Iingcebiso zenzululwazi nge-Migraine yezilwanyana
Ukunyanga abantwana kunye nentsha kunye nemigraines inzima. Oku kungenxa yokuba uphando olunqongophala lwesayensi kwi-migraine yabantwana, oluhluke kumntu omdala ogxothayo.
Makhe sihlolisise oko ezinye iingcali zithetha ngokuphatha nokukhusela i-migraines kubantwana.
Iingcebiso ezivela kwi-AAN ekuThatheni iMigraine kubantwana
Ikomidi le-American Academy of Neurology (i-AAN) neComit Committee Subcommittee kunye neKomiti yokuSebenza ye-Child Neurology Society yenze iingcebiso ngo-2004 kunyango kunye nokuthintela imithi ye-migraines kubantwana nakwishumi elivisayo.
Iqela lichonge kwaye lifunda amaqaku angama-166. Ngokusekelwe ekuhlaziyweni kwazo zonke iinkcukacha ezikhoyo, amalungu ekomiti enze iziphakamiso ezilandelayo:
Ukuze unyango olunzulu lokuhlaselwa kwe-migraine:
- Ibuprofen iyasebenza kwaye kufuneka iqwalaselwe ngonyango olunzulu lokuhlaselwa kwe- migraine kubantwana (ngaphezu kweminyaka engama-6).
I-Tylenol (i-acetaminophen) mhlawumbi isebenzayo kwaye kufuneka icatshungulwe ngenxa yokuphathwa kakubi kokuhlaselwa kwe-migraine kubantwana.
Imitrex / Imigran (Sumatriptan) i-spray spray iyasebenza kwaye kufuneka iqwalaselwe ngonyango olunzulu lokuhlaselwa kwe-migraine kwiintsholongwane (kwiminyaka engaphezu kwe-12).
Kwakungekho nkcukacha, ezilungileyo okanye ezingalunganga, malunga nokusetyenziswa kwanoma yimuphi umlomo (ngomlomo) i- triptans kubantwana okanye kwiintsholongwane.
Kukho idatha engonelanelekanga yokufumanisa inzuzo ye-subcutaneous (phantsi kwesikhumba) i-sumatriptan.
Ngonyango lokukhusela imihla ngemihla:
I-Flunarizine isenokusebenza kwaye ingaqwalaselwa kodwa ayitholakali eUnited States.
Kukho ubungqina obaneleyo ukwenza nayiphi na ingcebiso malunga nokusetyenziswa kwePeriactin (cyproheptadine), i-Elavil (amitriptyline), i- Depakote (i-divalproex sodium), i-Topamax (i-topiramate) okanye i-Keppra (levetiracetam).
Ngenxa yobungqina obuphikisanayo, iziphakamiso azinakwenziwa malunga ne-Inderal (propranolol) okanye iDesrerell (trazodone).
I-Sandomigraine (Pizotifen) kunye neNimotop (nimodipine) kwaye i-clonidine ayizange ibonise inzuzo kwaye ayikhuthazwa.
Ezinye iinjongo zeNzululwazi zokuPhatha iMigraine yezilwanyana
Ababhali benqaku le-2008 kwi- Journal of Pediatric Pharmacology and Therapeutics babike ukuba i- Ibuprofen neTylenol (i-acetaminophen) inenzuzo kwaye iphephile kubantwana abangaphantsi kweminyaka eyi-12 ubudala. Baye baphawula ukuba kubantwana abaselula, ukuba i-Ibuprofen kunye neTylenol (i-acetaminophen) ayisebenzi, i- triptan ingaqwalaselwa-naphezu kokuba i-triptans ayifumanekanga kwi-FDA kwiintsholongwane. Oku kuthethiwe, i-Imitrex (i-sumatriptan) kunye ne-Zomig (i-zolmitriptan) i-spray spray ifumanekile ukuba iphumelele kwizifundo ekunciphiseni i-migraines enzima kwiintsholongwane.
Ezinye iinjongo zeNzululwazi zokukhusela iMigraine yezilwanyana
Ukufunda ngo-2013 kwiJama yePediatrics ngokuvisisanayo kuvumelana nezikhokelo ze-AAN ngokungabikho ubungqina obuqhelekileyo bokusetyenziswa kwemithi yokukhusela, njenge-clonidine, i-pizotifen, ipropranolol kunye ne-valproate, iyasebenza. Baye bathetha i-flunarizine ngokungabi ngempumelelo xa kuthelekiswa ne-placebo, leyo i-AAN icinga ukuba iyasebenza. Oko kuchazwa, inani elininzi labantwana kunye nentsha (iipesenti ezingama-30 ezichazwe ngophando olulodwa) kunye ne-migraine ikhanda mhlawumbi kufuna imithi yokukhusela i-migraine ngexesha elithile.
Oku kuphela kugxininisa isidingo esiphuthumayo sezilingo ezinkulu ezilandelelweyo, ezinokuthi zenze i-placebo ezilawulwa yi-placebo ekukhuseleni imithi ye-migraine.
Ukungenelela kokuziphatha ukuphatha iMigraines kubantwana
Kubalulekile ukuba uqaphele ukuba amayeza akufanele abe yonyango kuphela yonyango lokuphatha imigraines kubantwana. Imikhwa yokuphila kunye nokuchonga kunye nokujamelana neendlela ezibangelwayo zilinganayo, ukuba kungabalulekanga. Imizekelo yezindlela onokuyiqonda kangcono imigraines yengane yakho ngokudibanisa ukuhlaselwa kwabo kunye nokuziphatha okufana noku:
- iipatheni zokulala
- ukusetshenziswa kwe-caffeine
- zokutya
- ukusetyenziswa
- uxinzelelo ekhaya nasezikolweni
- yokucwangcisa imisebenzi
ILizwi
Kukho konke, ukuthatha isigidimi sasekhaya apha kukuba kukho ukungabikho kwamaphononongo emigraines yabantwana, kokubili ekukhuseleni nasekuphatheni. Oko kuthethwa, ngesicwangciso esilungelelaniso sezokwelapha kunye nokuziphatha, umntwana wakho unokufumana uxolo. Hlalani ummeli wempilo yengane yakho ye-migraine.
> Imithombo:
> UBrenner M & Lewis D. Unyango lwe-Migraine Intloko yezingane nakwi-Adolescents. J Pediatr Pharmacol Ther. 2008 Jan-Mar; 13 (1): 17-24.
> El-Chammas K. I-Pharmacologic unyango lwezintso zeentloko: i-meta-analysis. JAMA Pediatr. 2013 Mar 1; 167 (3): 250-8.
> Lewis D et al. Yenza i-Parameter: Ukwelashwa kwe-Pharmacological ye-migraine intloko kubantwana nakwishumi elivisayo: ingxelo ye-American Academy ye-Neurology ye-Quality Standards Committee kunye neKomiti yokuSebenza ye-Neurology Society Society. I-neurology ka- 2004 Umhla wama-28; 63 (12): 2215-24.