Iva nekutonga pane migraines
Kunyangwe iwe uchangobva kuongororwa kuti une migraine kana kuti chirwere chisingaperi chisingagoneki, unogona kuzviwana uchirota mushonga unogona kukurumidza kurwisa zvose zvako kurwisa. Zvinosuruvarisa, kune vazhinji venyu, iyi "kurota" mishonga haipo.
Kunyange zvakadaro, pane mishonga yakawanda yemigraine kunze uko, uye inowanzobatanidzwa pamwe chete nemishonga uye kuchinja kwehutsika kunotitendera kuwana humwe hutungamiri pamusoro pekudzivirira kwedu migraine.
Abortive Migraine Mishonga
Mishonga inobvisa pamuviri inotorwa pakutanga kwemigraine kupa hutano hwemusoro, kumira kurwisa kubva pakufambira mberi, uye / kana kuderedza kusimba kwayo.
NSAIDS
Vanhu vakawanda vanotanga kubata varraine vavo nemishonga inopfuura-the-counter. Izvi zvinonzwisisika sekuti haisi-steroidal anti-inflammatories (NSAIDs), kufanana neIbuprofen kana naproxen sodium (Aleve), inowanzoonekwa semishonga yokutanga yemirasi yemigraines. Kunyange zvazvo NSAID dzingatengeswa pamusoro pe-the-counter, hazvisi zvevanhu vose-iva nechokwadi chekutaura nachiremba wako usati watora imwe kuti uone kuti yakachengeteka iwe.
Triptans
Kana imwe NSAID isingashande, kana kana munhu wekutanga migraine ari kunyanya kuoma, triptan yakafanana ne Imitrex ( sumatriptan ) kana Maxalt (rizatriptan) inogona kubatsira. Chinhu chakanaka che triptans ndechekuti dzinowanikwa mune zvisiri pamuromo mafomu. Semuenzaniso, sumatriptan inowanikwa mune zvidzitiro zviduku kana kuti zvepranasal, uye rizatriptan inowanikwa mune chifukidzo chisingakoshi, chinonzi Maxalt MLT.
Triptans kunyange, kusiyana neNSAIDs, haisipo pane-the-counter uye inoda chiremba kubva kuchiremba wako.
Chiremba wako anogonawo kufunga nezvekubatanidza NSAID / triptan, seTexximet (sumatriptan / naproxen sodium). Mune chidzidzo cha2007 muna JAMA, sumatriptan / naproxen sodium yakawanikwa ichibudirira kupfuura sumatriptan kana naproxen sodium chete.
Triptans kunyange zvazvo ine zvingava nemigumisiro inosanganisira kuora mwoyo, paresthesias , kuneta uye chifuva kana kuvharwa kwehuro. Izvo zvinofanirawo kudzivirirwa nevarwere vane chirwere chepfungwa uye vasingatauriki nehuwandu hwehutano nekuda kwekugadzirisa kwekuita, izvo zvinoreva kudzivirira mitsipa yeropa. Mune mamwe maitiro emagraine, triptans haishandisiwo kubata hemiplegic migraine s kana basilar migraine s .
Antiemetics
An antiemetic kana anti-nausea mishonga inopinza (kuburikidza nemuviri) metoclopramide (Reglan) ndeimwe inonzwisisika migraine kubvisa mishonga-izvi zvinowanzopiwa mudhipatimendi rekukurumidzira. Antiemetics inopiwa nemuromo dzimwe nguva inoshandiswa kurapa kusuruvara kunofambisa migraines , asi hazvina kuratidzirwa kuti inoshanda kune migraine pachayo.
Imwe inogona kuva nengozi yechipfuva chinokonzera antiemetics ndeyokuti mishonga iyi inogona kukonzera mwoyo arrhythmia.
Dihydroergotamine
Dihydroergotamine (DHE 45, Migranal ) ndeimwe migraine therapy. Iyi mishonga inojowa (intravenous, subcutaneous, intramuscular) kana inoshandiswa intranasally (kuburikidza nemhino). Kuronga kushandiswa (kuburikidza nemuviri) pamwe chete ne antiemetics dzimwe nguva kunopiwa muimba yepamhanho yekugadzirisa migraine.
Dihydroergotamine haigoni kushandiswa pamwe chete ne triptans uye inopesana nekamuviri, uye kune vanhu vane chirwere cheropa chisina kunaka uye / kana chirwere chemwoyo.
Mimwe Mishonga
Dzimwe nzira dzokurapa dzinosanganisira sraid intravenous, kufanana ne dexamethasone, iyo inowanzopiwa kuwedzera kune dzimwe migraine remitambo. Intranasal lidocaine inogona kupa rubatsiro rwemigraines. Inotungamirirwa nachiremba kana murwere pachavo, asi kazhinji anopa rubatsiro rwemazuva mashoma. Migraine kudzoka inowanzoitika.
Shoko kubva
Mukupfupisa, NSAIDs inofungidzirwa shanduro yekutanga-line yekunyorovesa kugadzirisa migraines.
Kana ine migraine inoramba ichinge ichinetseka neNSAID, kana kana migraine isinganzwisisiki kuti iwedzere kuwedzera simba, kutanga triptan kana triptan / NSAID kusanganiswa kwemishonga inowanzorongedzerwa nachiremba.
Zvimwe zvinogona kushandiswa kwemishonga inoshandiswa inoshandiswa kunyanya muimba yepamhanho ndeye intravenous antiemetics, dihydroergotamines, kana steroids.
Pamusoro pemigumisiro yemigumisiro, chenjerera pakuvandudza mishonga inonyanyisa musoro kana kuputika musoro paunenge uchibvisa mishonga yemigraine. Nguva dzose kurukurai chirongwa chako chekurapa newachiremba wako.
Sources:
Aukerman G, Knuston D, Miser WF; Dhipatimendi reMhuri Medicine, Ohio State University College yeMishonga uye Utano Hwevanhu, Columbus Ohio. Kutungamirirwa kwemuviri wakaoma musoro wemusoro. Ndiye Chiremba weNzara . 2002 Dec 1; 66 (11): 2123-30.
Bajwa Z, Sabahat A. Kubata kurapa kwemigraine kune vanhu vakuru. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Brandes JL, Kudrow D, Stark SR, et al. Sumatriptan-naproxen nokuda kwekurapa kwakanyanya kwemigraine: muedzo we randomusiki. JAMA . 2007; 297 (13): 1443-1454.
Gilmore B & Michael M. Kurapa kweAigute Migraine Headache. Ndiye Chiremba weNzara. 2011 Feb 1; 83 (3): 271-280.