Sharuɗɗa daga AHS / AAN
Tsayawa da ciwon kai na yaudara shi ne wani abu da yawa daga cikin mu migraineurs suke yi don gano mu migraine triggers. Ta hanyar lura da hankalinmu da kuma guji wajanmu, muna fatan mu dakatar da kai hare-haren ƙaura. Duk da haka, bari mu kasance masu faɗar gaskiya, duk da yunkurin kawar da shi, mutane da yawa masu hijira suna buƙatar magani kullum don hana waɗannan ciwon kai.
Mene ne kwayar cutar ta Migraine?
Ana amfani da magungunan rigakafi yau da kullum don rage yawan, tsanani, da kuma tsawon lokacin hare-hare na migraine, da kuma rage girman rashin lafiyar da ake fama da shi ta hanyar ciwon kai. Ana amfani dashi da yawa ga waɗanda ke fama da ƙwayar migraines , amma za'a iya amfani dashi don masu aikin motsa jiki na episodic.
Misalan alamomin alamomi (ban da ƙwayar ƙaura na yau da kullum) don magungunan rigakafi sun haɗa da: ƙyama ga maganin kwantar da hankali da kuma / ko rashin lafiya na rayuwa ko aikin yau da kullum. Ƙananan nau'o'in ƙaura kamar ƙwayar ƙauyuka ko ƙananan migraine na iya zama alamar magunguna.
{Ungiyar Harkokin Ciwon Magunguna ta Amirka (AHS) da Cibiyar Nazarin Kasuwancin Amirka (AAN) sun kafa jagororin maganin magungunan da suke bada shawara don hana rigakafi na episodic - migraines wanda ba zai faru ba har kwanaki 15 a kowane wata. Duk da haka, yawancin wadannan magungunan sunyi amfani da su azaman rigakafi a cikin waɗanda ke shan wahala daga ƙauraran ƙaura.
Magungunan ƙwayar magungunan ƙwayar cuta.
- Antihypertensives (cutar jini ragewan jamiái)
- Antidepressants
- Anticonvulsants
- Petasites (Butterbur)
Ƙungiyar jini ta Rage Magunguna don Dakatar da Migraines
Ana amfani da magunguna daban-daban don hana haɗari na hawan ƙaura. An yi amfani da magungunan hawan jini , musamman ma beta-blockers.
AHS / AAN ya ƙaddara cewa metoprolol, propranolol, da timolol sune matakin kwayoyi. Wannan yana nufin an dauke su "tasiri" don kare rigakafi, yayin da atenolol shine maganin matakin B ko "mai yiwuwa tasiri."
Beta-blockers ya kamata a yi amfani tare da hankali a cikin waɗanda ke fama da ciwon sukari da kuma ciwon sukari kuma suna da wuya contraindicated a waɗanda suke tare da symptomatic bradycardia (low heart rate). Sauran cututtukan beta wadanda suka hada da rashin yanayi, gajiya, da rashin ciwo.
Wasu magungunan jini na jini kamar verapamil, mai kwakwalwa na canji , ana amfani da su a wasu lokutan don hana migraines, kodayake shaidar kimiyya a baya baya da karfi kamar na beta-blockers. Sharuɗan AHS / AAN 2012 da aka jera a matsayin likitancin "U", ma'anar akwai "rashin bayanai don tallafawa ko dakatar da yin amfani da prophylaxis na migraine." An rarraba anti-lypertensives lisinopril da candesartan (wanda aka sani da masu kwantar da ACE) kamar yadda C na maganin cutar. AHS / AAN, wanda ke nufin cewa suna "iya tasiri" bisa la'akari guda ɗaya.
Antidepressants don hana Episodic Migraines
Magunguna , musamman amitriptyline da venlafaxine, an dauke su da kwayoyi na Level-B ("mai yiwuwa tasiri") don rigakafin ƙwayar cuta. Venlafaxine (Effexor) wani mai sakin maganin sigoninin-norepinephrine ne mai hanawa.
Amitriptyline (Elavil) ita ce mafi kyawun antidepressant tricyclic wanda ke aiki ta hanyar hana yin amfani da na'urori guda biyu a cikin kwakwalwa, serotonin da norepinephrine. Yana da maganin maganin magunguna kuma yawanci ana dauka a lokacin kwanta barci.
