Zvinyorwa Zvokurapa Kuti Uchengetedze Kurera
Migraine misoro inogona kukunda chero nguva, uye kuvabata hakusi nguva dzose yakakodzera, saka zvingave zvakakunakira kudzidza zvakawanda pamusoro pekudzivirira migraine. Kana iwe uchitambura kubva kune dzimwe nguva migraines , mutapi wako wehutano anogona kukurudzira kurapwa kwekudzivirira kwete pane nyore kubvisa kubvisa mishonga. Mishonga inotenderwa neDAA inogamuchirwa inoshandiswa kugadzirisa migraine, asi zvimwe zvingasarudzwa zvinogona kushandawo.
FDA-Inogamuchirwa Mishonga
Zvokudya neDrug Administration zvakagamuchira mishonga mina ye migraine kudzivirira , kana prophylaxis. Ivo ndivo propranolol (Inderal), timolol (Blocadren), topiramate (Topamax) uye divalproex sodium ( Depakote ). Izvi zvinonzi "mushonga wokutanga" mune migraine prophylaxis. Kune dzimwe nguva apo iwe unogona kusakwanisa kuvabvumirira nekuda kwemigumisiro kana kuti chimwe chezvokurapa kwekutanga chisingabatsiri. Kana izvi zvichiitika, mupi wako wehutano anogona kupa imwe mishonga inogona kubatsira. Izvi zvinowanzonzi kushandiswa kushandisa mushonga "off-label." Izvi zvakajairika uye zvinogona kunge zviri mhinduro yakanakisisa kwauri.
Beta-Blockers
Beta-blockers mishonga inowanzoshandiswa mukurapa kukwirira kweropa ( hypertension ), asi kune zvimwe zvimwe zvinoshandiswa kwavari. Propranolol uye timolol zvose zviri zviviri beta-blockers. Zvimwe zvinogona kuedzwa mumishonga yekurapa zvinosanganisira atenolol (Tenormin), kwenguva refu-metoprolol (Toprol XL) kana nadolol (Corgard).
Migumisiro yakajairika inosanganisira kuneta, kuora mwoyo, chizuru, kusuruvara, uye kuora mwoyo. Kupindirana kwekushandisa kwavo kunosanganisira hypoglycemia inosangana nechirwere cheshuga, hypotension , asthma kana mamwe mamiriro emwoyo.
Antidepressants
Amitriptyline is antidipressant inozivikanwa se tricyclic antidepressant (TCA). Kunyange zvazvo kwete FDA-yakagamuchirwa kudzivirira migraine, kwakave nekuongororwa kwakawanda kuratidza kuti amitriptyline inogona kuva inoshanda yeprophylactic mishonga.
Inoratidzika kunge inonyanya kubudirira kana uine migraines inotora maitiro akasiyana-siyana kana ane zvinhu zvinowanzobatwa mumusoro wemusoro. Amitriptyline inogonawo kushanda apo migraine vane chirwere chekusuruvara kana kuora mwoyo kunofamba nemusoro. Migumisiro yakajairika inosanganisira kurara, kuwandisa, uye kuoma muromo.
The Selective Serotonin Reuptake Inhibitors (SSRIs), yakadai sa fluoxetine (Prozac), dzimwe nguva inoshandiswa mukudzivirira migraine, asi kutsvakurudza hakusi kutsigira kushandiswa kwavo kwose kwose.
Anticonvulsants
Anticonvulsants mishonga pakutanga inotarisirwa kubata chirwere chekufa. Iine zvimwe zvinoshandiswa zvakare, kusanganisira kudzivirira migraine misoro. Divalproex (Depakote) iri FDA-inogamuchirwa, uye zvidzidzo zvakawanda zvinotsigira kushandiswa kwayo. Matumbu emigumisiro inowanzoshamisa asi inoderera sezvo nguva inopfuura. Varwere vane pamuviri nevaya vane chirwere chechiropa kana nhoroondo yepascreatitis havafaniri kuishandisa zvachose.
Topiramate (Topamax) mumwe anticonvulsant inoita sechisarudzo chakanaka chekudzivirira migraine. Migumisiro yakajairika inosanganisira kuneta uye kuora mwoyo, kunyange zvazvo madhodzi maduku asina kukonzera zvinetso zvakawanda.
Zvimwe Zvasarudzo
Kune mimwe miviri yemishonga inoshandiswa kudzivirira migraines, hapana yeiyo yave yakave yakagamuchirwa neCDA panguva ino.
Lisinopril (Zestri), anACE-inhibitor inoshandiswa mukurapa huwandu hwehutano, yakaratidza chivimbiso chekudzivirira migraines. Candesartan (Atacand) inonzi angiotensin receptor blocker (ARB) iyo, maererano nekumwe kutsvakurudza, inogona kushanda mumigraine prophylaxis.
Calcium channel blockers ropa rinoshandiswa nemishonga yakave yakashandiswa pakugadzirisa migraine. Pane zvishoma zvehuchapupu hwezvesayenzi hunotsigira kushandiswa kwavo, kunyange kune humwe uchapupu husina simba hunoreva verapamil (Calan) inogona kubatsira.
Nguva isingashandisi antisteroidal anti-inflammatory drug (NSAID) inoshandiswa inogona kuva nengozi nekuda kwezvinetso zvepamuviri zvinogona kukonzera, asi kune dzimwe mamiriro apo NSAIDs inogona kubatsira mukudzivirira migraines, kunyanya naproxen (Naprosyn).
Kutora NSAID zvisati zvaitika uye panguva yekutanga kwemwedzi kunogona kubatsira pakudzivirira kuenda kumwedzi migraines .
Sources:
Drugs for migraine. Mishonga yekurapa kubva kuThe Medical Letter , 2004; 2: 63-66.
Migraine. National Headache Foundation. Kudzorerwa: December 9, 2008. http://www.headaches.org/education/Headache_Topic_Sheets/Migraine
Modi S, Lowder DM. Mishonga ye migraine prophylaxis. Ndiye Chiremba weNzara . 2006 (10): 1685. Kudzorerwa: December 9, 2008. http://www.aafp.org/afp/20060101/72.html
Tronvik E, Stovner LJ, Helde G, Sand T, Bovim G. Prophylactic kurapa migraine ine angiotensin II receptor blocker: kuedza kusinganzwisisiki kutongwa. JAMA , 2003; 289: 65-9.