Seo U Lokelang ho se Tseba ka Migraine Cocktail
Litaba
- Mokotla oa migraine ke eng?
- Na ho na le litla-morao?
- Ho thoe'ng ka mokhabiso oa migraine oa OTC?
- OTC migraine cocktail e sireletsehile hakae?
- Ke mefuta efe e meng ea meriana e ka thusang?
- Ho thoe'ng ka livithamini, litlatsetso le litlhare tse ling?
- Ntlha ea bohlokoa
Ho hakanngoa hore Maamerika a ba le migraine. Le hoja ho se na pheko, hangata migraine e phekoloa ka meriana e kokobetsang matšoao kapa e thusang ho thibela litlhaselo tsa migraine hore li se ke tsa etsahala pele.
Ka linako tse ling, maemong a bongaka, matšoao a migraine a ka phekoloa ka "mokhabiso oa migraine". Sena ha se seno, empa ke motswako oa meriana e khethehileng ho thusa ho kokobetsa matšoao a migraine.
Sengoliloeng sena se tla shebisisa se teng mokhatlong oa migraine, litlamorao tse ka bang teng, le likhetho tse ling tsa kalafo ea migraine.
Mokotla oa migraine ke eng?
Haeba u iphumana u batla bongaka bakeng sa bohloko ba migraine, e 'ngoe ea likhetho tseo u ka li fuoang ke mokhabiso oa migraine.
Empa hantle-ntle kalafo ena ea migraine ke eng, hona metsoako e fapaneng e etsa eng?
Ke habohlokoa ho hlokomela hore meriana ea mokokotlo oa migraine e ka fapana ho latela maemo a mang a bongaka le karabelo ea hau e fetileng kalafong ea pholiso ea migraine.
Meriana e meng e ka kenyelletsoang mokhatlong oa migraine e kenyelletsa:
- Litlhapi: Meriana ena e na le litlamorao tse khahlano le ho ruruha mme ho nahanoa hore e fokotsa methapo ea mali bokong ba hau, e thusa ho kokobetsa bohloko. Mohlala oa triptan ka mokhathala oa migraine ke sumatriptan (Imitrex).
- Antiemetics: Meriana ena e ka thusa ka bohloko hape. Ba bang ba ka boela ba fokotsa ho nyekeloa ke pelo le ho hlatsa. Mehlala e ka sebelisoang mokokotlong oa migraine e kenyelletsa prochlorperazine (Compazine) le metoclopramide (Reglan).
- Li-alkaloids tse fosahetseng: Li-alkaloid tse nang le "Ergot" li sebetsa ka tsela e ts'oanang le li-triptan. Mohlala oa alkaloid ea ergot e sebelisitsoeng mokhatlong oa migraine ke dihydroergotamine.
- Lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID): Li-NSAID ke mofuta oa meriana e kokobetsang bohloko. Mofuta o mong oa NSAID o ka bang teng mokhatlong oa migraine ke ketorolac (Toradol).
- Li-steroids tsa IV: Li-steroids tsa IV li sebetsa ho kokobetsa bohloko le ho ruruha. Ba ka fuoa ho thusa ho thibela migraine ea hau hore e se ke ea khutla matsatsing a 'maloa a tlang.
- Maro a kenang ka hare (IV): Maro a IV a thusa ho nkela maro afe kapa afe ao u ka 'nang ua a lahla. Maro ana a boetse a thusa ho thibela litla-morao tsa meriana e kenyellelitsoeng mokhatlong oa migraine.
- Magnesium ea IV: Magnesium ke ntho ea tlhaho e atisang ho sebelisoa ho thibela litlhaselo tsa migraine.
- IV valproic acid (Depakote): Ena ke meriana ea sethoathoa e ka sebelisoang ho alafa tlhaselo e matla ea migraine.
Meriana ea mokokotlo oa migraine hangata e fanoa ka IV. Ka kakaretso, ho nka nako e ka etsang hora kapa ho feta hore litlamorao tsa kalafo ena li qale ho sebetsa le ho utloa phomolo ea matšoao.
Na ho na le litla-morao?
E 'ngoe le e' ngoe ea meriana e ka kenyelletsoang mokhatlong oa migraine e na le litla-morao tsa eona. Tse ling tsa litla-morao tse tloaelehileng bakeng sa meriana ka 'ngoe li kenyelletsa tse latelang:
- Litlhapi:
- mokgathala
- mahlaba le bohloko
- ho tiea libakeng tse kang sefuba, molala le mohlahare
- Neuroleptics le antiemetics:
- mesifa ea mesifa
- ho thothomela ha mesifa
- ho hloka botsitso
- Li-alkaloids tse fosahetseng:
- boroko
- ho koata mala
- ho nyekeloa ke pelo
- ho hlatsa
- Li-NSAID:
- ho koata mala
- letšollo
- bohloko ba mpeng
- Li-steroid:
- ho nyekeloa ke pelo
- ho tsekela
- bothata ba ho robala
Ho thoe'ng ka mokhabiso oa migraine oa OTC?
