{"id":9711,"date":"2024-03-27T06:00:00","date_gmt":"2024-03-27T06:00:00","guid":{"rendered":"https:\/\/www.mojemedunka.cz\/?p=9711"},"modified":"2024-03-19T12:21:59","modified_gmt":"2024-03-19T12:21:59","slug":"proc-jsme-nemocni-migrena","status":"publish","type":"post","link":"https:\/\/www.mojemedunka.cz\/index.php\/2024\/03\/27\/proc-jsme-nemocni-migrena\/","title":{"rendered":"Pro\u010d jsme nemocn\u00ed? Migr\u00e9na"},"content":{"rendered":"\n

Lid\u00e9 trp\u00edc\u00ed migr\u00e9nami dob\u0159e v\u011bd\u00ed, jak\u00e9 utrpen\u00ed tato nemoc p\u0159in\u00e1\u0161\u00ed. Jak vid\u00ed psychosomatick\u00e9 p\u0159\u00ed\u010diny migr\u00e9ny PhDr. Petr Novotn\u00fd, <\/em>autor knihy Pro\u010d jsme nemocn\u00ed?<\/em> <\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

N\u00e1zev poch\u00e1z\u00ed z francouz\u0161tiny (migraine), co\u017e znamen\u00e1 bolest poloviny hlavy, p\u0159ev\u00e1\u017en\u011b je nemoc\u00ed \u017een (asi 18% populace) nej\u010dast\u011bji ve v\u011bku od 35 do 45 let, n\u011bkdy v\u0161ak u\u017e od puberty, mu\u017e\u00ed trp\u00ed migr\u00e9nou z\u0159\u00eddkakdy (asi 7 % populace).<\/strong>
G. Danzer mluv\u00ed o bolesti hlavy jako n\u00e1sledku p\u0159\u00e1n\u00ed b\u00fdt neohrani\u010den\u00fdm subjektem, co\u017e je n\u00e1zor, jen\u017e migrenu spolehliv\u011b\u00a0 ukotvuje mezi psychosomatick\u00e9 nemoci.
F. Beyme napsal, \u017ee pacient s migr\u00e9nou \u017eije v neust\u00e1l\u00e9m sp\u011bchu a nap\u011bt\u00ed, nav\u00edc s pocitem, \u017ee nikdy nedos\u00e1hne vyt\u010den\u00e9ho c\u00edle. Dodal, \u017ee bolesti hlavy o v\u00edkendu \u010di o dovolen\u00e9 si ztuhl\u00e1 osobnost\u00a0 p\u0159ivol\u00e1v\u00e1 jako trest za odpo\u010dinek, p\u0159i n\u011bm\u017e zmizelo nap\u011bt\u00ed.
Migr\u00e9na\u00a0 je z\u00e1chvatovit\u00e9 onemocn\u011bn\u00ed trvaj\u00edc\u00ed n\u011bkolik hodin s\u00a0 nep\u0159\u00edjemn\u00fdmi doprovodn\u00fdmi p\u0159\u00edznaky, jak\u00fdmi jsou nap\u0159\u00edklad nevolnost, nechutenstv\u00ed, zvracen\u00ed, st\u0159evn\u00ed probl\u00e9my, fyzick\u00e1 vy\u010derpanost, zv\u00fd\u0161en\u00e1 citlivost na sv\u011btlo, poruchy vid\u011bn\u00ed nebo \u010dichu, neklid a depresivn\u00ed n\u00e1lady<\/strong>. Migr\u00e9na obvykle vyvrchol\u00ed pot\u0159ebou b\u00fdt s\u00e1m.<\/p>\n\n\n\n

N\u011bkdy (u 20 % nemocn\u00fdch) p\u0159edch\u00e1z\u00ed z\u00e1chvatu migr\u00e9ny takzvan\u00e1 aura, o n\u00ed\u017e u\u017e bylo shora ps\u00e1no v souvislosti s epilepsi\u00ed, a migr\u00e9na je n\u011bkdy proto v n\u011bkter\u00fdch v\u00fdzna\u010dn\u00fdch ohledech s epilepsi\u00ed srovn\u00e1v\u00e1na, kdy\u017e vyjevuje tak\u00e9 bioelektrick\u00e9 poruchy v mozku.
