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 Migraines: Understanding the causes, symptoms, and treatment options

 Migraines are a type of neurological disor­der characterised by recurrent episodes of severe headaches, often accompanied by sensitivity to light, sound, and nausea.

According to the American Migraine Foundation, (AMF) over 39 million people in the United States suffer from migraines, with women being three times more likely to ex­perience them than men.

In this article, we will delve into the causes, symptoms, and treatment options of migraines, as well as provide tips on how to manage and prevent them.

What are migraines?

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Migraines are a complex neu­rological disorder that affects not only the brain but also the nervous system and blood ves­sels. During a migraine episode, the blood vessels in the brain expand, leading to inflamma­tion and pain.

Symptoms of migraines

The symptoms of migraines can vary from person to person, but common symptoms include:

1. Severe headache: A throb­bing or pulsating headache, usually on one side of the head.

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2. Sensitivity to light and sound: Increased sensitivity to light, sound, and sometimes even touch.

3. Nausea and vomiting: Feel­ing queasy or vomiting, which can lead to dehydration.

4. Dizziness and vertigo: Feeling lightheaded or experi­encing spinning sensations.

5. Aura symptoms: Some peo­ple experience aura symptoms, such as flashing lights, zigzag patterns, or numbness, before the headache begins.

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Causes and triggers of mi­graines

While the exact cause of migraines is still unknown, re­search suggests that a combina­tion of genetic, environmental, and hormonal factors con­tribute to their development. Common triggers of migraines include:

1. Genetics: Family history plays a significant role in mi­graine development.

2. Hormonal changes: Fluc­tuations in estrogen levels, such as during menstruation or menopause.

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3. Stress: Physical or emo­tional stress can trigger mi­graines.

4. Sensory stimuli: Bright lights, loud noises, or strong smells.

5. Food and drink: Certain foods, such as aged cheeses, citrus fruits, or foods contain­ing MSG or tyramine.

6. Sleep patterns: Changes in sleep patterns, such as insom­nia or oversleeping.

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7. Environmental factors: Changes in weather, altitude, or exposure to chemicals.

Treatment and management options

While there is no cure for migraines, various treatment options can help alleviate symptoms and prevent future episodes. These include:

1. Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, or prescription medications, such as triptans or ergotamines.

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2. Lifestyle changes: Main­taining a consistent sleep schedule, staying hydrated, and avoiding triggers.

3. Relaxation techniques: Stress-reducing activities, such as meditation, yoga, or deep breathing exercises.

4. Chiropractic care: Spinal manipulation and other chiro­practic techniques may help alleviate migraine symptoms.

5. Alternative therapies: Acu­puncture, massage, or herbal supplements, such as feverfew or butterbur.

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Preventing migraines

While migraines can be unpredictable, there are steps you can take to reduce their frequency and severity:

1. Keep a headache diary: Tracking your migraines can help you identify patterns and triggers.

2. Maintain a consistent sleep schedule: Irregular sleep pat­terns can trigger migraines.

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3. Stay hydrated: Dehydra­tion is a common migraine trigger.

4. Avoid triggers: Identify and avoid triggers, such as certain foods or sensory stimuli.

5. Manage stress: Engage in stress-reducing activities, such as meditation or yoga.

When to seek medical at­tention

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While migraines can be debil­itating, some symptoms require immediate medical attention:

1. Severe or frequent mi­graines: If you experience more than 15 headache days per month.

2. Increasing frequency or se­verity: If your migraines worsen over time.

3. Aura symptoms: If you experience aura symptoms, such as numbness, weakness, or difficulty speaking.

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4. Headache with fever: If you have a headache accompa­nied by a fever, confusion, or stiff neck.

5. Recent head trauma: If you have experienced a recent head injury.

Conclusion

Migraines are a complex and debilitating neurological disorder that affects millions of people worldwide. While there is no cure, various treatment options and lifestyle changes can help alleviate symptoms and prevent future episodes.

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By understanding the causes, symptoms, and treatment op­tions of migraines, you can take control of your condition and improve your quality of life.

By Robert Ekow Grimmond Thompson

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Features

Farmers, fund and the mafia

The notion some people have about the Sikaman farmer can be amusing. It is the belief of some that immediately a struggling farmer manages to grab a loan, the first thing he does is to invite his abu­sua (kith and kin) home and abroad.

