Anoshandiswa pane AAN / AHS Guidelines for Prevention of Episodic Migraine
Ibuprofen (Advil, Motrin) inowanzo isiri-steroidal anti-inflammatory ( NSAID ) inoshandiswa kurapa episodic migraine kurwisa. Asi ibuprofen inogonawo kushandiswa kudzivirira migraine here?
Muna 2012, American Academy of Neurology (AAN) neAmerica Headache Society (AHS) yakabudiswa mirayiridzo yakagadziriswa pamishonga yekudzivirira episodic migraines. Iyi mitungamiri yakarongedzwa zvakananga kuti iongorore kushandiswa kweNSAID uye mishonga yakasiyana-siyana yemishonga kana inowedzera mukuderedza nhamba uye nguva yakawanda yekurwisa migraine.
Ngatimbokurukurai mazano aya uye tipindure mubvunzo wako pamusoro pekushandisa mishonga yakawanda pamusoro-in-counter ibuprofen kudzivirira marwadzi ako emusoro.
Kurongeka kweKuzvidzivirira Episodic Migraine Mishonga (Ndiyo NSAID chete uye Complementary Therapies)
Aya mazano anoronga mishonga muzvikwata zvichienderana nekubudirira kwavo kunoonekwa.
Nhamba A Mishonga yakagadzirirwa kuva "inoshanda." Petasites kana butterbur ndeye Muzinga A mishonga. Uyu ndiwo mishonga yemishonga kana imwe nzira inotorwa kaviri zuva rimwe nerimwe. Nyaya huru yechirwere ndeyoro GI inogumburwa, kunyanya kubhurwa.
Nhamba B Mishonga yakagadzirirwa kuva "zvichida inoshanda." Mienzaniso yemishonga yepamutambo B inosanganisira:
- NSAIDS (fenoprofen, ibuprofen , ketoprofen, naproxen sodium,)
- Magnesium
- MIG-99 (feverfew)
- Riboflavin
- Subcutaneous Histamine
Nhamba C Mishonga yakagadzirirwa kuva "inogona kubudirira." Mienzaniso inosanganisira:
- NSAIDs (flurbiprofen, mefenamic acid)
- Co-Q10
- Estrogen
- Antihistamine: cyproheptadine
Nhamba U Mishonga yakagadzirirwa kuva "isina kukodzera" nemhaka yezvidzidzo zvinopesana. Kuongorora kunopesana kunoreva kuti apo dzimwe dzidzo dzinotsigira kushandiswa kwemishonga yekudzivirira migraine, vamwe vanopesana nekushandiswa kwayo. Mienzaniso inosanganisira:
- NSAIDs (aspirin, indomethacin)
- Omega-3
- Hyperbaric oksijeni
Nhungamiro idzi zvakare dzinotaura nezvemishonga inonzi "zvichida kana kuti zvisingabatsiri." Montelukast (Singulair) muenzaniso wemishonga ingangodaro isina kubatsira pakudzivirira migraine kurwisa.
Ndinogona Kutora Ibuprofen Kudzivirira Mvura Yangu Yomugungwa Here?
Maererano nemitemo inotevera, zvingava zvine musoro kutora ibuprofen kudzivirira episodic migraines. Izvozvo zvichiti, kuongorora kuongorora basa reNSAID mu migraine kudzivirira achiri kunyanya. Nezvo, zvinowanzoitika kuti chiremba wako achakurudzira zviri nani-kutsvakurudzwa migraine mishonga yekudzivirira seyo anticonvulsant Topamax (topiramate) kana beta blocker, se metoprolol kana propranolol.
Mukuwedzera, NSAIDs dzine mikana yakawanda inogona kuva nemigumisiro yakaipa uye inofanira kudziviswa nevamwe vanhu, kunyanya avo vane nhoroondo yekubuda ropa, chirwere chepfungwa, uye / kana chirwere chemwoyo. Ichi ndicho chikonzero kuti zvakakosha kugara uchitaura nachiremba wako usati watora mishonga ye-over-the-counter kuti uone kuti yakachengeteka kwauri.
Uyewo, tapota ona kuti NSAID dzinoumba boka guru remishonga, mamwe acho anyore seNhare B kana "zvichida kubudirira" (somuenzaniso, ibuprofen) kusvika kuUnited U kana "kusakwanira" (somuenzaniso, aspirin).
Kungoti iwe uri kutora NSAID kune imwe mamiriro ezvehutano hazvirevi kuti ndiyo yakakodzera yekudzivirira migraines yako.
Shoko Rinobva
Ngatitorei danho shure. Yeuka, mirayiridzo inofanirwa kubatsira "kutungamirira" chiremba wako mukurapa musoro wako. Hazvireve kuti zvinoreva kuti mumwe mushonga unokunda iwe. Chiremba wako anofanira kufunga nezvimwe zvinhu zvehutano hwako zvakadai se:
- Rudzi rwemigraine unotambura kubva.
- Zvimwe zvirwere zvehutano iwe unotambura kubva mukuwedzera kune migraines, kufanana nekuora mwoyo kana kuwedzerwa kweropa.
- Pasinei nokuti uri mumakore ekubereka kwako seimwe nzira yekudzivirira mishonga yekudzivirira inogona kuva nemigumisiro yakaipa ye fetal.
- Zvimwe zvinokonzerwa ne-migraine zvinodzivirira mishonga.
- Izvo zvinogona kurapa mishonga zvakanyanya kunyanya kuora musoro kana kufambira mberi kwepisodic kune chisingagumi migraine.
Pfungwa yekupedzisira inonyanya kukosha. Chinhu chekupedzisira iwe unoda kuti chive nemishonga inonyanyisa misoro paunenge uchiedza kudzivirira wako migraines-kaviri whammy.
Sources:
Musoro weKutsanangurira Komiti yeAustralia Headache Society. (2013). "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia, 33 (9): 629-808.
Holland, S., Silberstein, SD, Freitag, F., Dodick, DW, Argoff, C., & Ashman, E. (2012). Evidence-based based guideline update: NSAIDs nezvimwe zvirongwa zvinowirirana zvepisodic migraine kudzivirira kuvanhu vakuru. Neurology, 78: 1346-1353.