Amfanin maganin da za a kiyaye don kawar da ƙaura
Ciwon kai na Migraine zai iya bugawa a kowane lokaci, kuma ziyartar su bazai yuwuci dacewa ba, don haka yana iya taimakawa wajen ƙarin koyo game da rigakafin ƙwayar cuta. Idan kuna fama da lalacewa na yau da kullum , mai kula da lafiyar ku na iya bayar da shawarar rigakafin rigakafi maimakon hanyoyin kwantar da hankali. Ana amfani da magungunan likitanci guda hudu na FDA don kare rigakafi, amma wasu zaɓuɓɓuka waɗanda zasu iya aiki.
FDA-Tabbacin Magunguna
Cibiyar Abincin da Drug ta amince da maganin likita hudu don kare rigakafi , ko prophylaxis. Su ne propranolol (Indiaral), timolol (Blocadren), topiramate (Topamax) da divalprox sodium ( Depakote ). Wadannan suna dauke da maganin "farko" a cikin prophylaxis na migraine. Akwai lokutan da baza ku iya jure musu ba saboda sakamakon lalacewa ko kuma saboda ɗaya daga cikin jiyya na farko ba shi da amfani. Lokacin da wannan ya faru, mai bada sabis na kiwon lafiya zai iya tsara wani magani wanda zai iya taimakawa. Wannan ana kiran shi ta amfani da maganin "lalata-lakabin". Wannan shi ne na kowa kuma yana iya zama mafita mafi kyau a gare ku.
Beta-Blockers
Beta-blockers ne magunguna da ake amfani da ita a maganin cutar hawan jini ( hauhawar jini ), amma akwai wasu amfani da su a cikinsu. Propranolol da timolol su ne beta-blockers. Sauran waɗanda za'a iya gwada su a cikin jiyya sun hada da atenolol (Tenormin), mai suna Longrol XL) ko kuma golol (Corgard).
Abubuwan da suka shafi al'ada sun hada da gajiya, tashin hankali, rashin hankali, rashin barci, da kuma bakin ciki. Contraindications zuwa ga amfani sun hada da hypoglycemia hade da ciwon sukari, hypotension , fuka ko wasu yanayin zuciya.
Antidepressants
Amitriptyline ne mai maganin antidepressant da aka sani da antidpressresser Tricyclic (TCA). Duk da yake ba FDA-yarda da rigakafin ƙwayar cutar ba, akwai binciken da yawa da ke nuna cewa amitriptyline na iya zama tasirin maganin prophylactic.
Yana da mahimmanci idan kana da migraines da ke ɗauka a wasu siffofi ko suna da siffofi a cikin ciwon zuciya. Amitriptyline zai iya zama tasiri idan masu fama da ƙwayar cuta suna da barci ko rashin tausayi wanda ke biyowa da ciwon kai. Abubuwa na gaba daya sun hada da lalata, wadata, da bushe.
An haramta masu maganin saro mai maganin Serotonin (SSRIs), irin su fluoxetine (Prozac), don hana rigakafi, amma bincike ba ya goyi bayan yin amfani da su ba.
Anticonvulsants
Anticonvulsants su ne magunguna da aka fara nufin magance cututtuka marasa lafiya. Suna da sauran amfani, ciki har da hana ƙin ciwon kai na migraine. Divalproex (Depakote) shi ne FDA-yarda, kuma yawancin karatu sunyi amfani da ita. Abubuwa masu tasiri na gastrointestinal ne na kowa amma rage yayin da lokaci ya wuce. Mace marasa lafiya da masu ciwon hanta ko tarihin pancreatitis kada su yi amfani da shi a kowane lokaci.
Topiramate (Topamax) wani abu ne wanda zai iya zama mai kyau don rigakafin ƙwayar cuta. Abubuwan da suka shafi al'ada sun hada da gajiya da tashin hankali, kodayake ƙananan maganin bai haifar da matsalolin da yawa ba.
Sauran Zaɓuka
Akwai wasu magunguna da aka yi amfani da su don hana ƙwayar migraines, babu wani daga cikinsu wanda aka yarda da FDA a wannan batu.
Lisinopril (Zestril), mai maganin ACE wanda aka yi amfani da shi don maganin hauhawar jini, ya nuna wasu alkawura a hana ƙwayar cutar migraines. Candesartan (Atacand) wani mai kwakwalwa ne na angiotensin (ARB) wanda, bisa ga binciken daya, na iya zama tasiri a cikin prophylaxis na migraine.
Masu fashin kwayoyin calcium su ne magungunan jini da suka yi amfani da su a tarihi don rigakafin ƙwayar cuta. Babu wata hujjar kimiyya don tallafawa yin amfani da su, ko da yake akwai wasu shaidu marasa shaida da ke nuna cewa ƙwararren dan gudun hijira (Calan) na iya taimakawa.
Yin amfani da magungunan anti-inflammatory na zamani (NSAID) zai iya zama haɗari saboda matsalolin gastrointestinal da zasu iya haifar da su, amma akwai wasu lokuta inda NSAID na iya amfani da su wajen hana ƙaura, musamman naproxen (Naprosyn).
Samun NSAIDs kafin da kuma lokacin fararen al'ada na iya taimakawa wajen hana barraines .
Sources:
Drugs for migraine. Bayanin magani daga Littafin Lafiya , 2004; 2: 63-66.
Migraine. Ƙasa ta asali ta kasa. An dawo da shi: Disamba 9, 2008. http://www.headaches.org/education/Headache_Topic_Sheets/Migraine
Modi S, Lowder DM. Magunguna don prophylaxis na migraine. Am Fam Likita . 2006 Nov 15, 74 (10): 1685. An dawo da shi: Disamba 9, 2008. http://www.aafp.org/afp/20060101/72.html
Tronvik E, Stovner LJ, Helde G, Sand T, Bovim G. Gyaran ƙwaƙwalwar ƙwayar cuta tare da mai kwantar da hankalin angiotensin na II: gwajin gwajin gwagwarmaya. JAMA , 2003; 289: 65-9.