Ho phekola Migraines ka ho imeloa kelellong

Litaba

• Mefuta e fapaneng ke efe?
• Serotonin reuptake inhibitors (SSRIs) e khethiloeng
• Serotonin-norepinephrine reuptake inhibitors (SNRIs)
• Tricyclic ho imeloa kelellong
• Monoamine oxidase inhibitors (MAOIs)
• Ho imeloa kelellong ho thibela migraine joang?
• Ke litla-morao life tsa ho imeloa kelellong?
• Na li-anti-depressing li sireletsehile?
• Lefu la Serotonin
• Ntlha ea bohlokoa

Ho imeloa kelellong ke eng?

Ho imeloa kelellong ke meriana e thusang ho phekola matšoao a khatello ea maikutlo. Boholo ba bona bo fetola mofuta oa k'hemik'hale o bitsoang neurotransmitter. Tsena li tsamaisa melaetsa lipakeng tsa lisele tse bokong ba hao.

Leha e na le mabitso, li-anti-depressing li ka sebetsana le maemo a fapaneng ntle le khatello ea maikutlo, ho kenyelletsa:

• ho tšoenyeha le ho tšoha
• mathata a ho ja
• ho hlobaela
• bohloko bo sa foleng
• mahlasedi a chesang

Ho imeloa kelellong ho ka boela ha thibela migraine. Bala pele ho ithuta haholoanyane.

Mefuta e fapaneng ke efe?

Ho na le mefuta e mene e meholo ea ho imeloa kelellong:

Serotonin reuptake inhibitors (SSRIs) e khethiloeng

SSRIs e eketsa palo ea serotonin ea methapo ea kutlo bokong ba hau. Hangata lingaka li fana ka tsona pele hobane li baka litla-morao tse fokolang haholo.

Serotonin-norepinephrine reuptake inhibitors (SNRIs)

SNRI e eketsa palo ea serotonin le norepinephrine bokong ba hau.

Tricyclic ho imeloa kelellong

Meriana ena, e tsejoang hape e le cyclic antidepressants, e eketsa palo ea serotonin le norepinephrine.

Monoamine oxidase inhibitors (MAOIs)

Serotonin, norepinephrine, le dopamine kaofela ke monoamine. 'Mele oa hau ka tlhaho o etsa enzyme e bitsoang monoamine oxidase e ba senyang. MAOIs a sebetsa ka ho thibela enzyme ena hore e se ke ea sebetsa ho li-monoamine bokong ba hau.

MAOIs ha a sa hlola a beoa hobane a baka litla-morao tse tebileng.

Ho imeloa kelellong ho thibela migraine joang?

Litsebi ha li tsebe hantle hore na ke eng e bakang migraine. Ho ea ka Mayo Clinic, ho se leka-lekane ha li-neurotransmitters ho ka bapala karolo. Maemo a Serotonin le 'ona a theoha nakong ea migraine. Sena se ka hlalosa hore na hobaneng lithibela ho sithabela ho bonahala li thusa ho thibela.

Tricyclic ho imeloa kelellong ke e 'ngoe ea litlhare tse atisang ho beoa bakeng sa thibelo ea migraine. Leha ho le joalo, liphuputso tse seng li le teng li fumane li-SSRI le li-SNRI li sebetsa ka mokhoa o ts'oanang. Tlhahiso ena e bohlokoa hobane li-SSRI le li-SNRI li na le litla-morao tse fokolang ho feta li-anti-depressing tsa tricyclic.

Le ha lithuto tse boletsoeng tlhahlobisong ena li ts'episa, bangoli ba hlokomela hore lithuto tse ngata tse kholo tse laoloang li hlokahala ho utloisisa ka botlalo hore na ho imeloa kelellong ho ama migraine.

Haeba u fumana migraine khafetsa e sa kang ea arabela kalafo tse ling, botsa ngaka ea hau ka ho leka ho loants'a khatello ea maikutlo. Hopola hore li-anti-depressing li sebelisetsoa ho thibela migraine, eseng ho phekola tse mafolofolo.

Ke litla-morao life tsa ho imeloa kelellong?

Ho imeloa kelellong ho ka baka litla-morao tse fapaneng. Hangata li-SSRI li baka litla-morao tse fokolang haholo, kahoo ngaka ea hau e kanna ea fana ka maikutlo a ho leka mofuta ona pele.

