Imigraines iqhelekile kubantwana. Uphando olutshanje luqikelele ukuba phantse i-8% yabantwana kunye nentsha engaphantsi kwe-20 ubudala i-migraines, nangona abanye bebekhona xa bekhulile.
Okumangalisa kukuba, kuba bana bantwana abane-migraines, "iminyaka yobudala enokuqala iyiminyaka engama-7 kunye neenyanga ezili-9."
Ukukhusela i-Migraine Intloko
Nangona kulungile ukwazi ukuba unyango luyafumaneka ukunceda ukuma nokukhusela i-migraines , ngokuqinisekileyo la mayeza ayilungiselelo ngokukhawuleza kwiintsana ezininzi.
Oko kubangela ukuba kubalulekile ukuba abantwana abane-migraines bafunde nokufumana i-SMART malunga neentloko zabo, kuquka ukuba:
- Ukulala ngokwaneleyo ubusuku bonke.
- Musa ukunqumla ukutya.
- Ngaba basebenza ngokusemgangathweni ngemini nganye baze bafunde.
- Funda ukuphucula nokunciphisa uxinzelelo ebomini babo.
- Gwema ukunyuka kwemigudu .
Intloko yesifo okanye idayari yesibonakaliso, apho ubhala khona zonke izinto ozenzayo kwiiyure ezili-12 ukuya kwii-24 ngaphambi kokuba ufumane intloko, ngamanye amaxesha kunokukunceda ufumane i-migraine yakho.
Ngaphandle kokuba ufumene i-migraine ethile incoko, ukubeka umntwana wakho kwisondlo sokunciphisa imithi mhlawumbi akusiyo ingcamango efanelekileyo. Ngaphandle kokugwema i-caffeine (isincomo esihle kubo bonke abantwana), mhlawumbi akukho sizathu esihle kubo bonke abantwana abane-migraines ukuphepha i-cheeses edala, i-chocolate, i-meatcheon meats kunye ne-monosodium glutamate (MSG).
IMigraine Medication
Umntwana wakho uthatha ntoni xa efumana i-migraine?
Ukuba ufana nezingane ezininzi, mhlawumbi uthatha i-acetaminophen okanye ibuprofen kwaye uyayichukumisa.
Gcina ukhumbule ukuba ezinye iindlela zokhathalela i-migraine zingabandakanya i-Aleve (i-naproxen sodium), enye indlela yokulawula ubuhlungu xa i-acetaminophen kunye ne-ibuprofen engasebenzi kakuhle, kunye noZofran (ondansetron), ukunceda nge-nausea nokuhlanza.
Ukukhupha iMigraine Medication
I-Triptans yimiyeza ephambili ye-migraine eyenziwa ngabantu abadala ukuba bancedise ukuyeka okanye ukuyeka intloko ye-migraine.
Ngethamsanqa, ii-triptans ezimbalwa ziye zavunywa ukuba zisetyenziswe kubantwana nakwishumi. I-Axert (almotriptan) ifumaneka njenge-6.25mg kunye neephilisi eziyi-12.5mg kwaye ivunyiwe kubantwana abaphakathi kweminyaka eyi-12 ne-17. I-Axert imele ithathwe kwisibonakaliso sokuqala sekhanda lomlenze okhulayo kwaye unokuphindwa emva kweeyure ezimbini ukuba ubuhlungu bentloko buyabuya, kunye ne-dose yemihla ngemihla ye-25mg.
U-Maxalt (rizatriptan) omnye. Ifumaneka kwi-ODT (iipilisi ezidibanisa ngomlomo) okanye iipilisi eziqhelekileyo, i-FDA ivunyiwe kubantwana abaphakathi kweminyaka eyi-6 ukuya kwe-17.
Nangona abayivunyelwe ngokusemthethweni i-FDA ukuba bayisebenzise kubantwana nakwishumi, ininzi yamanye amayeza e-triptan migraine "aneenkcukacha ezinamandla zokukhusela nokukhuseleko kwintsholongwane," kuquka:
- Imitrex (zolmitriptan)
- Zomig (sumatriptan)
Naliphi na imithi oyisebenzisayo ukuzama ukumisa imithi ye-migraines yomntwana, ngokuqhelekileyo kulungele ukuthatha loo mayeza kwisibonakaliso sokuqala sokuthi ufumana i-migraine.
Ngaba baya kumisa imfraine yomntwana wakho ngokupheleleyo? Ngamanye amaxesha akwenza, ngelixa amaxesha athile enza ukuba iintloko zibe nzima kakhulu ukuba umntwana wakho ahlale esikolweni aze aqhubeke esebenza kakuhle.
IMilraine Medication Preventive
Ukuba umntwana wakho ufumana i-migraine iintsholongwane ngokuphindaphindiweyo, ngoko kunokuzama nje ukuzama ukubaphatha xa zivela, kusenokuba ingcamango enhle ukuthatha imithi yemihla ngemihla ukuze izame ukuzikhusela ukuba zenzeke kwindawo yokuqala.
Imithi yokukhusela i-migraine ingumzekelo omhle ukuba umntwana wakho unemigraine emine okanye ngaphezulu enokubangela ukukhubazeka, njengokungabikho kwesikolo okanye ezinye izinto.
Ezi ntlobo zemithi yokukhusela i-migraine zingabandakanya:
- I-Periactin (i-cyproheptadine) - inikwe umthamo we-0.25 ukuya kwi-1.5 mg / kg / ngosuku okanye i-2 ukuya kwi-8mg / ngosuku, le antihistamine inefuthe elibi legalelo lokubangela ukunyusa umzimba. Kwimeko elungileyo, ngamanye amaxesha kunokubangela ukuba i-sedation, enokunceda abantwana xa banikwa ngexesha lokulala. Itholakala njengelwelo kunye neepilisi.
