Tanthauzo ndi Njira Zothandizira
Tangoganizirani kukhala ndi "gulu la rabara kuzungulira mutu" ululu pafupi tsiku lililonse. Mutu uwu umapweteka kwambiri, koma umakhudzanso moyo wanu. Tiyeni tiwone zambiri za mutu wachisoni wamaganizo ndi, ndi njira zomwe mungasankhire.
Mau oyamba
Mutu wodwala wamisala ndi vuto lalikulu lakumutu - limakhudza pafupifupi 2% mwa anthu.
Mutu wa mutu umatchulidwa kuti "kupweteka mutu" kapena "kupweteka kwa minofu kumutu." Amadziwika ndi kumverera komwe kumachitika kumbali zonse za mutu. Mwachizolowezi cha matendawa, mutu umatha kuchitika tsiku ndi tsiku - kusokoneza khalidwe la munthu ndi kugwira ntchito tsiku ndi tsiku.
Zizindikiro ndi Kuzindikira
Mutu wamisala umatha masiku 15 kapena kuposerapo pa mwezi kwa miyezi itatu. Kawirikawiri amatha maola omaliza kapena akupitiriza. Mutu wamisala umakhala pambali zonse za mutu, kumangomverera kwambiri, ndikupweteka pang'ono.
Nkofunika kusasokoneza mutu wa mutu wachisokonezo ndi matenda ena aakulu a tsiku ndi tsiku monga:
Chithandizo
Thandizo lachipatala kwa odwala matenda opweteka kwambiri amakhala ndi mankhwala othandiza.
Amitriptyline (Elavil) ndi mankhwala amodzi omwe amapezeka kukhala opindulitsa popeweratu kupweteka kumutu kwa mutu.
Amitriptyline - ndi tricyclic yodetsa nkhaŵa - ndi mankhwala ogwidwa pansi ndipo nthawi zambiri amagwidwa pogona.
Mankhwala owonjezera omwe dokotala angakuganizire ndi owonjezera matenda ena - monga Remeron (Mirtazapine), kapena mankhwala oletsa kupweteka - monga Neurontin (Gabapentin) kapena Topamax (Topiramate).
Nthawi zina ntchito zothandizira zimagwiritsidwa ntchito payekha kapena kuphatikiza ndi mankhwala pofuna kupewa matenda opweteka aakulu. Zitsanzo za mankhwala othandizira ndizo:
- Kupuma
- Kupangidwanso
- Electromyography (EMG) biofeedback
- Matenda odziwa zamaganizo (CBT)
Mu EMG biofeedback, ma electrodes amaikidwa pamphuno, pamutu ndi m'thupi kuti azindikire kupweteka kwa minofu. Pomwepo wodwalayo amaphunzitsidwa kuti asamakhale ndi vutoli poyembekezera kuteteza mutu. Mankhwala odziwa zamaganizo amaphatikizapo kuphunzira momwe angazindikire kumutu kwa mutu ndi kupirira nawo mwa njira yowonjezereka, yopanikizika kwambiri. Zonsezi, chidziwitso chothandiza cha mankhwalawa ndi chosagwirizana. Komabe, akatswiri opweteka mutu nthawi zambiri amalimbikitsa chithandizo cha khalidwe kuphatikizapo mankhwala pamene akukonzekera dongosolo la mankhwala kwa odwala awo.
Tengani Mfundo Zapanyumba
- Mutu wamisala wamaganizo ndi wodabwitsa, mawonekedwe opweteka a mutu wa kupweteka omwe amapezeka masiku 15 kapena kuposerapo pa mwezi kwa miyezi yoposa itatu.
- Mankhwala opweteka mutu kumaphatikizapo mankhwala othandiza - monga amitriptyline - kuthandiza kuchepetsa nthenda ya mutu pamwezi.
- Ngati mukumva kupweteka kwa mutu wa tsiku ndi tsiku, yesetsani kusokonezeka. Lankhulani ndi wothandizira zaumoyo wanu kuti mutha kuchipatala bwino. Pitirizani kukhala ndi thanzi labwino m'mutu mwanu.
Zotsatira
Gobel H et al .. Matenda opweteka kwambiri ammutu: amitriptyline amachepetsa kupweteka kwa mutu komanso kupweteka kwapadera koma samasintha machitidwe a minofu. Ululu. 1 994 Nov; 59 (2): 241-9.
Komiti Yoyang'anira Mutu ya Komiti Yapadziko Lonse Yamutu. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Hirsch M & Birnbaum RJ. Mankhwala a Tricyclic ndi tetracyclic: Pharmacology, administration, ndi zotsatira zake. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Jackson JL et al. Tricyclic zowonongeka komanso kumutu: kuwonongeka mwatsatanetsatane ndi kusanthula meta. BMJ, 2010 Oct 20; 341: c5222.
Schwartz BS ndi al. Epidemiology ya mutu wachisokonezo. JAMA . 1998; 279: 381-3
Mutu wa Silver N. (matenda osagwira mtima). Am Phys Physician . 2007 Jul 1; 76 (1): 114-6.
Taylor F. Mutu wamtundu wa anthu akuluakulu: Kuteteza. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Verhagen AP, Damen L, Berger WANGA, Passchier J, & Koes BW. Njira zothandizira anthu omwe ali ndi vuto lopweteka kwambiri m'mutu mwa akuluakulu: kodi ndi opindulitsa? CNS Neurosci Ther . 2009 Chilimwe; 15 (2): 183-205.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .