Objectiv.
· To learn about definition, stimuli and migraine phases
· To learn about pathophysiology, diagnosis, research, treatment, quality of life and migraine management.
Migräne.
Definition
· Migraine is a family disease.
· Specified by frequent headache attacks are widely variable in intensity, frequency and duration. The attacks are usually one-sided and are usually associated with anorexia, nausea and vomiting.
Migraine makes
· Upset sleeping pattern
· Hormone changes
· To dry.
· Wetterwechsel.
· Hungry.
· Visual and auditory stimuli from OLFACTORY
Phase.
1. prodrome
2. Halo
3. Headache
4. Post Drum
1 - Prodroom
Halo and vague halo headache that starts 12 to 36 hours ago
Symptoms: Excitement, depression, cravings or avoidance of various foods.
Time needed: 15-20 minutes 2-Aura.
· Alarm or signal will have before starting headache.
· Symptoms: Sparkle of Lights Lines, Zigzag, Focus Problem
· Duration: 15 to 30 minutes
3-headaches
· Headaches are usually unilateral and symptoms such as:
· Anorexia, nausea, vomiting, photovobia, phonophobia
· Duration: 4-72 hours
4 Postdrom.
· After headaches, the patient complains of fatigue, depression, severe fatigue, some patients feel aunusual
· Duration: a few hours or up to 2 days
Pathophysiology.
Vascular theory:
Intracranial blood stages / extracts from blood vessels - headaches.
Vasoconstriction intravascular blood vessels ----------- Aura.
Theory of serotonin:
Reduce serotonin levels associated with migraine.
Specific serotonin receptors in brain blood vessels. Diagnosis
Heritage, headache diary, migrain trigger,
Feedback Survey:
Electrocardiogram, CT brain, MRI.
Quality of treatment
Attack reduces frequency and severity.
Do not increase headache medicine.
You can train and manage your faults.
Improves the quality of the patient's life.
management
Non-pharmacist:
Trigger identification
Drug, break training, mental therapy
Drug therapy:
Cancellation, Preventive Therapy
Simultaneous therapy
Non-specific treatment:
aspirin
Paracomam.
Ibu Frofipen
Naproxen.
Certain treatment:
Ergotamine.
Dihydrero Mamain.
Sumattrip
RecordTriptan.
Prevention treatment
Beta black. Propranolol.
Calcium channel
Plain Dean
Bara Maril
TCAS.
Amentilin
SSRI.
Flux
Face pain
purpose
Introduction, burning factors and facial pain treatment
Front
Feeling part of face and eyes
Occurred by nervous system or blood vessels due to injury and headache, is generally due to neurological or blood vessels, but it can be good with its original.
Face pain
Major reason
· Nervous students
· Mok New Rexia
· Post Harses New Gallia Asia.
Tempoomandibular arthritis
Other causes of face pain
Dental [tooth abstraction] - chin, sensitive sensitive.
One, pull nose, pull eyes, eyes 30 minutes for 2 hours.
Signs - Dull pain and cheek bones move forward.
Miragin-aura, face pain, nausea, thrill or fast headache. Post-Stroke Pain - Persistent, moderate, or severe pain due to brain damage. This means that after a stroke, the brain doesn't understand the normal messages the body sends in response to touch, heat, cold, and other stimuli. Instead, the brain can perceive even the smallest sensation of touching the skin as painful.
trigeminal neuralgia
It is a trigeminal nerve disorder that causes sharp, throbbing pain in the cheek, lips, gums, or jaw on one side of the face.
People with this pain often have tremors or convulsions, which lead to trigeminal neuralgia. · Usually in the elderly or old in the middle.
· Woman woman
Migrana Nuralgia.
Express painful options from the middle level and high level, especially inside and around the eye.
· The name of the fact that the headache occurs in time groups or in "clusters" with long-term periods of attacks.
Oulgia after Hippy
If the pain is due to postponement and remains and persists and continue to remain more than 90 days, after the scandal fur is completed, it is known as a neurologist after everybody.
· After panic neuralgia is a painful disease that affects nerve and skin fibers. temporomandibular arthritis
· Known as COST SYNDROME.
Pain is pain.
Strengthened by chewing and jaw movement.
It occurs in the temporomandibular joint.
It is usually one-sided. Stimulating factors
Correction
Touch your face
· to eat
· Beverage
· Brush your teeth
· While talking
· to reconcile
· To smile
· Wash your face
under processing
· Medical treatment
Carbamazepine [Tegretol / Cartail]
Sodium phenytoin
valpuric acid
Surgical treatment
Relief of microvascular pressure
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