1. ikf;Nud; (Migraine)
xw;iwj; jiytyp
ikf;Nud; jiytyp vd;why; vd;d?
jkpopy; xw;iwj; jiytyp vd;W toq;fg;gLk; typjhd; ikf;Nud;. ikf;Nud; vd;w nrhy; fpNuf;f
nkhopapypUe;J nfhs;sg;gl;lJ. n`kp (Hemi) vd;why; ghjp> f;Nudpah (Crania)
vd;why; fghyk;. n`kpf;Nudpah (Hemicrania) vd;w nrhy;ypy; ,Ue;Jjhd; ikf;Nud; vd;w
nrhy; cUthf;fg;gl;lJ. ,ijj;jhd; xw;iwj; jiytyp vd;W jkpopy; nrhy;Ythh;fs;. ,J ,stajpy;
,Uf;Fk; gyUf;F tUk; xU NehahFk;. ,J cyfj;jpy; 10% kf;fis ghjpf;fpwJ. Mz;fis tpl ,J
ngz;fSf;F mjpfkhf tUk; re;jh;g;gk; cs;sJ. ,J ngUk;ghYk; ,stajpy; ,Ug;gth;fSf;Fj;jhd;
tUk; xU NehahFk;. ,J f;lk; nfhLf;ff;$ba> Mdhy; mghak; ,y;yhj xU Neha; vd;gij
KjypNyNa ehk; epidtpy; epWj;jp itj;Jf; nfhs;tJ ey;yJ.
ikf;Nud; vd;gjpd; ghpzhkq;fs; vd;ndd;d?
ikf;Nud; njhe;juT cs;sth;fSf;Fj; jiytyp gyKiw tuyhk;. ,e;jj; jiytypahdJ jiyapd; xU
gf;fj;jpNyh my;yJ ,uz;L gf;fq;fspYNkh tuyhk;. xU gf;fk; tUtij ngUk;ghYk; xw;iwj;
jiytyp vd;W nrhy;Ythh;fs;. Mdhy; ikf;Nud; njhe;juT ngUk;ghNyhNdhh;f;F ,uz;L
gf;fj;jpYk; typahf tuyhk;. rpyUf;F ,J tyJ Gwj;jpNyh my;yJ ,lJ Gwj;jpNyh ,t;thW typ
tuyhk;. rpyUf;F xNu rkaj;jpy; ,uz;L gf;fj;jpYNk typ tuyhk;. rpyUf;F jiyapy; xU
gFjpapy; Muk;gpj;J gpd;G kw;nwhU gFjpf;Nfh my;yJ jiy KOtJkhfNth gutyhk;. ,J
jtpu ,e;jj; jiytyp ngUk;ghYk; 4 fl;lq;fshf tUtjhy;> ,jid 4 fl;lq;fshf gphpj;Jf; fhzyhk;. 1.
Kjw;fl;lkhf> ngUk;ghyhdth;fSf;F cs;Szh;T mjhtJ jiytyp tUtjw;F rpy kzp Neuq;fSf;F
Kd;ghfNth my;yJ rpy ehl;fSf;F Kd;ghfNth ekf;F jiytyp te;JtpLk; vd;W cs;Szh;T
fpilj;J tpLfpwJ. mt;thW tUtij g;Nuhl;Nuhk; (Prodrome) vd;W nrhy;Nthk;. ,e;j
cs;Szh;T tUk; rkaj;jpy; rpyh; kpfTk; vhpr;rygLtjhf czuyhk;. rpyh; ftiyg;gLtjhfNth
my;yJ jpBnud;W mjpfkhfg; NgRtjhfNth my;yJ kpfTk; fisg;ghfNth my;yJ kWgb>
kWgb nfhl;lhtp tUtJ Nghd;Nwh my;yJ kpfTk; J}f;fk; tUtJ Nghd;Nwh my;yJ VjhtJ xU
1

2. czTg; nghUSf;fhf Vf;fk; tUtJ Nghd;Nwh> cjhuzkhf rhf;Nyl; jpd;Dk; Vf;fk; tUtjhfNth>
my;yJ cly;> if> fhy;fs; vy;yhk; rpyUf;F nfl;bahdJ Nghd;Nwh czuyhk;.
