Kuchiza Mankhwala Kuti Pitirizani Migraines Kuchokera
Mutu wa mutu wa migraine ukhoza kugunda nthawi iliyonse, ndipo kuwasamalira sikungakhale kosavuta nthawi zonse, kotero zingakhale zothandiza kuphunzira zambiri zokhudza migraine kupewa. Ngati mukuvutika ndi migraines nthawi zonse , wothandizira zaumoyo wanu angalimbikitse mankhwala ochizira m'malo mochizira mimba . Mankhwala anayi ovomerezeka a FDA amagwiritsidwa ntchito popewera migraine, koma njira zina zomwe zingagwiritsidwe ntchito.
Mankhwala Ovomerezeka a FDA
Dongosolo la Chakudya ndi Mankhwala walandira mankhwala anai a migraine prevention , kapena prophylaxis. Iwo ndi propranolol (Inderal), timolol (Blocadren), topiramate (Topamax) ndi divalproex sodium ( Depakote ). Izi zimatengedwa kuti ndi "mankhwala oyamba" mu migraine prophylaxis. Pali nthawi yomwe simungathe kupirira nawo chifukwa cha zotsatirapo kapena chifukwa chimodzi mwa mankhwala oyambawa sichigwira ntchito. Izi zikachitika, wothandizira zaumoyo wanu akhoza kupereka mankhwala ena omwe angakhale othandiza. Izi zimatchedwa kugwiritsa ntchito mankhwala "osatulutsa." Izi ndizofala ndipo zingakhale zothetsera vuto lanu.
Beta-Blockers
Beta-blockers ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi ( kuthamanga kwa magazi ), koma palinso ntchito zina zambiri kwa iwo. Propranolol ndi timolol onse ndi beta-blockers. Zina zomwe zingayesedwe mu mankhwala a migraine zikuphatikizapo atenolol (Tenormin), otchedwa metoprolol (Toprol XL) kapena nadolol (Corgard).
Zotsatira zake zambiri zimaphatikizapo kutopa, kunyowa, chizungulire, kusowa tulo, ndi kupsinjika maganizo. Zotsutsana ndi ntchito zawo zikuphatikizapo hypoglycemia yogwirizana ndi shuga, hypotension , mphumu kapena zina za mtima.
Kudetsa nkhaŵa
Amitriptyline ndi mankhwala otetezeka kwambiri omwe amadziwika kuti tricyclic odetsa nkhaŵa (TCA). Ngakhale kuti FDA sinavomerezedwe kupewera migraine, pakhala pali maphunziro ambiri omwe amasonyeza kuti amitriptyline ingakhale mankhwala othandiza kwambiri.
Zikuwoneka kukhala zogwira mtima kwambiri ngati muli ndi migraine yomwe imakhala ndi mitundu yosiyanasiyana kapena ili ndi zinthu zomwe zimagwirizana ndi mutu wa mutu. Amitriptyline ingakhalenso ogwira mtima pamene ogwidwa ndi migraine akusowa tulo kapena kupweteka kumene kumapweteka mutu. Zotsatira zoyipa zimaphatikizapo kugona, kulemera, ndi pakamwa.
The Selective Serotonin Rehibitake Inhibitors (SSRIs), monga fluoxetine (Prozac), nthawi zina amagwiritsidwa ntchito popewera migraine, koma kafukufuku sagwirizana ndi ntchito yawo yofala.
Anticonvulsants
Anticonvulsants ndi mankhwala poyambirira amachiza matenda a khunyu. Iwo ali ndi ntchito zina, kuphatikizapo kupeŵa mutu wa mutu wa migraine. Divalproex (Depakote) ndivomerezedwa ndi FDA, ndipo maphunziro ambiri amachirikiza ntchito yake. Zotsatira za m'mimba zimakhala zachilendo koma zimachepa pakapita nthawi. Odwala oyembekezera ndi omwe ali ndi matenda a chiwindi kapena mbiri ya chifuwa sagwiritse ntchito konse.
Topiramate (Topamax) ndi anticonvulsant yomwe imawoneka ngati yabwino kusankha migraine kupewa. Zotsatira zofanana zimaphatikizapo kutopa ndi kunyowa, ngakhale kuti kuchepa kwa mankhwala sikunayambitse mavuto ambiri.
Zosankha Zina
Palinso mankhwala ena omwe amagwiritsidwa ntchito popewera migraines, ndipo palibe chomwe chinavomerezedwa ndi FDA panthawiyi.
Lisinopril (Zestril), chiwalo cha ACE-inhibitor chomwe chimagwiritsidwa ntchito pochiza matenda oopsa, chawonetsera lonjezo loletsa kupewa migraines. Candesartan (Atacand) ndi malo obisika a angiotensin (ARB) omwe, malinga ndi kafukufuku wina, akhoza kukhala ogwira ntchito migraine prophylaxis.
Mankhwala a calcium ndi mankhwala omwe amagwiritsidwa ntchito kale pofuna kuthandizira migraine. Palibe umboni wa sayansi wotsimikizira kuti amagwiritsa ntchito, ngakhale pali umboni wofooka wosonyeza kuti verapamil (Kalan) angakhale othandiza.
Gwiritsirani ntchito mankhwala osokoneza bongo (NSAID) osagwiritsidwa ntchito mosavuta chifukwa cha mavuto a m'mimba omwe angayambitse, koma pali zina zomwe NSAID zingakhale zothandiza popewera migraines, makamaka naproxen (Naprosyn).
Kutenga NSAID musanayambe ndi kumayambiriro kwa msambo kungakhale kothandiza popewera kusamba kwa migraines .
Zotsatira:
Mankhwala osokoneza bongo. Zotsatira za chithandizo kuchokera ku Medical Letter , 2004; 2: 63-66.
Migraine. National Headache Foundation. Ichotsedwa: December 9, 2008. http://www.headaches.org/education/Headache_Topic_Sheets/Migraine
Modi S, Lowder DM. Mankhwala a migraine prophylaxis. Am Phys Physician . 2006; Nov 15; 74 (10): 1685. Inabwezeretsedwa: December 9, 2008. http://www.aafp.org/afp/20060101/72.html
Tronvik E, Stovner LJ, Helde G, Sand T, Bovim G. Kuchiza mankhwala a migraine ndi khungu la angiotensin II yolandirira: kuyesedwa kosasinthika. JAMA , 2003; 289: 65-9.