Samun iko a kan migraines
Ko dai an gano kwanan nan da migraines ko kuma dan gudun hijira na yau da kullum, za ka iya samun mafarkinka na magani wanda zai iya magance dukan hare-haren nan take. Abin baƙin ciki, saboda yawancin ku, wannan magani "mafarki" ba ya wanzu.
Duk da haka, akwai magungunan magungunan ƙwayoyi masu kyau a can, kuma sau da yawa haɗuwa da magungunan biyu da halayyar halayyar da ke ba mu damar samun iko akan hare-haren mu na migraine.
Magungunan ƙwayar cuta na Abortive
Ana shayar da magungunan zubar da ciki a farkon ƙaura don samar da saurin ciwon kai, dakatar da kai hari daga ci gaba, da / ko rage girmanta.
NSAIDS
Yawancin mutanen da suka fara magance magunguna tare da magungunan magunguna. Wannan yana da kyau kamar yadda ba a yi amfani da anti-inflammatories na steroidal (NSAIDs), kamar ibuprofen ko naproxen sodium (Aleve), ana daukar nauyin maganin farko na migraines. Ko da yake ana iya saya NSAID a kan kaya, ba su da kowa ba-ka tabbata ka yi magana da likitanka kafin ka ɗauki daya don tabbatar da lafiyarka.
Triptans
Idan NSAID ba ya aiki, ko kuma idan migraine na farko ya kasance tsaka-tsaka zuwa mai tsanani, mai saurin kamar Imitrex ( sumatriptan ) ko Maxalt (rizatriptan) na iya zama da amfani. Mafi kyawun abin mamaki shine cewa suna samuwa a cikin nau'o'i marasa maganganu. Alal misali, sumatriptan yana samuwa a cikin subcutaneous ko intranasal form, kuma rizatriptan yana samuwa a cikin wani wafer, wanda aka sani da Maxalt MLT.
Duk da haka, banda marasa lafiya NSAIDs, ba a samuwa a kan kari ba kuma suna buƙatar takardar izini daga likitanku.
Kwararka na iya duba hade NSAID / triptan, kamar Treximet (sumatriptan / naproxen sodium). A cikin binciken na 2007 a JAMA, an gano sumatriptan / naproxen sodium ya fi tasiri fiye da sumatriptan ko naproxen sodium kadai.
Kwallon ƙafa ko da yake suna da tasiri mai tasiri kamar laushi, damuwa , gajiya da kirji ko bakin ƙarfin. Har ila yau, ya kamata a guji su a marasa lafiya da cututtukan zuciya da hauhawar jini ba tare da rikici ba saboda tsarin aikin su, wanda shine ya hana ƙin jini. Bisa ga wasu nau'in ƙaura, ba a amfani dasu ba don amfani da ƙwayar ƙwayar cuta ko ƙwayar ƙwayar cuta .
Antiemetics
Magungunan antiemetic ko magungunan maganin magunguna kamar ƙwayar cuta (ta hanyar vein) metoclopramide (Reglan) wani magani ne na miyagun ƙwayar ƙwayar ƙwayar cuta - wannan an ba da shi a cikin sashin gaggawa. Anyi amfani da maganin antiemetics da aka yi amfani da shi a wasu lokuta don magance nauyin da ke tare da migraines , amma ba a nuna su zama tasiri ga migraine kanta ba.
Ɗaya daga cikin tasirin maganin antiemetics mai hatsari shine cewa wadannan magunguna na iya haifar da zuciya arrhythmia.
Dihydroergotamine
Dihydroergotamine (DHE 45, Migranal ) wani ƙaura ne. Wannan magani ne injected (na ciki, subcutaneous, intramuscular) ko gudanarwa ta hanyar intranasal (ta hanci). Gwamnatin da ke cikin haɗin gwiwa tare da maganin antiemetics an ba da shi a wani lokacin gaggawa don maganin ƙaura.
Ba za a iya amfani da dihydroergotamine tare da haɓaka ba kuma an hana shi a ciki, kuma a cikin mutane masu fama da cutar jini da / ko cututtukan zuciya.
Wasu Magunguna
Sauran maganin ƙwayoyi sun haɗa da steroid mai ciki, kamar dexamethasone, wadda aka ba da ita banda ga sauran ƙwayar cutar ta migraine. Intranasal lidocaine zai iya ba da taimako ga migraines. Ana gudanar da shi ne ko likita ko masu haƙuri, amma sau da yawa yakan ba da taimako na gajeren lokaci. Sake komawa na Migraine shi ne na kowa.
Kalma daga
A takaice dai, ana dauke da NSAID a matsayin farko na layi don ƙananan migraines.
Idan ƙaura ta ci gaba ko da kuwa NSAID, ko kuma idan ƙaura ta zama matsakaici zuwa tsanani a cikin tsanani don farawa, likita ne ya saba wa likitanci ko mai saurin sauƙaƙe / NSAID.
Sauran hanyoyin kwantar da hanzarin da ake amfani dashi a cikin dakin gaggawa su ne maganin maganin rigakafi, dihydroergotamines, ko steroids.
Bugu da ƙari ga mawuyacin tasiri, kayi hankali don bunkasa ciwon kai ko ciwon ciwon kai a yayin da ake shan magungunan ƙwayoyi na migraine. Koyaushe ku tattauna shirinku na ƙaura na migraine da likitan ku.
Sources:
Aukerman G, Knuston D, Miser WF; Ma'aikatar Ciyayi ta Iyali, Jami'ar Jihar Ohio ta Jami'ar Kimiyya da Lafiya ta Jama'a, Columbus Ohio. Gudanar da ciwon ciwon hauka mai ƙaura. Am Fam Likita . 2002 Dec 1; 66 (11): 2123-30.
Bajwa Z, Sabahat A. Mahimman kula da ƙwayar ƙwayar cuta a cikin manya. A: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Brandes JL, Kudrow D, Stark SR, et al. Sumatriptan-naproxen don kulawa da mummunan magani na ƙaura: gwajin gwagwarmaya. JAMA . 2007; 297 (13): 1443-1454.
Gilmore B & Michael M. Jiyya na Ciwon Kai na Ciwon Kai. Am Fam Likita. 2011 Feb 1; 83 (3): 271-280.