Matšoao le Meriana bakeng sa Migraine Ena e Nako e telele, e Boima
Boemo migrainosus ke tlhaselo ea migraine e fokolisang le e utloisang bohloko haholo e nkang nako e telele ho feta matsatsi a mararo-hangata e u romella kamoreng ea tšohanyetso.
Matšoao a Boemo ba Migrainosus
Matšoao a boemo ba migrainosus a tšoana le eng kapa eng eo matšoao a hau a migraine a ka bang ho eona, ebang ke migraine e nang le aura kapa migraine ntle le aura.
Phapang e kholo ke hore ka boemo ba migraine , matšoao a ntse a tsoela pele ka lihora tse fetang 72. Ka migraine ea kamehla kapa ntle le aura, bohloko ba hlooho bo nka lihora tse pakeng tsa 4 le 72. Ho boemo ba migrainosus, ho ka 'na ha e-ba le nako ea phomolo e lekanyelitsoeng e qetellang lihora tse 12. Hangata li bakoa ke ho robala kapa meriana.
Matšoao a migraine a kenyelletsa:
- Sebaka se kopane (lehlakoreng le le leng)
- Ho senya
- Ho opeloa habohloko ka ho ikoetlisa ka tsela e tloaelehileng joaloka ho tsamaea
- Sehlōhō
- E itekanetse ho ea matla haholo
Ho phaella moo, e tlameha ebe bonyane o na le e 'ngoe ea tse latelang:
- Nosea le / kapa ho hlatsa
- Photophobia (kutloisiso ea khanya) le phonophobia (ho utloahala ho utloahala)
Litlhare tsa boemo ba Migrainosus
Hoo e batlang e le bakuli bohle ba nang le boemo ba migrainosus ba tla u bolella hore phekolo ea bona e tloaelehileng ea migraine ha e thuse. Ntle le ho leka ho senya bohloko ba hlooho, phekolo ea boemo ba migrainosus e kenyelletsa ho sebetsana le mathata a mang a eketsehileng, joaloka ho nyefoloa ke pelo le ho hlatsa kapa ho felloa ke metsi.
Boemo ba migraine bo atisa ho phekoloa kamoreng ea tšohanyetso . Mokhoa o tloaelehileng oa phekolo o kenyelletsa metsi a mangata (IV) le meriana ea ho thibela ho nyekeloa ke pelo le ho hlatsa, joaloka prochlorperazine (Compazine).
Meriana e sebelisetsoang ho fokotsa boemo ba migraine e ka kenyelletsa e 'ngoe ea triptans , haholo-holo subcutaneous sumatriptan kapa dihydroergotamine (DHE), e lateloa ke NSAID e nang le intravenous, joaloka ketorolac (Toradol).
Sehlopha sa meriana e bitsoang dopamine receptor bahanyetsi, kapa dopamine blockers, e 'nile ea bontšoa e sebetsa ka ho khetheha ho phekola boemo migrainosus. Sehlopha sena se kenyelletsa lithethefatsi tse kang metoclopramide (Reglan), fluphenazine hydrochloride (Prolixin) le chlorpromazine hydrochloride (Thorazine).
Ka linako tse ling li-steroid tse kang dexamethasone li sebelisoa. Phuputso e 'ngoe ea morao tjena e bontšitse hore bakuli ba 80 lekholong ba nang le boemo ba migrainosus ba ne ba imolohile haholo ha ba nka dexamethasone habeli ka letsatsi ka matsatsi a mane.
Meriana e thibelang li-sodium valproate, e leng meriana e khahlanong le lefuba, e ka hlahlojoa empa phuputso e 'ngoe ea morao-rao e bontšitse hore e ka' na ea se ke ea sebetsa joaloka ketorolac (Toradol) kapa metoclopramide (Reglan) 'me e lokela ho sebelisoa ka tlhokomelo ho basali ba lilemo tse behang bana.
Seo U ka se Etsang Haeba U na le Boemo ba Migrainosus
Joaloka lihlooho tsohle, leka ho bona hore na u na le matšoao a macha kapa matšoao a matla ho feta a tloaelehileng. Hape, etsa bonnete ba hore o tsebisa mofani oa hao oa tlhokomelo ea bophelo haeba u na le migraine e nka nako e telele ho nkoa e le boemo ba migraine.
> Mehloli:
> Bland R, Levine T. Phekolo ea boemo ba boemo bo botle ka Oral Dexamethasone ka Phello ea Phello. Neurology. Ka la 16 April, 2016; 86 (16): SupplementP1.160.
> Friedman BW, Garber L, Joon A, Solorzano C, Wollowitz A, Esses D le al. Tlhahlobo e tloaelehileng ea IV valproate vs metoclopramide vs ketorolac bakeng sa migraine e matla. Neurology . March 2014; 82 (11): 976-83.
> Gelfand AA, Goadsby PJ. Tataiso ea kelello ea methapo ea mafu bakeng sa phekolo e nepahetseng ea Migraine ka kamoreng ea maemo a tšohanyetso. Neurohospitalist . 2012; 2 (2): 51-59. doi: 10.1177 / 1941874412439583.
> Komiti ea Khatiso ea Hlooho ea Mokhatlo oa Machaba oa Hlooho ea Mantlha. Sehlopha sa Machaba sa Mathata a Hlooho ea Hlooho: Khatiso ea 3 (beta version). Cephalalgia. 2013; 33 (9): 629-808.
> Lekala la Rozen T. Emergency le Inpatient Management of Status Migrainosus le hlooho e sa sebetseng ea hlooho. TŠEBELETSO: Thuto ea Bophelo bo Botle ka Bophelo bo Botle . August 2015; 21 (4, hlooho e bohloko): 1004-1017.