2. ,uz;lhtJ fl;lkhf rpyUf;F Muh (Aura) tUtJz;L. ,e;j Muh (Aura) tUk;NghJ rpyh; rpy
f;lq;fis czh;th;. mit gpd;tUtd. mth;fspd; fz;fSf;F Kd;Nd VNjh “kpDf;> kpDf;” vd;W
xsp tl;lkhfNth my;yJ xspapd; eLNt fUg;G tl;lq;fshfNth rpyh; czh;th;. rpyh; fz;fSf;F
Kd;Nd gy;NtW thpfspy; rpy NfhLfs; tUtJ Nghy; fhz;gh;. ,e;jf; NfhLfs; rpyUf;F
Mq;fpy vOj;J “z” Nghy fhzg;glyhk;. my;yJ rpyUf;F fz;fs; Kd;Nd VNjh xU Nfhl;il
,Ug;gJ Nghd;W $lj; Njhd;wyhk;. kw;Wk; rpyh; ghh;it Kd;G VNjh xU Gifgpbj;j fz;zhb
itf;fg;gl;lJ Nghd;W czh;th;. ,d;Dk;; rpyh; fz;fs; kq;FtJ Nghd;Nwh my;yJ xU Fohapd;
cs;Ns fhz;gJ Nghd;w czh;r;rpNah rpyUf;F tuyhk;. kw;Wk; rpyUf;F iffspNyh my;yJ
thiar; Rw;wpNah my;yJ ehtpNyh xU tpjkhd gugug;ngh my;yJ if fhy;fspy; ahNuh
Crpia itj;J Fj;JtJ Nghd;Nwh czuyhk;. ,d;Dk; rpyh; ehtpd; Rit khwptpLtJ Nghd;Nwh
my;yJ tpj;jpahrkhf VNjh xU third tUtJ Nghd;Nwh my;yJ fhjpy; VNjh xyp Nfl;gJ
NghyNth my;yJ jiy Rw;WtjhfNth czh;th;.
3. %d;whtJ fl;lkhf gyUf;F typ tUk;. ,e;j typahdJ ngUk;ghYk; kpf nkJthf Muk;gpj;J
gbg;gbahf mjpfhpj;Jf;nfhz;Nl nry;Yk;. ,t;thW mjpfhpj;J rpy kzp Neuq;fspy;> mjhtJ
ehd;F kzp Neuq;fspypUe;J ,uz;L-%d;W ehl;fs; tiu $l ,e;j Ntjidia rpyh; czuyhk;.
,t;thW tUtJk; xU ehisf;F xU Kiw tUtjpypUe;J rpyUf;F xU khjj;jpw;F xU Kiw $l
tuyhk;. ,e;j typapd; msT rpy Kiw nkypjhfTk;> rpyKiw kpff; fLikahfTk; rpyh;
czuyhk;. ,e;jj; jiytyp tUk;NghJ NtW rpy cgj;jputq;fisAk; rpyh; czuyhk;.
rpyUf;F me;j rkaj;jpy; the;jp tUtJ Nghy ,Uf;fyhk;. ,d;Dk;; rpyUf;F the;jpNa tuyhk;.
,e;j the;jpahdJ xUKiwNah my;yJ gyKiwNah xUtUf;F tuyhk;. ,e;jj; jiytyp tUk;NghJ
fz;fs; $r;rkhfp xspiaf; fhz;gNj f;lkhf ,Uf;fyhk;. ,d;Dk;; rpyUf;F ahuhtJ cl;fhh;e;J
NgrpdhNy Nfhgk; tuyhk;. me;jg; Ngr;ir Nfl;gJ $l kpfTk; f;lkhf ,Uf;fyhk;. ,t;thW
,Ug;gjhy; rpyh; ,Ul;lhd miwapy; nrd;W jdpahf Xa;ntLf;fyhk; vd;W tpioth;.
