Isibuyekezo ku-AAN / AHS Guidelines for Prevention of Episodic Migraine
U-Ibuprofen (Advil, Motrin) uyisifo esingajwayelekile esingazange steroidal anti-inflammatory ( NSAID ) esetshenziselwa ukuphatha ukuhlasela kwe-episodic migraine. Kodwa ibuprofen ingasetshenziswa yini ukuvimbela i-migraine?
Ngo-2012, i-American Academy of Neurology (AAN) ne-American Headache Society (AHS) ikhishwe imihlahlandlela ebuyekeziwe mayelana nemithi yokuvimbela i-epradic migraines. Lezi ziqondiso zibuyekezwe ngokuqondile ukuhlola ukusetshenziswa kwama-NSAID kanye nemithi ehlukahlukene ye-herbal noma ehambisanayo ekunciphiseni inani nenani lokuhlaselwa kwe-migraine.
Ake sibukeze le mihlahlandlela bese uphendula umbuzo wakho mayelana nokusebenzisa imithi ejwayelekile ye-counter-the-counter ibuprofen ukuvimbela ikhanda lakho lekhanda.
Ukuhlukaniswa KweMithi Yokuvimbela I-Epradic Migraine Evikelayo (I-NSAID kuphela Nezokwelapha Ezihambisanayo)
Iziqondiso zihlukanisa imithi emazingeni ngokusekelwe ekusebenzeni kwabo okubonakalayo.
I-Level A Imithi izimisele "ukuba iphumelele." I- Petasites noma i-butterbur yiMithi A Level A. Lena imishanguzo yemithi noma imithi ethathwa kabili nsuku zonke. Umthelela ohlangothini oluyinhloko ukucasula kwe-GI, ikakhulukazi ukubhoboza.
Imithi yezinga le-B inqunywa ukuba "iphumelele." Izibonelo zemithi yezinga B zifaka:
- I-NSAIDS (i-fenoprofen, ibuprofen , i-ketoprofen, i-naproxen sodium,)
- I-Magnesium
- I-MIG-99 (i-feverfew)
- Riboflavin
- I-Subcutaneous Histamine
Imithi yezinga le-C inqunyelwe ukuba "iphumelele." Izibonelo zifaka:
- Ama-NSAID (i-flurbiprofen, i-mefenamic acid)
- Co-Q10
- I-Estrogen
- I-Antihistamine: i-cyproheptadine
Imithi ye-Level U izimisele 'ukungeneli' ngenxa yezifundo eziphikisanayo. Ucwaningo oluphikisanayo lusho ukuthi ngenkathi ezinye izifundo zisekela ukusetshenziswa kwemithi yokuvimbela i-migraine, abanye bayakuphikisa ukusetshenziswa kwayo. Izibonelo zifaka:
- Ama-NSAID (i-aspirin, i-indomethacin)
- Omega-3
- I-oksijeni yama-hyperbaric
Lezi ziqondiso zibuye zisho nemithi ebizwa ngokuthi "mhlawumbe noma mhlawumbe engasebenzi." I-Montelukast (Singulair) yisibonelo semithi engasisebenzisi ekuvimbeleni ukuhlaselwa kwe-migraine.
Ngingathatha i-Ibuprofen ukuvimbela ukuhlasela kwami kwe-Migraine?
Ngokweziqondiso ezingenhla, kungase kudingeke ukuthatha ibuprofen ukuvimbela i-episodic migraines yakho. Lokho kukhulunywa, ukuhlola ukuhlola indima yama-NSAID ekuvimbeleni kwe-migraine kusekhona okuncane. Ngalokho, kungenzeka ukuthi udokotela wakho uzokuncoma imithi yokuvimbela i-migraine ehlongozwa kangcono njenge-anticonvulsant Topamax (topiramate) noma i-bloa blocker, njenge-metoprolol noma i-propranolol.
Ngaphezu kwalokho, ama-NSAID anemiphumela eminingana engalungile futhi kufanele agwenywe ngabanye abantu, ikakhulukazi labo abanomlando wesisu lokuphuma kwegazi, isifo sezinso, kanye nesifo senhliziyo. Yingakho kubalulekile ukuthi uhlale ukhuluma nodokotela wakho ngaphambi kokuthatha imishanguzo ngaphezulu kokuqinisekisa ukuthi iphephile kuwe.
Futhi, sicela uqaphele ukuthi ama-NSAID akha iqembu elikhulu lemithi, ezinye zazo zibhalwe njengeNqanaba B noma "mhlawumbe ziphumelela" (isibonelo, ibuprofen) phansi ku-Level U noma "ezinganele" (isibonelo, i-aspirin).
Ngenxa yokuthi uthatha i-NSAID kwesinye isimo sezokwelapha akusho ukuthi kufanelekile ukuvimbela ama-migraines akho.
Izwi elivela
Masithathe isinyathelo emuva. Khumbula, iziqondiso zenzelwe ukusiza "ukuqondisa" udokotela wakho ekwelapheni ikhanda lakho. Akusho ukuthi ukwelashwa okuthile kungcono kuwe. Udokotela wakho kufanele acabangele ezinye izici zempilo yakho njenge:
- Uhlobo lwe-migraine oluhluphekayo.
- Ezinye izimo zezokwelashwa ozizwayo ngokungeziwe ku-migraines, njengokucindezeleka noma ukucindezelwa kwegazi eliphezulu.
- Kungakhathaliseki ukuthi useminyakeni yakho yokubeletha njengoba imithi ethile yokuvimbela imithi ingase ibe nemiphumela engafanele ye-fetal.
- Imiphumela emibi yemithi yokuvimbela i-migraine.
- Ikhono lemithi yokwelapha ngokweqile noma ukuqhubeka kwe-episodic kuya ku-migraine engapheli.
Iphuzu lokugcina lisebenza ngokukhethekile. Into yokugcina oyifunayo ukuthi uhlakulele ikhanda lokusebenzisa ikhanda ngokweqile uma uzama ukuvimbela i-migraines yakho-i-double whammy.
Imithombo:
Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. (2013). "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia, 33 (9): 629-808.
Holland, S., Silberstein, SD, Freitag, F., Dodick, DW, Argoff, C., & Ashman, E. (2012). Ukubuyekezwa okusekelwe ebukhosini: Ama-NSAID kanye nezinye zokwelapha ezihambisanayo zokuvimbela i-episodic migraine kubantu abadala. I-Neurology, 78: 1346-1353.