I-Migraines ibotshelelwe kwiingxaki zokukhulelwa?

Abasetyhini abane-migraine banokuba nomngcipheko ophezulu weengxaki zokukhulelwa ezifana nokunikezelwa kwangaphambili, uxinzelelo lwegazi oluphezulu kunye ne-preeclampsia, ngokutsho kophando lokuqala oluya kuboniswa kwi-American Academy of Neurology's 74th Annual Meeting ebanjwe kumntu eSeattle, ngo-Ephreli 2 ukuya. 7, 2022 kwaye phantse, ngo-Aprili 24 ukuya ku-26, 2022. Abaphandi baye bafumanisa ukuba abafazi abane-migraine abane-aura banokuba nomngcipheko ophezulu we-preeclampsia kunabasetyhini abane-migraine ngaphandle kwe-aura. I-Auras ziimvakalelo eziza phambi kwentloko, ngokuqhelekileyo ukuphazamiseka okubonakalayo okufana nezibane ezidanyazayo. I-Preeclampsia ibandakanya uxinzelelo lwegazi oluphezulu kunye neempawu ezongezelelweyo, ezifana neprotheni kumchamo, ngexesha lokukhulelwa, ezinokusongela ubomi bomama nomntwana.

"Phantse i-20% yabasetyhini abaneminyaka yobudala bafumana i-migraine, kodwa impembelelo ye-migraine kwiziphumo zokukhulelwa ayizange iqondwe kakuhle," kusho umlobi ophando u-Alexandra Purdue-Smithe, Ph.D., waseBrigham kunye neSibhedlele sabaseTyhini eBoston. "Uphononongo lwethu olukhulu olulindelekileyo lufumene izixhumanisi phakathi kwe-migraine kunye neengxaki zokukhulelwa ezinokunceda ukwazisa oogqirha kunye nabasetyhini abane-migraine malunga neengozi ezinokuthi bazazi ngexesha lokukhulelwa."

Kuphononongo, abaphandi bajonge ngaphezulu kwe-30,000 yokukhulelwa kwabasetyhini abamalunga ne-19,000 kwiminyaka engama-20. Kwabo kukhulelwa, i-11% yabasetyhini babika ukuba bafunyenwe ngugqirha nge-migraine ngaphambi kokukhulelwa.

Abaphandi bavavanya iingxaki zabasetyhini ngexesha lokukhulelwa ezifana nokunikezelwa kwangaphambi kwexesha, okuchazwa njengomntwana ozelwe ngaphambi kweeveki ezingama-37 zokumitha, isifo seswekile sokukhulelwa, uxinzelelo lwegazi oluphezulu, i-preeclampsia, kunye nobunzima bokuzala.

Emva kokulungelelanisa iminyaka yobudala, ukukhuluphala, kunye nezinye izinto zokuziphatha kunye nempilo enokuthi ichaphazele umngcipheko weengxaki, abaphandi bafumanisa ukuba xa kuthelekiswa nabasetyhini abangenayo i-migraine, abafazi abane-migraine babenomngcipheko ophezulu we-17% wokunikezelwa kwangaphambili, i-28% ingozi ephezulu Uxinzelelo lwegazi oluphezulu, kunye ne-40% yengozi ephezulu ye-preeclampsia. Kwi-3,881 yokukhulelwa phakathi kwabasetyhini abane-migraine, i-10% yahanjiswa kwangaphambili, xa kuthelekiswa ne-8% yokukhulelwa kwabasetyhini abangenayo i-migraine. Ngoxinzelelo lwegazi oluphezulu, i-7% yokukhulelwa phakathi kwabasetyhini abane-migraine baphuhlise le meko xa kuthelekiswa ne-5% phakathi kokukhulelwa kwabasetyhini abangenayo i-migraine. Kwi-preeclampsia, i-6% yokukhulelwa phakathi kwabasetyhini abane-migraine bafumana, xa kuthelekiswa ne-3% yokukhulelwa kwabasetyhini abangenayo i-migraine.

Ukongezelela, xa ujonga i-migraine kunye nangaphandle kwe-aura, abafazi abane-migraine nge-aura babengama-51% amathuba okuba bahlakulele i-preeclampsia ngexesha lokukhulelwa kunabasetyhini abangenayo i-migraine, ngelixa abo babene-migraine ngaphandle kwe-aura babeyi-29%.

Abaphandi bafumanisa ukuba i-migraine ayizange idibaniswe nesifo sikashukela sokukhulelwa okanye ukuzalwa okuphantsi.

"Nangona imingcipheko yezi ngxaki isephantsi kakhulu, abafazi abanembali ye-migraine kufuneka baqaphele kwaye badibane nogqirha wabo malunga neengozi zokukhulelwa," kusho uPurdue-Smithe. "Uphando oluninzi luyafuneka ukuze kuqinisekiswe ukuba kutheni i-migraine inokudibaniswa neengozi eziphezulu zeengxaki. Okwangoku, abafazi abane-migraine banokuzuza ngokujongwa ngokusondeleyo ngexesha lokukhulelwa ukuze iingxaki ezifana ne-preeclampsia zichongwe kwaye zilawulwe ngokukhawuleza. "

Umda wokufunda kukuba nangona imbali ye-migraine yabikwa ngaphambi kokukhulelwa, ulwazi malunga ne-migraine aura aluzange luqokelelwe kude kube kamva kwisifundo, emva kokuba uninzi lokukhulelwa luphelile. Ngoko iziphumo ze-migraine aura zinokuthi ziphenjelelwe kukukwazi kwabathathi-nxaxheba ukukhumbula ngokuchanekileyo amava abo. Omnye umda kukuba ulwazi malunga nokuhlaselwa kwe-migraine kunye nezinye iimpawu ze-migraine azizange zifumaneke. Izifundo ezongezelelweyo ziya kufuneka ukujongana nale mida kunye nokwazisa ngcono ukuba abafazi abakhulelweyo abanembali ye-migraine kufuneka bahlolwe kwaye babekwe iliso malunga nokukhulelwa kokukhulelwa.