Inhlanganisela Yezinkinga
Uma uhlushwa yi-migraine, ingabe nawe uthola ukuthi lokho kuyisimo esibucayi nokungaxhunyeki kwesimo sokungena ngaphakathi kwesimo sakho segundane esibizwa ngokuthi yisicashu? I-nausea ingenzeka ngaphakathi kwezimo eziningi zezokwelapha kuhlanganise nezifo, izifo zamathunjini kanye nezinkinga zobuchopho. Imigraines, noma kunjalo, yinto ejwayelekile kakhulu yokuhlukumeza. Ake sihlole inhlanganisela eyinkinga yamakhanda kanye nenhlanhla ngokuningiliziwe.
Ingxube Yezinkinga
Okuhlangenwe nakho kwesiphithiphithi se-migraineurs yinto evamile kakhulu futhi eyimithwalo. Kunezinkinga ezimbili eziyinhloko ezenzeka ngenxa yesiphithiphithi ezihambisana nobuhlungu bekhanda:
- I-nausea ivame ukuhlukumeza ukuhlaselwa kwe-migraine kakade.
- I-nausea yenza ukwelashwa kokukhipha isisu kunzima nakakhulu.
Yeka indlela ejwayelekile ngayo i-Nausea Ngesikhathi sokuhlasela kwe-Migraine?
Esinye isifundo se- Headache , cishe abantu abangaba ngu-6500 abahlukunyezwa yi-episodic migraines, isihlungulu se- high-frequency nausea , esichazwa ngokuthi isicashunwe senzeke ≥ isigamu sesikhathi esinesihloko. Cishe amaphesenti angamashumi amathathu abike ukuthi bahlushwa isicanucanu ngaphansi kwengxenye yesikhathi nge-migraines yabo, futhi amaphesenti angaphezu kwamashumi amabili abika ukuthi akasoze ajwayele ukuzwa isiyaluyalu. Ucwaningo luphinde lwathola ukuthi isisindo esikhulu sezintambo ezivame ukwanda kwababesifazane kunabantu abaningi.
Inkinga # 1: I-Nausea igxeka ukuhlasela kwe-Migraine
Ucwaningo olungenhla e- Headache luphinde lwabona ukuthi abantu abaye babhekana ne-nausea ephakeme kakhulu ngekhanda labo beba nethuba lokuzwa ezinye izimpawu eziphawulekayo ze-migraine ezifana ne- photophobia , i- phonophobia , ubuhlungu obukhulu bekhanda nobuhlungu obukhungethwe yimisebenzi ejwayelekile.
Ukwengeza, uma kuqhathaniswa nabantu abanezinyosi eziphezulu ezihambisana ne-frequency uma kuqhathaniswa no-no noma okungajwayelekile okungavamile kwezinyosi ezinobuhlungu bekhanda, labo abanesisulu sokuncelisa isifo kungenzeka babe sekhefu lokugula emisebenzini yabo noma babe nokukhubazeka emsebenzini.
Okokugcina, kulolu cwaningo, ama-migraineurs anikezwe ukuhlolwa kwe-Headache Impact (HIT-6), ithuluzi lombuzo oyisithupha noma ukuhlolwa okusetshenziselwa ukucacisa umthelela womuntu oyinhloko ekusebenzeni kwansuku zonke.
Isibonelo, umbuzo owodwa wokuhlola uwukuthi "Emasontweni amane adlule, ngabe uke ukhathele kaningi kangakanani ukwenza umsebenzi noma imisebenzi yansuku zonke ngenxa yezinsizwa zakho?" Abahlanganyeli baphendula ngokuthi: "Akunakwenzeka, ngezinye izikhathi, ngezinye izikhathi, kaningi, noma njalo. "Imiphumela yabonisa ukuthi cishe isigamu salabo abanesicupho se-high-frequency ncea esihlokweni esiphezulu kakhulu se- HIT-6.
Inkinga # 2: Isifo Sokuvimbela Ukwelapha
Enye inkinga yokuhlupheka kokubili ikhanda nokucabangela ukuthi iziguli zivame ukunganaki ukuthatha imithi yabo ye-migraine. Eqinisweni, ku-National Headache Survey ngo-2010, abangu-4 kwabangu-10 abahamba ngezinyawo e-United States bathi bakhumbula noma bagwema ukuphuza imithi ngenxa yokuhlushwa okuhlobene nesiguli kanye / noma ukuhlanza. Ukulahla noma ukugwema imithi ye-migraine kungenza isikhathi eside sihlaselwe i-migraine, senze kube nzima ukusebenza komuntu kanye nekhwalithi yokuphila yonke. Ngaphezu kwalokho, ukuhlanza noma isicanucanu, ngokwayo, kungavimbela ukumiswa kwemithi, ukuhlinzeka ngemithi ye-migraine engasebenzi.