Aura jako p\u0159edzv\u011bst bolesti trv\u00e1 obvykle od 10 do 30 minut. V klasick\u00e9 podob\u011b postihuje migr\u00e9na polovinu hlavy (hemikranie), n\u00e1stup aury b\u00fdv\u00e1 lokalizov\u00e1n v t\u00fdle nebo v temeni. Migr\u00e9na se „d\u011bd\u00ed“ v \u017eensk\u00e9 linii, av\u0161ak jen ve specificky osobnostn\u011b, soci\u00e1ln\u011b a hodnotov\u011b\u00a0 zabarven\u00fdch rodin\u00e1ch.
Fyziologicky je p\u0159i\u010d\u00edt\u00e1na nap\u0159\u00edklad zm\u011bn\u011bn\u00e9 reaktivit\u011b mozkov\u00fdch c\u00e9v, co\u017e zp\u016fsobuje nedokrven\u00ed mozku, nebo n\u00e1sledk\u016fm roz\u0161i\u0159ov\u00e1n\u00ed a stahov\u00e1n\u00ed mozkov\u00fdch c\u00e9v nap\u0159\u00edklad p\u0159i takzvan\u00e9m steriln\u00edm z\u00e1n\u011btu, v n\u011bm\u017e hraje svou roli trojklann\u00fd nerv, pak zde ov\u0161em doch\u00e1z\u00ed ke\u00a0 k\u0159e\u010d\u00edm, anebo je migr\u00e9na p\u0159ipisov\u00e1na\u00a0 d\u016fsledk\u016fm zm\u011bn metabolismu n\u011bkter\u00fdch mozkov\u00fdch\u00a0 substanc\u00ed (medi\u00e1tor\u016f), anebo p\u016fsoben\u00ed n\u011bkter\u00fdch hormon\u016f.
Migr\u00e9na se toti\u017e vyskytuje \u010dast\u011bji u \u017een\u00a0 v obdob\u00ed menstruace a naopak v dob\u011b t\u011bhotenstv\u00ed se objevuje z\u0159\u00eddkady. Pod\u00edl hormon\u00e1ln\u00edch\u00a0 podn\u011bt\u016f na vzniku\u00a0 migr\u00e9ny je\u00a0 proto nejpr\u016fkazn\u011bj\u0161\u00ed. Z\u00e1chvat\u00a0 migr\u00e9ny b\u00fdv\u00e1 navozov\u00e1n tak\u00e9 vn\u011bj\u0161\u00edmi podn\u011bty, mezi n\u011b\u017e pat\u0159\u00ed nap\u0159\u00edklad n\u00e1hl\u00e1 zm\u011bna atmosferick\u00e9ho tlaku, tepl\u00fd alpsk\u00fd v\u00edtr (f\u00e9n), nedostatek j\u00eddla a tekutin, n\u011bkter\u00e9 druhy j\u00eddla a tekutin (\u010derven\u00e9 v\u00edno), poruchy \u017eivotospr\u00e1vy a n\u011bkter\u00e9 alergick\u00e9 l\u00e1tky.
P\u0159\u00edznaky migr\u00e9ny b\u00fdvaj\u00ed potla\u010dov\u00e1ny analgetiky, kofeinem \u010di betablok\u00e1tory, kter\u00e9 se s vysokou pravd\u011bpodobnost\u00ed mohou st\u00e1t n\u00e1vykov\u00fdmi, a tud\u00ed\u017e nebezpe\u010dn\u00fdmi. Nov\u011bji jsou p\u0159edepisov\u00e1ny triptany, kter\u00e9 ovliv\u0148uj\u00ed d\u011bje v okol\u00ed trojklann\u00e9ho nervu a pota\u017emo v m\u00edst\u011b mozkov\u00fdch plen.<\/p>\n\n\n\n

Pacienti trp\u00edc\u00ed migr\u00e9nou by se\u00a0 p\u0159esto m\u011bli co nejrychleji sezn\u00e1mit se skute\u010dnou\u00a0 p\u0159\u00ed\u010dinou vzniku sv\u00fdch obt\u00ed\u017e\u00ed a za\u010d\u00edt lu\u0161tit symboly, je\u017e jsou vy\u0161\u0161\u00edmi patry psychiky odzrcadlov\u00e1v\u00e1ny prost\u0159ednictv\u00edm migr\u00e9ny ve fyzick\u00e9 rovin\u011b, jen tak toti\u017e maj\u00ed \u0161anci se p\u0159im\u011b\u0159en\u011b vyl\u00e9\u010dit a zbavit se tak\u00e9 p\u0159\u00edpadn\u00e9 z\u00e1vislosti\u00a0 na alnagonu \u010di dal\u0161\u00edch l\u00e9c\u00edch. <\/strong>
Posti\u017een\u00ed jedn\u00e9 poloviny hlavy p\u0159i migr\u00e9n\u011b toti\u017e navozuje nevyhnuteln\u011b vzpom\u00ednku na mozkovou mrtvici (viz shora), kter\u00e1 rovn\u011b\u017e rozd\u011bl\u00ed t\u011blo na dv\u011b poloviny, aby egu p\u0159ipomn\u011bla povinnost sebezcelen\u00ed – nap\u0159\u00edklad navozen\u00ed rovnov\u00e1hy mezi sv\u011btem emoc\u00ed, vztah\u016f, pud\u016f a nitern\u00fdch podn\u011bt\u016f a mezi sv\u011btem racionality, intelektu, pot\u0159eby nadvl\u00e1dy, schopnost\u00ed a postoj\u016f.
