Zomwe ziri zotetezeka ndi zomwe siziri pamene mukuyamwitsa.
Amayi atsopano omwe ali ndi vuto la kupweteka kwa mutu nthawi zambiri samayesetsa kumwa mankhwala kuti asamapweteke mutu wawo chifukwa amawopa kuti mankhwala amatha kuchoka mkaka wawo kupita kwa mwanayo.
Gina ndi chitsanzo chabwino. Ndi mayi woyamwitsa amene ali ndi migraines - ali ndi 42 ndipo wakhala ndi migraines kuyambira ali ndi zaka 18.
Gina ankagwiritsa ntchito mankhwala ake a migraine ndi mapiritsi opweteka kapena Imitrex (mankhwala a triptan omwe amachepetsera mitsempha ya m'magazi), koma atangokhala ndi pakati ndikukhala mayi woyamwitsa, Gina anafuna njira zina zothandizira migraines.
Gina panopa amagwiritsa ntchito migraines ndi zomwe amachitcha "chakudya cha Tylenol, Sudafed ndi caffeine; malo abwino, amphamvu ochokera ku Starbucks. Kawirikawiri ndimayenera kubwereza izi masiku awiri. "Gina anawonjezera kuti ngakhale atasankha kugwiritsa ntchito mankhwala achibadwidwe, ayenera kukhala kutali ndi chilichonse chomwe chingamupatse chifukwa chakuti ayenera kusamalira ana ake.
Pamene akuyamwitsa mwana wake wamwamuna wazaka ziwiri, Gina angasankhe mankhwala achibadwa kapena a homeopathic m'chilengedwe, koma pakalipano amapita ndi ntchito. Akuti ngati sanali mayi woyamwitsa, amatha kubwerera kwa Imitrex kuti am'patse Migraines.
Kodi Migraine Meds Ndi yotetezeka Bwanji Pamene Mukuyamwitsa?
Gina akhoza kukhala olondola kuti ayenera kupewa Imitrex pamene akuyamwitsa mwana, popeza maphunziro a triptans mu nkhaniyi ndi ochepa.
Koma amayi ambiri oyamwitsa amaganiza kuti mankhwala osokoneza mutu ndi mankhwala ena sapweteka pamene akuyamwitsa, ngakhale kuti kafukufuku wamankhwala akusonyeza kuti mankhwala ena omwe amagwiritsidwa ntchito ndi otetezeka.
Pano pali mndandanda wa zowonjezereka zokhudzana ndi migraine ndi mankhwala ena opweteka kumutu komanso ngati akatswiri amalangiza kuti azigwiritsa ntchito pamene mukuyamwitsa mwana wanu:
- Mankhwala osagwiritsa ntchito steroidal anti-inflammatory monga ibuprofen ndi diclofenac . Izi kawirikawiri zimakhala zotetezeka, ngakhale sodium naproxen iyenera kugwiritsidwa ntchito kanthawi kochepa chabe.
- Triptans monga Imitrex, Relpax ndi ena . Izi sizinakonzedwe panthawi yomwe ali ndi mimba kapena kuyamwitsa, popeza palibe chidziwitso chokwanira kuchokera ku maphunziro a zachipatala kuti adziwe ngati ali otetezeka kapena ayi. Malipoti ofalitsidwawa alipo, komabe, amasonyeza kuti mankhwalawa sangakhudze ana oyembekezera.
- Mankhwala osokoneza bongo Topiramate (zonisamide). Mankhwalawa amachititsa kuti pakhale vuto loyamwa. Achipatala ena amalimbikitsira amayi omwe amafunika kukhala pa mankhwalawa kuti aziyamwitsa pang'ono pokha kuti athe kuchepetsa kuyamwa kwa ana awo ku mankhwala.
- Ergotamine. Zomwe akukambirana panopa zimalimbikitsa amayi omwe akuyamwitsa kuti adikire maola khumi ndi awiri kuchokera pa dose ya ergotamine asanayambe ana awo. Zoipa zowonongeka kwa ana zingaphatikizepo kusokonezeka, kusanza kapena kutsekula m'mimba. Mankhwalawa amathandizanso kuchepetsa mkaka.
- Reglan. Reglan, pofuna kuteteza khunyu yokhudzana ndi migraine, inalimbikitsidwanso kuonjezera mkaka wa amayi omwe akuyamwitsa. Zimatetezedwa pamene mukuyamwitsa. Komabe, dziwani kuti Reglan ali ndi vuto lovutika maganizo, choncho ngati muli pachiopsezo chotengera kuvutika maganizo, muyenera kulankhula ndi adokotala za zotsatirazi.
