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  • Hello lovely people!

  • Today were going to be talking about something that affects 15% of the global population

  • and is not only one of the most common causes of disability but the most costly neurological

  • disorder in the Europe:

  • - maybe the rest of the world too but only the European Union gave me figues for it

  • Migraines!

  • The thing that leaves me feeling for a large part of the month like:

  • Oh my god, the world is ending...

  • So fun (!)

  • Many people misunderstand migraines as beingjust a bad headachebut there are actually

  • a range of side affects and at least seven different types of migraine. And believe me,

  • theyre all much worse thanjust a headache’:

  • [groans]

  • - subscribe if you haven’t already!

  • In this video I’m going to explain more about what a migraine actually is and why

  • it really, really sucks. There won’t be coping tips per se as I’m going to make

  • a follow up video gathering those together so if you have any tips and tricks for making

  • it through a migraine please leave them in the comments.

  • No weird fake cures likesniff a rock and spin around three times on one spot under

  • a full moonplease.

  • I’ll do it! I’ll try anything!

  • - exactly, Migraine!Me, that’s why I’m here to protect you.

  • The underlying causes of migraines are unknown, however, they are believed to be related to

  • a mix of environmental and genetic factors- running in families in two-thirds of cases.

  • It affects two to three times more women than men and most often starts at puberty, becoming

  • worse during middle age.

  • I’m not even there yet.

  • Oh and FYI: while migraines were once believed to be more common in those of high intelligence,

  • this does not appear to be truesorry chaps, I know were all disappointed by that.

  • But what makes ME qualified to talk about migraines? Well

  • In a 30 day month I have 20 days of painful migraines.

  • [ding]

  • I also got discharged from the migraine clinic because I had a migraine.

  • [ding]

  • Oh yeah, and I recently went to the neuro-otologist to have my hearing looked into because no

  • one really knows why I can’t hear because my ear bones are fine and my cochlear is fine

  • and the nerves from my ears to my brain seem to be fine but then they realised it’s because

  • I’ve actually had an ongoing migraine for the last 14 years and it’d destroyed the

  • part of my brain that works out what sounds are and what they mean and I don’t know

  • how to feel about that news so I’m burying it in this video.

  • Am I going to loose more bits of my brain? Who knows! Can’t tell you! But I’m quietly

  • freaking out about it!

  • - yes, this is the Jessica version of freaking out. It’s very mellow. Of course my inside

  • voice is more:

  • Oh my God, my brain is liquifying and pouring out of my nose!

  • - it’s not, that’s just how a migraine feels.

  • Someone is literally poking me in the eye with a hot poker!

  • - that’s really not the right use ofliterally

  • Stop being so blase about this!

  • - well, it’s either that or panic, which is not very productive so

  • Let’s talk about what a migraine actually is!

  • [Title: What is a Migraine?]

  • Migraines are believed to be a neurovascular disorder- that means it’s a problem with

  • the blood vessels that supply the brain and spinal cord with freshly oxygenated blood.

  • Since our nervous system depends on a constant supply of oxygen and other nutrients from

  • this network of blood vesselsit’s not great when things go wrong!

  • However, researchers aren’t yet sure whether migraines are caused by neuronal mechanisms

  • or blood vessels are setting things offmaybe it’s both!

  • Spoiler: no one really knows what causes migraines.

  • I could give you a whole medical schpeal about different nerves and maybe serotonin and triggers

  • and smells and fatigue but really no one knows why I end up like this for a large part of

  • the month:

  • [more groaning]

  • - But if I can’t tell you what starts a migraine, I can at least tell you what MAKES

  • a migraine and thus answer that age old question: ‘what’s the difference between a migraine

  • and a headache?’

  • So, there are four possible phases to a migraine:

  • The prodrome, which occurs before the headache and is the sign it’s coming

  • The aura, which immediately precedes the headache The pain, also known asheadache

  • The postdrome, effects experienced following the headache.

  • A headache is a pain in your head, a migraine is so much more! Since your nervous system

  • is affected youll be feeling symptoms like: irritability, constipation, fatigue, sensitivity

  • to smells, blurs and lights in your vision, pins and needles in your hands and face, vomiting

  • and a blocked nose.

  • Interestingly, you don’t have to have all four of the phases to make a migraine. I often

  • have all of the symptoms of a migraine but without the actual pain in my head. So I have

  • visual disturbances, feel very lightheaded and spacy, nauseas, and like my entire body

  • is made of fresh scar tissue but my head doesn’t hurt so I can’t work out why I can no longer

  • put words in the right order.

