Izincomo zesayensi nge-Pediatric Migraine
Ukuphatha izingane nentsha nge- migraines kuyinselele. Lokhu kungenxa yokuthi kukhona ucwaningo olunokwenzululwazi lwesayensi mayelana nokudonswa kwezingane, okungafani nokufuduka komuntu omdala.
Ake sibuyekeze lokho abanye ochwepheshe abakushoyo ngokuphatha nokuvimbela i-migraines ezinganeni.
Izincomo ezivela ku-AAN ekuphatheni i-Migraine ezinganeni
I-American Academy of Neurology (i-AAN) I-Subcommittee Committee yezinga eliphezulu kanye neKomiti Yokuzikhandla ye-Child Neurology Society yenza izincomo ngo-2004 zokwelashwa nokuvimbela imithi yezingane ezincane kanye nentsha.
Ithimba lathola futhi lafunda izihloko ezingu-166. Ngokususelwa ekubukeni kwabo bonke idatha ekhona, amalungu ekomidi enza izincomo ezilandelayo:
Ukuze ukwelashwa okunamandla kokuhlaselwa kwe-migraine:
- Ibuprofen iphumelele futhi kufanele icatshangelwe ukwelashwa okunamandla kokuhlasela kwe- migraine ezinganeni (eminyakeni engaphezu kwengu-6).
I-Tylenol (i-acetaminophen) cishe isebenza kahle futhi kufanele icatshangelwe ukwelashwa okunamandla kokuhlaselwa kwe-migraine ezinganeni.
I-Imitrex / Imigran (Sumatriptan) i-spray ye-nasal iyasebenza futhi kufanele icatshangelwe ukwelashwa okunamandla kokuhlaselwa kwe-migraine ezincane (eminyakeni engaphezu kwengu-12).
Kwakungekho idatha, enhle noma engalungile, mayelana nokusetshenziswa kwanoma yikuphi ngomlomo (ngomlomo) i- triptans ezinganeni noma ezincane.
Kukhona idatha engenele ukucacisa inzuzo ye-subcutaneous (ngaphansi kwesikhumba) i-summatriptan.
Ukwelapha nsuku zonke ukuvimbela :
I-Flunarizine kungenzeka isebenze futhi ingacatshangwa kodwa ayitholakali e-United States.
Kukhona ubufakazi obanele ukuba benze izincomo eziphathelene nokusetshenziswa kwe-Periactin (cyproheptadine), i-Elavil (i-amitriptyline), i- Depakote (i-divalproex sodium), i-Topamax (i-topiramate), ne-Keppra (levetiracetam).
Ngenxa yokuthi ubufakazi buphikisana, izincomo azikwazi ukwenziwa ngokuphathelene ne-Inderal (propranolol) noma i-Desyrell (i-trazodone).
I-Sandomigraine (Pizotifen) ne-Nimotop (i-nimodipine) ne-clonidine ayizange ibonise inzuzo futhi ayinconywa.
Ezinye izinsolo zesayensi zokuphatha ukwelashwa kwezingane ezithathelwanayo
Abalobi be-athikili ka-2008 ku- Journal of Pediatric Pharmacology and Therapeutics babike ukuthi i- Ibuprofen noTylenol (i-acetaminophen) inenzuzo futhi iphephile kubantwana abangaphansi kweminyaka engu-12 ubudala. Babuye baphawula ukuthi kubantu abasha, uma i-Ibuprofen noTylenol (i-acetaminophen) engasebenzi, i- triptan ingacatshangwa-naphezu kokuthi ama-triptan awavunyelwe i-FDA kwabaselula. Lokhu kuthiwa, i-Imitrex (sumatriptan) kanye ne-Zomig kuphela (i-zolmitriptan) ye-spray ye-nasal ifunyenwe ukuthi iphumelele kwizifundo ekunciphiseni ama-migraines acishe abasha.
Ezinye izinsolo zesayensi zokuvimbela imithi ye-Migraine
Isifundo se- Jamaism ku- Jama Pediatrics ikakhulu sivumelana nemikhombandlela ye-AAN ngoba akekho ubufakazi bokuthi imithi evimbela ukuvimbela, efana ne-clonidine, pizotifen, propranolol, ne-valproate, iyasebenza. Babuye bathi i-flunarizine njengengasebenzi ngokuqhathaniswa ne-placebo, okuyinto i-AAN ecabanga ukuthi ingasebenza. Lokhu kuthiwa, inani labantwana kanye nentsha (amaphesenti angu-30 abike ucwaningo olulodwa) ngekhanda le-migraine cishe lidinga imithi yokuvimbela i-migraine ngesikhatsi esithile.
Lokhu kugcizelela kuphela isidingo esiphuthumayo sokuhlola okukhulu, okungahleliwe, okulawulwa kwe-placebo ekuvimbeleni ukudonswa kwezingane.
Ukungenelela kokuziphatha ukuphatha imithi yezingane
Kubalulekile ukuqaphela ukuthi imithi akufanele ibe yodwa yokwelashwa ekuphatheni izingane ezincane. Imikhuba yokuphila kanye nokukhomba nokubhekana nezimbangela kulingana , uma kungabalulekile nakakhulu. Izibonelo zezindlela ongaqonda kangcono imishanguzo yengane yakho ngokuxhumanisa ukuhlaselwa kwabo ngokuziphatha okufana nalokhu:
- amaphethini okulala
- ukusetshenziswa kwe-caffeine
- ukucabangela kokudla
- ukuzivocavoca
- ukucindezeleka ekhaya nase esikoleni
- ukuhlela imisebenzi
Izwi elivela
Konke kukho, umlayezo wekhaya owathathayo wukuthi kukhona ukungabi nakakhulu kwezifundo ezithinta imithi yezingane, kokubili ukuvimbela futhi ukuphatha. Lokho kuthiwa, ngecebo elilinganiselayo lwezokwelapha kanye nokuziphatha kwe-migraine, ingane yakho ingathola impumuzo. Hlala ummeli wempilo yengane yakho ye-migraine.
> Imithombo:
> Brenner M & Lewis D. Ukwelashwa Kwezinhlungu Zezinhlungu Ezinganeni Nezingane Zentsha. I-Pediatr Pharmacol Ther. 2008 Jan-Mar; 13 (1): 17-24.
> U-El-Chammas K. Ukwelashwa kwe-Pharmacologic yezinsizwa zezingane: ukuhlaziywa kwemeta. I-JAMA Pediatr. 2013 Mar 1; 167 (3): 250-8.
> Lewis D et al. I-Practice Parameter: Ukwelashwa kwamakhemikhali wekhanda le-migraine ezinganeni nasebancane: umbiko we-American Academy of Neurology Standards Standards Committee kanye neKomiti Yokuzikhandla ye-Child Neurology Society. I-Neurology 2004 Dec 28; 63 (12): 2215-24.