Yin gwagwarmaya da ciwon kai shine kalubale daya, amma neman tsarin kulawa da ke aiki ga mutum, zai iya zama daidai idan baka da sauki. Don ciwon kai na ƙwayoyi , akwai wasu magungunan magunguna da kuma magunguna, da kuma wasu magunguna - don mutanen da basu amsa maganin ba. Bari mu duba wadannan jiyya a kasa.
Magunguna masu magunguna
Oxygen wani nau'i ne na m jiyya da ake amfani dashi a cikin ciwon kai.
Sakamakon yana yawanci 100% oxygen inhaled a 7-10L / min na minti 15-20. Ɗaya daga cikin alamu mai mahimmanci na oxygen shine cewa babu kusan sakamako. A gefe guda, samun tanki na oxygen a kowane lokaci, da kuma damuwa na ɗaukan hoto, yana iya zama damuwa.
Sauran haɗari , musamman sumatriptan (Imitrex) da zolmitriptan (Zomig), an gano su zama masu tasiri don magance ciwon kai. Soshin suna yawanci 6mg na subcutaneous - injected tare da allura a cikin kayan nama - sumatriptan, 20mg na sumatriptan intranasally, ko ta hanci, ko 5-10mg na zolmitriptan intranasally. Kamar yadda yake tare da dukan masu cin hanci, wajibi ne a guje wa wadannan kwayoyi a cikin ciki da kuma mutanen da ke da cututtukan zuciya da kuma karfin jini. Hanyoyin da ke ciki sun hada da: tashin zuciya, damuwa , gajiya da kuma kirji ko bakin ƙarfin.
Dihydroergotamine (DHE 45, Migranal) wani zaɓi ne - ko da yake ba a yi amfani dasu ba - don ɗaukar ciwon kai a ciki.
Kwana mai rauni - ko ta hanyar kulawa da jinya - an yi la'akari da shi shine mafi tasiri - ko da yake, wannan yana iyakancewa saboda gajeren lokaci na hare hare. Ba za a iya amfani da dihydroergotamine tare da raguwa ba, a cikin ciki, ko a cikin mutane masu fama da cutar jini da / ko cututtukan zuciya.
Lidocaine na iya samar da matsakaicin matsakaici don ciwon kai mai ma'ana kuma ana amfani da shi a wasu lokuta tare da sumatriptan. Lidocaine da aka ba ta ƙwayar hanci, tare da mutumin da yake kwance tare da kansa ya juya zuwa gefen zafi.
Octreotide - magani wanda yayi kama da hormone somatostatin - wani zaɓi mai yiwuwa ga mutanen da ke fama da cututtukan zuciya da kuma ciwon kai na ƙwayar cuta, don amfani ba a gurgunta shi a cikin wadannan marasa lafiya ba. Somatostatin wani hormone ne wanda ke hana sakin abu P - furotin da ke cikin ka'idar zafi. Sakamakon sakamako na octreotide sun hada da ciwon maganin inuwa, tashin zuciya, rashin tausayi na ciki da kuma matakan sukari.
Magunguna masu guba
Verapamil wani magani ne da ake amfani dasu don magance cutar hawan jini, amma ana amfani dasu don hana ciwon kai. Duk da yake a kan ƙananan kuɗi, likitanku zai saka idanu akan zuciyar ku da rudani. Riba shi ne sakamako mafi rinjaye na verapamil.
Ana amfani da lithium na biyu don biyan kuɗi saboda ƙwayoyin maganin miyagun ƙwayoyi, da mawuyacin sakamako na illa da cututtuka da cutarwa akan koda da thyroid. Hanyoyin da zasu iya haifar da zazzabin ciki, ƙwanƙwasawa, da karuwar urination.
Topiramate (Topamax) wata hanya ce ta biyu don rigakafin ciwon kai.
