Kodi mumamva ngati mukuyesera mankhwala alionse kuti musamalire migraines yanu ndipo palibe ntchito? Ngati ndi choncho, simuli nokha - ndipo mwina mukudwala matenda a migraine osokoneza bongo.
Tiyeni tione zomwe zimachititsa kuti migraine isamvetsetse ndi zomwe asayansi akuchita kuti amvetse bwino vutoli.
Meaning of Refractory
Kutsutsa kumatanthauza kusalabadira mankhwala - kotero anthu omwe amatsutsa migraine sapeza mpumulo wa mankhwala achidule, ndipo amapitilizabe kupanga migraine ngakhale kuti mankhwalawa ndi othandiza.
Komanso, kwa anthu omwe ali ndi matenda osokoneza bongo omwe amatha kupwetekedwa, mutu wawo umakhudza kwambiri khalidwe lawo labwino komanso kugwira ntchito tsiku ndi tsiku.
Malinga ndi bungwe la International Headache Society, migraine yopanda matenda imapezeka masiku 15 kapena kuposerapo kwa miyezi itatu.
Momwe Milandu Yopangidwira Idafotokozedwera
Mu 2008, bungwe la Special Interest Section (RHSIS) ndi a American Headache Society (AHS) limatanthauzira zifukwa zoyenera kugwiritsira ntchito migraine. Kuchokera apo, ochita kafukufuku ena apereka malingaliro - monga pali kutsutsana pa momwe tingatanthauzire molondola "kukana."
Mitundu ya Mankhwala Osathandiza Kuthetsa Matenda Odwala Matenda a Migraine
Kuteteza
Malinga ndi tanthawuzo loperekedwa ndi RHSIS ndi AHS, anthu omwe ali ndi matenda osokoneza bongo amayamba kukhala ndi migraine ngakhale akuyesa mankhwala awiri omwe amachititsa kuti asagwiritsidwe ntchito :
- beta-blockers
- mankhwala osokoneza bongo (anti-seizure drugs)
- tricyclic zowonongeka
- calcium channel blockers
Kuchotsa mimba
Malinga ndi tanthawuzo loperekedwa ndi RHSIS ndi AHS, anthu omwe ali ndi matenda osokoneza bongo amatha kukhala ndi migraine ngakhale akuyesera mankhwala othandizira kuchotsa mankhwalawa - poganiza kuti alibe mankhwala kapena amatsutsana ndi mankhwalawa.
- Onse awiri a triptan ndi dihydroergotamine (DHE) omwe amalowa m'thupi kapena osakanikirana
- Kaya ndi antisteroidal anti-inflammatory ( NSAID ) kapena mankhwala ochepetsa ululu (monga acetaminophen / aspirin / caffeine kapena Excedrin Migraine)
Kupitiriza Kusintha Tanthauzo
Bungwe la European Headache Federation (EHF) likubwezeretsanso mankhwala osokoneza bongo a migraine. Afuna kufotokoza ndi kufotokoza pazinthu zowonjezereka poyembekeza kuti izi zimapangitsa kufotokoza momveka bwino, kufalikira, komanso kosagwiritsidwa ntchito kuti zigwiritsidwe ntchito pa kafukufuku wamtsogolo.
Chimodzi mwa mfundo zomwe EHF akufuna kuyika ndikukhala ndi munthu yemwe ali ndi matenda osapitirira matenda a migraine onabotulinumtoxinA (Botox) ngati njira yothandizira - asanatchulidwe kuti ndiwotsutsa.
Amafunanso kuphatikizapo mlingo woyenera wa mankhwala a mankhwala a migraine - monga nthawi zina anthu amatenga mankhwala pa mlingo umene sungatheke kuti ukhale wogwira mtima, ndipo amalembedwa ngati "sagwira ntchito" kapena "amalephera" ndi dokotala.
Zimene Odwala Angachite
Ngati mukudwala matenda osokoneza bongo, musayese kukhumudwa. Fufuzani malangizo kuchokera kwa katswiri wa mutu wa mutu kapena katswiri wa zamagulu pa zamachiritso zamankhwala - monga Botox - ndipo mukhale otetezeka mu chisamaliro chanu ndikutha kupirira .
Zotsatira
Komiti Yoyang'anira Mutu ya Komiti Yapadziko Lonse Yamutu. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Mutu Wopweteka Mutu wa Komiti Yapadziko Lonse. "International Classification of Headache Disorders: Edition 2". Cephalalgia 2004; 24 Suppl 1: 9-160.
Martellett P et al. Kusagwirizana ndi matenda a migraine osagwirizana: chigwirizano chogwirizana ndi zomwe zimachitika ku European Headache Federation. J Mutu wa Mutu . 2014 Aug 28; 15: 47.
Schulman EA et al. Kutanthauzira kugwiritsira ntchito migraine ndi kusokoneza matenda a migraine osaphatikizapo: zopangidwe zofunikira kuchokera ku Refractory Headache Special Interest Section ya American Headache Society. Mutu. 2008; 48: 778-82.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .