Zomwe Muyenera Kudziwa Zokhudza Mgwirizano wa Migraine

Zamkati

• Kodi migraine cocktail ndi chiyani?
• Kodi pali zovuta zina?
• Nanga bwanji malo ogulitsa OTC migraine?
• Kodi OTC migraine cocktail ndiotetezeka bwanji?
• Ndi mitundu iti yamankhwala yomwe ingathandize?
• Nanga bwanji mavitamini, zowonjezera mavitamini, ndi mankhwala ena?
• Mfundo yofunika

Akuti anthu aku America amamva mutu waching'alang'ala. Ngakhale kulibe mankhwala, mutu waching'alang'ala nthawi zambiri umachiritsidwa ndi mankhwala omwe amachepetsa zizindikilo kapena kuthandiza kupewa migraine kuchitika koyambirira.

Nthawi zina, m'malo azachipatala, matenda a migraine amatha kuchiritsidwa ndi "migraine cocktail". Ichi sichakumwa, koma kuphatikiza kuphatikiza kwa mankhwala apadera kuti athetse vuto la migraine.

Nkhaniyi idzawunikira zomwe zili mumalo odyera a migraine, zomwe zingachitike, komanso njira zina zamankhwala amtundu wa migraine.

Kodi migraine cocktail ndi chiyani?

Ngati mukupeza kuti mukufuna chithandizo chamankhwala a migraine, imodzi mwanjira zomwe mungapatsidwe ndi migraine.

Koma kodi chithandizo cha migraine ndi chiyani kwenikweni, ndipo zosakaniza zosiyanasiyana zimatani?

Ndikofunika kuzindikira kuti mankhwala omwe amagulitsidwa ku migraine amatha kusiyanasiyana kutengera matenda ena komanso mayankho anu am'mbuyomu ku migraine.

Ena mwa mankhwala omwe atha kuphatikizidwa ndi migraine ndi awa:

• Zolemba: Mankhwalawa ali ndi zotsutsana ndi zotupa ndipo amalingalira kuti amachepetsa mitsempha yamagazi muubongo wanu, kuthandiza kuchepetsa ululu. Chitsanzo cha triptan paphwando la migraine ndi sumatriptan (Imitrex).
• Zotsutsa: Mankhwalawa amatha kuthandizanso ndi zowawa. Ena amathanso kunyansidwa ndi kusanza. Zitsanzo zomwe zitha kugwiritsidwa ntchito pama migraine zimaphatikizapo prochlorperazine (Compazine) ndi metoclopramide (Reglan).
• Ma alkaloids olakwika: Ma alkaloid a Ergot amagwiranso ntchito chimodzimodzi ndi ma triptan. Chitsanzo cha ergot alkaloid yomwe imagwiritsidwa ntchito paphwando la migraine ndi dihydroergotamine.
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs): NSAID ndi mtundu wa mankhwala ochepetsa ululu. Mtundu umodzi wa NSAID womwe umatha kupezeka pama migraine ndi ketorolac (Toradol).
• Mankhwala a IV: IV steroids amayesetsa kuchepetsa ululu ndi kutupa. Angaperekedwe kuti athandizire kupewa migraine yanu kuti ibwererenso masiku angapo otsatira.
• Madzi amkati (IV): Zamadzimadzi a IV amathandizira m'malo mwazinthu zilizonse zomwe mwataya. Madzi amtunduwu amathandizanso kupewa zovuta kuchokera ku mankhwala omwe amaphatikizidwa ndi migraine.
• Maginitoamu a IV: Magnesium ndi chinthu chachilengedwe chomwe nthawi zambiri chimagwiritsidwa ntchito popewa migraine.
• IV valproic asidi (Depakote): Awa ndi mankhwala olanda omwe angagwiritsidwe ntchito kuthana ndi vuto la migraine.

Mankhwala omwe amagulitsidwa ku migraine nthawi zambiri amaperekedwa kudzera pa IV. Nthawi zambiri, zimatenga pafupifupi ola limodzi kapena kupitilira apo kuti mankhwalawa ayambe kugwira ntchito ndikumverera kupumula.

Kodi pali zovuta zina?

Mankhwala aliwonse omwe atha kuphatikizidwa ku migraine cocktail amakhala ndi zotsatirapo zake. Zina mwa zovuta zoyipa za mankhwala aliwonse ndi awa:

• Zolemba:
  • kutopa
  • zopweteka ndi zowawa
  • zolimba m'malo monga chifuwa, khosi, ndi nsagwada
• Neuroleptics ndi antiemetics:
  • masewera a minofu
  • kunjenjemera kwa minofu
  • kusakhazikika
• Ma alkaloids olakwika:
  • kugona
  • kukhumudwa m'mimba
  • nseru
  • kusanza
• NSAIDs:
  • kukhumudwa m'mimba
  • kutsegula m'mimba
  • kupweteka m'mimba
• Steroids:
  • nseru
  • chizungulire
  • kuvuta kugona

Nanga bwanji malo ogulitsa OTC migraine?

