Ukuthi ama-Triptans akhipha kanjani ama-Migraines nokuthi yini okufanele uyibuke
Ungathatha i-triptan-yebo ithwale okuzungezile esikhwameni sakho noma esikhwameni-ukunciphisa ukuhlasela kwe-migraine ngokushesha nje uma kuvela. Nakuba ama-triptan ngokuvamile ephephile futhi ekhuthazwe kahle, awawona wonke umuntu.
Ukusebenzisa i-Triptan ye-Migraine Relief
I-Triptans isetshenziselwa ukuphatha imithi ehambelanayo ukuze ibe nemigudu eqinile, kanye nemigraines emincane engayiphenduli imishanguzo engaphezulu, njengama- anti-inflammatory .
Kungase futhi zisetshenziselwe ukuphatha imishanguzo emnene kuya ekulinganiseni kubantu abangakwazi ukubekezelela noma ukuthatha ama-NSAID.
I-Science Behind Triptans
I-Triptans ibophezela ku-serotonin receptors ebuchosheni. Ngokusebenzisa ama-receptor we-serotonin, imithwalo yegazi ebuchosheni iminyene futhi izindlela ezithile zomgwaqo ebuchosheni zivinjelwe. I-Triptans nayo ikholelwa ukuthi isebenza ngokunciphisa amazinga we- CGRP -amaprotheni aphakanyisiwe ngesikhathi sokuhlaselwa kwe-migraine.
Izinhlobo Ezihlukahlukene
I-Triptans iyathandeka ngoba kunezindlela eziningana ezahlukahlukene ezingathathwa ngazo. Ngokwesibonelo, ama-triptan angathathwa ngomlomo, ngekhala, noma ajowe ngenaliti emathisini omuntu omuntu (okubizwa ngokuthi umjovo ongaphansi komzimba). Kukhona futhi i-triptan ebizwa ngokuthi i-Maxalt XLT (rizatriptan) engakwazi ukuhlakazeka ngokushesha emlonyeni womuntu futhi ingenwa ngisho noma umuntu ehlanza. Ekugcineni, i-Imitrex (i-sumatriptan) inganikezwa njenge-suppository.
Ukuguqulwa okunye okuningi kuyisiqeshana sesikhumba se-triptan.
I-Zecuity (i-sumatriptan) i-patch transdermal esebenza ngebhethri eqhutshwa ibhetri ehambisa sumatriptan ngesikhumba somuntu. I-Zecuity, kanye ne-triptans engenayo injabulo, iyathandeka kakhulu kulabo abanezinhlanzi nokuhlanza ezihambisana nemigraines yabo. Lokho kuthiwa, ngoJuni ka-2016, i-FDA ithathe uZecuity emakethe ngenxa yokukhathazeka kokushisa okukhulu kanye nezibazi kusukela kubantu abasebenzisa idivayisi.
Uphenyo luyaqhubeka manje.
Imiphumela emibi engenzeka
I-Triptans yimithi ephumelelayo ye-migraine. Lokhu kuthiwa, imishanguzo yemithi futhi kudingeka ukuba ithathwe ngaphansi kokunakekelwa udokotela. Ezinye imiphumela emibi ejwayelekile ne-triptan zifaka:
- I-nausea
- Ukuqina komhlathi, intamo, noma isifuba noma ukucindezelwa noma ukucindezela
- Ukushesha kwenhliziyo noma ukwanda kwegazi
- Ukukhathala
- Ukuzwa / ukulinganisa ukuzwa (ikakhulukazi ebusweni)
- Ukushisa ukuzwa kwesikhumba
I-Triptans Akuyona Yomuntu Wonke
Kubalulekile ukubuyekeza umlando wakho wezokwelapha nayo yonke imithi yakho, kufaka phakathi izithako ezingaphezulu kwamakhomitha namavithamini, nodokotela wakho siqu. Abanye abantu akufanele bathathe ama-triptan ngoba bangalimaza isimo sezempilo esingaphansi. Ngokwesibonelo, akufanele uthathe i-triptan uma unomlando we- coronary artery disease , isifo sohlangothi , isifo se-vascular disorders , ukucindezelwa kwegazi okungalawuleki, noma i- hemiplegic noma i-basilar migraine.