,d;Dk; rpyUf;F fz;fs; kq;FtJ Nghd;Nwh> fhjpy; xyp Nfl;gJ Nghd;Nwh> rpyUf;F
mbf;fb kyk; fopf;f Ntz;Lk; vd;Nwh> rpWePh; fopf;f Ntz;Lk; vd;Nwh my;yJ clk;gpy;
2

3. tpah;it tUtJ Nghd;Nwh Njhd;wyhk;. ,d;Dk; rpyUf;F jiyapd; xU gFjp tPq;FtJ
NghyTk; czuyhk;. ,d;Dk; rpyUf;F new;wpg; nghl;bNyh jiyapd; gf;fthl;bNyh “nghl;”>
“nghl;” vd;W njwpg;gJ Nghy; czuyhk;. ,y;iy cly; typg;gJ Nghd;Nwh> cly; nfl;bahf
,Ug;gJ Nghd;Nwh my;yJ jiyr;Rw;wy; Nghd;Nwh czuyhk;.
4. ,e;j jiytypapd; ehd;fhk; fl;lkhtJ jiytyp te;jgpd; tUk; khw;wq;fs;. ,ij Ngh];l; l;Nuhk;
(Post Drome) vd;W nrhy;tJz;L. ,t;thwhf jiytyp te;jgpd;G rpyh; rpy kzp Neuq;fNsh>
rpy ehl;fNsh kpfTk; rhpahf VNjh xd;iw rpe;jid $l nra;a Kbatpy;iy vd;gJ Nghd;Nwh
my;yJ mth;fsJ rpe;jpf;Fk; jpwdpy; Fiw Vw;gLtJ Nghd;Nwh czh;th;. ,J te;j gpwF
vJTNk nra;a Kbatpy;iy vd;Wk; rpyh; czh;th;.
,e;jj; jiytyp Vd; tUfpwJ?
,e;jj; jiytyp tUtjw;F ngUk;ghYk; ve;jf; fhuzKk; ,Ug;gjpy;iy. Mdhy; jiytypia
mjpfg;gLj;Jk; rpy tpaq;fs; cs;sd. mjpfkhd kd cisr;ry; MFk;nghOJ ,e;jj; jiytyp
cUntLf;fyhk;. rhpahd J}f;fkpd;ikahNyh my;yJ rhpahd Neuj;jpy; czT vLf;fhjjpdhNyh
jiytyp tuyhk;. rpyUf;F czTg; nghUl;fspdhYk; jiytyp tuyhk;. cjhuzj;jpw;F> rhf;Nyl;>
[];fphPk; rhg;gpLk;NghJ jiytyp tuyhk;. rpyUf;F gjdg;gLj;jg;gl;l czTfspd;NghJ>
cjhuzkhf Fsph;rhjdg; ngl;bapy; itf;fg;gl;l CWfha; my;yJ Gl;bapy; milf;fg;gl;l gour
tiffs; my;yJ rpy tif kPd;fs; rhg;gpLtjhYk; rpyUf;F jiytyp tuyhk;. ,JNghy czTfspdhYk;
tUk; jiytyp Nghy gyUf;F ntt;NtW nghUl;fspdhYk; jiytyp tuyhk;. ,J vLg;gjhy; kl;LNk
tUk; vd;W Fwpg;gpl;L ve;j czitAk; nrhy;y KbahJ. ahUf;F ve;j czT gjhhj;;jj;ij
vLg;gjhy; jiytyp tUfpwNjh mtuth; me;jg; gjhh;j;jj;ij vLf;fhky; ,Ug;gJ ey;yJ. ngz;fSf;F
khjtplha; fhyj;jpy; jiytyp mjpfkhtjw;F re;jh;g;gq;fs; mjpfkhfyhk;. ,e;jj; jiytyp tUtjw;F
euk;G Xl;lj;jpYs;s tpj;jpahrq;fSk;> me;j euk;Gf; Foha;f;F nry;Yk; ,uj;jf; Foha;fspy;
Vw;gLk; tpj;jpahrKk;jhd; fhuzkhf mikfpwJ. ,t;thwhf> ,uj;jf; Foha;fs; RUq;fp kWgb
tphptjhy;jhd; jiytyp ngUk;ghNyhNdhh;f;F mjpfkhf tUfpwJ. ,t;thW RUq;fp
tphptijj;jhd; rpyh; “nghl;” “nghl;” vd;W njwpf;fpwJ vd;w $Wthh;fs;. nruNlhdpd;
(Seratonin) kw;Wk; ]g;];nld;];-gp (Substance P) Nghd;w jhJg;nghUl;fSk; jiytyp jd;ikia
clypy; cUthf;fk; nra;fpd;wd.
