Compazine, Thorazine, iyo Reglan ee loogu talogalay Xanuunada Migratiga ee Laliska
In ka badan kala badh dadku waxay yeeshaan lalabbo iyo matag inta lagu jiro weerarka maskaxda. Maaddaama dopamine neurotransmitter-ka loo arko inuu yahay dhexdhexaadiyaha ugu weyn ee lalabada inta lagu jiro xanuunka dhanjafka, daawooyinka ka mamnuucaya hindhiyeyaasha dopamine (oo lagu magacaabo dopamine antagonists) ayaa waxtar u leh yaraynta lallabada iyo matagidda. Tani waa arrin xiiso leh, asxaabtani waxay sidoo kale hoos u dhigeysaa xanuunka muruqa, sidaa daraadeed waxaa badanaa loo adeegsadaa sida daaweynta keliya ee lagu daaweynayo hijrada daran ee daran.
Wargeyska Migraine Treatment
Macmacaanka lidka ku ah sida "Compazine" (prochlorperazine) ayaa badanaa loo isticmaalaa in lagu daaweeyo hijrada daran ee leh lallabbo la xidhiidha.
Marka laga soo tago daaweynta lallabbo daran iyo matag, Compazine waxaa sidoo kale loo isticmaalaa daaweynta cudurka dhimirka ee schizophrenia iyo daaweynta muddada-gaaban ee walaaca aan caadiga ahayn ee maskaxda. Compazine waxaa loo heli karaa sida kiniinno, kaniiniyada joogtada ah ee la sii daayo, qaabka dareeraha afka, suunka iyo finanka - kuwaas oo la siiyay xididada xididada (xididka ama xididka) (muruqa). Iyadoo ay sabab u tahay dhibaatada daawada afka ee lalabada madax-xiran iyo matagid, joornaalka waxaa la siiyaa labadaba xididada ama googo-gelyo ahaan loogu talagalay gargaarka calaamadaha - badanaaba qolka gurmadka, xarun deg-deg ah, ama rug caafimaad.
Saameynaha saameynaha ee jaantuska waxaa ka mid ah lulmidda, dawakhaad, aragti xuma, maqaarka maqaarka, cadaadiska dhiigga yar iyo amenorrhea. Saameynada Extrapyramidal waxay sidoo kale dhici kartaa sida muruqyada muruqyada, deganaansho la'aan, parkinsonism , ama dareen-celinta xannuunka.
Waxyeellada nolosha nafta halis gelisa ee Compazine (iyo daaweynta kale ee dhimirka) waa Neuroleptic Malignant Syndrome, taas oo keena calaamado kala duwan oo ay ka mid yihiin qandho, adkaysi muruq iyo jahawareer.
Thorazine oo lagu daaweynayo Migraine Daaweynta
Thorazine (chlorpromazine) waa antipsychotic kale oo mararka qaarkood loo isticmaalo in lagu daweeyo hargabka daran iyo lallabbo iyo matag.
Sida Compazine, waxaa badanaa la siiyaa labadaba xididada ama xididada oo loogu talogalay xanuunka dhanjafka iyo lalabbada. Marka la eego faa'iidadiisa, sida laga soo xigtay cilmi-baarista 2013-ka ee "Journal of Emergency Medicine" , Thorazine wuxuu hagaajiyay xanuunka madax-xanuun, lallabbo, iyo dareen-celinta iftiinka iyo codka dadka qaba xanuunka dhanjafka marka la barbar dhigo dadka qaadaya placebo (faleebo). Laakiin daraasaddan, dad badan ayaa la kulmay lulmo iyo dawakhaad marka ay taagan yihiin markay qaadayaan Thorazine, marka la barbardhigo dadka qaada kiniinada.
Reglan ee Daaweynta Cudurka Migratorka
Reglan (metoclopramide) ayaa sidoo kale xayiraya daawooyinka dopamine. Laakiin ka duwan sida daawooyinka kale ee dhimirka, waxaa loo isticmaalaa in lagu kordhiyo dhaqdhaqaaqa caloosha ee dadka qaba dhibaatooyinka nadiifinaya calooshooda, sida dadka qaba sonkorowga. Sidoo kale Regt, Reglan waxaa sidoo kale loo isticmaalaa in lagu daaweeyo lalabada la xiro iyo matagid, gaar ahaan qolka xaaladaha degdegga ah ama xannaanada deg-degga ah, waana mid waxtar leh. Xaqiiqdii, hal daraasad dib u eegis Cochrane ah ayaa lagu ogaaday in isku-darka Reglan iyo aspirin ay hagaajiyeen laf-dhabarka la xiriirta maskaxda iyo matagidda waxyeellooyin yar marka loo eego safarka Imitrex (sumatriptan).
Inkastoo Reglan uu u arko inuu leeyahay saameyno yar oo ka yar kuwa kale ee antiemetics, kuwa caanka ah waxaa ka mid ah:
- nasasho la'aan
- daal
- dawakhaad
- madax xanuun
- wareer
- dhibaatooyinka hurdada
Sida jaantuska inkasta oo, saameyno daran oo daran sida calaamadaha "extrapyramidal" iyo "Neuroleptic Malignant Syndrome" ayaa dhici kara (aad dhif u ah). Sidoo kale, Reglan wuxuu kordhin karaa halista qofka ee niyad-jabka iyo fikradaha isdilka.
Khadka hoose
Labbiska laf-dhabarka iyo matagidda, daawooyinka ka mamnuucaya qabtayaasha dopamine ee maskaxda (dopamine antagonists) ayaa sida caadiga ah loo isticmaalaa, gaar ahaan Compazine, Thorazine, ama Reglan. Iyadoo ay waxtar badan tahay, daawooyinkani waxay qaadaan halis. U hubso inaad u sheegto dhakhtarkaaga inuu ku daaweynayo dhammaan dhibaatooyinka caafimaadka iyo daawooyinka, oo ay ku jiraan fitamiinada, takoorka, iyo daaweynta ka hortagga miisaanka.
Ilaha:
Bigal ME, Bordini CA & Speciali JG. Chlorpromazine xidhan ee daaweynta waaxda xaaladaha degdegga ah ee uur-jiifka: maxkamad la kantaroolay oo la kala sooco. J Emerg Med . 2002 Aug; 23 (2): 141-8.
Flake ZA, Linn BS & Hornecker JR. Xulashada habka daaweynta antiemetics ee goobta ambalaaska. Dhakhtarka Am fam 2015 Mar 1; 91 (5): 29306.
Láinez M JA, García-Casado A & Gascón. Maaraynta ugu wanaagsan ee lallabbada daran iyo matagidda ku jirta madax xanuunka dhanjafka: hagaajinta natiijooyinka bukaanka. Cabirka Natiijada Bukaan-socodka . 2013; 4: 61-73.
Maamulka Cuntada iyo Dawooyinka Mareykanka. Tilmaamaha Daawada: Jaantuska. Laga heley Febraayo 4tii 2016.
Maamulka Cuntada iyo Dawooyinka Mareykanka. Tilmaamaha Dawooyinka: Reglan (cirbadaha metoclopramide). Laga heley Febraayo 5tii 2016.
Diidmada: Macluumaadka ku yaala boggan waa ujeedo waxbarasho kaliya. Waa inaan loo isticmaalin beddelka daryeelka shakhsi ahaaneed ee dhakhtar shati leh. Fadlan u tag dhakhtarkaaga si loo ogaado iyo daaweynta wixii astaamo ah ama xaaladda caafimaad .