Ngaba uziva ngathi uzame onke amayeza ukuphatha imigraines yakho kwaye akukho nto isebenzayo? Ukuba kunjalo, awuyedwa - kwaye unokubandezeleka ngenxa yokuguquka kwengqondo engapheliyo.
Makhe sihlolisise ukuba yiyiphi into ephambanisayo imigraine kwaye yintoni izazinzulu ezizenzayo ukuqonda kakuhle le meko.
I ntsi ngiselo ye
I-Refractory ibhekisela ekungabikho kompendulo kwonyango - ngoko abantu abane-migraine yokugxeka abangenakufumana impumulo kwiimithi zonyango ezinzima, kwaye bayaqhubeka nokuphuhlisa imigraines naphezu kokuthintela unyango lwe-migraine.
Kwakhona, kubantu abanemigraines engapheliyo, iingcambu zabo zichaphazela kakhulu umgangatho wobomi kunye nokusebenza kwansuku zonke.
Ngokutsho kwe-International Headache Society, imfraine engapheliyo ivela kwiintsuku ezili-15 okanye ngaphezulu ngenyanga ngeenyanga ezi-3.
Indlela yokuCandwa kweNgcaciso echazwe ngayo
Ngomnyaka we-2008, iCandelo leNgcaciso leNgcaciso yeNtloko (RHSIS) kunye ne-American Headache Society (AHS) echazwe ukuchaza imigaqo ye-refractory migraine. Ukususela ngoko, abanye abaphandi bacebise iinkcazo - njengoko kukho ingxoxo malunga nendlela yokuchaza ngokucacileyo "ukukhanyela."
Iindidi zeMithi engaNcediyo yokuxhatshaza izigulane ezingapheliyo zeMigraine
Ukukhusela
Ngokweenkcazo ezicetywayo yi-RHSIS kunye ne-AHS, abantu abane-migraine engapheliyo engapheliyo bayaqhubeka benemigraine naphezu kokuzama okungenani 2 kwi-4 imithi yokukhusela i-migraine :
- beta-blockers
- i-anticonbulsants (i-anti-seizure medication)
- i-tricyclic antidepressants
- bebhanki be calcium
Ukukhupha
Ngokweenkcazo ezicetywayo yi-RHSIS kunye ne-AHS, abantu abane-migraines abangapheliyo bayagcina beba ne-migraine naphezu kokuzama ukufumana imithi elandelayo yokukhupha i- migraine - becinga ukuba ayilangazi okanye banokunye ukuphikisana nokuthatha iziyobisi.
- Bobabini i- triptan ne-dihydroergotamine (DHE) i-intranasal okanye injectable
- Ingaba i-nonsteroidal anti-inflammatory ( NSAID ) okanye intsebenziswano yokunciphisa iintlungu (umzekelo, i-acetaminophen / i-aspirin / i-caffeine okanye i-Excedrin Migraine)
Ukuqhubeka Ukuguqula Inkcazo
I-European Headache Federation (i-EHF) ibuye ibuye ibuye ihlaziye imithi engapheliyo. Bafuna ukucacisa nokwandisa kwiingcaciso zangaphambili ngeenethemba lokuba oku kudala inkcazo ecacileyo, ephakamileyo, kunye nengqinelanayo eya kusetyenziswa kwizifundo zophando ezizayo.
Enye yeengongoma ze-EHF zifuna ukubandakanya ukuba nomntu onomdlavuza ongapheliyo onabotulinumtoxinA (i-Botox) njengeqhinga lokukhusela - ngaphambi kokubonwa njengokwenkqakraza.
Bafuna ukubandakanya amayeza afanelekileyo kunye nefanelekileyo afanelekileyo emithi yokukhusela i-migraine - njengokuba ngamanye amaxesha abantu bathabatha imithi kwiqondo elisezantsi kakhulu ukuba liphumelele, kwaye libizwa ngokuthi "alusebenzi" okanye "lihlulekile" ngugqirha.
Ziziphi izigulane ezinokukwenza
Ukuba unesifo sengqondo sokungabikho kwemigraines engapheliyo, zama ukungadikibala. Funa izikhokelo kwiingcali zakho zentloko okanye i-neurologist kwimithi yonyango - njengeBotox - kwaye uhlale usebenza ngokunyamekela kwakho kunye nokukwazi ukujamelana nayo .
Imithombo
IKomidi yokuBaluleka kweNtloko ye-International Headache Society. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 33 (9): 629-808.
Ikomidi elincinci leNgcaciso yeNtloko ye-International Headache Society. Ulwahlulo lwaMazwe ngamazwe lweengxaki zeNtloko: Uhlobo lwe-2 ". I-Cephalalgia ka- 2004; I-Suppl 1: 9-160.
Martellett P et al. I-refractory migraine engapheliyo: ingqiniselwano malunga nenkcazo yeklinikhi evela kwiYurophu yaseYurophu yeNtloko. J Ubuhlungu bentloko . 2014 uAgasti 28; 15: 47.
Schulman EA et al. Ukuchazwa kwe-migraine kunye ne-refractory migraine engapheliyo: iikhrayitheriya ezicetywayo ezivela kwi-Sectional Refacheory Headache Section Special of the American Headache Society. Intloko. 2008; 48: 778-82.
INKCAZELO: Ulwazi olukule ndawo lusezinjongo zemfundo kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukuze ufumane unyango kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .