Umbhali: Judy Howell
Umhla Wokudalwa: 6 Eyekhala 2021
Hlaziya Umhla: 15 Eyenkanga 2024
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Umxholo

Kuqikelelwa ukuba amaMelika afumana migraine. Ngelixa kungekho lunyango, i-migraine ihlala inyangwa ngamayeza enza lula iimpawu okanye ancede ukuthintela uhlaselo lwe-migraine ekubeni lwenzeke kwasekuqaleni.

Ngamanye amaxesha, kuseto lonyango, iimpawu ze-migraine zinokunyangwa nge-"migraine cocktail" Esi ayisosiselo, kodwa indibaniselwano yamayeza athile ukunceda ukukhulula iimpawu ze-migraine.

Eli nqaku liza kujonga ngokusondeleyo kwi-cocktail ye-migraine, iziphumo ezichaphazelekayo, kunye nezinye iindlela zonyango lwe-migraine.

Yintoni i-migraine cocktail?

Ukuba ufumanisa ukuba ufuna unyango ngenxa yentlungu ye-migraine, enye yeendlela onokuthi uzinikwe yile migraine.

Kodwa yintoni kanye kanye le migraine yonyango, kwaye zenza ntoni izithako ezahlukeneyo?


Kubalulekile ukuba uqaphele ukuba amayeza kwi-cocktail ye-migraine angahluka ngokuxhomekeke kwezinye iimeko zonyango kunye nempendulo yakho yangaphambili kunyango lokuhlangula i-migraine.

Amanye amayeza anokufakwa kwi-cocktail ye-migraine afaka:

  • IiTriptans: La mayeza aneempembelelo ezichasayo kwaye kucatshangelwa ukunciphisa imithambo yegazi kwingqondo yakho, ekuncedeni ukunciphisa intlungu. Umzekelo we-triptan kwi-migraine cocktail yi-sumatriptan (Imitrex).
  • I-antiemetics: La mayeza anokunceda ngentlungu, nayo. Abanye banokunciphisa isicaphucaphu kunye nokugabha. Imizekelo enokusetyenziswa kwi-migraine cocktail ibandakanya iprochlorperazine (Compazine) kunye ne-metoclopramide (Reglan).
  • Iimpazamo zeealkaloids: I-Ergot alkaloids isebenza ngendlela efanayo kwii-triptans. Umzekelo we-ergot alkaloid esetyenziswe kwi-migraine cocktail yi-dihydroergotamine.
  • Izidakamizwa ezichasayo ezichasayo (i-NSAID): Ii-NSAID ziluhlobo lonyango olukhulula iintlungu. Olunye uhlobo lwe-NSAID olunokubakho kwi-migraine cocktail yi-ketorolac (Toradol).
  • IV steroids: I-IV steroids isebenza ukunciphisa iintlungu kunye nokudumba. Banokunikwa ukuba bancede ukuthintela ukuba i-migraine ingabuyi kwiintsuku ezimbalwa ezizayo.
  • Intravenous (IV) ulwelo: Amanzi e-IV anceda ukutshintsha naluphi na ulwelo osenokuba ulahlekile. Olu lwelo lunceda ekuthinteleni iziphumo ebezingalindelekanga ezivela kumayeza afakwe kwi-migraine cocktail.
  • Imagnesium: I-Magnesium yinto yendalo ehlala isetyenziselwa ukunqanda uhlaselo lwe-migraine.
  • IV valproic acid (Idepakote): Eli liyeza lokubamba elingasetyenziselwa ukunyanga ukuhlaselwa kwe-migraine.

Amayeza kwi-cocktail ye-migraine ahlala enikwa nge-IV. Ngokubanzi, kuthatha malunga neyure okanye nangaphezulu kwiziphumo zonyango ukuba ziqale ukusebenza kwaye uzive ukhululeke kwimpawu.


Ngaba zikhona iziphumo ebezingalindelekanga?

Ngamanye amayeza anokufakwa kwi-cocktail ye-migraine ineempembelelo zayo. Ezinye zeziphumo ebezingalindelekanga kwilinye lonyango zibandakanya oku kulandelayo:

  • IiTriptans:
    • ukudinwa
    • iintlungu neentlungu
    • ukuqina kwiindawo ezifana nesifuba, intamo kunye nomhlathi
  • Neuroleptics kunye ne-antiemetics:
    • izihlunu zemisipha
    • ukungcangcazela kwemisipha
    • ukungazinzi
  • Iimpazamo zeealkaloids:
    • ukozela
    • isisu esibuhlungu
    • isicaphucaphu
    • ukugabha
  • Ii-NSAID:
    • isisu esibuhlungu
    • urhudo
    • intlungu zesisu
  • IiSteroids:
    • isicaphucaphu
    • isiyezi
    • ingxaki yokulala

Kuthekani nge-OTC migraine cocktail?

