Mankhwala kwa migraine - mankhwalawa. N'zimene ndi mbali ya ntchito

Migraine - izi ndi imodzi mwa matenda ambiri, amene akhoza kuchepetsa dzuwa la odwala ambiri. matenda amakhudza 6% ya anthu ndi 18% akazi. Chiwerengerochi sizovuta mkulu. Komabe, 60% ya anthu amene amadwala matenda, payekhapayekha kutenga analgesics zosiyanasiyana ululu. Monga ulamuliro, zimenezi kokha kukulitsa njira ya matenda.

Toto analgesics

anthu ambiri amene amadwala mutu waching'alang'ala, sindikudziwa momwe kusiya kuukira, ndi mochedwa kutenga mankhwala othetsa ululu. Kuyambira amenewa mankhwala ochepa. Kapena ali kwina. Izi zimapangitsa kuti wodwalayo wayamba pang'onopang'ono kuwonjezera mlingo wa mankhwala. Chifukwa cha zimenezi kokha azitaya kuwonongeka kwa impso, chitukuko cha gastritis. Nthawi zina, analgesics wambiri kungayambitse mavuto aakulu kwambiri - zikamera mutu mankhwala chovutika.

Ndicho chifukwa chake ngati inu zizindikiro zilizonse za migraine ayenera amanena kuti akatswiri. Self-mankhwala mu nkhani iyi, likhoza kukulitsa alili. M'zaka za m'ma 19 mochedwa gulu latsopano kotheratu analengedwa mankhwala antimigraine - agonists kusankha 5 NT 18 / D-maselo. Zinthu zimenezi ndi opangidwa kuchokera 5-gidroksitritamina. Chidule dzina lawo - triptanity. Mankhwala kwa migraine mbadwo uno kuli kothandiza kuposa analgesics ochiritsira. Komanso Zida kukhala mosavuta kwa magulu onse odwala.

Kodi mankhwala

Mankhwalawa - mankhwala zotsogola kwa matenda opweteka, migraine. Akukhulupirira kuti mankhwala onsewa ntchito njira yomweyo. Komabe, wodwala wina amathandiza ochepa ambiri mankhwalawa. Choncho, kusankha chomaliza mankhwala amakhalabe basi ndi wodwalayo. Kudziwa mphamvu ya triptane makamaka koyenera kuti ayese mankhwala pa kuukira migraine. Osachepera atatu a iwo apite. Ngati mankhwala chatithandizira, zikhoza kugwiritsidwa ntchito m'tsogolo. Ndithudi, kusankha akhoza kwambiri bwanji mtengo wa triptan a. Ndipotu, mankhwala awa si wotchipa. Komanso, aliyense chiphunzitso ali ndi ena analgesic zotsatira. Komanso, m'pofunika kudziwa zimene ndi mankhwalawa kwa migraine, mbali kanthu, njira ya phwando ndi contraindications.

Choyamba, mankhwala ndi chikoka pa makoma zolandilira chotengera. chifukwa izo zimatipatsa kuchepetsa dilated Mitsempha oziziritsa, komanso kumathandiza kuchepetsa mutu.

zinthuzi nacho selectivity mokwanira mkulu. N'chifukwa chake mankhwalawa zimakhudzanso Mitsempha Dura. Ichi ndi chimodzi mwa ukatswiri wawo. Komabe, alibe mphamvu pa zotengera zotumphukira ndi inatsekeratu. Tikumbukenso kuti mankhwalawa - mankhwala migraine kuti ndigwire pakutchulidwa ululu pa mlingo cholandilira, zili phata msana wa mitsempha trigeminal. Izi kumachepetsa kwambiri kudziwa ululu.

Komanso, mankhwala akhoza kuchepetsa pafupipafupi kumwa, komanso bwino kuthetsa zizindikiro okhudzidwa, monga phokoso ndi photophobia, kusanza, nseru.

Minda ya zochita za mankhwalawa

Kumvetsa mmene mankhwala zinthu, ndi kupereka ndizosowa:

1. Vasoconstriction ili ubongo.
2. Anti-yotupa kanthu: kuchepetsa kutupa, amene amaika kukakamiza molekezera mitsempha.
3. Kuponderezedwa poona mitsempha trigeminal ndi kuchepetsa tilinazo ake kuti ululu.