3

4. ikf;Nud; jiytypia vt;thW fz;lwptJ? ,jw;F vd;ndd;d ghpNrhjidfs;; nra;a Ntz;Lk;?
ikf;Nud;; jiytyp ,Uf;fpwjh vd;gij gy Nfs;tpfs; Nfl;L mjd; %yNk kUj;Jth;fs; fz;lwpth;.
,ijf; fz;lwpa ghpNrhjidfs; vd;gNjh> ];Nfd; vd;gNjh ,y;iy. ,t;thW ghpNrhjidfs; my;yJ
];Nfd; nra;tJ Vd; vd;why;> ,J ikf;Nud; jiytypjhdh> ,e;j jiytyp tUtjw;F ,e;j fhuzk;jhdh
my;yJ NtNwJk; fhuzkh> cjhuzkhf %isapy; VjhtJ ,uj;jf;fl;b cs;sjh my;yJ VjhtJ fl;b
cs;sjh vd;gij fz;lwptjw;fhfj;jhd; ];Nfd; my;yJ ghpNrhjidNa md;wp ikf;Nud; ,Uf;fpwjh
,y;iyah vdf; fz;lwpa ];Nfd; Njitapy;iy.
ikf;Nud; jiytypf;F vd;ndd;d rpfpr;ir Kiwfs; nra;a Ntz;Lk;?
ikf;Nud; jiytypf;F nra;Ak; rpfpr;ir Kiwia ehk; %d;W tpjkhfg; gphpj;Jf; nfhs;syhk;.
1. ikf;Nud; xUKiw te;Jtpl;lhy; mij ,uz;L tpjkhf gphpj;Jf; nfhs;syhk;. Xd;W ikf;Nud;
jiytyp tUtij jLf;Fk; rpfpr;ir Kiwfs;. ,uz;lhtJ jiytyp mjpfkhf tUk;nghOJ cgNahfg;gLj;Jk;
kUe;Jfs;.
jiytyp tUtij vt;thW jLf;fyhk; vd;gij Kjypy; fhz;Nghk;. ,t;thW jLg;gjw;F kUe;JfSk;>
tho;f;if Kiw khw;wq;fSk; rpy Kiw mWit rpfpr;irfSk; cs;sd. ,t;thwhd itj;jpaj;jpd;
Fwpf;Nfhs; vd;dntd;W ghh;j;jhy; mit %d;W
1. kWgb> kWgb jiytyp tUtij Fiwf;f Ntz;Lk;.
2.jiytyp tUk;NghJ mJ mjpfkhfjthW ghh;f;f Ntz;Lk;.
3. jiytyp xd;W tUtJ vd;why; mjdhy; mtjpg;gLk; Neuj;ijf; Fiwf;f Ntz;Lk;.