Usenokuba ukhe weva malunga ne-over-the-counter (OTC) ye-migraine cocktail. Olu ludibaniso lwamachiza amathathu:

  • I-Aspirin, i-250 milligrams (mg): Eli yeza lisetyenziselwa ukunciphisa iintlungu kunye nokudumba.
  • I-Acetaminophen, i-250 mg: Ikhupha iintlungu ngokunciphisa inani leprostaglandins eveliswa ngumzimba wakho.
  • Icaffeine, 65 mg: Oku kubangela i-vasoconstriction (ukunciphisa imithambo yegazi).

Xa kuthathwe ndawonye, ​​ngasinye sezithako sinokusebenza ngakumbi ekunciphiseni iimpawu ze-migraine kunesithako ngasinye.


Esi siphumo saqwalaselwa kwifayile ye-. Indibaniselwano esisigxina yeasprini, iacetaminophen, kunye necaffeine yafunyanwa inikezela ngesiqabu ngakumbi kunonyango ngalunye.

I-Excedrin Migraine kunye ne-Excedrin yamandla ongezelelweyo ngamayeza amabini e-OTC aqukethe i-aspirin, i-acetaminophen, kunye ne-caffeine.

Nangona kunjalo, oogqirha bahlala becebisa abaguli ukuba bayiphephe i-Excedrin kunye neziphumo zayo ngenxa yomngcipheko wamayeza agqithisileyo entloko.

Endaweni yoko, oogqirha bancomela ukuthatha ibuprofen (Advil, Motrin), naproxen (Aleve), okanye i-acetaminophen (iTylenol). Ngokubanzi bacebisa ngokuchasene ne-OTC caffeine, kuba inokubangela iziphumo ebezingalunganga njengentliziyo yokubaleka kunye nokulala.

Kukwakho nezinye iigeneric ezinokuba nendibaniselwano efanayo yezithako. Qiniseka ukuba ujonga ukupakishwa kwemveliso ukuqinisekisa izinto ezisebenzayo.

Ikhuseleke kangakanani i-OTC migraine cocktail?

Amayeza e-OTC migraine aqukethe i-aspirin, i-acetaminophen, kunye ne-caffeine ayinakhuseleka kuwo wonke umntu. Oku ikakhulu kunjalo:

  • abantu abaye bafumana ukungahambelani kwangaphambili nakwezinye izinto ezintathu
  • nabani na othatha amanye amayeza anee-acetaminophen
  • abantwana abangaphantsi kwe-12, ngenxa yomngcipheko wesifo seReye
  • umngcipheko wamayeza ogqithisileyo entloko

Thetha nogqirha wakho ngaphambi kokusebenzisa olu hlobo lwemveliso ukuba:

  • unokuhlaselwa kakhulu yimigraine okanye iintlungu zentloko ezahlukileyo kwisiqendu sakho esiqhelekileyo
  • ukhulelwe okanye uyancancisa
  • unesifo sesibindi, isifo sentliziyo, okanye isifo sezintso
  • Unembali yeemeko ezifana nesitshisa okanye izilonda
  • Unesifuba
  • bathatha nawaphi na amanye amayeza, ngokukodwa i-diuretics, iziyobisi ezinciphisa igazi, ii-steroids, okanye ezinye ii-NSAID

Iziphumo ezinokubakho zolu hlobo lonyango zibandakanya:

  • intlungu zesisu
  • isicaphucaphu okanye ukugabha
  • urhudo
  • isiyezi
  • ingxaki yokulala
  • amayeza ayigqiba entloko

Zeziphi ezinye iintlobo zamayeza ezinokukunceda?

Kukho amanye amayeza anokunceda ukukhulula iimpawu ze-migraine. Ezi zihlala zithathwa kwakamsinya nje emva kokuba uzive ukuqala kweempawu. Unokuqhelana nezinye zazo ezivela kumacandelo angentla. Ziquka:

  • Amayeza e-OTC: Oku kubandakanya iziyobisi ezinje nge-acetaminophen (iTylenol) kunye nee-NSAID ezinje nge-ibuprofen (Advil, Motrin), kunye ne-aspirin (Bayer).
  • IiTriptans: Kukho ii-triptan ezininzi ezinokunceda ukunciphisa iimpawu ze-migraine. Imizekelo ibandakanya i-sumatriptan (Imitrex), i-rizatriptan (iMaxalt), kunye ne-almotriptan (Axert).
  • Iimpazamo zeealkaloids: Ezi zinokusetyenziswa kwiimeko xa ii-triptans zingasebenzi ukunciphisa iimpawu. Eminye imizekelo ibandakanya i-dihydroergotamine (Migranal) kunye ne-ergotamine tartrate (Ergomar).
  • Amagqabi: La mayeza ahlala esetyenziselwa ukunyanga iintlungu ezibuhlungu ze-migraine kwaye anokumiselwa kwizigulana ezingakwaziyo ukuthatha ii-triptans. Imizekelo ibandakanya ubrogepant (Ubrelvy) kunye ne-rimegepant (Nurtec ODT).
  • Iitayile: La mayeza anokusetyenziswa endaweni yeetriptan. Umzekelo yi-lasmiditan (Reyvow).

Kukho amayeza anokuthathwa ukunceda ukuthintela uhlaselo lwe-migraine ekubeni lwenzeke. Olunye ukhetho lubandakanya:

  • Uxinzelelo lwegazi: Imizekelo ibandakanya i-beta-blocker kunye ne-calcium channel blockers.
  • Amayeza oxinzelelo: I-Amitriptyline kunye ne-venlafaxine zimbini i-tricyclic antidepressants ezinokunceda ukuthintela uhlaselo lwe-migraine.
  • Amayeza okubulala iintsholongwane: Oku kubandakanya amayeza afana ne-valproate kunye ne-topiramate (Topamax).
  • I-CGRP inhibitors: Amayeza e-CGRP anikwa ngenaliti rhoqo ngenyanga. Imizekelo ibandakanya i-erenumab (Aimovig) kunye ne-fremanezumab (Ajovy).
  • Inaliti yeBotox: Inaliti yeBotox enikwa qho kwiinyanga ezintathu inokunceda ukuthintela i-migraine kwabanye abantu.

Kuthekani ngeevithamini, izongezo, kunye namanye amayeza?

Ukongeza kwiindidi ezininzi zamayeza, kukwakho unyango olungelulo olonyango olunokunceda ekunciphiseni iimpawu okanye kuthintele ukuqala kwe-migraine.

Olunye ukhetho lubandakanya:

  • Iindlela zokuphumla: Izenzo zokuphumla ezinje nge-biofeedback, imithambo yokuphefumla, kunye nokucamngca kunokunceda ukunciphisa uxinzelelo kunye noxinzelelo, olunokuthi lubangele ukuhlaselwa kwe-migraine.
  • Ukuzilolonga rhoqo: Xa usenza umthambo, ukhupha ii-endorphins, eziziphelisi iintlungu zendalo. Ukuzivocavoca rhoqo kunokunceda ukunciphisa amanqanaba oxinzelelo, anokuthintela ukuqala kwemigraine.
  • Iivithamini kunye neeminerali: Kukho ubungqina bokuba iivithamini ezahlukeneyo kunye neeminerals zinokudityaniswa ne-migraine. Imizekelo ibandakanya ivithamini B-2, coenzyme Q10, kunye nemagnesium.
  • Utshintsho: Le yindlela apho iinaliti ezincinci zifakwa kwindawo ezithile zoxinzelelo emzimbeni wakho. Kucingelwa ukuba i-acupuncture inokunceda ekubuyiseleni ukuhamba kwamandla kuwo wonke umzimba wakho. Oku kunokunceda ukunciphisa iintlungu ze-migraine kunye nokunciphisa ukubetha kwe-migraine, nangona uphando koku lungangqinelani.

Kubalulekile ukuba uqaphele ukuba amanye amayeza, iivithamini, kunye nezongezo zamaminerali zisenokungakhuseleki kuwo wonke umntu. Qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuzama la mayeza.

Umgca wezantsi

I-migraine cocktail yindibaniselwano yamayeza anikwe ukunyanga iimpawu ezibi kakhulu ze-migraine. Amachiza afanelekileyo asetyenziswa kwi-migraine cocktail ayahluka, kodwa kubandakanya iitriptans, ii-NSAID, kunye ne-antiemetics.

I-migraine cocktail ikwafumaneka kunyango lwe-OTC. Iimveliso ze-OTC zihlala ziqukethe i-aspirin, i-acetaminophen, kunye ne-caffeine. Ezi zinto zisebenza ngakumbi xa zisetyenziswa kunye kunokuba zithathwa zodwa.

Iindidi ezininzi zamayeza zihlala zisetyenziselwa ukunyanga okanye ukuthintela iimpawu ze-migraine. Ukongeza, amanye amayeza, izongezo, kunye neendlela zokuphumla zinokunceda, nazo. Kubalulekile ukuba uthethe nogqirha wakho ngohlobo lonyango olunokukusebenzela.

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