Yintoni ekhuselekileyo kwaye yintoni engekho xa unonyamekela.
Oomama abatsha abafumana imithwaba kunye nezinye iintlungu zentlungu bahlala bexhala ukuthatha imithi ukukhusela okanye ukukhupha iintlungu zentloko kuba besaba ukuba amayeza angadlula ubisi lwabo lwebele.
UGina ngumzekelo omhle. Ungumama oncelisayo obhekene ne-migraines - uneminyaka engama-42 kwaye uye waba nemigraines ukususela ngo-18.
UGina wayesetyenziselwa ukuthatha imithi ye-migraines ngeepilisi zentlungu okanye i-Imitrex (iyeza le-triptan elincinci imivenge yegazi ejikeleze ingqondo), kodwa emva kokuba ekhulelwe waza waba ngumama onamahlengikazi, uGina wafuna ezinye iindlela zokunyanga imigraines.
Gina ngoku uphatha i- migraines yakhe nento abiza ngokuthi "i-cocktail yaseTylenol, i-Sudafed kunye ne-caffeine; i-latte efanelekileyo, eqinile esuka kwi-Starbucks. Ngokuqhelekileyo ndifanele ndiphinda le mihla emibini. "UGina uyanezela ukuba nangona uzimisele ukusebenzisa amayeza emveli, kwakufuneka ahlale kude nantoni na eyayiza kumbamba ngoba kufuneka azinakekele abantwana bakhe.
Nangona esenomntwana oneminyaka emibili ubudala, uGina unokukhetha unyango olwendalo okanye i-homeopathic kwimvelo, kodwa okwangoku uhamba kunye nantoni na esebenzayo. Uthi ukuba wayengengunina ongumongikazi, mhlawumbi uza kubuyela e-Imitrex ukuze aphathe iMigraines.
Ziziphi iiMigraine Meds Ezikhuselekileyo Ngona Utyeshelo?
UGina unokuchaneka ukuba kufuneka aphephe i-Imitrex xa ekhusela umntwana wakhe, ekubeni izifundo ze-triptans kule mida zilinganiselwe.
Kodwa oomama abancelisayo babecinga ukuba imithi yonyango kunye neminye imishanguzo yeentloko ayinakuyithathwa ngexesha loongikazi, nangona uphando lwempilo lwangoku lubonisa ukuba amanye amayeza asetyenziswa ngokukhuselekileyo.
Nantsi ingqungquthela yolwazi olutshanje kwi-migraine nakwezinye iimichiza zentloko nokuba ngaba iingcali zincoma ukuba zisebenzise ngelixa uncelisa inyana yakho:
- Imithi engeyiyo-stteroidal anti-inflammatory efana ne-ibuprofen kunye ne-diclofenac . Ngokuqhelekileyo oku kubonwa njengekhuselekile, nangona i-sodium naproxen kufuneka isetyenziswe kuphela ngexesha elifutshane.
- Triptans njenge Imitrex, Relpax nabanye . Ezi ngokuqhelekileyo azange zinconywe ngexesha lokukhulelwa okanye ukuncelisa, kuba akukho ulwazi olwaneleyo ukusuka kwizifundo zezokwelapha ukufumana ukuba zikhuselekile okanye cha. Iingxelo ezipapashiweyo zikhoyo, nangona kunjalo, zibonisa ukuba iziyobisi zingenakuchaphazela iintsana ezityayo.
- Amachiza okukhusela i-Topiramate (zonisamide). Esi sidakamizwa sibeka ingozi ebomini ngexesha lokuncelisa. Abanye oogqirha banxusa abafazi abafuna ukuba kule mayeza ukuba bancelise inxalenye kuphela ukuze banciphise ukuvezwa kweentsana zabo kwiziyobisi.
- Ergotamine. Iingcebiso zangoku zikhuthaza abancinci ukuba balinde ukulinda iiyure ezingama-12 emva kwesilinganiso se-ergotamine ngaphambi kokuba unake abantwana babo. Impendulo engafanelekanga kwiintsana inokuquka ukuphazamiseka, ukuhlanza okanye urhudo. Esi sidakamizwa sinokunciphisa nokuvelisa ubisi.
- Reglan. I-Reglan, esetyenziselwa ukuthintela i-nasraa ehlobene ne-migraine, iphinde ikhuthazwe ukwandisa ubisi boomama obongikazi. Kucingelwa ukuba ukhuselekile xa uncelisa. Nangona kunjalo, qaphela ukuba umphumo owaziwayo we-Reglan uyinkxalabo, ngoko ke ukuba usemngciphekweni wokudakumba kwe-postum, kufuneka uxoxe nodokotela wakho malunga nale mpembelelo.