Litla-morao tse tloaelehileng mefuteng e fapaneng ea ho imeloa kelellong li kenyelletsa:

• molomo o omileng
• ho nyekeloa ke pelo
• ho tshoha
• ho hloka botsitso
• ho hlobaela
• mathata a thobalano, joalo ka ho se sebetse ha erectile kapa ho lieha ho ejaculation

Tricyclic antidepressants, ho kenyeletsoa amitriptyline, e ka baka litla-morao tse ling, joalo ka:

• pono e lerootho
• pipitlelano
• marotholi a khatello ea mali ha a eme
• poloko ya moroto
• Ho otsela

Litla-morao le tsona lia fapana lipakeng tsa meriana, esita le ka har'a mofuta o tšoanang oa ho imeloa kelellong. Sebetsa le ngaka ea hau ho khetha moriana o tepelletsang maikutlo o fanang ka molemo o moholo ka litla-morao tse fokolang. U kanna ua tlameha ho leka tse 'maloa pele u ka fumana e sebetsang.

Na li-anti-depressing li sireletsehile?

Ho imeloa kelellong hangata ho bolokehile. Leha ho le joalo, ho noa li-anti-depressing ho phekola migraine ho nkoa e le tšebeliso e seng ea leibole. Sena se bolela hore baetsi ba ho imeloa kelellong ha baa etsa liteko tse ts'oanang tse thata ho netefatsa polokeho le katleho ha ho tluoa kalafong ea migraine. Lingaka tse ngata ha li fane ka meriana bakeng sa tšebeliso ea li-label ntle le haeba mekhoa e meng ea kalafo e hlotsoe.

Ngaka ea hau e ka u thusa ho lekanya melemo le likotsi tsa ho sebelisa li-anti-depressing bakeng sa migraine.

Ho imeloa kelellong ho ka boela ha sebelisana le meriana e meng, kahoo bolella ngaka ea hau ka li-over-the-counter (OTC) le meriana eo u e sebelisang. Sena se kenyelletsa livithamini le litlatsetso.

U lokela hape ho joetsa ngaka ea hau haeba u na le:

• cholesterol e phahameng
• nalane ea lefu la pelo
• kotsi e eketsehileng ea tlhaselo ea pelo kapa stroke
• glaucoma
• prostate e atolositsoeng

Lefu la Serotonin

Serotonin syndrome ke boemo bo sa tloaelehang empa bo tebile bo etsahalang ha maemo a hau a serotonin a phahame haholo. Hangata ho etsahala ha o noa li-anti-depressing, haholo-holo MAOI, ka meriana e meng, litlatsetso, kapa lithethefatsi tse seng molaong tse eketsang maemo a hau a serotonin.

Se ke oa noa li-anti-depressing haeba u se u nkile e 'ngoe ea meriana e latelang ea migraine:

• almotriptan (Axert)
• naratriptan (Amerge)
• kakaretso (Imitrex)

Lintho tse ling tse ka sebelisanang le ho imeloa kelellong le ho baka lefu la serotonin li kenyelletsa:

• dextromethorphan, motsoako o tloaelehileng oa meriana e batang le ea sefuba ea OTC
• litlatsetso tsa litlama, ho kenyelletsa ginseng le St. John's wort
• lithibela-mafu tse ling
• lithethefatsi tse seng molaong, ho kenyelletsa le thabo e khaphatsehang, k'hok'heine le li-amphetamine

Batla phekolo ea meriana ea tšohanyetso haeba u e-na le litla-morao tsena ha u ntse u noa meriana ea ho imeloa kelellong:

• pherekano
• mesifa le ho thothomela
• ho satalla ha mesifa
• ho thothomela
• ho otla ha pelo kapele
• maikutlo a fetelletseng
• bana ba hlatsoitsoeng
• sethoathoa
• ho se arabele

Ntlha ea bohlokoa

Phekolo ea Migraine ke e 'ngoe ea litšebeliso tse tsebahalang haholo tsa li-anti-depressing. Le ha ho hlokahala lithuto tsa boleng bo holimo haholo, lipatlisiso tse seng li ntse li le teng li fana ka maikutlo a hore ho imeloa kelellong ho ka sebetsa bakeng sa thibelo haeba motho a sa arabele hantle liphekolong tse ling. Haeba khafetsa u fumana migraine e sa arabeleng kalafo tse ling, buisana le ngaka ea hau ka ho leka ho loants'a khatello ea maikutlo.