Naas-nuujintu waxay kugula talinaysaa labadaba College College of Obstetrics iyo Gynecology (ACOG) iyo Akademiga Mareykanka ee Cilmi-nafsiga (AAP). Hase-yeeshee, haddii aad tahay migreer, waxaa laga yaabaa inaad ka walaacsan tahay in ilmahaagu dhasho dawo migren.
Aynu sahaminno doorka madax xanuunka dhanjafka ee xilliga dhalmada kadib iyo daawooyinka laga yaabo inay nabdoonaadaan marka naas nuujinayaan.
Fadlan ogow in haddii aad naas nuujisid oo aad la il-daran tahay miyir-qabad, kala hadal dhakhtarkaaga khatarta iyo dheefaha inta lagu guda jiro saddexda bilood ee saddexaad iyo kadib dhalmada. Tani waa mowduuc adag oo u baahan shakhsiyad habeysan oo macneheedu ah waxa saxan ee qof kale uuma fiicnaan karo.
Migraines inta lagu jiro xilliga umusha
Dumar badan oo soogalooti ah ayaa ogeysiiya gargaarka ka yimaada inta ay uurka leeyihiin. Laakiin waxa ku saabsan mudada dhalmada kadib? Miyuu naas-nuujinta kaa ilaaliyaa inaad ka soo baxdo miyir-qabad? Caddeymaha ayaa xoogaa iska caabin ah.
Tusaale ahaan hal daraasad mustaqbalka ah ee Cephalalgia ayaa baaray 49 haween uur leh oo uur leh kuwaas oo uur lahaa. Haweenkan, 34 boqolkiiba waxay soo mareen xannuun madax-xannuun ka dib markii ay dhalatay toddobaadkii ugu horreeyay, 55 boqolkiiba waxay la kulmeen bil gudaheed. Naas-nuujintu waxay u muuqatay in ay ka ilaaliso soo noq-noqoshada maskaxda inta lagu jiro xilliga dhalmada kadib.
Daraasad kale oo mustaqbalka ah ee "Journal of Headache" iyo "Alerts of 208 migraineurs" ayaa sidoo kale muujiyay koror weyn oo ku yimaada madax xanuunka ka dib dhalmada ugu horreeysa ee asbuuca.
Laakiin marka laga reebo, dhacdooyinka madax-xanuun inta lagu guda jiro lixda toddobaad ee ugu horeeya ee dhalmada ka duwan kama helin uur. Haddii haweenku yeeshaan madax xanuun muddada dhalmada ka dib, waxay ahaayeen kuwo aad u kacsan oo soconayey muddo ka badan intii ay uurka lahayd. Daraasaddan, naas-nuujintu ma ciyaarin door ama saameyn ku yeelan joogitaanka madax-xanuun inta lagu jiro xilliga dhalmada kadib.
Daawooyinka loo Baahan Yahay Amniga
Daraasad ku taal Madax xanuunka oo cinwaankeedu yahay: "Isticmaalka Daaweynta Migreebka ee Cudurrada Naasaha ee Haweenka Naas-nuujinaya: Soo-jeedin Soo-jeedin ah" baadhis caafimaad oo dhan oo dhakhaatiirtu si ammaan ah ugu talin karaan bukaanka naas-nuujinta, iyada oo la adeegsanayo afar ilamood oo caan ah,
- Akhbaarta siyaasadeed ee Akademiga Maraykanka ee Aaladda: Agaasimaha Maandooriyaha iyo Kiimikooyinka kale ee Caanaha Nafaqada.
- Daawooyinka iyo Caanaha hooyooyinka by Thomas Hale, PhD (daabacaadda 14aad, 2010)
- Mukhaadaraadka Uurka iyo Naas-nuujinta: Hagaha Tilmaamaha ee Halista Uur-jiifka iyo Dhalmada aan Gaaraynin Gerald Briggs et al (daabacaaddii 9aad).
- Maktabadda Qaranka ee Daawooyinka Daroogada iyo Macluumaadka Nuujinta (LactMed)
Waa kuwan daawo yar oo dhawr ah oo daaweyn ah oo loo qaadan karo ammaan ah xilliga nuujinta iyo "qiimeynta". Xusuusnow, marna ha u qaadin daawadaada xanuunka dhanjafka marka aad naas nuujineyso adiga oo aan marka hore la tashan dhakhtarkaaga.
AAP waxay u taagan tahay Akademiyada Maraykanka ee Cilmi-nafsiga. LRC waxay u taagan tahay Qaybta Halista ee Naas-nuujinta waxayna u dhaxeysaa L1 illaa L5 iyadoo L1 ay tahay mid ugu badbaado badanna L5 ayaa iska horjeeda.
- "Acetaminophen (Tylenol): Waxay u dhigantaa naas nuujinta by AAP LRC L1 qaybta Briggs: waafaqsan."
- "Ibuprofen (Motrin): Waxay u dhigantaa naas nuujinta by AAP LRC L1 qaybta Briggs: waafaqsan."
- Eletriptan (Relpax): Daawadani dib uma eegin AAP. LRC L2. Qaybta Briggs: waafaqsan. "
- Sumatriptan: U qalma naas nuujinta by AAP. LRC L3. Qaybta Briggs: waxaa laga yaabaa in ay la socdaan.
Qaar ka mid ah Tidbits badan ee daawooyinka Migreeb-ka
- Xogta ku saabsan safarrada , daaweyn migren ah oo caadi ah waxay ku kooban tahay haweenka naas nuujinaya.
- Daawooyinka ka horjoogsanaya naas-nuujinta waa dihydroergotamine iyo ergotamine.
- Waxaa jira walaac ku saabsan cudurka opioids sababa ilmo-yari ilmo, apnea, calool-istaagga, ama jawaab-celin nuugid ah.
- Daawooyinka ka hortagga maskaxda ee ku qoran liiska L1 iyo "ku habboon," waa magnesium iyo riboflavin .
Qaado farriinta guriga
Kala hadal kooxdaada takhaatiirta seddexda bilood ee saddexaad ee ku saabsan qorshahaaga maareynta uur-jiifka inta aad naaska nuujineyso. Nasiib wanaag, waxaa jira meelo aad u fiican oo kaa caawiya adiga iyo dhakhtarradaada ayaa go'aamiya waxa adiga iyo ilmahaaga u fiican.
Ilaha:
Hutchinson S, Marmura MJ, Calhoun A, Lucas S, Silberstein S, Peterlin BL. Isticmaalka Daaweynta Migreebtiga Guud ee Dumarka Naas-nuujinaya: Soo-jeedin Soo-jeedin ah. Madax xanuun. 2013 Apr; 53 (4): 614-27.
Kvisvik EV, Stovner LJ, Helde G, et al. Madax xanuunka iyo madax xanuunka dhimirka inta lagu jiro uurka iyo puerperium: Baaritaanka MIGRA. J Madax xanuun . 2011; 12: 443-451.
Lay CL, Broner SW. Tixgelinno gaar ah oo ku saabsan daawaynta dhanjafka dumarka. Semin Neurol. 2006; 26: 217-22.
Sances G, Granella F, Nappi RE, iyo al. Koorso Migreer xilliga uurka iyo dhalmada kadib: Daraasad mustaqbalka ah. Cephalalgia . 2003; 23: 197-205.