Zvaunofanira kuziva nezve migraine
Hutano Dzidzo Pharmacist Anoziva ZvakanakisaZvichida kwazvo iwe kana mumwe munhu wauri kurarama naye nemagraine. Saizvozvo, 1 mu4 Mhuri dzeAmerica dzinosanganisira mumwe munhu ane migraine. Icho chirwere chechitatu chinowanzoitika pasi rose. IAmerican Migraine Foundation inofungidzira kuti mutengo wepagore webasa rakarasika uye wakanangana nemubhadharo wekurapa une chekuita nemagraine unosvika US $ 20 miriyoni.
Chikumi ndiNational Migraine uye Headache Yekuzivisa Mwedzi, inova nguva yevanoona nezvehutano uye varwere kuti vataure nekuda kwekuzivikanwa kwemigraine uye kurapwa. Hezvino izvo zvaunofanira kuziva nezve mutsauko uripo pakati pemigraine uye kutemwa nemusoro, nguva yekutsvaga kurapwa, uye zvaunosarudzwa nemishonga.
A migraine vs. musoro: Ndeupi musiyano?
Mhando dzemusoro
Iyo yenguva dzose, kana isiri-migraine, musoro inogona kuve nemavambo mazhinji. Imwe yemhando dzakajairika ndeye kushungurudzika musoro . Kunetsekana kutemwa nemusoro kunorwadza, kusingaperi, kusingarwadziwe marwadzo ayo anowanzo sunganidzwa nekusunga mumusoro. Rudzi urwu rwemusoro unowanzo kuunzwa nekushushikana kwepfungwa kana dzimwe nguva kushushikana kwakanangana.
A sinus musoro inosanganiswa nehurwere uye congestive zviratidzo zvinowanzo kutungamira kune kurwadziwa kuseri kwemaziso uye sinus mhango nekuda kwekumanikidza kuvaka. Mhando iyi yemusoro inogona kuve yakanyanya kutaurwa mangwanani kana kana murwere akakotama nekuda kwekuchinja kwekumanikidza.
Sumbu kutemwa nemusoro inogona kurwadza zvikuru uye inowanzoitika kune vanhurume. Iyo kurwadziwa kuri munzvimbo yeziso, uye inogona kuve yakapinza, yekupedzisira kwemaawa, uye kuitika zuva nezuva. Iyi misoro inogona kuunzwa nezvinwiwa zvinodhaka uye kuputa.
Kune akawanda mamwe marudzi emusoro . Zvimwe zvinogona kunge zvine chekuita nekuchinja kwehomoni kana kutenderera kwemwedzi. Zvimwe zvinogona kuve zvine hukama necaffeine kana nicotine kurega. Nzara kana kutsanya zvinogona kukonzera kutemwa nemusoro. Mabasa anokonzera eyestrain, senge vhidhiyo yemitambo kana kushandisa komputa, zvinogona zvakare kutungamira kune asiri-migraine misoro.
Asi hapana imwe yemusoro uyu yakafanana ne migraine . A migraine yakasarudzika. Muchokwadi, kurwadziwa mumusoro wako chinongova chiratidzo chimwe chemagraine. Iwe unogona chaizvo kuva nemagraine pasina chero kurwadziwa mumusoro mako kwakabatana nako. Saka, iwe unogona sei kuziva kana iwe uine migraine?
Migraine zviratidzo
Zviratidzo zvinosangana nekurwiswa kwemigraine ndezvi:
- Kushungurudza kurwadziwa, kazhinji kune rumwe rutivi
- Chiedza uye / kana kurira kwekunzwa
- Nausea uye / kana kurutsa
- Tichava nazvo
- Chiono chinoshanduka, kusajeka kuona, kana bofu mavara
Mazhinji ezviratidzo izvi anozvitsanangudza, kunze kweaura. An aura inosanganisirwa nemagraine episodes ishanduko yekunzwa inoitika pamberi pemigraine kutanga. Inogona kusanganisira kuona kupenya kwechiedza kana kunzwa kunzwika mumativi ako. Inogona kutora kusvika paawa. Haasi ese migraine inosanganisirwa ne aura. Varwere vakawana aura vangangodaro vasina kusangana neese ane migraine.
Iwe haufanire kusangana nezvose zviri pamusoro zviratidzo kamwechete kuti uwanikwe uine migraine. Musoro wega wega uye murwere wese akasiyana.
Iyo frequency iyo iyo murwere inosangana nemagraine kurwisa kwakakosha kuti unzwisise. Yakadzika-frequency episodic migraines ndiyo inoitika pasi pegumi kagumi pamwedzi. Yakakwira-frequency episodic migraines ndeaya ari kuitika gumi nemana kusvika gumi nemana pamwedzi. Husingaperi migraines inotsanangurwa sekuitika nguva gumi neshanu kana kupfuura pamwedzi.
Kana iwe usina chokwadi nezverudzii rwemusoro urikusangana naro, kana kuti kana musoro wako wanga uchiramba uchinetsa kurerutsa, mupi wako wezvehutano achakwanisa kunyatsoongorora musoro wako kana migraine, pamwe nekurapa marongero akakodzera.