- Thorazine. Izi ndi mankhwala omwe amagwiritsidwa ntchito popewera msofu wa matenda a migraine. Kafukufuku wochepa kwambiri amasonyeza kuti ali otetezeka pamene akuyamwitsa ngati atagwiritsidwa ntchito yokha, koma ana ena oyamwitsa adzagona chifukwa chowonekera.
- Mankhwala opioid. Izi zakhala zikutsutsana kale pamutu ndi mankhwala a migraine. Sitiyenera kugwiritsidwa ntchito ndi amayi omwe akuyamwitsa ana awo, chifukwa angathe kufooka, kuperewera kolemera, ndi mavuto ena kwa ana.
Kusankha Mankhwala Opambana (kapena Mgwirizano) Pamene Uchikulire
Kusankha mankhwala osokoneza bongo omwe angagwire ntchito bwino kwa amayi akuyamwitsa ndi awa:
- mankhwala omwe ali ndi hafu yaifupi (iwo amakhalanso akutukuka mwamsanga)
- mankhwala osokoneza bongo
- mankhwala omwe ali ndi mkulu wolemera maselo
- mankhwala omwe ali ndi chiwerengero chochepa cha mankhwalawa
Amayi oyamwitsa akhoza kukhala ndi chidwi ndi zowonjezera mankhwala kapena mankhwala ochiza matenda awo.
Ndikofunika kuti apitirize kufufuza ndi kukambirana ndi adokotala za iwo, chifukwa Chakudya ndi Mankhwala Osokoneza Bongo (FDA) sichiyendetsa zowonjezera zowonjezera ndi zowonjezera zazowonjezerekazo zimasiyanasiyana kuchoka pa mtundu ndi chizindikiro. Komanso chifukwa chakuti chinachake chimatchedwa mankhwala kapena zitsamba, sizitetezeka kwa khanda loyamwitsa.
Ngati amayi sakufuna kugwiritsa ntchito mankhwala a chikhalidwe, chitonthozo monga kugona m'chipinda chamdima kapena kugwiritsira ntchito ayezi kapena kutentha kumutu kungakhale (kosavuta) kosavuta ndi mwana wamng'ono. Amayi amatha kugwiritsanso ntchito mutu wa mutu wa mutu kuti ayang'ane migraines kapena mutu wawo kuti awone ngati pali kusintha kwa moyo komwe kumathandiza kuchepetsa ululu wa mutu.
Kusintha kwa chiropractic kapena mankhwala othandizira misala ndizomwe mungasankhe amayi omwe akuyamwitsa angathe kuchita ngati akufuna kupewa kumwa mankhwala.
Zothandizira Kupewa Mankhwala Pa Nthawi Yopereka Mimba
Maziwa ndi Amayi Amayi , a Dr. Thomas W. Hale, dokotala wa ana, pharmacologist ndi pulofesa wa ana pa Texas Tech University School of Medicine, amadziwika kuti ndi imodzi mwa njira zabwino kwambiri zodziwira momwe mankhwala amakhudzira mkaka wa mkaka.
Bukhuli, lomwe linatulutsidwa mu 16th, chaka cha 2014, limayang'ana mazana a mankhwala omwe ali ndi zolembedwa zatsopano za sayansi. Bukuli lili ndi mfundo zomwe zikuphatikizapo:
- theka la moyo wa mankhwala (kodi zimatengera nthawi yaitali bwanji kuti thupi lisachotse hafu ya mlingo wa mankhwala otengedwa)
- nthawi yochulukitsa mankhwala osokoneza bongo m'magazi a mayi ake
- Mankhwala a mankhwala (mankhwala omwe ali ndi maselo olemera 200 kapena apamwamba ali ndi mwayi wochepa wolowera pachifuwa kuposa mankhwala osakwana 200)
- Kugwiritsa ntchito mankhwala moyenera (kugwiritsa ntchito mankhwala kuti athe kufalitsa mauthenga osokoneza bongo pambuyo poyendetsa pakamwa;
- nthiti ya moyo ya mankhwala osokoneza bongo
Potsirizira pake, US Library of Medicine imakhalanso ndi mndandanda wa intaneti pa mankhwala ndi kuyamwitsa ndiyo njira yabwino kwambiri yodziwira chitetezo cha mitu yosiyanasiyana ndi mankhwala a migraine. Mukhoza kupeza malowa ku LactMed, ToxNet Database.