Rozd\u011blen\u00e1 bytost\u00a0 dlouho neobstoj\u00ed, na co\u017e upozor\u0148uje migr\u00e9na sv\u00fdm striktn\u00edm\u00a0 upozorn\u011bn\u00edm: co ego bol\u00ed a\u00a0 co ego nebol\u00ed.\u00a0 K\u0159e\u010dov\u00e9 procesy v mozku\u00a0 ukazuj\u00ed na pot\u0159ebu vylad\u011bn\u00ed, vybit\u00ed nebo \u00fa\u010dinn\u00e9 kompenzace.
Mezi \u017eenami, kter\u00e9 onemocn\u011bly migr\u00e9nou byla\u00a0 celou \u0159adou l\u00e9ka\u0159\u016f zji\u0161t\u011bna mimo\u0159\u00e1dn\u011b zaj\u00edmav\u00e1 souvislost.<\/strong>\u00a0 Pacientky se toti\u017e pov\u011bt\u0161inou setk\u00e1valy po odchodu z domova, kde m\u011bly svoje v\u00fdhradn\u00ed a n\u011bkdy\u00a0 i v\u00fdjime\u010dn\u011b siln\u00e9 pozice jist\u00e9, sp\u00ed\u0161e s nep\u0159\u00e1telsk\u00fdm prost\u0159ed\u00edm. P\u0159esun z jednoho \u017eivotn\u00edho prost\u0159ed\u00ed do jin\u00e9ho se nej\u010dast\u011bji uskute\u010d\u0148uje po\u00a0 zapo\u010det\u00ed partnersk\u00e9ho \u017eivota, kdy\u00a0 se \u017eensk\u00e9 ego poprv\u00e9 v\u00fdzna\u010dn\u011bji a dlouhodob\u011bji zkonfrontuje s dominantn\u011bj\u0161\u00edm a agresivn\u011bj\u0161\u00edm egem mu\u017esk\u00fdm.
Migr\u00e9nou trp\u00ed rovn\u011b\u017e tvrdohlav\u00e9 perfekcionistky boj\u00edc\u00ed se selh\u00e1n\u00ed a maskuj\u00edc\u00ed agresivitu.
Mnoho l\u00e9ka\u0159\u016f popsalo u pacientek s migr\u00e9nou tak\u00e9 nevy\u0159e\u0161en\u00e9 sexu\u00e1ln\u00ed probl\u00e9my souvisej\u00edc\u00ed nap\u0159\u00edklad s frigiditou \u010di dokonce naprostou nechu\u0165 k sexualit\u011b, probl\u00e9my s tlumen\u00edm sexu\u00e1ln\u00ed aktivity, probl\u00e9my s p\u0159edst\u00edr\u00e1n\u00edm nev\u00e1zan\u00e9ho sexu\u00e1ln\u00edho \u017eivota, probl\u00e9my spojen\u00e9 s n\u00e1stupem klimakteria, kter\u00e9 migr\u00e9mu \u010dasto „vyl\u00e9\u010d\u00ed“ anebo naopak p\u0159ivod\u00ed.
U\u017e ve t\u0159ic\u00e1t\u00fdch letech dvac\u00e1t\u00e9ho stolet\u00ed napsal psychoanalytik E. Gutheil, \u017ee z\u00e1chvaty migr\u00e9ny ust\u00e1vaj\u00ed po orgasmu a \u017ee po odezn\u011bn\u00ed migr\u00e9ny nast\u00e1v\u00e1 obdobn\u00fd pocit uvoln\u011bn\u00ed jako po orgasmu.
