Migraines ndizofala kwa ana. Kafukufuku waposachedwapa waganiza kuti pafupifupi ana 8 peresenti ya ana ndi anyamata osapitirira zaka 20 ali ndi migraines, ngakhale kuti ena amakhala nawo nthawi yomwe ali akuluakulu.
Chodabwitsa n'chakuti kwa ana omwe ali ndi migraines, "zaka zowonjezereka zimayamba zaka 7 ndi miyezi 9."
Kupewa Mutu wamutu wa Migraine
Ngakhale ndibwino kudziŵa kuti mankhwala alipo othandizira kuti asiye ndikuletsa kupewa migraine , mankhwalawa siwongopangika mwamsanga kwa ana ambiri.
Izi zimapangitsa kuti ana omwe ali ndi migraines aphunzire kupeza SMART za mutu wawo, kuphatikizapo kuti:
- Pezani mokwanira usiku uliwonse.
- Musadye chakudya.
- Amagwira ntchito tsiku lililonse ndikuchita masewera olimbitsa thupi.
- Phunzirani Kupumula ndi kuchepetsa nkhawa pamoyo wawo.
- Pewani kugwidwa kwa migraine .
Mutu wa mutu kapena zolemba, zomwe mumalemba zonse zomwe munachita maola 12 mpaka 24 musanayambe kupweteka mutu, nthawi zina zingakuthandizeni kupeza zotsatira za migraine.
Pokhapokha ngati mutapeza njira yeniyeni ya migraine, kuika mwana wanu chakudya choletsera kugonana sikungakhale bwino. Kupatula kupewa caféine (ndondomeko yabwino kwa ana onse), mwina palibe chifukwa chabwino kwa ana onse omwe ali ndi migraine kupewa shuku lakale, nyama ya chokoleti, ndi nyama ya monosodium glutamate (MSG).
Migraine Mankhwala
Kodi mwana wanu amatenga chiyani akalandira migraine?
Ngati iye ali ngati ana ambiri, mwina amangotenga acetaminophen kapena ibuprofen ndikuwatsutsa.
Kumbukirani kuti mankhwala ena othandizira migraine angaphatikizepo Aleve (naproxen sodium), njira yothandizira kupweteka ngati acetaminophen ndi ibuprofen sizigwira ntchito bwino, komanso Zofran (ondansetron), kuti athe kuthandizira ndi kusanza.
Kuchotsa Mitsempha ya Migraine
Triptans ndi mankhwala akuluakulu omwe amauzidwa kuti athandizidwe kapena kusiya mutu wa mutu wa migraine.
Mwamwayi, ma triptans angapo avomerezedwa kuti agwiritsidwe ntchito kwa ana ndi achinyamata. Axert (almotriptan) ilipo ngati 6.25mg ndi mapiritsi 12.5mg ndipo yavomerezedwa kwa ana a zaka za pakati pa 12 ndi 17. Axert iyenera kutengedwa pa chizindikiro choyamba cha mutu wa mutu wa mutu wa migraine ndipo ikhoza kubwerezedwa m'maola awiri ngati mutu umabwerera, wokhala ndi mlingo wa 25mg tsiku lililonse.
Maxalt (rizatriptan) ndi winanso. Zopezeka mu ODT (mapiritsi olekanitsa pamlomo) kapena mapiritsi ozolowereka, FDA imavomereza ana a zaka zoyambira 6 mpaka 17.
Ngakhale kuti sizimagwirizana ndi FDA kuti zigwiritsidwe ntchito kwa ana ndi achinyamata, mankhwala ambiri a triptan migraine ali ndi "mphamvu zothandizira komanso zotetezera achinyamata" kuphatikizapo:
- Imitrex (zolmitriptan)
- Zomig (sumatriptan)
Mankhwala omwe mumagwiritsa ntchito kuyesa kuchepetsa migraine ya mwana wanu, ndi bwino kumwa mankhwala pa chizindikiro choyambirira kwambiri kuti akupeza migraine.
Kodi adzaimitsa migraine ya mwana wanu wonse? Nthawi zina amachita, pamene nthawi zina amangopweteketsa mutu kuti mwana wanu apitirize kusukulu ndikupitirizabe kugwira bwino ntchito.
Mankhwala othandiza a Migraine
Ngati mwana wanu akudwala mutu wamtunduwu, ndiye kuti m'malo moyesera kuwasamalira akadzachitika, zingakhale bwino kumwa mankhwala tsiku ndi tsiku ndikuwatchinjiriza kuti asachitike.
Mankhwala oletsa kugwiritsira ntchito mankhwalawa ndi abwino kwambiri ngati mwana wanu ali ndi miguine inayi kapena kuposa mwezi pamwezi yomwe imayambitsa ubongo, monga kusowa sukulu kapena ntchito zina.
