MIGRENA




MIGRENA-How to Deal With Migraines (kompletan text sa www.wikiHow http://www.wikihow.com/Deal-With-Migraines)

One Methods: Migraine causes
About 28 million Americans, approximately 12% of the population, suffer
migraine headaches. A migraine headache is not the same thing as a tension
headache, rather they are mild to severe bout of pain accompanied by other
symptoms including nausea, distortions in vision, sensitivity to light and other
afflictions. A migraine attack can last from four hours to three days, is most
common in the 20 to 40 year old population and about three times more
common in women than men.
1
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Before seeking treatment try to know if you are suffering a migraine, and not
a simple headache or an even more serious condition. Symptoms of migraines
include:
Migraines are typically felt on one side of your head.
Moderate to severe throbbing pain.
Nausea, with or without vomiting.
Sensitivity to light, noise, or odors
Visual disturbances called “aura”, see below.
Frequent attacks, typically one to three a month.
Loss of appetite
Sensations of being very warm or cold
Paleness
Fatigue
Dizziness
Diarrhea
Fever (rare)
Magnesium supplements can reduce the frequency of migraine
headaches. To use Epsom salts to help migraines:
3.
Alternative treatments
Place a heaped teaspoonful of Epsom salts in the palm of one
hand as soon as the first signs of a migraine begin.
1.
Have some water ready in a glass 2. in the other hand.
Toss the Epsom salts into the mouth with one hand and then with
the other hand drink some water to wash it down.
3.
If tossing the Epsom salt and washing it down is done in quick
succession one will experience nothing of the extreme bitterness of
the Epsom salt.
4.
5. Darken the room and lie down for an hour or so.
Steps
How to Deal With Migraines: 2 Steps (with Pictures) - wikiHow http://www.wikihow.com/Deal-With-Migraines
1 of 11 11/18/2014 6:39
2 Identify migraine with aura. Also known as the classic migraine, a migraine with
aura, which occurs in 10% to 30% of all migraine headaches, includes visual
disturbances such as blurred vision, wavy lines, and patterns. Other symptoms of this
migraine can include sensory disturbances, partial paralysis, and disorientation. The
Aura typically develops 15 to 20 minutes before a migraine headache begins.
Nobody really knows what causes migraines, but current research
suggests migraines may be caused by functional changes in the
trigeminal nerve system, a major pain pathway in your nervous system,
and by imbalances in brain chemicals, including serotonin, which
regulates pain messages going through this pathway. What they know for
sure is that causes and treatment are variable for each individual, which is
why your neurologist will want to know as much about your history and
symptoms as possible. There are two factors that are common in many
migraine patients:
Hereditary. Migraine headaches have a tend to run in families, four out
of five people who suffer from migraine headaches have a family
history. Statistically, if either of your parents has a history of migraine
headaches, you'll have a 50% chance of developing migraine; if both of
your parents have a history of migraine, your risk jumps to 75%.
Triggers. Researchers believe that people who suffer from migraine
are hypersensitive to certain types of migraine "triggers". A migraine
trigger can be a particular food, an environmental condition, or a
hormonal factor.
Migraine causes
We could really use your help!
While just about anything can trigger migraines, here is a list of the
more frequently reported migraine triggers:
Food Migraine Triggers
Alcoholic beverages
Sodium-nitrite-laden meat (hot dogs, deli meats, etc.)
MSG (monosodium glutamate) (see migraine glossary) (food
additive found in some processed meats, soups, salad dressings,
etc.)
Aspartame (artificial sweetener)
Chocolate
Citrus fruit
Tyramine (chemical found in aged cheese)
Caffeine (chemical found in coffee, tea, soda, chocolate, etc.)
Nuts
Onions
Beans
Pickled herring
Dried smoked fish
Dairy products
Kiwi
Cantaloupe
Sour cream
Yogurt (yeast extracts)
Fatty foods
1.
Physical Migraine Triggers
Lack of sleep or too much sleep
Exposure to too much sunlight
Irregular sleep patterns
Napping
Head trauma
Physical exertion
Fatigue
2.
