Izimpawu Nezokwelapha Kule Ntshana Edelele, Enamandla
Isimo migrainosus sihlasela ngokucindezela futhi okubuhlungu kakhulu kwe-migraine ehlasela isikhathi esingaphezu kwesigqila esingaphezu kwezinsuku ezintathu-ngokuvamile ikuthume ekamelweni eliphuthumayo.
Izimpawu ze-Status Migrainosus
Izimpawu zesimo se-migrainosus zifana nanoma yini izimpawu zakho ezivamile ze-migraine kungenzeka, kungakhathaliseki ukuthi i-migraine ene-aura noma i-migraine ngaphandle kwe-aura.
Umehluko oyinhloko wukuthi isimo sesiguli , izimpawu ziyaqhubeka ngamahora angaphezu kuka-72. Nge-migraine evamile noma ngaphandle kwe-aura, ubuhlungu bekhanda buba phakathi kwamahora angu-4 no-72. Esimweni migrainosus, kungase kube nezikhathi zokukhululeka okuhambisanayo okugcina amahora angu-12. Lokhu ngokuvamile ngenxa yokulala noma imithi.
Izimpawu ze-migraine zifaka:
- Indawo engasodwa (ohlangothini olulodwa)
- Ukuqothula
- Ubuhlungu obuphuthumayo nokusebenza okuvamile ngokomzimba njengokuhamba
- Isizungu
- Ukulinganisela kuya ngamandla kakhulu
Ngaphezu kwalokho, kufanele ube okungenani okukodwa kokulandelayo:
- I-nausea kanye / noma ukuhlanza
- I-Photophobia (ukuzwela ukukhanya) ne- phonophobia (ukuzwela umsindo)
Ukwelashwa Kwesimiso Migrainosus
Cishe zonke iziguli ezine-status migrainosus zizokutshela ukuthi ukwelapha kwazo okuvamile akusizi. Ngaphandle kokuzama ukuphula ubuhlungu bekhanda, ukwelashwa kwesimiso migrainosus kuhlanganisa ukulawula zonke izinkinga ezengeziwe, njengezinambuzane nokuhlanza noma ukuphelelwa amandla kwamanzi.
Isimo se-migraines sivame ukuphathwa ekamelweni eliphuthumayo . Ukwelashwa okuvamile kufaka phakathi uketshezi (IV) noketshezi ukulawula ukucwenga nokuhlanza, njengeprochlorperazine (Compazine).
Imithi esetshenziselwa ukunciphisa isimo se-migraine ingabandakanya enye ye- triptans , ikakhulukazi i-sumatriptan noma i-dihydroergotamine (DHE) engezansi, elandelwa i-NSAID enomtholampilo, njenge-ketorolac (i-Toradol).
Isigaba semithi ebizwa ngokuthi i-dopamine receptor antagonists, noma i-dopamine blockers, iye yaboniswa ukuthi iyasebenza kakhulu ekuphatheni isimo semigrainosus. Leli klasi lihlanganisa izidakamizwa ezifana ne-metoclopramide (Reglan), i-fluphenazine hydrochloride (Prolixin) ne-chlorpromazine hydrochloride (i-Thorazine).
Ngezinye izikhathi ama-steroids afana ne-dexamethasone asetshenziswa. Ucwaningo oluthile lwesampula oluncane lubonise ukuthi amaphesenti angu-80 weziguli ezine-status migrainosus ayenesihluthulelo esibuhlungu lapho bethatha u-dexamethasone kabili ngosuku izinsuku ezine.
I-valproate ye-sodium engathandeki, imithi yokulwa ne-anti-seizure, ingacatshangwa kodwa ukuhlolwa okusanda kusanda kubonisa ukuthi kungase kungabi yimpumelelo njenge-ketorolac (i-Toradol) noma i-metoclopramide (Reglan) futhi kufanele isetshenziswe ngokucophelela kwabesifazane abaneminyaka yokubeletha abantwana.
Okufanele Ukwenze Uma Unesimiso Migrainosus
Njengezo zonke izinsizi, zama ukuqaphela ukuthi unayo izimpawu ezintsha noma izimpawu ezimbi kakhulu kunokujwayelekile. Futhi, qinisekisa ukwazisa umhlinzeki wakho wezempilo uma une-migraine ehlala isikhathi eside ngokwanele ukuze kuthathwe njengesimo sokuguquka kwesimo.
> Imithombo:
> Bland R, Levine T. Ukwelashwa Kwesimiso Migrainosus nge-Oral Dexamethasone Ngokwempilo Ephuthumayo. I-Neurology. Ngo-Ephreli 16, 2016; 86 (16): IsongezeloP1.160.
> Friedman BW, Garber L, Yoon A, Solorzano C, Wollowitz A, Esses D et al. Ukuhlolwa okungahleliwe kwe-IV valproate vs metoclopramide vs ketorolac ukuthola ukuguquka okunamandla. I-Neurology . Mashi 2014; 82 (11): 976-83.
> I-Gelfand AA, i-Goadsby PJ. Umhlahlandlela wezinzwa ze-Neurologist eya ku-Acraine Treatment ephumelelayo ekamelweni eliphuthumayo. I-Neurohospitalist . 2012; 2 (2): 51-59. i-doi: 10.1177 / 1941874412439583.
> Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. I-International Classification of Headache Disorders: I-3rd Edition (i-beta version). I-Cephalalgia. 2013; 33 (9): 629-808.
> UMnyango wezokuThuthukiswa koMnyango wezeMpilo kanye noKwaZulu-Natali kanye nokuPhathwa kweziPhuzo zeMigrationosus ne-Headache. I-CONTINUUM: Ukufunda Kwakuphila Kwonke Nge-Neurology . Agasti 2015; 21 (4, ukukhanda kabi): 1004-1017.