The Dhaka Times Desk Even today, medical scientists have not been able to come to a definitive conclusion about the real cause and cure of headache. Headache can be caused by many reasons including tension. We call these headaches migraines. What is the way of Passover? Today's discussion is about that.
Scientists in 1960 in a study on headaches said that tension often causes headaches and is easy to treat. When the blood vessels do not supply blood to the brain properly, many people identify it as migraine pain.
What kind of headache is it?
There are different types of headaches. One of these types of headache is 'migraine', commonly known as 'migraine pain'. 15-20 years ago this disease was not so prevalent. Currently, its prevalence is also expanding with the changes in the natural environment.
What can cause headaches?
This pain can also be caused by tension or other reasons. Sometimes the blood vessels supply excess blood for any reason and can also cause headaches. This pain is more intense than migraine pain and can be mistaken for migraine pain.
It is thought that the onset of migraine pain due to stress or natural causes reduces the blood supply to the brain - which has some effect on the function of the occipital and parietal regions of the brain. Adverse reactions may cause headaches. When a full-blown headache occurs, the extracerebral arteries dilate—which depends largely on the presence of a brain substance called 5-hydroxytryptamine in the blood. Scientists are still skeptical about the exact role of this element.
Hereditary influence
Migraine pain has a greater heritable influence than other pain conditions - which largely depends on the characteristics of a single 'gene' in cells. Evidence of this - a group of neurologists from the Faculty of Medicine of the University of Leiden in the Netherlands isolated the genes associated with migraine from the body of a migraine patient. Later the patient had no migraine pain.
Anxiety and restlessness
Its prevalence is high in those who are always worried or suffer from anxiety due to personal or family reasons. Moreover, any sudden dangerous news or emotional situation triggers this migraine.
Birth control pills and some sex hormones: More common in girls than boys. On the other hand, a group of researchers from the Department of Medicine at the University of Mississippi conducted a study on 100 women who did not have regular periods - they have a higher rate of migraine. Again, in many cases, this migraine pain can arise after every menstrual cycle. On the other hand, women who use birth control pills for a long time also have more symptoms of this disease.
Environmental influences
Today, the continuous population growth in the big cities of the world, including our country, is making the environment unbearable. Exhausts and fumes from defective vehicles have brought the environment to a state that has an impact on our bodies. And the cause of this effect is migraine. It has more effect among urban people than rural people.
Factors affecting
First of all, certain foods can increase the intensity of migraine pain or turn mild migraines into full-blown migraines. The following foods are noteworthy-
# Chocolate
# cheese
# liquor
# soft drink.
Secondly, migraine sufferers who suffer from sinus inflammation in addition to this pain or who suffer from severe colds or colds; In their case, the frequency of migraine pain increases gradually.
Thirdly when it is very hot and the environment is humid, the incidence of headache in migraine patients gradually increases. On the other hand, if there is more cold wind or foggy conditions in winter, its prevalence increases.
Types: Migraines are generally of three types.
# Migraine with aura or classic migraine
# Migraine with out aura or common migraine
# Migraine Variance Atypical Migraine
Migraine Symptoms
An aura, or pre-cue migraine, is evidence of certain sensations in the 30 minutes preceding the onset of the headache.
Headache attacks can be divided into stages – # prodromal or pre-symptoms that are noted hours to days before the onset of headache;
# aura or pre-symptoms that precede the onset of headache, # main headache, # post-symptoms or postdromal phase Most patients suffer from multiple phases.
Early signs
50-80% of migraine sufferers experience some mental, neurological, autonomic and other symptoms in the hours or days before the headache starts. Some of them suffer from depression, euphoria, tremors, hyperawareness, hyperactivity or irritability, quiet slowness.
The next symptom
In the later stages of a migraine headache, the patient usually feels tired and lethargic, as if he had just suffered a major physical exertion. At this time he can't concentrate on anything.
Migraine without aura
It is also called common migraine. Its prevalence is much higher than migraine with aura. These headaches last 4-72 hours and may have at least two of the following symptoms:
# Tingling or throbbing pain
# Half headache
# Nausea or vomiting
# Phobia or Phobia
# experience at least five such headaches in the past.
Migraine with aura
About 15 percent of migraine sufferers can recognize an impending headache attack by certain symptoms before their headache begins. Usually, these patients see flashes of light in the eyes, some parts of the front of the eyes are dark, the roads are up and down, crooked, etc. within half an hour before the onset of headache. At some point the patient feels abnormal sensation in the body part. Some may have temporary paralysis of a part of the body, speech abnormalities.
treatment
General treatment:
# Avoid foods that aggravate migraine pain.
# If a woman is taking birth control pills, she should stop taking the pill and take some other alternative method.
# If you have to go out in the middle of smoke, dust, extreme heat or cold wind due to environmental reasons, mask or handkerchief should be used.
Classical medicine
Treatment of patients with transient generalized migraine
# tablet Aspirin (600-900 mg) which is soluble in water or tablet Paracetamol (1 gm or 2 tablets)
Medicines to stop vomiting with #, such as:
Metoclopramide (marketed as Motilon, Nutramid, Antimet or Metocid) or prochlorpyrazine (marketed as Stimitil, Vergon or Promat) may be given.
A group of researchers from Ohiro University's Department of Medicine is trying to eliminate the need for treatment based on guesswork. Those researchers talked about Schrening test. This test will help doctors know where the pain is occurring and how the blood vessels are weakening. Other causes of headache can also be known in this test. As a result, doctors can correctly diagnose the disease and provide proper treatment.
Dr. Shahzada Salim
Diabetes and hormone specialist
Department of Endocrinology, Bardem, Dhaka.
* (Headache problem is a major problem of our country. Many may benefit from this article by Dr. Shahzada Salim. That's why his article found on internet is published).
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