  • [sight] We classically think of a migraine and assume

  • someone has to lie down in a dark room but that isn’t always the case. Personally,

  • it’s rare for me that light makes my pain worse or that looking at a screen affects

  • my migraine. I can happily read something on my phone whilst feeling like I’m dying

  • and not feel... more like I’m dying…?

  • - that’s not a great way to explain that.

  • actually it’s really helpful because I feel less alone.

  • To break down those four migraine stages:

  • 1. Prodromal or premonitory symptoms occur in about 60% of those with migraines and theyre

  • the ones I hate the most because theyre so darn confusing andawful. You don’t

  • yet know the migraine is coming so there is seemingly no reason for you to be feeling

  • like this, and then once you twig there is the awful realisation that youre going

  • to get hit with the migraine! Symptoms can include: altered mood, irritability, depression,

  • euphoria, fatigue, stiff muscles, sensitivity to smells or noise and food craving.

  • Personally, I get very restless and full of dread. I’ll try and watch something and

  • only be able to make it 2 minutes in before I have to switch to something else, and then

  • something else, and then something elseThat’s very rare for me. I’m the subscriber

  • who pulls up people’s watch time averages. I’ve recently become obsessed with Plumbella

  • and I watch until the end screen on every single video.

  • The dread is alsooverwhelming.

  • - and I’m naturally a ray of sunshine!

  • 2. An aura is a transient perceptual neurological phenomenon that occurs before or during the

  • headache. What the hell does that mean? Basically your vision looks like both [turn effect on]

  • the fancy bokeh filter on final cut pro.

  • - ooh, so fancy

  • And like someone is shining a bright torch into your eyes.

  • [ugh, no!]

  • Fair.

  • I have this for the aforementioned 20 days of the month and I used to think it was because

  • I have monolids and no brow-bone to speak of so light just reflected into my eyes in

  • a funny way. But no. My brain is just

  • Exploding!

  • - It’s really not.

  • You don’t know that!

  • - Fair.

  • Auras vary by individual experience; some people experience lights like me but for others

  • it’s smells, movements or hallucinations. Many people experience more than one and theyre

  • meant to last for less than 60 minutes butwell, were all special in our own way.

  • Visual effects occur most frequently in up to 99% of cases and less than half experience

  • accompanying sensory or motor effects.

  • I once had a migraine where I lost the vision in my left eye and thenit never came back.

  • - don’t panic though, I’ve been told that’s incredibly rare.

  • I wish my migraines were rare!

  • Same.

  • Sensory aura are the second most common type, occuring in 30 - 40% of people with auras.

  • Sometimes this is a pins-and-needles feeling or a numbness that occurs on one side or your

  • face or your body. Speech and language disturbances get me quite a lot:

  • What thewith theelephanttes. Ish?

  • [beat] Sure.

  • These motor symptoms, including world spinning and loss of position sense, indicate that

  • this is a hemiplegic migraine and weakness often lasts longer than one hour unlike other

  • auras.

  • What’s a hemiplegic migraine? It’s when your body paralyses on one side temporarily

  • and then you panic that youre having a stroke.

  • - And while were on that cheerful subject:

  • Migraines do actually increase your chances of having a stroke. Their symptoms are also

  • very similar but whilst the effects of a migraine are temporary, a stoke’s damage is permanent.

  • However, as my doctor told me the other day: sometimes migraines can last for years and

  • mimic the effects of a stroke. So there’s that.

  • - 14 years and running [cheers]

  • But no one knows how to stop a migraine.

  • It’s really tempting to just make this video be me angrily yelling about how little doctors

  • actually know about migraines and my general helplessnessbut that’s not helpful for

  • you, so on we go:

  • 3. The headache.

  • Oh god the headache!

  • Typically the headache is unilateral (one sided), throbbing, and moderate to severe

  • in intensity. It comes on gradually and is made worse by physical activity. In 40% of

  • cases the pain is bilateral and then has neck pain associated with it. Pain usually lasts

  • between 4 to 72 hours- yes, that’s three days.

  • - Plus side: the frequency of migraine attacks is very variable, from a few in a lifetime

  • to several a week, so please don’t panic that just because youve had one migraine

  • youre going to have lots more very soon. It doesn’t have to mean that.

