Tuesday, June 23, 2020

Migraine "favorite" women, dairy products and meat products are easy to induce migraine

Headache is one of the most common symptoms in people's lives. It is a manifestation of many diseases and a protective response issued by the human body after being stimulated by injury. According to statistics, 80% of people will experience headaches in their lifetime. Headache generally refers to the pain in the upper half of the skull (ie, the eyebrow arch, the upper part of the auricle, and the area above the occipital protuberance), mainly caused by the stimulation of pain-sensitive tissues such as blood vessels, nerves, and meninges of the head .

Migraine "favorite" women, the pathogenesis is unknown

There are many ways to classify headaches. The most common ones are primary headaches and secondary headaches. Among the primary headaches, migraine is the most common. Migraine is a recurrent vascular headache. The clinical feature is repeated headaches. Attacks are mostly on one or both sides of the head. The nature and process of each attack are similar, accompanied by nausea, vomiting, and anorexia. Before or after a headache, there may or may not be hallucinations (such as halos, black spots, etc.), dizziness, aphasia, and limb weakness. These symptoms last for a few minutes or hours. After the aura symptoms subside, the headache appears, and the headache interval is completely normal. .

Most migraines start in puberty, with more women than men. Female patients are about 2 to 3 times male, and some patients have a family history. According to clinical manifestations, it can be divided into migraine with aura, migraine without aura, migraine with ophthalmoplegia, migraine with hemiplegia, and allergic attacks such as migraine. The onset of migraine can be related to a variety of factors, including stimulation of various physical and chemical factors, mental factors, and changes in hormone levels in the body. It is known that the onset of this disease is related to abnormalities in the contraction and relaxation of intracranial and external blood vessels, but the pathogenesis of this disease has not yet been fully understood. The existing theory of abnormal vasoconstriction, neurological dysfunction, and trigeminal vascular reflex Doctrines, etc., have their own reasons, and at the same time they cannot fully explain the cause of the disease.

Migraine attacks often preventable medication

The purpose of migraine treatment is to end the headache attack, relieve the symptoms associated with the attack and prevent recurrence. First of all, we must prevent the risk factors and avoid the stimulation of various physical and chemical factors. The medical treatment is divided into preventive medicine and therapeutic medicine. Drug treatment should be based on analgesics and sedatives.

1. Preventive medicine

Those with moderate or severe migraine attacks more than 3 times a month can be prevented by oral medication during the aura of the headache attack or early. Preventive drugs include the following categories: ① 5-HT receptor antagonist: cyproheptadine 0.5 ~ 4mg, 2 to 4 times a day orally; ② β-adrenergic receptor blocker: propranolol 40-80mg/d, 50% to 70% of patients' symptoms are relieved, in addition to atenolol, timolol, metoprolol, etc.; Calcium channel blockers: flunarizine, verapamil, nifedipine Equality has been reported to reduce the frequency and severity of migraine attacks; ④ valproic acid drugs: clinical application abroad found that the drug has the effect of preventing migraine.

2. Treatment during the attack

(1) Mild migraine: diazepam, aspirin, acetaminophen and other non-steroidal anti-inflammatory drugs such as ibuprofen, indomethacin, etc. can be used for treatment. Until the pain is completely relieved.

(2) Moderate migraine: Compound preparations of non-steroidal anti-inflammatory drugs or potent anti-migraine drugs such as ergot alkaloids, etc., and antiemetic drugs if necessary.

(3) Severe migraine: ergot alkaloids, tripotamines, etc. can be used.

Migraine is a functional headache. Although it has a long course, it will not cause organic damage and will not cause serious sequelae. Many factors are known to induce migraine. If you avoid these factors, you can prevent them to a certain extent. The occurrence of migraine.

Dairy and meat products are prone to migraine

Patients with migraine should pay attention to the following points in life.

(1) Pay attention to weather changes. Hot and humid weather is easy to induce migraine attacks. The reason is that hot and humid climates can easily cause mood swings and irritability, and reduce the appetite of people to lead to autonomic dysfunction, which causes vasoconstrictive dysfunction, and due to poor appetite, magnesium intake is reduced ( Magnesium is an important cation in the human body, it has an analgesic effect to relieve vasospasm, and can improve the vasomotor function of cerebrovascular). Therefore, in hot and humid weather, people who have a history of migraine should pay attention to adjust the room temperature.

(2) Pay attention to the type of diet. The foods causing migraine are mainly: (1) foods containing high tyramine, such as coffee, chocolate, dairy products; (2) animal fat, which induces migraine accounts for 49.8% of all food factors, strict control of such foods can Prevent migraine attacks; (3) alcoholic beverages, white wine, lemon juice, citrus, ice cream, etc.; (4) beef sausages, meat marinated products, soy sauce, etc. Therefore, the above foods should be eaten as little as possible or avoided. Eat more foods rich in magnesium, such as soy products, eat more complex carbohydrates, such as whole-wheat bread, pasta, eat more fresh fruits and vegetables, they help reduce mood swings, help prevent migraine attacks.

(3) Drinking and smoking are prohibited. Drinking alcohol can induce migraine because alcohol contains isoflavonic acid, flavonoids and so on. The cause of smoking-induced migraine is that nicotine in tobacco can increase platelet aggregation and release vasoactive substances such as serotonin, which can cause migraine.

(4) Pay attention to the combination of work and rest to avoid mental stress. Anxiety, depression, staying up late, and sleep disturbances can all cause migraine attacks. The mechanism is that these factors act on the central nervous system to increase the secretion of epinephrine and norepinephrine, and the neurotransmitter changes through the single-press energy pathway, increase the aggregation of platelets, and then activate platelets to release catecholamines and free fatty acids, and because Adsorption of serotonin produces vascular hypersensitivity, histamine release or bradykinin formation leads to neurological and vascular reactions, resulting in dilation of large blood vessels. The above factors can also cause primary neurogenic disorders and autonomic dysfunction, leading to abnormal vasomotor function and headaches. To prevent the onset of migraine headaches, you should usually learn to regulate your emotions, and you must have a planned work, organized life, and regularity.

(5) Prevent drugs from inducing headaches. Patients with migraine should not use gentamicin or long-term use of diuretics. These drugs can cause the body to excrete more magnesium and cause hypomagnesemia to induce headaches. Female patients are prone to headaches after taking birth control pills. This may be related to increased plasma prolactin levels. For female patients with a history of migraine, they should avoid taking them.

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