Musanganiswa Wezvinetso
Kana iwe uchitambura kubva kune-migraine, unoonawo here queasy uye kusagadzirisa gomba-mu-yako-gut sensation inozivikanwa neuseusea? Nausea inogona kuitika mukati mehutano hwehutano hwakawanda kusanganisira zvirwere, zvirwere zvepamuviri uye zvinetso zvepfungwa. Migraines, zvisinei, iyo inonyanya kukosha yekunyunyuta. Ngatitsvakei kusanganiswa uku kwakaoma kwemusoro uye kushungurudzika zvakanyanya.
Ingano Yakaoma
Chiitiko chekushungurudzika kwemigraineurs ndechekuti wese anozivikanwa uye ane mutoro. Kune matambudziko maviri makuru anowanzoitika nekuda kwekunyunyuta kunofambidzana nemarwadzo edzimusoro:
- Nausea kazhinji inowedzera kakoderedza kusagadzikana kwehondo.
- Nausea inoita kuti kubvisa pamuviri kurapwa kwemigraine kuve kwakaoma.
Inonyanya kukosha sei Nausea Munguva yeMigraine Attack?
Mune rumwe ruzivo rweMusoro , rwevanhu vanosvika 6500 avo vakatambura ne episodic migraines, hafu vane ruzivo rwepamusoro-kuru rwekunyunyuta , runotsanangurwa sokunyunyuta kunoitika ≥ hafu yenguva ine musoro. Vanenge makumi matatu kubva muzana vakataura vachiona kushungurudzika kwechinguva kudarika hafu yenguva pamwe nemigraine yavo, uye zvishoma pane makumi maviri kubva muzana vanoti havana kumboita kana kuti havasati vasangana neuseaaa. Chidzidzo chacho chakatorawo kuti kukwirira kwevhunduka kwakanyanya kune vakadzi kupfuura varume.
Dambudziko # 1: Nausea Inogadzirisa Migraine Attack
Ongororo iri pamusoro apa muHemisache yakaonawo kuti avo vakagadziriswa neuseusa vane misoro yavo vaiwanzoona zvimwe zviratidzo zvemigraine zvakadai se: photophobia , phonophobia , kurwadza kwepfungwa uye kurwadziwa kwakaipisisa nemabasa echiitiko.
Uyezve, pakufananidza vanhu ne-high-frequency nausea zvichienderana neavo kana kuti zvisingawanzoitiki zvekushungurudzika kwepfungwa nemusoro, avo vane chirwere chekushaya nharo vangave vachida kubuda muzvipatara kubva kumabasa avo kana kuti kuve nokuremara kwemabasa.
Pakupedzisira, muchidzidzo chimwechete, vaigraineurs vakapiwa Musoro weAmpact Impact Test (HIT-6), mubvunzo wechitanhatu-mubvunzo kana muedzo unoshandiswa kuti uone kukosha kwemusoro wemunhu kunoshanda zuva nezuva.
Semuenzaniso, mumwe mubvunzo wekuedza ndewe "Mavhiki masere akapfuura, kangani wakanzwa wakaneta kwazvo kuita basa kana kuita mabasa ezuva nezuva nekuda kwemusoro wako?" Vavatori vechikamu vanopindura kana: "haamboiti, kazhinji, dzimwe nguva, kazhinji, kana nguva dzose. "Zviitiko zvakaratidza kuti pedo nehafu yevaya vane-high-frequency nausea vakawana pane zvakanyanya zvikuru kwazvo HIT-6 nhengo yechikamu.
Dambudziko # 2: Nausea Hinders Treatment
Imwe dambudziko rekutambura kubva kumusoro uye kusuruvara ndeyekuti varwere vanowanzozeza kutora mishonga yavo yemigraine. Kutaura zvazviri, muNational Headache Survey muna 2010, 4 kubva pavatatu vanoenda kune dzimwe nyika muUnited States vakataura kuti vakanonoka kana kudzivisa kunwa mishonga nekuda kwekushungurudzwa kwemigraine uye / kana kurutsa. Kuteerera kana kudzivisa mishonga yemigraine kunongowedzera nguva yekurwiswa kwemigraine, kuwedzeredza kwekushanda kwake uye huwandu hwehupenyu hwehupenyu. Uyezve, kurutsa kana kusuruvara, pachako, kunogona kudzivisa kushandiswa kwemishonga, zvichiita kuti migraine therapy isabatsire.