Migraine triggers
Vigorous activity (for instance, exercise)
Sudden or intense exertion
Irregular meal patterns
Skipped meals
Hormonal Migraine Triggers
Menstruation (including premenstrual)
Ovulation
Hormone supplements
3.
Psychological Migraine Triggers
Stress
Post-stress activity
Anxiety or worry
Depression
4.
Environmental Migraine Triggers
Glare or bright light
Flashing or flickering lights
Fluorescent lighting
Weather changes
Strong odors (bad or good)
Repetitive visual patterns (stripes, zigzags, etc.)
Air pollution
Secondhand smoke
Chemical fumes
Motion or travel
5.
Drug/Chemical Migraine Triggers
Nitroglycerin
Histamine
Reserpine (hypertension drug)
Hydrazine (drug that lowers blood pressure)
Diuretics
Anti-asthma medications
If you suspect you suffer from migraine headaches, or are beginning
to suffer from them, it is important to consult a qualified health care
professional to rule out more serious conditions (like brain tumors) and
develop a treatment program. You will want to visit a neurologist, a
doctor who specializes in the brain. Your primary care physician can
refer you to a specialist after making a diagnosis.
1.
Understand that whatever treatment options you and your
neurologist agree on they will fall into three broad categories: trigger
avoidance, prevention, and pain management.
2.
Trigger avoidance. Identifying and avoiding any possible triggers is
the first step in treating a migraine. Simply a process of trial and
error, if you find the right trigger for you, you are very lucky. In
addition most migraine sufferers begin treatment with readily
available over the counter pain relievers including ibuprofen (Advil,
Motrin, others), naproxen sodium (Aleve) or aspirin. With most
migraines however, these treatments will have little or no effect.
1.
Migraine prophylaxis (prevention medicine). In this part of the
treatment program medicines and other techniques are used to try
to stop a migraine before it starts.
2.
Acute migraine pain relief therapy. Here, the approach uses
powerful pain relievers to try and attack the pain of a migraine while
it is there. In recent years, great strides have been made in this
area, particularly in the development of a new class of drugs know
as Triptans.
3.
1.
Patients often attempt to identify and avoid triggers that promote or
precipitate migraine episodes. Many begin with the basics like:
1.
Cutting back or eliminating drinking alcohol and smoking.
Getting enough regular sleep, but not too much.
Regular, healthy meals.
Moderation in caffeine intake.
OTC (over the counter) pain relief drugs are often used in
combination with caffeine. Caffeine is recognized by the U.S. FDA
as an OTC treatment for migraine, and often the first thing tried by
doctors. In addition to pain reliever some patients have had
encouraging results with OTC antihistamines and anti-nausea
agents. Excedrin is an example of an aspirin with caffeine product.
1.
Trigger avoidance and self-medication
Treatments
Visualization, biofeedback and self-hypnosis are also alternative
treatments and prevention approaches.
Bruxism or the clenching or grinding of teeth, especially at night, is
a trigger for many migraines. A device called a nociceptive
trigeminal inhibitor (NTI) can be fitted by dentists and clips over the
front teeth at night, preventing contact between the back teeth. It
has a success rate similar to butterbur and co-enzyme Q10,
although it has not been subjected to the same rigorous testing as
the supplements. Massage therapy of the jaw area can also reduce
such pain.
Create an ice cream headache to directs cooling to the
hypothalamus, which is suspected to be involved with the migraine
feedback cycle:
Place a couple of spoonfuls of ice cream on the soft palate at
the back of the mouth.
1.
Hold them there with your tongue until they melt or become
intolerable.
2.
Many physicians believe that exercise for 15-20 minutes per day is
helpful for reducing the frequency of migraines.
1.
Preventive medication, taken under the supervision of a neurologist,
is often taken daily for a few weeks before it can be determined if it has
a preventative effect. The sheer number of different medications,
combined with the fact that every migraine case in is many ways
unique, means that finding the right combination of medicines for
migraine prevention can take a while. The most effective prescription
medications include several drug classes:
1.