Amitriptyline kuma ya kaddamar da masu karɓa na acetylcholine da wadanda suka karɓa na histamine a cikin kwakwalwa, suna haifar da sakamako mai tasiri irin su bakin bushe, ƙinƙiri, da kuma ɗaukar urinary. Hakanan zai iya haifar da riba mai yawa da rikicewa. A karshe, amitriptyline na iya samun mummunan sakamako mai cututtuka kamar ƙwaƙwalwar ƙwayar zuciya, saboda haka ya kamata a guje wa waɗanda ke fama da cututtukan zuciya.
Masu amfani da kwayoyi don hana Episodic Migraines
Game da magunguna , Cibiyar Nazarin Kasuwancin Amirka ta tabbatar da cewa samfurori na samfurori, divalprox sodium, da sodium valproate, da topiramate (topamax) suna da tasiri (Level A kwayoyi) don hana ƙaura. Sakamakon sakamako na topiramate sun hada da
- asarar nauyi
- gajiya
- dizziness
- paresthesias
- ƙwaƙwalwar kamfani
- iya canzawa.
Hanyoyi masu amfani da valproate sun haɗa da: riba mai nauyi, tashin hankali, raguwa, da asarar gashi.
Butterbur da sauran Magunguna don hana Episodic Migraine
Petasites (butterbur) wani mataki ne na Aiki wanda ke da tasiri ga rigakafin ƙwayar cuta. Wannan magani ne ko madadin magani wanda aka dauka sau biyu a kowace rana. Babban sakamako mai kyau shine m GI tada, musamman buring.
Wasu ƙwayoyi na B ko kwayoyi da suke "mai yiwuwa tasiri" don rigakafin ƙwayar cuta, kamar yadda Cibiyar Harkokin Cutar Amirka ta Amirka da Cibiyar Nazari ta {asar Amirka ta ha] a da:
- Sauran hanyoyin kwantar da hankali : feverfew, magnesium, da riboflavin
- Wasu NSAIDs (ibuprofen, naproxen)
- Wasu 'yan tawaye (naratriptan, zolmitriptan): Lura , an nuna wadannan don migraines menstrual .
Layin Ƙasa
Ana amfani da magungunan magani a wasu lokuta don rage yawan, matsanancin lokaci, tsawon lokaci, da nakasar da ke hade da migraines. A cewar masana, wasu beta-blockers (metoprolol, timolol, propanolol), anticonvulsants (samfurori samfurori, topiramate), da kuma kayan lambu mai gina jiki man da aka kafa a matsayin Level A ko "tasiri" a matsayin magungunan magunguna don episodic migraines.
Idan ka ga cewa ƙauraranka suna tasiri ga aikinka na yau da kullum ko kuma ingancin rayuwa, ka yi magana da likitanka game da yiwuwar da za a iya samu da kuma hadari na fara wani magani na rigakafi na migraine - yana iya zama wani abu da kake buƙatar na dan lokaci har sai ka iya ƙayyade maɓallin ƙaura na migraine ko sami hanyar da za a magance.
Sources:
Bajwa Z, Sabahat A. Magungunan rigakafi na migraine a cikin manya. A: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Lipton RB, Göbel H, Einhäupl KM, Wilks K, Mauskop A. Tsarin hybridus na Petasites (butterbur) wani magani ne mai mahimmanci don ƙaura. Ma'anar ilimin halitta . 2004 Dec 28; 63 (12): 2240-4.
Gidajen E, Burch R, Rizzoli P. Bayanin AHS / AAN na 2012 don hana rigakafin episodic migraine: taƙaitawa da kwatanta tare da wasu ka'idodin aikin likita na kwanan nan. Ciwon kai . 2012; 52: 930-45 .
Podrid P. Major sakamakon sakamako na beta blockers.In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Silberstein SD, Holland S, Freitag F, et al. Shaida ta jagorancin sharuɗɗa: maganin maganin maganin maganin maganin maganin rigakafi na tsofaffi na tsofaffin yara: rahotanni na Tsarin Kwaskwarimar Ƙwararren Cibiyar Nazarin Halittar Ƙasar Amirka da Cibiyar Harkokin Cutar Amirka. Bincike 2012; 78: 1337.
DISCLAIMER: Bayanin ilimi a wannan shafin shine don dalilai na ilimi kawai. Bai kamata a yi amfani dashi don maye gurbin kulawa ta sirri daga likitan lasisi. Don Allah a ga likitan ku don ganewar asali da kuma maganin duk wani abu game da bayyanar cututtuka ko yanayin kiwon lafiya .