Chii Chinogadziriswa? Kurapa Kwokudya Kwemusoro uye Nausea
Mashoko akanaka ndeokuti kune zvakawanda zvingasarudzwa kunze uko kuti urove kurwadza kwepfungwa yako, uchifunga nezvekurwadziwa kwako kwema-migraine. Triptans inonzi migraine therapies inowanikwa mune dzakawanda formulations, iyo inogona kushandiswa semishonga yekutanga-mutsara yekuenzanisa kusvika kune yakaoma migraine kurwisa.
Izvi zvinosanganisira: mapapu emvura, mahwendefa anopera nekukurumidza (anobatwa pasinei nekurutsa) uye subcutaneous injections. Aya maitiro akasiyana-siyana emigraine-inoshandiswa mishonga inobvumira kuti zvose zvinyaradzo uye zvigadziriswe kuwedzerwa, kana kugadzirisa kunewo kunokonzera kufungidzirwa uye / kana kurutsa. Yeuka, triptan inopesana nemunhu ane chirwere chemwoyo chinonzi ischemic, chirwere, hachina kutaridzirwa nehutachiona, kana hemiplegic kana basilar migraine.
Antiemetics, yakafanana nemetoclopromaide (Reglan), iyo inogona kupiwa mukati kana kuti kuburikidza nemuviri, inobatsirawo migraine remitemo uye inowanzopiwa mudhipatimendi rekukurumidzira.
Dihydroergotamine ( DHE 45 , Migranal) ndeimwe nzira. Iyi mishonga inojowa kana inotarisirwa intranasally. Kubatanidza intravenous antiemetic uye dihydroergotamine ndiyo inogona kusarudzwa uye dzimwe nguva inoshandiswa munharaunda dzinomhanyira kune zvakanyanya kugadziriswa kwemishonga. Ndapota cherechedza kuti dihydroergotamine haigoni kushandiswa pamwe chete ne-triptans uye inopesana zvachose mukuzvitakura, uye kune vanhu vane chirwere cheropa chisina kudzora uye / kana chirwere chemwoyo.
Dzimwe nzira dzokurapa dzinosanganisira sraid intravenous, kufanana ne dexamethasone , iyo inowanzopiwa kuwedzera kune dzimwe migraine remitambo. Lidocaine chirwere chisina kujairika chemigraines, chinopa rubatsiro rwekukurumidzira, kunyange kudzoka kunowanzoitika. Lidocaine inowanzoshandiswa kuburikidza nemadonhwe emvura, apo murwere anorara pasi nemusoro wake akatendeukira kune rumwe rutivi rwekumusoro kwekunzwa.
Summary
Iko kunotora pamba pano apa ndezvokuti kusuruvara kunowanzoenda kunorwadziwa kwepamuviri, izvo zvinogona kuwedzera kukura kwemagraine uye / kana kuita kuti kurapwa kuve kwakaoma, sezvo migraineurs inowanzodikanwa kutora mishonga nemuromo.
Pane mhinduro, zvisinei, zvakadai se intranasal triptans kana mishonga inopinza / inopinza inogona kugadziriswa mune dhipatimendi rekukurumidzira kana hofisi yechiremba. Kana iwe uchitambura kubva pakuora mwoyo kunokanganisa nemusoro wako, tapota taura izvi nechiremba wako kuitira kuti mamwe maitiro ekurapa mishonga yemuromo anogona kuongororwa.
Sources
Gilmore B & Michael M. Kuchengetedzwa kwemuviri wakaoma musoro wechirwere. Ndiye Chiremba weNzara. 2011 Feb 1; 83 (3): 271-280.
Lipton RB, Buse DC, Saiers J, Fanning KM, Serrano D, Reed ML. Kakawanda uye mutoro wekushungurudzwa kwepfungwa dzine chokuita nemusoro: migumisiro inobva kuAmerica Migraine Prevalence nekudzivirira (AMPP yekudzidza Headache, 2013 Jan; 53 (1): 93-103.
National Headache Foundation. Migraine patient survey. April 2010. Inowanika pa: http://www.headaches.org/NHF_Programs/NHF_Web_Surveys (yakasvika munaNovember 6, 2013).
ZVINOKUDZIDZA: Mashoko ari pano ino ndeongorangariro dzekuziva chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti akupe mazano, kuongororwa, uye kurapwa chero kupi zvayo maererano nezviratidzo kana chirwere chekurapa .