Mwinanso mudamvapo zakumapeto kwa the-counter (OTC) migraine cocktail. Izi ndizophatikiza mankhwala atatu:

• Aspirin, mamiligalamu 250 (mg): Mankhwalawa amagwiritsidwa ntchito kuchepetsa ululu ndi kutupa.
• Acetaminophen, 250 mg: Amachotsa kupweteka pochepetsa kuchuluka kwa ma prostaglandins omwe thupi lanu limatulutsa.
• Kafeini, 65 mg: Izi zimayambitsa vasoconstriction (kuchepa kwa mitsempha).

Pogwiritsidwa ntchito pamodzi, zonsezi zingathandize kwambiri kuthetsa zizindikiro za migraine kusiyana ndi zomwe zimagwiritsidwa ntchito.

Izi zidachitika mu. Kuphatikiza kosakanikirana kwa aspirin, acetaminophen, ndi caffeine kunapezeka kuti kumapereka mpumulo wowonjezera kuposa mankhwala aliwonse palokha.

Excedrin Migraine ndi Excedrin Mphamvu Yowonjezera ndi mankhwala awiri a OTC omwe ali ndi aspirin, acetaminophen, ndi caffeine.

Komabe, madokotala nthawi zambiri amalangiza odwala kuti apewe Excedrin ndi zotengera zake chifukwa choopsa chomwa mankhwala mopitirira muyeso.

M'malo mwake, madokotala amalimbikitsa kumwa ibuprofen (Advil, Motrin), naproxen (Aleve), kapena acetaminophen (Tylenol). Nthawi zambiri amalangiza motsutsana ndi khofi wa OTC, chifukwa amatha kuyambitsa zovuta zina monga mtima wothamanga komanso kugona tulo.

Palinso mitundu yama generic yomwe itha kukhala ndi kuphatikiza komweko. Onetsetsani kuti mwayang'ana zomwe zikupezeka kuti mutsimikizire zomwe zimagwiritsidwa ntchito.

Kodi OTC migraine cocktail ndiotetezeka bwanji?

Mankhwala a migraine a OTC omwe ali ndi aspirin, acetaminophen, ndi caffeine sangakhale otetezeka kwa aliyense. Izi ndizo makamaka kwa:

• anthu omwe adakumana ndi vuto lililonse pazinthu zitatuzi
• aliyense amene amamwa mankhwala ena omwe ali ndi acetaminophen
• ana ochepera zaka 12, chifukwa cha chiwopsezo cha Reye syndrome
• chiopsezo cha mankhwala osokoneza bongo

Lankhulani ndi dokotala musanagwiritse ntchito izi ngati:

• khalani ndi vuto lodana ndi mutu waching'alang'ala kapena mutu wopweteka womwe ndi wosiyana ndi zomwe mumakonda
• ali ndi pakati kapena akuyamwitsa
• ali ndi matenda a chiwindi, matenda a mtima, kapena matenda a impso
• khalani ndi mbiri yazinthu monga kutentha pa chifuwa kapena zilonda
• kukhala ndi mphumu
• akumwa mankhwala ena aliwonse, makamaka okodzetsa, mankhwala ochepetsa magazi, ma steroids, kapena ma NSAID ena

Zotsatira zoyipa zamankhwala awa ndi monga:

• kupweteka m'mimba
• nseru kapena kusanza
• kutsegula m'mimba
• chizungulire
• kuvuta kugona
• Mankhwala amamwa mopitirira muyeso

Ndi mitundu iti yamankhwala yomwe ingathandize?

Pali mankhwala ena omwe angathandize kuthana ndi vuto la migraine. Izi zimatengedwa mukangomva kumene kuyamba kwa zizindikilo. Mwinanso mungadziwe zina mwazigawo pamwambapa. Zikuphatikizapo:

• Mankhwala a OTC: Izi zimaphatikizapo mankhwala monga acetaminophen (Tylenol) ndi ma NSAID ngati ibuprofen (Advil, Motrin), ndi aspirin (Bayer).
• Zolemba: Pali ma triptan angapo omwe angathandize kuchepetsa zizindikiro za migraine. Zitsanzo zikuphatikizapo sumatriptan (Imitrex), rizatriptan (Maxalt), ndi almotriptan (Axert).
• Ma alkaloids olakwika: Izi zitha kugwiritsidwa ntchito ngati ma triptan sagwira ntchito kuti achepetse zizindikiro. Zitsanzo zina ndi monga dihydroergotamine (Migranal) ndi ergotamine tartrate (Ergomar).
• Achinyamata: Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochiza kupweteka kwambiri kwa migraine ndipo amatha kupatsidwa kwa odwala omwe sangatenge triptans. Zitsanzo ndi ubrogepant (Ubrelvy) ndi rimegepant (Nurtec ODT).
• Ditani: Mankhwalawa atha kugwiritsidwanso ntchito m'malo mwa ma triptan. Chitsanzo ndi lasmiditan (Reyvow).

Palinso mankhwala omwe angatengedwe kuti athandize kupewa migraine kuchitika. Zosankha zina ndi izi:

• Mankhwala a kuthamanga kwa magazi: Zitsanzo ndi beta-blockers ndi calcium channel blockers.
• Mankhwala opatsirana pogonana: Amitriptyline ndi venlafaxine ndi ma tricyclic antidepressants omwe angathandize kupewa migraine.
• Mankhwala ochepetsa tizilombo: Izi zikuphatikizapo mankhwala monga valproate ndi topiramate (Topamax).
• CGRP zoletsa: Mankhwala a CGRP amaperekedwa kudzera mu jakisoni mwezi uliwonse. Zitsanzo ndi erenumab (Aimovig) ndi fremanezumab (Ajovy).
• Majekeseni a Botox: Jekeseni wa Botox woperekedwa miyezi itatu iliyonse itha kuthandiza kupewa migraine mwa anthu ena.

Nanga bwanji mavitamini, zowonjezera mavitamini, ndi mankhwala ena?

Kuphatikiza pa mitundu yambiri ya mankhwala, palinso mankhwala osagwiritsa ntchito mankhwala omwe angathandize kuthetsa zizindikilo kapena kupewa migraine.

Zosankha zina ndi izi:

• Njira zopumulira: Njira zopumulirako monga biofeedback, masewera olimbitsa thupi, komanso kusinkhasinkha zitha kuchepetsa nkhawa komanso kupsinjika, komwe kumatha kuyambitsa migraine.
• Kuchita masewera olimbitsa thupi pafupipafupi: Mukamachita masewera olimbitsa thupi, mumatulutsa ma endorphin, omwe amachepetsa kupweteka kwachilengedwe. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizanso kuti muchepetse nkhawa zomwe zingalepheretse migraine kuyamba.
• Mavitamini ndi mchere: Pali umboni wina wosonyeza kuti mavitamini ndi mchere wosiyanasiyana amatha kulumikizidwa ndi mutu waching'alang'ala. Zitsanzo ndi vitamini B-2, coenzyme Q10, ndi magnesium.
• Kutema mphini: Imeneyi ndi njira yomwe singano zoonda zimayikidwa m'malo opanikizika mthupi lanu. Zimaganiziridwa kuti kutema mphini kumatha kuthandizanso kubwezeretsa mphamvu mthupi lanu lonse. Izi zitha kuthandiza kuchepetsa kupweteka kwa migraine ndikuchepetsa kuchepa kwa migraine, ngakhale kafukufukuyu sadziwika.

Ndikofunika kuzindikira kuti zitsamba zina, mavitamini, ndi zowonjezera mchere sizingakhale zotetezeka kwa aliyense. Onetsetsani kuti mwalankhula ndi dokotala musanayese mankhwalawa.

Mfundo yofunika

Malo odyera a migraine ndi mankhwala osakanikirana omwe amaperekedwa kuti athetse vuto lalikulu la migraine. Mankhwala enieni omwe amagwiritsidwa ntchito pamagraine amatha kusiyanasiyana, koma amaphatikizapo ma triptan, ma NSAID, ndi antiemetics.

Malo ogulitsa migraine amapezekanso mu mankhwala a OTC. Zogulitsa za OTC nthawi zambiri zimakhala ndi aspirin, acetaminophen, ndi caffeine. Zigawozi zimakhala zothandiza kwambiri zikagwiritsidwa ntchito palimodzi kuposa pamene zimatengedwa zokha.

Mitundu yambiri yamankhwala imagwiritsidwa ntchito nthawi zonse kuchiza kapena kupewa zizindikilo za migraine. Kuphatikiza apo, zitsamba, zowonjezera, ndi njira zopumulira zitha kuthandizanso. Ndikofunika kulankhula ndi dokotala za mtundu wa chithandizo chomwe chingakuthandizeni kwambiri.