Ukufumana ukulawulwa kwamagrafa
Ingaba usandululwazi nje ukuba unemigraine okanye unemigraineur engapheliyo, unokufumana uphupha ngamachiza angakwazi ukuphatha ngokukhawuleza zonke izilwanyana zakho. Ngelishwa, uninzi lwawe, eli liphupha "liphupha" alikho.
Nangona kunjalo, kukho amayeza amaninzi ahambayo apho, kwaye ngokuqhelekileyo ukudibanisa kokubili amayeza kunye neenguqu zokuziphatha ezenza sikwazi ukufumana ukulawulwa kokuhlaselwa kwe-migraine.
Ukukhupha iMigraine Medication
Imithi yokukhupha imithathi ithathwa ekuqaleni kwe-migraine ukubonelela ukukhutshwa kwentloko, ukuyeka ukuhlaselwa, kunye / okanye ukunciphisa ubunzima bayo.
NSAIDS
Uninzi lwabantu luqala ukuphatha i-migraines yabo ngamachiza amaninzi. Oku kunengqiqo njenge-non-steroidal anti-inflammatories (i-NSAID), njenge-ibuprofen okanye i-naproxen ye-sodium (Aleve), ngokuqhelekileyo ithathwa njengonyango lokuqala lwemithi ye-migraines. Nangona ii-NSAID zingathengwa ngaphaya kwe-counter-counter, akuzona wonke umntu-qi niqiniseke ukuba uthetha nodokotela wakho ngaphambi kokuba uthathe enye ukuqinisekisa ukuba ukhuselekile.
Triptans
Ukuba i-NSAID ayisebenzisi, okanye ukuba umntu oqalayo u-migraine uyangqinelana, u- triptan njengo-Imitrex ( sumatriptan ) okanye u-Maxalt (rizatriptan) unokunceda. Inxalenye emnandi ye-triptans kukuba ikhona kwiifom ezingezomlomo. Ngokomzekelo, i-sumatriptan ifumaneka kwifom yangaphantsi okanye e-intranasal, kwaye i-rizatriptan ifumaneka kwisitya esingenakulinganiswa, esaziwa njenge-Maxalt MLT.
I-Triptans nangona kunjalo, ngokungafani ne-NSAIDs, ayifumanekanga kwi-counter-counter kwaye idinga isigqibo kumgqirha wakho.
Ugqirha wakho unokuqwalasela intlangano ye-NSAID / triptan, njengeTroximet (i-sumatriptan / naproxen sodium). Ngophando luka-2007 ku- JAMA, i- sumatriptan / naproxen sodium yafunyanwa ukuba isebenze ngakumbi kune-sumatriptan okanye i-naproxen yesodium kuphela.
Ii-Triptans nangona zinemiphumo echaphazelekayo kubandakanya isisongiso, i- paresthesias , ukukhathala kunye nesifuba okanye ukuqina komqala. Kwakhona kufuneka kugwenywe kwizigulane ezinesifo senhliziyo kunye nesifo sengqondo segazi esingalawulwayo ngenxa yendlela yokusebenza kwayo, okuyiyo iminyango yegazi. Ngokwezinye iindidi ze-migraine, i-triptan ayisetyenziswanga ukuphatha i- migrine ye-hemiplegic okanye i- basilar migraine .
Antiemetics
I-antiemetic okanye i-antiuse-nasusea imishanguzo efana ne-intravenous (nge-vein) i-metoclopramide (Reglan) yenye imithi efanelekileyo yokuthintela imithi-le nto ixhomekeke kwisebe elingxamisekileyo. Ama-antiemetics anikezwa ngomlomo ngamanye amaxesha asetyenziswa ukuphatha isicupucu esihamba kunye nemigraines , kodwa asizange iboniswe ukuba iphumelele kwimigraine ngokwayo.
Enye ingozi yecala ye-antiemetics yile nxaxheba yingozi kukuba le mayeza angabangela intliziyo ye-arrhythmia.
Dihydroergotamine
I-Dihydroergotamine (DHE 45, i- Migranal ) yenye yonyango lwe-migraine. Leliyeza lijojowe (i-intravenous, subcutaneous, intramuscular) okanye ilawulwa nge-intranasally (ngempumlo). Ukulawulwa kwe-intravenous (nge-vein) ngokudibanisa ne-antiemetics ngamanye amaxesha kunikwa kwigumbi loxakeka kwimeko yokwelashwa kwe-migraine.
I-Dihydroergotamine ayikwazi ukusetyenziswa ngokubambisana ne-triptans kwaye iyachaswa ngokukhulelwa, nakubantu abanengcinezelo yegazi engapheliyo kunye / okanye isifo senhliziyo.
Amanye amayeza
Ezinye iindlela zonyango ziquka i-intravenous steroid, njenge-dexamethasone, edlalwa ngokongeza kwezinye i-migraine therapies. I-intranasal lidocaine inokubonelela ngoncedo lwe-migraines. Ilawulwa ngugqirha okanye isigulane ngokwawo, kodwa ngokuqhelekileyo unikeza uncedo lwexesha elifutshane. Ukuphindaphinda kwe-Migraine kuqhelekile.
ILizwi
Isishwankathelo, ii-NSAID zithathwa njengonyango lokuqala lomgca we-migraines elula.
Ukuba i-migraine iqhubeka nangona i-NSAID, okanye ukuba i-migraine iyanqabile ukuba ikhulule ngamandla ekuqalekeni, i-triptan okanye i-triptan / NSAID inxube yeziyobisi idlalwa ngumgqirha.
Ezinye iindlela zokwelapha eziqhelekileyo ezisetyenziselwa kakhulu kwigumbi lokuxakeka ngeempawu zi-antiemetics, i-dihydroergotamines, okanye i-steroids.
Ukongezelela kwimiphumo emibi, qaphela ukuphuhlisa imichiza yokusetyenziswa kwintsholongwane okanye isifo sekhanda xa uthabatha imishanguzo ye-migraine. Hlalani nicoca ngesicwangciso sakho sonyango lwe-migraine kunye nogqirha wakho.
Imithombo:
UAukerman G, uKnuston D, i-Miser WF; ISebe lezeMpilo yeeNtsapho, i-Ohio State University College of Medicine kunye neMpilo kaRhulumente, eColumbus Ohio. Ulawulo lwe-headache migraine. I-Phys Physician . Ngomhla ka-1 ku-Dec 1; 66 (11): 2123-30.
Bajwa Z, Sabahat A. Ukwelashwa ngokuthe tye kwe-migraine kubantu abadala. Ku: U-UpToDate, iBasow DS (Ed), UpToDate, Waltham, MA, 2013.
Brandes JL, Kudrow D, Stark SR, et al. I-Sumatriptan-naproxen yonyango olunzulu lwe-migraine: ilingo elingahleliyo. JAMA . 2007; 297 (13): 1443-1454.
I-Gilmore B & Michael M Ukwelashwa kwe-Acraine Headache. I-Phys Physician. 2011 Feb 1; 83 (3): 271-280.