Mankhwalawa amathandiza kuti:
- Periactin (cyproheptadine) - kuperekedwa pa mlingo wa 0.25 mpaka 1.5 mg / kg / tsiku kapena 2 mpaka 8mg / tsiku, antihistamine iyi ili ndi zotsatira zoyipa zochititsa kulemera. Pazifukwa zabwino, nthawi zina zimatha kuyambitsa sedation, zomwe zingapindulitse ana atapatsidwa nthawi yogona. Amapezeka ngati madzi ndi mapiritsi.
- Elavil (amitriptyline) - vutoli lachikulire lopanikizika limaperekedwanso nthawi yogona ndipo ikhoza kupangitsa kulemera ndi kupweteka. Mlingo nthawi zambiri umakhala pakati pa 0.1 mpaka 1 mg / kg / tsiku kapena 10 mpaka 50mg.
- Topamax (topiramate) - mankhwala osokoneza bongo omwe angayambitse kuchepa ndi kulemera. Mankhwala amatha kuchokera 1 mpaka 2mg / kg / tsiku, ndi mlingo wachikulire wa 50mg kawiri pa tsiku. Topamax inavomerezedwa mu 2014 kuti azitsatira migraine kwa ana ndi achinyamata a pakati pa zaka 12 ndi 17 mu 2014.
- Depakote (valproic acid) - mankhwala ena osokoneza bongo omwe amagwiritsidwanso ntchito pophunzitsa ana omwe ali ndi matenda a maganizo.
Kuwonjezera pa Topamax, palibe mankhwala ena alionse omwe ali ndi FDA omwe amavomereza kuti azitha kulandira ma migraine osatha, choncho amagwiritsidwanso ntchito "pa-label."
Ndipo ngakhale kuti sangapangitse mwanayo kuti asatulukidwe, amatha kuchepa pang'ono, zonse zomwe zimachitika komanso zoipa.
Zomwe Muyenera Kudziwa
Zinthu zina zoti mudziwe za mankhwala a migraine ndi awa:
- Aspirin imaphatikizapo mankhwala osakaniza a migraine, koma amapewa ana ndi achinyamata chifukwa cha chiopsezo cha Reye's Syndrome.
- Mankhwala opweteka, ndi kuchuluka kwa mutu wa mutu wa migraine, ukhoza kuchitika ngati mutenga mankhwala osamalidwa mutu kumutu. Kugwiritsira ntchito mankhwala a migraine kungachititsenso kuti mwana wanu asapitirire tsiku lililonse, Mankhwala oletsa amatha kugwira ntchito. Kawirikawiri, ngati mwana wanu atenga ibuprofen kapena acetaminophen masiku osachepera 15 pa mwezi, katatu kuposa mwezi, kapena mankhwala osakaniza ndi ochepa koma masiku asanu pa mwezi, ndiye kuti ali pangozi yowonjezera migraines chifukwa cha mankhwala kugwiritsa ntchito mopitirira muyeso. Ayenera kukhala m'malo oletsa mankhwala osokoneza bongo.
- Propanol, beta-blocker, ndi clonidine, alpha-adrenergic agonist, nthawi zina amagwiritsidwa ntchito popewera migraine achinyamata.
- Mankhwala opweteka a mtundu wa opioid, monga hydrocodone, nthawi zambiri amapewa bwino popereka ana okhala ndi mutu wopweteka.
Kambiranani ndi ana anu ngati migraine ya mwana wanu ikukulirakulira, akusintha, kapena ngati mwana wanu akukulitsa zizindikiro zatsopano ndi mutu wake.
Chofunika kwambiri n'chakuti ndi mankhwala osachepera atatu a FDA ochizira komanso oletsa migraines, ana aang'ono ayenera kuchita ntchito yabwino yosamalira ana ndi migraines. Katswiri wa matenda a m'mimba kapena katswiri wina wa mutu angathandizenso kuthana ndi mutu wa mwana wanu.
Zotsatira:
Blume, Heidi K. Mankhwala a mutu: Kufotokozera. Matenda a Kubwereza December 2012, VOLUME 33 / TSIKU 12
Galinski, Michel. Kuzindikira koyambirira kwa Migraine Zofunika kwa Ana: Kuchita Zaka Zaka 10. Matenda a Neurology, Volume 53, Magazini 4, October 2015, masamba 319-323.
Komiti ya Lewis D. American Academy of Neurology Yoyang'anira Makhalidwe Abwino, Komiti Yophunzitsira ya Child Neurology Society. Chitani njira yoyenera: mankhwala opatsirana a mutu wa 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; 63 (12): 2215-2224
Ready Duren Michael. Chaputala 20 - Zinthu Zambiri Zabwino: Mankhwala Opitirira Mutu. Mutu ndi Migraine Biology ndi Management, 2015, masamba 253-266.
Victor, Suresh. Mankhwala osokoneza bongo pofuna kupewa matenda a mutu wa migraine. Kugwirizana kwa Cochrane. Nkhani yoyamba yofalitsidwa pa intaneti: 11 JUL 2014