Iimpawu kunye neZonyango zale mizuzu ende, i-Migraine enobukhulu
Isimo migrainosus luhlaselo oludakisayo nolunezibuhlungu ezifudumeleyo ezihlala ixesha elide kune-migraine-engaphezulu kweentsuku ezi-3-ngokukhawuleza ukuthumela kwigumbi eliphuthumayo.
Iimpawu zeMeko Migrainosus
Iimpawu zezinga lemigrainosus zifana naluphi na iimpawu zakho eziqhelekileyo zokuba yimigraine, ingaba i-migraine ne-aura okanye i-migraine ngaphandle kwe-aura.
Uhlobo oluphambili kukuba kwiimeko zemihlathi , iimpawu ziyaqhubeka kwiiyure ezingama-72. Kwi-migraine rhoqo okanye ngaphandle kwe-aura, intlungu yentloko ihlala phakathi kwama-4 no-72 iiyure. Kwimoko migrainosus, kunokubakho ixesha lokuphumla okwenzisayo elide lide ukuya kwiiyure ezili-12. Ezi zidla ngokuba ngenxa yokulala okanye amayeza.
Iimpawu ze-migraine ziquka:
- Indawo enye (enye icala)
- Ukuqhawula
- Intlungu ebuhlungu ngokusebenza ngokuqhelekileyo njengokuhamba
- Utywala
- Ukuxhomekeka ngokukhawuleza
Ukongeza, kufuneka ube neyodwa kwezi zinto zilandelayo:
- Isihlunu kunye / okanye ukuhlanza
- Ifotophobia (ukuqonda ukukhanya) kunye ne- phonophobia (uvakalelo kwisandi)
Unyango lweMigrainosus yeMeko
Phantse zonke izigulane ezine-status migrainosus ziya kukuxelela ukuba unyango lwabo lwama-migraine aluncedo. Ngaphandle kokuzama ukuphula intlungu yentloko, unyango lwemoya migrainosus luquka ukulawula zonke iingxaki ezongezelelweyo, njengezonyameko kunye nokuhlanza okanye ukungcola.
Isimo semigraja sisoloko siphathwa kwigumbi lexakeka . Uhlobo oluqhelekileyo lonyango luquka u-intravenous (IV) umbane kunye nemichiza yokulawula i-nausea nokuhlanza, njengeprochlorperazine (i-Compazine).
Amachiza asetyenziswe ukunciphisa i-migraine yobume angabandakanya enye ye- triptans , ingakumbi i-sumatriptan okanye i-dihydroergotamine (DHE), elandelwa yi-NSAID ene-intravenous, njenge ketorolac (i-Toradol).
Iklasi lemithi ebizwa ngokuba yi-dopamine receptor antagonists, okanye i-dopamine blockers, iye yaboniswa ukuba yinkqubela ngakumbi ekuphatheni isimo semigrainosus. Eli klasi liquka izidakamizwa ezifana ne-metoclopramide (Reglan), i-fluphenazine hydrochloride (Prolixin) kunye ne-chlorpromazine hydrochloride (iTrarazine).
Ngamanye ama-steroids afana ne-dexamethasone asetyenziswa. Olunye uphando olutshanje lwesampula elincinane lubonise ukuba ama-80 eepesenti zezigulane ezine-status migrainosus zinobuhlungu obukhulu xa bethatha i-dexamethasone kabini ngosuku ngemini emine.
I-valproate ye-sodium intravenous, i-anti-seizure, ingaqwalaselwa kodwa olunye uphando olutshanje lunokuthi alukwazi ukusebenza njenge ketorolac (i-Toradol) okanye i-metoclopramide (Reglan) kwaye kufuneka isetyenziswe ngokulumkileyo kwabasetyhini abaneminyaka engabantwana.
Yintoni ongayenza Ukuba Unemiqathango ye-Migrainosus
Njengazo zonke iintloko, zama ukuqaphela ukuba unempawu ezintsha okanye iimpawu ezinzima kunezona ziqhelekileyo. Kwakhona, qiniseka ukuba uyazisa umboneleli wakho wezempilo ukuba unemigraine ehlala ixesha elaneleyo ukuba ithathelwe ingqalelo njengomgangatho wokuhamba.
> Imithombo:
> Bland R, Levine T. Ukwelashwa kweMeko Migrainosus kunye neDelietethasone yomlomo kwiCandelo loPhulo lweMpilo. Neurology. Ngo-Apreli 16, 2016; 86 (16): UngezeleloP1.160.
> Friedman BW, Garber L, Yoon A, uSolomonzano C, Wollowitz A, Esses D et al. Uvavanyo lweR IV olulproate vs metoclopramide vs ketorolac lwe-migraine. Neurology . Matshi 2014; 82 (11): 976-83.
> I-Gelfand AA, i-Goadsby PJ. Isikhokelo se-Neurologist kwi-Acraine Acraine Acraine kwiCandelo eliPhezulu. I-Neurohospitalist . 2012; 2 (2): 51-59. i-doi: 10.1177 / 1941874412439583.
> Ikomidi lokuBamba iintloko zeMatyala eManyeneyo. Ulwahlulo lwaMazwe ngamazwe lweengxaki zeNtloko: I-3 Edition (i-beta version). Cephalalgia. 2013; 33 (9): 629-808.
> I-Rozen T. iSebe eliPhezulu kunye noLawulo oluPhezulu lweMigrainosus ne-Headacheache. UQHUBEKELA: Ukufunda konke kwi-Neurology . Agasti 2015; 21 (4, intloko yesifo): 1004-1017.