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Zomwe muyenera kudziwa zokhudza mutu waching'alang'ala

Katswiri Wazamankhwala Ophunzitsa Zaumoyo Amadziwa Bwino

Ndizotheka kuti inu kapena munthu wina amene mukukhala naye mutu waching'alang'ala. Pamenepo, 1 mu 4 Mabanja aku America amaphatikizapo munthu yemwe ali ndi mutu waching'alang'ala. Ndiwo matenda achitatu ofala kwambiri padziko lonse lapansi. American Migraine Foundation ikuyerekeza kuti mtengo wapachaka wosowa ntchito ndikulipira ndalama zachipatala zokhudzana ndi migraine ndi $ 20 miliyoni.

Juni ndi Mwezi Wodziwitsa Anthu za Migraine ndi Mutu, yomwe ndi nthawi yoti othandizira zaumoyo ndi odwala alankhule kuti adziwe migraine ndi chithandizo. Nazi zomwe muyenera kudziwa pamasiyana pakati pa migraine ndi mutu, nthawi yoti mupeze chithandizo, komanso zomwe mungasankhe.

Migraine vs. mutu: Kodi pali kusiyana kotani?

Mitundu ya mutu

Mutu wokhazikika, kapena wosagwira mutu akhoza kukhala ndi magwero osiyanasiyana. Imodzi mwa mitundu yofala kwambiri ndi mutu wopweteka . Kupwetekedwa mutu ndikumva kupweteka, kosalekeza, kosapweteka komwe kumalumikizidwa ndi zolimba m'mutu. Mutu wamtunduwu amabweretsedwera ndi kupsinjika kwamaganizidwe kapena nthawi zina kumakhudzana ndi kukhumudwa.

A mutu nkusani Amalumikizidwa ndi ziwengo ndi zizindikiritso zomwe zimayambitsa kupweteka kumbuyo kwa maso ndi sinus patsekeke chifukwa chapanikizika. Mutu wamtunduwu umatha kutchulidwa kwambiri m'mawa kapena wodwalayo akawerama chifukwa chakusinthasintha.

Mutu wamagulu Zimakhala zopweteka kwambiri ndipo zimafala kwambiri mwa amuna. Kupweteka kuli m'dera la diso, ndipo kumatha kukhala kwakuthwa kwambiri, kutha kwa maola, ndikuchitika tsiku ndi tsiku. Mitu imeneyi imatha kubweretsedwa ndi zakumwa zoledzeretsa komanso kusuta.

Pali zambiri mitundu ina ya mutu . Zina zingakhale zokhudzana ndi kusintha kwa mahomoni kapena kusamba kwa msambo. Zina zitha kuphatikizidwa ndi caffeine kapena kuchotsa nicotine. Njala kapena kusala kudya kumatha kupweteka mutu. Zochita zomwe zimayambitsa eyestrain, monga masewera amakanema kapena kugwiritsa ntchito makompyuta, amathanso kubweretsa mutu wosagwirizana ndi migraine.

Koma palibe umodzi mwamutuwu womwe uli ngati a mutu waching'alang'ala . Migraine ndi yapadera. M'malo mwake, kupweteka m'mutu mwanu ndi chizindikiro chimodzi chokha cha mutu waching'alang'ala. Mutha kukhala ndi mutu waching'alang'ala popanda kupweteka m'mutu mwanu. Chifukwa chake, mungadziwe bwanji ngati muli ndi mutu waching'alang'ala?

Zizindikiro za Migraine

Zizindikiro zomwe zimayambitsa matenda a migraine ndi izi:

Kupweteka kopweteka, makamaka mbali imodzi
Kuwala ndi / kapena kutulutsa mawu
Nsautso ndi / kapena kusanza
Adzakhala nazo
Masomphenya amasintha, kusawona bwino, kapena malo akhungu

Zambiri mwazizindikirozi ndizofotokozera, kupatula aura. Aura yokhudzana ndi magawo a migraine ndi kusintha kwamalingaliro komwe kumachitika kusanachitike migraine. Zitha kuphatikizanso kuwona kunyezimira kwa kuwala kapena kumvekera kumapeto kwanu. Zitha kukhala mpaka ola limodzi. Sikuti mutu uliwonse wa migraine umalumikizidwa ndi aura. Odwala omwe adakumana ndi aura sangakumane ndi vuto lililonse la migraine.

