Imithi ye-Migraines, Intloko yeNtloko kunye neCluster headaches
Hamba phantsi kwezilwanyana zentlungu kweso nasiphi na izidakamizwa zezidakamizwa kwaye unokuba lula ukuphazamiseka. Zinokubonakala zininzi iindidi zamachiza ezifumanekayo ukunyanga iintloko ezingapheliyo. Uyazi ukuba ngubani na onelungelo kuwe? Kuxhomekeka kakhulu kwizinto ezibini: ziphi uhlobo lweentloko ezinesihlungu ezingapheliyo, kwaye ubuhlungu bakho bentlungu bunjani.
Amachiza ngohlobo lweentloko
Ngenxa yokuba zininzi iintlobo zentloko ezingapheliyo , zininzi iintlobo zamachiza kubo.
Uninzi, nangona kunjalo, luwela kwiindidi ezibini: iilumzi zentlungu ozithatha imihla ngemihla ukukhusela intloko (eyaziwa ngokuba yiprophylactic), kunye neyeza ozithatha emva kokuba ikhanda liqalwe (elibizwa ngokuba yi-avortive).
Iimvumi zentlungu ezithweleyo zifumaneka kwi-counter-counter-or counter by prescription kwaye zithathwa ngexesha lokuhlaselwa kodwa unyango lwe-prophylactic lugqithiselwa rhoqo ukukhusela iinyawo ezingapheliyo ukuba zenze, kwaye ngokuqhelekileyo zidinga umyalelo wonyango. Ezinye iintlobo zentloko ezingapheli zifuna zombini iintlobo zonyango.
Amayeza eMigraines
I-Migraines ihlala iphathwa ngokunyanga kwamayeza okuthintela ukukhusela i-prophylactic medication. Uninzi lwamachiza e-prophylactic ludinga ixesha lokwakha, kwaye aluyi kusebenza ngokuthintela ukuthintela i-migraine kwiiveki ezimbalwa.
Ngenxa yokuba i-migraines i-neurological, ininzi yemithi yokuphuza i-prophylactic isebenza ngokutshintsha indlela ubuchopho buphendula ngayo kwizinto ezithile.
Kungathatha iilingo eziliqela ukufumana unyango olusebenzayo ngenxa yentlungu yakho.
- I-Tricyclic antidepressants . Echazwe kumanqanaba amancinci kunokuba ixinzelelo lweklinikhi, i-tricyclics ezifana ne- amitriptyline kunye ne-nortriptyline inokukunceda ukukhusela imithi ngaphambi kokuba iqale.
- Ezinye izidandlululo . I-Serotonin-reuptake inhibitors (i-SSRIs) ayisoloko isebenza ngokuphumelelayo njengama-tricyclics, kodwa ilawula i-migraines kwabanye abantu. Ii-SSRI eziqhelekileyo zamagraines ziquka i-fluoxetine kunye ne-sertraline.
- Beta blockers . Ngokuqhelekileyo isetyenziswe ukulawula uxinzelelo lwegazi, i-beta blockers inganciphisa i-migraine imvama okanye ubunzulu xa kuthathwa rhoqo. Ipropranolol kunye ne-timolol ziqhelekelelwe kule njongo.
- Abagcini bezithuthi zeCalcium . Nangona bangathabatha iiveki ezininzi ukuba basebenze kakuhle, i-calcium channel blockers ezifana ne-verapamil inokusebenza ekukhuseleni ukuhlaselwa kwe-migraine. Ezinye iibhloko ze-calcium zetrakethi ziphandwa ngolu hlobo.
- NSAID . Izidakamizwa ezichasene nezidakamizwa ezifana ne-aspirin kunye ne-ibuprofen zinokuthathwa njengemithi yokukhupha. Nangona kunjalo, oogqirha abathile bawasebenzisa ngokusetyenziswa kweprophylactic.
Ezinye i-migraine prophylactics zibandakanya izidakamizwa zokulwa noxinzelelo nakuba zivame ukubhekwa njengesigqibo sokugqibela ngenxa yemiphumo yazo kunye nesifo esinobuthi. Okwangoku, kwenziwa uphando ukuhlola ukuphumelela kwe-enzyme (ACE) inhibitors ye-angiotensin, i-angiotensin-receptor blockers (ARBs), i-toxicin A (Botox) ye-botulinum, i-leukotriene kunye ne-dopamine agonists.