Beta blockers like propranolol and atenolol.
Anticonvulsants such as valproic acid and topiramate.
Antidepressants including tricyclic antidepressants (TCAs) such as
amitriptyline and the newer selective serotonin reuptake inhibitors
(SSRIs) such as fluoxetine (Prozac) have proven effective in many
cases.
Sansert was withdrawn from the US market, but is still available in
Canadian pharmacies. Although highly effective, it has rare but
serious side effects, including retroperitoneal fibrosis.
Namenda, memantine HCI tablets are used in the treatment of
1.
Migraine prophylaxis (preventive medicines)
Alzheimer's Disease. Some Doctors are beginning to investigate
the effect of these drugs on migraine sufferers. Namenda has not
yet been approved by the FDA for the treatment of migraines.
In recent years new classes of powerful drugs have been developed
to treat migraine pain while it is present.
Serotonin Agonists also known as Triptans, are a new class of drugs
that are effective in treating migraine pain while it is happening.
70-80% of patients taking triptans report a reduction of symptoms or
an aborted attack within 30 to 90 minutes. Triptans have few side
effects if used in correct dosages and frequency. These drugs have
been available only by prescription (US, Canada and UK), but
sumatriptan became available over-the-counter in the U.K in June,
2006 and others are due to follow in the coming years.
1.
Ergot alkaloids. Until the introduction of sumatriptan in 1991, ergot
derivatives were the primary drugs available to abort a migraine once
there. These drugs can be used to avoid migraines, but like Triptans
they are very expensive, and have side-effects, and so are used as
pain rescue drugs for the most part. Ergot drugs come in tablets,
suppositories, tablets or pills and injections. They are hard to obtain in
the USA but commonly used in Asia. Often these medicines are
accompanied by caffeine which often makes them unsuitable for
nighttime use, or patients experiencing sleeping difficulties.
2.
Fioricet or Fiorinal are a cocktail of butalbital (a barbiturate),
acetaminophen (in Fioricet) or acetylsalicylic acid (more commonly
known as aspirin and present in Fiorinal), and caffeine. While the risk
of addiction is low, butalbital can be habit-forming if used daily, and it
can also lead to rebound headaches. Barbiturate-containing
medications are not available in many European countries.
3.
Narcotic pain killers including codeine, morphine or other opiates
provide variable relief, but their side effects, the possibility of causing
rebound headaches or analgesic overuse headache, and the risk of
addiction contraindicates their general use.
4.
Amidrine (a cocktail of a pain reliever, a sedative, and a
vasoconstrictor) is sometimes prescribed for migraine headaches.
5.
Anti-emetics by suppository or injection may be needed in cases
where vomiting dominates the symptoms. The earlier these drugs are
taken in the attack, the better their effect.
6.
Acute migraine pain relief therapies
Prednisone tablets, an adrenal hormone and a non-anabolic steroid,
stimulates the creation of proteins from your DNA that include
enzymes that cure migraines through various metabolic boosts. Due to
the intensity of side effects (bone loss, osteoporosis) and other risks
with these medicines they are usually reserved for "Status migraines"
an extremely rare but life-threatening condition
7.
For many years conventional approaches to migraine relief offered
little hope for many patients. Given that, and the fact that the first
migraine was reported over 9000 years ago, a wide range of
alternative therapies have developed over the years. These treatments,
much like their government regulated cousins are effective for some,
but not for others. Alternative migraine therapies include:
Acupuncture and acupressure are the treatment of choice for many,
although no tests have shown these treatments will help, migraines
are a type of vascular headache, so your results may vary. Usually
acupuncture is considered a preventive treatment particularly, not a
way to treat the actual pain as acupuncture deals in slow re-stabilizing
of the body. To subdue pain with acupressure:
1.
Use the thumb and index finger and apply pressure to the
depression at the base of the occiput 1 inch (2.5 cm) lateral to the
spine.
1.
Incense and scents help in some cases, especially peppermint and
lavender. Nobody knows why, but it has been proven.
2.