Migraine kurapwa sarudzo
Iko kune ese ari maviri ekuraira uye pamusoro-e-mapikisi mishonga yaunogona kutora kurapa migraine. Izvi ndizvo zvinokurudzirwa nemupi wako wezvehutano.
Over-the-counter migraine mishonga
Acetaminophen uye nonsteroidal anti-inflammatories (NSAIDs), senge aspirin, ibuprofen, kana naproxen, inogona kutorwa kwenguva pfupi kupa migraine zororo. Aya marapirwo akadhura uye anogona kubatsira mune imwe kana miviri doses. Caffeine, vasoconstrictor, inoshandawo mukugadzirisa marwadzo emigraine. Excedrin Migraine, yakakurumbira sarudzo yeOTC, chigadzirwa chemubatanidzwa chine acetaminophen, aspirin, uye caffeine. Wemishonga wako anogona kukunongedza munzira kwayo yekuzorodza marwadzo kana usina chokwadi.
Nemishonga iyi yese, zvakakosha kuti uzive kuti kurapwa kwe-over-the-counter hakuna kuitirwa kushandiswa kwenguva yakareba pasina nhungamiro yakananga kubva kumupi wako wezvehutano.
| Over-the-counter migraine kurapwa | |||
|---|---|---|---|
| Zita remishonga | Kupatsanura | Chaizvoizvo dose | Best BestCare mutengo |
| Aspirin | NSAID | 325 mg kusvika 1000 mg maawa mana kusvika matanhatu ega ega | $ 1.69 |
| Ibuprofen | NSAID | 200 mg kusvika 400 mg maawa mana kusvika matanhatu | $ 6.06 |
| Naproxen | NSAID | 220 mg maawa gumi nemaviri ese | $ 4.31 |
| Excedrin Migraine | NSAID | (Acetaminophen 250 mg / Aspirin 250 mg / Caffeine 65 mg) Mahwendefa 1 kusvika maviri maawa matanhatu ega ega | $ 2.40 |
Prescription migraine mishonga
Nehurombo, sarudzo dzeOTC hadzipe zvakakwana migraine zororo kune vazhinji. Mune izvo zviitiko, mushonga wekurapa unogona kuita mutsauko. Zvinyorwa zvemigraine zvinowira mumapoka maviri: ayo anoshandiswa pakurapa uye ayo anoshandiswa kudzivirira.
Migraine kurapwa
Chiremba-akavandudzwa marapirwo nyora NSAIDs (kunyanya, ibuprofen uye naproxen) sekutanga-mutsara kurapwa kweunyoro kusvika pakuenzanisa acute migraine. NSAIDs dzinoderedza marwadzo nekuderedza kuburitswa kweanopisa prostaglandin. Iwo anodhura-anoshanda ekurapa sarudzo yeane mwero kusvika pakuenzanisa migraines. NSAIDs kazhinji dzakafukidzwa nekutengesa kana Medicare Chikamu D zvirongwa zveinishuwarenzi. Ive neshuwa yekutarisa ImweCare yemari yekuchengetedza zvakare. Semuenzaniso, yakajairika kunyorerwa ibuprofen 800 mg inogona kudhura zvakaringana kuita $ 37 isina inishuwarenzi, asi iine SingleCare koponi , uyu mushonga uri pasi pe $ 6. NSAIDs hadzifanirwe kutorwa pasina chinhu dumbu, uye kunyangwe seyakaiswa mushonga, dzinogona kunge dzisingave dzakanakira kushandiswa kusingagumi, kwenguva refu.
Kweyakadzika kusvika kune yakaoma acute migraines, 5HT agonists, anowanzozivikanwa se triptans, ndiwo marapiro ekutanga. Triptans inosimudzira serotonin muuropi, iyo inoderedza kuzvimba uye inokonzera vasoconstriction. Vasoconstriction inoita basa rakakosha mukugadzirisa migraine sezvo ichidzora manzwiro eropa kuyerera. Izvi zvinobatsira kudzora kurova kana kupuruzira kunzwa kuti vazhinji vanoona panguva yekurwiswa kwemigraine.
Pane sarudzo dzinoverengeka dzemishonga yetriptan inowanikwa pamusika, inosanganisira: almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, uye zolmitriptan. Wako anonyora achasarudza kuti ndeipi inogona kunge yakanakira iwe, asi zvese zvaratidza kuti zvinoshanda pakurapa migraine. Triptans inowanzo kuverengerwa neinishuwarenzi, kunyange hazvo mamwe marongero angave ane parinogumira parudzi rwe triptan rwavanofukidza kana huwandu hwani. Mutengo wekunze-muhomwe we sumatriptan unogona kusvika madhora mazana maviri pamatafura mapfumbamwe chete, asi SingleCare inounza iwo mutengo pasi pasi pe $ 13.
