Scientific Recommendations pa Matenda a Migraine
Kusamalira ana ndi achinyamata omwe ali ndi migraines n'kovuta. Izi ndi chifukwa chakuti kafukufuku wa sayansi amalephera kugwiritsira ntchito migraine, zomwe zimasiyanasiyana ndi munthu wamkulu wodwalayo.
Tiyeni tiwone zomwe akatswiri ena amanena pothana ndi kuteteza migraines kwa ana.
Malangizo ochokera kwa AAN pa Kuthetsa Migraine kwa Ana
Komiti ya American Academy of Neurology (AAN) Quality Standards Subcommittee ndi Komiti Yophunzitsira ya Child Neurology Society inalimbikitsa mu 2004 kuti azitsatira ndi kupewa kupewa migraines kwa ana ndi achinyamata.
Gululo linadziwika ndikuphunzira nkhani 166. Malingana ndi kafukufuku wawo wa deta zonse zomwe zilipo, mamembala a komiti adapanga izi:
Kuwopsa kwa mankhwala a migraine:
- Ibuprofen ndi yothandiza ndipo iyenera kuganiziridwa chifukwa cha mankhwala opweteka a migraine ana (zaka zoposa 6).
Tylenol (acetaminophen) ingakhale yogwira mtima ndipo iyenera kuganiziridwa chifukwa cha mankhwala opweteka a migraine ana.
Imitrex / Imigran (Sumatriptan) mankhwalawa ndi othandiza ndipo ayenera kuganiziridwa chifukwa cha mankhwala opweteka a migraine achinyamata (zaka zoposa 12).
Panalibe deta, zabwino kapena zoipa, ponena za kugwiritsa ntchito katatu (pakamwa) katatu m'ma ana kapena achinyamata.
Pali deta yosakwanira kuti mudziwe ubwino wothandizira (pansi pa khungu).
Thandizo la tsiku ndi tsiku:
Flunarizine mwina ndi yothandiza ndipo ingaganizidwe koma siipezeke ku United States.
Pali umboni wosakwanira wopanga malingaliro okhudza kugwiritsa ntchito Periactin (cyproheptadine), Elavil (amitriptyline), Depakote (divalproex sodium), Topamax (topiramate), kapena Keppra (levetiracetam).
Chifukwa umboni uli wosagwirizana, malingaliro sangapangidwe ponena za Inderal (propranolol) kapena Desyrell (trazodone).
Sandomigraine (Pizotifen) ndi Nimotop (nimodipine) ndi clonidine sizinapindulepo ndipo sizikulimbikitsidwa.
Mfundo Zina Zogwirizana ndi Sayansi Zokhudza Kuchiza Mankhwala a Migraine
Olemba nkhani ya 2008 mu Journal of Pediatric Pharmacology and Therapeutics adanena kuti Ibuprofen ndi Tylenol (acetaminophen) ndi opindulitsa komanso otetezeka kwa ana osakwana zaka 12. Iwo adanenanso kuti kwa achinyamata, ngati Ibuprofen ndi Tylenol (acetaminophen) sagwira ntchito, triptan ingaganizidwe-ngakhale kuti triptans sichivomerezedwa ndi FDA achinyamata. Izi zikunenedwa, Imiterx (sumatriptan) ndi Zomig (zolmitriptan) zamphongo zamphongo zimapezeka kuti zimapindulitsa pophunzira kuthetsa migraines yovuta achinyamata.
Zina za Sayansi Zomwe Zidziteteze Kuchiza Mankhwala a Migraine
Kafukufuku wa 2013 ku Jama Pediatrics amavomerezana ndi malangizo a AAN chifukwa palibe umboni wakuti mankhwala ogwiritsidwa ntchito kawirikawiri, monga clonidine, pizotifen, propranolol, ndi valproate, ndi othandiza. Anatchulanso kuti flunarizine sichigwira ntchito poyerekeza ndi placebo, yomwe AAN amaganiza ingakhale yothandiza. Izi zanenedwa, ana ambiri ndi achinyamata (30 peresenti ya kafukufuku wina) ndi mutu wa mutu wa migraine amafunika mankhwala othandiza kuti asagwiritsidwe ntchito nthawi zina.
Izi zimangowonjezera kufunika kofunika kwa mayesero akuluakulu, osasinthika, omwe amawoneka kuti apangidwe ndi malo omwe amachititsa kuti asatuluke.
Zomwe Mungachite Kuti Muthane ndi Migraines Ana
Ndikofunika kudziwa kuti mankhwala sayenera kukhala chithandizo chokha chochizira migraines kwa ana. Zizolowezi za moyo ndi kudziwitsa ndi kuthana ndi zovuta ndizofanana, ngati sizili zofunikira kwambiri. Zitsanzo za njira zomwe mungamvetsetse migraine ya mwana wanu ndikulumikizana ndi zida zawo ndi makhalidwe monga:
- mapulogalamu
- Cafineine
- malingaliro a zakudya
- zolimbitsa thupi
- kusokonezeka kunyumba ndi kusukulu
- kukonzetsa zochita
Mawu Ochokera
Zonse mwazo, uthenga wamtundu wa kunyumba uwu ndi wakuti pali kusowa kwakukulu kwa maphunziro pa zovuta za ana, potsata iwo ndi kuwachitira. Izi zikunenedwa, ndi dongosolo loyenera lachipatala ndi khalidwe la migraine, mwana wanu akhoza kupeza mpumulo. Pitirizani kulimbikitsa thanzi la mwana wanu wa migraine.
> Zotsatira:
> Brenner M & Lewis D. Chithandizo cha Mutu wamutu wa Migraine kwa Ana ndi Achinyamata. J Pediatr Pharmacol Ther. 2008 Jan-Mar; 13 (1): 17-24.
> El Chammas K. Pharmacologic chithandizo cha kumutu kwa mutu: meta-analysis. JAMA Wachipatala. 2013 Mar 1; 167 (3): 250-8.
> Lewis D ndi al. Gwiritsani ntchito Parameter: Chithandizo cha mankhwala cha mutu wa migraine kwa ana ndi achinyamata: lipoti la American Academy of Neurology Quality Standards Subcommittee ndi Komiti Yoyesera ya Child Neurology Society. Neurology 2004 Dec 28; 63 (12): 2215-24.