Mengubat Migrin

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Migraine

Headache - migraine

Last reviewed: November 22, 2010.

A migraine is a common type of headache that may occur with symptoms such as nausea, vomiting, or sensitivity to light. In many people, a throbbing pain is felt only on one side of the head.

Migraine attacks may be triggered by:

·           Alcohol

·           Allergic reactions

·           Bright lights

·           Certain odors or perfumes

·           Changes in hormone levels (which can occur during a woman's menstrual cycle or with the use of birth control pills)

·           Changes in sleep patterns

·           Exercise

·           Loud noises

·           Missed meals

·           Physical or emotional stress

·           Smoking or exposure to smoke

Certain foods and preservatives in foods may trigger migraines in some people. Food-related triggers may include:

·           Any processed, fermented, pickled, or marinated foods

·           Baked goods

·           Chocolate

·           Dairy products

·           Foods containing monosodium glutamate (MSG)

·           Foods containing tyramine, which includes red wine, aged cheese, smoked fish, chicken livers, figs, and certain beans

·           Fruits (avocado, banana, citrus fruit)

·           Meats containing nitrates (bacon, hot dogs, salami, cured meats)

·           Nuts

·           Onions

·           Peanut butter

Migraine headache

Symptoms of a migraine attack may include heightened sensitivity to light and sound, nausea, auras (loss of vision in one eye or tunnel vision), difficulty of speech and intense pain predominating on one side of the head.

Symptoms

Vision disturbances, or aura, are considered a "warning sign" that a migraine is coming. The aura occurs in both eyes and may involve any or all of the following:

·           A temporary blind spot

·           Blurred vision

·           Eye pain

·           Seeing stars or zigzag lines

·           Tunnel vision

Other symptoms that may occur with the headache include:

·           Chills

·           Increased urination

·           Fatigue

·           Loss of appetite

·           Nausea and vomiting

·           Numbness, tingling, or weakness

·           Problems concentrating, trouble finding words

·           Sensitivity to light or sound

·           Sweating

Symptoms may linger even after the migraine has gone away. Patients with migraine sometimes call this a migraine "hangover." Symptoms can include:

·           Feeling mentally dull, like your thinking is not clear or sharp

·           Increased need for sleep

·           Neck pain

Treatment

There is no specific cure for migraine headaches. The goal is to prevent symptoms by avoiding or changing your triggers.

A good way to identify triggers is to keep a headache diary. Write down:

·           When your headaches occur

·           How severe they are

·           What you've eaten

·           How much sleep you had

·           Other symptoms

·           Other possible factors (women should note where they are in their menstrual cycle)

For example, the diary may reveal that your headaches tend to occur more often on days when you wake up earlier than usual. Changing your sleep schedule may result in fewer migraine attacks.

When you do get migraine symptoms, try to treat them right away. The headache may be less severe. When migraine symptoms begin:

·           Drink water to avoid dehydration, especially if you have vomited

·           Rest in a quiet, darkened room

·           Place a cool cloth on your head

Many different medications are available for people with migraines. Medicines are used to:

·           Reduce the number of attacks

·           Stop the migraine once early symptoms occur

·           Treat the pain and other symptoms

REDUCING ATTACKS

If you have frequent migraines, your doctor may prescribe medicine to reduce the number of attacks. Such medicine needs to be taken every day in order to be effective. Such medications may include:

·           Antidepressants such as amitriptyline

·           Blood pressure medicines such as beta blockers (propanolol) or calcium channel blockers (verapamil)

·           Seizure medication such as valproic acid, gabapentin, and topiramate

·           Serotonin reuptake inhibitors (SSRIs) such as venlafaxine

·           Selective norepinephrine uptake inhibitor (SNRIs) such as duloxetine

Botulinum toxin (Botox) injections may also help reduce migraine attacks.

TREATING SYMPTOMS

Other medications are primarily given to treat the symptoms of migraine. Used alone or in combinations, these drugs can reduce your pain, nausea, or emotional distress. Medications in this group include:

·           Nausea medicines such as prochlorperazine

·           Over-the-counter pain relievers such as acetaminophen (Tylenol)

·           Sedatives such as butalbital

·           Narcotic pain relievers such as meperidine

·           Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen

If you wish to consider an alternative, feverfew is a popular herb for migraines. Several studies, but not all, support using feverfew for treating migraines. If you are interested in trying feverfew, make sure your doctor approves. Also, know that herbal remedies sold in drugstores and health food stores are not regulated. Work with a trained herbalist when selecting herbs.

Prevention

Understanding your headache triggers can help you avoid foods and situations that cause your migraines. Keep a headache diary to help identify the source or trigger of your symptoms. Then modify your environment or habits to avoid future headaches.