Simusowa kuti mukhale ndi zizindikiro zonse pamwambapa nthawi imodzi kuti mupeze migraine. Mutu uliwonse ndi wodwala aliyense ndi wosiyana.

Pafupipafupi pomwe wodwala amakumana ndi migraine ndikofunikira kuti mumvetsetse. Migraines episodic episidic ndi yomwe imachitika zosakwana 10 pamwezi. Migraines episodic yapamwamba kwambiri ndi yomwe imachitika kangapo ka 10-14 pamwezi. Migraine yachilendo imafotokozedwa kuti imachitika katatu kapena kuposa pamwezi.

Ngati simukudziwa za mtundu wanji wamutu womwe mukukumana nawo, kapena ngati mutu wanu wakhalabe wovuta komanso wovuta kuti uthetse, wothandizira zaumoyo wanu amatha kuzindikira molondola mutu wanu kapena migraine, komanso kupereka malangizo oyenera othandizira.

Zosankha zamankhwala a Migraine

Pali mankhwala omwe mungamwe kuti muchiritse mutu waching'alang'ala. Izi ndi zomwe wothandizira zaumoyo wanu angakulimbikitseni.

Mankhwala osokoneza bongo a migraine

Acetaminophen ndi nonsteroidal anti-inflammatories (NSAIDs), monga aspirin, ibuprofen, kapena naproxen, imatha kutengedwa kwakanthawi kochepa kuti ipereke mpumulo wa migraine. Mankhwalawa ndi otchipa ndipo angathandize muyezo umodzi kapena iwiri. Caffeine, vasoconstrictor, imathandizanso kuthetsa ululu wa migraine. Excedrin Migraine, chisankho chotchuka cha OTC, ndichophatikiza chomwe chili ndi acetaminophen, aspirin, ndi caffeine. Wosunga mankhwala anu akhoza kukulozerani njira yoyenera kuti muchepetse ululu ngati simukudziwa.

Ndi mankhwala onsewa, ndikofunikira kudziwa kuti chithandizo chamankhwala sichimangotanthauza kugwiritsa ntchito nthawi yayitali popanda chitsogozo chachindunji kuchokera kwa omwe amakuthandizani.

Mankhwala ochiritsira a migraine
Dzina la mankhwala osokoneza bongo	Gulu	Mlingo wofanana	Mtengo Wosakwatiwa Wosakwatiwa
Asipilini	NSAID	325 mg mpaka 1000 mg maola 4 kapena 6 aliwonse	$ 1.69
Zamgululi	NSAID	200 mg mpaka 400 mg maola 4 kapena 6 aliwonse	$ 6.06
Naproxen	NSAID	220 mg maola 12 aliwonse	$ 4.31
Excedrin Migraine	NSAID	(Acetaminophen 250 mg / Aspirin 250 mg / Caffeine 65 mg) mapiritsi 1 mpaka 2 pakatha maola 6 aliwonse	$ 2.40

Mankhwala a migraine

Tsoka ilo, zosankha za OTC sizipereka chithandizo chokwanira kwa migraine kwa ambiri. Zikatero, mankhwala akuchipatala atha kusintha. Malangizo a migraine amakhala m'magulu awiri: omwe amagwiritsidwa ntchito pochizira ndi omwe amagwiritsidwa ntchito popewera.

