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Ungakhuluma nini nodokotela wakho ngemithi kadokotela we-migraine

Ungakhuluma nini nodokotela wakho ngemithi kadokotela we-migraineImfundo Yezempilo

Ukudonsa, ukudonsa ubuhlungu. Ukuzwela ekukhanyeni nasemsindweni. Isicanucanu nokuhlanza. Uma ungomunye we Abantu baseMelika abayizigidi ezingama-38 ababhekana ne-migraine , uyazibona lezi zimpawu. Futhi, ungadinga incwadi kadokotela imithi ye-migraine ukusiza.

Ngubani othinta i-migraine?

Izifundo zilinganisela ukuthi phakathi kuka-10% no-13% wabantu emhlabeni wonke baphila ne-migraine. Eqinisweni, abantu baseMelika abacishe babe yizigidi ezinhlanu babona okungenani i-migraine eyodwa ngenyanga, kanti abangaphezu kwezigidi eziyi-11 bathi i-migraine ibangela ukukhubazeka okulingene kuya kokubi.



Kepha izinombolo ziyahluka kakhulu ngobudala nangokobulili. Abesifazane banamathuba aphindwe kathathu njengamadoda ukuba abe ne-migraine. Cishe u-20% wabesifazane e-U.S. Kanye no-9.7% wamadoda babhekene nekhanda elibi noma i-migraine ezinyangeni ezintathu ezedlule, ngokusho kocwaningo olwenziwe yi- Izikhungo Zase-U.S. Zokulawulwa Nokuvimbelwa Kwezifo (I-CDC). Imibiko yezinhlungu zakamuva ze-migraine zishintshile ngobudala. Isibonelo, ama-24.7% abesifazane abaneminyaka engu-18-44 ubudala babike ukuthi babhekene nekhanda elibi noma i-migraine ezinyangeni ezintathu ezedlule. Kepha phakathi kwabesifazane abaneminyaka engama-75 nangaphezulu, iphesenti labantu abane-migraine yakamuva lalingama-6.3% kuphela.



kusho ukuthini o + uhlobo lwegazi

Ngakho-ke yini umuntu one-migraine okufanele ayenze? Uma ikhanda lakho le-migraine livamile, kungaba yisikhathi sokufuna usizo lochwepheshe.

Imithi ye-Migraine

Uma unekhanda elijwayelekile, ungafinyelela ekunciphiseni izinhlungu okungaphezulu kokuphikiswa okufana ne-naproxen, iTylenol, noma i-Advil. Noma ungavele uphuze amanzi bese ulala egumbini elipholile, elimnyama, elinokuthula isikhashana. Imvamisa, lokhu akwenele ukukhipha i-migraine.



Yize lungekho ikhambi le-migraine, kunezindlela ezimbili eziphumelelayo zokwelashwa kwe-migraine ngemithi, ngokusho kweNational Institute of Neurological Disorders and Stroke e-National Institutes of Health. Indlela yokuqala ukuvimbela ukuhlaselwa yi-migraine, kanti eyesibili ukukhululeka kobuhlungu bezimpawu ze-migraine uma sekuvele ukuhlaselwa.

OKUSHIWO: Hlangana ne-Ubrelvy, umuthi omusha ovunyelwe yi-FDA olapha i-migraine

Imithi kadokotela yokuvimbela i-migraine

I-NINDS ibika ukuthi ukwelashwa kokuvikela i-migraine kubandakanya ukusetshenziswa kwezidakamizwa kanjalo nokushintsha kokuziphatha. Abantu abahlangabezana nekhanda elibuhlungu njalo be-migraine kufanele basebenzise izindlela zokuphatha ukucindezela, njengokuzivocavoca umzimba, ukuzindla, i-biofeedback, nezinye izindlela zokuphumula.



Ngokuvumelana ne Mahan chehrenama , MD, udokotela wezifo zemizwa kanye nochwepheshe we-migraine eMcLean, eVirginia, iziguli kufanele zicabangele imishanguzo yokuvimbela uma ukuhlaselwa kwazo i-migraine kuvamile (ukuhlaselwa okungaphezulu kwesine kuya kwayisithupha ngenyanga) noma kukhubaza kakhulu. Imithi yokuvikela imvamisa isuselwa kudokotela, ngaphandle kwezithasiselo ezithile ezifana ne-magnesium oxide, uthi. Lezi zidakamizwa zokuvimbela zingasiza futhi iziguli ukuthi ziphendule kangcono emithini ekhulula izinhlungu uma kwenzeka i-migraine.