N\u011bmci Dethlefsen a Dahlke pova\u017euj\u00ed z\u00e1chvat migr\u00e9ny za orgasmus\u00a0 v hlav\u011b nam\u00edsto orgasmu genit\u00e1ln\u00edho, co\u017e postihuje vesm\u011bs\u00a0 nemocn\u00e9ho, kter\u00fd m\u00e1 tendence nahradit jedn\u00e1n\u00ed p\u0159em\u00fd\u0161len\u00edm, ani\u017e by projevil\u00a0 ochotu sm\u00ed\u0159it se s vlastn\u00ed pohlavnost\u00ed.<\/p>\n\n\n\n

N\u011bmeck\u00fd l\u00e9ka\u0159 H. Wolff charakterizoval pacientky s migr\u00e9nou jako agresivn\u00ed – popudliv\u00e9, p\u0159ecitliv\u011bl\u00e9, nep\u0159\u00e1telsk\u00e9, zatrpkl\u00e9, nespokojen\u00e9, cti\u017e\u00e1dostiv\u00e9 a z\u00e1vistiv\u00e9 (agrese je pak n\u00e1sledkem absentuj\u00edc\u00edho uzn\u00e1n\u00ed od jin\u00fdch, k n\u011bmu\u017e m\u011blo doj\u00edt, ale nedo\u0161lo).<\/strong>
Jin\u00ed auto\u0159i nalezli sklony k perfekcionismu, p\u0159ehnan\u00e9 sebev\u011bdom\u00ed, neochotu ke komunikaci, akcentovanou racionalitu, tvrdohlavost, z\u00e1vist a\u00a0 potla\u010dov\u00e1n\u00ed nadm\u011brn\u00e9ho vzteku, co\u017e jsou ov\u0161em vlastnosti, kter\u00e9 nevytv\u00e1\u0159ej\u00ed podm\u00ednky pro harmonick\u00fd sexu\u00e1ln\u00ed \u017eivot.\u00a0 P\u0159i koitu se toti\u017e mus\u00ed \u017eena um\u011bt oddat a vzd\u00e1t se z notn\u00e9 \u010d\u00e1sti sama sebe, aby mu\u017ee nejen falicky, ale p\u0159edev\u0161\u00edm duchovn\u011b p\u0159ijala. Kdo se um\u00ed d\u00e1t (nab\u00eddnout se), ten pak tak\u00e9 pravd\u011bpodobn\u011bji pro\u017eije orgasmus. Orgasmus neslou\u017e\u00ed v\u0161ak jen k vybit\u00ed energie, k uvoln\u011bn\u00ed a uspokojen\u00ed. P\u0159edev\u0161\u00edm zabezpe\u010duje rychlej\u0161\u00ed a spolehliv\u011bj\u0161\u00ed cestu spermi\u00ed k vaj\u00ed\u010dku, aby do\u0161lo\u00a0 k napln\u011bn\u00ed v\u00fdzna\u010dn\u00e9ho c\u00edle \u017eivota.
MUDr. H. Wolf zjistil, \u017ee pokud se\u00a0 n\u011bkter\u00e9 jeho pacientky s migr\u00e9nou d\u016fsledn\u011b „vyvztekaly“, dok\u00e1zaly z\u00e1chvatu migr\u00e9ny zabr\u00e1nit (viz shora uveden\u00e9 analogie s\u00a0 vyb\u00edjen\u00edm nadm\u011brn\u00e9 energie p\u0159i epilepsii). Jin\u00fd l\u00e9ka\u0159 G. Schw\u00f6bel p\u0159irovn\u00e1v\u00e1\u00a0 vazomotorick\u00e9 pochody p\u0159i roz\u0161i\u0159ov\u00e1n\u00ed velk\u00fdch a stahov\u00e1n\u00ed\u00a0 mal\u00fdch hlavov\u00fdch tepen (k\u0159e\u010de) jako mozkov\u00e9 odzrcadlen\u00ed neuskute\u010dn\u011bn\u00fdch sexu\u00e1ln\u00edch k\u0159e\u010d\u00ed nebo zablokovan\u00fdch\u00a0 sexu\u00e1ln\u00edch p\u0159edstav, tak\u017ee pak nast\u00e1v\u00e1\u00a0 vyjevovac\u00ed efekt hermetick\u00e9ho z\u00e1kona: jak dole, tak naho\u0159e.\u00a0
Obecn\u011b jak\u00e9koli k\u0159e\u010de ukazuj\u00ed na velk\u00e9 nap\u011bt\u00ed, na p\u0159ebytek energie, na pot\u0159ebu zbavit se nap\u011bt\u00ed a vyb\u00edt p\u0159ebytek, nebo na nedostatek p\u0159\u00edle\u017eitosti k vybit\u00ed, a tud\u00ed\u017e k n\u00e1sledn\u00e9mu splynut\u00ed a vylad\u011bn\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"