,jw;F vd;dnd;d nra;ayhk;?
4

5. 1. Kd;Ng nrhd;dJ Nghy; ,e;j jiytyp tUtjw;F ,jiidj; J}z;b tpLk; rpy epfo;r;rpfis
ghh;j;Njhk;. cjhuzkhf> VNjh xU cztpdhy; ,J tUtij ehk; rhpahf fz;lwpe;NjhNkahdhy;
me;j czTg; nghUis ehk; jtph;f;fyhk;. Kd;G nrhd;dJ Nghy; [];fphPk;> rhf;Nyl;-My;
jiytyp tUfpwJ vd;why; mijj; jtph;f;fyhk;. Mdhy; xU tpaj;ij ,q;F epidtpy; epWj;jp itj;Jf;
nfhs;tJ ey;yJ. ,J ngUk;ghydth;f;F ,stajpy;jhd; tUk; vd;W Kd;Ng fz;lwpe;Njhk;.
,t;thW ,stajpy; ,Ug;gth;fSf;F [];fphPk;> rhf;Nyl; Nghd;witfs; kpfTk; gpbj;jkhd tpak;.
rpWth;> rpWkpah;f;F [];fphPk;> rhf;Nyl; vLf;fhNj vd;W nrhd;dhy;> mth;fs; Kfk;
thbtpLk;. mjdhy; kd cisr;rYk; mth;fSf;F mjpfkhFk;. vdNt> ngUk;ghNyhNdhh;f;F
ghpe;Jiu nra;tJ vd;dntd;why;> [];fphPk;> rhf;Nyl; vLj;Jf; nfhs;Sq;fs;. Mdhy; mjid
vLj;Jf; nfhs;Sk;NghJ jiytyp tUk; vd;gij Ghpe;J nfhs;Sq;fs;.
mg;gb jiytyp te;jhy; jiytyp khj;jpiu Nghl;Lf;nfhs;s Ntz;Lk; vd;gijAk; Ghpe;J
nfhs;Sq;fs; vd;w ghpe;Jiuia ehk; mth;fSf;F toq;fyhk;. jiytypNa tuf;$lhJ> Mdhy;
[];fphPk;> rhf;Nyl; rhg;gpl Ntz;Lk; vd;gJ elf;fhj tpak; vd;gij Ghpe;J nfhs;s Ntz;Lk;.
mjpf kd cisr;ry; ,y;yhky; ,Ug;gJk; ,e;j tpahjpw;F ey;yJ. ,jw;F kdij mikjpg;gLj;Jk; gy
topfisAk; Nkw;nfhs;syhk;. cjhuzkhf> Nahfh gaw;rp> jpahdg; gapw;rp Nghd;wit
,jw;F ey;y gyidj; jUk;. jpdk; xUkiw ey;y eilg;gapw;rp nra;jhNy kdk; Nyrhfp tpLk;.
,JTk; jiytyp tUtijf; Fiwf;f cjTk;. vjw;fhfTk; kdij kpfTk; myl;bf; nfhs;shky; ,Ug;gJ rhyr;
rpwe;jJ. czT cz;gJ rhpahd Neuj;jpy; ,Ue;jhy; kpfTk; ey;yJ. NkYk; cwq;FtJk;
rhpahd Neuj;jpy; ,Uf;f Ntz;Lk;. Fiwe;jg; gl;rk; 6- ypUe;J 8 kzp Neuk; cwq;FtJ
ey;yJ. ,t;thW czT> cwf;fk; rhpahf ,Ue;jhNy jiytyp tUtJ Fiwe;J tpLk;. rpyh; ntapypy;
nry;Yk;NghJ jiytyp tUtij czh;th;. mjw;fhf ntapypNyNa nry;yhky; xUth; ,Uf;f KbAkh?
vdNt ntapypy; nry;Yk;NghJ fz;fSf;F Fsph;fz;zhb Nghl;Lf; nfhs;tJ jiytyp tUtijf;
Fiwf;Fk;. Filia vLj;Jr; nrd;whYk; ntapy; mjpfk; glhky; ,Uf;f cjTk;. rpyUf;F kjpa
Neuk; mkh;e;J njhiyf;fhl;rp ghh;g;gjhNyh my;yJ jpiug;glk; fhz;gjhNyh jiytyp tuyhk;.
