Zviratidzo uye Zvirwere Zvakare, Zvine Mvere Migraine
Chimiro migrainosus inokanganisa uye inorwadza migraine kurwisa kunogara kwenguva yakareba kudarika inowanzoita migraine-mazuva anopfuura 3-kazhinji kukutumira kune imwe nzvimbo yepamhanho.
Symptoms of Status Migrainosus
Zviratidzo zvemuitiro migrainosus zvakafanana nezvose zvinowanzoita zviratidzo zvemigraine zvinogona kuva, zvisinei kuti migraine ine aura kana kuti migraine pasina aura.
Mhedzisiro huru ndeyokuti mumamiriro ekudzivirira migraine , zviratidzo zvinopfuurira kwemaawa anopfuura 72. Mune maitiro anogara achiita uye asina kanara, kurwadziwa kwepamuviri kunopera maawa mana nemana makumi manomwe nematanhatu. Mumamiriro emitemo migrainosus, pangave pane nguva dzekusununguka kwakakwana kunopera kusvika maawa gumi nemaviri. Izvi zvinowanzokonzerwa nekurara kana mishonga.
Zviratidzo zvemugraine zvinosanganisira:
- Unilateral nzvimbo (rumwe rutivi)
- Kubvambura
- Kurwadziwa kunononoka nekuita basa rakanaka sekufamba
- Chizutu
- Zvichienzanisa kusvika zvakasimba
Mukuwedzera, iwe unofanirwa kunge une imwe yeiyi inotevera:
- Nausea uye / kana kurutsa
- Photophobia (kunzwisisa kune chiedza) uye phonophobia (kunzwisisa kwekunzwika)
Mishonga yeChipimo Migrainosus
Vanenge vose varwere vane chimiro migrainosus vachakuudza kuti nguva dzose migraine mishonga haisi kubatsira. Kunze kwekuedza kuputsa kurwadziwa kwemuviri, kurapwa kwemaitiro migrainosus kunosanganisira kutarisira matambudziko ose ekuwedzera, kufanana nekutsvaga uye kusuruvara kana kupera mvura.
Chimiro migraines inowanzobatwa muimba yekutambudzika . Chirwere chinowanzoshandiswa chinosanganisira intravenous (IV) mvura inoshandiswa uye mishonga yekudzivirira kunyorera uye kurutsa, seprochlorperazine (Compazine).
Mishonga inoshandiswa kuderedza chinzvimbo migraine inogona kusanganisira imwe ye triptans , kunyanya subcutaneous sumatriptan kana dihydroergotamine (DHE), inoteverwa neNSAID inopinza, se ketorolac (Toradol).
Kirasi yemishonga inonzi dopamine receptor vanopikisa, kana dopamine blockers, yakaratidzwa kuti inonyanya kushanda mukurapa chimiro migrainosus. Chikoro ichi chinosanganisira zvinodhaka semetoclopramide (Reglan), fluphenazine hydrochloride (Prolixin) uye chlorpromazine hydrochloride (Thorazine).
Dzimwe nguva steroids se dexamethasone inoshandiswa. Chimwe chiitiko chekudzidza nezvemuenzaniso muduku wakaratidza kuti 80 muzana yevarwere vane chimiro migrainosus vaiva nehurombo hwakanyanya apo pavakatora dexamethasone kaviri pazuva kwemazuva mana.
Intravenous sodium valproate, mishonga inorwisa-seizure, inogona kuongororwa asi kumwe kuongorora kwemazuva ano kwakaratidza kuti inogona kunge isingabatsiri se ketorolac (Toradol) kana metoclopramide (Reglan) uye inofanira kushandiswa nekuchenjerera kune vakadzi vane makore anobereka vana.
Zvaungaita Kana Une Mamiriro Migrainosus
Sezvo nemusoro wemusoro wose, edza kuona kana iwe uine zviratidzo zvitsva kana zviratidzo zvakanyanya kukura kudarika nguva. Uyewo, iva nechokwadi chekuzivisa chiremba wako wehutano kana iwe une migraine inotora nguva yakareba kuti ionekwe sechimiro chekuita migraine.
> Sources:
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> Gelfand AA, Goadsby PJ. Bhuku reNeurologist Rinotungamira Kurwara Kwemigraine muImergency Room. The Neurohospitalist . 2012; 2 (2): 51-59. doi: 10.1177 / 1941874412439583.
> Kusarudzwa Kwemusoro kweKomiti Komiti Yenyika Dzepasi Pose Inonzi Society. The International Classification of Headache Disorders: 3rd Edition (beta version). Cephalalgia. 2013; 33 (9): 629-808.
> Rozen T. Emergency Dhipatimendi uye Inpatient Management of Status Migrainosus uye Intractable Headache. CONTINUUM: Lifelong Learning in Neurology . August 2015; 21 (4, Headache): 1004-1017.