Litlhare tsa Phekolo ea Meriana e le Hore U se ke Ua Ema
Li-headaches tsa Migraine li ka otla ka nako leha e le efe, 'me ho li phekola ho ka' na ha se ke ha e-ba bonolo kamehla, ka hona ho ka ba molemo ho ithuta ho eketsehileng ka thibelo ea migraine. Haeba u e-na le migraine e tloaelehileng , mofani oa hao ea tlhokomelo ea bophelo a ka 'na a khothaletsa phekolo ea thibelo ho e -na le phekolo e bonolo ea ho ntša mpa . Meriana e mene e amohelehang ea FDA e sebelisetsoa ho thibela migraine, empa ho na le dikgetho tse ling tse ka sebetsang hantle.
Meriana e amohelehang ea FDA
Tsamaiso ea Tsamaiso ea Lijo le Lithethefatsi e amohetse meriana e mene ea migraine thibelo , kapa prophylaxis. Ke propranolol (Inderal), timolol (Blocadren), topiramate (Topamax) le sodium divalproex ( Depakote ). Tsena li nkoa e le phekolo ea "line" pele ho migraine prophylaxis. Ho na le linako tseo u ka sitoang ho li mamella ka lebaka la litla-morao kapa hobane e 'ngoe ea mekhoa ea pele ea phekolo e sa sebetse. Ha sena se etsahala, mofani oa hao oa tlhokomelo ea bophelo a ka 'na a fana ka meriana e meng e ka thusang. Hangata sena se bitsoa ho sebelisa meriana "ntle le lengolo." Sena se tloaelehile 'me e ka ba tharollo e molemohali ho uena.
Beta-Blockers
Li-beta-blockers ke meriana e atisang ho sebelisoa ho phekola khatello e matla ea mali ( khatello ea kelello ), empa ho boetse ho na le mefuta e meng e mengata bakeng sa bona. Propranolol le timolol ka bobeli ke beta-blockers. Tse ling tse ka 'nang tsa lekoa kalafo ea migraine li kenyelletsa atenolol (Tenormin), metoprolol ea nako e telele (Toprol XL) kapa nadolol (Corgard).
Litla-morao tse tloaelehileng li akarelletsa mokhathala, ho nyekeloa ke pelo, ho ba le botsoa, ho hlobaela le ho tepella maikutlong. Litlhaloso tse amanang le tšebeliso ea tsona li kenyelletsa hypoglycemia tse amanang le lefu la tsoekere, hypotension , asthma kapa maemo a mang a pelo.
Ho tepella maikutlo
Amitriptyline ke motho ea nang le bothata ba ho imeloa kelellong e tsejoang e le tricyclic e loantšang maikutlo (TCA). Le hoja e se e amoheletsoeng ke FDA bakeng sa thibelo ea migraine, ho 'nile ha e-ba le lipatlisiso tse ngata tse bontšang hore amitriptyline e ka ba meriana e sebetsang ea prophylactic.
Ho bonahala eka e atlehile ka ho khetheha ha o e-na le migraine e nkang mefuta e fapa-fapaneng kapa e na le litšobotsi tse tloaelehileng ho hlooho ea hlooho ea tsitsipano. Amitriptyline e ka boela ea atleha ha ba nang le bothata ba ho hlobaela kapa ho tepella maikutlo ho tsamaeang le hlooho. Litla-morao tse tloaelehileng li akarelletsa ho otsela, ho fumana boima ba 'mele le molomo o omeletseng.
Selectional Serotonin Reuptake Inhibitors (SSRIs), e kang fluoxetine (Prozac), ka linako tse ling e sebelisoa ho thibela migraine, empa lipatlisiso ha li tšehetse tšebeliso ea tsona e atileng.
Anticonvulsants
Li-anticonvulsants ke meriana qalong e reretsoeng ho tšoaroa ke lefu la sethoathoa. Li na le litšebeliso tse ling hape, ho kenyelletsa ho thibela hlooho ea hlooho ea migraine. Divalproex (Depakote) e amoheloa ke FDA, 'me lithuto tse ngata li tšehetsa tšebeliso ea eona. Litla-morao li tloaelehile empa li fokotseha ha nako e ntse e feta. Bakuli ba nang le bokhachane le ba nang le lefu la sebete kapa histori ea ho fokola ha maikutlo ha baa lokela ho e sebelisa ho hang.
Topiramate (Topamax) ke e 'ngoe ea anticonvulsant e bonang e le khetho e ntle bakeng sa thibelo ea migraine. Litla-morao tse tloaelehileng li kenyelletsa mokhathala le ho nyekeloa ke pelo, le hoja litekanyo tse tlaase li sa bake mathata a mangata.
Liqeto tse ling
Ho na le meriana e mengata e sebelisetsoang ho thibela migraine, mme ha ho le e 'ngoe ea eona e amohetsoeng ka FDA hona joale.
Lisinopril (Zestril), ACE-inhibitor e sebelisetsoang ho phekola khatello ea mokuli, e bontšitse tšepiso e itseng ho thibela migraine. Candesartan (Atacand) ke blokelo ea angiotensin receptor (ARB) eo ho ea ka phuputso e 'ngoe, e ka atlehang migraine prophylaxis.
Li-calcium channel blockers ke meriana ea khatello ea mali e 'nileng ea sebelisoa historing bakeng sa thibelo ea migraine. Ha ho na bopaki ba saense bo tšehetsang tšebeliso ea bona, le hoja ho na le bopaki bo fokolang bo bolelang hore verapamil (Calan) e ka ba molemo.
Sebeliso ea nako e telele e sa sebeliseng lithethefatsi (NSAID) e ke keng ea e-ba kotsi ka lebaka la mathata a moriana ao ba ka o bakang, empa ho na le maemo ao ho oona li-NSAID li ka thusang ho thibela migraine, haholo-holo naproxen (Naprosyn).
Ho nka li-NSAID pele ho nako le nakong ea ho ea khoeling ho ka ba molemo ho thibela ho ea khoeling .
Lisebelisoa:
Lithethefatsi bakeng sa migraine. Litlhahiso tsa phekolo ho The Medical Letter , 2004; 2: 63-66.
Migraine. National Headache Foundation. E khutliselitsoe: la 9 December, 2008. http://www.headaches.org/education/Headache_Topic_Sheets/Migraine
Modi S, Low DM. Meriana ea migraine prophylaxis. Ke Mooki oa Lefu . 2006 Nov 15; 74 (10): 1685. E khutliselitsoe: la 9 December, 2008. http://www.aafp.org/afp/20060101/72.html
Tronvik E, Stovner LJ, Helde G, Sand T, Bovim G. Ts'oaetso ea phekolo ea migraine e nang le lebenkeleng la angiotensin II: e leng teko e laoloang ka tsela e sa tloaelehang. JAMA , 2003; 289: 65-9.