- U-Elavil (amitriptyline) - lo mdala wokudandathelanisa naye udlalwa ngexesha lokulala kwaye unokubangela ukuzuza ubunzima kunye nokudityaniswa. Amanani ahlala phakathi kwe-0.1 ukuya ku-1 mg / kg / ngosuku okanye 10 ukuya ku-50mg.
- I-Topamax (i-topiramate) - imishanguzo enokuchaseneka engenza ukuba i-sedation kunye nokulahlekelwa kwesisindo. Amanani avela kwi-1 ukuya ku-2mg / kg / ngosuku, kunye nomthamo omdala ongama-50mg kabini ngosuku. I-Topamax yavunywa ngo-2014 ukwenzela ukuthintela imithi kubantwana kunye nentsha ephakathi kweminyaka eyi-12 ukuya ku-17 ngo-2014.
- I-Depakote (i-valproic acid) -yinye imichiza yokuxhatshazwa esetyenziswa kwakhona ekuphatheni abantwana abaneengxaki zengqondo.
Ngaphandle kwe-Topamax, akukho nanye kula mayeza anikezelwe yi-FDA ukunyanga kwama-migraines angapheliyo, kwaye kunjalo isetyenziswe "ngaphandle kwelebuli."
Kwaye nangona bengenako ukwenza ukuba abantwana bakho baphumelele, baya kuthemba ukuba banciphise ubuncinane, bobabini ngokuphindaphindiweyo kwaye bebubi kangakanani.
Yintoni Oyaziyo
Ezinye izinto zokwazi ngamachiza e-migraine ziquka ukuba:
- I-Aspirin ifakiwe kwiinkqubo ezithile zokuxuba imithi, kodwa ngokuqhelekileyo igwenywa kubantwana nakwishumi ngenxa yengozi yeReye's Syndrome.
- Iintsholongwane eziphindaphindiweyo, kunye nenani elikhulayo le-headaches ye-migraine, linga kwenzeka xa uthatha unyango lweentloko zonyango olungenakukhusela. Ukuxhatshaza imithi ye-migraine kungenza kube lula ukuba imithi yakho yansuku zonke, imithi yokukhusela iya kusebenza. Ngokomyinge, ukuba umntwana wakho uthatha ibuprofen okanye i-acetaminophen ngaphezulu kweentsuku eziyi-15 ngenyanga, i-triptans engaphezu kweentsuku ezili-10 ngenyanga, okanye imithi yokudibanisa kunye nomzimba onobuncinane kangangeentsuku ezingama-5 ngenyanga, ngoko usemngciphekweni wokunyuka kwama-migraines ngenxa yamachiza ukusetyenziswa kakubi. Mhlawumbi kufuneka ukuba abe yimiqathango yokuphucula imithi yecrafti.
- Ipropanol, i-beta-blocker, kunye ne-clonidine, i-alpha-adrenergic agonist, ngamanye amaxesha isetyenziselwa ukuthintela i-migraine intsha.
- Uhlobo lwe-opioid lweentlungu zentlungu, njenge-hydrocodone, ngokuqhelekileyo luyakuphepheka xa uphathisa abantwana abaneenwele eziphindaphindiweyo.
Xoxa nodokotela wezilwanyana ukuba i-migraine yengane yakho iyanda, iyatshintsha, okanye ukuba umntwana wakho uhlakulela iimpawu ezintsha ngeentloko zakhe.
Umgca ongundoqo nangona kukuba ubuncinane izidakamizwa ezintathu ezivunyelwe yi-FDA ukunyanga nokukhusela imithi, abantwana bezempilo kufuneka bakwazi ukwenza umsebenzi omhle wokuphatha abantwana abane-migraines. Ingcali ye-neurologist yezilwanyana okanye enye ingcali yengqondo inokukunceda ukuphatha intloko yengane yakho.
Imithombo:
Blume, Heidi K. Intsholongwane yamathambo: Ukuphononongwa. Iidanga lokuHlola kuDisemba ka-2012, IQOLUMA 33 / ISIHLOKO 12
Galinski, uMichel. Ukuxilongwa kwangaphambili kwe-Migraine kubalulekile kubantwana: Ukulandelelwa Kwama-10-minyaka. I-Neurology yezilwanyana, uMqulu 53, iNdaba 4, Oktobha 2015, iphepha 319-323.
Lewis D. American Academy ye-Neurology Quality Standards Komiti, iKomiti yokuSebenza ye-Child Neurology Society. Ipharamitha yokusebenza: unyango lwezonyango lwe-headraps of migraine kubantwana nakwishumi elivisayo: ingxelo ye-American Academy ye-Neurology ye-Quality Standards Subcommittee kunye neKomiti yokuSebenza ye-Child Neurology Society. Neurology. 2004; 63 (12): 2215-2224
Ulungele uDuren Michael. Isahluko 20 - Kuninzi Kwinto Efanelekileyo: Imithi yokusetyenziswa kweNtloko. Intloko kunye neMigraine Biology noLawulo, 2015, iphepha 253-266.
Victor, Suresh. Iziyobisi ukwenzela ukuthintela i-migraine ikhanda kubantwana. Cochrane Collaboration. Inqaku lokuqala lipapashwe kwi-intanethi: 11 JUL 2014