Mankhwala osokoneza bongo ali ndi aura ndi matenda omwe amachititsa munthu kukhala ndi moyo komanso kugwira ntchito tsiku ndi tsiku. Mwamwayi, ambiri ogwidwa ndi migraineurs akukumanabe ndi zowawa izi, ngakhale mankhwala ochulukirapo kunja uko. Ngati mukukhumudwa ndi mankhwala omwe mukulephera kupititsa ku migraine osatha, mungapeze chitonthozo mumagwiridwe omwe amavomerezedwa posachedwapa.
Mankhwala Achilendo a Migraine
Mu December 2013, US Food and Drug Administration (FDA) inavomerezedwa ndi Cerena-pulse Transcranial Magnetic Stimulator (sTMS), chipangizo chopangira mankhwala chomwe chimagwiritsidwa ntchito pofuna kuchepetsa ululu umene umayambitsa migraine ndi aura.
Chifukwa chachikulu cha migraine aura amawonedwa kuti ndi njira yotchedwa cortical kufalitsa maganizo kapena CSD. CSD ndiwopseza maganizo mu ubongo umene umafalikira pa cortex panthawi ya migraine. Mankhwala osokoneza bongo monga Topiramate ( Topamax ) apezeka kuti ateteze CSD mu ubongo. Mofananamo, chipangizochi chimamveka kuti chisokoneze CSD mu ubongo ndikuchotsa kugwidwa kwa migraine.
Momwe Ikugwirira Ntchito
Pakutha ora limodzi mutatha kukhala ndi aura, mumagwiritsa ntchito chipangizocho kumbuyo kwa mutu wanu ndi kukanikiza batani. Izi zimatulutsa mphamvu yamaginito, zomwe zimachititsa kuti lobe ya occipital ikhale kumbuyo kwa ubongo.
Mphamvu ya mphamvu imasintha maselo a mitsempha mu moto wa ubongo kapena kutumiza zizindikiro, kusokoneza CSD.
Phunziro Pogwiritsa Ntchito Chipangizochi
Maziko a chivomerezo cha FDA ndi phunziro mu Lancet Neurology . Mu phunziro lino, anthu okwana 201 omwe anadwala migraine ndi aura anali osasinthika kuti ayambe kukakamizidwa ndi sTMS motsutsana ndi zochititsa manyazi (chipangizo cholakwika kapena chopanda ntchito chomwe chinali chofanana ndi chipangizo chenicheni).
Ophunzirawa ndi omwe amapanga opanga / oyesera anachititsidwa khungu kuti asamangidwe, kutanthauza kuti palibe amene ankadziwa kuti chimbudzi chilichonse chinapatsidwa. Ophunzira adalangizidwa kuti agwiritse ntchito chipangizochi katatu kwa miyezi itatu. Otsatira makumi asanu ndi awiri mphambu asanu ndi awiri sanathe kugwiritsa ntchito chipangizocho ndipo sanatuluke.
Zotsatira zasonyeza kuti maola awiri atatha chithandizo, migraineurs pogwiritsa ntchito sTMS (mwachitsanzo, chipangizo chenicheni) anali ndi mpumulo waukulu kuposa omwe amagwiritsa ntchito chipangizochi. Kuonjezerapo, ophunzirawo amakhala osapweteka maola 24 atagwiritsidwa ntchito ndi sTMS kuposa omwe ali ndi chipangizo cha sham. Izi zinagwiranso ntchito maola 48 pambuyo pa chithandizo.
Kuonjezerapo, ophunzirawo adamva kupweteka kwa mutu wawo pambuyo poti aura awo ndi ofatsa, ochepa kapena ovuta. Amagraineurs omwe anafotokoza kupweteka kwa mutu kwapakati kapena koopsa ndipo amagwiritsira ntchito chipangizo chenichenicho anali ndi chithandizo chochuluka cha migraine monga kunyoza, photophobia, ndi phonophibia kusiyana ndi omwe amagwiritsa ntchito chipangizo chomwechi.
Chidule cha zinthu za STMS Chipangizo Chogwirizana ndi chivomerezo cha FDA
- Zodula, zogwiritsira ntchito m'manja komanso zogwiritsa ntchito
- Amapezeka ndi mankhwala okhaokha
- Adavomerezedwa kwa anthu payekha ali ndi zaka 18 kapena kuposerapo
- Amavomerezedwa okha kwa omwe akudwala migraines ndi aura
- Kugwiritsira ntchito kachipangizo sikuyenera kupitirira kamodzi pa maola 24
- Chipangizo chimatsutsana ndi anthu omwe ali ndi zitsulo pamutu, pakhosi, kapena pamtunda kapena ngati ali ndi "chipangizo chochiritsira chomwe chimapangidwa monga pacemaker kapena brain stimulator."
- FDA imachenjezanso kuti chipangizocho sichiyenera kugwiritsidwa ntchito kwa anthu omwe ali ndi mbiri yaumwini kapena banja la kugwidwa.
Tengani Uthenga wa Kumudzi
Ngakhale chipangizochi sichiri cha aliyense ndipo sichoncho chitsimikizo, chingakhale choyenera ngati chilipo komanso chotheka. Chinthu chabwino pa nkhaniyi ndikuti sikuti ndibwino komanso sikuti muyenera kugwiritsira ntchito. Mosasamala, maphunziro ochuluka amayenera kuchitidwa kuti amvetse bwino kayendedwe ka chipangizocho, komanso ngati zingatheke bwino.
Lankhulani ndi dokotala wanu ndi kupeza maganizo awo. Monga nthawi zonse, khala wotetezeka m'mutu mwanu ndi thanzi labwino.
Zotsatira:
Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA.Intrinsic ubongo umayambitsa trigeminal meningeal afferents mu
chitsanzo cha migraine. Nat Med 2002; 8: 136-42.
Dalkara T, Nozari A, Moskowitz MA. Migraine aura pathophysiology: udindo wa mitsempha ya mitsempha ndi kuika magazi. Lancet Neurol. 2010 Mar 9 (3): 309-17
Holland PR, Schembri CT, Fredrick JP, Goadsby PJ. Kutulutsa mphamvu zamaginito pofuna kuchiza migraine aura. Neurology
2009; 72 (suppl. 3): A250
Lipton RB, Dodick DW, Silberstein SD, Saper JR, Aurora SK, Pearlman SH et al. Kutentha kwapadera kwa maginito opangitsa mphamvu ya migraine ndi aura: mayesero osakanikirana, omwe ali awiri, opunduka, omwe amachititsa manyazi. Lancet Neurology . 2010 Apr; 9 (4): 373-80.