Chithandizo cha Migraine

Malangizo othandizira azachipatala lembani ma NSAID (makamaka, ibuprofen ndi naproxen) ngati njira yoyamba yothandizira mutu waching'alang'ala wovuta. NSAID zimachepetsa kupweteka pakuchepetsa kutulutsa kwa ma prostaglandins otupa. Imeneyi ndi njira yotsika mtengo yochizira mutu waching'alang'ala. Ma NSAID nthawi zambiri amakhala ndi mapulani a inshuwaransi amalonda kapena a Medicare Part D. Onetsetsani kuti muwone SingleCare kuti musungire ndalama. Mwachitsanzo, mankhwala amtundu wa ibuprofen 800 mg atha kukhala ngati $ 37 popanda inshuwaransi, koma ndi Coupon ya SingleCare , mankhwalawa ndi ochepera $ 6. Ma NSAID sayenera kumwedwa opanda kanthu, ndipo ngakhale ngati mankhwala, sangakhale abwino kugwiritsa ntchito nthawi yayitali.

Kwa migraines yoopsa kwambiri, 5HT agonists, omwe amadziwika kuti triptans, ndi mankhwala oyamba. Triptans imalimbikitsa serotonin muubongo, yomwe imachepetsa kutupa ndikupangitsa vasoconstriction. Vasoconstriction imagwira gawo lofunikira pakuwongolera migraine chifukwa imayang'anira kukhudzidwa kwa magazi. Izi zimathandizira kuwongolera kupwetekedwa kapena kupsinjika komwe ambiri amakumana nako pakagwa migraine.

Pali mitundu ingapo ya mankhwala a triptan pamsika, kuphatikiza: almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, ndi zolmitriptan. Wolembera wanu adzasankha omwe angakhale abwino kwa inu, koma onse atsimikiziridwa kuti ndi othandiza pochiza migraine. Ma Triptan amakhalanso ndi inshuwaransi, ngakhale mapulani ena atha kukhala ndi malire amtundu wa triptan omwe amakhala nawo kapena kuchuluka kwake. Mtengo wakuthumba wa sumatriptan ukhoza kufikira $ 200 pamapiritsi 9 okha, koma Osakwatira imabweretsa mtengo wotsika mpaka $ 13.

Mankhwala a migraine
Dzina la mankhwala osokoneza bongo	Gulu	Mlingo wofanana	Mtengo Wosakwatiwa Wosakwatiwa
Zamgululi	NSAID	600 mg maola 6 aliwonse	$ 6.06
Naproxen	NSAID	500 mg maola 12 aliwonse	$ 4.31
Almotriptan	Agonist a 5HT (triptans)	6.25 mg - 12.5 mg poyambira, amatha kubwereza kamodzi m'maola awiri ngati palibe mpumulo.	n / A
Eletriptan	Agonist a 5HT (triptans)	20 mg mpaka 40 mg poyambira, amatha kubwereza kamodzi m'maola awiri ngati palibe mpumulo.	$ 161.04
Frovatriptan	Agonist a 5HT (triptans)	2.5 mg poyambira, amatha kubwereza kamodzi m'maola awiri ngati palibe mpumulo.	$ 112.56
Naratriptan	Agonist a 5HT (triptans)	1 mg mpaka 2.5 mg isanayambike, imatha kubwereza kamodzi kwamaola awiri ngati palibe mpumulo.	$ 92.61
Rizatriptan	Agonist a 5HT (triptans)	5 mg mpaka 10 mg pakangoyamba, akhoza kubwereza kamodzi m'maola awiri ngati palibe mpumulo.	$ 43.83
Sumatriptan	Agonist a 5HT (triptans)	25 mg mpaka 50 mg pakangoyamba, akhoza kubwereza kamodzi m'maola awiri ngati palibe mpumulo.	$ 42.90
Zolmitriptan	Agonist a 5HT (triptans)	2.5 mg mpaka 5 mg pakangoyamba, akhoza kubwereza kamodzi m'maola awiri ngati palibe mpumulo.	$ 37.97

