Migraine chirwere chepfungwa, chiratidzo chikuru chaicho chiri musoro musoro. Zvinorwadza zvinogona kuva zvepisodic kana kugara, asi zvinogara zvichishungurudza, kazhinji zvichiendeswa nezwi uye photophobia, kushungurudzika, dutu, kusagadzikana uye kuora mwoyo.
Zvinosuruvarisa, hapana chirwere chinodhaka chinogona kukwanisa kubvisa zvose zviratidzo zvemigraine kamwechete. Saka, nzira huru yekurapa chirwere ichi ndechokubvisa marwadzo ekurwadziwa. Ndezvipi mahwendefa anokurudzirwa kutora (kunwa) ne migraine, tichakurukura zvakare.
Ndeipi mapiritsi anobatsira nemigraines?
Iko kune mapoka mazana emishonga ye migraine. Zvisinei, mishonga iyo iyo inogadzirisa kugadzirisa zvirwere mune vamwe varwere inogona kunge isiri yakakwana kune vamwe varwere. Mukuwedzera, mishonga imwecheteyo inogona kunge yakagadzirisa zvakasiyana kune mumwe murwere munguva dzakasiyana dzekudzivirira migraine. Nokudaro, kusarudzwa kwemishonga inobatsira haisi basa rakanyanya, uye chete nyanzvi inofanira kutarisana naro.
Mahwendefa anobudirira anorwisa migraine ndiyo mishonga iyo, nemhaka yeiyo:
- kurwadziwa kwemaawa maviri;
- inovandudza mararamiro ehutano wehutano kubva pakusagutsikana kusvika kugutsikana kana kwakanaka maawa maviri mushure mekugamuchira;
- maitiro akanaka anowanikwa mumatambudziko maviri kubva kune matatu;
- kurwiswa hakuiti zvakare mukati maawa makumi mana anotevera;
- Haudi mishonga yakawedzerwa (iyi kana imwe) kubvisa kurwisa.
Sezvo mutemo, pakusarudza mushonga wemigraine, zvakakosha zvinopiwa kune mishonga iyi ine chinhu chimwe chinoshanda.
Mazana mapoka emishonga ye migraine
- Kwete-steroidal anti-inflammatory drugs (ibuprofen, paracetamol, phenazone, naproxen, diclofenac, metamizole, desketoprofen trometamol, nezvimwewo). Iyi mishonga inoshandiswa kwemigraine, inofambidzana nemarwadzo anononoka kana munyoro, uye kuva nenguva yakaenzana yekugumburwa. Zvinhu zvinoshanda zvehwendefa idzi zvinobatsira kuderedza marwadzo, kuderedza chisarudzo chevhiringidzi vezvokuvhiringidza nekudzivisa neurogenic kuvhiringidzika mumamambo. Muchiitiko chekushungurudza uye kurutsira, izvi zvakagadzirirwa nenzira yeodhodho zvinokurudzirwa panzvimbo pehwendefa.
- Kusarudza serotonin agonists (zolmitriptan, naratriptan, sumatriptan, almotriptan, rizatriptan, etc.). Iyi mapiritsi inoshandiswa kurapa migraine munguva yekududzira uye kugadzirisa zvirwere. Nekushungurudzika kwakakomba uye kurutsira, zvinodhaka zvinoshandiswa mumhando yemaspiritsi emumhino. Iyi mishonga inogadzirisa kushandiswa kwe serotonin muuropi, kuputsa kwaro ndiyo nzira yekukonzera kurwisa. Zvinokonzerawo kubviswa kwepasimusi yemitsipa yeropa. Pasi pesimba remishonga iyi, kurwadziwa kunorapwa uye zvimwe zviratidzo zvemigraine zvakaderedzwa.
- Dopamine receptor agonists (lizuride, metergoline, bromocriptine, nezvimwewo). Iyi mishonga inobatsira kuderedza kuwandisa uye kuwedzera kwekugumburwa, saka inowanzoshandiswa nechinangwa chekudzivirira. Zvinoshandisa inzwi remidziyo, zvichiita kuti rive
kuderera, kuderedza kusanganiswa kwemafupa, kurega kurwadziwa kwepfungwa.
Mapiritsi kubva kumigraine panguva yekuzvitakura
Nhamba yemapiritsi ane migraine anokurudzirwa kutora panguva yekuzvitakura yakanyanya kuderedzwa, nokuti mishonga iyi ine migumisiro yakawanda uye inogona kukuvadza fetus.
Zvinoreva kusimudza migraine kurwisa, yakachengeteka kuna amai uye mwana anouya, ndiwo paracetamol , ibuprofen, acetaminophen, flunarizine, uye magetsi anoita.