the Migrene pains of head make up epidemiological problem, diagnostic and therapeutic. The insufficient acquaintance of creature of migraine steps out universally. The of head, often one-sided, pain about pulsating with concurrent nauseas, photophobia, hypersensitivity on sounds character is main her symptom and scents. Near 25% women and it 9% men experiences migraines. However despite so considerable dissemination, migraine be recognized very seldom and treated. The lack of proper conduct with migraine worsens quality of the patients' life considerably. The migrene pains of head can limit physical efficiency and psychical.
the Migrene pains of head make up the serious problem of public health. Disease this worsens quality of patient's life considerably, it influences in large degree on his family also. There are no relating on migraine chorych's number data in Poland. In USA problem this concerns about 30 million persons. They in person's United States with migrene pains leave average 4 – it gives 6 working days, what in scale of year ok. 65 – 150 million working days. Estimated indirect costs and direct migraines this ok. 17 billion dollars annually. Migraine steps out the most often at men in the period their the largest professional activity which usually heightens migrene pain. Necessary the quick diagnosis is and the initiating the effective methods of treatment of pains of head, peaceable with modern opinions.
the Is handicap is the difficult phenomenon to defining, it concerns both biological how and the psychosocial states of dysfunction. The variety of causes of is handicap be connected with multitude of dysfunction of organism, therefore the definitions of is handicap are imperfect also. According to functioning in countries of Union of European definition, the handicapped person "on result of injury, the disease or there is the inborn defect the serious difficulties or is not clever to execute the action which person in the same age is clever to execute”.
migraine can be with Reason of limitation of efficiency patient they - stood having disease negative influence on his functioning in family, work, society. Migraine marks with concurrent him nauseas with of head, the most often one-sided, paroxysmal pain as well as vomitings. Influence of this kind of pains on patients and it is their family huge. The migraine upsets quality of the patient's life considerably, across nuisance of assaults as well as the phobia before their repeating oneself. Many patients notify the considerable handicap of efficiency.
the Classification of migraines be bases on clinical features mainly, the presence or the lack of characteristic weather before beginning of pain ( the classification according to. the International the Headache the Society). The weather usually hugs the disorder of sight. Different the symptoms the prodromalne (that is previous) then the nauseas, raised perception the (sensibility on stimuli of surroundings), assault of desire of food, change of mood.
Susceptibility to migraine seems to be hereditary instruction. Many touched her can pass factors wyzwa1ające: the food burdening the liver centres, as the chocolate, some kinds of cheese, the fat food and the liquor, at women the hormonal changes, cyesis, physical burdens and the psychical, influences of natural environment, as the strong wind and the glaucomatous light or also the stress. It suffers on kind of continuous stress quite a lot of migrene patients. When this disappears and relative relaxation follows, it comes to migrene assault, np. during weekend, on leave or after undertaking decision.
was It been proper to use with schedule introduced below. If profile from schedule agrees with experienced by chorego, with large probability symptoms is then migraine. Sign "+” the presence of symptom, sign marks”-" his lack. Several "+” this large intensification symptoms.
Schedule represents the principle of różnicowej diagnosis of spontaneous pains head (according to. Mathew NT. Differential diagnosis in headache – identifying migraine in primary care. Cephalgia 1998).
| Symptom | Migraine | Pain & nbsp;tensive | Pain & nbsp;klasterowy |
|---|---|---|---|
| Sex (Men : Woman ) | 2 : 7 | 4 : 6 | 9 : 1 |
| the Lateralisation of pain (that is the pain after right the or left side head) | 60% | bilateral | 100% |
| Location | forehead, temple, eye | generalized | round eye-socket |
| the Frequency of attacks | 1 – 9 / month | 1 – 30 / month | 1 – 3 / day |
| Intensification | averages, considerable | Gentle, howl. averages | very considerable |
| the Time of duration of attack | 4 – 72 godz. | 15 min. – many days | 15 min. – 3 godz. |
| the Character of pain | pulsating | Blunt ( the pressure) | sharp, prickly |
| Periodicity | +- | - | +++ |
| family Occurrence | +++ | +- | +- |
| Weather | +++ | - | - |
| Vomitings | +++ | - | - |
| Fotofobia (photophobia) | +++ | +- | +- |
| Watering | +- | - | +++ |
| the Intensification under influence of effort | +++ | - | - |
With pain of head was one should answer to doctor. Samoleczenie can be effective with accessible analgesic centres, it however was one should remember about getting doctor's advice what to advisability applying these medicines, and also the way and quantity of their accepting. It it was one should was pass me matter, that analgesic accepted in excess medicines are harmful especially for kidneys, liver and alimentary line.
Which does doctor, when patient answers with pain of head? Conduct doctor initially depends on very exact meeting interview (patrzeć - schedule), which will permit to avoid needless investigations and incorrect treatment. It the doctor pays back the attention on applied so far the treatment and his effect, general state of the patient's health as well as the family interview. Doctor carries out general investigation. Neurological investigation at patients with migraine does not show deviations from norm. Investigation in some cases courts laryngologiczne and oculistic. The realization of routine laboratory investigations be recommended also. Both correc, as and the incorrect record of EEG ( the record of electric activity of brain, tzw. the electroencephalogram) it does not confirm and it does not exclude the migraine.
the cases Are, in which the doctor can charge the realization of investigation illustrating the nervous arrangement ( the investigation of magnetical resonance, scanning computer – that is the "overexposure” of head). When doctor can execute such investigation? [Patrzeć – tab. 2.]
Tab.2 the Guidelines the U. the S. Headache the Consortium to investigation the neuroobrazowego at applicant with migrene pains of head patients.
| the of head having the sharp character Pain and with wyjaśniony affirmed during neurological investigation symptoms. |
| the Pain of the head which was sharpened after use of manoeuvre the Valsalvy wybudzać with dream patient, fresh pain at older person or about progressive deteriorating. |
| At patients with correc results of neurological investigation the pictorial investigation of nervous arrangement usually does not be well-founded. In situation if pain has atypical character or it does not fulfil the exactly definition of migraine, we can apply lower threshold. |
the Aims of long-wave treatment of migraine:
the Aims of effective treatment of sharp assaults of migraine:
To safe was treatment fully, doctor has it to lead.
the Review of conduct with sharp pain at patients with migrene pains of head:
the Migrene pains of head can make up epidemiological problem, diagnostic and therapeutic. The of head, often one-sided, pain about pulsating with concurrent nauseas, photophobia, hypersensitivity on sounds character is the main symptom of migraine and scents. Near 25% women and it 9% men experiences migraines. However despite so considerable dissemination, migraine be recognized very seldom and treated.
the Lack of proper conduct with migraine worsens quality of patients' life considerably. The influence of migrene pains on patients and it is their family huge. The migraine upsets quality of the patient's life considerably, across nuisance of assaults as well as the phobia before their repeating oneself. Many patients notify the considerable handicap of efficiency.
Proper diagnosis has not trifles meaning for proper treatment of migraine. The effective treatment pozwalać on restoration the patient's ability to functioning extemporaneously, and długofalowo on limitation of frequency and the intensification of migraine, limitation of niesprawności and the improvement of quality of life.