A Well-Tolerated, Safe Treatment for Migraine Isingaperi
Kurapa kwekusingaperi migraines kunotarisa kubatanidzwa kwezviito zvekuita, zvakadai sekudzivirira kusagadzikana, uye kurapwa kwemishonga kana mishonga. Kunyange zvazvo zviyero izvi zvichishanda kune vamwe vanhu, vamwe vanopesana kana kusinganzwisisiki kune nzira dzekugadzirisa dzekuchengeta. Mune zviitiko izvi, mumwe angarangarira zvimwe zvisiri zvechirongwa mishonga, seBotox .
Chii Chinonzi Botox?
OnabotulinumtoxinA, inozivikanwa nezita rebhizimisi rinonzi Botox, inonyanya kubudiswa ne bhakitiriya Clostridium botulinum uye inoshandiswa nekudzivirira hutano hwehutano, izvo zvinoderedza musasa. Botox yakagamuchirwa neDFA muna 2010 nekuda kwekudzivirira kusingaperi kwemigraine.
Botox injection yako yekusingaperi migraine inzira yekukurumidza, inowanzogara maminitsi gumi nemaminitsi gumi nemashanu, ine nzvimbo dzakawanda dzakapoteredza musoro uye mutsipa. Kunyange apo pangava nekunzwa kunopisa kunobatanidza nejisi rimwe nerimwe, kusuruvara kunorarama kwenguva pfupi, uye vanhu vazhinji vanozvigadzirisa zvakanaka.
Botox Inoshanda Here?
Sayenzi shure kweBotox inopika, kunyange zvazvo kusinganisa-kupedza-zvidzidzo kunoratidza kuti chiduku kuenzanisa zvakanaka.
Chimwe chekudzidza muHemisache chakaongorora varwere vanoda kusvika 1300 vane chirwere chisingagumi kubva purogiramu ye PREEMPT. Purogiramu yeEEMEMPT iyi yevhiki yevhiki 56 yekuedzwa kwekliniki inoongorora kushandiswa kweOnototulinumtoxin A sechirwere chisingaperi chisingagadziriswe migraine.
MuPEMEMPT yekudzidza, vatori vechikamu vakashandurwa kuti vawane majekiseni mumusoro nemutsipa weOnabotulinumtoxin A inopesana nejeri ye placebo masvondo gumi nemaviri nemakwikwi mashanu (31 injection total). Pakati pevatori vechikamu, 35 muzana vakanga vashaya 3 muromo wekudzivirira migraine remitambo, asi 65 muzana vakanga vakundikana imwe.
Vose vakanga vaongororwa nezvisingagoneki migraine. Vatori vechikamu uye Botox injectors vose vakanga vasina bofu kune kurapwa, zvichireva kuti vakanga vasingazivi kuti majekiseni api aakagamuchira (Botox nerebobobo).
Mhinduro yakaratidza kuti avo vakagamuchira Onabotulinumtoxin A majekiseni aive akawandisa kuderedzwa kwenhamba yemusoro wavo pamagumo ekudzidza nguva (masvondo makumi mashanu). Vaivewo vanowanzotaura nezvemaawa mashoma "pamazuva ekushaya musoro" pamazuva avakanga vane musoro.
Mune chidzidzo chakaparadzana mu Journal of Headache and Pain , 254 varwere vane chisingagumi migraine vakakonzerwa neOneototinintotoin A paGomo reMigraine Clinic muEngland. Vanopfuura 90 muzana yevatori vechikamu ava vakaedza zvitatu zvekudzivirira migraine munguva yakapfuura uye vakakundikana kupindura. Vakatora majovo eBotox mune prototi yakafanana, sezvakaitwa mu PREEMPT kudzidza. Vadzidzi vanochengeta diary kwemazuva makumi matatu asati asvika uye shure kwekugamuchira majekiseni.
