Migraine yog ib hom kab mob kev nyuab siab heev. Nws yog tshwm sim los ntawm kev tawm tsam me ntsis ntawm mob taub hau lossis mob hnyav heev, uas tshwm sim rau qhov kev kub ntxhov (huab cua, kev nyuab siab, haus dej cawv, thiab lwm yam). Qhov mob feem ntau yog ib tog, ntev li 4 teev mus rau 3 hnub, nrog lub siab, ntuav, lub teeb thiab lub suab.
Kev kho mob ntawm migraine yog complex thiab siv cov tshuaj siv. Peb yuav xav txog, qhov kev npaj los ntawm cov migraine yog tam sim no siv, thiab lawv yuav tsum ua li cas rau lawv.
Yuav ua li cas xaiv cov tshuaj noj rau migraine?
Muaj ntau cov tshuaj uas siv rau migraine los ua kom tus mob qhov mob. Dab tsi yog cov tshuaj siv los yoojyim, tsuas qhia tau tus kws kho mob tom qab kuaj mob.
Nws yuav tsum tau sau tseg tias tsis muaj "zoo tagnrho", qhov tshuaj zoo tshaj plaws rau cov mob migraine, uas yuav pab tau tag nrho cov neeg mob. Qhov tseeb hais tias ib qho tshuaj uas pabcuam zoo rau ib tug neeg mob, yuav tsis haum rau lwm tus. Ntxiv mus, txawm nyob hauv tib tus neeg mob, cov tshuaj migraine los pab tiv thaiv tau ib qho kev sib tw thiab ua kom tsis muaj kev cuam tshuam rau lwm tus. Thaum xaiv ib yam khoom muag lam, koj yuav tsum coj tus cwj pwm ntawm qhov mob thiab qhov muaj mob xiam oob qhab, nrog rau kev tsis haum xeeb thiab cov kab mob sib kis.
Nws ntseeg tias kev kho rau migraine yog qhov zoo yog tias:
- cov tshuaj no txo kev mob qhov mob thiab ua rau kev noj qab nyob zoo rau 2 teev;
- qhov kev npaj txig "ua haujlwm" nyob rau hauv ob qhov kev tawm tsam ntawm peb;
- tom qab nws nkag, lub migraine nres tsis tshwm sim dua tom qab hnub tom qab ntawd;
- tsis tas muaj kev tso cai ntxiv rau qhov no lossis lwm txoj hau kev los txo qhov kev tawm tsam.
Tshawb fawb rau migraine
Nyob hauv thawj theem, thaum xaiv cov tshuaj rau migraine, tshuaj loog thiab lwm yam tshuaj uas tsis paub siv tshuaj tua kab mob zoo li txhua tus: Paracetamol, metamizole, aspirin, ketoprofen, naproxen, diclofenac, ibuprofen, codeine, thiab lwm yam. Txawm li cas los xij, ntau tus neeg mob tau pom hais tias cov kev kho mob qis rau cov kev yoov yoov tshaj.
Triptans nrog migraine
Kev siv tau zoo dua yog kev npaj ntawm cov pab pawg neeg taug kev, xws li: almotriptan, freotriptan, eletriptan, rizotriptan, zolmitriptan, naratriptan, sumatriptan. Cov nyhuv ntawm cov tshuaj no tseem tsis tau kawm tag nrho, thiab cov kev tshawb fawb soj ntsuam tseem raug ua tiav. Yog li no, qee qhov nyiaj no tseem tsis tau tso cai rau siv hauv peb lub teb chaws.
Triptans yog cov tshuaj yeeb dej cawv uas siv rau yoov, uas ua raws li cov hlab ntsha ntawm lub hlwb. Tsis tas li ntawd, tryptans ua rau cov neeg tawm suab ntawm lub paj hlwb cortex, txo kev tso tawm cov tshuaj uas ua rau muaj mob thiab mob. Lawv tseem tuaj yeem cuam tshuam rau cov hlab ntsha trigeminal, txo nws txoj kev mob rau qhov mob.
Sumatriptan (tso cai siv tshuaj) yog siv intranasally, hais lus thiab subcutaneously. Thaum lub sij hawm migraine aura, cov tshuaj no tuaj yeem tsis siv.
Ergotamine nrog migraine
Nyob rau ntawm lub hauv paus ntawm ergotamine, cov nram qab no tshuaj muaj nyob: kaginergin, gynofort, neoginophor, ergormar, sekabrevin, akliman. Cov nyiaj no yog qhov zoo tshaj plaws yog tias thaum pib ntawm qhov mob ntawm lub paj hlwb. Ergotamine kuj muaj cov nyhuv vasoconstrictor. Nws tsis tuaj yeem siv rau ntev, vim nws muaj peev xwm ua tau yees. Feem ntau, ergotamine yog tshuaj nrog lwm yam tshuaj - piv txwv, caffeine.