Lid\u00e9 trp\u00edc\u00ed migr\u00e9nami dob\u0159e v\u011bd\u00ed, jak\u00e9 utrpen\u00ed tato nemoc p\u0159in\u00e1\u0161\u00ed. Jak vid\u00ed psychosomatick\u00e9 p\u0159\u00ed\u010diny migr\u00e9ny PhDr. Petr Novotn\u00fd, autor knihy Pro\u010d jsme nemocn\u00ed? N\u00e1zev poch\u00e1z\u00ed z francouz\u0161tiny (migraine), co\u017e znamen\u00e1 bolest poloviny hlavy, p\u0159ev\u00e1\u017en\u011b je nemoc\u00ed \u017een (asi 18% populace) nej\u010dast\u011bji ve v\u011bku od 35 do 45 let, n\u011bkdy v\u0161ak u\u017e od puberty, mu\u017e\u00ed trp\u00ed migr\u00e9nou z\u0159\u00eddkakdy (asi 7 % populace).G. Danzer mluv\u00ed o bolesti hlavy jako n\u00e1sledku p\u0159\u00e1n\u00ed b\u00fdt neohrani\u010den\u00fdm subjektem, co\u017e je n\u00e1zor, jen\u017e migrenu spolehliv\u011b\u00a0 ukotvuje mezi psychosomatick\u00e9 nemoci.F. Beyme napsal, \u017ee pacient s migr\u00e9nou \u017eije v neust\u00e1l\u00e9m sp\u011bchu a nap\u011bt\u00ed, nav\u00edc s pocitem, \u017ee nikdy nedos\u00e1hne vyt\u010den\u00e9ho c\u00edle. Dodal, \u017ee bolesti hlavy o v\u00edkendu \u010di o dovolen\u00e9 si ztuhl\u00e1 osobnost\u00a0 p\u0159ivol\u00e1v\u00e1 jako trest za odpo\u010dinek, p\u0159i n\u011bm\u017e zmizelo nap\u011bt\u00ed.Migr\u00e9na\u00a0 je z\u00e1chvatovit\u00e9 onemocn\u011bn\u00ed trvaj\u00edc\u00ed n\u011bkolik hodin s\u00a0 nep\u0159\u00edjemn\u00fdmi doprovodn\u00fdmi p\u0159\u00edznaky, jak\u00fdmi jsou nap\u0159\u00edklad nevolnost, nechutenstv\u00ed, zvracen\u00ed, st\u0159evn\u00ed probl\u00e9my, fyzick\u00e1 vy\u010derpanost, zv\u00fd\u0161en\u00e1 citlivost na sv\u011btlo, poruchy vid\u011bn\u00ed nebo \u010dichu, neklid a depresivn\u00ed n\u00e1lady. Migr\u00e9na obvykle vyvrchol\u00ed pot\u0159ebou b\u00fdt s\u00e1m. N\u011bkdy (u 20 % nemocn\u00fdch) p\u0159edch\u00e1z\u00ed z\u00e1chvatu migr\u00e9ny takzvan\u00e1 aura, o n\u00ed\u017e u\u017e bylo shora ps\u00e1no v souvislosti s epilepsi\u00ed, a migr\u00e9na je n\u011bkdy proto v n\u011bkter\u00fdch v\u00fdzna\u010dn\u00fdch ohledech s epilepsi\u00ed srovn\u00e1v\u00e1na, kdy\u017e vyjevuje tak\u00e9 bioelektrick\u00e9 poruchy v mozku.Aura jako p\u0159edzv\u011bst bolesti trv\u00e1 obvykle od 10 do 30 minut. V klasick\u00e9 podob\u011b postihuje migr\u00e9na polovinu hlavy (hemikranie), n\u00e1stup aury b\u00fdv\u00e1 lokalizov\u00e1n v t\u00fdle nebo v temeni. Migr\u00e9na se „d\u011bd\u00ed“ v \u017eensk\u00e9 linii, av\u0161ak jen ve specificky osobnostn\u011b, soci\u00e1ln\u011b a hodnotov\u011b\u00a0 zabarven\u00fdch rodin\u00e1ch.Fyziologicky je p\u0159i\u010d\u00edt\u00e1na nap\u0159\u00edklad zm\u011bn\u011bn\u00e9 reaktivit\u011b mozkov\u00fdch c\u00e9v, co\u017e zp\u016fsobuje nedokrven\u00ed mozku, nebo n\u00e1sledk\u016fm roz\u0161i\u0159ov\u00e1n\u00ed a stahov\u00e1n\u00ed mozkov\u00fdch c\u00e9v