,t;thwhd egh;fs;; me;j Neuj;jpy; njhiyf;fhl;rpNah> jpiug;glq;fisNah ghh;f;fhky;
jtph;g;gJ ey;yJ. ve;j czTg; nghUspdhy; jiytyp kpFfpwNjh me;j czTg; nghUis
jtph;g;gJk; ,e;j tpahjpf;Fg; gad; juyhk;.
5

6. jiytyp mjpfkhf tUk;nghOJ mjw;F kUe;Jfs; nfhLf;fyhk;. mt;thwhd kUe;Jfs; typ
kUe;Jfs; MFk;. ,t;thwhd kUe;Jfis kUj;Jth;fspd; ghpe;Jiuapd;Nghpy;jhd; vLg;gJ
ey;yJ. rpyh; kUj;Jth; ghpe;Jiu nra;Gk; tiu fhj;jpuhky; kUe;Jf; filfSf;Fr; nrd;W
mtutuhfNt khj;jpiu thq;fp Nghl;Lf; nfhs;th;. ,J ey;yjy;y> Vndd;why; typkUe;Jf;F ey;y
gaDk; cz;L. gf;f tpisTfSk; cz;L vd;gij ehk; epidtpy; epWj;jp itj;Jf; nfhs;s Ntz;Lk;.
,t;thwhd gf;f tpisTfs; vd;d?
typ khj;jpiufshy; tapw;wpy; vhpr;ry; cz;lhfyhk;. mkpyk; Rue;J tapw;wpy; my;rh;
(Ulcer) cz;lhfyhk;. ,e;j typ khj;jpiuia rpy ehl;fshfNth> rpy khjq;fshfNth vLj;Jf;
nfhs;Nthh;f;F rpWePuff; NfhshW $l Vw;glyhk;. ,e;j khj;jpiufshy; rpyUf;F ,uj;j
mOj;jk; $l tuyhk;.
vdNt> ,e;j khj;jpiufis kUj;Jthpd; ghpe;Jiuapd;Nghpy;jhd; vLf;f Ntz;Lk;. jiytyp kWgb
kWgb tUgth;fSf;F ikf;NuDf;F cz;lhd NtW khj;jpiufis kUj;Jth;fs; ghpe;Jiu nra;th;. ,e;j
khj;jpiufs; ikfpNuDf;F chpa khj;jpiufs; MFk;. ,jid njhlh;e;J cl;nfhs;syhk;. vd;d
khj;jpiufs; vd;gij kUe;Jthplk; Nfl;L njhpe;J nfhs;s Ntz;Lk;. ,e;j khj;jpiu ikfpNud;
jiytyp cs;sth;fSf;nfy;yhk; ghpe;Jiu nra;ag;gLtJ my;y. xUtUf;F thuj;jpw;F xUKiw
my;yJ ,UKiw jiytyp te;Jnfhz;Nl ,Uf;Fkhdhy; kl;LNk ,e;j khj;jpiu ghpe;Jiu
nra;ag;gLfpwJ. cjhuzkhf> xUtUf;F khjj;jpw;F xUKiw kl;LNk jiytyp tUkhdhy; me;j
rkaj;jpy; kl;Lk; khj;jpiu vLj;Jf; nfhs;s ghpe;Jiu nra;ag;gLk;. Mdhy; xUtUf;F
thuj;jpw;F ,uz;L Kiw khj;jpiu Njitg;gLkhdhy; mth;fSf;F ikfpNud; tutplhky; jLf;Fk;
khj;jpiufis ghpe;Jiu nra;a Ntz;Lk;.
