okanye i-hypothyroidism ekubeni inkqubo ye-endocrine ijongene nokuveliswa kwehomoni kuwo wonke umzimba. Ukuba ugqirha wakho ufumanisa umba we-endocrine, ukunyanga imeko esisiseko kufuneka kuncede iintloko zakho zehomoni, utshilo uGqr. Pitts.

Ukuba ugqirha wakho akafumani nayiphi na imeko enokuthi ibe ngunobangela weentloko zakho zehomoni, ke "Ndicebisa izigulana ukuba zilandele ixesha labo kunye nemihla yeentloko ezibuhlungu zisebenzisa ijenali okanye i-app yezempilo kwimijikelo embalwa ukunika imephu yendlela yonyango, "Utsho uGqr Pitts.

Kuba olu hlaselo ludla ngokuhlangana, kukhokelela kwiintsuku ezintlanu ukuya kwezisixhenxe zentloko okanye i-migraines, kubalulekile ukubaphatha njengeyunithi. Isicwangciso esinye somdlalo esinokubizwa ngokuba kukuthintela okuncinci, esivumela unyango lwentloko yehomoni kwabo bahlala rhoqo (njengakwixesha elifanayo, elingaguquguqukiyo) kunye nentloko enokuqikelelwa, utshilo uGqirha Pavlovic. Ukuqaphela xa iintloko okanye i-migraines inokwenzeka ukuba yenzeke kubalulekile ukufumanisa ukuba zibangelwa ukuqala komjikelo wakho wokuya esikhathini, chonga ukuba zingaphi iintsuku ezihlala kuzo, kwaye ufumane unyango olufanelekileyo kuwe.

Ukuba ifestile engaguquguqukiyo ifunyenwe, yithi ufumana intloko rhoqo ngenyanga inyanga ezimbini kwiintsuku ngaphambi kokuba ixesha lakho liqale, ugqirha wakho unokucebisa ngesicwangciso sonyango. Umzekelo, ungathatha i-counter-the-counter NSAID (i-nonsteroidal anti-inflammatory drug) - njenge Aleve - kusuku olungaphambi kokuba ulindele ukuba intloko iqale kwaye iqhubeke kwifestile yakho yentloko, utshilo uGqr.IPavlovic. Ukuchonga ifestile yentloko kuthetha ukuba amayeza eentlungu anokusetyenziswa kuphela ngexesha lakho njengonyango kwiimpawu, endaweni yokufuna ukuthatha iphepha likagqirha yonke imihla (nokuba kungekho zimpawu) njengoko unokuba nentloko engapheliyo okanye imeko ye-migraine, uyachaza uGqr. Imingxunya. (FYI, ukusebenza kwakho kunokunceda ukunciphisa umngcipheko wakho we-migraines.)

Ungayinyanga njani i-hormonal headache?

Ulawulo lokuzalwa olusekwe e-Estrogen lunokuphucula okanye lube mandundu kwintloko yehomoni kuxhomekeka kwimeko nganye. Ulawulo lokuzalwa olusekwe e-Estrogen lungasetyenziselwa ukunyanga ukutshintsha kwe-estrogen, kwaye ngethemba lokunciphisa iintloko, utshilo uGqirha Pavlovic. Ukuba iintlungu zehomoni zenzeka okokuqala okanye zisiba mbi xa uqala ulawulo lokuzalwa olusekwe kwi-estrogen, yeka ukuthatha kwaye wenze idinga nogqirha wakho. Nangona kunjalo, ukuba i-migraines yakho ihamba kunye ne-auras (nokuba ibangelwe yi-hormonally or not), iipilisi ezine-estrogen kufuneka zithintelwe, njengoko zinokunyusa umngcipheko wokubetha ngokuhamba kwexesha kunye nokunyusa izinga lokuphefumla, uxinzelelo lwegazi, ukubetha kwentliziyo, kunye zichaphazela isimo sengqondo kunye nokulala, utsho uGqirha Pitts. (Idibeneyo: Into eyoyikisayo omele uyazi ukuba ukuLawula ukuzalwa kwaye ufumane iMigraines)

Ngelixa elide, amayeza emihla ngemihla anokukhetha kwabaninzi ukulawula iintlungu zentloko okanye imigraine, unokukhetha ukunyanga iimpawu. Ngokuxhomekeke kubunzima beentlungu, phezu kwe-counter pain relievers, njenge-acetaminophen okanye ibuprofen, ingaba yinto elula yokuhlaselwa, kusho uDkt Gaither. Kukho inani lee-NSAID ezingezizo zokumiselwa, ii-NSAID, kunye nezinye iindlela zonyango ezinokuthi zizanywe, utsho uGqirha Pavlovic. Ugqirha wakho unokucebisa ukuba loluphi ukhetho oza kuqala ngalo kodwa olona khetho lufanelekileyo lolona lusebenzayo kuwe. Qala ukuthatha amayeza ngokukhawuleza xa iimpawu ziqala ukuzama ukunqanda olunye usuku lwentloko. Uphononongo lubonise ukuba izongezo ze-magnesium zinokuba luncedo ekuphatheni i-migraines, utsho uDkt Pavlovic.

Zininzi iindlela zonyango ezingezizo amayeza ezifumanekayo, ezifana ne-acupuncture okanye i-massage therapy, utsho uGqr Pitts. Uphononongo kwiCleveland Journal of Medicine ikwabonisa iziphumo ezithembisayo ze-biofeedback kunyango lwentloko, utshilo uGqirha Gaither. I-Biofeedback kunye ne-progressive muscle relaxation zizona ndlela zixhaphakileyo ezamkelweyo ezingezizo iziyobisi zokulawula intloko kunye nokuthintela, ngokutsho kwe-American Migraine Foundation. I-Biofeedback yindlela yokwenza ingqondo yomzimba esebenzisa isixhobo sokujonga impendulo yomzimba, njengokuxinezeleka kwemisipha okanye ubushushu, njengoko umntu ezama ukuguqula loo mpendulo. Injongo kukukwazi ukubona kunye nokunciphisa ukuphendula komzimba wakho ekucinezeleni ukukhusela okanye ukunciphisa intloko emva kwexesha. (Jonga kwakhona: Usetyenziswa njani iOyile eziBalulekileyo kwiMigraines.)

Okokugqibela, sukukujongela phantsi ukuvavanya indlela oziphethe ngayo njengokwenza umthambo, ukulala, kunye nokuhambisa amanzi. Ugqirha Pitts uthi:

Uphengululo lwe