Kuongorora hutano chimwe chinhu chinetso, asi kuwana rubatsiro rwemishonga inoshanda kune mumwe munhu, inogona kunge yakaenzana kana isinganyanyisi. Pamusoro pemasumbu emasumbu , kune mimwe miviri inobvisa uye inopedza mishonga, pamwe chete nedzimwe nzira dzokurapa - kune avo vasingatauri kumishonga. Ngatimbokurukurai kurapwa uku pasi apa.
Mishonga yakanyanya
Oxygen ndiyo imwe mhando yerapa yakaoma inoshandiswa mumusoro wemusoro.
Nhamba yacho inowanzoita 100% oxygen inhaled at 7-10L / min kwemaminitsi 15-20. Chimwe chivimbiso chemu okisijeni ndechekuti pane zvisingabatsiri. Kune rumwe rutivi, kuwanika kwetangi ye okisijeni chero nguva, uye kukanganisa kutakura kune zvakapoteredza, kunogona kuva mutoro.
Triptans , kunyanya sumatriptan (Imitrex) uye zolmitriptan (Zomig), zvakawanikwa kuti inoshanda pakusunungura misoro yemasumbu. Dzira yacho inowanzoita 6mg ye-subcutaneous-injected nenyuchi mumafuta-sumatriptan, 20mg we sumatriptan intranasally, kana nemumhino, kana 5-10mg yezvmitriptan intranasally. Sezvakaita nezvose triptans, mishonga iyi inofanira kudziviswa mukudzivirira uye kune vanhu vane chirwere chemoyo uye vasingadzori kutenderera kweropa. Zvimwe zvinokonzerwa ne triptans zvinosanganisira: keusea, paresthesias , kuneta uye chifuva kana kuti kuvharwa kwehuro.
Dihydroergotamine (DHE 45, Migranal) inosarudzwa - kunyange zvisingawanzoshandiswa - kuderedza misoro yemasumbu.
Kufunga-kana kuti kuburikidza nehutachiona-kutungamirirwa kunofungidzirwa kuti ndiyo inonyanya kushanda-kunyange, izvi zvinopera nekuda kwenguva shoma yekusangana kwemasumbu. Dihydroergotamine haigoni kushandiswa pamwe chete ne triptans, pakuzvitakura, kana kune vanhu vane chirwere cheropa chisina kunaka uye / kana chirwere chemwoyo.
Lidocaine anogona kupa rubatsiro rusinganzwisisiki rwemusoro wemasumbu uye dzimwe nguva anoshandiswa mukubatana ne sumatriptan. Lidocaine inopiwa nemadonhwe emvura, uye munhu akarara pasi nemusoro wake akatendeukira kune rumwe rutivi rwekutambudzika.
Octreotide - mishonga inofanana nehomoni inonzi somatostatin - inogona kusarudzwa kune vanhu vane chirwere chepfungwa uye masumbu emasumbu, sezvo kushandiswa kwayo kusingapindirani mune izvi varwere. Somatostatin ihomoni inobvisa kusunungurwa kwezvinhu P -protein inobatanidzwa mumutemo wekutambudzika. Migumisiro ye octreotide inosanganisira kurwadziwa kwepamuviri, kurwadziwa kwepamuviri, kusuruvara kwepamuviri uye shuga yakakura.
Preventive Medications
Verapamil imishonga inoshandiswa kuporesa ropa rakanyanya, asi inoshandiswawo kudzivirira misoro yemusoro. Paunenge uri pane verapamil, chiremba wako achaongorora moyo wako uye rhythm. Kuvhara iyo ndiyo inowanzosvibiswa pamagetsi e verapamil.
Lithium inowanzosarudzwa kechipiri kune verapamil pamusana pemishandisirwo yakawanda yezvinodhaka, uye zvinogona kuva nemigumisiro yekudhakwa uye zvinokuvadza pamakumbo nehutachiona. Migumisiro inogona kusanganisira kubuda, kudengenyeka, uye kuwedzerwa kunyura.
Topiramate (Topamax) ndeimwe nzira yechipiri yekurapa kwekudzivirira kwemasumbu emusoro.
Migumisiro inogona kusanganisira: kuora kurasikirwa, kuneta, chizivo, paresthesias, kusanganisa kusagadzikana, uye kugadzirisa kuchinja.
Mimwe mishonga inodzivirira inosanganisira mishonga inorwisa-seizure yakadai seGabapentin (Neurontin) uye Valproic acid - iyo inogona kukonzera migumisiro yakadai sekurema uye kuneta. Valproic acid inodawo kuongororwa ropa, kunyanya chiropa.
Botulinum toxin - inozivikanwa nezita rekutengeserana Botox - rinoshanda nekudzivirira hukama hwehutano. Mumwe wekudzidza 2007 mu Journal of Headache uye Pain akawana kuti Botox inogona kubatsira senzira yekuchengetedza inorapwa kune nhamba shomanana yevarwere vane musana unopera musumbu.
Corticosteroids - kufanana ne-prednisone - inogona kushandiswa kugadzirisa masimba echisumbu uye kupa chirongwa chekuchengetedza kwenguva pfupi. Zvinosuruvarisa, zvinowanzoita kuti misoro idzoke zvakare sezvo prednisone inopera.
Ko Kana Ndikasapindura Mishonga?
Varwere vanoramba vachiine misoro yemusoro musinei nemishonga inogona kuwedzera kurapwa kunopisa, sezvinongoita nharo dzinopinza kana hukuru hwehuropi hunokurudzira. Aya maitiro anobuda anotakura zvinetso zvake uye anoda kunyatsofungisisa newe, chiremba wako, uye chiremba wako.
Tora-Pamba Pamba
• Musoro wemusoro weCluster unorwadza musoro unoshungurudza kune izvo zvose zviri zviviri zvakagadzirisa uye zvinodzivirira kurapa zvinowanika.
• Kunyange zvazvo vazhinji veboka remasumbu vakagadzikana kune rimwe regimen yemishonga, zvinowedzera kushandiswa zvakadai sekudzika kwehupfungwa kana hutachiona hunogona kufungidzirwa - kunyange ivo vanotakura zvinetso zvavo pachavo.
• Iva murevereri wehutano hwako uye uve wakananga neweurologist yako kana nyanzvi yemusoro pamusoro pemasumbu ako ekurapa kwepfungwa. Iva nesimba pamusoro pezvinhu izvi zvinokonzera musoro uye uwedzere hupenyu hwako.
Sources
Ashkenazi A & Schwedt T. Cluster nyuchi - chirwere chakanyanya uye chinonzi prophylactic. Headache . 2011 Feb; 51 (2): 272-86.
Beck E, Sieber WJ & Trejo R. Kutungamirirwa kweCluster Headache. Ndiye Chiremba weNzara . 2005 Feb 15; 71 (4): 717-724.
Caleri D, Marabini S, Panconesi A & Pietrini U. Nzira yezvemasvomisitiri yekufananidza nzira yekugadzirisa masatostatin mumasumbu echisumbu. Ric Clin Lab . 1987 Apr-Jun; 17 (2): 155-62.
Musoro weKutsanangurira Komiti yeAustralia Headache Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Sostak P, Krause P, Förderreuther S, Reinisch V, & Straube A. Botulinum chekisi-tachirapa mumasumbu echisumbu: chidzidzo chakazaruka. J Headache Pain . 2007 Sep; 8 (4): 236-41.
Weaver-Agostoni J. Cluster musoro. Ndiye Chiremba weNzara . 2013 Jul 15; 88 (2): 122-8.
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 .