Miyaad dareensiisay inaad isku dayday daawooyin kasta si loo daaweeyo hijradaada, waxna ma shaqeeyaan? Hadday sidaas tahay, keligaa ma tihid - oo waxaa laga yaabaa in aad ka cabanayso jaf-dilid joogto ah.
Aan ogaano waxa uu madax-xanuunka murugada dabiiciga ah ee dabiiciga ah iyo cilmi-yaqaannada ay samaynayaan si ay si fiican u fahmaan xaaladdan.
Macnaha erayga "Refractory"
Xakamaynta waxaa loola jeedaa la'aanta jawaab celin daaweyneed - sidaas darteed dadka leh hijrurada xasaasiga ah ma helayaan gargaar ka yimaada daweynta cudurada maskaxda ee ba'an, waxayna sii wadi doonaan inay sameeyaan mareenada inkastoo daaweynta cudurada maskaxda ee ka hortagga ah.
Sidoo kale, dadka qaba hurgunka joogtada ah ee hijrada ah, madax-xanuunkoodu waxay si wayn u saameynayaan tayada noloshooda iyo shaqo maalmeedka.
Sida laga soo xigtay Ururka Caalamiga ah ee Madax xanuunka caalamiga ah, maan-duuf dabadheeraad ah ayaa ku dhaca 15 maalmood ama in ka badan bishiiba ugu yaraan 3 bilood.
Sida Loo Qeexay Qeexitaanka Baaritaanka
Sannadkii 2008, Qaybta Daaweynta Khatarta ah (RHSIS) iyo Ururka Caafimaadka Ameerika (AHS) ayaa qeexay astaamaha loogu talogalay xannuunka jilicsan ee joogtada ah. Tan iyo markaas, cilmi-baarayaasha kale waxay soo jeediyeen qeexitaanno - maaddaama ay jirto dood ku saabsan sida loo garto qeexida "khafiifin."
Noocyada Daawooyinka aan Caawin Karin Bukaanjiifka Duufan Ba'an
Ka hortagga
Marka la eego qeexitaanka ay soo jeedisay RHSIS iyo AHS, dadka qaba murgellada joogtada ah ee xannuunkuna waxay sii wadaan inay yeeshaan murgacasho inkastoo ay isku dayeen ugu yaraan 2 ka mid ah 4 dawooyinka cudurada maskaxda ee ka hortaga :
- beta-blockers
- anticonvulsants (daawooyinka ka hortagga uurqaadida)
- antibiyootikada tricyclic
- xannibaadayaasha calcium channel
Gabbasho
Marka la eego qeexitaanka ay soo jeedisay RHSIS iyo AHS, dadka leh hijrada joogtada ah ee xasaasiga ah waxay sii wadaan inay hayso murgacasho inkastoo ay isku deyeen daawooyinka migraine ee soo noqnoqonaya - iyagoo u maleynaya inaanay xasaasiyad ku lahayn ama ay leeyihiin qaar ka mid ah khilaafka daawada.
- Labadaba safar iyo dihydroergotamine (DHE) oo labadaba ah ama lagu duri karo
- Midkood NSAID ama xanuunka isu-dhafan-daaweynta daawooyinka (tusaale ahaan, acetaminophen / aspirin / caffeine ama 'excedrin gigren')
Ku sii socoshada si loo qeexo Qeexidda
Xiriirka Madaxa Wadajirka ee Yurub (EHF) wuxuu dib u qeexayaa dhanjafka duufsan ee joogtada ah. Waxay rabaan in ay caddeeyaan oo ay ballaadhiyaan qeexitaannada hore iyagoo rajeynaya in tani ay abuurayso sharrax cad, oo baahsan, iyo qeexid joogto ah oo loo adeegsado daraasadaha cilmi baarista mustaqbalka.
Mid ka mid ah qodobada EHF waxay doonayaan inay ku daraan qof leh qof qaba migrejiga raagay oo isku dayaya onabotulinumtoxinA (Botox) oo ah istaraatiijiyad ka hortag ah - ka hor inta aan loo aqoonsan inuu yahay mid aan sal lahayn.
Waxay sidoo kale rabaan in ay ku daraan qiyaaso gaar ah oo ku habboon daawooyinka migren ka hortaga - marmarka qaarkood dadku waxay qaataan daawo qadar ah oo aad u hooseeysa si ay u noqdaan kuwo waxtar leh, kadibna lagu calaamadiyay "ma shaqeyn" ama "ku guuldareysteen" dhakhtarku.
Maxay bukaanku sameyn karaan?
Haddii aad ku haysato miyir-doorsaan joogto ah, isku day inaadan niyad jabin. Raadi talobixin ka timaada takhtarka takhasuska madaxa ama dhakhtarka neerfaha ee daawooyinka cusub - sida Botox - oo sii wad dadaalkaaga iyo awoodda aad uhesho .
Ilaha
Madax xanuunka Guddiga Iskuduwida Ururka Caalamiga ee Madaxa Madaxa ee Caalamiga ah. "Qeybinta Caalamiga ah ee Cudurka Madaxa-Baxsan: Koobka 3aad (version beta)". Cephalalgia 2013; 33 (9): 629-808.
Madax xanuunka Guddi-hoosaadka Guddi-hoosaadka Ururka Caalamiga ah ee Headache. "Qeybinta Caalamiga ah ee Cudurka Madaxa-xanuunka: Wareer 2". Cephalalgia 2004; 24 Qalabka 1: 9-160.
Martellett P et al. Xanuunka madax xanuunka daran ee joogtada ah: Heshiis la isku raacsan yahay oo ku saabsan qeexitaanka rugta caafimaadka ee ka timaada Xiriirka Madaxa ee Yurub. J Madax xanuun . 2014 Aug 28; 15: 47.
Schulman EA et al. Qeexidda xanuunka madax-xannuun la'aanta iyo madax-madax-dhiigfuranka joogtada ah. Madax xanuun. 2008; 48: 778-82.
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 .