Mishonga yeMigraines, Kupopotedzana musoro uye Cluster Headaches
Famba pasi marwadzo ekurwadza kereke chero ipi zvayo yemishonga uye iwe unogona kutora nyore. Zvinoratidzika kusingaperi kwemhando yemishonga inowanika kurapa misoro isina musoro. Iwe unoziva sei kuti ndeipi yakakunakira iwe? Izvo zvinowanzoenderana nezvikonzero zviviri: ndechipi chisingagumi musoro musoro iwe unacho, uye kuti kurwadziwa kwepfungwa kwako kwakanyanya sei.
Mishonga ne Headache Type
Nemhaka yekuti kune marudzi akawanda emusoro wemusoro , kune marudzi mazhinji emishonga kune avo.
Zvizhinji, zvisinei, zvinowira mumapoka maviri: mishonga inorwadza yaunotora zuva rimwe nerimwe kudzivirira hutano (inozivikanwa seprophylactic), uye mushonga unotora mushure mekunge musoro unotanga (unozivikanwa sekubvisa).
Kubvisa pamuviri mishonga inogona kuwanikwa pane-the-counter kana nemishonga uye inotorwa panguva yekurwisa asi mishonga inorwadza yeprophylactic inotorwa nguva dzose kudzivirira misoro isina kugadzikana kubva pakuumba, uye kazhinji inoda chiremba chiremba. Mimwe mhando yemusoro usina musoro inoda mhando mbiri dzemishonga.
Mishonga yeMigraines
Migraines inowanzobatwa nemishonga nguva dzose yekudzivirira prophylactic mishonga asi mishonga yekubvisa pamuviri inobatsira pakupedza kurwadziwa kwemigraine. Vazhinji prophylactic mishonga inoda nguva yekuvaka, uye haisi kuzobudirira pamigraine kudzivirira kwemavhiki mashoma.
Nemhaka yokuti migraines haina maitiro eropa, vazhinji veprophylactic mishonga vanoita nekuchinja nzira iyo uropi inopindura kune zvimwe zvinokonzera.
Zvinogona kutora miedzo yakawanda kuwana mishonga inoshanda kuburikidza nekurwadziwa kwako kwemigraine.
- Tricyclic vanodzvinyirira . Inorongedzerwa mumadokisi maduku kudarika kuchipatara kuora mwoyo, tricyclics dzakadai samamitriptyline uye nortriptyline inogona kubatsira kudzivirira migraines vasati vatanga.
- Zvimwe zvinodhaka mwoyo . Serotonin-reuptake inhibitors (SSRIs) haisi nguva dzose inoshanda se tricyclics, asi inotungamirira migraines mune vamwe vanhu. Kazhinji SSRIs ye migraines inosanganisira fluoxetine uye sertraline.
- Beta blockers . Kazhinji inoshandiswa kugadzirisa ropa, beta blockers inogona kuderedza migraine frequency kana kuti simba pazvinotorwa nguva dzose. Propranolol uye timolol zvinowanzorongedzerwa nokuda kwechinangwa ichi.
- Calcium channel blockers . Kunyange zvazvo vangazotora vhiki dzakawanda kuti vabudirire, calcium channel blockers yakadai se verapamil inogona kubudirira mukudzivirira migraine kurwisa. Dzimwe calcium channel blockers dziri kuongororwa nekuda kwechinangwa ichi.
- NSAIDs . Nonsteroidal anti-inflammatory drugs like aspirin uye ibuprofen inogona kutorwa semishonga inobvisa pamuviri. Zvisinei, vamwe vanachiremba vanorayira kuti vashandise kushandisa prophylactic zvakare.
Dzimwe migraine prophylactics dzinosanganisira anti-seizure mishonga asi iyo inowanzotorwa sechisarudzo chekupedzisira nekuda kwemigumisiro yavo uye inogona kutyisa. Pari zvino, zvidzidzo zviri kuitwa kuti zviongorore kushanda kweiiiotensin-kuchinja enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), botulinum inonzi A (Botox), vanopikisa leukotriene uye dopamine agonists.
