Multiple migraine triggers
Migraine is considered to be caused by a combination of environmental and genetic factors, and about 2/3 of the cases have genetic factors.
Fluctuations in hormone levels may also be a factor, with migraines affecting slightly more boys than girls before puberty but two to three times more women than men after that.
About 70% of migraine patients have a family history, and the risk of migraine in their relatives is 3 to 6 times that of the general population. Therefore, there may be multiple migraine patients in a family. Asking whether the patient has a family history is an important reference for the diagnosis of migraine.
Endocrine and metabolic factors
The disease more common in females than in males, mostly in puberty, prone to onset during menstruation, and decreases or stops during pregnancy or after menopause. These phenomena suggest that endocrine and metabolic factors influence the pathogenesis of migraine.
Coffee , chocolate, cheese, wine (especially red wine) and some food preservatives, additives and even hunger, etc., may all be triggers for migraine.
Mental factors Too much or too little
sleep , mental stress, stress, overwork, etc., can also induce migraine.
Environmental and other factors Migraines can be triggered by
bright harsh or flickering lights, noise, etc. In addition, some irritating volatile substances, such as gasoline, gas sprays and cleaning fluids, can also induce the disease.
Not All Headaches Are Migraines
Headache is a common clinical symptom, mainly including primary headache and secondary headache. Migraine is a common disease among primary headaches, and the disease stage is often chronic and protracted. In the diagnosis of migraine, it is very important to rule out organic secondary headaches. If misdiagnosed, it will not only delay the effective treatment of organic lesions, but also have adverse effects on the prognosis of the disease.
Migraine can be divided into 4 phases in the whole clinical attack process, and the symptoms are different in different phases.
Prodromal period The following symptoms may appear 1 to 2 days before the onset
of headache : constipation; mood swings, sometimes happy and sometimes depressed; craving for food, wanting to eat even if you are not hungry; stiff neck, often thirsty, and frequent yawning.
Premonitory stage There may be premonitory signs before the onset
of headaches , which are more common in the form of visual hallucinations or various forms of blind spots, such as flashes of light, scotomas, visual field defects, metamorphopsia, and changes in the color of objects. In addition, there may be somatosensory aura, such as numbness and paresthesia on one side of the limb or face. Other less common aura symptoms are dizziness, aphasia, confusion, and weakness of the face or limbs. The aura symptoms can last tens of minutes or several hours, and the emergence of various symptoms during this period is related to the focal ischemia of the brain.
Headache stage: When
entering this stage, pulsating headaches are caused by dilation of extracranial arteries, mostly manifested as pain in the back of the orbit or frontotemporal region on one side, and can extend to one side of the head or the entire head. If left untreated or ineffective, the headache can last for 4 to 72 hours. The headache stage is often accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, photophobia, pale complexion, and prominent temporal artery. Headache symptoms can be aggravated by activities or shaking the head and neck, and can be relieved after sleep.
Generally, after the headache lasts for 2 to 3 hours, you may fall asleep, and the headache disappears after waking up. A small number of patients may experience fatigue, lassitude, irritability, restlessness, poor appetite, difficulty concentrating, scalp tenderness, euphoria, depression, or other discomforts. The sequelae persisted for hours to days and then resolved.
Scientific prevention of migraine
At present, there is no definite treatment to eradicate migraine. We can only prevent it from the source to prevent migraine from affecting the quality of life. If migraine symptoms have already occurred, scientific methods should also be adopted to actively prevent recurrence during the interval between headache attacks.
Develop good living habits. Ensure adequate sleep
in daily life, pay attention to the balance between work and rest; protect eyes and avoid exposure to glare sunlight and lights; alcohol is particularly likely to cause headaches, and the intake of stimulants such as cigarettes and alcohol should be reduced; pay attention Regulate mental stress, emotional changes and other factors that make the brain tense; try to avoid foods containing tyrosine, such as citrus, milk, chicken liver, lactic acid drinks, cheese, chocolate, etc.; eat more fruits to ensure a light and easy-to-digest diet , avoid spicy and greasy.
Actively respond to weather changes
Migraine patients should pay attention to protecting their heads in wind and cold weather to prevent headaches caused by cold; in hot and humid weather, they should pay attention to controlling emotions and reducing blood circulation disorders.
Cautious use of various drugs
In terms of medication, migraine patients should use contraceptives, vasodilators, hormone replacement drugs and other drugs with caution; avoid frequent use of ergotamine, opioids, triptans, single-ingredient painkillers, etc.
Create a comfortable living environment
Avoid changing time zones and altitudes in a short period of time; avoid the stimulation of noise and strong light; avoid the stimulation of strong perfume smell; avoid prolonged electromagnetic radiation; pay attention to indoor ventilation to reduce boredom.