La migraine he ʻano kikoʻī o he poʻo (ʻeha poʻo). Hōʻike iā ia iho e nā pilikia kahi e mau ai mai kekahi mau hola a i kekahi mau lā. Hoʻololi nui ka pinepine o ka hopu ʻana mai kekahi kanaka a i kekahi ʻē aʻe, e kū ana mai nā hopu ʻana he nui i kēlā me kēia pule a i hoʻokahi hopu ʻana i kēlā me kēia makahiki a ʻoi aku paha.

Hoʻokaʻawale ʻia ʻo Migraine mai kahi maʻi poʻo "maʻamau", i ka lōʻihi, ka ikaika a me nā ʻōuli like ʻole. No laila, hoʻomaka pinepine kahi hoʻouka migraine me kahi ʻeha i manaʻo ʻia maihoʻokahi wale nō ʻaoʻao o ke poʻo a i ʻole kūloko kokoke i ka maka. ʻIke pinepine ʻia ka ʻeha ma ʻīwī i ka iwi poʻo, a hoʻonui ʻia e ka māmā a me ke kani (a ʻala kekahi manawa). Hiki pū ke hele pū me Migraine nausea a ka luaʻi.

Kupanaha, ma 10% a 30% o nā hihia, migraine i mua o nā hōʻike physiological i hui pū ʻia ma lalo o ka inoa oinaina. ʻO Auras ka mea nui nā haunaele ʻike kahi e lawe ai i ke ʻano o nā kukuna o ke kukui, nā laina kala ʻulaʻula, a i ʻole ka nalo ʻana o ka ʻike maka. Hele aku kēia mau ʻōuli ma lalo o hoʻokahi hola. A laila hele mai ka ʻeha poʻo.

ʻO ke kuhikuhina

La migraine loli ma kahi o 12% o nā mākua, na wahine ʻoi aku 3 mau manawa i hoʻopili ʻia ma mua o nā kāne³⁹. Ua ʻike ʻia kahi noiʻi hou e pili ana he 26% o nā wahine Kanada i loaʻa ka migraine³⁸, ʻo ke alapine o ka hopu ʻana he loli loa. Kūleʻa pū ʻia ʻo Migraine i nā keiki a me nā ʻōpio (5% a 10%), iā ia e hōʻike pinepine ʻia ai. Wahi a Uptodate, i ka heluna lehulehu, 17% o nā wahine a me 6% o nā kāne e ʻeha i ka migraine. Ma waena o nā makahiki 30-39, ʻo 24% paha ia o nā wahine a me 7% o nā kāne.

Evolution

O ka mc nui o hoʻouka migraine loli ka nui mai kekahi kanaka a i kekahi. Loaʻa i kekahi poʻe i kekahi mau makahiki, ʻo kekahi i 3 a i ʻole 4 i ka mahina. I kekahi mau hihia, hiki i ka hopu ʻana he mau manawa i ka hebedoma, akā liʻiliʻi i kēlā me kēia lā.

Kū pinepine nā hoʻouka kaua i ka wāka wā'ōpio or ʻōpio makua. Ua hele a paʻakikī ke poʻo o ka migraine ma mua o ka makahiki 40 a nalo pinepine ma hope o ka makahiki 50.

Nā papa hana o ka migraine

ʻAʻole ʻike ʻia ke kumu o kekahi poʻe headaches, ke kuʻuna o ka naʻau (i hoʻokumu ʻia e ka hopohopo hopohopo a hopohopo paha) a i ʻole migraines a no ke aha e loaʻa ʻole ai i nā poʻe ʻē aʻe, ʻoiai inā ʻike ʻia lākou i nā mea like.

Mai nā 1960 a i ka 1990, ua manaʻo ʻia ʻo nā migraines ka mea i hoʻokumu nui ʻia e nā loli vaskular: kahi constrictment o nā kīʻaha koko (vasoconstriction) e hoʻopuni ana i ka lolo, a ukali ʻia e ka huʻi (vasodilation). Eia nō naʻe, hōʻike ʻia kahi noiʻi hou e pili ana i ke kumu o ka migraine ʻoi aku ka paʻakikī. ʻOiaʻiʻo, he cascade holoʻokoʻa ia o nā hopena i ka ʻōnaehana ʻōnaehana ʻo kēia ka mea e hōʻeha i kēia poʻo poʻo nui. Ua ʻike ʻia kahi hana neurological e wehewehe i ke kumu e hoʻonui ai ka mālamalama i ka ʻeha o ka migraine ʻoiai e hoʻomālielie ana ka pouli iā ia.³³ʻAʻole loaʻa nā hopena o kēia mau kaulahao i nā kīʻaha koko wale nō, akā i ka huhū, nā neurotransmitters a me nā mea ʻē aʻe.

Me ka maopopo ʻole o nā ʻano o ka migraine, ʻike mau mākou i nā mea hou aʻe e pili ana iā lākou. nā mea koʻikoʻi (e nānā i nā kumu pilikia) a me nā mea e hakakā ai iā ia.

Nā pilikia

Inā paha eha ikaika loa lākou i ke kumu, ka migraine ʻaʻohe hopena hopena olakino. Eia nō naʻe, ua hōʻike ʻia nā noiʻi hou ʻana e pili ana ka migraine, ʻo ia pū kekahi me ka aura, e pili pū ana me ka piʻi lōʻihi o ka hopena o nā maʻi maʻi ʻōpū.^{41, 42}. E hoʻonui ʻia ka makaʻu o ka myocardial infarction e 2 i ka poʻe migraine. ʻAʻole maopopo maikaʻi nā ʻano hana. No laila he mea nui e lawe a ke ola maikaʻi e hoʻēmi i ka pilikia o ka maʻi puʻuwai: mai puhipaka, ʻai maikaʻi a hoʻoikaika pinepine.

Eia hou, hiki i ka migraine ke hoʻopili i ka maikaʻi o ke ola o ka poʻe e ʻehaʻeha nei. ʻO ia kekahi kumu nui o ka absenteeism ma ke kula a ma ka hana. No laila ka mea nui o ke nīnau ʻana i ke kauka e ʻike i kahi lapaʻau maikaʻi.