Iwe unonzwa sokuti wakaedza mishonga yese yekubata migraines yako uye hapana chinoshanda here? Kana zvakadaro, iwe hausi woga - uye iwe unogona kunge uri kutambura nevanoramba vachirwara migraine.
Ngationgororei izvo zvinopesana nezvisingagoneki migraine uye izvo masayendisiti vari kuita kuti vanzwisise zviri nani chiitiko ichi.
Zvinoreva Refractory
Kunyengedza kunoreva kusakwanisa kupindura kurapwa - saka vanhu vanorambidza migraines havasi kuwana ruzivo kubva pamigumisiro yakakura yemishonga, uye vanoramba vachikudziridza migraines pasinei nekudzivirira migraine therapy.
Uyezve, kune vanhu vane mafungiro asingagoneki emigraines, misoro yavo inonyanya kuchinja hunhu hwavo hwehupenyu nekushanda kwezuva nezuva.
Maererano neInternational Headache Society, migraine isingagumi inowanikwa mazuva gumi nemashanu kana kupfuura pamwedzi kwemwedzi mitatu.
Maitiro Ekutarisa Kuziva Kwakatsanangurwa
Muna 2008, Refractory Headache Special Interest Section (RHSIS) neAmerican Headache Society (AHS) yakagadzirirwa kurondedzera zvikonzero zvekuregererwa kusingaperi kwemigraine. Kubva panguva iyo, vamwe vatsvakurudzi vakatsanangura tsanangudzo - sezvo pane nharo pamusoro pekutsanangura zvakananga "kusavhiringidza."
Mhando yemishonga isingabatsiri kugadzirisa chirwere chemvura Migraine
Preventive
Maererano nedudziro inorayirwa neRHSIS neAHS, vanhu vane chirwere chisingaperi chisingabatsiri migraine vanoramba vachiine migraine pasinei nekuedza zvinenge zviviri zvezvidziviriro zvekudzivirira migraine :
- beta-blockers
- anticonvulsants (anti-seizure mishonga)
- tricyclic antidepressants
- calcium channel blockers
Abortive
Maererano nenotsanangurwa yakarongedzwa neRHSIS neAHS, vanhu vane zvirwere zvisingagoneki migraines vanoramba vachiine migraine pasinei nekuedza kutsvaga kubvisa migraine mishonga - vachifunga kuti havasi yega yega kana kuti kune zvimwe zvinopesana nazvo kutora mishonga.
- Zvose zviviri triptan uye dihydroergotamine (DHE) intranasal kana injectable
- Chero isina antisteroidal anti-inflammatory ( NSAID ) kana kusanganiswa kwemarwadzo-kuderedza mishonga (semuenzaniso, acetaminophen / aspirin / caffeine kana Excedrin Migraine)
Kuenderera mberi Kuchinja Tsanangudzo
IEuropean Headache Federation (EHF) iri kudzorerazve kugadzirisa kusagadzikana kwenguva refu migraine. Vanoda kujekesa uye kuwedzera pane tsanangudzo yekare mune tariro yokuti izvi zvinogadzira tsanangudzo yakanyatsojeka, yakawanda, uye inogara iripo inoshandiswa mune zvidzidzo zvekutsvaga mune ramangwana.
Rimwe remashoko anonzi EHF anoda kusanganisira kuva nemunhu asingagoneki migraine kuedza onabotulinumtoxinA (Botox) senzira yekuchengetedza - asati aonekwa seanoratidzira.
Vanodawo kuisa majekiseni chaiwo uye akakodzera emigraine mishonga yekudzivirira - sezvinoita dzimwe nguva vanhu vanotora mishonga pane imwe nhamba yakanyanya kuderera kuti iite zvinobudirira, uye yakanyorwa se "kusashanda" kana "kukundikana" nachiremba.
Zvirwere Zvingaita
Kana iwe uchitambura kubva pakurambidza kusingaperi kwemigraines, edza kuti usaora mwoyo. Tsvaga nhungamiro kubva kune nyanzvi yemusoro wako kana nyanzvi yeurourologist pamishonga yemazuva ano - kufanana neBotox - uye ramba uchiita basa mukutarisira kwako uye kukwanisa kurarama .
Sources
Musoro weKutsanangurira Komiti yeAustralia Headache Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Kusarudzwa kweMusoro Kumusoro weCommission Committee ye International Headache Society. "Kushandiswa Kwemarudzi Ese kweHemisache Matambudziko: 2nd Edition". Cephalalgia 2004; 24 Suppl 1: 9-160.
Martellett P et al. Kuratidzira kusingaperi migraine: chibvumirano chekubvumirana pane chirevo chechipatara kubva kuEurope Headache Federation. J Headache Pain . 2014 Aug 28; 15: 47.
Schulman EA et al. Kusarudzira kusavhiringidza migraine uye kukanganisa kusingaperi migraine: mazano anotsanangurwa kubva kune Refractory Headache Special Interest Chikamu cheAmerica Headache Society. Headache. 2008; 48: 778-82.
ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .