Indlela esinikwe ngayo, kunye nento omele uyibukele
I-DHE imele i-dihydroergotamine kwaye i-ergot alkaloid esetyenziselwa ukunyanga ukuhlaselwa kwe - acraine . Makhe sifunde kabanzi malunga nale myeza ye-migraine, kubandakanywa nendlela elawulwa ngayo kunye nemiphumo emibi.
Ukusebenzisa iDHE Ukuphatha iMigraines
Ukongezelela kokumodareyitha ekuhlaseleni okukhulu kwe-migraine, i-DHE inokusebenza ngokukodwa ekuphatheni imithi ye- migraine, unyango olungaphezulu kweentloko , i-status migrainosus, okanye i-migraine engapheliyo.
Kubalulekile ukuqaphela ukuba i-DHE ayimthinteli imigraines, kwaye ayisetyenziswanga ukuphathwa kakubi kweentloko ezinjengeentloko zentlungu .
I-DHE ilawulwa njani?
I-DHE inokulawulwa nge-intranasally (ngeempumlo) okanye ingafakwa injected. I-DHE 45 yigama legama lomhlaza kwaye linokunikezwa ngaphantsi, nge-intramuscularly (kwi-muscle) okanye nge-intravenously (kwi-vein). I-DHE engenayo idla ngokuqhelekileyo kwigumbi lokuxakeka ngokukhawuleza ukuxhamla, ngokukodwa xa umntu engaphenduli kwezinye i-migraine zokwelapha ezithintekayo, okanye kwi-status migrainosus.
I-Migranal yigama lomtshini we-dihydroergotamine nasal kwaye ixhaphake ngokuqhelekileyo kwisilungiselelo sesigulana-esichazwe ngokugqithiselwa kugqirha. Kuyathakazelisa ukuqaphela ukuba kukho ifom ye-DHE engabonakaliyo, ebizwa ngokuthi i-Levadex, engagunyaziwe okwangoku yi-FDA.
DHE Isebenza njani?
I-DHE ineendlela ezininzi zezenzo kuquka:
- Ukubophelela kwi-receiotonin receptors
- Ukuxuba iirriyiti
- Ukubophelela kwi-dopamine receptors
- Ukubonelela ngemiphumo yokulwa neengcambu
Yiyiphi isibheno se-DHE engenayo?
Amachiza angenayo ayifumene nomgudu wesisu, okwenza ukuba kufaneleke kwizigulane ezinobungcungcutheko kunye nokuhlanza ngenxa yemigraine.
Yiyiphi isibheno seDHE Nasal?
I-DHE i-nasal ikulungele kwaye ibe yinto efanelekileyo kubantu abanesicaphulo kunye nokuhlanza abangakwazi ukuthatha ipilisi.
Ngaba i-DHE Contraindicated Ngethuba lokukhulelwa nokuxilwa?
Ewe. I-Dihydroergotamine ibhalwe ngu-FDA njengeklasi yokukhulelwa X - iyachaswa kokubili kokukhulelwa kunye noomama abancelisayo.
Yintoni Ndifanele Ndixelele Ugqirha Wanga Ngaphambi kokuthatha i-DHE?
Kubalulekile ukuxelela ugqirha wakho onke amayeza, kuquka i-add-counter-counter supplements kunye namavithamini, uthatha. Amanye amayeza, njengoluhlobo lweyeza le-HIV olubizwa ngokuba yi-protease inhibitors kunye ne-anti-antibiotic yamacrolide, alukwazi ukuthathwa ngokudibanisa ne-DHE - njengoko kukho iingxelo ezinokuthi zinciphise ukuhamba kwegazi kwiingqondo kunye neengalo nemilenze. Ukongeza, i-DHE ayifanele ithathwe ngeeyure ezingama-24 ze- triptan .
I-DHE iphinde iqhathaniswe nabantu abanemibandela ethile yonyango njengale:
- isicic heart disease (umzekelo, imbali yesifo senhliziyo, i-angina)
- uxinzelelo oluphezulu lwegazi
- i-ergotid ergot
- umntu ngomuthi ophakamisa uxinzelelo lwegazi ngokumisela imithwalo yegazi
- i-hemiplegic okanye i-basilar migraine
- isifo sesifo esithile
- isifo sobungozi obukhulu
- emva kokuhlinzwa ngentsholongwane
- umsebenzi onobungozi obunzima
- umsebenzi wezintso ezinzima
Ziziphi iImpembelelo eziPhambili zeDHE?
Ngokuqhelekileyo, ukusebenzisa ixesha elide le-DHE yejoyi liye laxutyaniswa ne-fibrosis okanye ukwanda kwamalungu emiphunga okanye izintso, kunye ne-valve fibrosis yentliziyo kunye nezinye iilgot alkaloid.
Kuye kwaxelwa ingxelo ngeentlungu ze-heart attack and stroke.
Ngokutsho kwe-FDA kunye nomenzi, iziphumo ezingezantsi zingabonakali kodwa zifuna isaziso esheshayo sakho ugqirha ukuba zivela:
- Ubungqina okanye ukubetha eminwe nasezinzwaneni.
- Ubuhlungu, ukuqina, okanye ukuphazamiseka esifubeni.
- Iintlungu zentlungu okanye iincampu kwiingalo nasemilenzeni.
- Ubuthathaka kwimilenze.
- Ukukhawuleza kwexeshana okanye ukunciphisa intliziyo yakho.
- Ukukhupha okanye ukubetha
Ezinye iziphumo ezichaphazelekayo ezinokuthi zenzeke nge-DHE ye-injection ziquka:
- igazi elonyukayo
- ukungcola
- uxhalaba
- ukuphefumula ukuphefumula
- intloko
- ukuxhamla
- isifo sohudo
- ukukhawuleza
- ukuthuka
Ezinye iziphumo zempembelelo ze-DHE zamanzi ziquka:
- impumlo yempumlo okanye ukudibanisa
- yatshintsha ingqiqo
- izicelo zesayithi
- ukungcola
- isicupunu kunye nokuhlanza
- umqala obuhkungu
Lithetha ntoni Oku?
I-DHE iyinzuzo yonyango lokufumana imithi kwabanye abantu. Ukuba unikwe i-DHE 45 okanye iMigranal, qiniseka ukuba uqeqeshelwa ngendlela yokusebenzisa ngokufanelekileyo nangokukhuselekileyo.
Ukongeza, qiniseka ukuba uyayiqonda i-dosing ye-DHE yakho yeyeza. I-DHE ayifanele isetyenziswe imihla ngemihla okanye ixesha elide elide.
Njalo qhagamshelana nodokotela wakho malunga neyeza.
Imithombo:
FDA. Novartis Pharmaceuticals Corporation. DHE 45 kunye neMigranal.
USilberstein S & Kori SH. I-Dihydroergotamine: ukuhlaziywa kweendlela zokwenza i-acraine. CNS Iziyobisi . 2013 ngoMeyi; 27 (5): 385-94.