Imigraine ivamile ezinganeni. Ucwaningo lwamuva lubonisa ukuthi izingane ezingaba ngu-8% nezintsha ezingaphansi kweminyaka engama-20 zine-migraines, nakuba ezinye zivela ngaphandle ngesikhathi sezikhulile.
Ngokumangalisa, kulaba bantwana abane-migraines, "iminyaka yobudala eqalayo ingu-7 nezinyanga ezingu-9."
Ukuvimbela i-Migraine Headaches
Nakuba kuhle ukwazi ukuthi imithi iyatholakala ukusiza ukuma nokuvimbela imithi, le mithi ngokuqinisekile ayiyona isilungiselelo esheshayo sezingane eziningi.
Lokhu kubalulekile kubantwana abane-migraines futhi bafunde ukuthola i-SMART ngekhanda labo, kuhlanganise nokuthi:
- Thola ukulala ngokwanele ubusuku bonke.
- Ungayeki ukudla.
- Basebenza ngokomzimba nsuku zonke futhi bafunde umzimba.
- Funda ukuphumula nokunciphisa ukucindezeleka empilweni yabo.
- Gwema izimbangela ze-migraine .
I-headache noma idayari yesibonakaliso, lapho urekhoda zonke izinto ozenzile amahora angu-12 kuya kwangu-24 ngaphambi kokuthola ikhanda, ngezinye izikhathi zingakusiza ukuthola izimbangela zakho ze-migraine.
Ngaphandle kokuba uthola i-migraine trigger ethize, noma ukubeka ingane yakho ekudleni kwemigraine cishe kungewona umbono omuhle. Ngaphandle kokugwema i-caffeine (isincomo esihle kubo bonke abantwana), cishe akukho isizathu esihle kuzo zonke izingane ezinemigraines ukugwema ushizi omdala, ushokoledi, inyama ye-lunch, ne-monosodium glutamate (MSG).
Imithi ye-Migraine
Yini ingane yakho ethatha uma ithola i-migraine?
Uma efana nezingane eziningi, mhlawumbe nje uthatha i-acetaminophen noma ibuprofen futhi uyayikhathaza.
Khumbula ukuthi ezinye zokwelashwa eziwusizo for migraine zingase zihlanganise Aleve (naproxen sodium), enye yokulawulwa ubuhlungu uma i-acetaminophen ne-ibuprofen ayisebenzi kahle, noZofran (ondansetron), ukusiza nge-nausea nokuhlanza.
Imithi yokwelashwa ephuma ku-Migraine
I-Triptans yiyona imithi e-migraine eyinhloko eyenziwe ngabantu abadala ukuze basize ukuphumula noma ukuyeka ikhanda le-migraine.
Ngenhlanhla, ama-triptans ambalwa avunyelwe ukuthi asetshenziswe ezinganeni nasebancane. I-Axert (i-almotriptan) iyatholakala njengamaphilisi angu-6.25mg kanye no-12.5mg futhi ivunyiwe izingane ezineminyaka engama-12 no-17. I-Axert kufanele ithathwe ngesibonakaliso sokuqala sekhanda eliyinkimbinkimbi ye-migraine futhi lingabuyekezwa emahoreni amabili uma ikhanda libuya, elinomthamo wansuku zonke ophezulu wama-25mg.
U-Maxalt (rizatriptan) ungenye. Itholakala ku-ODT (amathebulethi omlomo ahlukanisa ngomlomo) noma amaphilisi avamile, i-FDA ivunyelwe izingane ezineminyaka engama-6 kuya kwengu-17.
Nakuba zingekho ngokusemthethweni i-FDA-evunyelwe ukusetshenziswa ezinganeni nasezinsheni, iminye imithi eminingi ye-triptan migraine ine "ukusekela okunamandla kokusebenza nokuphepha kwezingane ezisencane," kubandakanya:
- Imitrex (zolmitriptan)
- I-Zomig (sumatriptan)
Kungakhathaliseki ukuthi yimiphi imithi oyisebenzisayo ukuzama ukumisa imithi ye-migraines yengane yakho, kuvame ukuphuza imithi ngesikhathi isignali sokuqala ukuthi uthola i-migraine.
Ingabe bayomisa i-migraine yengane yakho ngokuphelele? Ngezinye izikhathi bayakwenza, kanti ngezinye izikhathi benza nje ikhanda elibi kakhulu ukuze ingane yakho ihlale esikoleni futhi iqhubeke isebenza kahle.
Imithi yokuvimbela i-Migraine
Uma ingane yakho ithola imishanguzo ye-migraine njalo, khona-ke esikhundleni sokuzama ukuwaphatha uma kwenzeka, kungase kube umbono omuhle ukuthatha imithi yansuku zonke ukuzama nokuyivimbela ukuthi ingenzeki okokuqala.
Imithi yokuvimbela i-migraine ingumqondo omuhle uma ingane yakho inemigomo emine noma ngaphezulu eyabangela ukukhubazeka, njengokungabikho esikoleni noma eminye imisebenzi.
Lezi zinhlobo zemithi yokuvimbela imithi ingabandakanya:
- I-Periactin (i-cyproheptadine) - inikezwe ngomthamo we-0.25 kuya ku-1.5 mg / kg / ngosuku noma u-2 kuya ku-8mg / ngosuku, le-antihistamine inomphumela omubi wecala wokubangela ukutholakala kwesisindo. Ngakolunye uhlangothi, ngezinye izikhathi kungabangela ukuguqulwa, okungazuzisa izingane uma kunikezwa ngesikhathi sokulala. Itholakala njenge-liquid kanye nephilisi.
