Mankhwala a Migraines, Kuthetsa Mutu Kumutu ndi Kumutu kwa Mutu
Yendani pansi pa mankhwala opweteka mmwamba mwa mankhwala aliwonse a mankhwala osokoneza bongo ndipo mukhoza kuvutika kwambiri. Zikuwoneka kuti mitundu yambirimbiri ya mankhwala ilipo kuti athe kupweteka mutu. Kodi mumadziwa bwanji kuti ndi yani yabwino kwa inu? Zimadalira pazifukwa ziwiri: ndikumutu kwa mutu wamtundu wanji, ndi ululu wa kupwetekedwa mtima kwambiri.
Mankhwala ndi mtundu wa Mutu
Chifukwa pali mitundu yambiri ya mutu wa mutu , pali mitundu yambiri ya mankhwala kwa iwo.
Ambiri amagwiritsidwa ntchito m'magulu awiri: mankhwala opweteka omwe mumakhala nawo tsiku ndi tsiku kuti muteteze mutu (wotchedwa prophylactic), ndi mankhwala omwe mumalandira pambuyo poti mutu umayamba (wotchedwa kubereka).
Mankhwala opweteka ochotsa mimba amatha kupezeka pamtundu wa mankhwala kapena mankhwalawa ndipo amatengedwa pa nthawi ya chiwonongeko pomwe mankhwala opweteka a poizoni amatengedwa nthawi zonse kuti asamapweteke mutu, ndipo kawirikawiri amafunika mankhwala a mankhwala. Mitundu ina ya mutu wopweteka imakhala ndi mitundu yonse ya mankhwala.
Mankhwala a Migraines
Migraines nthawi zambiri amachiritsidwa ndi mankhwala oletsa kupewera mankhwala ngakhale kuti mimba imatha kuthandiza kupweteka kwa migraine. Mankhwala ambiri amachititsa kuti pakhale nthawi yowonjezera, ndipo sangathe kugwira ntchito yopewera migraine kwa milungu ingapo.
Chifukwa chakuti migraines ndi opaleshoni, mankhwala ambiri amachititsa kuti ubongo umayankhidwe.
Zingatenge mayesero angapo kuti mupeze mankhwala omwe amathandiza kupweteka kwanu kwa migraine.
- Tricyclic zowonongeka . Zomwe zimalembedwa muyezo wochepa kusiyana ndi matenda ovutika maganizo, tricyclics monga amitriptyline ndi nortriptyline zingathandize kupewa migraines musanayambe.
- Zina zowonjezereka . Serotonin-reuptake inhibitors (SSRIs) sizothandiza nthawi zonse monga tricyclics, koma zimayendetsa migraines mwa anthu ena. Ma SSRI omwe amagwiritsa ntchito migraines amawaphatikizapo fluoxetine ndi sertraline.
- Ophwanya Beta . Kawirikawiri amagwiritsidwa ntchito poletsa kuthamanga kwa magazi, beta blockers amatha kuchepetsa maulendo a migraine kapena mphamvu pamene amatengedwa nthawi zonse. Propranolol ndi timolol amalembedwa kaamba ka cholinga ichi.
- Makanema a calcium . Ngakhale angatenge milungu yambiri kuti ikhale yogwira ntchito, kansalu ka calcium monga verapamil ikhoza kukhala yothandiza popewera migraine. Masiku ano anthu ena amafufuza za kashiamu chifukwa cha zimenezi.
- NSAIDs . Mankhwala otsutsana ndi kutupa monga aspirin ndi ibuprofen angatengedwe ngati mankhwala ochotsa mimba. Komabe, madokotala ena amapereka mankhwalawa kuti azigwiritsa ntchito mankhwala opatsirana.
Zina zothandizira migraine zimaphatikizapo mankhwala osokoneza bongo ngakhale kuti nthawi zambiri amalingalira kuti ndiwotheka chifukwa cha zotsatira zake komanso zomwe zingachititse poizoni. Pakalipano, akufufuza kuti aone momwe mavitamini otchedwa angiotensin-converter-block (ARBs), mafinyumu amadzimadzi A (Botox), antchito a leukotriene komanso agonist a dopamine.
