Mgwirizano Wovuta
Pamene mukudwala matenda a migraine, kodi mumakumana ndi vuto lanu lokhazika mtima pansi mumatumbo omwe amadziwika kuti ndi nseru? Mphuno imatha kuchitika m'maganizo ambiri monga matenda, matenda a m'mimba komanso matenda a ubongo. Migraines, ngakhale zili choncho, ndizovuta kwambiri chifukwa chosowa nsomba. Tiyeni tione kuphatikizana kovuta kwa mutu ndi khunyu mwatsatanetsatane.
Mgwirizano Wovuta
Zomwe zimachitika phokoso la migraineurs ndizodziwika bwino komanso zolemetsa. Pali mavuto akuluakulu awiri omwe amapezeka chifukwa cha mseru chifukwa cha ululu wa mutu:
- Nausea nthawi zambiri imayambitsa vuto lomenyana ndi migraine.
- Nausea imapangitsa kuti vuto lochotsa mimba likhale lovuta kwambiri.
Kodi Ndizogwirizana Bwanji ndi Nausea Panthawi ya Migraine Attack?
Mu kafukufuku wina m'mutu , anthu pafupifupi 6500 omwe anadwala matenda osokoneza bongo , omwe amadzimva chisoni kwambiri , amachititsa kuti phokoso likhale lachilendo. Pafupifupi makumi atatu peresenti adanena kuti akusowa nkhanza zosachepera theka la nthawi ndi migraines, ndipo oposa makumi awiri peresenti amanena kuti sakhala ndi chizoloŵezi chokumana ndi nseru. Phunzirolo linapezanso kuti mseru wamtunduwu umakhala wochuluka kwambiri mwa amayi kuposa amuna.
Vuto Loyamba #: Nausea Imateteza Migraine Attack
Kufufuza kumeneku kumutu kumapezanso kuti anthu omwe anali ndi chifuwa chachikulu pamutu mwawo amakhala ndi zizindikilo zofunikira kwambiri monga: photophobia , phonophobia , ululu wamutu ndi ululu wowonjezereka chifukwa cha zochitika zina.
Kuwonjezera apo, poyerekeza ndi anthu omwe ali ndi miseche yapamwamba kwambiri poyerekeza ndi zosautsa kapena zosawoneka zosautsa zomwe zimakhala ndi ululu pamutu, anthu omwe ali ndi nseru amatha kupita kuntchito kuchokera kuntchito zawo kapena kukhala olemala ntchito.
Pomaliza, mu phunziro lomwelo, migraineurs anapatsidwa Mutu Wopweteka Mutu (HIT-6), kapangidwe ka mafunso asanu ndi limodzi kapena mayeso ogwiritsidwa ntchito pofuna kudziwa momwe mutu wa munthu umakhudzidwira pa ntchito tsiku ndi tsiku.
Mwachitsanzo, funso limodzi la mayeso ndilo "M'masabata 4 apitawa, ndi kangati mwakhala mukutopa kwambiri kuti musamagwire ntchito kapena ntchito za tsiku ndi tsiku chifukwa cha mutu wanu?" Ophunzirawo amayankha kuti: "Nthawi zonse, nthawi zambiri, nthawi zambiri, kapena nthawi zambiri, kapena Nthawi zonse. "Zotsatira zimasonyeza kuti pafupifupi theka la anthu omwe ali ndi chifuwa chachikulu chotenga kachilombo kazomwe amapeza kwambiri mu HIT-6.
Vuto Lachiwiri: Nausea Akuletsa Chithandizo
Vuto lina lakumva kupweteka kwa mutu ndi mseru ndi kuti odwala nthawi zambiri safuna kutenga mankhwala awo a migraine. Kwenikweni, pa kafukufuku wa mutu wa National in 2010, anthu 4 mwa khumi aliwonse a ku United States adanena kuti anachedwa kapena kupewa kugwiritsa ntchito mankhwala chifukwa chotsutsa mimba komanso / kapena kusanza. Kuchepetsa kapena kupewa mankhwala a migraine kungangowonjezera kugwidwa kwa migraine, kuwononga kuntchito kwake ndi khalidwe lonse la moyo. Kuwonjezera apo, kusanza kapena khunyu, komweko, kungalepheretse kumwa mankhwala, kupangitsa mankhwala a migraine kukhala opanda ntchito.
