Tlhahlobo ea Litsamaiso tsa AAN / AHS bakeng sa Thibelo ea Migraine ea Episodic
Ibuprofen (Advil, Motrin) ke ntho e tloaelehileng eo e seng ea steroidal e khahlanong le ho ruruha ( NSAID ) e sebelisitsoeng ho phekola tlhaselo ea epradic migraine. Empa na ibuprofen e ka boela ea sebelisoa ho thibela migraine?
Ka 2012, American Academy of Neurology (AAN) le Mokhatlo oa Mahloa-hlooho a Amerika (AHS) li lokiselitse tataiso e nchafalitsoeng ka meriana bakeng sa thibelo ea migraine ea li-episodic. Melao-motheo ena e ne e nchafalitsoe ho hlahloba tšebeliso ea li-NSAID le meriana e fapaneng ea litlama kapa ea tlatsetso ho fokotsa palo le khafetsa ea tlhaselo ea migraine.
A re ke re hlahlobe lintlha tsena 'me re arabe potso ea hau mabapi le ho sebelisa meriana e tloaelehileng ea ho bapala li-ibuprofen ho thibela hlooho ea hlooho ea migraine.
Kemiso ea Meriana ea Likokoana-hloko e thibelang mafu (Li-NSAID feela le Litlhare tse Tlhabisang)
Tsamaiso e fana ka meriana ho ea litekong tse thehiloeng boemong ba bona bo sebetsang.
Mokhoa A Meriana e ikemiselitse ho "atleha." Petasites kapa butterbur ke meriana ea Level A. Ena ke meriana ea litlama kapa e meng e nkiloeng habeli ka letsatsi. Sepheo se ka sehloohong se hlahisa maikutlo a bonolo a GI a halefile, haholo-holo a mabe.
Meriana ea B e ikemiselitse hore "e ka ba e atlehileng." Mehlala ea meriana ea B e kenyeletsa:
- NSAIDS (fenoprofen, ibuprofen , ketoprofen, sodium naproxen,)
- Magnesium
- MIG-99 (feverfew)
- Riboflavin
- Historine e nyenyane
Meriana ea Meriana ea C e ikemiselitse hore "e ka atleha." Mehlala e kenyeletsa:
- NSAID (flurbiprofen, mefenamic acid)
- Co-Q10
- Estrogen
- Antihistamine: cyproheptadine
Meriana ea Meriana e ikemiselitse ho "se lekane" ka lebaka la lithuto tse fapaneng. Phuputso e loantšanang e bolela hore le hoja lithuto tse ling li tšehetsa tšebeliso ea meriana bakeng sa thibelo ea migraine, ba bang ba hanyetsa tšebeliso ea eona. Mehlala e kenyeletsa:
- NSAID (aspirin, indomethacin)
- Omega-3
- Oxyjene ea hyperbaric
Tataiso e boetse e bua ka meriana eo ho nkoa e le "mohlomong kapa mohlomong e sa sebetse." Montelukast (Singulair) ke mohlala oa meriana eo mohlomong e sa e sebeliseng ho thibela migraine tlhaselo.
Na Nka Nka Ibuprofen ho Thibela Lihlomo Tsa ka Tsa Migraine?
Ho ea ka tataiso e ka holimo, ho ka 'na ha e-ba le kahlolo e molemo ho nka ibuprofen ho thibela lipapali tsa hao ho fetola maikutlo. Ho boleloa hore, lithuto tsa ho hlahloba karolo ea li-NSAID ho thibela migraine li sa ntse li fokotseha. Ka hona, ho ka etsahala hore ngaka ea hau e khothalelitse meriana ea thibelo ea migraine e ntlafetseng haholoanyane joaloka anticonvulsant Topamax (topiramate) kapa blocker ea beta, joaloka metoprolol kapa propranolol.
Ho phaella moo, li-NSAID li na le liphello tse 'maloa tse bohloko tse ka' nang tsa e-ba teng 'me li lokela ho qojoa ke batho ba bang, haholo-holo ba nang le histori ea mali a tsoa mali, mafu a liphio le / kapa lefu la pelo. Ke ka lebaka leo ho leng bohlokoa ho bua kamehla le ngaka ea hau pele u nka meriana e holimo ho etsa bonnete ba hore e sireletsehile ho uena.
Hape, ka kopo hlokomela hore li-NSAID li etsa sehlopha se seholo sa meriana, tseo tse ling tsa tsona li ngotsoeng joaloka Level B kapa "mohlomong li atleha" (mohlala, ibuprofen) ho ea fihla Level U kapa "ho se lekane" (mohlala, aspirin).
Hobane feela o nka NSAID bakeng sa boemo bo bong ba bongaka ha ho bolele hore ke eona e nepahetseng bakeng sa ho thibela migraine ea hau.
Lentsoe le Tsoang ho
A re nke mohato hape. Hopola, tataiso e reretsoe ho thusa "ho tataisa" ngaka ea hau ho phekola hlooho ea hau. Ha ho bolele hore phekolo e itseng e molemo ho uena. Ngaka ea hau e lokela ho nahanisisa ka likarolo tse ling tsa bophelo ba hau bo kang:
- Mofuta oa migraine o tsoa ho oona.
- Maemo a mang a bophelo bo botle ao u nang le 'ona ho phaella ho migraine, joaloka ho tepella maikutlong kapa khatello e phahameng ea mali.
- Ho sa tsotellehe hore na u se u le lilemo lilemong tsa ho ba le bana, ho ba le meriana ea thibelo ea migraine e ka ba le liphello tse bohloko tsa fetal.
- Litla-morao tsa meriana ea thibelo ea migraine.
- Monyetla oa meriana o tlōla bohlooho bo boholo kapa ho hatela pele ha maikutlo ho motho ea sa foleng oa migraine.
Ntlha ea ho qetela e bohlokoa haholo. Ntho ea ho qetela eo u batlang hore e hlaolele hlooho ea moriana ha u ntse u leka ho thibela migraine ea hao-bobeli ba makhetlo a mabeli.
Lisebelisoa:
Komiti ea Khatiso ea Hlooho ea Mokhatlo oa Machaba oa Hlooho ea Mantlha. (2013). "Sebopeho sa Machaba sa Headache Disorders: Khatiso ea 3 (beta version)". Cephalalgia, 33 (9): 629-808.
Holland, S., Silberstein, SD, Freitag, F., Dodick, DW, Argoff, C., & Ashman, E. (2012). Mantsoe a tataiso a thehiloeng bopaking: Litho tsa AIDS le lisebelisuoa tse ling tse tlatsanang bakeng sa thibelo ea migraine ea maqheka ho batho ba baholo. Neurology, 78: 1346-1353.