Contents
Ngokutsho kwe-Migraine Research Foundation, i-migraine yi-3rd isifo esixhaphake kakhulu kwihlabathi. Ngokumalunga neepesenti ze-12 yabemi, kubandakanywa nabantwana, baneemigraines, apho phantse i-1 kwizindlu ze-United States zase-4 zibandakanya umntu obhekene neentloko eziphazamisayo. I-Migraines inokubangela intlungu ephazamisayo okanye ukuvakalelwa okukhulu, ngokubanzi kwicala elinye. Izimpawu eziqhelekileyo zibandakanya, isicudiso, ukuhlanza nokuvelela ukukhanya kunye nesandi. Ezinye iimpawu eziqhelekileyo zibandakanya, i-aura embonweni okanye umbono ophosakeleyo, utywabile, ukunyamezela, ukunyanzeliswa, ukudibanisa kwamanzi kunye nokunyuka kwesisa. Iimpawu ziyakwazi ukuhluka kumuntu kumntu kwaye kungekhona wonke umntu oza kuhlangabezana nazo zonke iimpawu ezikhankanywe ngasentla. Ukongezelela, abanye abantu banokuba nobuhlungu obukhulu kunye / okanye obuthathekayo kwaye banokuhlaselwa kancinci kunezinye.
I-migraine yimeko ebuthakathakayo, enesifo sengqondo esichazwe yintlungu engapheliyo kwentloko. Abantu abaninzi bahlala befuna unyango lwe-migraines, nangona kunjalo, abanye abaqeqeshi bezempilo bangasoloko babone ukuba iziyobisi kunye / okanye imishanguzo ye-migraine ikhanda. Ababulali bezinhlungu bangabangela iziphumo ezingathandekiyo zecala xa zingasetyenziswanga kakuhle. Uphando lwaphando lubonise ukuba unyango lwe-chiropractic lunokuba lukhetho olukhuselekileyo nolululo olufanelekileyo lokunyango lwe-migraine. Injongo ye-chiropractic migraine intloko yentlekele unyango kukukhusela i-migraines kunye nokunciphisa ukuhlaselwa kwamabala.
UDkt. Alex Jimenez ungumcuphi wezilwanyana oqeqeshelwa ulwazi kunye nolwazi olusebenzayo olujongene nokuguqulwa kwamagciwane ngokusetyenziswa kwemigudu yokuguqulwa kwamagqabi kunye nokusetyenziswa kwemigaqo, phakathi kwezinye iindlela zobugcisa kunye nobuchule. Ukunyamekela kwe-Chiropractic kugxininise ekuphatheni umthombo wembambano kunokuba uphathe iimpawu zodwa. Ukongeza, uDkt. Alex Jimenez unokuncoma ukuguqulwa kwendlela yokuphila, kuquka ukucebisa okunomsoco kunye nokuzivocavoca kunye nokuzikhokela, ukukhuthaza ukuphucula okunye. Ngokwezifundo eziliphando zophando, ukunakekelwa kwe-chiropractic kungaba yindlela ephephile kunye neyobuhlungu bentloko yokunyanga intlungu.
I-Migraine Treatment: I-migraine ibangelwa yimitshintsho kwinkqubo yenzwa. Intloko ze-Migraine ziquka intlungu ebuhlungu okanye ukuva intlungu. Oku ngokuqhelekileyo kuvela kwicala elinye lentloko. I-Migraines idla ngokuqala ebuntwaneni, ebusheni okanye ekudala.
Ziyakwazi ukuhamba kunye:
Ubunzima obunxulumene ne-migraines lunokuhlala ixesha leeyure, iintsuku kwaye lunokuba lukhulu kangangokuba intlungu ikhubaza.
Amachiza anokunceda ukukhusela ezinye i-migraines kwaye zenze zibe buhlungu kakhulu. Thetha ugqirha malunga neendlela ezahlukeneyo zonyango lwe-migraine. Amayeza afanelekileyo, kunye neendlela zokuzinceda ngokwabo kunye neenguqu zokuphila, unokunceda.
Imigraines iyakwazi ukuhamba Izigaba ze4: Prodrome, Aura, Intloko yesifo okanye (Isigaba sokuhlasela) kunye nePostdrome okanye (Isigaba sokubuyisela).
Iimpawu zeProdrome zingaquka:
Izimpawu zeAura ziquka:
Iimpawu zeAura ezibonakalayo zingabandakanya:
Izimpawu zesigaba seentloko zingabandakanya:
Iimpawu zePostdrome zingaquka:
Akuyena wonke umntu ohamba kuzo zonke izigaba kwaye isigaba ngasinye sinokuhluka ngokude nobukhulu.