Amachiza okuHlaba intloko
Iilwimi eziqhelekileyo ezisetyenziswa ngokubandezeleka kwentloko ziquka:
- I-Tricyclic antidepressants . I-tricyclics efana ne-amitriptyline kunye ne-imipramine isetyenziswe njengeprophylactics, ukukhusela ukuxhatshazwa kweentloko ukuba kungabikho kwindawo yokuqala.
- Uhlobo . Ngokuqhelekileyo isetyenziselwa ukulawula uxhalaba, ngamanye amaxesha luncedo kwixesha elifutshane lokubandezeleka kwentloko, ikakhulukazi xa kuhlobene nokuxinezeleka. Ezi ziquka i-alprazolam kunye ne-clonazepam.
- NSAID . Ibuprofen kunye ne-naproxen zifumaneka kwi-counter-counter-counter, kodwa izigxininiso ezinamandla zifuna isigqirha segqirha. Ziyasebenza ekulawuleni ubuhlungu beentloko zentlungu.
- Opioids . I-opioids efana nekhowudi okanye i-hydrocodone ingasetyenziselwa ukuphathwa kakubi kweentloko zentlungu emva kokuba ii-NSAID ziboniswa ukuba azisebenzi.
Iindima ze-botulinum i-toxin A, imishanguzo yokulwa ne-anti-seizure kunye ne-muscle relaxants ekulawuleni izifo zentlungu ezingapheliyo ziphandwa ngoku.
Amachiza eCluster headaches
Ngenxa yokuba ukuhlaselwa kweentloko zeentloko zihlala zifutshane, imithi yeprophylactic ivame ukusebenza ngakumbi kunemithi yokukhupha. Ezinye zeyeza eziqhelekileyo ezisetyenziswa ukulawula iintloko ezinamahlumela angapheli ziquka:
- Abaqambi bee-calcium . Njengoko i-migraines, i-verapamil iyimpawu eziqhelekileyo ze-calcium-channel for the cluster headache intlungu, nakuba empeleni yenzelwe ukuphatha isifo senhliziyo.
- Lithium . Ngokuqhelekileyo isetyenziselwa ukhathaza i-bipolar disorder, i-lithium ingasetyenziselwa yona okanye idibene nezinye iziyobisi ukulawula intloko yeentloko.
- Iziyobisi zokuthintela . UValproate kunye ne-topiramate zenzelwe ukunyanga ukuhluthwa kwesisu. Nangona kunjalo, baye baqinisekisa ukuba luncedo ekulawuleni i-cluster headache frequency.
- ICapsaicin . Inguqu ye-nasal-spray version ye-capsaicin, i-analgesic ye-topicalic, ibe malunga nama-50% esebenzayo ekunciphiseni ubude beentloko zeentloko kwizilingo zeklinikhi.
- Iintshukumo zenguqu . Iintetho zenguqu zintsholongwane zisetyenziselwa ukuzinzisa umntu emva kokuhlaselwa kwentloko yehlohlo. Ezi ziquka i-ergotamine kunye ne-prednisone.
I-toxin ye-Botulin A kunye ne-baclofen, ezo zombini ezisetyenziswa ngokunciphisa ukunciphisa imisipha, ngoku ziphandwa malunga nokukwazi ukunciphisa ubude beentloko zokuhlaselwa ikhanda.
Ngaphandle kweMithi
Amachiza awayekhethiyo kuphela ekulawuleni ubuhlungu beentloko ezingapheliyo. Enyanisweni, amayeza amancedisayo kunye namayeza (CAMs) aqhelekileyo asetyenziswa kule njongo. Ezi zibandakanya i-yoga, ukuhlalisa umzimba, ukunyanga, kunye ne-aromatherapy.
Ukongezelela kumachiza kunye nee-CAMs, ukufumana iindlela zokuhlangabezana neentloko ezingapheliyo zingaphatha ixesha elide ekukhuseleni nasekulawuleni ubuhlungu. Khangela amaqela enkxaso kunye neiforam, zibandakanya intsapho kunye nabahlobo bakho kunye nokuseka ubudlelwane obuhle kunye nogqirha wakho. Xa zidibene nezidakamizwa ezifanelekileyo, iindlela zokunceda ziyakunceda ufumane ubuhlungu bentloko buhlungu phantsi kolawulo.
Imithombo:
INtloko yeSizwe. Intloko: Imibuzo ebuzwa rhoqo. http://www.headaches.org/headache-faq/
Isiseko seSizwe soPhando. IiNtsholongwane zoPhando lweNtloko.
IYunivesithi yaseMary University. Intloko ye-Migraine.