I-Migraine ene-aura ibonakala ngokuvela kwezifo zesikhashana zemizwa ngaphambi kokuhlaselwa kwe-migraine. Lezi zinkinga zivame ukubonwa. Sikhuluma nge-migraine ene-aura ebonakalayo, noma i-ophthalmic migraine. Kutholakale izinto eziningana ezinobungozi ezingavikeleka. Izisombululo ezahlukahlukene zokwelashwa nokuvimbela zingenzeka.

Incazelo ye-migraine ne-aura

I-Migraine ene-aura yehlukile kune-migraine ejwayelekile, ebizwa nge-migraine ngaphandle kwe-aura. I-migraine uhlobo lwekhanda olubonakala ngokuhlaselwa okuphindaphindiwe. Lokhu kubangela ubuhlungu ekhanda okuvame ukuba ngohlangothi olulodwa nokushaywa. 

I-aura yisifo esidlulayo semizwa esandulela ukuhlaselwa yi-migraine. I-Migraine ene-aura ebonakalayo, noma i-ophthalmic migraine, imele amacala angama-90%. Kwezinye izimo, i-migraine ingandulelwa ukuphazamiseka kwemizwa noma ukuphazamiseka kolimi.

Izimbangela ze-migraine ne-aura

Imvelaphi ye-migraines isaqondakali kahle. 

Endabeni ye-migraine ene-aura, umsebenzi we-neurons ngaphakathi kobuchopho ungaphazamiseka. Ukwehla kokugeleza kwegazi lobuchopho kungaba enye yezincazelo. 

Kubukeka sengathi kukhona nezici zofuzo. Ucwaningo olwengeziwe luyadingeka ukuqonda kangcono izimbangela ze-migraine nge-aura.

Izici zengozi

Ucwaningo lokuhlola luthole izici ezingakhuthaza ukuhlaselwa kwe-migraine. Phakathi kwazo kukhona ikakhulukazi:

• ukwehluka okuhle noma okubi ngokomzwelo;
• ushintsho olungavamile esigqi njengokuzikhandla okukhulu ngokomzimba, ukusebenza ngokweqile noma, ngokuzikhandla;
• ukulala okuncane kakhulu noma ngokweqile;
• izinguquko kubhalansi ye-hormonal njengokuwa kwamazinga e-estrogen ngesikhathi sokuya esikhathini;
• izinguquko zemizwa njengokushintsha okungazelelwe kokukhanya noma ukuvela kwephunga elinamandla;
• izinguquko zesimo sezulu njengokufika kokushisa, ukubanda noma umoya onamandla;
• izinguquko emikhubeni yokudla njengokuphuza utshwala, ukudla kakhulu noma ukungalingani ngesikhathi sokudla.

Ukuxilongwa kwe-migraine ne-aura

Ukuhlolwa komzimba kuvame ukuwanele ukuxilonga i-migraine ne-aura. Kutholakala kuphela ngemuva kokuhlaselwa kabili kwe-migraine nge-aura. Asikho esinye isifo okufanele sikwazi ukuchaza ukuqala kwekhanda.

Abantu abathintekayo yi-migraine nge-aura

Imigraines ene-aura akuyona ejwayelekile kakhulu. Bakhathalela kuphela abaneminyaka engu-20 kuya ku-30% abanesifo se-migraine. Nge-aura noma ngaphandle kwayo, i-migraines ingathinta noma ngubani. Kodwa-ke, zibonakala zithinta kakhulu abantu abadala ngaphambi kweminyaka yobudala engama-40. Izingane ezingaphambi kokubeletha nazo zibonakala zisengozini enkulu yokuba nemigraines. Ekugcineni, izibalo zikhombisa ukuthi abantu besifazane yibo abathambekele kakhulu emakhazeni. Balinganiselwa ku-15 kuya ku-18% abesifazane abathintekayo uma kuqhathaniswa nabangu-6% kuphela besilisa.

Izimpawu zezinzwa

I-aura yandulela ukuhlaselwa kwe-migraine. Ingahunyushwa ngu:

• ukuphazamiseka okubukwayo ezimweni eziningi, ezingabonakala ikakhulukazi ngokuvela kwamabala akhanyayo emkhakheni wombono (scintillating scotoma);
• ukuphazanyiswa kwemizwa okungabonakala njengokushoshozela noma ukuba ndikindiki;
• ukuphazamiseka kwenkulumo ngobunzima noma ukungakwazi ukukhuluma.

Lezi zimpawu ziyizimpawu zokuxwayisa i-migraine. Zibonakala emizuzwini embalwa bese zihlala isigamu sehora ziye ehoreni.

migraine

Ubuhlungu be-Migraine buhlukile kwezinye izinhlungu zekhanda. Inezici okungenani ezimbili kulezi ezilandelayo:

• ubuhlungu bokubhoboza;
• ubuhlungu obuhlangene;
• ukulinganisela kuya ekuqineni okunzima okwenza imisebenzi ejwayelekile;
• ubuhlungu obubi kakhulu ngokuhamba.

Ukuhlaselwa kwe-migraine kungahlala phakathi kwamahora we-4 namahora we-72 uma kunganakekelwa.

Ukuphazamiseka okungenzeka kuhambisane

Ukuhlaselwa kwe-migraine kuvame ukuhambisana nalokhu:

• ukuphazamiseka kokuhlushwa;
• izinkinga zokugaya ukudla, ezifana nesicanucanu nokuhlanza;
• i-photo-phonophobia, ukuzwela ekukhanyeni nomsindo.

Kungabhekwa amazinga amaningi okwelashwa:

• ama-analgesics kanye / noma izidakamizwa ezilwa nokuvuvukala ekuqaleni kwesimo esibucayi;
• imishanguzo yokulwa nesicanucanu uma kunesidingo;
• ukwelashwa ngama-triptan uma ukwelashwa kokuqala kungasebenzi;
• ukwelashwa okuguqula izifo okungaba yi-hormonal noma kuncike ekudleni kwe-beta-blockers uma ezinye izindlela zokwelapha zingabonakali.

Ukugwema ubungozi bokuphindeka, kuyanconywa futhi ukuthatha izinyathelo zokuvikela.

Ukuvimbela kuqukethe ukukhomba nokugwema izici ezingaba umsuka wokuhlaselwa yi-migraine. Ngakho-ke, ngokwesibonelo, kungakuhle ukuthi:

• gcina imikhuba emihle yokudla;
• setha amasheduli ajwayelekile okulala;
• ungakunaki ukufudumala ngaphambi komdlalo;
• gwema imisebenzi enobudlova ngokweqile ngokomzimba nangokwezemidlalo;
• silwe nezingcindezi.