Ukuba imigraines ikhona kwimbali yentsapho, ugqirha weentloko (i-neurologist) Unokuxilonga i-migraines ngokusekelwe kwimbali yonyango, iimpawu, kunye nokuhlolwa kwempilo kunye neyenzo.
Ugqirha unokuphinda acebise iimvavanyo ezongezelelweyo ukulawula ezinye izizathu ezinokubangela intlungu yentloko ukuba imeko ayiqhelekanga, iyinkimbinkimbi, okanye ngokukhawuleza iba nzima.
Uvavanyo lwegazi: Ugqirha uya kubayalela ukuba bavavanyelwe iingxaki zegazi, izifo kwi-spinal cord okanye ubuchopho, kunye neetekisi kwinkqubo.
I-Tomography ye-Computing (CT): I-scan ye-CT idibanisa uluhlu lwe-X-ray ukudala imifanekiso enqamlezileyo yeengqondo. Oku kunceda ekufumaneni izifo, izifo, ukulimala kwengqondo, ukuphuma kwamanzi kwingqondo kunye nezinye iingxaki zezokwelapha ezinokubangela iintloko.
Ukujonga umfanekiso weMagnetic Resonance (MRI): I-MRI ivelisa imifanekiso ecacileyo yengqondo kunye nemithambo yegazi. I-MRI icinga ukuxilonga izibilini, izibetho, ukuphuma kwintsholongwane, izifo, kunye nenye ingqondo / inkqubo ye-nervous (neurological) iimeko.
Umbhobho womlenze (ukugqithiswa kwesibhakabhaka): Ugqirha unokuphakamisa umpompo womgcini (ukukhwa ukuba bakrokrela usulelo, ukopha ebuchotsheni, okanye enye imeko ephantsi.? Inaliti encinci ifakwe phakathi kwee-vertebrae ezimbini kwi-back back ukususa isampuli ye-cerebrospinal fluid ukuze kuhlalutywe.
Ezahlukeneyo iintlobo iindlela zokwelapha ze-migraine Unokukunceda ukumisa iimpawu nokukhusela ukuhlaselwa kwangaphambili.
Amayeza ayenzelwe ukunyanga imigraines. Ezinye iziyobisi eziqhelekileyo ezisetyenziselwa ukunyanga ezinye iimeko zinganceda ukunciphisa okanye ukuthintela imigraines. Amachiza asetyenziswa ukulwa nemigraines awela kwiindidi ezimbini:
Ukuxilwa kwamachiza: Ezi zikwaziwa nangokuthi ziyingozi okanye zikhupha. Ezi ntloba zonyango zithathwa ngexesha le-migraine kwaye zenzelwe ukuyeka iimpawu.
Imithi yokukhusela: Ezi ntlobo zamayeza zithathwa rhoqo, ngokuqhelekileyo imihla ngemihla, ukunciphisa ubunzima okanye ukuphindaphinda kwe-migraines.
Isicwangciso sonyango lwe-migraine sincike kwixesha eliqhelekileyo kunye nobukhulu beentloko, isilinganisi sokukhubazeka ngenxa yesikhumba, kunye nezinye iimeko zonyango.
Amanye amayeza ayanconywa xa ekhulelwe okanye ebele. Amanye amayeza ayinikwe abantwana. Ugqirha unokunceda ukufumana unyango olufanelekileyo.
Ukuxilongwa kweentlungu kufuneka kuthatyathwe, ngokukhawuleza, iimpawu okanye iimpawu zizenzele iziphumo ezilungileyo. Ukuphumla okanye ukulala egumbini elimnyama emva kokuthatha nabo kunokunceda, ngokunjalo. La mayeza aquka:
Ukubuyiswa Kweentlungu: I-Aspirin okanye i-Ibuprofen (i-Advil, i-Motrin IB,) inokunceda ekunciphiseni i-migraine. I-Acetaminophen (iTylenol), inokunceda ekunciphiseni i-migraine encinci.
Iziyobisi ezithengiswe ngokuthe ngqo kwi-migraines, ezifana nendibaniselwano ye-acetaminophen, i-aspirin, kunye ne-caffeine (i-Excedrin Migraine), nayo inokunciphisa intlungu ye-migraine ephakathi. Ezi azisebenzi ngokwazo kwimigraines enzima.