  • The pain part isn’t justpain. However.

  • It’s frequently accompanied by nausea, vomiting, sensitivity to light, sensitivity to sound,

  • sensitivity to smells, fatigue and irritability. You may feel like the world is spinning, youve

  • lost track of where you are, youre incredibly nauseous and youre unable to see through

  • the pain. From the outside it’s likely someone can see your pallor, sweatiness and swaying.

  • Youll want to drag yourself to a dark and quiet room.

  • We then come to:

  • 4. Postdrome. This is a constellation of symptoms that occur once the acute headache has settled.

  • Maybe youll have a sore head where it was throbbing earlier, youll feel like your

  • entire skin is raw and bleeding, you might not be at your sharpest for the next few days.

  • You may rely heavily on Diet Coke.

  • Surprisingly some people feel refreshed or euphoric after an attack. I can promise you

  • that once my migraine starts and then my medication kicks in I feel like I can do anything!

  • Can’t wait for that.

  • - I can’t do a lot actually but… I feel like I can.

  • As I’ve run you through what a migraine involves I’ve also talked a little about

  • how varied migraines can be and how every person experiences them differently. And each

  • person can have different types of migraines! But here are the seven subclasses of migraine:

  • - The Common Migraine. migraine without aura. It hurts and you feel awful but you don’t

  • have any weird vision, smell or prickly things. - The Classic Migraine. migraine with aura.

  • It hurts, you see stuff. Also includes: it doesn’t hurt but someone really needs to

  • tune the television. Andyou forget how to talk for a bit whilst writhing in agony’.

  • - Childhood periodic syndromes. These come before migraines and include cyclical vomiting

  • (occasional intense periods of vomiting), abdominal migraine (abdominal pain, usually

  • accompanied by nausea) and benign paroxysmal vertigo of childhood (occasional attacks of

  • vertigo). - Retinal migraine involves migraine headaches

  • accompanied by visual disturbances or even temporary blindness in one eye

  • - ‘Complications of Migrainedescribes migraine headaches and/or auras that are unusually

  • long or unusually frequent, or associated with a seizure or brain lesion.

  • - ‘Probable Migraineis “I don’t know what just happened in your brain so were

  • going to call it a migraine, come back in 6 months

  • - ‘Chronic Migraine’: “Wow, that migraine lasted way longer than expected and also youre

  • having loads of themwhoa.”

  • Some more fun facts about migraines: There is nocureas such and the medication

  • you take- whether that’s simple over the counter stuff like ibuprofen and paracetamol

  • or specific medication like triptans- can actually lead to Medication Overuse Headache

  • which is a vicious cycle as you can imagine.

  • Don’t tell me my head hurts because I took medication to stop my head hurting- that’s

  • not fair!

  • - I know. It makes you pretty defensive, doesn’t it?

  • Yes! I didn’t do this to myself!

  • There really isn’t any blame game when it comes to migraines, don’t worry.

  • For instance, some people find that caffeine really helps and some find that it’s a trigger

  • which sets off their migraines.

  • Unfortunately there is no easy step-by-step guide I can give you to make your migraines

  • go away or not happen. It’s about finding out what works for you, what sets you off

  • and whether there are any medications that work for you in helping to prevent migraines.

  • Also, migraines typically do not occur during the second and third trimesters of pregnancy,

  • so if you can get pregnantconsider staying that way?

  • - surrogacy: helps build a family, helps stop your migraines [thumbs up]

  • I’m not entirely joking...

  • Please share this video with the people in your life who don’t know what a migraine

  • really is or those who really do and just need a bit of solidarity-

  • I feel you.

  • If you have your own coping strategies please leave them in the comments below and I’m

  • going to be trying them for an upcoming video that will be filmed when I have a terrible

  • migraine and not just a normal one.

  • - you think I’m looking right at you but to me it looks like it’s snowing.

  • Subscribe if you haven’t already and please check out my little merch shop, which youll

  • find on the shelf below this video or through the top link in the description.

  • My brain is falling out of my nose!

  • Youll be fine in a few hours, me of yesterday, youll be fine.

  • [beat]

  • Okay, maybe in a day.

  • See you in my next video!

Hello lovely people!

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關於偏頭痛你應該知道的事情...[CC] (Things you should know about migraines... [CC])

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    林宜悉 發佈於 2021 年 01 月 14 日
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