Okuphephile futhi okungekho uma unakekela.
Owesifazane omusha abhekana ne-migraine nezinye izinkinga zezinhlungu zekhanda bavame ukungabaza ukuthatha imithi yokuvimbela noma ukuphulukisa ubuhlungu bekhanda labo ngoba besaba ukuthi imithi ingadlula ubisi lwabo lwebele kumntwana.
UGina uyisibonelo esihle. Ungumama wokuncelisa ingane ohlukunyezwa yi-migraines - uneminyaka engu-42 futhi ube nemigraines kusukela eneminyaka engu-18.
UGina wayevame ukuphatha ama-migraine ngamaphilisi obuhlungu noma i-Imitrex (imithi ye-triptan elula imithwalo yegazi ejikelezayo ebuchosheni), kodwa lapho ekhulelwe wabe eseba umama owayengumhlengikazi, uGina wafuna ezinye izindlela zokwelapha imishanguzo yakhe.
U-Gina okwamanje uphatha ama- migraine akhe ngalokho akubiza ngokuthi "i-cocktail ye-Tylenol, i-Sudafed ne-caffeine; i-latte enhle, enamandla esuka ku-Starbucks. Ngokuvamile kufanele ngiphinde ngiphinde ngiphinde ngiphinde ngiphinde ngiphinde ngiphinde ngiphinde ngiphinde ngiyiphendule. "UGina uyanezela ukuthi ngisho noma enqume ukusebenzisa imithi yendabuko, kuzodingeka ahlale kude nalokho okuyoyidonsa ngoba kufanele azinakekele izingane zakhe.
Ngesikhathi esemnakekela uneminyaka emibili ubudala, uGina angakhetha ukwelashwa okungokwemvelo noma kwe-homeopathic emvelweni, kodwa okwamanje uhamba nalokho okusebenzayo. Uthi uma engesiyena umama owayengumhlengikazi, kungenzeka ukuthi abuyele emuva ku-Imitrex ukuze aphathe ama-Migraines.
Imiphi Imithi Ye-Migraine Evikelekile Ngenkathi Ukubeletha?
UGina angase alungele ukuthi kufanele agweme i-Imitrex ngenkathi ebeletha ingane yakhe, ngoba izifundo zama-triptans kulo mongo zilinganiselwe.
Kodwa omama abaningi abancancisayo bacabanga ukuthi imithi ye-migraine neminye imithi yekhanda ayikwazi ukuthathwa ngenkathi ihlengikaza, nakuba ucwaningo lwamanje lwezokwelapha lubonisa ukuthi imithi ejwayelekile esetshenziswa njalo iphephile.
Nansi i-rundown yolwazi lwakamuva olumayelana nemithi ye-migraine nezinye izidakamizwa zekhanda nokuthi ngabe ochwepheshe bayasikisela yini ukuthi bayisebenzise ngenkathi usalusisa nosana lwakho:
- Imithi engeyona-stteroidal anti-inflammatory efana ne-ibuprofen ne-diclofenac . Lokhu ngokuvamile kubhekwa njengokuphephile, nakuba i-sodium naproxen kufanele isetshenziswe kuphela isikhathi esifushane.
- I-Triptans efana ne-Imitrex, i-Relpax nabanye . Lezi ngokuvamile azizange zinconywe ngesikhathi sokukhulelwa noma ukuncelisa, ngoba akukho ulwazi olwanele oluvela ezifundweni zezokwelapha ukuthola ukuthi ziphephile noma cha. Imibiko eshicilelwe etholakalayo, noma kunjalo, ikhombisa ukuthi izidakamizwa zingase zingathinteki izingane ezisencelisayo.
- Imithi yokulwa ne-anti-seizure Topiramate (i-zonisamide). Lesi sidakamizwa sibheka izingozi ezingenzeka ngesikhathi sokuncelisa. Abanye odokotela bakhuthaza abesifazane abadinga ukuba kule mithi ukuba bancelise kancane kancane ukuze banciphise ukuvezwa kwezinsana zabo ezidakamizweni.
- I-Ergotamine. Izincomo zamanje zikhuthaza abesifazane abancancisayo ukuba balinde amahora angu-12 ngemuva kwesilinganiso se-ergotamine ngaphambi kokunakekela izingane zabo. Ukusabela okubi ezinganeni kungabandakanya ukufutheka, ukuhlanza noma isifo sohudo. Lesi sidakamizwa singanciphisa nokukhiqiza ubisi.
- Reglan. I-Reglan, eyayivame ukuvimbela isicupho se-migraine ehlobene nesifo, ibuye yanconywa ukwandisa ukunikezwa ubisi olumama obongikazi. Kubhekwa njengokuphephile ngenkathi ubeletha. Kodwa-ke, qaphela ukuthi umphumela owaziwayo we-Reglan uwukucindezeleka, ngakho-ke uma usengozini yokucindezeleka kwe-post-partum, kufanele ukhulume nodokotela wakho ngomphumela wecala.