Mhinduro dzakaratidza kuti OnabotulinumtoxinA yakagadzikana zvishoma nezvishoma misoro yezuva uye mazuva emurairo nemakore makumi mashanu kubva muzana, uye yakawedzerwa mazuva ezvinyorwa zvisingabhadharwi kubva pakatanga. Iroji yevarwere vakawana inenge 75 muzana kuderedzwa kwemazuva edzimusoro uye mazuva emigraine yaiva 14 muzana uye 24 muzana, zvichienderana.
OnabotulinumtoxinUshandiswawo kwakaguma nokuwedzera kwekuita basa.
Pakupedzisira, chidzidzo muJAMA , icho chaive chiongorori chikuru pamatambudziko akawanda anorongedzwa akaenzaniswa nehutachiona cheputimu A ne placebo, uyewo akaratidza kuti duku migraine-Botox inobatsira. Muchiitiko ichi, vatori vechikamu vaisanganisira avo vane marudzi akasiyana-siyana edzimusoro se: episodic migraine, chronic tension-type headache, uye isingaperi migraine musoro.
Migumisiro inoratidza kuti Botox inobatsira mukudzivirira kusingaperi kwemigraine, asi kwete mu episodic migraine kana chronic tension-type headaches. Zvakakosha kuziva kuti kupera kwakakwana kwehuwandu hwemusoro pamwedzi mukudzidza uku kwakawanikwa kuva kwemazuva maviri kusvika ku3 - zvishoma, asi zvinokosha kune vakawanda.
Zvakafanana nokuve nevhiki imwe chete pamwedzi usingabatsiri musoro.
Chii Chinonzi Downsides yeBotox ?:
Kune rimwe, semishonga chero ipi zvayo, kune mikana yemigumisiro. Muchidzidzo cheJAMA , izvi zvinokonzerwa nemigumisiro yakaonekwa mune vamwe vatori vechikamu vanobatwa nemajoka eBotox kupfuura muboka re-placebo-izvo zvichiti, ivo vasati vashoma, asi zvakakodzera kutaurira.
- Utsi husina simba
- Blepharoptosis
- Ganda rakasimba
- Paresthesia
- Neck stiffness
- Neck pain
Musoro unogonawo kuitika kubva kuBotox injections-zvakanyanya kukanganisa-asi usanetseka, izvi zvinowanzotora nguva pfupi.
Imwe tsvina ndeyekuti Botox inogona kunge yakadhura. Makambani akawanda einishuwarenzi anoda mapepa akawandisa kuti wakundikana mamwe maitiro ekudzivirira migraine asati avhara Botox, uye dzimwe nguva, kunyange izvi hazvishandi.
The Bottom Line
Kuongorora kwakawanda kwesayenzi kuBotox kunobatsira. Izvo zvichiti, Botox inoratidzika kupa humwe rubatsiro mukudzivirira zvirwere zvisingaperi. Zvakanaka kucherechedza zvakare kuti unogona kushandisa Botox pamwe nemamwe mishonga yemigraine-saka inogona kukupa iyo yakawanda yekusununguka kwausina kuwana zvachose nemishonga yako chete.
Sources:
Aurora SK, Winner P, Freeman MC, Spierings EL, Heating JO, DeGryse RE et al. OnabotulinumtoxinA f Headache Toolbox: Botox-A yekuderedza kusagadzikana kweMigraine: Mibvunzo Inowanzobvunzwa kana Kuchirwa kweC inoratidzira Migraine: Kugoverana Kuongororwa kwevhiki 56 PREEMPT Clinical Program. Headache. 2011 Oct; 51 (9): 1358-73.
Jackson JL, Kuriyama A, Hayashino Y. Botulinum Toxin A yeProphylactic Treatment of Migraine uye Mhirizhonga Musoro muAdultsA Meta-analysis. JAMA. 2012; 307 (16): 1736-1745.
Khalil M, Zafar HW, Quarshie V, Ahmed F. Zvakakosha Kuongorora kweKushandiswa kweOnototulinumtoxinA (BOTOX) muTrainingment of Chronic Migraine; Real-Life Data muna 254 Varwere Vanobva kuHull, UK. J Headache Pain. 2014 Sep 1; 15: 54.
Rothrock, JS (2012). American Headache Society. Headache Toolbox .