Monga mukuonera, mankhwalawa kwa migraine - mankhwala yabwino kwambiri kuti chingamulepheretse matenda matenda. Chinthu chachikulu ndi kusankha mankhwala bwino

Ubwino ndi kuipa kwa mankhwalawa

Mwa ubwino a zinthu ndi kupereka tichepetse ululu ndi zizindikiro kugwirizana, mwamsanga. Komanso, mankhwalawa angagwiritsidwe ntchito zochizira matenda m'magulu osiyana zaka.

Kumene, mankhwala aliwonse ali kuipa. Mwangwiro kuthandiza mankhwalawa kwa migraine ndi mutu. Komabe, sipekitiramu a zochita za mankhwala awa akadali asanamvetsetse. Komanso, osati aliyense angathe kutenga mankhwalawa monga thanzi lawo. Iwo analetsedwa kugwiritsa ntchito mankhwala kwa anthu odwala matenda a mitima. Mu gulu ili amene amakhala kuundana magazi ndi oopsa oopsa alipo.

M'badwo woyamba

Migraine kukonzekera - mankhwalawa - salembedwa m'magulu angapo. Iyi ndi nthawi yoyamba ndipo m'badwo wachiwiri. Aliyense mankhwala ubwino komanso kuipa. Choncho, m'badwo woyamba wa oona "Sumatriptan". Ichi ndi mankhwala oyamba. Pafupi bwinobwino ndipo ngati muyezo pa matenda a mutu waching'alang'ala. M'mayesero matenda zinatengera anthu 60 zikwi nawo. Kwa nthawi yoyamba mankhwala anatulukira ndi GlaxoSmithKline mu 1989.

Kwenikweni "sumatriptan" kuzindikira mu mawonekedwe a mapiritsi ochiritsira, mapiritsi TACHIMATA, ndi kutsitsi. Aliyense wa iwo ukugwira identically. Zotsatira pazipita pambuyo kutenga mankhwala zikadzatha awiri ndi theka maola, ndi kutsitsi - mphindi 90.

m'badwo wachiwiri

Mankhwalawa - mankhwala kwa migraine, cha gulu ili - achuluka. Komanso, iwo sachita kuphunzira. Ndisonyezeni iwo mu mawonekedwe a mapiritsi. Pakati zothandiza kwambiri:

1. "Natriptan" - mmene yakula kwa pafupifupi ola pambuyo ingestion. Ululu yafupika. Zolemba malire zotsatira amapezeka mkati maola angapo.
2. "Frovatripan" - mankhwala izi ndi ofooka, koma amalandira zochepa kuwonetseredwa zotsatira zosasangalatsa mbali.
3. "Zolmitriptan" - ukugwira pambuyo Mphindi 15 pambuyo utsogoleli. Zotsatira pazipita zimatheka pambuyo pa ola limodzi. mankhwala Izi ndi zabwino kuukira pachimake.
4. "Rizatriptan" - ofanana yokonza m'badwo woyamba, koma ali ndi zotsatira yapadera kwambiri.
5. "Almotriptan" - mankhwala kuposa "Sumatriptan" kangapo pa dzuwa. Zotsatira pazipita zimatheka pambuyo maola 1.5.
6. "Relpaks" - mankhwala ndi katswiri zambiri mawu amene amadza pa Mitsempha ubongo. Ngakhale ntchito ndi ofanana kwambiri "sumatriptan".

Mankhwala kwa migraine (mankhwalawa): mtengo ndi malangizo pa phwando

Kuti kwambiri bwino zimene mankhwala kulibe, ife azipereka tebulo:

Features phwando

Choncho, mmene kutenga mankhwalawa kwa migraine ndi mutu? Malangizo mu nkhani iyi ithandiza kudziwa mlingo ndi nthawi yopemphera. Chinthu chachikulu - kumbukirani kuti mu nkhani ya ululu kuti kumawonjezera pang'onopang'ono alibe khalidwe la migraine, kutenga mankhwala amenewa dongosolo amapanga sazindikira. Pankhaniyi, muyenera kutenga analgesic si yeniyeni. Izi ndi zofunika kwambiri. Childs, mankhwalawa ayenera kumwedwa pakutha pa aura, kapena palibe pasanafike maola awiri pambuyo isanayambike nkhawa. Komanso, pamene migraine triptan ndipo angagwiritsidwe ntchito ndi mankhwala ena, monga metoclopramide kapena domperidone.