Ukuba ithathwa rhoqo okanye ixesha elide, kunokukhokelela kwizilonda, ukopha emathunjini, kunye nentloko ebuhlungu ebangelwa kukusebenzisa kakhulu amayeza.
Umthwalo wokubuyisela intlungu indomethacin inokukunceda ukuphazamisa ukuthatha i-migraine kwaye ifumaneke kwifom ye-suppository, enokuba luncedo xa unconywa.
Triptans: La mayeza aqhelekileyo asetyenziswa ekuphatheni i-migraines. Ii-Triptans zenza imithwalo yegazi igxininise kwaye ivimbe iintlungu zobuchopho.
I-Triptans iyanciphisa kakuhle intlungu kunye nezinye iimpawu ezihambelana nemigraines. Zifumaneka kwiipilisi, ifom yefayili kunye nefom yefayili.
Amayeza e-Triptan aquka:
Iziphumo ebezingalindelekanga ze-triptans ziquka ukusabela kwendawo yokutofa, isicaphucaphu, ukuba nesiyezi, ukozela kunye nobuthathaka bezihlunu. Azikhuthazwa kubantu abasengozini yokuhlaselwa sistroke kunye nentliziyo.
Inhlanganisela eyodwa-tablet ye-sumatriptan kunye ne-naproxen sodium (iTraximet) ibonakalise ukuba isebenze ngakumbi ekunciphiseni iimpawu ze-migraine kunokuba zizodwa.
Ergots: I-Ergotamine kunye neyeza ze-caffeine (i-Migergot, iCafergot) ayisebenzisi njengama-triptans. I-Ergots iyona nto isebenza kakuhle xa ubuhlungu buhlala ngaphezu kweeyure ze-48. Ziyasebenza kakhulu xa zithathwa emva kokuba iimpawu ziqale.
I-Ergotamine inokuyingozi ngakumbi isicupunu kunye nokuhlanza, kwaye inokukhokelela ekunyangeni kwamanzi.
I-Dihydroergotamine (i-DHE 45, i-Migranal) isiphumo esiphumeleleyo esiphumelele kwaye sinemiphumo engaphantsi kwe-ergotamine. Kwakhona akukho ncinane ukukhokelela ekunyangeni kweziyobisi. Itholakala kwi-spray and spray.
Izaphulo zokusasaza isisulu: Imithi ye-nausea ixubene kunye nezinye iyeza. Ngokuqhelekileyo imisele imishishini i-chlorpromazine, i-metoclopramide (Reglan) okanye i-prochlorperazine (i-Compro).
Opioid imithi: Amayeza e-opioid ngamanye amaxesha asetyenziswa ukuphatha intlungu ye-migraine kulabo abangakwazi ukuthatha i-triptans okanye i-ergots. I-Narcotics iyakwenza umkhuba kwaye iqhelekileyo isetyenziswe kuphela xa kungekho nonyango ye-migraine inika uncedo.
I-Glucocorticoids (prednisone, dexamethasone): I-glucocorticoid ingasetyenziselwa namanye amayeza ukuphucula intlungu. Nangona kunjalo, i-glucocorticoids ayifanele isetyenziswe ngokuqhelekileyo ukukhusela imiphumo emibi.
Abaviwa kwi-thintelo yokukhusela:
Amayeza okuthintela anokunciphisa ukuphindaphinda, ubunzima kunye nobude be-migraines kwaye anokunyusa ukusebenza kwamayeza okunciphisa iimpawu asetyenziswa ngexesha lokuhlaselwa. Kungathatha iiveki ezininzi ukubona ukuphucuka kweempawu.
Ugqirha unokuncoma imithi yokukhusela imihla ngemihla, okanye kuphela xa kunokubangela ukuba kubekho iziganeko eziza kwenzeka, oko kukuthi ukuya esikhathini kuya kwenzeka.
Imithi yokukhusela ayimiseli ngokupheleleyo intloko, kwaye ezinye zibangele iziphumo ezibi kakhulu. Ukuba amayeza okukhusela asebenzayo kwaye agcina imigraines phantsi kolawulo ngoko ugqirha unokucebisa ukuba agqithise amayeza ukuba abone ukuba abuyele ngaphandle.
Imithi ekhuselekileyo yokukhusela iquka:
Iimvo zengqondo: I-Beta-blockers, edla ngokusetyenziswa ukunyanga uxinzelelo lwegazi oluphezulu kunye nesifo se-coronary artery, inokunciphisa ukuphindaphinda kunye nobunzima be-migraines.