Iyini Isixazululo? Izinketho zokwelapha for Headache Nausea
Izindaba ezinhle ukuthi kunezinketho eziningi lapha ukuze uphathe ubuhlungu bekhanda lakho, ngenkathi ucabangela ukuhlukunyezwa okuhlobene ne-migraine. I-Triptans i- migraine yokwelashwa etholakalayo ekufomeni okuningi, engasetshenziswa njengezokwelapha zokuqala zokulinganisa ukuze kuhlaselwe ukuhlasela okukhulu kwe-migraine.
Lezi zakhiwo zihlanganisa: ukuphamba kwamanzi, ukuphelisa ngokushesha amaphilisi (kufakwa naphezu kokuhlanza) kanye nezijovo ezingaphansi. Lezi zindlela ezihlukile zemithi eqondene ne-migraine zivumela kokubili induduzo nokunakekelwa okuthuthukile, uma i-migraineur ine-nausea ehambisanayo kanye / noma ukuhlanza. Khumbula, ama-triptan aphikisana nabantu abanesifo se-ischemic, isifo, isifo somfutho wegazi ophezulu, noma i-hemiplegic noma i-basilar migraine.
Ama-antiemetistiki, njenge-metoclopromaide (Reglan), enganikezwa ngaphakathi noma nge-vein, nayo iyindlela enhle yokwelashwa futhi ijwayele ukunikezwa emnyangweni ophuthumayo.
I-Dihydroergotamine ( DHE 45 , i-Migranal) enye inketho. Le mithi ijojowe noma iphathwe nge-intranasally. Ukuhlanganisa i-antiemétique ne-dihydroergotamine kuyindlela ongakhetha ngayo futhi ngezinye izikhathi kusetshenziselwa iminyango ephuthumayo yokwelashwa okunzima kwe-migraine. Sicela uqaphele ukuthi i-dihydroergotamine ayikwazi ukusetshenziselwa ngokuhlanganyela ne-triptans futhi iphikisana ngokuphelele ekukhulelweni, futhi kubantu abanomthwalo wegazi olawulekile kanye / noma isifo senhliziyo.
Ezinye izindlela zokwelashwa zihlanganisa i-steroid engenayo, njenge- dexamethasone , evame ukunikezwa ngaphezu kwamanye ama-migraine therapies. I-Lidocaine iyindlela yokwelashwa engavamile kakhulu ye-migraines, enikeza ukukhululeka okusheshayo, nakuba ukuphindaphindiwe kuvamile. I-Lidocaine ijwayele ukuphathwa ngamaconsi emisipha, ngenkathi isiguli sigula phansi ikhanda lakhe laphenduka eceleni kobuhlungu bekhanda.
Isifingqo
Iphuzu lokufika ekhaya lapha ukuthi lesi sifo sokuncelisa isisu sivame ukuhamba nobuhlungu bekhanda, okungaholela ekuhlaselweni kwe-migraine kanye / noma ukwenza ukwelashwa kube nzima nakakhulu, njengoba imigraineurs ifuna ukugwema ukuthatha imithi ngomlomo.
Kukhona izixazululo, noma kunjalo, njenge-intranasal triptans noma imishanguzo engaphakathi / engaphansi kwemithi engenziwa ngaphansi komnyango ophuthumayo noma ehhovisi likadokotela. Uma uhlushwa isisulu sokushukela ngokweqile ngekhanda lakho, sicela uxhumane nalokhu nodokotela wakho ukuze ezinye izindlela zokwelapha emilonyeni yomlomo zingabuyekezwa.
Imithombo
I-Gilmore B & Michael M. Ukwelashwa kwekhanda eliyingozi le-migraine. Am Fam Physician. 2011 Feb 1; 83 (3): 271-280.
Lipton RB, Buse DC, Saiers J, Fanning KM, Serrano D, Reed ML. Ukuphindaphinda kanye nomthwalo wokukhwabanisa okuhlobene nekhanda: imiphumela evela ku-American Migraine Prevalence and Prevention (Ucwaningo lwe-AMPP. Ukuphathwa kwentwasahlobo ngo-2013 Jan; 53 (1): 93-103.
I-National Headache Foundation. Inhlolovo yesiguli se-Migraine. April 2010. Itholakala ku: http://www.headaches.org/NHF_Programs/NHF_Web_Surveys (efinyelelwe ngoNovemba 6, 2013).
QAPHELA: Ulwazi olukulesi sayithi lungenjongo yokwaziswa kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubone udokotela wakho ukuthola iseluleko, ukuxilongwa, nokwelashwa kwanoma yikuphi okuphathelene nezimpawu noma isimo sezokwelapha .