Sar dard aur migraine

Sar dard ka matlab hai sar mein kahin bhi dard. Migraine is ki aik khaas qism hai. NHS migraine ke daure ko dharakta hua sar dard batata hai, aksar sar ki aik taraf, jis ke saath matli hoti hai aur roshni aur awaaz bohat chubhti hai.

Kuch auraton ko dard se pehle aik warning milti hai jise aura kehte hain. NHS ke mutabiq is mein aankhon ke saamne terhi merhi lakeerein ya chamakti roshniyan, sansanahat, chakkar aana ya bolne mein mushkil ho sakti hai, aur yeh aik ghante se zyada nahin rehti. Aura hoti hai ya nahin, is se ilaaj par farq parta hai, is liye yeh jaanna kaam ki baat hai.

Asr tak sar bhaari ho jana. Maathe ke gird dabao ki aik patti jo kabhi poori tarah nahin jati. Woh migraine jo pehle maheene mein aik baar aati thi, ab jab chahe aa jati hai, ya zyada der rukti hai.

Roshara ka alamaat ka score ise yun kehta hai: sar bhaari ya jakra hua lagna, ya migraine ka andaaz badal jana. Urdu mein zyada tar auratein bas sar dard kehti hain.

British Menopause Society ka doctors ke liye tool perimenopause ko aisa waqt batata hai jab estrogen oopar neeche hota hai, mahwari ka chakkar badalta hai aur migraine ka khatra barh jata hai. NHS ka sar dard wala safha ise hormone wala sar dard kehta hai aur mahwari ke saath ise aik aam wajah mein ginta hai.

Isi NHS safhe par aur aam wujoohat bhi hain: zehni dabao, baithne aur khare hone ka ghalat andaaz, nazar ke masail, khana chhor dena, paani kam peena, aur dard ki dawaein had se zyada lena. Agar sar dard ka andaaz naya hai, to in sab par aik nazar daalna banta hai.

Aik umeed ki baat: NHS ka migraine wala safha kehta hai ke auraton mein migraine aksar menopause ke baad behtar ho jati hai.

• NHS trigger dhoondne ke liye sar dard ki diary rakhne ka kehta hai, aur BMS ka tool kehta hai ke diary se pata chal sakta hai ke daure mahwari ke saath aate hain ya nahin. Dekhein trigger ka record rakhna.
• NHS ka sar dard wala safha aaraam karna, paani peena, khana na chhorna, zehan ko dheela chhorna, aur screen par lambe waqt tak aankhon par zor na daalna ginwata hai.
• Perimenopause mein migraine ke liye BMS ka tool sehat mand wazan, baqaida warzish, Mediterranean andaaz ka khana, kaafi paani aur sone ka baqaida waqt ginwata hai. Aerobic warzish, wazan sambhalne aur CBT (baat cheet ki therapy) ke baare mein yeh kehta hai ke in par hot flush (achanak garmi lagna) aur migraine, donon ke liye saboot maujood hai.

Bara sawal HRT (hormone ki dawa) ka hai, aur yeh ke kya migraine se jawab badalta hai.

BMS ka tool kehta hai ke migraine wali auraton mein, perimenopause ke aakhri hisse aur menopause ke baad ke shuru ke saalon mein, hot flush ke liye HRT par ghaur kiya ja sakta hai. Yeh jild ke zariye estradiol ko tarjeeh deta hai, yani patch, gel ya spray, kyunke is se satah goliyon ke muqable mein zyada aik jaisi rehti hai, aur kehta hai ke migraine ki aura se HRT ka raasta band nahin hota. Yeh bhi kehta hai ke migraine wali aurat ke liye estrogen ki sahih dose woh sab se kam dose hai jo us ke hot flush sambhal le, kyunke zyada dose se sar dard barh sakta hai. Dekhein estrogen patch aur estrogen gel.

Pakistan Menopause Society ki sifarishaat bhi, jahan MHT mein radd-o-badal karna ho, migraine wali auraton ke liye jild ke zariye wale raaste ko tarjeeh deti hain (7.1.1). MHT, HRT ka hi un ka naam hai.

European Menopause and Andropause Society (EMAS) bhi yehi kehti hai, aur samjhati hai ke aura kyun aham hai. Woh kehti hai ke aura wali migraine khoon ka lothra banne se hone wale faalij ka khatra taqreeban dugna kar deti hai, magar sirf aura ki wajah se estrogen ka raasta band nahin hota. Woh goliyon ke ilawa doosre raaston ko, kam miqdaar mein, tarjeeh deti hai, kyunke un ka khoon jamne par kam asar hota hai.

Yani teenon patch aur gel ki taraf ishara karti hain. HRT aap ke liye theek hai ya nahin, yeh faisla aap ke doctor ka hai, aap ki history saamne rakh kar, aur aap jo sab se kaam ki baatein saath le ja sakti hain un mein se aik yeh hai ke aap ki migraine ke saath aura aati hai ya nahin.

Jo auratein estrogen nahin le saktin ya nahin lena chahtin, un ke liye BMS ka tool aik SSRI aur aik SNRI ka naam leta hai jo migraine aur hot flush, donon mein madad kar sakti hain. Dekhein menopause ke liye SSRIs.

Appointment lein agar sar dard baar baar laut kar aata hai, agar ghar par jo kar rahi hain us se farq nahin par raha, ya agar migraine barh rahi hai, mamool se zyada der rehti hai, hafte mein aik baar se zyada aati hai, ya baqaidgi se mahwari ke aas paas aati hai. NHS yeh sab ginwata hai.

NHS kehta hai ke fauri appointment maangein agar sar dard ke saath nazar ka masla ho, ulti aaye, khate hue jabre mein dard ho ya sar ki jild chhoone se dukhe, ya khaansne, chheenkne ya jhukne se dard barhe. Yehi baat us migraine ki hai jo teen din se zyada rahe, ya us aura ki jo aik ghante se zyada rahe.

Fauran emergency madad lein agar achanak bohat shadeed sar dard ho, ya sar dard ke saath chehra ya jism sunn ho jaye ya kamzori ho, bolne mein mushkil ho, nazar chali jaye, uljhan ho, daura pare, ya tez bukhar ke saath gardan akar jaye. PMS ki sifarishaat bhi naye aur shadeed sar dard ko khatre ki nishani ginti hain.

Roze ka din NHS ki batai hui sar dard ki do wujoohat aik jagah jama kar deta hai: Maghrib tak na khana, na paani. Auratein poochti hain ke jo sar dard har dopahar barhta hai, us ke saath roza kaise rakhein. Roze ke baare mein sawal kisi mustanad aalim se poochein. Ramzan mein dawa kab lein, yeh sawal usi se poochein jis ne dawa likhi hai.

Ghar mein sar dard ko thakan keh kar taal dena aasaan hai. Tareekh ke saath likha hua, aur yeh bhi ke mahwari ka kaun sa din tha, to yehi sar dard aisi cheez ban jata hai jis par doctor kaam kar sake.