Mankhwalawa kwa migraine. Mankhwalawa: mankhwala mitengo

Migraine - vuto odwala ambiri. Pafupifupi aliyense kamodzi pa ululu zokumana moyo mutu. Monga ulamuliro, iwo limodzi ndi chizungulire, nseru, kusanza, komanso dzanzi, kumva kulasalasa ndi zofooka mu kumalekezero, photo- ndi phonophobia. Pambuyo nkhondo, odwala amadandaula kutopa, ulesi ndi tulo. Nthawi zina pali milandu pamene nthendayo kotero thamangani, kuti zitha kuthandiza wodwalayo mankhwalawa mutu. Tikumbukenso kuti migraine - matenda a akazi, ngati iwo ali kuti atengeke kudwala zimenezi, koposa anthu. Pafupifupi 10-18% ya akulu anapezeka ndi migraine.

Vuto la mutu bwino kwa munthu aliyense

Anthu ambiri safuna thandizo ku chipatala oyenerera n'kuyesa kupirira matenda, tikadwala analgesics. Nkosafuna kunena kuti njira zimenezi si kuthandiza, koma pofuna kukwaniritsa zolinga matenda. The ntchito kusalankhula wa analgesics angachititse chitukuko cha mankhwala chifukwa mutu aakulu. Choncho, n'zosadabwitsa kuti pali nambala yaikulu mafunso za mtundu wa mutu mankhwala - zothandiza kwambiri.

Kwathunthu kuchiza migraine n'zosathekadi, koma kusintha khalidwe la moyo ndi zotheka ndi katundu wapadera, amene amaikidwa ndi matenda okhudza ubongo a. Pali panopa amadziwika ndi kuchuluka yaikulu migraine amene mokwanira ogwira onse pa nkhondo, ndipo mu nthawi interictal. Kenako, tione mankhwala migraine: mndandanda wa zinthu ndi pachimake kuukira wopanda mankhwala. Iwo imatsimikizirika kuti mankhwalawa - mankhwala yabwino kwambiri kuthetsa mutu kwambiri. Ndi mankhwala prophylactic amapatsidwa magulu otsatirawa:

• β-blockers;
• antidepressants;
• antiemetic;
• madzi sungunuka mavitamini B;
• kashiamu blockers;
• anticonvulsants.

Kuvomereza pachikhalidwe onse pamwamba monga asatayike ayenera kusankha munthu woyenera.

Chifukwa mutu?

Musanayambe kudziwa mmene zinthu mankhwalawa kwa mutu, mtengo wa potsata Mlengi, m'pofunika kumvetsa limagwirira wa kudwala lapansi. Mutu akufotokozera chifukwa kukondoweza kwa maselo a meninges ndi ziwiya ubongo. Pamene mavuto amaika ndiponso ndi mitsempha, makamaka mitsempha yomwe ili ku boma hypotonic akufotokozera ululu, omwe angathe kuthetsedwa kudzera mwa asatayike wapadera. Akatswiri ambiri amene ankawoneka kwa nthawi yaitali, kukonzekera zochizira migraine, amaganiza kuti mankhwalawa - njira yabwino yothetsera kudwala izi.

katundu mankhwalawa

The mankhwala umalimbana kuchepetsa ziwiya dilated ubongo. Mankhwalawa - mankhwala kuti amachita pa phata ndi maselo a mitsempha trigeminal, womwe amachepetsa tilinazo ululu pakhomo. Mankhwalawa - antimigraine mankhwala amakono, omwe selectivity m'malo okwezeka ziwiya mwazi wa Dura Mater (Dura Mater encephali) ndi ziwiya zazing'ono ndi zotumphukira ndi inatsekeratu.

Anapereka mankhwala othandiza kuchepetsa ululu pa mlingo wa phata msana wa mitsempha trigeminal. Kuwonjezera mankhwalawa onse pamwamba - mankhwala akhoza osati kuchepetsa kufala kwa chofookacho matenda, komanso kuthetsa okhudzidwa mawonetseredwe matenda a iwo (mwachitsanzo, nseru, kusanza, photophobia, ndi phokoso).

Ubwino waukulu wa mankhwalawa

Izi zimatha pharmacological wa liwilo kumagwiritsa chifukwa. Kwenikweni pa theka la ola pali zizindikiro za Phindu la mankhwala pa thupi la wodwalayo. Zotsatira achire anakhalabe mu kudwala mutu waching'alang'ala. Ambiri odwala mutu si anawathetsa akuyambiranso.