nap\u0159\u00edklad p\u0159i takzvan\u00e9m steriln\u00edm z\u00e1n\u011btu, v n\u011bm\u017e hraje svou roli trojklann\u00fd nerv, pak zde ov\u0161em doch\u00e1z\u00ed ke\u00a0 k\u0159e\u010d\u00edm, anebo je migr\u00e9na p\u0159ipisov\u00e1na\u00a0 d\u016fsledk\u016fm zm\u011bn metabolismu n\u011bkter\u00fdch mozkov\u00fdch\u00a0 substanc\u00ed (medi\u00e1tor\u016f), anebo p\u016fsoben\u00ed n\u011bkter\u00fdch hormon\u016f.Migr\u00e9na se toti\u017e vyskytuje \u010dast\u011bji u \u017een\u00a0 v obdob\u00ed menstruace a naopak v dob\u011b t\u011bhotenstv\u00ed se objevuje z\u0159\u00eddkady. Pod\u00edl hormon\u00e1ln\u00edch\u00a0 podn\u011bt\u016f na vzniku\u00a0 migr\u00e9ny je\u00a0 proto nejpr\u016fkazn\u011bj\u0161\u00ed. Z\u00e1chvat\u00a0 migr\u00e9ny b\u00fdv\u00e1 navozov\u00e1n tak\u00e9 vn\u011bj\u0161\u00edmi podn\u011bty, mezi n\u011b\u017e pat\u0159\u00ed nap\u0159\u00edklad n\u00e1hl\u00e1 zm\u011bna atmosferick\u00e9ho tlaku, tepl\u00fd alpsk\u00fd v\u00edtr (f\u00e9n), nedostatek j\u00eddla a tekutin, n\u011bkter\u00e9 druhy j\u00eddla a tekutin (\u010derven\u00e9 v\u00edno), poruchy \u017eivotospr\u00e1vy a n\u011bkter\u00e9 alergick\u00e9 l\u00e1tky.P\u0159\u00edznaky migr\u00e9ny b\u00fdvaj\u00ed potla\u010dov\u00e1ny analgetiky, kofeinem \u010di betablok\u00e1tory, kter\u00e9 se s vysokou pravd\u011bpodobnost\u00ed mohou st\u00e1t n\u00e1vykov\u00fdmi, a tud\u00ed\u017e nebezpe\u010dn\u00fdmi. Nov\u011bji jsou p\u0159edepisov\u00e1ny triptany, kter\u00e9 ovliv\u0148uj\u00ed d\u011bje v okol\u00ed trojklann\u00e9ho nervu a pota\u017emo v m\u00edst\u011b mozkov\u00fdch plen. Pacienti trp\u00edc\u00ed migr\u00e9nou by se\u00a0 p\u0159esto m\u011bli co nejrychleji sezn\u00e1mit se skute\u010dnou\u00a0 p\u0159\u00ed\u010dinou vzniku sv\u00fdch obt\u00ed\u017e\u00ed a za\u010d\u00edt lu\u0161tit symboly, je\u017e jsou vy\u0161\u0161\u00edmi patry psychiky odzrcadlov\u00e1v\u00e1ny prost\u0159ednictv\u00edm migr\u00e9ny ve fyzick\u00e9 rovin\u011b, jen tak toti\u017e maj\u00ed \u0161anci se p\u0159im\u011b\u0159en\u011b vyl\u00e9\u010dit a zbavit se tak\u00e9 p\u0159\u00edpadn\u00e9 z\u00e1vislosti\u00a0 na alnagonu \u010di dal\u0161\u00edch l\u00e9c\u00edch. Posti\u017een\u00ed jedn\u00e9 poloviny hlavy p\u0159i migr\u00e9n\u011b toti\u017e navozuje nevyhnuteln\u011b vzpom\u00ednku na mozkovou mrtvici (viz shora), kter\u00e1 rovn\u011b\u017e rozd\u011bl\u00ed t\u011blo na dv\u011b poloviny, aby egu p\u0159ipomn\u011bla povinnost sebezcelen\u00ed – nap\u0159\u00edklad navozen\u00ed rovnov\u00e1hy mezi sv\u011btem emoc\u00ed, vztah\u016f, pud\u016f a nitern\u00fdch podn\u011bt\u016f a mezi sv\u011btem racionality, intelektu, pot\u0159eby nadvl\u00e1dy, schopnost\u00ed a postoj\u016f.Rozd\u011blen\u00e1 bytost\u00a0 dlouho neobstoj\u00ed, na co\u017e upozor\u0148uje migr\u00e9na sv\u00fdm striktn\u00edm\u00a0 upozorn\u011bn\u00edm: co ego bol\u00ed a\u00a0 co ego nebol\u00ed.