Mishonga Yokuderedza Musoro Musoro
Mishonga inowanzoshandiswa pamishonga yekurwadziwa kwepacheche inosanganisira:
- Tricyclic vanodzvinyirira . Tricyclics dzakadai seamitriptyline uye imipramine inoshandiswa seprophylactics, kudzivirira kushungurudzika kwemusoro kutadza kuumba munzvimbo yekutanga.
- Sedatives . Kazhinji zvinoshandiswa kudzora kuzvidya mwoyo, dzimwe nguva dzinobatsira munguva shomanana yekurwadziwa kwepfungwa kunetseka, kunyanya kana ichibatana nekunetseka. Izvi zvinosanganisira alprazolam uye clonazepam.
- NSAIDs . Ibuprofen uye naproxen zviripo pane-the-counter, asi kuwedzera kwakasimba kunoda chiremba chiremba. Iko inoshanda mukudzivirira kugadzikana kusvika pakuenzanisa kunetseka kwepfungwa kurwadziwa.
- Opioids . Opioid yakadai se codeine kana hydrocodone inogona kushandiswa kurapa hutano hwakanyanya hwemusoro misoro mushure meNSAID inoratidzika kuti haina kubudirira.
Basa reBotulinum Sumu A, mishonga inorwisa-seizure uye musikana unozorodza mukudzivirira kusagadzikana kwepfungwa misoro ikozvino kuongororwa.
Mishonga yeCluster Headache
Nemhaka yekuti masero akawanda emasumbu anoshungurudzwa anogara kwenguva pfupi, mishonga yeprophylactic inowedzera kuva yakanakisisa kupfuura kubvisa mishonga. Mimwe yemishonga yakajairika inoshandiswa kudzora misoro yemasumbu mashoma inosanganisira:
- Calcium-channel blockers . Sezvakaita migraines, verapamil inowanzo calcium-channel blocker yekushungurudzwa kwemusoro kwemasumbu, kunyange zvazvo yakagadzirirwa kurapa chirwere chemwoyo.
- Lithium . Kazhinji inoshandiswa kurapa bipolar disorder, lithium inogona kushandiswa payo kana inosanganiswa nemimwe mishonga yekudzivirira misoro yemasumbu.
- Anti-seizure drugs . Valproate uye topiramate zvakagadzirirwa kubata chirwere chekufa. Kunyange zvakadaro, vakaratidza kuti vanobatsira pakuronga masheji echisimba kakawanda.
- Capsaicin . A nasal-spray version ye capsaicin, aticalical analgesic, yave inenge 50% inoshanda mukuderedza kuwanda kwemaziso emasumbu mumakiriniki.
- Transitional agents . Shanduko yemishonga ndiyo mishonga inoshandiswa kugadzirisa munhu mushure mekurwa kwemusoro kwemasumbu. Izvi zvinosanganisira ergotamine uye prednisone.
Botulinum toxin A uye baclofen, iyo yose iyo inowanzoshandiswa kuderedza musikana kuderera, ikozvino iri kuongororwa nokuda kwekugona kwavo kuderedza kuwanda kwemasumbu ekurwadziwa kwepfungwa.
Kupfuura Mishonga
Mishonga haisiyo chete yekugadzirisa kurwadziwa kwepfungwa kusingaperi. Muzvokwadi, mimwe mishonga inobatanidza uye yakasiyana-siyana (CAMs) inowanzoshandiswa nokuda kwechinangwa ichi. Izvi zvinosanganisira yoga, kuisa muviri, kuputika, uye aromatherapy.
Mukuwedzera kumishonga uye CAMs, kutsvaga nzira dzokugadzirisa nadzo kubata nemishonga isingagumi kunogona kufamba nenzira yakareba yekudzivirira nekudzivirira kurwadziwa. Tarisa mazano mapoka uye maforamu, sanganisira mhuri yako neshamwari uye ugadzirise hukama hwakanaka nachiremba wako. Kana yakabatanidzwa nemishonga yakarurama, kugadzirisa nzira kunogona kukubatsira kuti utambure musoro wako usingaregi kutungamirirwa.
Sources:
National Headache Foundation. Musoro wemusoro: Inowanzobvunzwa Mibvunzo. http://www.headaches.org/headache-faq/
National Pain Foundation. Headache Pain Medications.
University of Maryland Medical Center. Migraine Headache.