- Thorazine. Lesi yisidakamizwa sokulwa nesifo sokulwa nesifo esidla isifo sofuba esisetshenziswa ngezinye izikhathi ukuvimbela isisindo esinzima esibucayi ku-migraine disorder. Ukucwaninga okulinganiselwe kubonisa ukuthi kuphephile ngesikhathi sokuncelisa uma kusetshenziselwa ngokwayo, kodwa abantwana abathile abancelisiwe bayothola balale ngenxa yokuchayeka.
- Imithi ye-opioid. Lezi zivele ziphikisana ezinhlokweni zekhanda kanye nokwelashwa kwe-migraine. Akufanele zisetshenziswe abesifazane abancancisayo abantwana babo, ngoba bangabangela ukulala, ukunganelisi isisindo, kanye nezinye izinkinga ezinganeni.
Ukukhetha Imithi Engcono Kakhulu (noma Ukuhlanganiswa) Ngenkathi Uhlengikazi
Ukukhethwa kwezidakamizwa ezingase zisebenze kangcono kumama wokuncelisa zihlanganisa:
- isidakamizwa esinesigamu esifushane sokuphila (nabo ngokuvamile baphuthuma ngokushesha)
- isidakamizwa esinomzuzu wokuphila wabantwana abancane
- isidakamizwa esinesisindo esikhulu samangqamuzana
- isidakamizwa esinamaphesenti aphansi okwenziwa komlomo ngomlomo
Abomama ababeletha bangase babe nesithakazelo ekufakeni ama-herbal or remedies ukuze baphathe imishanguzo yabo noma ikhanda.
Kodwa kubalulekile ukuthi uphenye lezi zilungiselelo futhi ukhulume nodokotela wakho ngabo, ngoba Ukuphathwa Kwezokudla Nezidakamizwa (i-FDA) akulawulwa ukuxhaswa kwamakhemikhali namandla alokhu okufakelwayo kuyahluka kusuka ku-brand kuya kumkhiqizo. Futhi, ngenxa nje yokuthi into ebizwa ngokuthi i-herbal noma yemvelo, akuyona ephephile ingane encane.
Uma umama engafisi ukusebenzisa imithi yendabuko, izinyathelo zokududuza ezifana nokulala egumbini elimnyama noma ukusebenzisa i-ice noma ukushisa ekhanda kungaba (okunye) kulula ukuzenza nezingane ezincane. Omama bangasebenzisa idayari yekhanda ukulandelela ama- migraines noma izinwele ukuze babone ukuthi kukhona yini ukuguqula indlela yokuphila okuzosiza ekunciphiseni ubuhlungu bekhanda.
Ukulungiswa kwesifo se-chiropractic noma ukwelapha ukubhucisa nakho kuyindlela ongakhetha ngayo omama abahlengikazi abangaphishekela uma befuna ukugwema ukuthatha imithi.
Izinsiza Zokuphepha Kwemithi Ngesikhathi Sokubeletha
Imithi kanye noMama Wamama , ngoDkt. Thomas W. Hale, udokotela wezingane, u-pharmacologist kanye noprofesa wezingane eziseTexas Tech University School of Medicine, ubhekwa njengomunye wemithombo engcono kakhulu yokuqonda ukuthi imithi ithinta kanjani ubisi lwebele lokubeletha.
Le ncwadi, eyakhipha umagazini wayo we-16 ngo-2014, ibukeza amakhulu emithi ehlanganiswe nezincwadi zesayensi zamanje. Le ncwadi iqukethe ulwazi olufaka:
- ukuphila kwengxenye yesidakamizwa (kuthatha isikhathi esingakanani umzimba ukuba ususe isigamu semithi yemithi ethathwe)
- isikhathi sokunciphisa ukuxilongwa kwezidakamizwa eplasma yegazi lomama
- isisindo samangqamuzana semithi (isisindo esinesisindo samangqamuzana angama-200 noma ngaphezulu sinamathuba okungena esifubeni kunezidakamizwa ezingaphansi kuka-200)
- ukutholakala kwegazi ngomlomo (ikhono lomuthi ukufinyelela ukujikeleza kwesistimu emva kokuphathwa ngomlomo; kubhalwe njengephesenti, ukuthi umuthi utholakala kanjani ngomlomo)
- isigamu sempilo yemithi yezidakamizwa
Okokugcina, i-US Library of Medicine nayo igcina imininingwane ye-inthanethi ngezidakamizwa nokuncelisa ukuthi kuyisisetshenziswa esibalulekile ekunqumeni ukuphepha kwezinhlobonhlobo zamakhanda kanye nemithi ye-migraine. Ungakwazi ukufinyelela ku-database ku-LactMed, i-Database ToxNet.