Kupewa migraine

Njira zodzitetezera zimathandiza kwambiri pochiza odwala omwe ali ndi mutu waching'alang'ala wosatha. Odwalawa amafunikirabe kulandira chithandizo chamankhwala akamagwidwa ndi mutu waching'alang'ala, koma mankhwala opewera amatha kuchepa kuti migraines imachitika kangati. Mpaka posachedwa, Botox, kapena onabotulinumtoxin A, anali chithandizo chokhacho chovomerezeka chovomerezeka ndi FDA. Ngakhale othandiza kwambiri, Botox ikhoza kukhala yovuta kuvomerezedwa ndi inshuwaransi ndipo itha kukhala yokwera mtengo. Kwa zaka zingapo, magulu ena azamankhwala agwiritsidwa ntchito osalemba popewa migraine yopambana kwambiri. Izi zimaphatikizapo mankhwala olanda, mankhwala opatsirana pogonana, komanso mankhwala a kuthamanga kwa magazi. Mankhwalawa nthawi zambiri amakhala ndi inshuwaransi yabwino ndipo ndi njira zotsika mtengo zothandizira kupewa mutu waching'alang'ala. Tchati chotsatirachi chimapereka chidule cha zosankha zomwe zingapezeke mkalasi lirilonse, ngakhale sizinapangidwe kuti zikhale zophatikizira zonse.

Mankhwala omwe amagwiritsidwa ntchito pafupipafupi kupewa migraine
Dzina la mankhwala osokoneza bongo	Gulu	Mlingo wofanana	Mtengo Wosakwatiwa Wosakwatiwa
Kusinthana	Wosakanikirana	500 mg ER kawiri patsiku	$ 12.99
Topiramate	Wosakanikirana	25 mg kawiri tsiku lililonse	$ 8.53
Zamgululi	Beta-blocker	25 mg kawiri tsiku lililonse	$ 4
Zamgululi	Beta-blocker	20 mg kawiri tsiku lililonse	$ 16.33
Amitriptyline	Tricyclic Wodetsa nkhawa	25 mg musanagone	$ 4
Katemera	Norepinephrine Reuptake Inhibitor (Antidepressant)	150 mg ER kamodzi patsiku	$ 15

Posachedwa, gulu latsopano la mankhwala omwe adapangidwa kuti ateteze migraine adabwera pamsika. Awa ndi gulu la ma peptide okhudzana ndi majini a calcitonin (CGRP). Odwala omwe amakumana ndi mutu waching'alang'ala amadziwika kuti ali ndi magawo apamwamba a CGRP. Ikamangirira kumalo ake olandirira, imayambitsa zochitika zomwe zimayambitsa kutupa ndi kupweteka kwa migraine. Anthu omwe ali ndi migraine osatha amatha masiku awo a migraine adulidwa pakati ndi CGRP inhibitors.

Mankhwalawa akhoza kukhala okwera mtengo ndipo ma inshuwaransi atha kukhala osiyanasiyana. Opangawo amapereka mapulogalamu ena, ndipo SingleCare imapezeka nthawi zonse kuti ikuthandizeni kupeza mtengo wabwino kwambiri. Tchati chotsatirachi chimapereka chidule cha zomwe zikupezeka mgululi.

Chithandizo cha anti-CGRP migraine
Dzina Brand	Dzina lachibadwa	Gulu
Aimovig	erenumab-aooe	Mankhwala a CGRP Monoclonal
Chisangalalo	kutuloji
Mphamvu	galcanezumab-gnlm
Vyepti	alireza_khodadadi
Ubrelvy	ubrogepant	Otsutsa a CGRP Molecule Receptor
Chidziwitso ODT	rimegepant sulphate

Mndandandawu sutanthauza kuti ukhale wophatikizapo ndipo mankhwala sangakhale oyenera kwa munthu aliyense yemwe ali ndi migraine. Nthawi zonse zimakhala bwino kulankhula ndi omwe amakuthandizani kuti akuthandizeni kusankha njira yabwino kwambiri yothandizira. Mutha kufananiza mankhwala ambiri a migraine pano .