I-Beta-blockers propranolol (i-Inderal LA, i-Innopran XL) i-metoprolol tartrate (i-Lopressor), kunye ne-timolol (i-Betimol) ibonakalise isebenzayo ekuthinteleni i-migraine. Ezinye i-beta-blockers zingasetyenziselwa unyango lwe-migraine. Umntu unokungaqapheli ukuphucuka kweempawu kwiiveki ezininzi emva kokuthatha ezi.
Ukuba udala kuneminyaka eyi-60, sebenzisa iteksi, okanye ube neengqondo okanye iimeko zegazi, ugqirha unokuncoma amayeza ahlukeneyo.
Iklasi ehlukeneyo yemithi ye-cardiovascular blockers (i-calcium channel blockers), esetyenziselwa ukunyanga uxinzelelo lwegazi inokukunceda ekukhuseleni i-migraines nokukhupha iimpawu. I-Verapamil (i-Calan, i-Verelan) ibhenki ye-calcium yezitishi ezinokukunceda ukukhusela i-migraines nge-aura.
I-enzyme inhibitor lisinopril (i-Zestril) ingasetyenziselwa ukunciphisa ubude nobukhulu be-migraines.
Ukuxhatshazwa: I-Tricyclic antidepressants inokusebenza kakuhle ekuthintela i-migraines, kwanabo abangacinezelekanga.
I-Tricyclic antidepressants inokunciphisa ukuphindaphinda kwe-migraines ngokuchaphazela inqanaba le-serotonin kunye nezinye iikhemikhali engqondweni. I-Amitriptyline kuphela kwe-tricyclic antidepressant eqinisekisiweyo ukukhusela ngokufanelekileyo i-migraines. Ezinye ii-tricyclic antidepressants zingasetyenziswa njengoko zineziphumo ebezingalindelekanga ezimbalwa kune-amitriptyline.
Iziphumo ezibi zala mayeza kukulala, umlomo owomileyo, ukuqhina, ubunzima, kunye nezinye iziphumo ebezingalindelekanga.
I-Antidepressant eyaziwa njengeyokukhetha i-serotonin iphinda ifake inhibitors aluzange kuboniswe ukuba isebenze ngokuthintela ukukhusela i-migraine kwaye inokuba yingozi nakakhulu okanye ingabangela intloko.
Uphando lubonise enye ye-serotonin kunye ne-norepinephrine kwakhona yokufumana inhibitor, venlafaxine (Effexor XR), inokunceda ekuthintekeni kwemigraine.
Amachiza okulwa noTywala: Amanye amayeza anxamnye ne-anti-seizure, njenge-valproate (Depacon) kunye ne-topiramate (Topamax), kubonakala ngathi ukunciphisa imvama ye-migraines.
Amayeza aphezulu okulwa nokuxhuzula anokubangela iziphumo ebezingalindelekanga. Isodium yeValproate inokubangela isicaphucaphu, ukungcangcazela, ukufumana ubunzima, ukulahleka kweenwele, kunye nesiyezi. I-Valproate akufanele isetyenziswe kubasetyhini abakhulelweyo okanye abafazi abanokukhulelwa.
I-Topiramate ingabangela isifo sohudo, isisongela, ukulahleka kwesisindo, ubunzima bememori kunye neengxaki zokugxininisa.
I-OnabotulinumtoxinA (iBotox): I-Botox ibonise ukuba luncedo ekuphatheni imigraines engapheliyo kubantu abadala.
Ngethuba le nkqubo, i-botox ifakwe kwisiphako sebunzi nentamo. Unyango luphindaphindiwe rhoqo kwiiveki ze-12.
Ubuhlungu Ukunciphisa amayeza: Ukuthatha izidakamizwa ezichasayo ezingekho-steroidal, njenge naproxen (Naprosyn), kunokukunceda ukuthintela imitha kunye nokunciphisa iimpawu.
Amanyathelo okuzinyamekela angakunceda intlungu ye-migraine.
Iinkqubo ezingezizo zendabuko zinokunceda ngokunjalo.
Umlinganiselo ophezulu we riboflavin (i-vitamin B-2) inokukhusela i-migraines okanye iyanciphise ukuvama.
Coenzyme Q10 izongezo zinokunciphisa ukuphindaphinda kwemigraines kodwa zisafundwa.
Abanye abantu banezinga eliphezulu le-magnesium, izongezelelo ze-magnesium ziye zasetyenziselwa ukuphatha imigraines, kodwa iziphumo ezidibeneyo.
