Zizindikiro ndi Chithandizo cha Longer, Migueline Yopambana
Status migrainosus ndi kupweteka kwamtundu wa migraine komwe kumakhala nthawi yaitali kuposa masiku onse-masiku atatu-nthawi zambiri kukutumizani ku chipinda chodzidzimutsa.
Zizindikiro za Mtundu Migrainosus
Zizindikiro za umoyo wa migrainosus ndizofanana ndi zomwe zimayambitsa migraine, kaya ndi migraine ndi aura kapena migraine popanda aura.
Kusiyanitsa kwakukulu ndikuti mu chikhalidwe cha migraines , zizindikiro zikupitirira kwa maola oposa 72. Mu migraine yachizolowezi yopanda kapena aura, ululu wamutu umakhala pakati pa maola 4 ndi 72. Mu chikhalidwe migrainosus, pakhoza kukhala nthawi yotsitsimula yomwe imatha mpaka maola 12. Izi kawirikawiri zimakhala chifukwa cha kugona kapena mankhwala.
Zizindikiro za migraine zimaphatikizapo:
- Malo amodzi (mbali imodzi)
- Kudula
- Kumva kupweteka kwambiri ndi kuchita zinthu zolimbitsa thupi monga kuyenda
- Chizungulire
- Yopambanitsa mpaka mwamphamvu kwambiri
Komanso, muyenera kukhala ndi chimodzi mwa izi:
- Nausea ndi / kapena kusanza
- Photophobia (kumvetsetsa kuwala) ndi phonophobia (kumveka kulira)
Kuchiza kwa Status Migrainosus
Pafupifupi odwala onse omwe ali ndi ufulu migrainosus amakuuzani kuti mankhwala awo achizoloŵezi osagwira ntchito sakuwathandiza. Kuwonjezera pa kuyesa kupweteka mutu, chithandizo cha chikhalidwe migrainosus chimaphatikizapo kuthana ndi mavuto ena onse, monga kunyoza ndi kusanza kapena kutaya madzi.
Chikhalidwe cha migraine nthawi zambiri amachizidwa mu chipinda chodzidzimutsa . Mankhwalawa nthawi zambiri amawathira (IV) madzi ndi mankhwala kuti asamalidwe ndi kusanza, monga prochlorperazine (Compazine).
Mankhwala omwe amathandiza kuchepetsa vuto la migraine angakhale ndi imodzi mwa triptans , makamaka subcutaneous sumatriptan kapena dihydroergotamine (DHE), yotsatira ndi NSAID yokhayokha, monga ketorolac (Toradol).
Kalasi ya mankhwala yotchedwa dopamine receptor antagonists, kapena dopamine blockers, yasonyezedwa kukhala yothandiza kwambiri pakuchiza chikhalidwe migrainosus. Kalasiyi imaphatikizapo mankhwala monga metoclopramide (Reglan), fluphenazine hydrochloride (Prolixin) ndi chlorpromazine hydrochloride (Thorazine).
Nthawi zina ma steroid monga dexamethasone amagwiritsidwa ntchito. Kafukufuku wina waposachedwa wawonetsa kuti 80 peresenti ya odwala omwe ali ndi status migrainosus anali ndi mpumulo waukulu pamene anatenga dexamethasone kawiri pa tsiku kwa masiku anai.
Mankhwala osakaniza a sodium valproate, mankhwala osokoneza bongo, angaganizidwe koma kufufuza kwaposachedwapa kunasonyeza kuti sizingakhale zothandiza monga ketorolac (Toradol) kapena metoclopramide (Reglan) ndipo ziyenera kugwiritsidwa ntchito mosamala kwa akazi omwe ali ndi zaka zobala ana.
Zimene Muyenera Kuchita Ngati Muli ndi Chikhalidwe Chokhazikika
Mofanana ndi mutu wonse, yesani kuona ngati muli ndi zizindikiro zatsopano kapena zozizwitsa zomwe ndizovuta kwambiri kuposa nthawi zonse. Komanso, onetsetsani kudziwitsa wothandizira zaumoyo wanu ngati muli ndi migraine yomwe imatenga nthawi yaitali kuti muyambe kuiganizira kuti ndinu munthu wachilendo.
> Zotsatira:
> Bland R, Levine T. Chithandizo cha Malamulo Omwe Amagwiritsidwa Ntchito ndi Mlomo wa Dealethasone Mwamkati Mwachilendo. Neurology. April 16, 2016; 86 (16): SupplementP1.160.
> Friedman BW, Garber L, Yoon A, Solorzano C, Wollowitz A, Esses D et al. Kuyesedwa kwapadera kwa IV valproate vs metoclopramide vs ketorolac kwachidule. Neurology . March 2014; 82 (11): 976-83.
> Gelfand AA, Goadsby PJ. Chithandizo cha Neurologist ku Njira Yachilendo ya Migraine mu Malo Odzidzidzimutsa. The Neurohospitalist . 2012; 2 (2): 51-59. lembani: 10.1177 / 1941874412439583.
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. Mayiko Osiyanasiyana a Mutu wa Matenda: Mutu 3 (beta version). Cephalalgia. 2013; 33 (9): 629-808.
> Dipatimenti ya Rozen T. Emergency and Inpatient Management of Status Migrainosus ndi Intractable Headache. CONTINUUM: Kuphunzira Kwambiri pa Moyo Wanu . August 2015; 21 (4, Kumutu): 1004-1017.