Mankhwala Otsutsana Mutu
Mankhwala omwe amagwiritsidwa ntchito kwambiri chifukwa cha kupweteka kwa mutu kumaphatikizapo:
- Tricyclic zowonongeka . Matricyclics monga amitriptyline ndi imipramine amagwiritsidwa ntchito monga prophylactics, kuteteza kupsinjika kwa mutu kumapanga poyamba.
- Zosintha . Kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri, Izi zikuphatikizapo alprazolam ndi clonazepam.
- NSAIDs . Ibuprofen ndi naproxen zilipo pa-counter-counter, koma zovuta kwambiri zimafuna mankhwala a mankhwala. Zimathandiza kuthetsa ululu wa mutu wachisoni.
- Opioids . Ma opioids monga codeine kapena hydrocodone angagwiritsidwe ntchito pochiza mutu wa mitsempha yambiri pambuyo poti NSAID zikuwonetsedwa kuti sizothandiza.
Udindo wa poizoni wa botulinum A, mankhwala osokoneza bongo komanso kupumula kwa minofu pofuna kuchepetsa kupweteka kwa mutu wamakono akufufuzidwa.
Mankhwala a Mutu wamutu wa Cluster
Chifukwa chakuti kupweteka kwa mutu wa masana kumakhala kochepa, mankhwala opatsirana amayamba kukhala othandiza kwambiri kusiyana ndi mankhwala ochotsa mimba. Ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri pofuna kuchepetsa kupweteka kwachisanu ndi kuphatikizapo:
- Amalonda a calcium . Mofanana ndi migraines, verapamil ndi njira yowonongeka ya calcium ya ululu wa mutu wa masango, ngakhale kuti yapangidwa kuti apange matenda a mtima.
- Lithium . Kawirikawiri amagwiritsidwa ntchito pochiza matenda a bipolar, lithiamu ikhoza kugwiritsidwa ntchito yokha kapena yogwiritsidwa ntchito ndi mankhwala ena kuti asamalitse mutu wa cluster.
- Mankhwala osokoneza bongo . Valproate ndi topiramate zakonzedwa kuti zichiritse matenda a khunyu. Komabe, zatsimikizira kuti zimathandiza kulamulira mutu wa masango.
- Capsaicin . Mphuno ya capsaicin, yomwe imapangitsa kuti asamangidwe, imakhala pafupifupi 50% yothandiza kuchepetsa kupwetekedwa kwa mutu wa masango m'mayesero a kachipatala.
- Otsatira . Mankhwalawa ndi mankhwala omwe amagwiritsidwa ntchito kuti azikhazika mtima pansi munthu atatha kupweteka mutu. Izi zikuphatikizapo ergotamine ndi prednisone.
Mphuno wotchedwa Botulinum A ndi baclofen, zomwe zonsezi zimagwiritsidwa ntchito kuchepetsa kutaya minofu, pakali pano zikufufuzidwa kuti zikhoza kuchepetsa kuchuluka kwa masewera a mutu wa cluster.
Kupitirira Mankhwala
Mankhwala si njira yokhayo yothetsera kupweteka kwa mutu kumutu. Ndipotu mankhwala ambiri othandizira ndi othandizira (CAMs) amagwiritsidwa ntchito mobwerezabwereza. Izi zimaphatikizapo yoga, kusisita minofu, kutsekemera thupi, ndi aromatherapy.
Kuwonjezera pa mankhwala ndi CAMs, kupeza njira zothandizira kuthana ndi kupweteka kwa mutu kumapititsa patsogolo njira yopewera ndi kupweteka. Fufuzani magulu othandizira ndi maofesi, onetsani banja lanu ndi abwenzi ndikukhazikitsa ubale wabwino ndi dokotala wanu. Ngati muli ndi mankhwala abwino, njira zothetsera vuto zingakuthandizeni kuti mukhale ndi ululu wopweteka mutu.
Zotsatira:
National Headache Foundation. Mutu: Mafunso Ofunsidwa Kawirikawiri. http://www.headaches.org/headache-faq/
National Pain Foundation. Mutu Wopweteka M'mutu.
Chipatala cha Medical University ku Maryland. Mutu wa mutu wa Migraine.