Buza ugqirha malunga nolu khetho lonyango lwe-migraine. Musa ukusebenzisa i-feverfew, i-riboflavin, okanye i-butterbur ukuba ukhulelwe okanye ungakhange uqale uthethe nogqirha.
Ukwelashwa kwechiropractic kwimigraines ine ukuhamba, ukuzolula, kunye nokulawula umlenze. Unyango lweChiropractic alusebenzisi iyeza okanye utyando kodwa lusebenzisa iiX-reyi kunye nezinye iimviwo ukuhlalutya indlela umqolo okhoyo kunye nendlela uhlengahlengiso olunokuthi lube nefuthe ngayo kwimpilo yesigulane. Unyango lweChiropractic luphumeza izixhobo ezinje ukufaka izihlangu, i-braces, i-straps nezinye izixhobo. Ukonyango lwe-Chiropractic kukwabandakanya iingcebiso malunga Imiba yendlela yokuphila ie imithambo, isondlo, nokulawula uxinzelelo.
Uphononongo luhlolisise unyango lwe-chiropractic kwiintlobo ezahlukeneyo zeentloko, kuquka i-migraines. Uphononongo ludibanise iziphumo zezifundo ze-22, eziqulethe ngaphezu kwezigulane ze-2,600. Izifundo zibonise ukuba unyango lwe-chiropractic lunokusebenza, kunye nonyango lokukhusela.
Olunye uphando lufumene ukuba i-22% yabantu ababenonyango lwe-chiropractic babone inani lokuhlaselwa kwehla i-90%. Ngaphakathi kweso sifundo esifanayo, i-49% yayinokunciphisa okukhulu kwintlungu yentlungu.
Kwiimeko ezinqabileyo, iziphumo zonyango zonyango ziquka:
Ukuba kukho isiyezi, i-vertigo, isicaphucaphu, okanye ukulahlekelwa zingqondo emva kokufumana unyango lwe-chiropractic kufuna uncedo lwonyango lwangoko.
Ukuba unesifo sengqondo se-migraine intlungu, ukunakekelwa kwe-chiropractic kunokukunceda ukuphucula umgangatho wobomi ngokukunika uxolo oluyidingayo kwimpilo ethile. Ukunyamekela kwe-Chiropractic kunokunceda umzimba uphilise ngokwawo ngokulungisa ngokugqithiseleyo ukuguqulwa kwamagqabi, okanye ukuhlengahlengiswa, ukubuyisela isakhiwo sokuqala kunye nomsebenzi wesihlwele. UDkt. Alex Jimenez kunye nabasebenzi bakhe banqwenela ukubonelela ngempilo yabo yonke izigulane zabo, kunye nokuqinisekisa ukuba baphathise izigulane zakhe ngokupheleleyo, kunokugxininisa ukulimala omnye kunye / okanye imeko. Qhagamshelana neofisi yethu namhlanje ukuze ufunde ngokubanzi malunga nokunyamekelwa kwezilwanyana ezinokukwenza okanye udibanise nathi ukusetha i-aphoyintimenti. Ngokunyamekelwa kwe-chiropractic, uya kukwazi ukubuyela ebomini bakho bokuqala ngaphandle kwexesha.
Umgangatho wobuchule wokuSebenza *
Ulwazi olulapha ku "Unyango lweMigraine | El Paso, eTexas"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.
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Umda wethu wolwazi ilinganiselwe kwiChiropractic, i-musculoskeletal, amayeza omzimba, impilo, igalelo le-etiological ukuphazamiseka kwe-viscerosomatic ngaphakathi kweentetho zeklinikhi, ezinxulumene ne-somatovisceral reflex clinical dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.
Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.
Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.
I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.
Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez, DC, okanye qha ga mshelana nathi 915-850-0900.
Silapha ukunceda wena kunye nosapho lwakho.
Iintsikelelo
UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*
email: qeqeshi@elpasofunctionalmedicine.com
Ilayisenisi njengoGqirha weChiropractic (DC) kwi Texas & New Mexico*
Texas DC Ilayisensi # TX5807, New Mexico DC Ilayisensi # I-NM-DC2182
Unikwe Ilayisensi njengoMongikazi oBhalisiweyo (RN*) in Florida
Florida License RN Ilayisensi # I-RN9617241 (Nombolo yolawulo. 3558029)
Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*
UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Ikhadi lam loShishino lweDijithali