Koma kutsitsi, iwo ayenera kugwiritsidwa ntchito pa nseru mokwanira kutchulidwa ndipo, ndithudi, kusanza. "Imigran" angathe kumwedwa kuthetsa udindo migraine. Triptanity awerenge osati chitukuko cha matenda, komanso nthawi pakati pa kuukira pofuna kupewa. Izi kuloledwa milandu pamene:

1. umaso wa wodwalayo lafika poipa.
2. NSAIDs ndi ovuta kuchiza kwake.
3. kuukira Migraine zimachitika kawirikawiri kuposa kawiri pa masiku 30.

Kodi kuthana ndi mutu

Kuchotsa migraine kuukira, m'pofunika woyamba muyesere kutenga 1,000 mamiligalamu asidi acetylsalicylic, fungo chakumwa munali tiyi kapena khofi, kapena mamiligalamu 10 mankhwala "Motilium". Ngati pambuyo Mphindi 45 mutu amalimbikira, n'zotheka ntchito triptan.

Tikumbukenso kuti zinthu kumene kuukira atatu nonspecific analgesic sanapereke mukufuna, mukhoza yomweyo ungatichotsere migraine. Ngati panali aura, ntchito ndi aspirin ndalama pokhapo wayamba, ndipo pambuyo pakutchulidwa ululu wa - mankhwala kwa migraine (mankhwalawa).

Kodi ngati ululu anabwerera?

Pafupifupi 50% odwala pali kubwerera kwa mutu mwa masiku angapo. Akatswiri amalangiza kuti zimenezo kachiwiri kutenga mankhwala kwa migraine - mankhwalawa. Tiyenera kukumbukira za mlingo pazipita tsiku la mankhwala. Kutenga mankhwala palibe kale kuposa maora awiri a mankhwala oyamba. Ngati mutu atha kupirira, wodwalayo mwina m'malo mankhwalawa nonspecific analgesic.

Dziwani kuti azunzike akadzabweranso nthawi zambiri anamuona pa odwala ndi kumamwa mokwanira yaitali kuti ukhoza asanatenge ululu mankhwala maola oposa 24. Ngakhale pamene akumwabe pafupipafupi chilichonse triptan a zinthu ngati ali sinasinthe kwambiri m'kupita. Komabe, akatswiri amakhulupirira kuti ntchito "Eletriptan" ndi "naratriptan" amathandiza kuchepetsa chiwerengero cha anthu odwala matenda atsopano.

Ngati palibe chifukwa

Pali nthawi zina pamene mankhwala migraine (mankhwalawa) ndi mankhwala si yeniyeni musataye zotsatira anakhumba ndi sichimachotsa kupweteka. Pankhaniyi, dokotala angathe mankhwala ndi mankhwala zovuta zomwe limapangidwa kugwiritsira mankhwala anticonvulsant, komanso B-blockers. mankhwala amenewa ndi monga "nadolol," "acebutolol", "penbutolol", "Labetanol", "Betaxolol" ndi ena.

Zotsatira zoyipa za mankhwalawa

Mankhwalawa angathe kumwedwa masiku 10 okha pamwezi. Apo ayi mukhoza kupeza mavuto. ntchito pafupipafupi wa mankhwalawa kungachititse kuti mutu, lomwe limapezeka odwala kulandira mankhwala. Komanso, monga mankhwala kanthu ndi mavuto, kuphatikizapo:

1. Kuona chikondi ndi stiffness mu miyendo, kugona, kufooka, chizungulire, tilinazo.
2. M'mnyewa wamtima m'mimba kapena ndulu, ischemic matenda a m'matumbo, hemorrhagic m'mimba, pakamwa youma, kupweteka m'mimba ndi nseru.
3. Myalgia ndi minofu kufooka.
4. Inatsekeratu vasospasm, m'mnyewa wamtima infarction, angina pectoris, tachycardia, palpitations.
5. Polyuria, ndipo kawirikawiri pokodza.
6. Anaphylaxis, angioedema, urticaria.

Ngakhale izi, mankhwalawa kwa migraine - ndi mankhwala mofulumira wotenga. Ngati inu kutenga mankhwala mosamalitsa Malinga ndi malangizo, ndiye palibe vuto. The okha kwambiri sangathe mankhwala amenewa - mtengo. Siyense amene angakwanitse kugula mankhwala amenewa.