Oct 17, 2020
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Get out of your head. How to get rid of migraine attacks?

The woodpecker does not have a headache. And 90% of people have pain. Does migraine lead to stroke, and can a headache be cured on its own?

Tells President of the Russian Society for the Study of Headache, Professor of the Department of Nervous Diseases and Neurosurgery at the 1st Moscow State Medical University. Sechenov of Russia Guzel Tabeeva.

Lydia Yudina, "AiF": Guzel Rafkatovna, there is a joke that the head is a bone, and therefore cannot hurt.

Guzel Tabeeva: Headache occurs not in bone structures and not in the substance of the brain, but in structures equipped with pain receptors (membranes, walls of cerebral vessels, paranasal and venous sinuses, etc.). Diseases or conditions that involve these structures and are accompanied by headaches. Headache can be secondary (i.e., a symptom of a disease) and primary. 95% of all headaches are primary headaches (migraines, tension headaches, cluster headaches, etc.). Even a thorough examination of such patients usually does not explain why they have a headache.

Progress is evident

- It means that there is no answer to the question why some people have a headache all the time, while others never.

- 90% of people are familiar with headaches. However, everyone treats her differently. Some do not pay attention to her. Others control headaches with symptomatic methods and medications. But there are patients who experience everyday pain and attach great importance to it. Therefore, it seems that only they have a headache.

It should be understood that at first all patients have an episodic headache. But in some patients, over time, the frequency of headache episodes increases, they change in nature, and the pain becomes almost daily, severe and chronic.

- How to deal with a headache so that it does not progress?

“Studies that have followed some patients for many years have shown that several factors contribute to chronic headache. The first is depression. Even with a minor affective disorder, the headache becomes more severe and begins to accumulate other unpleasant symptoms - sleep disturbances, pain in the neck, back and muscles, and other disorders form over time. In this case, treatment for depression is the best.

Another common case is the abuse of analgesics or their prophylactic use. For example, a person knows that a headache occurs in response to an experience, and on the eve of a difficult day, he takes painkillers in advance. As a result, the effectiveness of the analgesic decreases, and in order to achieve the desired effect, it must be used more often and in large doses. In women, excess weight makes a chronic headache, in men - snoring during sleep.

With your own hands

- Is it possible to cure a headache on your own?

- Headache is such a frequent complaint that in each case it is impossible to see a doctor, and you have to resort to self-medication (see infographic). However, in order to help yourself on your own, you need to get complete information about your disease, and this usually requires a medical consultation.

You can treat yourself until the headache limits your activity. If she forces you to radically change your plans (cancel business meetings, trips, etc.), you need to go to the doctor.

A doctor is also required in cases where the usual manipulations that previously helped stop working - he will advise other ways to relieve headaches.

It is strictly imperative to consult a doctor if the nature of the headache has changed or a new symptom has arisen that did not exist before.

Medicines or pain relievers

- Is it true that any migraine sooner or later ends with a stroke?

- There are rare genetic diseases, one of the manifestations of which is migraine, another - stroke. The risk of ischemic stroke is also increased with frequent migraines accompanied by aura. However, this only applies to patients who have other risk factors for brain catastrophes (smoking, use of high-dose oral contraceptives, the presence of cerebral circulation disorders in parents, etc.).

In most cases, migraine is an unpleasant but not dangerous disease that affects the quality, but not the duration of life. Any attack ends sooner or later (maximum duration - 3 days). And if you learn to stop it, you can live happily ever after with a headache.

- Is it true that there are no specific drugs for headaches?

- Until recently, there really were no specific drugs for the treatment and prevention of headaches. The drugs were selected intuitively. For example, doctors have noticed that treating hypertension with beta-blockers leads to a decrease in migraine attacks. Later, specific molecules were found that trigger headaches, and drugs were developed that act directly on them. In the 1990s. specific drugs for relief of migraine headaches were introduced into practice. Therefore, today, for any type of headache, you can choose an effective medication.

- They say that people suffering from migraines are talented and extraordinary?

- Migraine is observed in 20% of the population. Among them, of course, there are talented and extraordinary people who capture their experiences on canvases, in poetry, etc. In particular, the migraine aura provokes visual illusions that can be depicted by the patient. Experts often "see" elements of such aura phenomena in the works of artists.

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