- ITrazine. Esi sisisixhobo sokulwa ne-antipsychotic ngamanye amaxesha esetyenziselwa ukukhusela isicuphoso esinzima kwi-migraine disorder. Uphando olukhawulezileyo lubonisa ukuba lukhuselekile ngexesha lokuncelisa xa lisetyenziselwa ngokwalo, kodwa iintsana ezincinci ziza kubuthwa ngenxa yokuzimela.
- Mayeza opioid. Ezi zivele ziphikisana nentloko kunye nonyango lwe-migraine. Akufanele zisetyenziswe ngabasetyhini abancancisayo iintsana zabo, njengoko zingabangela ukulala, ukufumana ubunzima bokunqongophala, kunye nezinye iingxaki ezinganeni.
Ukukhetha iMichiza Eyona Miphumo Enhle (okanye Ukudibanisa) Nangona Ubungcali
Ukukhethwa kweziyobisi ezinokusebenza ngokusemandleni kumama oncelisayo ziquka:
- isicatshulwa esincinci se-half-life (ngokuqhelekileyo ihamba ngokukhawuleza)
- isicatshulwa nesigxina somntwana esifutshane
- isilwanyana esinomzimba ophezulu
- isilwanyana esinomlinganiselo ophantsi wokuhlaselwa komlomo
Oomama abancinci banokuthi banomdla kwiimveliso zonyango okanye izigulana zokunyanga i-migraines okanye intloko.
Kubalulekile ke, ukuba uphando ngamalungiselelo kwaye uxoxe nodokotela wakho ngabo, kuba iDiary and Drug Administration (i-FDA) ayinakulawula ukuxhaswa kwemfuyo kunye nezikhwepha zezi zixhobo ezixhasayo ziyahluka kwi-brand ukuya kwi-brand. Kwakhona, ngenxa yokuba into ebizwa ngokuthi imbiza okanye yemvelo, ayikho into ekhuselekileyo kwintsana.
Ukuba umama akanqweneli ukusebenzisa amayeza emveli, ukunyaniseka okunjengokulala phantsi kwigumbi elimnyama okanye ukusebenzisa i-ice okanye ukufudumala entloko kunokuba (mhlawumbi) kulula ukuyenza kunye nosana oluncinane. Oomama bangaphinda basebenzise idayari yeentloko ukulandelela i- migraines okanye iintloko ukuze babone ukuba kukho ukutshintshwa kwendlela yokuphila eya kunceda ukunciphisa intlungu yentloko.
Ulungiso lwe-chiropractic okanye unyango lokusilalisa kwakhona lunokukhetha oomama abangabongikazi ukuba bafune ukuphepha ukuthatha imithi.
Izixhobo zoKhuseleko lweMithi ngexesha loNgciliso
Amachiza kunye noMama kaMama , ngoDkt. Thomas W. Hale, isidumbu sezingane, i-pharmacologist kunye noprofesa wezilwanyana kwi-Texas Tech University School of Medicine, ibonwa njengenye yezona zinto zilungileyo zokuqonda indlela amayeza anentsholongwane ngayo ubisi lwebele lokuncelisa.
Le ncwadi, ekhuphe umxholo wayo we-16 ngo-2014, ihlolisise amakhulu emichiza efumaneka kwiincwadi zenzululwazi zamanje. Le ncwadi iqulethe ulwazi oluquka:
- isiqingatha sobomi beziyobisi (kuthatha ixesha elingakanani umzimba ukulahla isiqingatha somlinganiselo weyeza ezithathwe)
- ixesha lokunyusa uxinzelelo lweziyobisi kwi-plasma yegazi
- Isisindo semelemesi yesilwanyana (isilwanyana esinomlinganiselo we-molecular kwi-200 okanye phezulu sinethuba elingaphambili lokungena kwisifuba ngaphezu kweziyobisi ezingaphantsi kwama-200)
- ukufumaneka komlomo (ubuchule beziyobisi ukufikelela kwindlela yokuhambisa umyalezo emva kokulawulwa komlomo;
- ubuncinci bempilo yobunzima bezilwanyana
Ekugqibeleni, iThalayibrari yase-US yaseMedeni nayo igcina isiseko se-intanethi kwizilwanyana kunye nokuncelisa isisombululo esibalulekileyo ekunqumeni ukhuseleko lweentloko ezahlukeneyo kunye neyeza zamagrafa. Unokufikelela kwiziko lokugcina kwiLactMed, i-ToxNet Database.