Other tips for preventing migraines include:

·           Avoid smoking

·           Avoid alcohol

·           Avoid artificial sweeteners and other known food-related triggers

·           Get regular exercise

·           Get plenty of sleep each night

·           Learn to relax and reduce stress -- some patients have found that biofeedback and self-hypnosis helps reduce the number of migraine attacks

  

References

1.          Wilson JF. In the clinic: migraine. Ann Intern Med. 2007;147(9):ITC11-1-ITC11-16. [PubMed: 17975180]

2.          Ebell MH. Diagnosis of migraine headache. Am Fam Physician. 2006;74(12):2087-2088. [PubMed: 17186716]

3.          Detsky ME,

McDonald DR

, et al. Does this patient with headache have a migraine or need neuroimaging? JAMA. 2006;296(10):1274-1283. [PubMed: 16968852]

4.          Loder E. Triptan therapy in migraine. N Engl J Med. 2010 Jul 1;363(1): 63-70.

5.          Silberstein SD, Young WB. Headache and facial pain. In: Goetz CG. Textbook of Clinical Neurology. 3rd ed. St. Louis, Mo: WB Saunders; 2007:chap. 53.

Review Date: 11/22/2010.

Reviewed by: Kevin Sheth, MD, Department of Neurology, University of Maryland School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Disclaimer

Copyright © 2011, A.D.A.M., Inc

NCBI National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA

Sumber:

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001728/

Kalau belum mencukupi. Cuba amalkan perkara berikut:

Pertama, JANGAN SEKALI-KALI TIDOR SELEPAS SUBUH SEHINGGA WAKTU DHUHA, dan SELEPAS ASAR SEHINGGA MAHGRIB (waktu makruh tidor kerana telah ada kajian sains mendapati pada masa itu terdapat sejenis bahan kimia yang dikeluarkan oleh tubuh kita, dimana jika kita kaku (tidor) bahan kimia tadi boleh menyerang otak, termasuklah menjadi migrin dan gila, atau mati mengejut!)

Kedua, setiap kali mandi, mulakan dari bawah, di kaki, kemudian di paha, kemudian di pinggang, dada, dan akhir sekali barulah disiram di kepala

Ketiga, cuba minum air kosong yang dicampurkan perahan sebiji limau nipis

Keempat, Silalah lakukan amalan sunat yang dinasihatkan oleh Rasulullah (SAW) iaitu berbekam (membuang darah kotor daripada badan). Imam Ibnu Qayyum Al-Jauziyah (dalam kitab At-TibbunNabawiy) membincangkan satu Hadist Nabi (S.A.W):

خير ما تدا ؤيتم به الحجا مه
"Sebaik-baik pengubatan yang kamu gunakan adalah dengan berbekam"

(Hadith sahih riwayat Bukhari & Muslim)

Imam at-Tirmidzi meriwayatkan, dari Ibnu Mas’ud yang berkata:

“Rasulullah SAW suatu ketika bercerita tentang malam ketika beliau diisra’kan, bahawa beliau tidak berlalu pada satu kelompok malaikat pun kecuali mereka menyuruh beliau dengan mengatakan, ’Perintahkanlah ummatmu agar berbekam’ ”

Ada diriwayatkan oleh Abu Hurairah yang berkata Rasulullah (SAW) bersabda: “Barang siapa berbekam pada tanggal 17, 19 dan 21, maka ia akan menyembuhkan semua penyakit.”
                                             (Hadis riwayat Abu Daud)

Diriwayatkan dari Anas bahawa Rasulullah (SAW) bersabda: " Baginda  berbekam di kepala ketika baginda melaksanakan ihram kerana merasa pening. Dalam riwayat yang lain kerana sakit yang dirasakan baginda. dalam tulisan yang lain kerana sakit kepala yang dirasakan baginda"   
                                          (Hadis riwayat Bukhari)                                    
                                                                                   
Dari Anas r.a yang berkata: "Rasulullah (SAW) pernah berbekam pada Akhda'ain dan bahu baginda"  
                                          (Sahih Al-Jami' :4927)

Menurut Sahih Ibnu Hibban. At-Thibb : Jilid X111 hal 442, hadis ke 6078, diriwayatkan dari Abu Hurairah bahawa Abu Hind pernah membekam Rasulullah (SAW) pada yafukh. Maka nabi (SAW) bersabda: "Wahai segenap kaum Ansar, nikahkanlah Abu Hind dan nikahkan anak kamu dengannya" Lantas baginda S.A.W bersabda lagi: "Bila pada pengubatan kamu ada yang terbaik, maka itulah bekam"

Saya sendiri, yang dahulu juga mengalami migrin serius, melakukan berbekam, dan alhamdulillah sembuh sepenuhnya. Malah fikiran saya juga tenang dan lapang dada.