He organises a mini-festival using palm wine mixed with Guinness as the first course. There and then he announces that he is no longer a poor man; in effect he has ceased to be the close buddy of Mr John Poverty.

The ceremony will be consum­mated with singing and breakdance, a brief church service, drama and poetry recitals.

At least three bearded goats complete with moustache and four cockerels would be sacrificed in vari­ous recipes to celebrate the farmer’s broken alliance with poverty. Some would end up as fufu and light soup, grilled chicken, toasted mutton and smiling goat-head pepper soup. In short, the loan was well taken and well utilised.

The farmer’s prosperity begins right from the stomach. His idea is that if you don’t prosper in the stom­ach, there is no way you can prosper outside it.

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Some farmer are ‘wiser’ though. When they get the loan, they prompt­ly look for new wives. They can no longer continue enjoying one soup everyday like that. Variety is the spice of life! A new wife would bring new zest, new hope and heavenly glary into the farmer’s life. Most impor­tantly the new wife would bring more action into his waist.

So the loan goes indirectly into promoting physical exercise for the human waist instead of the expansion of the farm, purchase of new equip­ment and improved seeds. Farmers of this nature are jokers, not farmers.

Is it probably because of these whimsical reasons that the banks are reluctant to grant loans to farmers? Obviously with the celebration of mini festivals and the installation of new wives, it is unlikely bank loans can ever be repaid. Of course, farmers who are more concerned about their libido can only be experts in re-sched­uling loan payments and not in paying back loans.

Banks are very much concerned about getting their monies back with interest whenever they give out loans. So they demand collateral security as a requirement for the granting of loans. Some farmers actually don’t have anything they can put up as collateral except their hoes, cutlasses and wives. So they struggle through life, not going and not coming.

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I do not blame the banks for not granting loans to those who cannot put up collateral. But what about those who are very serious farmers and can put up collateral. Should they also be denied?

Farming is seasonal and a farmer may need a loan only within a certain period to grow crops or breed birds. When the period elapses before the loans are granted, farmers are tempt­ed to misapply the money because it lies idle. In fact, with idle money lying around, the farmer may be tempted to ‘purchase’ a new wife.

It goes without saying that farmers need money but for specific periods when the banks apparently do not take into consideration. Within three months in a year (main cropping season), a crop farmer must plant, nurture, harvest and sell. He applies for a loan and takes nine months or is not even granted. Meanwhile the money lies under his bed waiting to be enjoyed. Not all farmers are angels.

Now, If the government has seen and acknowledged the importance of farmers in national development and has instituted a Farmers’ Day which is a public holiday during which farmers are awarded, then government might as well also do something about fund­ing for our serious farmers, at least the award winning ones to expand and grow since bank loans are not readily available.

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Lama of Site 21, Tema, a man of great learning and of vision, has just been telling me that when a farmer gets an award, it means he knows his way about his job, is serious and diligent. According to him, most likely that such a person would also be investment-conscious and judicious in the use of his resources, and not interested in enstooling a new wife.

If government can set up a fund to assist, not with cash but by way of inputs, most of our farmers who have not had any assistance to propel themselves above sea level would be most thankful.

Interview a few award-winning farmers and they would tell you their palaver. The Overall Tema Municipal Farmer Mr Ellis Aferi and his wife Mrs Rosemary Aferi, began their Soka Farms Complex with ten fowls. The pig (a sow), was sent to a farm on a cart to be serviced and brought back breeding.

His piggery is now a real mod­el of inspiration. “We started right from the scratch without any bank loan or financial assistance from any quarter. We placed our trust in labour, hard work and the advice of extension officers. Today we have a large piggery, poultry breeding house, mushroom and snail quarters, fishpond and beehives aside the rabbits we breed. All these without a penny from anywhere,” Mr Aferi told me just last week.

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However, he bemoaned the current situation farmers are facing “We have exploited our creativity, our imagi­nation and our muscles. There is a limit to productivity using only human labour and ingenuity. We now want to grow bigger but without funding there is little we can achieve in our bid to grow and develop.”

