Mgwirizano Wapakati pa Migraine ndi Kukhumudwa

Zamkati

• Ululu ndi kukhumudwa
• Njira zamankhwala
• Chithandizo kudzera popewa

Chidule

Anthu omwe ali ndi matenda a mutu waching'alang'ala nthawi zambiri amakhala ndi nkhawa kapena amakhala ndi nkhawa. Si zachilendo kuti anthu omwe ali ndi mutu waching'alang'ala wosatha alimbane ndi kutaya zipatso. Amathanso kukhala ndi moyo wabwino. Zina mwa izi zimachitika chifukwa cha kusokonezeka kwa malingaliro monga kukhumudwa, komwe kumatha kutsagana ndi mutu waching'alang'ala. Nthawi zina, anthu omwe ali ndi vutoli amagwiritsanso ntchito zinthu zosayenera.

Ululu ndi kukhumudwa

Matenda a mutu waching'alang'ala omwe kale ankatchedwa migraine osintha. Amatanthauzidwa ngati mutu womwe umatha masiku 15 kapena kupitilira mwezi, kwa miyezi yopitilira itatu. Mutha kuyembekezera kuti wina yemwe ali ndi ululu wosatha amathanso kukhumudwa. Kafukufuku akuwonetsa kuti anthu omwe ali ndi zowawa zina, monga kupweteka kwakumbuyo, samakhala ndi nkhawa nthawi zambiri monga anthu omwe ali ndi mutu waching'alang'ala. Chifukwa cha ichi, pali lingaliro logwirizana pakati pa migraine ndi zovuta zamaganizidwe zomwe sizitanthauza chifukwa chowawa kosalekeza komweko.

Sizikudziwika bwinobwino kuti ubalewu ungakhale wotani. Pali zifukwa zingapo zomwe zingatheke. Migraine itha kutenga nawo gawo pakukula kwa zovuta zamaganizidwe monga kukhumudwa, kapena mwina mwanjira ina. Kapenanso, zinthu ziwirizi zitha kukhala pachiwopsezo cha chilengedwe. Ndizotheka, ngakhale ndizokayikitsa, kuti kulumikizanaku kumachitika mwangozi.

Anthu omwe amadwala mutu waching'alang'ala pafupipafupi akuti amakhala ndi moyo wotsika kuposa anthu omwe nthawi zina amakhala ndi mutu. Kulemala komanso moyo wotsika kumawonjezeranso pamene anthu omwe ali ndi mutu waching'alang'ala omwe ali ndi nkhawa amakhala ndi nkhawa kapena matenda amisala. Ena amafotokozanso kuwonjezeka kwa zizindikilo za mutu pambuyo poti nthawi yakusokonekera.

Ofufuzawo akuti omwe amalandira mutu waching'alang'ala ndi aura amatha kukhala ndi nkhawa kuposa anthu omwe ali ndi migraine opanda aura. Chifukwa cha kulumikizana kotheka pakati pa mutu waching'alang'ala ndi kukhumudwa kwakukulu, madokotala amalimbikitsidwa kuwunika omwe ali ndi mutu waching'alang'ala wa kukhumudwa.

Njira zamankhwala

Matenda okhumudwa akamakhala ndi migraine yosatha, ndizotheka kuchiza matenda onsewa ndi mankhwala ochepetsa nkhawa. Komabe, ndikofunikira kuti musasakanize mankhwala osankhidwa a serotonin reuptake inhibitor (SSRI) ndi mankhwala a triptan. Magulu awiri amtundu wamankhwalawa amatha kulumikizana ndikupangitsa zovuta zomwe zingakhale zovuta komanso zotchedwa serotonin syndrome. Kuyanjana kumene kumatha kupha kumene kumachitika ubongo ukakhala ndi serotonin wambiri. SSRIs ndi mankhwala ofanana omwe amatchedwa serotonin / norepinephrine reuptake inhibitors (SSNRIs) ndi mankhwala opatsirana pogonana omwe amagwira ntchito polimbikitsa serotonin yomwe imapezeka mkati mwa ubongo.

Triptans ndi gulu la mankhwala amakono omwe amagwiritsidwa ntchito pochiza mutu waching'alang'ala. Amagwira ntchito pomanga mapulogalamu a serotonin muubongo. Izi zimachepetsa kutupa kwa mitsempha yamagazi, komwe kumachepetsa mutu waching'alang'ala. Pakadali pano pali mankhwala asanu ndi awiri osiyanasiyana a triptan omwe amapezeka ndi mankhwala. Palinso mankhwala omwe amaphatikiza mankhwala a triptan ndi othandizira owonjezera kupweteka naproxen. Maina a mayina ndi awa:

• Amerge
• Axert
• Ziphuphu
• Zamgululi
• Maxalt
• Kubwezeretsanso
• Treximet
• Zecuity
• Zomig

Mankhwala amtunduwu amabwera:

• Piritsi yamlomo
• mphuno
• jakisoni
• chigamba cha khungu

Bungwe lolimbikitsa ogula osachita phindu la Consumer Reports lidayerekezera mtengo ndi mphamvu ya ma triptan osiyanasiyana mu lipoti lofalitsidwa mu 2013. Iwo adatsimikiza kuti kwa anthu ambiri, generic sumatriptan ndiye kugula bwino kwambiri.

Chithandizo kudzera popewa

Triptans imangothandiza pakuthandizira zovuta za migraine momwe zimachitikira. Samapewa kupweteka kwa mutu. Mankhwala ena amatha kuperekedwa kuti ateteze kuyambika kwa mutu waching'alang'ala. Izi zikuphatikiza ma beta blockers, mankhwala opatsirana pogonana, mankhwala a antiepileptic, ndi omwe amatsutsana ndi CGRP. Kungakhalenso kothandiza kuzindikira ndi kupewa zinthu zomwe zingayambitse kuukira. Zoyambitsa zitha kuphatikiza:

• zakudya zina
• zakudya za caffeine kapena za caffeine
• mowa
• kusadya chakudya
• kutopa kwapaulendo wandege
• kusowa kwa madzi m'thupi
• nkhawa