\u00a0 K\u0159e\u010dov\u00e9 procesy v mozku\u00a0 ukazuj\u00ed na pot\u0159ebu vylad\u011bn\u00ed, vybit\u00ed nebo \u00fa\u010dinn\u00e9 kompenzace.Mezi \u017eenami, kter\u00e9 onemocn\u011bly migr\u00e9nou byla\u00a0 celou \u0159adou l\u00e9ka\u0159\u016f zji\u0161t\u011bna mimo\u0159\u00e1dn\u011b zaj\u00edmav\u00e1 souvislost.\u00a0 Pacientky se toti\u017e pov\u011bt\u0161inou setk\u00e1valy po odchodu z domova, kde m\u011bly svoje v\u00fdhradn\u00ed a n\u011bkdy\u00a0 i v\u00fdjime\u010dn\u011b siln\u00e9 pozice jist\u00e9, sp\u00ed\u0161e s nep\u0159\u00e1telsk\u00fdm prost\u0159ed\u00edm. P\u0159esun z jednoho \u017eivotn\u00edho prost\u0159ed\u00ed do jin\u00e9ho se nej\u010dast\u011bji uskute\u010d\u0148uje po\u00a0 zapo\u010det\u00ed partnersk\u00e9ho \u017eivota, kdy\u00a0 se \u017eensk\u00e9 ego poprv\u00e9 v\u00fdzna\u010dn\u011bji a dlouhodob\u011bji zkonfrontuje s dominantn\u011bj\u0161\u00edm a agresivn\u011bj\u0161\u00edm egem mu\u017esk\u00fdm.Migr\u00e9nou trp\u00ed rovn\u011b\u017e tvrdohlav\u00e9 perfekcionistky boj\u00edc\u00ed se selh\u00e1n\u00ed a maskuj\u00edc\u00ed agresivitu.Mnoho l\u00e9ka\u0159\u016f popsalo u pacientek s migr\u00e9nou tak\u00e9 nevy\u0159e\u0161en\u00e9 sexu\u00e1ln\u00ed probl\u00e9my souvisej\u00edc\u00ed nap\u0159\u00edklad s frigiditou \u010di dokonce naprostou nechu\u0165 k sexualit\u011b, probl\u00e9my s tlumen\u00edm sexu\u00e1ln\u00ed aktivity, probl\u00e9my s p\u0159edst\u00edr\u00e1n\u00edm nev\u00e1zan\u00e9ho sexu\u00e1ln\u00edho \u017eivota, probl\u00e9my spojen\u00e9 s n\u00e1stupem klimakteria, kter\u00e9 migr\u00e9mu \u010dasto „vyl\u00e9\u010d\u00ed“ anebo naopak p\u0159ivod\u00ed.U\u017e ve t\u0159ic\u00e1t\u00fdch letech dvac\u00e1t\u00e9ho stolet\u00ed napsal psychoanalytik E. Gutheil, \u017ee z\u00e1chvaty migr\u00e9ny ust\u00e1vaj\u00ed po orgasmu a \u017ee po odezn\u011bn\u00ed migr\u00e9ny nast\u00e1v\u00e1 obdobn\u00fd pocit uvoln\u011bn\u00ed jako po orgasmu.N\u011bmci Dethlefsen a Dahlke pova\u017euj\u00ed z\u00e1chvat migr\u00e9ny za orgasmus\u00a0 v hlav\u011b nam\u00edsto orgasmu genit\u00e1ln\u00edho, co\u017e postihuje vesm\u011bs\u00a0 nemocn\u00e9ho, kter\u00fd m\u00e1 tendence nahradit jedn\u00e1n\u00ed p\u0159em\u00fd\u0161len\u00edm, ani\u017e by projevil\u00a0 ochotu sm\u00ed\u0159it se s vlastn\u00ed pohlavnost\u00ed. N\u011bmeck\u00fd l\u00e9ka\u0159 H. Wolff charakterizoval pacientky s migr\u00e9nou jako agresivn\u00ed – popudliv\u00e9, p\u0159ecitliv\u011bl\u00e9, nep\u0159\u00e1telsk\u00e9, zatrpkl\u00e9, nespokojen\u00e9, cti\u017e\u00e1dostiv\u00e9 a z\u00e1vistiv\u00e9 (agrese je pak n\u00e1sledkem absentuj\u00edc\u00edho uzn\u00e1n\u00ed od jin\u00fdch, k n\u011bmu\u017e m\u011blo doj\u00edt, ale nedo\u0161lo).Jin\u00ed auto\u0159i nalezli sklony k perfekcionismu, p\u0159ehnan\u00e9 sebev\u011bdom\u00ed, neochotu ke komunikaci, akcentovanou racionalitu, tvrdohlavost, z\u00e1vist a\u00a0 potla\u010dov\u00e1n\u00ed nadm\u011brn\u00e9ho vzteku, co\u017e jsou ov\u0161em vlastnosti, kter\u00e9 nevytv\u00e1\u0159ej\u00ed podm\u00ednky pro harmonick\u00fd sexu\u00e1ln\u00ed \u017eivot.