A hemicrania inoramba yakagadzikana musoro ndeyemhando yehutano husingaperi hunosangana nevanobata mwoyo. Vakawanda varwere vane hemicrania vanoenderera mberi misoro vanotaura marwadzo kanopfuura ka5 mumawa 24 uye nguva dzinenge gumi nemashanu pamwedzi. Nenzira, hemicrania inoenderera inoitika kune rumwe rutivi rwemusoro. Iyo kurwadziwa kusingagumi kunowanzoenderera mberi uye kunoputika mumusimba uye zvishoma zvishoma zvakaparadzana mukati.
Marwadzo aunoona anowedzera nokurwadza kwakasimba, kuputika kune rumwe rutivi. Iwe unogona kutotambura kurwadziwa kunofamba pakati pegavi rimwe nerimwe remusoro panguva yeimwe musoro musoro pane izvo vatsvakurudza vakawana zvinogona kuitika.
Zviratidzo, Kuwanda, uye Kuziva
Kuwedzera kune kurwadziwa kusingaperi, zviratidzo zvechirwere zvinosanganisira mhepo inoputika, kuputika uye kubwinya kwemaziso, kutuka, maziso emawere, kushungurudza, kurutsa, uye kunzwisisa kune chiedza. Hazvizivikanwi kuti yakawanda sei hemicrania inoramba iine misoro iri pakati pevanhu. Musoro misoro, yakakura, inosvika 4 kusvika ku5 muzana yehuwandu hwevanhu. Zvimwe zvisingaiti musoro musoro zvinyorwa zvinosanganisira kushandura migraine, chronic-tension-type headache, uye zuva nezuva rinopfurikidza musoro . Pakati peavo vanotambura nemusoro unopera, kuongorora kwemakore mashanu evanhu vanokwana 651 vanorwara musoro vanowanikwa kuti 2.2% yevadzidzi ava vakawana hemicrania yakaramba ichirwadziwa musoro musoro.
Vatsvakurudzi vakaona kuti hemicrania inoramba ichiita misoro, kufanana nemusoro wemusoro, inowanzoonekwa pakati pevakadzi. Mukuwedzera, kutsvakurudza kunoratidza kuti kurovedza muviri uye kunwa doro zvinogona kukuvadza hemicrania inoramba ichinge ichiita zviratidzo zvepfungwa.
Kurapa
Nokuti hapana chikonzero che hemicrania chinoramba chichizivikanwa, zvinodhaka zvinoshandiswa kurapa zviratidzo.
Rimwe rinowanzopiwa kurapa hemicrania rinoramba riri indomethacin , rinopesana nokuputira mishonga yemuromo. Hemicrania inoenderera mberi misoro inonzi indomethacin inobatsira, zvinoreva mumatambudziko akawanda zviratidzo zvinopera mushure mekuverengeka kwechirwere chechirwere. Zvisinei, sekumwe mishonga inopesana nekuputika, migumisiro ye indomethacin inowanzovharira kushandiswa kwenguva refu. Kutaura zvazviri, 25% kusvika ku50% yevarwere pane indomethacin therapy inoita kuti zvirwere zvive nemigumisiro inowanzokonzerwa nemishonga iyi, kusanganisira kurwadziwa kwepamuviri, chironda chemimba, uye kubuda mumimba. Mimwe migumisiro inogona kusanganisira kuneta zvakanyanya, kusanzwisiswa kusinganzwisisiki kana kubuda ropa, kuonekwa kwakanyanya, kurira munzeve, uye kusagadzikana kusingaperi.
Other Treatment Options
Kunyange zvazvo pasina mishonga yakaratidza kuti inobata hemicrania inoenderera mberi misoro sezvakanaka sey indomethacin, tsvakurudzo itsva yakafumura dzimwe nzira dzokurapa. Zviongorori zvenguva dzakawanda zvakaratidza kuti mishonga inowedzera melatonin inogona kuve yerimwe nzira inopikira yakarapwa. Inowanikwa pamusoro pe-the-counter melatonin ine chimiro yakakodzana yakafanana ne indomethacin, asi inowanikwa zvakasikwa mumuviri. Chimwe chiitiko chekuongorora chakaratidza kuti 7-mg kuwedzera pakubhedha zvakanyatsodzikinura zviratidzo zvemunhu uyu.
Zvisinei, mishonga yekuwedzera yemvura haisi pasi pekutenderwa neDFA uye, sezvinoitwa chero mamiriro ezvinhu ehutano, varwere vanofanira kubvunzurudza mutarisiri wavo wehutano vasati vatanga chero kurapwa. Maererano neNational Institutes of Health, migumisiro inogona kunge inosanganisira dutu, kuchinja mafungiro, kuwedzerwa njodzi yekubatwa, kupera kwemajeri pakati pevarume, kuderera kweropa, nekuwedzera kwehuga yehuga.
Vatsvakurudzi vakawanawo chiremba chinonzi medicir topiramate kuti chive chirapa chinokurudzira. Topiramate inonzi anticonvulsant mishonga inoderedza kusagadzikana kwebasa. Kunyange zvazvo zvidzidzo zviduku zvishoma zvishoma zvakawana mushonga wacho unobatsira, zvidzidzo zvikuru zvinodiwa kuti dzive kana zvinobatsira zvechirwere zvinodarika zvinokonzerwa nemigumisiro, iyo inosanganisira kushaya dutu, kusakwanisa kuisa pfungwa, kushaya mhirizhonga, kuwedzera kwengozi yeminwe yemabwe, uye kuwedzerwa kungozi ye osteoporosis .
Mukuwedzera, topiramate inogona kukonzera dambudziko kuti munhu afume. Sezvo nemumwe mushonga wemishonga, kutarisirwa kunofanira kutorwa kuti uite zvido zvechiremba wako. Kurasikirwa kwematokisi kunogona kutungamirira kune "kuputsika kwemaitiro." Izvi zvinoreva kudzoka kwezviratidzo zvepfungwa nokukurumidza kana mishonga iri kunze kweropa. Kana mimwe migumisiro yemishonga inotambudza, varwere vanofanira kutaurirana nevanotarisira utano hwavo vasati varega kurapwa.
Sources:
Brighina, F., A. Palermo, G. Cosentino, B. Fierro. "Prophylaxis yeHemicrania Inoenderera mberi: Zviitiko Zvitsva Zvitsva Zvakabatwa neTopiramate." Musoro we 3.47 (March 2007): 441-443. www.ncbi.nlm.nih.gov/pubmed/17371364?ordinalpos=9&itool=EntrezSystem2.People.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum.
"Hemicrania Continua." NINDS Hemicrania Continua Information Page. 7 Apr. 2008. National Institute of Neurological Disorders uye Stroke. www.ninds.nih.gov/disorders/hemicrania_continua/hemicrania_continua.htm.
"Indomethacin." Medline Plus . 1 Aug. 2007 National Institutes of Health. www.nlm.nih.gov/medlineplus/druginfo/medmaster/a681027.html.
Krymchantowski, Abouch Valenty. "Primary Primary Head diagnosis Among Chronic Daily Headache Patients." Arquivos de Neuro-Psiquiatria 61.3 (June 2003) www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000300008.
"Melatonin." Medline Plus . 1. Aug. 2006. National Institutes of Health. www.nlm.nih.gov/medlineplus/druginfo/natural/patient-melatonin.html.