Mohlomong u kile oa utloela ka li-over-the-counter (OTC) migraine cocktail. Ena ke motsoako oa litlhare tse tharo:
- Aspirin, limiligrama tse 250 (mg): Meriana ena e sebelisetsoa ho fokotsa bohloko le ho ruruha.
- Acetaminophen, 250 mg: E fokotsa bohloko ka ho fokotsa palo ea li-prostaglandin tse hlahisoang ke 'mele oa hau.
- Caffeine, 65 mg: Sena se baka vasoconstriction (ho fokotsa methapo ea mali).
Ha e nkuoa hammoho, se seng le se seng sa metsoako ena se ka sebetsa hantle ho feliseng matšoao a migraine ho feta sesebelisoa ka seng.
Phello ena e bonoe ho. Motsoako o sa fetoheng oa aspirin, acetaminophen le caffeine e fumanoe e fana ka phomolo e kholo ho feta moriana o mong le o mong ka boeona.
Excedrin Migraine le Excedrin Matla a Eketsehileng ke meriana e 'meli ea OTC e nang le aspirin, acetaminophen le caffeine.
Leha ho le joalo, hangata lingaka li eletsa bakuli hore ba qobe Excedrin le lihlahisoa tsa eona ka lebaka la kotsi ea meriana e fetang hlooho e opang.
Sebakeng seo, lingaka li khothaletsa ho nka ibuprofen (Advil, Motrin), naproxen (Aleve), kapa acetaminophen (Tylenol). Ka kakaretso ba eletsa khahlano le caffeine ea OTC, hobane e ka baka litla-morao tse bohloko joaloka pelo ea lebelo le boroko.
Hape ho na le lihlahisoa tsa generic tse ka bang le motsoako o tšoanang oa metsoako. Etsa bonnete ba hore o sheba sehlahisoa se pakiloeng ho netefatsa metsoako e sebetsang.
OTC migraine cocktail e sireletsehile hakae?
Meriana ea migraine ea OTC e nang le aspirin, acetaminophen le caffeine e kanna ea se bolokehe ho bohle. Sena ke boemo bo khethehileng bakeng sa:
- batho ba bileng le khatello ea maikutlo pele ho efe kapa efe ea likarolo tse tharo
- mang kapa mang ea noang meriana e meng e nang le acetaminophen
- bana ba ka tlase ho lilemo tse 12, ka lebaka la kotsi ea Reye syndrome
- kotsi ea meriana e sebelisa hlooho e bohloko haholo
Bua le ngaka ea hau pele u sebelisa mofuta ona oa sehlahisoa haeba u:
- ba le tlhaselo e matla haholo ea migraine kapa bohloko ba hlooho bo fapaneng le sekhechana sa hau se tloaelehileng
- baimana kapa ba anyesang
- na le lefu la sebete, lefu la pelo kapa lefu la liphio
- na le nalane ea maemo a kang ho cha ha pelo kapa liso
- ba le asma
- ba noa meriana efe kapa efe, haholo-holo diuretics, lithethefatsi tse fokotsang mali, li-steroid kapa li-NSAID tse ling
Tse ling tsa litla-morao tsa mofuta ona oa meriana li kenyelletsa:
- bohloko ba mpeng
- ho nyekeloa kapa ho hlatsa
- letšollo
- ho tsekela
- bothata ba ho robala
- meriana e sebelisa hlooho e bohloko haholo
Ke mefuta efe e meng ea meriana e ka thusang?
Ho na le meriana e meng e ka thusang ho kokobetsa matšoao a migraine. Tsena li nkoa hangata ha u utloa ho qala ha matšoao. E ka 'na eaba u tloaelane le tse ling tsa tsona likarolong tse ka holimo. Li kenyeletsa:
- Meriana ea OTC: Tsena li kenyelletsa lithethefatsi tse kang acetaminophen (Tylenol) le li-NSAID tse kang ibuprofen (Advil, Motrin), le aspirin (Bayer).
- Litlhapi: Ho na le li-triptan tse 'maloa tse ka thusang ho fokotsa matšoao a migraine. Mehlala e kenyelletsa sumatriptan (Imitrex), rizatriptan (Maxalt), le almotriptan (Axert).
