Ingabe uzizwa sengathi uzame yonke imithi yokwelapha imishanguzo yakho futhi akukho lutho olusebenzayo? Uma kunjalo, awuwedwa - futhi kungenzeka ukuthi uhlushwa yi-refractionary chronic migraine.
Ake sihlole ukuthi imiphi imithi eguquguqukayo engadingeki i-migraine yikho nokuthi yini ososayensi abayenzayo ukuze baqonde kangcono lesi simo.
Okushiwo ukuphikisa
I-Refractory ibhekisela ekungabikho kokuphendula ekwelapheni - ngakho abantu abane-migraine engalawuleki abazuzi ukuphumula emithonjeni enamandla yokuguquka, futhi bayaqhubeka nokuthuthukisa imithi ye-migraine naphezu kokuvimbela imithi ye-migraine.
Futhi, kubantu abanemigraine engavamile engavamile, ikhanda labo lithinta kakhulu izinga labo lokuphila nokusebenza kwansuku zonke.
Ngokusho kwe-International Headache Society, i-migraine engenakwenzeka kwenzeka ezinsukwini ezingu-15 noma ngaphezulu ngenyanga okungenani izinyanga ezingu-3.
Yeka ukuthi Imigomo Yokuthola Ukuhlonza Isichazwe Kanjani
Ngonyaka ka-2008, i-Refractory Headache Special Interest Section (RHSIS) kanye ne-American Headache Society (AHS) ihlelwe ukuchaza imigomo ye-migraine engapheliyo. Kusukela ngaleso sikhathi, abanye abacwaningi baye bahlongoza izincazelo - njengoba kukhona ingxabano mayelana nendlela yokuchaza ngokucacile "ukuphikisa."
Izinhlobo Imithi Engayisebenzisi Iziguli Ezigulayo Zigciwane Lase-Migraine
Ukuvimbela
Ngokusho kwencazelo ehlongozwayo yi-RHSIS ne-AHS, abantu abane-migraine engapheliyo abaqhubekayo beqhubeka beba nemigraine naphezu kokuzama okungenani imithi emibili yokuvimbela imithi yokuvimbela imithi :
- beta-blockers
- ama-anticonvulsants (imithi yokulwa ne-anti-seizure)
- i-tricyclic antidepressants
- abavimba be-calcium
Ukukhipha
Ngokusho kwencazelo ehlongozwayo yi-RHSIS ne-AHS, abantu abanezinkinga zokuguquka kwemithi engapheliyo baqhubeka beba ne-migraine naphezu kokuzama imithi elandelayo yokukhipha imithi - becabanga ukuthi ayilona i-allergenic noma banokunye ukuphikisana nokuthatha lesi sidakamizwa.
- Kokubili i- triptan ne-dihydroergotamine (DHE) i-intranasal noma injectable
- Kungaba yi-nonsteroidal anti-inflammatory ( NSAID ) noma imithi yokunciphisa izinhlungu (inhlanganisela, i-acetaminophen / i-aspirin / i-caffeine noma i-Excedrin Migraine)
Ukuqhubeka Nokuguqula Incazelo
I-European Headache Federation (i-EHF) ibuye ibuye ibuyele kabusha i-migraine engapheliyo. Bafuna ukucacisa nokwandisa ngezincazelo zangaphambili ngamathemba ukuthi lokhu kudala incazelo ecacile, evamile, futhi eqhubekayo ezosetshenziselwa izifundo zocwaningo ezizayo.
Omunye wamaphuzu u-EHF ofuna ukufaka ukuthi unomuntu one- migraine test okungapheliyo onabotulinumtoxinA (i-Botox) njengeqhinga lokuvimbela - ngaphambi kokuba lihlonzwe njengelinye icala.
Bafuna nokufaka imithi ecacile efanelekayo yemithi yokuvimbela i-migraine - njengoba ngezinye izikhathi abantu bathatha imithi ngesilinganiso esincane kakhulu ukuze siphumelele ngempela, bese kubhalwe ngokuthi "ayisebenzi" noma "ahlulekile" udokotela.
Iziphi Iziguli Ongayenza
Uma uhlushwa yi-migraine engapheliyo, ungazami ukudikibala. Funa iseluleko kuchwepheshe wakho wekhanda noma isazi sezinzwa emithi yokwelapha - njengeBotox - futhi uhlale uphumelela ekunakekeleni kwakho kanye nokukwazi ukubhekana nakho .
Imithombo
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.
Ikomidi elincane lezinhloko zezinhloko ze-International Headache Society. "I-International Classification of Headache Disorders: Edition 2". I-Cephalalgia ye- 2004; I-Suppl 1: 9-160.
I-Martellett P et al. I-migraine engapheliyo engaguqukiyo: isitatimende sokuvumelana mayelana nencazelo yomtholampilo evela e-Headache Federation yaseYurophu. I-J Headache Pain . 2014 Aug 28; 15: 47.
U-Schulman EA et al. Ukuchaza i-migraine engavumelani ne-refractaire migraine engapheliyo: izinqubo ezihlongozwayo ezivela kwi-Sectional Referencesory Headache Special Section Section ye-American Headache Society. Izinwele. 2008; 48: 778-82.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .