長期偏頭痛好困擾！為什麼好不了？醫師教你判斷頭痛原因！《葉氏一二三》｜凡登整形外科 葉亘耕醫師

If have doubt, see a doctor If no doubt, gain knowledge! This is your headache doctor and also your beauty consult Hi I'm Dr. Yeh fro Vendôme Tainan Headaches are mainly divided into primary headaches and secondary headaches Primary headaches themselves have no known cause It may be constitutional or genetic At present, there is no definite factor. The primary headache has a definite cause. The factors may be high brain pressure high intraocular pressure probable long-term chronic sinusitis in the nose or chronic pain caused by infection The secondary factor will be the main cause of the headache that needs to be treated before it can be improved. As for primary headaches these patients often say that they went to various major hospitals and had various examinations, but told tha teverything was normal When headaches occur, they can only take painkillers for a long period. As for my specialty, which is the treatment of migraine belongs to the primary headache because these patients often have no means to find a cause they can only rely on painkillers or preventive medication, hoping to reduce the frequency of their headaches. The most common migraine attacks are on females In terms of the ratio of male to female, the ratio of female to male is about 3:1. At the age when it occurs more frequently, migraine, like what I just said Many patients were asked in the clinic how long have you had headaches, and they tells me like "Let me tell you the pain started from teenage, junior high school until now." Many of them started at that period. It may be an occasional migraine at first, and then the frequency gradually increased Migraines are prone to occur during the working age, about 20 years old to 50 years old is our age group that is more prone to have migraine headache. There are many female patients who had their headache improved after the menopause. For another group There is possibility of familial inheritance for their headache. There is a study that shows that if your parents both have migraine headaches at the same time the rate of children having migraines is about 75% if only one of them has migraines. children have a 50% chance of having migraines. Generally speaking, migraine attacks can be divided into 4 stages prodromal stage, aura stage, attack stage and recovery stage The prodrome stage is usually about 24~48 hours before the onset You will start to feel tired lack of energy prone to yawning and loss of appetite Let’s talk about the omen it is true If you feel like a migraine, it may be our aura. These patients, they have about half an hour and an hour before their onset. The most common aura is probably a visual aura. There will be a blind spot in the eye and there will be some jagged edge around it. the blind spot will slowly spread, the field of vision will be squeezed, and then eventually it will slowly fade away. After half an hour or an hour after the fade, it will be accompanied by severe pain. This is a relatively typical phenomenon. the onset period is usually severe headache, and some people accompanied by photophobia fear of noise, and nausea and vomiting, some will have olfactory abnormalities in the sense of smell , and they will smell some very strange smells. The attack period of migraine last between 4 hours and 72 hours. This is a relatively strict attack period. If less than 4 hours, it'll not be classified as migraine. This refers to not taking painkillers and lasting for more than 72 hours. The migraine that has not improved is called the migraine accumulation state. In this situation, it is necessary to go to the hospital for treatment The fourth stage of migraine is the subsequent relief period after the attack. Generally speaking, after the pain, you will start to feel kind of dizzy and some sense of tiredness but some will feel more sober comparing to the state before the headache this is the subsequent phase of the migraine. So migraine can be roughly divided into these 4 stages. This is todays video If you have any questions Or you want to share your experience about migraine headaches please leave a message below to let us know Last but not least, like, subscribe and turn on the notification , so secondary headaches are relatively dangerous , because like I said, there is a reason for secondary headaches, and secondary headaches are what we are most worried about It is because the brain pressure is too high , so for secondary headaches , we must find out the cause of his headaches and then treat the causes . On the one hand, the headache can be improved, and on the other hand , it can actually treat your disease and save your life. Primary headaches, as the name suggests , are One, the exact cause of the headache cannot be found , so if you don’t know the cause, we can’t say that it’s really a symptomatic treatment, and we can prescribe the right medicine to treat it