Nthawi yomwe mungalankhule ndi dokotala wanu za mankhwala a migraine

Maphunziro a Zaumoyo

Kupweteka, kupweteka kwapweteka. Kuzindikira kuwala ndi mawu. Nseru ndi kusanza. Ngati ndinu m'modzi wa Anthu aku America aku 38 miliyoni omwe amamva mutu waching'alang'ala , mumazindikira izi. Ndipo, mungafunike mankhwala mankhwala a migraine kuthandiza.

Kodi mutu waching'alang'ala umakhudza ndani?

Kafukufuku akuganiza kuti pakati pa 10% ndi 13% ya anthu padziko lonse lapansi amakhala ndi migraine. M'malo mwake, anthu aku America pafupifupi 5 miliyoni amadwala mutu waching'alang'ala osachepera kamodzi pamwezi, ndipo opitilira 11 miliyoni amati migraine imayambitsa kulumala pang'ono.

Koma manambalawa amasiyanasiyana kwambiri malinga ndi zaka komanso kugonana. Akazi amathekera katatu monga amuna kukhala ndi migraine. Pafupifupi azimayi 20% ku US ndipo amuna 9.7% adadwala mutu kapena mutu waching'alang'ala m'miyezi itatu yapitayi, malinga ndi kafukufuku wina U.S. Centers for Disease Control and Prevention (CDC). Malipoti a ululu waposachedwa wa migraine asintha ndi ukalamba. Mwachitsanzo, azimayi 24.7% azaka za 18-44 azaka zakubadwa adadwala mutu kapena migraine miyezi itatu yapitayo. Koma mwa azimayi azaka 75 kapena kupitilira apo, peresenti ya anthu omwe ali ndi migraine aposachedwa anali 6.3% yokha.

Ndiye munthu yemwe ali ndi mutu waching'alang'ala ayenera kuchita chiyani? Ngati mutu wanu wa migraine umachitika pafupipafupi, itha kukhala nthawi yoti mupeze thandizo kwa akatswiri.

Mankhwala a Migraine

Mukakhala ndi mutu wamba, mutha kupeza chithandizo chochepetsera ngati naproxen, Tylenol, kapena Advil. Kapenanso mungamwe madzi pang'ono ndikugona m'chipinda chozizira, chamdima, chachete pang'ono. Nthawi zambiri, izi sizokwanira kutulutsa mutu wa migraine.

Ngakhale kulibe mankhwala a migraine, pali njira ziwiri zothandiza zochiritsira ndi mankhwala, malinga ndi National Institute of Neurological Disorders ndi Stroke ku National Institutes of Health. Njira yoyamba ndiyo kupewa matenda a migraine, ndipo yachiwiri ndikumapweteka kwa zisonyezo za migraine kamodzi kuwukira kwachitika.

ZOKHUDZA: Kumanani ndi Ubrelvy, mankhwala atsopano ovomerezeka a FDA omwe amachiritsa migraine

Mankhwala a mankhwala opewera migraine

NINDS inanena kuti njira yodzitetezera ku migraine imakhudza kugwiritsa ntchito mankhwala osokoneza bongo komanso kusintha kwa machitidwe. Anthu omwe amakumana ndi mutu waching'alang'ala pafupipafupi amayenera kugwiritsa ntchito njira zothanirana ndi nkhawa, monga kuchita masewera olimbitsa thupi, kusinkhasinkha, biofeedback, ndi njira zina zopumulira.

Malinga ndi Mahan chehrenama , MD, katswiri wa zamagulu ndi migraine ku McLean, Virginia, odwala ayenera kulingalira za mankhwala opewera ngati migraine yawo imachitika pafupipafupi (zoposa zinayi kapena zisanu ndi chimodzi pamwezi) kapena kulepheretsa kwambiri. Mankhwala opewera nthawi zambiri amakhala opangidwa ndi mankhwala, kupatula zowonjezera zina monga magnesium oxide, akutero. Mankhwala otetezerawa amathanso kuthandizira odwala kuyankha bwino kumankhwala ochepetsa ululu ngati mutu waching'alang'ala umachitika.

Mankhwala opewera amatengedwa tsiku ndi tsiku, ngakhale simumva mutu. Zitha kuphatikiza:

• Ma anticonvulsants, monga Topamax (topiramate) kapena asidi wa valproic
• Tricyclic antidepressants, monga Elavil ( kutchfuneralhome ) kapena Pamelor ( kutchfuneralhome )
• Oletsa Beta , monga Lopressor ( metoprolol ) kapena Inderal ( mankhwala )
• Botox
• Oletsa ma calcium, monga Cardizem ( alireza kapena Kalani ( alireza )
• CGRP inhibitors, monga Aimovig (erenumab), Mphamvu (galcanezumab), kapena Chisangalalo (fremanezumab). Vyepti (eptinezumab) wakhala kuvomerezedwa ndi FDA , koma sichikupezeka pamsika.

ZOKHUDZA: Kodi muyenera kutenga Topamax pa migraines yanu?

Mankhwala ochotsa mutu waching'alang'ala

Pafupifupi wodwala aliyense amene akufuna chithandizo chamankhwala amtundu wa migraine amafunikira mankhwala ochotsa mimbayo. Awa ndi mankhwala omwe amatengedwa koyambirira kwa mutu waching'alang'ala kuti athetse kapena kuletsa mutu waching'alang'ala.

Odwala ambiri omwe amafunafuna chithandizo chamankhwala am'mutu mwawo sanachite bwino kuwathandiza moyenera ndi mankhwala osaloledwa ndi analgesics, Dr. Chehrenama akuti. Chifukwa chake ngati mwadutsa mankhwala osankhidwa ndi Excedrin ndipo mutu wanu sukugwedezeka, mwina ndi nthawi yoti mupemphe dokotala wanu mankhwala akuchipatala.

Mankhwala ena ochotsa mimba ndi a migraine, monga ma triptan. Zolemba ndi gulu lotchuka la mankhwala osokoneza bongo. Amagwira ntchito potulutsa serotonin muubongo, yomwe imachepetsa kutupa ndikuchepetsa mitsempha yamagazi, kuyimitsa mutu waching'alang'ala. Ma Triptan akuphatikizapo Axert (almotriptan), Kubwereranso ( eletriptan ), Frova ( alirezatalischi ), Kuyenda (naratriptan), Maxalt ( alireza ), Zamgululi ( mphukira ), ndi Zomig ( magwire ). Mankhwala atsopano angapo adavomerezedwa posachedwa kuti athe kuchiza mutu waching'alang'ala: Reyvow ( lasmiditan ) ndi Ubrelvy ( ubrogepant ).

Koma dokotala wanu angasankhe kupereka mankhwala osachiritsira omwe amachotsa mimba, monga mankhwala osakanikirana ndi kutupa (NSAIDs). Adzatha kukupatsirani upangiri wabwino ndi zamankhwala kutengera zomwe muli nazo, zomwe amakonda mankhwala, komanso zotsatira za mankhwala a migraine.

ZOKHUDZA: Kodi ibuprofen ndi yotetezeka bwanji?

Ngati wodwala akudwala nseru kapena kusanza [nthawi ya migraine], sangatengere mankhwala amkamwa moyenera ndipo nthawi zambiri amafunikira njira zosagwiritsa ntchito pakamwa zotulutsa minyewa, monga kupopera mphuno kapena jakisoni wochepetsera, Dr. Chehrenama akuti.

Chifukwa chake ngati muli m'modzi mwa anthu mamiliyoni ku US omwe ali ndi mutu waching'alang'ala, lankhulani ndi adokotala za njira zamankhwala.