Litlhahiso tsa Scientific ka Litlhare tsa Migraine
Ho phekola bana le bacha ba nang le migraine ho thata. Lebaka ke hore ho na le lipatlisiso tse fokolang tsa saense mabapi le migraine ea bana, e fapaneng le ea motho ea hōlileng.
A re hlahlobeng seo litsebi tse ling li se buang ka ho phekola le ho thibela migraine ho bana.
Litlhahiso tse tsoang ho AAN mabapi le ho phekola Migraine ho Bana
Komiti ea American Academy of Neurology (AAN) ea Melao-motheo ea Melao ea Boitšoaro le Melao ea Boiketlo ba Mokhatlo oa Bana ba Neurology e ile ea fana ka litlhahiso ka 2004 bakeng sa phekolo le thibelo ea migraine ho bana le bacha.
Sehlopha se ile sa tseba le ho ithuta lihlooho tse 166. Ho itšetlehile ka tlhahlobo ea lintlha tsohle tse fumanehang, litho tsa komiti li entse litlhahiso tse latelang:
Bakeng sa phekolo e matla ea tlhaselo ea migraine:
- Ibuprofen e atlehile mme e lokela ho nkoa e le kalafo e matla ea tlhaselo ea migraine ho bana (lilemo tse fetang 6).
Tylenol (acetaminophen) e ka sebetsa hantle ebile e lokela ho nkoa e le kalafo e matla ea tlhaselo ea migraine ho bana.
Imitrex / Imigran (Sumatriptan) spray ea nasal e sebetsa hantle mme e lokela ho nkoa kalafo e matla ea litlhaselo tsa migraine lilemong tsa bocha (lilemo tse fetang 12).
Ho ne ho se na data, e ntle kapa e mpe, mabapi le tšebeliso ea lipuo tsa triptan (ka molomo) ho bana kapa ho bacha.
Ho na le boitsebiso bo sa lekaneng ba ho fumana hore na setatriptan (ka tlaase ho letlalo) se ka tlas'a letlalo.
Bakeng sa phekolo ea letsatsi le letsatsi:
Flunarizine e ka sebetsa hantle ebile e ka nkoa empa ha e fumanehe United States.
Ho na le bopaki bo lekaneng ba ho etsa tlhahiso efe kapa efe mabapi le tšebeliso ea Periactin (cyproheptadine), Elavil (amitriptyline), Depakote (divalproex sodium), Topamax (topiramate), kapa Keppra (levetiracetam).
Hobane bopaki bo fapana, litlhahiso li ke ke tsa etsoa mabapi le Inderal (propranolol) kapa Desyrell (trazodone).
Sandomigraine (Pizotifen) le Nimotop (nimodipine) le clonidine ha ea ka ea bontša molemo mme ha e khothaletsoe.
Tse ling tsa menahano ea saense e sebetsanang le phekolo ea malapa ea migraine
Bangoli ba sehlooho sa 2008 se Journal of Pediatric Pharmacology le Therapeutics ba tlaleha hore Ibuprofen le Tylenol (acetaminophen) ba na le molemo le o sireletsehileng bakeng sa bana ba ka tlase ho lilemo tse 12. Ba boetse ba hlokometse hore bakeng sa bacha, haeba Ibuprofen le Tylenol (acetaminophen) ha li sebetse, triptan e ka nkoa-ho sa tsotellehe hore li-triptan ha li amoheloe ke FDA lilemong tsa bocha. Ho boleloa hore ke Imitrex feela (sumatriptan) le Zomig (zolmitriptan) sefate sa nasal se fumanoeng se atlehile lithutong ho fokotsa migraine e matla ho bacha.
Menahano e meng ea saense e thibelang mafu a migraine
Thuto ea 2013 ka Jama Pediatrics haholo e lumellana le tataiso ea AAN ka hore ha ho na bopaki ba hore meriana ea thibelo e sebelisoang hangata, joaloka clonidine, pizotifen, propranolol, le valproate, e sebetsa. Ba boetse ba re flunarizine ha e sebetse ha e bapisoa le placebo, eo AAN a neng a nahana hore e ka atleha. Seo se boleloa, palo e kholo ea bana le bacha (karolo ea 30 lekholong e tlalehiloeng ke thuto e le 'ngoe) le hlooho ea hlooho ea migraine mohlomong e hloka meriana ea thibelo ea migraine ka nako e itseng.
Hona feela ho totobatsa tlhokahalo e potlakileng ea liteko tse kholo tse laoloang ke li-placebo, ho thibela bana ba migraine.
Mekhoa ea Boitšoaro ea ho Sebelisa Migraine ho Bana
Ke habohlokoa ho hlokomela hore meriana ha ea lokela ho ba eona feela phekolo ea ho phekola migraine ho bana. Mekhoa ea bophelo ea bophelo le ho khetholla le ho sebetsana ka katleho le lintho tse hlahisang ke ka tsela e lekanang, haeba e se ea bohlokoa haholo. Mehlala ea litsela tseo u ka utloisisang migraine ea ngoana ka tsona hantle ke ho hokahanya litlhaselo tsa bona le boitšoaro bo kang:
- mekhoa ea ho robala
- caffeine tshebediso
- ho nahana ka lijo
- boikoetliso
- khatello ea kelello lapeng le sekolong
- ho hlophisa mesebetsi
Lentsoe le Tsoang ho
Kakaretso, molaetsa oa lehae oa lapeng ke hore ho na le ho haelloa ke lithuto tsa bana litabeng tsa meriana, ho li thibela le ho li phekola. Hore ho boleloe, ka moralo o leka-lekaneng oa bongaka le oa boitšoaro migraine, ngoana oa hau a ka fumana phomolo. Lula u buella bophelo ba ngoana oa migraine.
> Mehloli:
> Brenner M & Lewis D. Tlhahlobo ea Hlooho ea Hlooho ea Migraine ho Bana le Bacha. J Pediatr Pharmacol Ther. 2008 Jan-Mar; 13 (1): 17-24.
> El-Chammas K. Pharmacologic kalafo ea hlooho ea meriana: litlhaloso tsa meta. JAMA Pediatr. 2013 Mar 1; 167 (3): 250-8.
> Lewis D le al. Mekhoa ea ho etsa lipatlisiso: Tlhahlobo ea kalafo ea hlooho ea migraine ho bana le lilemong tsa bocha: Tlaleho ea Komiti ea Melao-motheo ea Melao-motheo ea American Academy of Neurology le Komiti ea Boitliso ea Bana ba Neurology. Neurology 2004 Qetellong ea 28; 63 (12): 2215-24.