Pezani mphamvu pa migraines
Kaya mwatulukira kale kuti muli ndi migraine kapena muli ndi matenda otha msinkhu, mukhoza kupeza kuti mukulolera mankhwala omwe angathe kuchitapo kanthu mwamsanga. Mwamwayi, ambiri mwa inu, mankhwalawa "palibe".
Komabe, pali mankhwala ambiri othandizira kuti munthu asamangogwiritsira ntchito mankhwala osokoneza bongo kunja kwake, ndipo nthawi zambiri zimagwirizanitsa mankhwala ndi kusintha kwa khalidwe zomwe zimatithandiza kuti tipeze mphamvu zowononga migraine.
Kuchotsa Mitsempha ya Migraine
Mankhwala ochotsa mimba amatengedwa kumayambiriro kwa migraine kuti apereke chithandizo cha kupweteka kumutu, asiye kuukira kumeneku, ndi / kapena kuchepetsa kuuma kwake.
NSAIDS
Anthu ambiri amayamba kumwa mankhwala awo ndi mankhwala owonjezera. Izi ndi zomveka ngati si-steroidal anti-inflammatories (NSAIDs), monga ibuprofen kapena naproxen sodium (Aleve), kawirikawiri amagwiritsidwa ntchito ngati mankhwala oyamba a migraines. Ngakhale kuti ma NSAID angagulidwe pa-counter, iwo si onse-onetsetsani kuti mukalankhule ndi dokotala musanatenge imodzi kuti mukhale otetezeka.
Triptans
Ngati NSAID siigwira ntchito, kapena ngati munthu ayamba kuyenda bwino, triptan monga Imitrex ( sumatriptan ) kapena Maxalt (rizatriptan) ingakhale yothandiza. Mbali yabwino ya triptans ndi yakuti imapezeka m'mafomu osalankhula. Mwachitsanzo, sumatriptan imapezeka mu mawonekedwe ochepa kapena osakanikirana, ndipo rizatriptan imapezeka mu chophimba chodziwika bwino, chotchedwa Maxalt MLT.
Triptans ngakhale, mosiyana ndi NSAIDs, sizipezeka pa-counter ndipo zimafuna mankhwala kuchokera kwa dokotala wanu.
Dokotala wanu angagwiritsenso ntchito NSAID / triptan, monga Treximet (sumatriptan / naproxen sodium). Mufukufuku wa 2007 ku JAMA, sodium sumatriptan / naproxen inapezeka kuti ikugwira ntchito kwambiri kuposa sumatriptan kapena naproxen sodium yokha.
Triptans ngakhale zili ndi zotsatira monga kuphwanya, paresthesias , kutopa ndi chifuwa kapena kupweteka kwa mmero. Ayeneranso kupeĊµa odwala omwe ali ndi matenda a mtima komanso osatetezeka chifukwa cha zochita zawo, zomwe zimapangitsa kuti mitsempha ikhale yambiri. Malingana ndi mitundu ina ya migraine, triptans sichitigwiritsenso ntchito hemiplegic migraine s kapena basilar migraine s .
Antiemetisti
Mankhwala oletsa antiyotic or anti-nausea monga Regraine (Reglan) ndi mankhwala ena othandiza kuti abweretse mimba. Izi zimaperekedwa ku dipatimenti yosavuta. Nthawi zina antiemetro yoperekedwa ndi pakamwa imagwiritsidwa ntchito pofuna kuthana ndi mseru umene umayenda ndi migraines , koma sunawonetsedwe kuti ndi wogwira mtima pa migraine palokha.
Njira imodzi yomwe ingakhale yoopsa ya antiemetics ndi yakuti mankhwalawa angayambitse mtima wamagetsi.
Dihydroergotamine
Dihydroergotamine (DHE 45, Migranal ) ndi mankhwala ena a migraine. Mankhwalawa amalowetsedwa (intravenous, subcutaneous, intramuscular) kapena opranasally (kudzera m'mphuno). Mavuto osokoneza bongo (kupyolera mu mitsempha) kuphatikizapo antiemetics nthawi zina amaperekedwa mu chipinda chodzidzimutsa kuti athetse chithandizo cha migraine.
Dihydroergotamine sichitha kugwiritsidwa ntchito pamodzi ndi triptans ndipo imatsutsana ndi mimba, komanso mwa anthu omwe ali ndi vuto la magazi komanso / kapena matenda a mtima.
Mankhwala Ena
Njira zina zothandizira mankhwala ndi mankhwala otchedwa intravenous steroid, monga dexamethasone, omwe nthawi zambiri amaperekedwa kuwonjezera pa mankhwala ena a migraine. Intranasal lidocaine akhoza kupereka mpumulo wa migraines. Amayang'aniridwa ndi dokotala kapena wodwala okha, koma nthawi zambiri amangopereka mpumulo waifupi. Kusintha kwa migraine kumakhala kofala.
Mawu ochokera
Mwachidule, ma NSAID amalingaliridwa mzere woyamba wa migraines yofatsa.
Ngati migraine ikupitirizabe ngakhale ndi NSAID, kapena ngati migraine imakhala yochepa kwambiri kuti imayambe, mankhwala a triptan kapena triptan / NSAID nthawi zambiri amalembedwa ndi dokotala.
Njira zina zochiritsira zomwe zimagwiritsidwa ntchito makamaka m'chipinda chodzidzidzira ndi antiemetics, dihydroergotamines, kapena steroids.
Kuwonjezera pa zotsatira zake, samalani kuti mupange mankhwala osokoneza bongo kapena kupwetekedwa mutu pamene mukuchotsa mankhwala a migraine. Nthawi zonse muzikambirana dongosolo la mankhwala a migraine ndi dokotala wanu.
Zotsatira:
Aukerman G, Knuston D, Wachisoni WF; Dipatimenti ya Family Medicine, University of Ohio State University of Medicine ndi Zaumoyo, Columbus Ohio. Kusamalidwa kwa mutu wopweteka wa mutu wa migraine. Am Phys Physician . 2002 Dec 1; 66 (11): 2123-30.
Bajwa Z, Sabahat A. Mankhwala othandiza a migraine mwa akuluakulu. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Brandes JL, Kudrow D, Stark SR, et al. Sumatriptan-naproxen kwa mankhwala ovuta a migraine: mayesero osinthika. JAMA . 2007; 297 (13): 1443-1454.
Gilmore B & Michael M. Chithandizo cha Mutu Wopweteka wa Migraine. Am Phys Physician. 2011 Feb 1; 83 (3): 271-280.