,t;thW ikfpNud; jiytyp kWgb kWgb tuhky; jLg;gjw;fhd ghpe;Jiu nra;ag;gLk;
khj;jpiufs; vd;d vd;d?
ngUk;ghyhNdhh;f;F gPl;lh g;shf;fh; (Beta Blocker) khj;jpiu ghpe;Jiu nra;ag;gLfpwJ.
,J kpfTk; ey;y khj;jpiu> tpiyAk; Fiwe;j khj;jpiujhd;. ,ij njhlh;tjhy;; tapW my;rh; my;yJ
rpWePuff; NfhshW Nghd;w nfLjpfs;; tpisahJ. Mdhy; M];Jkh ,Ug;gth;fSf;F ,e;j
6

7. khj;jpiu NruhJ. irg;Nuhn`g;lbd; (Cyproheptadine) vd;w khj;jpiu ,e;j ikf;Nud;
tpahjpf;F xU ey;y khj;jpiu MFk;. ,e;j khj;jpiuAk; gy khjq;fs; vLj;jhYk; ve;j nfLjpAk;
tpistpf;fhJ. ,e;j khj;jpiuapdhy; gf;ftpisTfs; ,uz;L cz;L> xd;W ,e;j khj;jpiu grpia
mjpfg;gLj;jptpLk;. mjdhy;; rpyh; mjpfkhf rhg;gpl;L Fz;lhfp tpLth;. ,J ve;j tpjj;jpYk;
ey;yjpy;iy>
,uz;lhtJ ,jdhy; J}f;fk; tuyhk; (Mdhy; ,J J}f;f khj;jpiu ,ufk; ,y;iy). vdNt ,J ,utpy; kl;LNk
vLj;Jf;nfhs;s ghpe;Jiu nra;ag;gLfpwJ.
mkpl;bpg;bypd; (Alitriptiline) vd;w khj;jpiuAk;> ikfpNud; jiytypf;F ghpe;Jiu
nra;ag;gLk; Mdhy; ey;y tpiy fk;kpahd xU khj;jpiu. ,e;j khj;jpiuapd; gf;ftpisthdJ
rw;W J}f;fk; tUtJ Nghy czuyhk;. ilthy;g;Nuhnaf;]; (Divalproex) vd;w khj;jpiuAk;
,jw;F ghpe;Jiu nra;ag;glyhk;. ,e;j khj;jpiuapd; gf;f tpisT vd;dntd;why;> rpyUf;F vil
$lyhk;. NlhgpuNkl; (Topiramate) vd;w khj;jpiuAk; ghpe;Jiu nra;ag;glyhk;. ,e;j
khj;jpiu rpWePufj;jpy; ahUf;NfDk; fy; ,Ue;jhy; mth;fSf;F NruhJ. ,e;jj; jUzj;jpy;
ePq;fs; xU tpaj;ij epidtpy; itj;Jf; nfhs;s Ntz;Lk;. cyfpy; vy;yh khj;jpiufSf;Fk; gf;f
tpisTz;L. xU khj;jpiuahy; gf;f tpisT ,y;iy vd;why; mjw;F tpisNt ,y;iy vd;Wjhd;
nghUs;. ve;jg; gf;ftpisTk; jpLjpLg;ngd;W tUtjpy;iy. mJ gbg;gbahfj;jhd; tUk;> mij
fz;lwpa kUj;Jth;fs; ghpNrhjid Nkw;nfhs;th;. mt;thW gf;f tpisTfs; ,Uf;FNkahdhy;
mjw;fhd jPh;it mtNu cq;fSf;F ghpe;Jiu nra;thh;. ,t;thW kWgb> kWgb jiytyp tUtij
jLf;Fk; khj;jpiufis MW Kjy; vl;L khjk; tiu ghpe;Jiu nra;ag;glyhk;. ,t;thW khj;jpiu
vLj;Jf; nfhs;Sk;NghJ kWgb kWgb jiytyp tUtJ FiwAk;. cjhuzkhf> xUtUf;F thuj;jpw;F
4 my;yJ 3 Kiw jiytyp te;jpUe;jhy;> mJ gbg;gbahf Fiwe;J thuj;jpw;F 1 Kiwahf tUk;
mstpw;F Fiwe;J tpLk;. rpyUf;F khjk; xUKiw my;yJ ,UKiw mstpw;F te;jpUe;jhy;
gpd; khj;jpiuia njhlh;tij tpl;Ltpl;L vg;nghOnjy;yhk; typ tUfpwNjh mg;nghOJ kl;Lk;
khj;jpiu vLj;Ff; nfhs;s ghpe;Jiu nra;ag;gLk;.