| Prescription migraine kurapwa | |||
|---|---|---|---|
| Zita remishonga | Kupatsanura | Chaizvoizvo dose | Best BestCare mutengo |
| Ibuprofen | NSAID | 600 mg maawa matanhatu ese | $ 6.06 |
| Naproxen | NSAID | 500 mg maawa gumi nemaviri ese | $ 4.31 |
| Almotriptan | 5HT agonists (triptans) | 6.25 mg - 12.5 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | n / a |
| Eletriptan | 5HT agonists (triptans) | 20 mg kusvika 40 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | $ 161.04 |
| Frovatriptan | 5HT agonists (triptans) | 2.5 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | $ 112.56 |
| Naratriptan | 5HT agonists (triptans) | 1 mg kusvika 2.5 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | $ 92.61 |
| Rizatriptan | 5HT agonists (triptans) | 5 mg kusvika 10 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | $ 43.83 |
| Sumatriptan | 5HT agonists (triptans) | 25 mg kusvika 50 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | $ 42.90 |
| Zolmitriptan | 5HT agonists (triptans) | 2.5 mg kusvika 5 mg pakutanga, inogona kudzokorora kamwe mumaawa maviri kana pasina zororo. | $ 37.97 |
Migraine kudzivirira
Sarudzo dzekudzivirira dzinoita basa rakakosha pakurapa kwevarwere vane chirwere chisingaperi chemigraine. Ava varwere vachiri kuda kuwana kurapwa kwakanyanya kana yavo migraines ikaitika, asi mishonga yekudzivirira inogona kudzikira kuti kangani idzi migraines dzinoitika. Kusvikira munguva pfupi yapfuura, Botox, kana onabotulinumtoxin A, ndiyo yega yekurapa kwekudzivirira FDA. Kunyange ichinyatso shanda, Botox inogona kunge yakaoma kuti ubvumirwe pasi peinishuwarenzi uye inogona kudhura. Kwemakore, mamwe akati wandei emakirasi ekurapa ave achishandiswa off-label yekudzivirira migraine nekubudirira kukuru. Izvi zvinosanganisira mishonga yekubvuta, mishonga yekudzvinyirira, uye mishonga yeropa. Iyi mishonga inowanzo kuve neinishuwarenzi yakanaka yekuvhara uye inzira-dzinoshanda nzira dzekubatsira kudzivirira dzisingaperi migraines. Chati chinotevera chinopa pfupiso yesarudzo dzingawanikwe mukirasi yega yega, asi haina kuitirwa kuve inosanganisa.
| Mishonga inowanzo shandiswa kudzivirira migraine | |||
|---|---|---|---|
| Zita remishonga | Kupatsanura | Chaizvoizvo dose | Best BestCare mutengo |
| Divalproex | Anticonvulsant | 500 mg ER kaviri pazuva | $ 12.99 |
| Topiramate | Anticonvulsant | 25 mg kaviri pazuva | $ 8.53 |
| Metoprolol | Beta-blocker | 25 mg kaviri pazuva | $ 4 |
| Propranolol | Beta-blocker | 20 mg kaviri pazuva | $ 16.33 |
| Amitriptyline | Tricyclic Anodzvinyirira | 25 mg panguva yekurara | $ 4 |
| Venlafaxine | Inosarudza Norepinephrine Reuptake Inhibitor (Antidepressant) | 150 mg ER kamwe zuva nezuva | $ 15 |
Munguva pfupi yapfuura, kirasi nyowani yemishonga yakagadzirirwa migraine kudzivirira yakauya kumusika. Iri iboka recalcitonin peptide inoenderana negene (CGRP) inhibitors. Varwere vanoona migraines vanozivikanwa kuve nematanho epamusoro eCGRP. Kana ichisunga kune inogamuchira, inotanga kupaza kwezviitiko zvinotungamira mukuzvimba uye kurwadziwa kwemusoro. Vanhu vane chisingaperi migraine vanogona kuve nenhamba yavo yemigraine mazuva akachekwa nepakati neCGRP inhibitors.
Iyi mishonga inogona kudhura uye kufukidzwa kweinishuwarenzi kunogona kusiyana zvakanyanya. Vagadziri vanopa mamwe mapurogiramu ekuchengetedza, uye SingleCare inogara iripo kuti ikubatsire kuwana mutengo wakanyanya. Iyi inotevera chati inopa pfupiso yezviri kuwanikwa mukirasi ino.
| Anti-CGRP migraine kurapwa | ||
|---|---|---|
| Zita rekushandisa | Generic zita | Kupatsanura |
| Aimovig | erenumab-aooe | CGRP Monoclonal Antibodies |
| Ajovy | fremanezumab | |
| Kusimba | galcanezumab-gnlm | |
| Vyepti | wdc-dzvinoyst-jjmr | |
| Ubrelvy | ubrogepant | CGRP Molecule Receptor Vapikisi |
| Nurtec ODT | rimegepant sulfate |
Aya mazita haana kuitirwa kuve ese-anosanganisira uye marapirwo anogona kunge asiri akakodzera kune wese munhu ane migraine. Nguva dzose zvakanaka kutaura nemupi wako wezvehutano kuti ubatsire kusarudza nzira yako yekurapa. Unogona kuenzanisa mamwe migraine kurapwa pano .
