Kumtunda, Kumtunda, ndi Pakati pa
Ngati muli wodwalayo osagwirizana ndi njira zamakono zochiritsira matenda a migraine, inu ndi katswiri wanu wamutu mungakhale mukukambirana opaleshoni ya migraine.
Kuchita opaleshoni ndi chinthu chachikulu, komabe. Ndi ntchito yayikulu yomwe ingakhale ndi zotsatira zake, ndi okwera mtengo, ndipo izi sizinayambe.
Tiyeni tiphunzire phunziro limodzi pa opaleshoni ya migraine kuti tiwone kuti ndi bwino bwanji (kapena ayi).
Mosasamala kanthu, chonde kambiranani opaleshoni iliyonse imene mukuiganizira ndi dokotala wanu wamkulu ndi dokotala wazamagetsi.
Kodi Kupanga Opaleshoni Kumagwira Ntchito?
Kafukufuku wina wochita opaleshoni ya Pulasitiki ndi Yokonzanso Zinthu anafufuza odwala 91 amene anachitidwa opaleshoni. Asanachite opaleshoni, ophunzirawo poyamba adayesedwa ndi jekeseni wa jekeseni wa poizoni kuti atsimikizire malo awo othamanga.
Chiphunzitso cha mtundu uwu wa opaleshoni ndi chakuti kupweteka kwa mitsempha pamutu ndi pakhosi kumayambitsa migraines-kotero pamene poizoni ya botulinum ikhoza kuchepetsa kupweteka kwapang'onopang'ono, kuchotsa opaleshoni ya kapangidwe ka compressing (minofu kapena mitsempha ya nthambi) ingayesere zotsatira za botulinum, koma khalani nthawi yaitali kapena yosatha.
Zina zinayi zomwe zimayambitsa jekeseni mu phunziro ili zikuphatikizapo:
- pamphumi
- akachisi
- dera la occipital kapena kumbuyo kwa mutu
- Nkhalango ya intranasal (yolowera mkati mwa mphuno)
Mu phunziro ili, ophunzirawo adatsatiridwa patatha zaka chimodzi ndi zisanu.
Ambiri anali azimayi (a zaka zapakati pa 43) ndipo anali ndi matenda a migraine opanda aura. Patatha chaka chimodzi, 92 peresenti ya ophunzirawo anapeza kuchepa kwa 50% pafupipafupi, nthawi, kapena mphamvu ya migraines . Ngakhale zili bwino, pafupifupi 35 peresenti adawona kuchotsedwa kwathunthu kwa migraines yawo.
Pambuyo pa zaka zinayi zotsatira, ophunzira khumi sanatsatire, ndipo ophunzira khumi sanatuluke pamaphunzirowa chifukwa cha opaleshoni yowonjezereka yosiyana siyana. Pambuyo pazaka zisanu, 88 peresenti ya anthu omwe adatsalirawo adalandirapo chithandizo pa opaleshoni yawo yoyamba ndi yokhayokha, ndipo 29 peresenti inanena kuti achetsa mutu wawo wonse ndi 59 peresenti podziwa kuchepa kwakukulu.
Mu phunziro ili, panali gulu lolamulira la anthu 25 (omwe ali ndi matenda a migraine popanda aura) amene analandira majeremusi a saline. Komabe, sanatsatire kwa zaka zisanu. Ndipotu, anapatsidwa jekeseni wa Botox patatha chaka chimodzi chotsatira, omwe 17 adagwirizana nawo.
Kodi zotsatirazi zikutanthauza chiyani? Eya, pamene zikuwoneka kuti chiwerengero chabwino cha ophunzirawo chinalandira phindu kuchokera ku opaleshoniyi, osati chiwerengero chachikulu chochotseratu migraines yawo.
Palinso mavuto ndi phunziroli. Gulu lolamulira linali laling'ono kwambiri kusiyana ndi gulu lophunzira, ndipo gulu la gulu lolamulira silinachite opaleshoni yamanyala (opaleshoni ya placebo kapena opaleshoni yowonongeka) -ndipo sizinali zofanana ndi gulu lolamulira pazaka zisanu (zomwe zimapanga zimakhala zovuta kwambiri kutulutsa zotsatira za placebo).
Nanga bwanji za anthu khumi omwe adalandira opaleshoni yowonjezera-kodi izi zikutanthauza chiyani phindu la opaleshoni yawo yoyamba? Sindikudziwikanso zomwe mankhwala omwe ophunzira adatenga pa phunziroli, komanso momwe izi zinathandizira kupumula kwawo.
Flip-side ya Migraine Opaleshoni
Pamene opaleshoni ndi njira yowonongeka ya migraines, mukhoza kuyembekezera zina zomwe simukuzidziwa. Chifukwa chimodzi, pali zotsatirapo za opaleshoni ngati kutuluka kwa mimba kapena kuuma kwa mphuno ngati pulogalamu ya opaleshoni ikuphatikiza mkati mwa mphuno. Kuwotcha khungu kumatha ngati malo opaleshoni ali pamphumi.
Zotsatira zina zingaphatikizepo matenda, kusokonezeka, kapena kutsekedwa kwa kachisi ndi jekeseni wa botulinamu.
Chodetsa nkhaŵa chachikulu ndi yankho la placebo la opaleshoni ya migraine. Kuyankha kwa placebo kumatanthauza wodwala amene akuyesa kusintha kwa zizindikiro zake (pakadali pano mutu wawo) kuchokera ku maganizo a chithandizo cha mankhwala (opaleshoni mu nkhaniyi), osati mankhwala okha. Kuyankha kwa placebo kwalembedwa bwino mu zolemba zachipatala ndipo ndizochitika zodabwitsa.
Kawirikawiri, chiwerengero chachikulu cha maphunziro omwe amasonyeza umboni wabwino wosamalira opaleshoni ya migraine ndi yotsika, ndipo madokotala ambiri amakhala osamala kuti adzalangize odwala awo.
Mawu ochokera
Kuchita opaleshoni ya migraine ndi njira yowononga nthawi, yofunika kwambiri yomwe imafuna kuti musamayang'anitse bwinobwino. Monga nthawi zonse, khala woleza mtima, wathanzi, komanso wothandiza pa zosankha zamasamalidwe.
> Zotsatira:
> Diener HC, Cchorn CF, Binge IU, Dodick DW. Kufunika kwa malobo pamutu wopenda. > Cephalagia > 2008; 28 (10): 1003-11.
> Guyuron B, Kriegler JS, Davis J, Amini SB. Mankhwala opanga opaleshoni kwambiri a mutu wa mutu wa migraine. Kuwonongeka Kwambiri pa 2005 Jan; 115 (1): 1-9.
> Guyuron B, Kriegler JS, Davis J, Amini SB. Zotsatira za zaka zisanu za mankhwala opaleshoni ya mutu wa mutu wa migraine. Kuphatikizidwa Kwambiri Kukonzekera 2011 Feb; 127 (2): 603-8.
> Mathew PG. Kufufuza kovuta kwa migraine kumayambitsa opaleshoni yachitsulo. > Mutu >. 2014 Jan; 54 (1): 142-52.