\u00a0 P\u0159i koitu se toti\u017e mus\u00ed \u017eena um\u011bt oddat a vzd\u00e1t se z notn\u00e9 \u010d\u00e1sti sama sebe, aby mu\u017ee nejen falicky, ale p\u0159edev\u0161\u00edm duchovn\u011b p\u0159ijala. Kdo se um\u00ed d\u00e1t (nab\u00eddnout se), ten pak tak\u00e9 pravd\u011bpodobn\u011bji pro\u017eije orgasmus. Orgasmus neslou\u017e\u00ed v\u0161ak jen k vybit\u00ed energie, k uvoln\u011bn\u00ed a uspokojen\u00ed. P\u0159edev\u0161\u00edm zabezpe\u010duje rychlej\u0161\u00ed a spolehliv\u011bj\u0161\u00ed cestu spermi\u00ed k vaj\u00ed\u010dku, aby do\u0161lo\u00a0 k napln\u011bn\u00ed v\u00fdzna\u010dn\u00e9ho c\u00edle \u017eivota.MUDr. H. Wolf zjistil, \u017ee pokud se\u00a0 n\u011bkter\u00e9 jeho pacientky s migr\u00e9nou d\u016fsledn\u011b „vyvztekaly“, dok\u00e1zaly z\u00e1chvatu migr\u00e9ny zabr\u00e1nit (viz shora uveden\u00e9 analogie s\u00a0 vyb\u00edjen\u00edm nadm\u011brn\u00e9 energie p\u0159i epilepsii). Jin\u00fd l\u00e9ka\u0159 G. Schw\u00f6bel p\u0159irovn\u00e1v\u00e1\u00a0 vazomotorick\u00e9 pochody p\u0159i roz\u0161i\u0159ov\u00e1n\u00ed velk\u00fdch a stahov\u00e1n\u00ed\u00a0 mal\u00fdch hlavov\u00fdch tepen (k\u0159e\u010de) jako mozkov\u00e9 odzrcadlen\u00ed neuskute\u010dn\u011bn\u00fdch sexu\u00e1ln\u00edch k\u0159e\u010d\u00ed nebo zablokovan\u00fdch\u00a0 sexu\u00e1ln\u00edch p\u0159edstav, tak\u017ee pak nast\u00e1v\u00e1\u00a0 vyjevovac\u00ed efekt hermetick\u00e9ho z\u00e1kona: jak dole, tak naho\u0159e.\u00a0Obecn\u011b jak\u00e9koli k\u0159e\u010de ukazuj\u00ed na velk\u00e9 nap\u011bt\u00ed, na p\u0159ebytek energie, na pot\u0159ebu zbavit se nap\u011bt\u00ed a vyb\u00edt p\u0159ebytek, nebo na nedostatek p\u0159\u00edle\u017eitosti k vybit\u00ed, a tud\u00ed\u017e k n\u00e1sledn\u00e9mu splynut\u00ed a vylad\u011bn\u00ed.<\/p>\n","protected":false},"author":3,"featured_media":9713,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[134,1],"tags":[],"class_list":["post-9711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ctenarska-sekce","category-medunka"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/9711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/comments?post=9711"}],"version-history":[{"count":1,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/9711\/revisions"}],"predecessor-version":[{"id":9712,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/9711\/revisions\/9712"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media\/9713"}],"wp:attachment":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media?parent=9711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/categories?post=9711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/tags?post=9711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}