Masiku ano, asayansi atsimikizira kuti kudziwika precursors kuukira ayenera yomweyo mankhwalawa kwa migraine. Kale panali chiphunzitso kuti matenda migraine apatsidwe thandizo mu masiteji, kuyambira ndi phwando mankhwala yosavuta.

Mankhwala kwa migraine: mndandanda wa mankhwala otchuka

Mu gulu triptan mankhwala zikuphatikizapo zotsatirazi:

• 'Zomig.
• "Amigrenin".
• "Sumatriptan".
• "Imigran".
• "Relpaks".
• "Trimigren".
• "Sumamigren".
• "Rapimed".
• "Almotriptan".
• "Naramig".
• "Naratriptan."
• "Frovatriptan."
• "Zolmitriptan."

The mankhwala wodwala aliyense akhale mosamalitsa munthu, kotero pofuna mphamvu iyi kapena zina mankhwala, madokotala amalangiza kuyesa cholanda pa kuukira migraine atatu. Tryptamine gulu la mankhwala amakhala ndi bioavailability mkulu, ali mosavuta kugonjetsa magazi ubongo chotchinga, ndi othandiza kuchepetsa kuukira migraine, ngakhale mu gawo chopweteka. Izi mankhwala oyenera kuti mankhwala odwala zolimbitsa kuti chaukali kusalekerera matenda.

ntchito Mfundo Zina

Kaŵirikaŵiri timamva funso lomwelo: kodi mutu mapiritsi bwino? maphunziro Experimental zasonyeza kuti njira yabwino kwambiri kuthetsa zizindikiro za migraine ndi mankhwalawa. Ndi bwino kutenga mankhwalawa kwa migraine pamene detects zizindikiro woyamba kuukira. The pazipita analgesic zotsatira yakula kwa maola awiri pambuyo kumwa mankhwalawa. Tisanayambe mankhwala, powerenga malangizo ndi dotolo wina. Nkofunika kuteteza mankhwala ambiri osokoneza. Mankhwalawa kwa migraine ali osavomerezeka ntchito pamodzi ndi mankhwala, antifungal, mavairasi oyambitsa wothandizira, komanso ndi antidepressants.

Kukwaniritsa chimene mukufuna, odwala ayenera kutsatira malangizo zotsatirazi kulandira mankhwalawa:

• ndi ofatsa mutu zolimbitsa kutenga piritsi 1 (kapena kutsitsi wina mlingo);
• mlingo wachiwiri akutengedwa osati kale kuposa 2 chasa;
• masana musatenge Mlingo oposa awiri;
• mankhwalawa ali osavomerezeka kutenga masiku opitirira awiri pa mlungu.

Pa mankhwala a zakudya zanu Tisawasale tiraminsoderzhaschie Zamgululi:

• koko;
• chokoleti;
• nyemba;
• mazira;
• udzu winawake;
• citrus;
• zowonjezera zakudya;
• tchizi;
• tomato;
• mtedza;
• mowa zakumwa.

Mmodzi ayenera osadya chakudya ozizira.

Pa zosayembekezereka ya migraine triptane, mtengo umene adzasonyezedwa pansipa, Angagwiritsidwenso ntchito ndi mankhwala ena, monga metoclopramide kapena domperidone.

zotsatira zoyipazi

Pamene mankhwala ambiri osokoneza bongo, odwala mavuto otsatirawa:

• chizungulire;
• anaphylactic mantha;
• zikayamba;
• nseru;
• kumverera wachikondi;
• infarction a ndulu, matumbo;
• kusanza;
• youma pakamwa;
• myalgia;
• ululu m'mimba;
• kusinza;
• moto kutengeka pa khungu;
• Angioedema;
• tachycardia;
• ming'oma;
• polyuria;
• minofu kufooka;
• utachepa tcheru;
• msokonezo imalandira;
• haemorrhagic m'mimba;
• pafupipafupi pokodza;
• inatsekeratu vasospasm.