,t;thW mbf;fb jiytyp tUtij xU Fwpg;NgL(Diary) %yk; Fwpj;J itj;Jf; nfhs;tJ
kUj;Jth;fSf;F itj;jpak; nra;a trjpahf ,Uf;Fk;. Fwpg;Ngl;by; jiytyp ve;jj; Njjpapy;
tUfpwJ> vt;tsT Neuk; ,Uf;fpwJ. vt;tsT fbdkhf ,Uf;fpwJ. ,J tUtjw;F Kd; fhuzq;fs;
7

8. VJk; ,Ue;jjh> cjhuzj;jpw;F J}f;fk; nfl;ljh my;yJ kd cisr;ry; Vw;gl;ljh> vt;tsT Neuj;jpy;
jiytypahdJ ePq;fpaJ. mJ ePq;Ftjw;F vd;d fhuzkhf ,Ue;jJ> ,J tUk;NghJ J}f;fk;
nfl;ljh-,J Nghd;w tpaq;fis xU Fwpg;Ngl;by; jpdKk; vOjp xU egh; te;J kUj;Jthplk;
fhz;gpg;ghuhdhy; mij itj;J xU Nehahsp ve;j msT ghjpf;fgl;bUf;fpwhh; vd;gij
mwpe;J nfhz;L nray;gLth;. ,jw;fhd jPh;it ghpe;Jiu nra;th;. ,jid ikf;Nud; ilhp
(Migraine Diary) vd;W nrhy;th;. ,jpy; xU tpaj;ij Qhgfk; itj;Jf; nfhs;s Ntz;Lk;.
jiytypNa tuhky; ,Uf;f xUtuhYk; nra;a KbahJ. gbg;gbahf typiaf; Fiwa itg;gJ kl;LNk
KbAk;. Kd;Ng nrhd;dJ Nghy ,J ,stajpy; cs;sth;fSf;F mjpfk; tUk;. taJ Mf Mf mjhtJ
,sikapy; ,Ue;J KJik tutu jiytypapd; jd;ik Fiwe;J nfhz;Nl tUk;. ngz;fSf;F fh;g;g
fhyj;jpy; ,e;j jiytypapd; jd;ik FiwAk; vd;gijAk; kdjpy; itj;Jf; nfhs;syhk;.
,Wjpahf> ,e;j ikf;Nud; jiytyp xU caph; nfhy;yp Neha; ,y;iy. ,J ,Uf;fpwJ vd;gjw;fhf
ahUk; kdr;Nrhh;T mila Njitapy;iy. ,e;j jiytypapd; jd;ikia Fiwg;gjw;F ey;y khj;jpiufs;
cs;sd. ,e;j khj;jpiufis vLg;gjhNyNa ey;y gyd;fis fhz KbAk;. ,e;j khj;jpiufisAk; tho;f;if
KOtJk; vLf;f Njitapy;iy. gbg;gbahf jiytyp Fiwe;jhNy khj;jpiufis epWj;jptplyhk;.
nghJ eyd; fUjp
8