Ngingalinda isikhathi esingakanani ngaphambi kokuthatha uhlelo b

Imithi yokuvimbela ithathwa nsuku zonke, noma ngabe awunakhanda. Zingafaka:

  • Ama-anticonvulsants, njenge I-Topamax (topiramate) noma i-valproic acid
  • I-Tricyclic antidepressants, efana no-Elavil ( amithole noma i-Pamelor ( nolwethu )
  • Abavimbela i-Beta , njengeLopressor ( metoprolol noma i-Inderal ( i-propranolol )
  • I-Botox
  • Ama-block block wesiteshi seCalcium, njengeCardizem ( umabhebhana noma i-Calan ( sibongile )
  • I-CGRP inhibitors, efana ne- Aimovig (erenumab), Ukuba namandla (galcanezumab), noma I-Ajovy (fremanezumab). UVyepti (eptinezumab) ubelokhu kuvunywe yi-FDA , kodwa ayikatholakali emakethe.

OKUSHIWO: Ingabe kufanele uthathe i-Topamax yama-migraines akho?



Imithi ye-migraine ekhipha isisu

Cishe sonke isiguli esifuna ukunakekelwa kwe-migraine sizodinga incwadi kadokotela ekhipha isisu. Le yimithi ethathwa ekuqaleni kwe-migraine ukukhipha isisu noma ukumisa ukuhlaselwa yi-migraine.

Iningi leziguli ezifuna ukunakekelwa ngokwezempilo ngokuphathwa yizinhlungu zekhanda aziphumelelanga ukuzelapha ngempumelelo nge-counter counter-prescription analgesics, kusho uDkt. Chehrenama. Ngakho-ke uma usudlulile ekukhetheni ekhemisi lakho i-Excedrin futhi ikhanda lakho namanje ngeke linyakaze, mhlawumbe yisikhathi sokucela udokotela wakho umuthi kadokotela.



umhlabeleli phezu kwekhawunta umuthi wokungezwani komzimba owozelayo

Ezinye izidakamizwa ezikhipha isisu ziqondene ne-migraine, njengama-triptan. Ama-Triptans isigaba esithandwayo sezidakamizwa. Zisebenza ngokuvuselela i-serotonin ebuchosheni, eyehlisa ukuvuvukala futhi icindezele imithambo yegazi, imise i-migraine. Ama-Triptans afaka i-Axert (almotriptan), I-Relpax ( eletriptan , Frova ( nxangibhabhi ), Ukuhamba (naratriptan), UMaxalt ( mthokozisi ), Imitrex ( umabhebhana ), futhi Zomig ( zolmitriptan ). Izidakamizwa eziningana ezintsha zisanda kuvunywa ukwelashwa okunamandla kwe-migraine: Reyvow ( lasmiditan ) kanye Ubrelvy ( ubrogepant ).

Kepha udokotela wakho angakhetha ukunikezela ngemithi yokukhipha isisu engeyona eye-migraine, njengezidakamizwa ezingezona ukuvuvukala (ama-NSAID). Uzokwazi ukukunikeza iseluleko sezokwelapha esingcono kakhulu nemithi kadokotela ngokuya ngezimpawu zakho ezithile, izintandokazi zokuphathwa kwezidakamizwa, kanye nemiphumela engemihle yemithi ye-migraine.



OKUSHIWO: Ingakanani ibuprofen ephephile ukuyithatha?

Uma isiguli sihlushwa isicanucanu noma ukuhlanza [ngesikhathi se-migraine], mancane amathuba okuthi amunce imithi yomlomo ngempumelelo futhi imvamisa izodinga ukwakheka okungewona okomlomo kwe-migraine abortive, njenge-nasal spray noma umjovo ongaphansi, kusho uDkt Chehrenama.



Ngakho-ke uma ungomunye wezigidi zabantu baseMelika abahlala ne-migraine, khuluma nodokotela wakho ngezindlela zokwelashwa.