Ndemanga pa malangizo a AAN / AHS Oletsa Kupewa Magraine Episodic
Ibuprofen (Advil, Motrin) ndi wamba wosagwirizana ndi zotupa ( NSAID ) zomwe zimagwiritsidwa ntchito poyambitsa matenda a episodic migraine. Koma kodi ibuprofen ingagwiritsidwe ntchito popewera migraine?
Mu 2012, American Academy of Neurology (AAN) ndi American Headache Society (AHS) inamasula malangizo atsopano pa mankhwala oletsa matenda osokoneza bongo. Malangizowo adasinthidwa mwatsatanetsatane kuti agwiritse ntchito kugwiritsa ntchito NSAID ndi mankhwala osiyanasiyana a mankhwala ochepetsa mankhwala kapena mankhwala othandizira kuchepetsa kuchuluka kwa nthenda komanso migwirizano ya migraine.
Tiyeni tiwone ndondomekoyi ndikuyankha funso lanu ponena za kugwiritsa ntchito mankhwala omwe amagwiritsidwa ntchito popanga mankhwala a ibuprofen pofuna kupewa mutu wa mutu wa migraine.
Chizindikiro cha Mayi Omwe Amagwiritsidwa Ntchito Osakaniza Migraine Osakaniza (NSAID okha ndi Zochiritsira Zowonjezera)
Malangizowo amagawira mankhwala m'magulu molingana ndi momwe amachitira.
Mankhwala A Mzere akutsimikiziridwa kukhala "ogwira mtima." Petasites kapena butterbur ndi mankhwala A Level A. Awa ndi mankhwala omwe amamwa mankhwala kapena mankhwala omwe amachotsedwa kawiri tsiku ndi tsiku. Mbali yaikulu ya zotsatira ndi yofatsa GI kukwiya, makamaka burping.
Mankhwala a msinkhu B akutsimikiziridwa kukhala "mwinamwake ogwira ntchito." Zitsanzo za mankhwala apakati B zimaphatikizapo:
- NSAIDS (fenoprofen, ibuprofen , ketoprofen, naproxen sodium,)
- Magnesium
- MIG-99 (feverfew)
- Riboflavin
- Mbiri Yotchedwa Subcutaneous Histamine
Mankhwala a Mzere C akuyesedwa kukhala "ogwira ntchito." Zitsanzo ndi:
- NSAIDs (flurbiprofen, mefenamic acid)
- Co-Q10
- Estrogen
- Antihistamine: cyproheptadine
Mankhwala a Mipata akutsimikiza kukhala "osakwanira" chifukwa cha maphunziro otsutsana. Phunziro lotsutsana limatanthauza kuti ngakhale maphunziro ena athandizira kugwiritsa ntchito mankhwala oletsa kupewa migraine, ena amatsutsa ntchito yake. Zitsanzo zikuphatikizapo:
- NSAIDs (aspirin, indomethacin)
- Omega-3
- Mpweya wa hyperbaric
Mituyi imanenanso za mankhwala omwe amawoneka ngati "mwina kapena osagwira ntchito." Montelukast (Singulair) ndi chitsanzo cha mankhwala omwe sangakhale othandiza popewera migraine.
Ndingatenge Ibuprofen Kuti Ipewe Kugonjetsa Kwanga?
Malinga ndi malangizo omwe tatchula pamwambapa, zingakhale zomveka kutenga ibuprofen kuti muteteze ma episodic migraines. Izi zikunenedwa kuti, kufufuza kuwona ntchito ya NSAID mu migraine kupewa ndizochepa. Ndizowonjezera kuti ndibwino kuti dokotala wanu alangize mankhwala othandizira a migraine monga anticonvulsant Topamax (topiramate) kapena beta blocker, monga metoprolol kapena propranolol.
Kuonjezera apo, NSAIDs ili ndi zotsatira zingapo zovuta ndipo ziyenera kupeĊµedwa ndi anthu ena, makamaka omwe ali ndi mbiri yakupha m'mimba, matenda a impso, ndi / kapena matenda a mtima. Ichi ndichifukwa chake ndi kofunika kuti mulankhule ndi dokotala musanayambe kumwa mankhwala kuti mukhale otetezeka.
Chonde, chonde onani kuti ma NSAID amapanga mankhwala akuluakulu, ena mwa iwo amalembedwa ngati Mzere B kapena "mwinamwake wogwira ntchito" (mwachitsanzo, ibuprofen) mpaka ku Level U kapena "osakwanira" (monga aspirin).
Chifukwa chakuti mutenga kachilombo ka HIV ndi matenda ena, sizikutanthauza kuti ndizoyenera kuti muteteze migraines yanu.
Mawu Ochokera
Tiyeni titenge tsankho. Kumbukirani, malangizo akuthandizira "kutsogolera" dokotala wanu pochiza mutu. Sizitanthauza kuti mankhwala ena ndi abwino kwa inu. Dokotala wanu ayenera kulingalira mbali zina za thanzi lanu monga:
- Mtundu wa migraine umachokera.
- Zochitika zina zamankhwala zomwe mumakumana nazo kuwonjezera pa migraines, monga kupsinjika maganizo kapena kuthamanga kwa magazi.
- Kaya muli pa nthawi yobereka ngati mankhwala ena othandizira a migraine akhoza kukhala ndi zotsatira zovuta za fetus.
- Zotsatira zoyipa za mankhwala ochepetsa matenda a migraine.
- Momwe mankhwala angapangitsire kupweteka mutu kapena kupititsa patsogolo matenda osokoneza bongo.
Mfundo yomaliza ndi yofunika kwambiri. Chinthu chotsiriza chomwe mukufuna kuti icho chikhale ndi mutu wopweteka kwambiri pamene mukuyesera kupewa migraines-mphindi ziwiri.
Zotsatira:
Komiti Yoyang'anira Mutu ya Komiti Yapadziko Lonse Yamutu. (2013). "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia, 33 (9): 629-808.
Holland, S., Silberstein, SD, Freitag, F., Dodick, DW, Argoff, C., & Ashman, E. (2012). Ndondomeko yozikidwa pazitsogozo: NSAID ndi zina zowonjezereka mankhwala opatsirana pogonana kwa akuluakulu. Neurology, 78: 1346-1353.