Scientific Recommendations pamusoro pemishonga Migraine
Kurapa vana nevechiri kuyaruka vane migraines kwakaoma. Izvi ndezvokuti kune tsananguro yekutsvakurudza kwesayenzi pamusoro pemishonga inobata vana, iyo yakasiyana nevakuru vakuru.
Ngatimbokurukurai izvo vamwe vadzidzisi vanoti pamusoro pokurapa nekudzivirira migraines muvana.
Mazano kubva kuAAN pakurapa Migraine muvana
IAmerican Academy of Neurology (AAN) Quality Standards Subcommittee uye Komiti Yedzidzo ye Child Neurology Society yakapa mazano muna 2004 pakurapa nekudzivirira migraines muvana nevechiri kuyaruka.
Dare rakaratidza uye rakadzidza 166 nyaya. Kubva pakuongorora kwavo kwezvinhu zvose zviripo, nhengo dzekomiti vakaita zvirevo zvinotevera:
Nokuda kwakanyanya kurapwa kwemagraine kurwisa:
- Ibuprofen inoshanda uye inofanirwa kutarisirwa nekuda kwechirwere chekugadzikana kwemasimba ekurwisa vana (makore anopfuura 6).
Tylenol (acetaminophen) inogona kunge inoshanda uye inofanirwa kutaridzirwa nokuda kwekurapa kwakanyanya kwekudzivirira migraine muvana.
Imitrex / Imigran (Sumatriptan) inonzi spray spray inoshanda uye inofanirwa kutarisirwa nekuda kwekurapa kwakanyanya kwekurwiswa kwemagraine muvechiri kuyaruka (makore anopfuura 12).
Kwakanga kusina data, rakanaka kana kuti risina kunaka, maererano nekushandiswa kwemuromo chero upi zvake (nemuromo) triptans muvana kana vari kuyaruka.
Iko kusina kukwana kwekutsvaga kubatsirwa kwemukatikati (pasi peganda) sumatriptan.
For therapy daily preventive :
Flunarizine inogona kushanda uye inogona kuongororwa asi haisi kuwanika muUnited States.
Pane uchapupu husina kukwana hwekuita chero mazano pamusoro pekushandiswa kwePeriactin (cyproheptadine), Elavil (amitriptyline), Depakote (divalproex sodium), Topamax (topiramate), kana Keppra (levetiracetam).
Nokuti uchapupu hunopesana, mazano haagoni kuitwa maererano neInderal (propranolol) kana Desyrell (trazodone).
Sandomigraine (Pizotifen) uye Nimotop (nimodipine) uye clonidine haina kuratidza kubatsirwa uye hazvikurudzirwi.
Zvimwe Scientific Thoughts on Treating Pediatric Migraine
Vanyori vegore ra2008 munyaya ye Journal of Pediatric Pharmacology and Therapeutics vakarondedzera kuti Ibuprofen naTylenol (acetaminophen) vanobatsira uye vakachengeteka kune vana vasati vava nemakore gumi nemaviri. Vakataura zvakare kuti kune vechidiki, kana Ibuprofen neTylenol (acetaminophen) isingashandisi, triptan inogona kufungwa-pasinei nokuti triptans haisi FDA-inogamuchirwa kune vechidiki. Izvo zvinotaurwa, Imitatex chete (sumatriptan) uye Zomig (zolmitriptan) nasal spray yakawanikwa ichibudirira mune zvidzidzo pakuderedza migraines yakaoma muvechiri kuyaruka.
Zvimwe Scientific Thoughts on Prevention of Pediatric Migraine
A 2013 kudzidza muna Jama Pediatrics inowanzobvumirana nemitemo yeAAN mukuti hakuna humwe uchapupu hunowanzoshandiswa mishonga yekudzivirira, sa clonidine, pizotifen, propranolol, uye valproate, inoshanda. Vaitaurawo flunarizine sekusakwanisa kuenzaniswa nekuenzanisa ne placebo, iyo inofungidzirwa neAAN ingave yakakosha. Izvo zvinotaurwa, nhamba inowanikwa yevana nevechiri kuyaruka (30 muzana inorondedzerwa nechimwe chidzidzo) ne migraine misoro inogona kunge inoda mishonga yekudzivisa migraine pane imwe nguva.
Izvi zvinongomirira kudiwa kwekukurumidza kwemashure makuru, anoromized, placebo-anorongedzwa pamusoro pekudzivirira chirwere chemwana migraine.
Nzira dzekuita maitiro ekubatisa migraines muvana
Zvakakosha kuziva kuti mishonga haifaniri kuva iyo chete kurapwa kwemishonga yevana. Mararamiro emitemo uye kuzivisa nekugadzirisa zvinokonzera zvinokonzera , kana zvisina kukosha. Mienzaniso yenzira dzaunogona kunzwisisa zviri nani mwana wako migraines ndekubatanidza kurwisa kwavo nemitemo yakadai se:
- kurara maitiro
- caffeine consumption
- zvokudya zvinotarisirwa
- kurovedza muviri
- kushungurudzika kumba uye kuchikoro
- kupedza mabasa
Shoko Rinobva
Zvose mune zvose, kutora mharidzo yemusha pano ndeyekuti kune kushaya kukuru kwezvidzidzo pamusoro pevana vane migraines, zvose mukudzivirira ivo uye kuvabata. Izvozvo zvichiti, nehutano hwakanaka hwehutano uye hutsika migraine chirongwa, mwana wako anogona kuwana zororo. Ramba uri mubatsiri wehutano hwemwana wako.
> Sources:
> Brenner M & Lewis D. Mushonga weMigraine Headaches muvana nevana vaduku. J Pediatr Pharmacol Ther. 2008 Jan-Mar; 13 (1): 17-24.
> El-Chammas K. Pharmacologic kurapwa kwepfungwa dzemusoro: meta-analysis. JAMA Pediatr. 2013 Mar 1; 167 (3): 250-8.
> Lewis D et al. Dzidzira Pararameter: Kurapa kwemishonga yekurapa musoro kwevana nevechiri kuyaruka: mushumo weAmerican Academy yeNeurology Quality Standards Subcommittee uye Komiti Yedzidzo ye Child Neurology Society. Neurology 2004 Dec 28; 63 (12): 2215-24.