I-Migraine yisifo esingelapheki segazi. Kubonakala ngokuhlaselwa ngezikhathi ezithile ezinhlokweni eziphuthumayo noma ezinzima eziphuthumayo, ezenzeka ekuphenduleni izici ezivusa amandla (izimo zezulu, ukucindezeleka, ukuphuza utshwala, njll). Ubuhlungu ngokuvamile buhlangene, buhlala kusuka emahoreni amane kuya kwezinsuku ezintathu, kuhambisane nesicefe, ukuhlanza, ukukhanya nokuzwakala.
Ukwelashwa kwe-migraine kuyinkimbinkimbi futhi kuhilela ukusebenzisa imithi. Sizocabangela, yimaphi amalungiselelo kusuka ku-migraine asetshenzisiwe manje, futhi kuthiwani okudingekayo ukunikeza okuthandayo.
Indlela yokukhetha imithi ye-migraine?
Kukhona imithi eminingi esetshenziselwa i-migraine ukucindezela ukuhlaselwa ubuhlungu. Yiluhlobo luni lwemithi oluzosetshenziselwa i-migraines, lingatshela odokotela kuphela ozoya khona ngemva kokuthola ukuxilongwa.
Kumele kuqashelwe ukuthi ayikho "ekahle", imithi engcono kakhulu ye-migraine, ezokwazi ukusiza ngokuphelele iziguli. Ukuthi isidakamizwa esisisiza ngokugcwele isiguli esisodwa, kungenzeka ukuthi asifanele abanye. Ngaphezu kwalokho, ngisho nasesiguli esifanayo, imishanguzo ye-anti-migraine ingasiza ekuhlaselweni okulodwa futhi ingabi nhlobo nakwezinye. Lapho ukhetha umkhiqizo wokwelapha, kufanele ucabangele ubukhulu bezinhlungu kanye nezinga lokukhubazeka, kanye nokuphikisana nokugula okuhambisana nezifo.
Kukholelwa ukuthi ukwelashwa kwe-migraine kuyasebenza uma:
- lo muthi ukhulula ubuhlungu be-syndrome futhi kuthuthukisa inhlalakahle yamahora amabili;
- ukulungiswa ngokuphelele "kusebenza" ekuhlaselweni kokubili kwabathathu;
- ngemuva kokungenwa kwakhe, ukuhlaselwa kwe-migraine akuphinde kwenzeke phakathi nezinsuku ezilandelayo;
- Asikho isidingo sokwamukelwa okwengeziwe kwalokhu noma enye indlela yokunciphisa ukuhlaselwa.
Ama-analgesics for migraine
Esigabeni sokuqala, lapho ukhetha imithi ye-migraine, i-anesthetics kanye ne-non-steroidal anti-inflammatory drugs eyaziwa cishe wonke umuntu: i-paracetamol, i-metamizole, i-aspirin, i-ketoprofen, i-naproxen, i-diclofenac, i- ibuprofen, i-codeine, njll, ngokuvamile iyalulwe. Ingasetshenziswa yedwa noma inhlanganisela. Kodwa-ke, iziguli eziningi ziye zaphawula ukusebenza okuphansi kwalezi zixazululo ze-migraines.
I-Triptans ne-migraine
Okuphumelela kakhulu yizinhlelo zeqembu lama-triptans, okufaka: i-almotriptan, i-freotriptan, i-eletriptan, i-rizotriptan, i-zolmitriptan, i-naratriptan, i-sumatriptan. Umphumela walezi zidakamizwa awukafundiwe ngokugcwele, futhi izifundo zokwelashwa zisenziwa. Ngakho-ke, ezinye zalezo zimali azikavunyelwe ukusetshenziswa ezweni lethu.
I-Triptans yizidakamizwa ze-vasoconstrictive esetshenziselwa i-migraines, esebenza kuphela ezitsheni zobuchopho. Ngaphezu kwalokho, i-tryptans yenza izinyathelo ze-cortex ye-cerebral, ukunciphisa ukukhishwa kwezinto ezibangela ukuvuvukala nobuhlungu. Zithinta futhi izinhlanzi ze-trigeminal, ukunciphisa ubuzwe bayo ebuhlungu.
I-Sumatriptan (izidakamizwa ezivumelekile) isetshenziswe nge-intranasally, ngomlomo nangaphansi. Phakathi ne-migraine aura, le mithi ayikwazi ukusetshenziswa.
I-Ergotamine nge-migraine
Ngesisekelo se-ergotamine, izidakamizwa ezilandelayo zikhona: kaginergin, gynofort, neoginophor, ergormar, sekabrevin, akliman. Lezi zimali ziphumelela kakhulu uma zithathwa ekuqaleni kwe-syndrome yezinhlungu. I-Ergotamine nayo inomphumela we-vasoconstrictor. Ngeke isetshenziswe isikhathi eside, ngoba ingaba umlutha. Ngokuvamile, i-ergotamine inqunywe ngokuhlanganiswa nezinye izidakamizwa - isibonelo, i-caffeine.