Migraine ndi matenda aakulu a ubongo. Zimasonyezedwa ndi kuukiridwa nthawi ndi nthawi kumutu kumapweteka kwambiri, komwe kumachitika chifukwa cha zovuta (nyengo, nkhawa, kumwa mowa, etc.). Kupweteka nthawi zambiri kumakhala limodzi, kumakhala kuyambira maola 4 mpaka masiku atatu, kuphatikizapo kunyoza, kusanza, kuwala ndi phokoso.
Kuchiza kwa migraine ndi kovuta ndipo kumaphatikizapo kugwiritsa ntchito mankhwala. Tidzakambirana, ndi kukonzekera kotani kuchokera ku migraine yomwe ikugwiritsidwa ntchito panopa, ndipo nanga bwanji iwo akufunikira kupereka zosankha.
Kodi mungasankhe bwanji mankhwala a migraine?
Pali mankhwala angapo omwe amagwiritsidwa ntchito kuti asamalire kupweteka. Kodi ndi mankhwala otani omwe angagwiritsidwe ntchito pa migraines, angathe kuuza dokotala yemwe akupezekapo atatha kuchipatala.
Tiyenera kuzindikira kuti palibe "chabwino", mankhwala abwino a migraine, omwe angathe kuthandiza odwala onse. Mfundo yakuti mankhwala omwe amathandiza wodwala mwapadera, sangakhale abwino kwa ena. Komanso, ngakhale mliri yemweyo, mankhwala oletsa anti-migraine angathandize pa chiwonongeko chimodzi ndikukhala osagwira ntchito mzake. Mukasankha mankhwala, muyenera kuganizira kukula kwa ululu ndi kukula kwaumphawi, komanso kusamvana ndi matenda okhwima.
Zimakhulupirira kuti mankhwala a migraine ndi othandiza ngati:
- mankhwalawa amachepetsa matenda opweteka ndipo amakula bwino kwa maola awiri;
- kukonzekera bwino "ntchito" mowirikiza awiri;
- atavomerezedwa, kuukira kwa migraine sikuchitika kachiwiri m'masiku otsatira;
- palibe chifukwa chovomerezerapo zina kapena njira zina zothetsera vutoli.
Analgesics for migraine
Pa gawo loyambirira, posankha mankhwala a migraine, anesthetics ndi mankhwala osachiritsika oletsa kutupa omwe amadziwika kwa aliyense: paracetamol, metamizole, aspirin, ketoprofen, naproxen, diclofenac, ibuprofen, codein, etc., nthawi zambiri amalembedwa. Zingagwiritsidwe ntchito payekha kapena kuphatikiza. Komabe, odwala ambiri azindikira kuti mankhwalawa ndi othandiza kwambiri.
Triptans ndi migraine
Zogwira mtima kwambiri ndi kukonzekera gulu la triptans, monga: almotriptan, freotriptan, eletriptan, rizotriptan, zolmitriptan, naratriptan, sumatriptan. Zotsatira za mankhwalawa sizinaphunzire mokwanira, ndipo maphunziro akuchipatala akuchitidwabe. Choncho, zina mwa ndalamazi sizinavomerezedwe kugwiritsidwa ntchito m'dziko lathu.
Triptans ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pa migraines, omwe amangokhala pa ziwiya za ubongo. Kuonjezera apo, tryptans amachititsa zomwe zimalandira ziwalo za ubongo, kuchepetsa kutulutsa zinthu zomwe zimayambitsa kutupa ndi ululu. Zimakhudzanso mitsempha ya trigeminal, kuchepetsa kukhudzidwa kwa ululu.
Sumatriptan (mankhwala ololedwa) amagwiritsidwa ntchito intranasally, pamlomo ndi pansi. Pa migraine aura, mankhwalawa sangagwiritsidwe ntchito.
Ergotamine ndi migraine
Pa maziko a ergotamine, mankhwalawa akupezeka: kaginergin, gynofort, neoginophor, ergormar, sekabrevin, akliman. Ndalamazi zimakhala zogwira mtima ngati zitengedwa kumayambiriro kwa matenda opweteka. Ergotamine imakhalanso ndi mphamvu ya vasoconstrictor. Sungagwiritsidwe ntchito kwa nthawi yaitali, chifukwa ikhoza kusokoneza. Kawirikawiri, ergotamine imayikidwa pamodzi ndi mankhwala ena - mwachitsanzo, caffeine.