Kaga xakamee qaar ka mid ah murgacadaha
Haddi dhawaan dhawaan laguu helay miyir-qabad ama uu yahay migreer joogto ah, waxaa laga yaabaa inaad ku riyootid daawo si dhakhso ah ula dhaqmi karta weerarradaada oo dhan. Nasiib darro, qaar badan oo idinka mid ah, dawadan "riyo" ma jirto.
Si kastaba ha ahaatee, waxaa jira dawooyin badan oo migreesh ah, oo badanaa waa isugeyn labadaba daaweyn iyo isbeddel dabeecadeed oo noo ogolaanaya in aan helno xakamaynta weerarrada nooca madax-xanuunka.
Daawooyinka Migraine ee Diidmada
Daawooyinka soo noqnoqda ayaa la qaadaa bilowga madax xanuunka dhimirka si loo helo madax xanuunka madax xanuunka, joojiso weerarka horukaca, iyo / ama hoos u dhigto darraadkeeda.
NSAIDS
Dadka intooda ugu horreeya waxay daaweynayaan gaan-galkooda iyagoo leh daawooyinka dukaanka laga iibsado. Tani waxay macquul tahay sida non-steroid anti-inflammatory (NSAIDs), sida ibuprofen ama naproxen sodium (Aleve), ayaa guud ahaan loo tixgeliyaa daaweynaha koowaad ee miyir-beelka. Inkasta oo NSAIDs laga yaabo in laga iibsado miiska-ka-soo-saarka, maaha qof kasta - hubso inaad la hadasho dhakhtarkaaga ka hor intaadan qaadan mid ka mid ah si loo hubiyo inay kuugu kalsoon tahay.
Triptans
Haddii NSAID uusan shaqeynin, ama haddii qofka madax xanuunka daran uu yahay mid dhexdhexaad ah ama daran, safar ahaan sida Imitrex ( sumatriptan ) ama Maxalt (rizatriptan) ayaa faa'iido leh. Nidaamka wanaagsan ee safarradu waa in ay heli karaan foomamka aan afka ahayn. Tusaale ahaan, sumatriptan waxaa lagu heli karaa qaabka subcutaneous ama intranasal, iyo rizatriptan ayaa lagu heli karaa wafer la nuugi karo, oo loo yaqaan Maxalt MLT.
Sikastaba, inkastoo ay ka duwan yihiin NSAIDs, laguma heli karo miisaanka oo aad u baahan tahay dhakhtarkaaga.
Dhakhtarkaaga ayaa sidoo kale laga yaabaa in uu tixgeliyo NSAID / Triptan, sida Treximet (sumatriptan / naproxen sodium). Daraasad 2007-kii oo lagu sameeyay JAMA, sumatriptan / naproxen sodium waxaa lagu ogaadey inay ka waxtar badan tahay sumatriptan ama naproxen sodium keliya.
Triptans inkastoo ay leeyihiin saameyno saameyn leh oo ay ku jiraan lallabbo, suuxdinta , daal iyo laabta ama dhuunta. Sidoo kale waa in laga fogaadaa bukaanka qaba cudurada wadnaha iyo dhiig-baxa aan la xakameynin sababta oo ah farsamadoodii ficilka, taas oo ah in lagu adkeeyo maraakiibta dhiigga. Marka la eego noocyada kale ee xanuunka dhanjafka ah, safarrada ayaa sidoo kale loo isticmaalin in lagu daaweeyo dhanjafka jilicsan ama xuubka madax-xannuun-maskaxeedka s .
Antiemetics
Daawooyinka antiemetic ama anti-lallabo sida galka (xididada) metoclopramide (Reglan) waa daaweyn kale oo ciriiri ah oo loo yaqaan 'migraine' - taasina badanaa waa la siiyaa waaxda gurmadka. Antiemetics ee afka la siiyo ayaa mararka qaarkood loo adeegsadaa in lagu daaweeyo lalabbada oo la socota mareenada , laakiin aan la muujin in ay waxtar u leeyihiin xanuunka dhanafka.
Waxyeellada halista ee halista ah ee antiemetics waa in daawooyinkani ay sababi karaan xannuun wadne.
Dihydroergotamine
Dihydroergotamine (DHE 45, Migranal ) waa cudur kale oo loo yaqaan 'migraine therapy'. Dawadani waa la isku duraa (xididada, subcutaneous, subagaane ama intramuscular) ama waxay si toos ah u maamulaan (sanka). Maamulka xididka (iyada oo loo marinayo xididada) oo lagu daro antiemetics waxaa mararka qaarkood la siiyaa qolka xaaladaha degdegga ah ee daaweynta cagaarshow.
Dihydroergotamine looma isticmaali karo iyada oo la socda triptans oo ka horjeeda uurka, iyo dadka qaba cadaadiska dhiigga ee liita iyo / ama wadnaha.
Daawooyinka kale
Waxyaabaha kale ee daaweynta ee kale waxaa ka mid ah steroid intravenous, sida dexamethasasone, oo badanaa la bixiyaa marka lagu daro daawooyinka kale ee xanuunka dhanjafka. Lidocaine-ka intranasal ayaa laga yaabaa inay bixiso gargaar xagga hiddaha ah. Waxaa maamula takhtar ama bukaanka naftooda, laakiin badanaa waxay bixiyaan gargaar gaaban muddo gaaban. Soo noqoshada migreebka waa caadi.
Ereyga ka
Marka la soo koobo, NSAIDs ayaa loo tixgeliyaa daaweynta koowaad ee hiddaha khafiifka ah ama dhexdhexaadka ah.
Haddii uu xanuujo madax-xanuun uu sii socdo inkastoo NSAID-du, ama haddii uu madax-madax-xanuungu uu dhexdhexaad u yahay inuu xoogaa-bilaabmo, daroogada ama daroogada isku-dhafan ee Tripta / NSAID waxaa badanaa ku qoraa dhakhtar.
Daawooyinka kale ee loo yaqaan 'migraine therapy' oo loo isticmaalo qolka xaaladaha degdegga ah waa antiemetics intravenous, dihydroergotamines, ama steroids.
Marka laga soo tago waxyeelada ka iman karta, iska ilaali daawada ka sarreysa madax-xanuun ama madax-xanuun madax-xanuujo markaad qaadato dawooyinka migrat-ka ee soo noqnoqda. Had iyo jeer kala hadal qorshaha daaweyn xanuunka dhanjafka dhakhtarkaaga.
Ilaha:
Aukerman G, Knuston D, Miser WF; Waaxda Daaweynta Qoyska, Jaamacadda Ohio State College of Medicine iyo Caafimaadka Bulshada, Columbus Ohio. Maareynta madax xanuun murugo ba'an. Am Dr. Dhakhtarka . 2002 Dec 1; 66 (11): 2123-30.
Bajwa Z, Sabahat A. Daaweyn xun oo ku saabsan xanuunka dhanjafka ee dadka waaweyn. In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Branden JL, Kudrow D, Stark SR, et al. Sumatriptan-naproxen oo loogu talagalay daaweynta degdega ah ee madax xanuunka dhanjafku: JAMA . 2007; 297 (13): 1443-1454.
Gilmore B & Michael M. Daaweynta Madax xanuunka Migraine Headache. Am Dr. Dhakhtarka. 2011 Feb 1; 83 (3): 271-280.