Ngakhale izi, mankhwalawa kwa migraine - ndi mankhwala mofulumira wotenga. Mutu mlingo ndi pafupipafupi kutenga mankhwala chiopsezo mavuto ndi kochepa. Ambiri, mankhwalawa onse analekerera ndi thupi bwinobwino. Zotsatira zake zoyipa, ngati zidzachitika, linasonyeza wofatsa ndi kuthetsa zokha popanda mankhwala. The drawback waukulu wa mankhwalawa - izi ndi ndalama zawo. Mwatsoka, odwala onse angathe kugula mankhwala amenewa.

contraindications

Mankhwalawa kwa migraine musati amalangiza ntchito milandu zotsatirazi:

• sitiroko;
• angiospastic angina;
• mimba;
• cerebrovascular ngozi;
• pa kuyamwitsa mwana;
• coagulopathy (magazi clotting);
• unyamata;
• matenda a dongosolo mtima;
• hypersensitivity kuti zinthu bioactive cha chiphunzitso ndi;
• kusalankhula oopsa;
• arrhythmia;
• chiwindi ndi impso matenda;
• atherosclerosis.

Pamaso kupereka mankhwalawa zina, dokotala nawo ayenera kuzindikira zinthu chiopsezo cha atherosclerosis. mfundozi zotsatirazi:

• shuga;
• pambuyo azimayi amsinkhu umenewu amakumana ndi akazi;
• kusuta;
• oopsa;
• kunenepa;
• mkulu mlingo wa nthenda mafuta magazi;
• zaka zaka 40 chifukwa anthu;
• kutengera za kumtundu matenda a mtima.

Odwala ena amene ali pa chiopsezo adzilandira mlingo wawo woyamba wa tryptamine kuyang'aniridwa ndi katswiri ndi pansi ECG kulamulira.

Chiwembu kuchitira migraine

Pali mfundo za kuchizira matenda a matenda amene ayesedwa olungama nthawi zambiri:

• kofunikira kuyamba mankhwala ndi analgesics kapena osakaniza kwake (kuphatikizapo mankhwala nonsteroidal odana ndi yotupa);
• Ngati analgesic ntchito sayankha zabwino, ndiye pambuyo Mphindi 45 ayenera kutenga triptan;
• ngati triptan wakhala osamveka, kuukira lotsatira ayenera kugwiritsa ntchito mankhwala wina ku triptanovoy gulu;
• ndi atypical mutu m'pofunika ntchito sanali steroidal odana ndi yotupa mankhwala.

Kugwiritsa ntchito zipangizo zamakono zochizira migraine, analengedwa pa maziko a mankhwalawa, kuthandiza kuti moyo kosavuta kwa odwala ambiri. Musaiwale kuti akumwa mankhwala amenewa zotchulidwa dokotala, ndi kokha pamene matenda. Pali zinthu pamene mankhwalawa ndi analgesics ena nonspecific musataye zotsatira anakhumba ndi sichimachotsa kupweteka. Pankhaniyi, madokotala zambiri mankhwala ndi mankhwala zovuta ndi mankhwala anticonvulsant, ndi beta-blockers. Mankhwalawa monga mankhwala zotsatirazi:

• "Penbutolol".
• "Nadolol."
• "Betaxolol."
• "Topiramate".
• "Neurontin."
• "Phenobarbital".
• "Timolol".
• "Propranolol".
• "Labetanol".
• "Bellataminal".
• "Metoprolol".
• "Topamax".
• "Acebutolol".

Zochepetsera kufala kuukira?

Kuchepetsa pafupipafupi odwala migraine ayenera kutsatira malamulo otsatirawa:

• kudya nthawi;
• kukusalani zakudya zakudya zanu ndi zakumwa zimene zimachititsa kuukira (mowa, chocolate, tchizi, shampeni, zipatso, vinyo wofiira);
• kusuta;
• ngati n'zotheka kukhala panja yaitali;
• kupewa nkhawa;
• Chitani (yabwino - kusambira);
• kupewa kuyenda ulendo wautali basi, bwato galimoto.

Mankhwalawa ndi mutu: mtengo

Mankhwalawa amapangidwa mwa njira zosiyana mlingo: zothetsera jekeseni, kutsitsi m'mphuno, mapiritsi, thumbo suppositories. Pa mtengo wa mankhwala kumakhudzanso kumasulidwa mawonekedwe, mlingo nambala ya mankhwala mu phukusi. Chifukwa, mtengo wa mankhwala zimasiyanasiyana zosiyana - 150-1500 rubles pa paketi.