Thola ukulawula ngaphezulu kwemigraines
Kungakhathaliseki ukuthi usanda kutholakala ukuthi unemigraines noma ungumuthi ongapheli, ungase uzithole uphupha imithi engakwazi ukuphatha ngokushesha konke ukuhlaselwa kwakho. Ngeshwa, iningi lenu, le mithi "iphupho" ayikho.
Noma kunjalo, kukhona imishanguzo emihle ye-migraine ngaphandle, futhi ngokuvamile kuhlanganiswa kokubili imithi kanye nezinguquko zokuziphatha ezivumela ukuthi sizuze ukulawula ukuhlasela kwethu kwe-migraine.
Imithi yokwelashwa ephuma ku-Migraine
Imithi yokukhipha imithwalo iyathathwa ekuqaleni kwe-migraine ukunikeza ukusizwa ikhanda, ukuyeka ukuhlaselwa okuqhubekayo, kanye / noma ukunciphisa ubunzima bayo.
I-NSAIDS
Abantu abaningi baphatha kuqala imishanguzo yabo ngemishanguzo engaphezulu. Lokhu kunengqondo njenge-anti-steroidal anti-inflammatories (ama-NSAID), njenge-sobu i-ibuprofen noma i-naproxen (i-Aleve), ngokuvamile ibhekwa njengezokwelapha zokuqala kwemigraines. Ngisho noma ama-NSAID angathengwa ngaphezulu kwe-counter, akuzona wonke umuntu-qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthatha eyodwa ukuqinisekisa ukuthi iphephile kuwe.
I-Triptans
Uma i-NSAID ingasebenzi, noma uma i-migraine yomuntu yokuqala isilinganisa kakhulu, i- triptan efana ne-Imitrex ( sumatriptan ) noma i-Maxalt (rizatriptan) ingaba usizo. Isici esihle sama-triptan ukuthi sitholakala emafomu engekho omlomo. Isibonelo, i-sumatriptan itholakala kufomu elingaphansi noma elingaphakathi, futhi i-rizatriptan itholakale kuphephelo elingenakubalwa, eyaziwa njenge-Maxalt MLT.
Kodwa-ke, ama-Triptans, ngokungafani nama-NSAID, ayitholakali ngaphezu kwe-counter futhi adinga isigwebo kusuka kudokotela wakho.
Udokotela wakho angase futhi acabangele inhlanganisela ye-NSAID / triptan, njengoT Treximet (sodium sumatriptan / naproxen). Esifundweni sika-2007 ku- JAMA, i- sodium sumatriptan / naproxen itholakala ukuthi iphumelela kakhulu kune-sumatriptan noma ne-naproxen yodwa.
I-Triptans noma ngabe ibe nemiphumela emibi engaba ne-nausea, i- paresthesias , ukukhathala nesifuba noma ukuqina komphimbo. Kufanele futhi kugwenywe ezigulini ezinesifo senhliziyo nokucindezeleka okungalawulwa okungalawulwa ngenxa yesenzo sabo sokusebenza, okungukuthi ukuvimbela imithwalo yegazi. Ngokuphathelene nezinye izinhlobo ze-migraine, ama-triptan nawo awasetshenziswanga ukuphatha i- hemiplegic migraine s noma i- basilar migraine .
Antiemétique
Imithi elwa namagciwane noma anti-nausea efana ne-intravenous (nge-vein) i-metoclopramide (Reglan) ingenye imithi ephumelelayo yokukhipha imithi-lokhu kuvame ukunikezwa emnyangweni ophuthumayo. Ama-antiemethrikhi anikezwa ngomlomo ngezinye izikhathi asetshenziselwa ukuphatha isicanuca esithinta i- migraines , kodwa angaboniswa ukuthi iphumelela i-migraine ngokwayo.
Omunye umphumela ongase ube yingozi we-antiemetics wukuthi le mithi ingabangela inhliziyo ukuhleleka.
I-Dihydroergotamine
I-Dihydroergotamine (DHE 45, i- Migranal ) yinye yokwelashwa kwe-migraine. Le mithi ijojowe (i-intravenous, subcutaneous, intramuscular) noma ilawulwa yi-intranasally (ngekhala). Ukuphathwa okungenakulinganiswa (nge-vein) ngokuhlanganiswa ne-antiemetics ngezinye izikhathi kunikezwa ekamelweni eliphuthumayo ekwelapheni kwe-migraine.
I-Dihydroergotamine ayikwazi ukusetshenziselwa ngokuhlanganyela ne-triptans futhi iphikisana nokukhulelwa, futhi kubantu abanegazi elicindezelwe kabi kanye / noma isifo senhliziyo.
Eminye Imithi
Ezinye izindlela zokwelashwa zihlanganisa i-steroid engenayo, njenge-dexamethasone, evame ukunikezwa ngaphezu kwamanye ama-migraine therapies. I-intranasal lidocaine ingase inikeze ukukhululeka kwe-migraines. Ilawulwa udokotela noma isiguli ngokwabo, kepha ngokuvamile ihlinzeka ngemiphumela yesikhashana. Ukuphindaphindiwe kwe-Migraine kuvamile.
Izwi kusuka
Ngokufingqa, ama-NSAID abhekwa njengendlela yokwelashwa kwe-line yokuqala ukuze i-migraines ibe mncane ukulinganisela.
Uma i-migraine iphikelela naphezu kwe-NSAID, noma uma i-migraine isilinganisa kakhulu ekutheni iqala ngamandla, i-triptan noma i-triptan / i-NSAID inhlanganisela yezidakamizwa ivame ukwenziwa udokotela.
Ezinye izindlela zokwelashwa ezifudumele ezisetshenziswa ikakhulukazi ekamelweni eliphuthumayo ziyi-antiemetics, ama-dihydroergotamines, noma ama-steroids.
Ngaphandle kwemiphumela emibi, qaphela ukuthuthukisa imithi yokwelapha ngokweqile noma ukukhanda ikhanda lapho uthatha imithi yokukhipha imithi. Hlala uxoxisana nodokotela wakho ohlelweni lwakho lokwelapha lwe-migraine.
Imithombo:
Aukerman G, Knuston D, Miser WF; UMnyango Wezokwelapha Emndenini, i-Ohio State University College of Medicine neMpilo Yomphakathi, eColumbus Ohio. Ukuphathwa kwekhanda eliyingozi le-migraine. Am Fam Physician . 2002 Dec 1; 66 (11): 2123-30.
Bajwa Z, Sabahat A. Ukwelashwa okunamandla kwe-migraine kubantu abadala. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
U-Brandes JL, Kudrow D, Stark SR, et al. I-Sumatriptan-naproxen yokwelapha okunzima kwe-migraine: isilingo esingenangqondo. I-JAMA . 2007; 297 (13): 1443-1454.
I-Gilmore B & Michael M. Ukwelashwa Kwe-Acute Heartache. Am Fam Physician. 2011 Feb 1; 83 (3): 271-280.