Mankhwala a hemicrania amatha kupwetekedwa mtima kwambiri ndi matenda omwe amatha kupwetekedwa mtima ndi odwala matenda a migraine. Odwala ambiri omwe ali ndi hemicrania amapitirizabe kumva ululu kuposa maulendo 5 pa ola limodzi ndi maola 24 pa mwezi. Mwakutanthauzira, hemicrania ikupitirira kumachitika kumbali imodzi yokha ya mutu. Kupweteka kosalekeza kumakhala kopitirira ndipo kumasinthasintha mwamphamvu ndi zochepa zochepa pakati.
Ululu umene umakumana nawo umakula kwambiri ndi ululu wakuthwa, kumbali imodzi. Mwinanso mungamve kupweteka komwe kumachitika pakati pa mbali iliyonse ya mutu pamutu umodzi wochitika zomwe ofufuza apeza angachitike.
Zizindikiro, Kukula, ndi Kuzindikira
Kuwonjezera pa ululu wosatha, zizindikiro za matendawa zimaphatikizapo mphuno, kuphulika ndi kuphulika kwa maso, kutukuta, maso a maso, kunyoza, kusanza, ndi kuzindikira kuunika. Sidziwika kuti hemicrania yomwe imakhalapobe m'mutu mwa anthu ambiri. Mutu wammutu, womwe umakhala waukulu, umakhudza 4 mpaka 5% mwa anthu ambiri. Zina zomwe zimakhala ndi mutu wa mutu wa mutu zimaphatikizapo kusintha kwa migraine, kupweteka kwa mutu, ndi kupweteka kwa mutu tsiku ndi tsiku . Pakati pa anthu omwe ali ndi matenda opweteka mutu, kafukufuku wa zaka zisanu odwala mutu wa 651 anapeza kuti 2.2% mwa ophunzirawa adamva kuti hemicrania ikupweteka mutu.
Akatswiri ofufuza apeza kuti kupweteka kwa mutu kumapweteka kwambiri, monga mutu wa mutu wa mutu, makamaka pakati pa akazi. Komanso, kafukufuku amasonyeza kuti kuchita masewera olimbitsa thupi ndi kumwa mowa kungapangitse kuti hemicrania izipweteka kwambiri.
Chithandizo
Chifukwa palibe chifukwa cha hemicrania chomwe chimadziwika, mankhwala amagwiritsidwa ntchito pochiza zizindikiro.
Chithandizo chofala kwambiri cha mankhwala a hemicrania chimakhala ndi indomethacin , mankhwala oletsa kupweteka pakamwa. Hemicrania imapwetekedwa mutu kwambiri ngati indomethacin, yomwe imatanthauza nthawi zambiri zizindikiro zimachotsedwa pambuyo pa mankhwala angapo. Komabe, monga mankhwala ena otsutsa-kutupa, zotsatira za indomethacin nthawi zambiri zimapewa kugwiritsa ntchito nthawi yayitali. Ndipotu, 25% mpaka 50% mwa odwala a indomethacin mankhwalawa amachititsa kuti ziwalo za m'mimba zikhale zowawa chifukwa cha mankhwalawa, kuphatikizapo ululu m'mimba, zilonda zakumimba, ndi m'mimba mwazi. Zotsatira zina zingaphatikizepo kutopa kwambiri, kuvulaza kapena kutuluka mwadzidzidzi, kuwona masomphenya, kumveka m'makutu, ndi kudzimbidwa kosatha.
Zochiritsira Zina Zina
Ngakhale kuti palibe mankhwala atsimikiziridwa kuti amatha kupweteka mutu wa hemicrania mofanana ndi indomethacin, kufufuza kwatsopano kwatulukira njira zina zothandizira. Kafukufuku wambiri wasonyeza kuti mankhwala owonjezera melatonin angakhale njira yodalirika yothandizira. Amapezeka pamtundu wotchedwa melatonin ali ndi mankhwala ofanana ndi indomethacin, koma amapezeka mwachibadwa m'thupi. Kafukufuku wina amasonyeza kuti 7-mg yowonjezerapo pa nthawi ya tulo idasokoneza zizindikiro za munthu uyu.
Komabe, mankhwala a zitsamba sangavomerezedwe ndi FDA ndipo, monga momwe aliri ndi matenda alionse, odwala ayenera kufunsa odwala awo asanayambe mankhwala. Malingana ndi National Institutes of Health, zotsatira zoyipa zikhoza kuphatikizapo chizungulire, kusintha kwa maganizo, kuwonjezeka kwa chiwopsezo, kuchepa kwa umuna pakati pa amuna, kuchepa kwa magazi, komanso kuwonjezeka kwa shuga.
Akatswiri ofufuza apeza kuti mankhwalawa ndi othandiza kwambiri. Topiramate ndi mankhwala osokoneza bongo omwe amachepetsa ubongo wosagwirizana. Ngakhale kuti maphunziro angapo ang'onoang'ono apeza kuti mankhwalawa ndi opindulitsa, kufufuza kwakukulu n'kofunika kuti mudziwe ngati phindu la mankhwalawa likuposa zotsatira zowonjezera, zomwe zimaphatikizapo kutengeka, kusakhoza kuika maganizo, chisokonezo, kuwonjezeka kwa chiwopsezo cha miyala ya impso, ndi kuwonjezeka kwa chiwopsezo cha matenda a mitsempha .
Kuwonjezera apo, topiramate ingayambitse vuto kuti munthu adziwe thukuta. Monga momwe zilili ndi gulu la mankhwala, muyenera kusamala kuti muzitsatira malangizo a dokotala wanu. Mlingo wosayenerera ukhoza kutsogolera "kuwononga". Izi zikutanthauza kubwezeretsedwa kwa zizindikiro za mutu pamene mankhwalawo achokera m'magazi. Ngati zotsatira za mankhwala zimakhala zopweteka, odwala ayenera kufunsa wothandizira zaumoyo wawo asanachotse chithandizo.
Zotsatira:
Brighina, F., A. Palermo, G. Cosentino, B. Fierro. "Prophylaxis ya Hemicrania Continua: Milandu Iwiri Yatsopano Imayang'aniridwa ndi Topiramate." Mutu 3.47 (March 2007): 441-443. www.ncbi.nlm.nih.gov/pubmed/17371364?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum.
"Hemicrania Continua." NINDS Hemicrania Continua Chidziwitso. 7 Apr. 2008. National Institute of Neurological Disorders ndi Stroke. www.ninds.nih.gov/disorders/hemicrania_continua/hemicrania_continua.htm.
"Indomethacin." Medline Plus . 1 Aug. 2007 Ma Institutes of Health. www.nlm.nih.gov/medlineplus/druginfo/medmaster/a681027.html.
Krymchantowski, Abouch Valenty. "Kusanthula Mutu Kumutu Pakati Pakati pa Odwala Amtima Opweteka Tsiku Lililonse." Arquivos de Neuro-Psiquiatria 61.3 (June 2003) www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000300008.
"Melatonin." Medline Plus . 1. Aug. 2006. Ma Institutes of Health. www.nlm.nih.gov/medlineplus/druginfo/natural/patient-melatonin.html.