Hanyoyi na lalacewa sun haɗa da: asarar hasara, damuwar jiki, damuwa, ƙwaƙwalwar zuciya, dasfuncin zuciya, da kuma sauya canji.
Sauran maganin rigakafin sun hada da magungunan magunguna kamar Gabapentin (Neurontin) da kuma Valproic acid - wanda zai haifar da sakamako mai lalacewa kamar karfin kayan da kuma gajiya. Har ila yau, Valproic acid na buƙatar kulawa da gwajin jini, musamman hanta.
Botulinum toxin - wanda aka sani da sunan kasuwanci Botox - yana aiki ta hanyar hana haɗin haɗin. Nazarin 2007 a Journal of Headache da Pain sun gano cewa Botox na iya zama mai amfani a matsayin magungunan rigakafin rigakafi na marasa lafiya da ciwon ciwon kai.
Corticosteroids - kamar mahimmanci - za'a iya amfani dashi don samun iko akan ciwon kai da kuma samar da shirin kulawa na gajeren lokaci. Abin takaici, yana da mahimmanci don ciwon kai don sake dawowa kamar yadda aka yanke.
Me Yaya Idan Ban Karɓa Magunguna ba?
Marasa lafiya wanda har yanzu yana ciwon ciwon kai duk da magani yana iya buƙatar ƙarin magani, kamar wasu ƙwayoyin jijiya ko zurfin kwakwalwar kwakwalwa. Wadannan hanyoyi masu tasowa sunyi hadarin kansu kuma suna bukatar yin la'akari da hankali da kai, likitanka, da likitan ku.
Take-Home Points
• Ciwon kai na ƙwayoyi suna da ciwo mai ciwo mai raɗaɗi wanda akwai yiwuwar zaɓuɓɓuka masu mahimmanci da magunguna.
• Yayin da mafi yawan masu fama da ciwon kai sun amsa maganin magunguna, mafi yawan hanyoyin da zazzabin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar kwakwalwa za a iya la'akari da su - ko da yake suna da nasaba da kansu.
• Ka kasance mai ba da shawara ga lafiyarka kuma ka yi da'awar likitanka ko likita na ciwon kai game da maganin ciwon maganganun ka. Karɓar iko a kan waɗannan ciwon haushi da kuma kara girman rayuwarku.
Sources
Ashkenazi A & Schwedt T. Cizter ciwon kai - m da kuma prophylactic far. Ciwon kai . 2011 Fab, 51 (2): 272-86.
Beck E, Sieber WJ & Trejo R. Gyaran Cizter ciwon kai. Am Fam Likita . 2005 Feb 15; 71 (4): 717-724.
Caleri D, Marabini S, Panconesi A & Pietrini U. A tsarin maganin maganin maganin magungunan maganin magungunan maganin maganin damuwa da kwayar cuta a cikin ciwon kai. Ric Clin Lab . 1987 Apr-Jun; 17 (2): 155-62.
Cibiyar Nazarin Ciwon kai na Cibiyar Ta'addanci ta Duniya. "Ƙungiyar Ƙunƙasawar Ciwon Kai na Duniya: Buga na 3 (Beta version)". Cephalalgia 2013, 33 (9): 629-808.
Sostak P, Krause P, Förderreuther S, Reinisch V, & Straube A. Botulinum toxin type-A farfadowa a cikin ciwon kai ciwon kai: binciken bude. J Headache Pain . 2007 Satumba 8 (4): 236-41.
Weaver-Agostoni J. Cluster ciwon kai. Am Fam Likita . 2013 Jul 15; 88 (2): 122-8.
DISCLAIMER: Bayanan bayani a cikin wannan shafin don kawai dalilai ne kawai. Bai kamata a yi amfani dashi don maye gurbin kulawa ta sirri daga likitan lasisi. Don Allah a ga likitanku don shawara, ganewar asali, da kuma magance duk wani abu game da bayyanar cututtuka ko yanayin kiwon lafiya .