Indlela Okunikezwa ngayo, nokuthi Yini Okumele Uyilinde
I-DHE imele i-dihydroergotamine futhi i-alkaloid e-ergot esetshenziselwa ukwelapha ukuhlasela okukhulu kwe- migraine . Masifunde kabanzi ngale mithi ye-migraine, kufaka phakathi ukuthi ilawulwa kanjani nemiphumela emibi.
Ukusebenzisa i-DHE Yokuphatha iMigraines
Ngaphezu kokulinganisela ekuhlaseleni okukhulu kwe-migraine, i-DHE ingaba esebenzayo ngokukhethekile ekwelapheni kwe-migraine, imithi yokwelapha ngokweqile , isimo migrainosus, noma i-migraine engapheli.
Kubalulekile ukuqaphela ukuthi i-DHE ayigweme ukuguqulwa kwamagraines, futhi ayisetshenziselwa ukuphatha izinhlungu zekhanda okungenayo i-migraine njengezinhloko zekhanda .
I-DHE iphathwe kanjani?
I-DHE ingaqondiswa nge-intranasally (ngokusebenzisa ekhaleni) noma ingafakwa injected. I-DHE 45 yigama lomkhiqizo ongenamjojo futhi linganikezwa ngaphasi komzimba, lingene emzimbeni (noma lingene emisipha) noma nge-intravenously (ibe emthanjeni). I-DHE engenayo ijwayele ukunikezwa ekamelweni eliphuthumayo ukuphumula okusheshayo kwe-migraine, ikakhulukazi uma umuntu engaphenduli eminye imithi yokwelapha ye-migraine, noma isimo se-migrainosus.
I-Migranal yigama lomkhiqizo we-dihydroergotamine nasal futhi livame ukunikezwa kwisilungiselelo sesipiliyoni - okusho ukuthi kunqunywe ukuqokwa kukadokotela. Kuyathakazelisa ukuphawula ukuthi kukhona ifomu elingafakiwe le-DHE, elibizwa nge-Levadex, elingakavunyelwe okwamanje yi-FDA.
I-DHE isebenza kanjani?
I-DHE inezinhlelo eziningi zesenzo kuhlanganise:
- Ukubophezela kuma-receptors we-serotonin
- Ukunciphisa i-arteries
- Ukubophezela ku-dopamine receptors
- Ukuhlinzeka ngemiphumela yokulwa nesicanshu
Iyini Isikhalo Sokujola DHE?
Imithi ejoqayo igxila emaphethweni omzimba, okwenza kube kufanele iziguli ezihlushwa isicuphoso nokuhlanza ngenxa ye-migraine.
Iyini Isikhalo sikaDHE Nasal?
I-DHE nasal iyinto elula futhi ingaba yindlela enhle kubantu abanesicanshu nokuhlanza abangakwazi ukuthatha ipilisi.
Ingabe i-DHE Contraindicated Ngesikhathi sokukhulelwa nokubeletha?
Yebo. I-Dihydroergotamine ibhalwe yi-FDA njengesigaba sokukhulelwa i-X - sinqatshelwe kokubili omama nokukhulelwa.
Yini Okufanele Ngiyitshele Udokotela Wami Ngaphambi Kokuthatha I-DHE?
Kubalulekile ukutshela udokotela wakho yonke imithi, kufaka phakathi izithako ezingaphezulu kwe-counter kanye namavithamini, uthatha. Eminye imithi, njengohlobo lwemilayezo ye-HIV ebizwa ngokuthi i-protease inhibitors kanye nama-antibiotic e-macrolide, ayikwazi ukuthathwa ngokuhambisana ne-DHE - njengoba kube khona imibiko yokufa okungase kubulale ekuphumeni kwegazi kuya ebuchosheni nasezingalweni nasemilenzeni. Ngaphezu kwalokho, i-DHE akufanele ithathwe ngamahora angu-24 we- triptan .
I-DHE iphinde iqhathaniswe nabantu abanezimo ezithile zezokwelapha ezifana:
- ischemic isifo senhliziyo (isb., umlando wenhliziyo, i-angina)
- umfutho wegazi ophezulu ongalawuleki
- i-allergies ku-ergot alkaloids
- umuntu onemithi ephakamisa ukucindezeleka kwegazi ngokuvimbela imithwalo yegazi
- i-hemiplegic noma i-basilar migraine
- isifo sofuba esisodwa
- i-sepsis - ukutheleleka okukhulu
- ngemuva kokuhlinzwa okuyisisindo
- umsebenzi wesibindi onzima kakhulu
- umsebenzi wezinso okhubazekile kakhulu
Yimiphi imiphumela engaba yimbi ye-DHE?
Ngokuvamile, ukusebenzisa isikhathi eside kwe-DHE enjovweni kuye kwahlanganiswa ne-fibrosis noma ukuqina kwamaphaphu noma izinso, kanye nenhliziyo ye-valve fibrosis nezinye izidakamizwa ze-ergot alkaloid.
Imibiko ejwayelekile yokuhlasela kwenhliziyo nokushaywa isisu nayo ibike.
Ngokusho kwe-FDA nomkhiqizi, lemiphumela emibi engezansi ayidlangalaleni kepha idinga isaziso ngokushesha sodokotela uma kwenzeka:
- Ubumbulu noma ukubetha eminwe nasezinzwaneni.
- Ubuhlungu, ukuqina, noma ukunganaki esifubeni.
- Ubuhlungu be-muscle noma ama-cramps ezandleni nasemilenzeni.
- Ukubuthakathaka emilenzeni.
- Ukusheshisa okwesikhashana noma ukuncipha kwenhliziyo yakho.
- Ukuvuvukala noma ukushaya
Eminye eminye imiphumela emibi engase ivele nge-DHE engenayo ihlanganisa:
- umfutho wegazi ophezulu
- isiyezi
- ukukhathazeka
- ukukhathazeka ukuphefumula
- ikhanda
- ukuqhuma
- isifo sohudo
- ukushayeka
- ukuthuthumela
Ezinye imiphumela emibi ye-nasal DHE zihlanganisa:
- impumu egijima noma ukuxhuma
- ingqondo eguqulelwe ukunambitha
- ukuphendula kwesayithi lesicelo
- isiyezi
- isicanucanu nokuhlanza
- Umphimbo obuhlungu
Lokho Kusho Ngami?
I-DHE imithi ezuzisayo ye-migraine kwabanye abantu. Uma unqunywe i-DHE 45 noma i-Migranal, qiniseka ukuthi uqeqeshiwe ukuthi ungayisebenzisa kanjani ngokufanele futhi ngokuphepha.
Ngaphezu kwalokho, qiniseka ukuthi uqonda ukulingana kwemithi yakho ye-DHE. I-DHE akufanele isetshenziswe nsuku zonke noma isikhathi eside.
Njalo thintana nodokotela wakho mayelana nemithi.
Imithombo:
I-FDA. I-Novartis Pharmaceuticals Corporation. I-DHE 45 ne-Migranal.
I-Silberstein S & Kori SH. I-Dihydroergotamine: ukubuyekezwa kwezindlela zokwakheka kokuphathwa okunzima kwe-migraine. I-CNS Izidakamizwa . 2013 Meyi; 27 (5): 385-94.