Mr Aferi like, his colleagues, uses about one ton of wheat bran to pre­pare feed for his birds, pigs, snails and fishes every week. When Food Complex was in operation, they had their wheat bran without problem. Today, there are mafia connections in the wheat bran trade.

According to all the livestock farmers I’ve spoken to, it is hard to get wheat bran from GAFCO or Irani Brothers directly. They allege that the companies prefer to sell to some wealthy women and top business-men who can buy wheat bran on condition­al basis (that is together with flour and other products of the companies), than to farmers.

Then these women and business­men through their agents resell the bran to the poor farmers at cut-throat prices. I don’t think the system is be­ing fair to farmers. It is indeed a trag­edy for the farmers who through their sweat and blood the nation is fed.

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“We protest heart and soul,” one farmer yelled at me as if I was re­sponsible for their plight. “How can I feed my birds and pigs satisfactorily if I cannot get wheat bran at the fac­tory price? We disagree that because we are poor, things should be made difficult for us. The rich must not be allowed to exploit us like that.”

The proprietor of Soka Farms, Mr Aferi, for instance has risen from the discomfort of the dust and hardness of the earth to such an enviable height to be an award winner who now holds seminars for farmers, students and officials of organisations on his farm near the Ashiaman-Michel Camp bar­rier. He must be propped up, even if not with money with inputs on credit basis.

The government must think about setting up a special fund for such indi­vidual farmers to grow, while prevent­ing them from cheats and those in the cloak of the mafia.

This article was first published on Saturday, September 21, 1996

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Mystery surrounding figure five

There seems to be something mysterious about the figure five or numbers ending in five. A few days ago I realised it was June 3, so I called my brother-in-law, to talk about his narrow escape from the disaster which occurred at circle in 2015.

It is a date that reminds the family each year of the goodness of the Lord every year since the incident. My brother-in-law had been standing and chatting with some friends at one of the shops that got burnt less than an hour before the incident happened.

Therefore for us as a family, we cel­ebrate that day as a day of deliverance of one of us even as we sympathise with those who lost loved ones in that fire disaster. Later on after I finished talking to my brother-in-law and was reflecting on the incident and issues around it, another incident early on in that same year, came to mind.

The incident had to do with an air disaster in Europe and I began won­dering if the number five in the figure 2015, had something to do with it.

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Reports came through that a Lufthansa flight from Barcelona in Spain, flying to Germany, had disap­peared from the radar around the Swiss Alps and that a search was being organised to try and locate it.

The result of the search established that the aircraft had crashed. What is even sad about this incident are the issues that led to its occurrence. Investigations conducted after the crash revealed that, it was deliberate­ly caused.

It was revealed that, the pilot steeped out of the cockpit to go to the washroom. The co-pilot locked the door so no one could enter the cockpit without him opening it.

He then proceeded to set the air­craft on autopilot to crash the plane. When the Pilot realised that there was something wrong with the plane he rushed towards the cockpit, only to realise that it was locked.

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He banged on the door to no avail. They tried contacting the co-pilot but he would not answer. Nothing in this world will be more painful than to see death coming and being helpless to prevent it. They could do nothing until the plane crashed.

A former girlfriend of the co-pilot revealed later to the investigators that he once told her that one day, he would do something that the world will forever remember his name. It came out later also, that he was told by his Doctor not to fly a plane again until his medical condition improves.

Apparently he had a mental prob­lem but he kept it to himself and his employer never knew anything about his condition and he sadly killed high school students, about 60 from the same school, returning home from an educational tour in Spain.

This is one thing I have been praying against and I can imagine the grief of the parents of these students who tragically lost their lives.

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In 2005, there was Hurricane Katrina which brought in its wake such a huge devastation in the United States. In that same year, an earthquake oc­curred in Kashmir resulting in over 86,000 people losing their lives, again note the last digit of the figure 2005.

I am therefore inclined to believe that we need to intensify prayer this year, 2025 to avert disaster. History has a way of repeating itself. Until I grew up, especially at the second­ary school level, I wondered why we should study history and that apart from it being a reminder of dates on which certain events occurred, there was really no use for it.

I now know better that it is the basis for forecasting future events. Our teachers did not help us by not telling us the importance of history, maybe I would have become the National

By Laud Kissi-Mensah

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