Magnesium supplements can reduce the frequency of migraine
headaches. To use Epsom salts to help migraines:
3.
Alternative treatments
Place a heaped teaspoonful of Epsom salts in the palm of one
hand as soon as the first signs of a migraine begin.
1.
Have some water ready in a glass 2. in the other hand.
Toss the Epsom salts into the mouth with one hand and then with
the other hand drink some water to wash it down.
3.
If tossing the Epsom salt and washing it down is done in quick
succession one will experience nothing of the extreme bitterness of
the Epsom salt.
4.
5. Darken the room and lie down for an hour or so.
1.
Riboflavin (vitamin B2), co-enzyme Q10 and butterbur extract
have been subjected to double-blind studies that suggest they have a
positive effect on migraine pain.
2.
Coenzyme Q10 has been found to have a beneficial effect in a
well-controlled trial.
3.
Feverfew (Tanacetum parthenium) is a traditional herbal remedy
believed to reduce the frequency of migraine attacks.
4.
Kudzu root (Pueraria lobata) has been demonstrated to help with
menstrual migraine headaches.
5.
Ice applied directly to the throbbing area of the temple is a very simple
and effective remedy. Migraines are caused by the dilation of blood
vessels and the coldness will constrict them.
6.
Massaging the back portion of the neck is very helpful as it allows
more blood to flow into the head. In combination with Epsom salts, it
helps to stop a migraine in its track.
Heat applied to the center of pain, rather than cold, can be very
therapeutic and ease the pain. Both of these factors suggest that in
some migraines, an increase in circulation helps.
In most cases, if you drink caffeine (coffee, soda, etc.) it will help your
migraine.
Take a fresh bay leaf, crush it in your fingers, hold it up to your nose,
breathe in deep, wait, breathe in deep, wait, repeat this until you feel a
sharp, cool pain in your sinuses. Stop. You'll feel as though you have to
sneeze, but won't. This should make the migraine go away.
Take a little Epsom salt before eating butter or cream or whatever
triggers a migraine attack.
Tips
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If the migraine was not arrested at the very beginning, double the
dosage of Epsom salts.
Avoid the bright sun especially at mid morning.
Get away from electronic screens, light (especially fluorescent), and
noise. Take a nap. Then eat something if your blood sugar feels low.
If your migraine comes with nausea w/ vomiting. Sometimes it helps
not to hold it back. Vomiting actually sometimes helps relieve some of
your migraine pain.
Carry a small sachet of Epsom salts with you wherever you go.
Show 2 more tips
Do not give aspirin to children under 16 because of the risk of Reye's
syndrome.
Taking a Triptan while also taking an SSRI or SNRI can produce a
dangerous condition known as serotonin syndrome.
Epsom salt is taken orally as a laxative and acts as an osmotic.
http://en.wikipedia.org/wiki/Epsom_salt wikipedia article on
Mg2(SO4)·7H2O
http://www.ctds.info/magnesium-migraine.html - Migraines and
magnesium
Warnings
Sources and Citations
http://www.mayoclinic.com/health/migraine-headache/DS00120- Mayo
clinic migraine article
http://en.wikipedia.org/wiki/Triptan - Triptan drugs
http://en.wikipedia.org/wiki/Migraine - Wikipedia on migraines
http://www.ninds.nih.gov/disorders/headache/detail_headache.htm -
National Institute of Neurological Disorders and Stroke
http://www.migraines.org/ - The National Migraine Association
Thanks to all authors for creating a page that has been read 129,217 times.
Categories: Headaches and Migraines
Recent edits by: HumanBeing, Serendipitee, Maluniu
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Português: Como Enfrentar uma Crise de Enxaqueca, Español: Cómo lidiar con
migrañas, Italiano: Come Affrontare l'Emicrania, Русский: справиться с
мигренью, Deutsch: Mit Migräne umgehen
Article Info
How to Deal With Migraines: 2 Steps (with Pictures) - wikiHow http://www.wikihow.com/Deal-With-Migraines
11 of 11 11/18/2014 6:39
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