Kodi Mungatani? Njira Zothandizira Mutu wa Mutu ndi Nausea
Nkhani yabwino ndi yakuti pali njira zambiri zomwe mungachite kuti muzitha kupweteka mutu wanu, ndikuganiziranso za msampha wokhudzana ndi migraine. Triptans ndi mankhwala a migraine omwe amapezeka m'njira zambiri, zomwe zingagwiritsidwe ntchito monga mankhwala oyamba kuti awonongeke kwambiri.
Izi zimaphatikizapo: mankhwala a nasal, mapiritsi osungunuka mofulumira (amamwa ngakhale kuti akusanza) ndi jekeseni ya subcutaneous. Mitundu ina ya mankhwala a migraine amathandiza kuti zonsezi zikhale zotonthoza komanso zowonjezera bwino, ngati kugwidwa kwa magazi kumakhala ndi khunyu kodzikuza komanso / kapena kusanza. Kumbukirani, triptan imatsutsana ndi anthu omwe ali ndi matenda a mtima ischemic, stroke, odwala matenda oopsa, kapena hemiplegic kapena basilar migraine.
Antiemetistikiti, monga metoclopromaide (Reglan), yomwe ingaperekedwe mwachangu kapena kudzera mu mitsempha, imakhalanso ndi njira zabwino zothetsera matenda ndipo imaperekedwa ku dipatimenti yowopsa.
Dihydroergotamine ( DHE 45 , Migranal) ndi njira ina. Mankhwalawa amajambulidwa kapena amachitidwa intranasally. Kuphatikizapo mankhwala osokoneza bongo ndi dihydroergotamine ndi njira yomwe ingasankhidwe komanso nthawi zina amagwiritsidwa ntchito m'madipatimenti odzidzimutsa kuti azitha kulandira chithandizo chamagraine. Chonde dziwani kuti dihydroergotamine sichitha kugwiritsidwa ntchito pamodzi ndi triptans ndipo imatsutsana kwambiri ndi mimba, komanso anthu omwe ali ndi vuto la magazi komanso / kapena matenda a mtima.
Njira zina zothandizira mankhwala ndi mankhwala otchedwa intravenous steroid, monga dexamethasone , omwe nthawi zambiri amaperekedwa kuwonjezera pa mankhwala ena a migraine. Lidocaine ndi mankhwala ochepa omwe amathandiza kuchepetsa migraines, omwe amapereka mpumulo mwamsanga, ngakhale kuti kubwereza kumakhala kofala. Lidocaine amagwiritsidwa ntchito kupyolera m'madontho a m'mphuno, pamene wodwalayo amagona ndi mutu wake kumbali ya ululu wa mutu.
Chidule
Zomwe amachitira panyumba apa ndizokuti msomali nthawi zambiri umapweteka kumutu, zomwe zingapangitse kupweteka kwa migraine ndi / kapena kupanga mankhwala ovuta kwambiri, monga momwe migraineurs amafunira kupewa kumwa mankhwala pakamwa.
Pali njira zothetsera vutoli, komabe monga mankhwala a intranasal triptans kapena mankhwala ozunguza thupi / opatsirana omwe angaperekedwe ku dipatimenti yosavuta kapena dokotala. Ngati muli ndi vuto lopweteketsa mtima ndi mutu wanu, chonde lolankhulani ndi dokotala wanu kuti njira zina zothandizira mankhwala am'derali zikhozedwe.
Zotsatira
Gilmore B & Michael M. Chithandizo cha mutu wa mutu wa migraine. Am Phys Physician. 2011 Feb 1; 83 (3): 271-280.
Lipton RB, Buse DC, Otsatira J, Fanning KM, Serrano D, Reed ML. Kusinthasintha ndi kulemedwa kwa zifukwa zokhudzana ndi kupweteka kwa mutu: zotsatira za American Migraine Prevalence and Prevention (AMPP yophunzira mutu) 2013 Jan; 53 (1): 93-103.
National Headache Foundation. Migraine odwala matenda. April 2010. Ipezeka pa: http://www.headaches.org/NHF_Programs/NHF_Web_Surveys (yomwe idapezeka pa November 6, 2013).
KUDZIZIRANI: Zomwe zili patsamba lino ndizomwe mukudziwiratu. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti akuthandizeni, akudziwitsani, ndi chithandizo cha chirichonse chokhudza zizindikiro kapena matenda .