- Li-alkaloids tse fosahetseng: Tsena li ka sebelisoa maemong ao li-triptan li sa sebetseng ho fokotsa matšoao. Mehlala e meng e kenyelletsa dihydroergotamine (Migranal) le ergotamine tartrate (Ergomar).
- Litšila Meriana ena hangata e sebelisetsoa ho alafa bohloko bo bohloko ba migraine mme e ka fuoa bakuli ba sa khoneng ho nka li-triptan. Mehlala e kenyelletsa ubrogepant (Ubrelvy) le rimegepant (Nurtec ODT).
- Litans: Meriana ena e ka sebelisoa sebakeng sa li-triptan. Mohlala ke lasmiditan (Reyvow).
Hape ho na le meriana e ka nkuoang ho thusa ho thibela tlhaselo ea migraine hore e se ke ea etsahala. Likhetho tse ling li kenyelletsa:
- Meriana ea khatello ea mali: Mehlala e kenyelletsa beta-blockers le blockers ea calcium channel.
- Meriana e loantšang khatello ea maikutlo: Amitriptyline le venlafaxine ke li-anti-depressing tse tharo tse ka thusang ho thibela litlhaselo tsa migraine.
- Meriana ea likokoana-hloko: Tsena li kenyelletsa meriana e kang valproate le topiramate (Topamax).
- CGRP inhibitors: Meriana ea CGRP e fanoa ka ente khoeli le khoeli. Mehlala e kenyelletsa erenumab (Aimovig) le fremanezumab (Ajovy).
- Liente tsa Botox: Ente ea Botox e fuoang likhoeli tse ling le tse ling tse tharo e ka thusa ho thibela migraine ho batho ba bang.
Ho thoe'ng ka livithamini, litlatsetso le litlhare tse ling?
Ntle le mefuta e mengata ea meriana, ho boetse ho na le kalafo e seng ea meriana e ka thusang ho kokobetsa matšoao kapa ho thibela ho qala ha migraine.
Likhetho tse ling li kenyelletsa:
- Mekhoa ea boikhathollo: Mekhoa ea boikhathollo e kang biofeedback, ho ikoetlisa le ho thuisa e ka thusa ho fokotsa khatello ea maikutlo le tsitsipano, tse atisang ho baka tlhaselo ea migraine.
- Ho ikoetlisa khafetsa: Ha u ikoetlisa, u ntša li-endorphin, tse kokobetsang bohloko ba tlhaho. Ho ikoetlisa khafetsa ho ka thusa ho theola khatello ea maikutlo, e ka thibelang migraine ho qala.
- Li-vithamine le liminerale: Ho na le bopaki bo bong ba hore livithamini le liminerale tse fapaneng li kanna tsa amahanngoa le migraine. Mehlala e kenyelletsa vithamine B-2, coenzyme Q10 le magnesium.
- Phekolo ea matsoho: Ona ke mokhoa oo linale tse tšesaane li kenngoang maemong a itseng a khatello 'meleng oa hau. Ho nahanoa hore ho hlaba ka linalete ho ka thusa ho khutlisa phallo ea matla 'meleng oohle oa hau. Sena se ka thusa ho fokotsa bohloko ba migraine le ho fokotsa makhetlo a tlhaselo ea migraine, leha lipatlisiso tsa sena li sa tsejoe.
Ho bohlokoa ho hlokomela hore litlama tse ling, livithamini le liminerale tse tlatsetsang li kanna tsa se bolokehe bakeng sa motho e mong le e mong. Etsa bonnete ba hore u bua le ngaka ea hau pele u leka litlhare tsena.
Ntlha ea bohlokoa
Cocktail ea migraine ke motsoako oa meriana e fanoang ho alafa matšoao a matla a migraine. Meriana e tobileng e sebelisoang moketeng oa migraine e ka fapana, empa hangata e kenyelletsa li-triptan, li-NSAID le antiemetics.
Lebenkele la migraine le fumaneha le meriana ea OTC. Lihlahisoa tsa OTC hangata li na le aspirin, acetaminophen le caffeine. Lisebelisoa tsena li sebetsa hantle ha li sebelisoa hammoho ho feta ha li nkuoa li le ling.
Mefuta e mengata e fapaneng ea meriana e sebelisoa khafetsa ho phekola kapa ho thibela matšoao a migraine. Ntle le moo, litlama tse ling, litlatsetso le mekhoa ea boikhathollo le tsona li ka thusa. Ho bohlokoa ho bua le ngaka ea hau ka mofuta oa kalafo o ka u sebeletsang hantle.