Ama-triptans nawo aphikisana nabantu abasebenzisa i-monoamine oxidase inhibitors ngesikhathi esifanayo futhi akufanele asetshenziswe ngosuku olufanayo njenge-ergotamine noma i-dihydroergotamine.
Futhi, ukuhlanganisa i-triptans ne-selective-serotonin reuptake inhibitors (SSRIs) noma i-norepinephrine reuptake inhibitors (SNRIs) ekhethiwe ingabangela isifo se-serotonin.
Lesi yisifo esibulalayo, nakuba singavamile esingabangela izimpawu ezihlukahlukene ezifana nalezi:
- ukudideka
- ukukhathazeka
- isifo sohudo
- ukuthuthumela
- ukulahlekelwa kwesilinganiso
- ukuthuthumela
- ukuthuthumela
- umkhuhlane
I-Triptans Eminyakeni Yabesifazane Yokubeletha
Ngokukhulelwa, i-triptan yisidakamizwa sesigaba C, okusho ukuthi izinga lokungena engozini kanye nenzuzo kufanele lilinganiswe udokotela ngesiguli ngasinye. Mayelana nokuncelisa, idatha yezesayense yokusebenzisa i-triptans yokwelashwa kwe-migraine inqunyelwe-nakuba, i-sumatriptan ithathwa njengokuhambisana ne-American Academy of Pediatrics.
Uma uthatha i-triptan nesicwangciso sokukhulelwa noma ukuncelisa, sicela ukhulume nodokotela wakho ukuze ukhethe uhlelo oluhle lokuphulukisa.
Izwi elivela
Izindaba ezijabulisayo mayelana ne-triptans yukuthi kunezinhlobo ezintsha zokulethwa okwamanje okwakhiwe, njenge-sumatriptan ulimi spray, i-omitriptan inhaler, nomlomo we-rizatriptan ukuqeda ifilimu.
I-Triptans yizinketho ezinhle zokwelapha i-migraines uma inikezwa ngaphansi kokunakekelwa udokotela. Indlela eyingqayizivele yokuphatha iwusizo ngokukhethekile ekuphatheni labo abahlukunyezwa yi-migraine-nausea kanye nokuhlanza. Yiba ummeli wezempilo yakho ye-migraine bese ukhuluma nodokotela wakho ukuthi ngabe i-triptan iyindlela enhle kuwe.
Imithombo:
Ables, A and Nagubilli R.Prevention, Ukuhlonza, kanye Nokuphathwa Serotonin Syndrome. Am Fam Physician. 2010 Meyi 1; 81 (9): 1139-1142.
U-Gilmore B, uMichael M. Ukwelashwa Kwe-Acute Heartache. Am Fam Physician. 2011 Feb 1; 83 (3): 271-280.
Goldstein J, Smith TR, Pugach N, Griesser J, Sebree T, Pierce M. Isistimu ye-sumatriptan iontophoretic transdermal yokuphathwa kabi kwe-migraine. Izinwele . 2012 Oct; 52 (9): 1402-10.
Hutchinson S, Marmura MJ, Calhoun A, Lucas S, Silberstein S, Peterlin BL. Ukusetshenziswa kweMithi ejwayelekile ye-Migraine ku-Abesifazane-Ukudla Abesifazane: Isifinyezo sezincomo. Izinwele. 2013, 53 (4): 614-27.
Ukuphathwa kwe-US nokuDrug. (6/2/2016). I-Zecuity (sumatriptan) I-Migraine Patch: Ukuxhumana kokuphepha kwezidakamizwa - FDA ingozi yokuhlola ukushisa nezibazi.