- U-Elavil (amitriptyline) - le antidispressant endala ivame ukunikezwa ngesikhathi sokulala futhi ingabangela ukuzuza kwesisindo nokudalwa. Amanani ngokuvamile aphakathi kuka-0.1 kuya ku-1 mg / kg / ngosuku noma 10 kuya ku-50mg.
- I-Topamax (i-topiramate) - imishanguzo ye-anti-antiseizure engabangela ukuguquka nokunciphisa umzimba. Amanani avela ku-1 kuya ku-2mg / kg / ngosuku, enomthamo omdala ojwayelekile wama-50mg kabili ngosuku. I-Topamax ivunyelwe ngo-2014 ngokuvimbela i-migraine ezinganeni kanye nentsha ephakathi kweminyaka engu-12 kuya ku-17 ngo-2014.
- I-Depakote (i-valproic acid) - enye imithi yokuhlukunyezwa ebuye isetshenziselwe ukuphatha izingane ezinezinkinga zemizwelo.
Ngaphandle kwe-Topamax, akekho kule miinye imithi i-FDA evunyelwe ukwelashwa kwama-migraine angapheli, ngakho-ke, futhi isetshenziselwa "off-ilebula."
Futhi nakuba kungase kungabonakali imishanguzo yengane yakho, bayobe nethemba lokunciphisa kancane, kokubili ukuthi kwenzeka kaningi kangakanani nokuthi kubi kangakanani.
Okufanele Ukwazi
Ezinye izinto zokwazi ngemithi ye-migraine zihlanganisa ukuthi:
- I-aspirini ifakwe eminye imithi yokwelapha i-migraine, kodwa ivame ukugwema ezinganeni kanye nentsha ngenxa yengozi yeReye's Syndrome.
- Amakhanda aphindaphindiwe, nenani elikhulayo lezinhlungu ze-migraine, kungenzeka uma uthatha imishanguzo yezinhlungu zezinhlungu ezingenakuvimbela kaningi. Ukusebenzisa imithi yokwelapha i-migraine kungenza kube lula ukuthi imithi yakho yansuku zonke, Imithi yokuvimbela izosebenza ngisho. Ngokwesilinganiso, uma ingane yakho ithatha ibuprofen noma i-acetaminophen isikhathi esingaphezu kwezinsuku ezingu-15 ngenyanga, i-triptans engaphezu kwezinsuku ezingu-10 ngenyanga, noma imithi yokuhlanganiswa ne-butalbital embalwa njengezinsuku ezingu-5 ngenyanga, isengozini yokwandisa imithi ngenxa yemithi ukusebenzisa ngokweqile. Kungenzeka ukuthi kufanele abe nomuthi wokuvimbela imithi ye-migraine engcono.
- Ipropanol, i-beta-blocker, ne-clonidine, i-alpha-adrenergic agonist, futhi ngezinye izikhathi isetshenziselwa ukuvimbela i-migraine intsha.
- Imithi yokwelapha uhlobo lwe-opioid, njenge-hydrocodone, ivame ukugwema kangcono uma ukwelapha izingane ezinezinhlanzi eziphindaphindiwe ze-migraine.
Khuluma nodokotela wakho wezingane uma i-migraine yengane yakho ihamba kakhulu, iyashintsha, noma uma ingane yakho iqala izimpawu ezintsha ngekhanda lakhe.
Okubalulekile nakuba okungenani izidakamizwa ezintathu ezivunyelwe i-FDA ukuphatha nokuvimbela imithi, izingane zifanele ukwazi ukwenza umsebenzi omuhle wokuphatha izingane ezinemigraines. Isazi sezinzwa zezingane noma esinye isazi sekhanda singasiza ukuphatha ikhanda lomntanakho.
Imithombo:
Blume, Heidi K. Insizwa yezinhlungu: Ukubuyekeza. Izingane ezibuyiselwe ekubuyekezeni uDisemba 2012, iVOLUME 33 / ISSUE 12
Galinski, uMichel. Ukutholwa Kokuqala Kwe-Migraine Kubalulekile Kubantwana: Ukulandelwa Kweminyaka Engu-10. I-Neurology yezingane, Volume 53, Issue 4, Okthoba 2015, Amakhasi 319-323.
I-Lewis D. American Academy ye-Neurology Standards Standards Committee, Ikomidi Lokuzijwayeza le-Child Neurology Society. Ipharamitha yokuzivocavoca: ukwelashwa kwemithi yekhanda le-migraine ezinganeni nasebancane: umbiko we-American Academy of Neurology Standards Standards Subcommittee kanye neKomiti Yokuzikhandla Ye-Child Neurology Society. I-Neurology. 2004; 63 (12): 2215-2224
Ready Duren Michael. Isahluko 20 - Into Enhle Okuhle: Imithi Yokusebenzisa Imithwalo Yomzimba. I-Headache ne-Migraine Biology ne-Management, 2015, amakhasi 253-266.
UVictor, u-Suresh. Izidakamizwa zokuvimbela ikhanda lekhanda le-migraine ezinganeni. Ukusebenzisana kweCochrane. Isihloko sokuqala eshicilelwe ku-intanethi: 11 JUL 2014