Kuru >> Dzidzo Yehutano >> Nguva yekutaura nachiremba wako nezve mushonga wemigraine

Nguva yekutaura nachiremba wako nezve mushonga wemigraine

Dzidzo yehutano

Kushungurudza, kurwadziwa kwepamuviri. Kunzwisisa kuchiedza uye kurira. Kusvotwa uye kurutsa. Kana iwe uri mumwe weiyo Mamiriyoni makumi matatu nemasere eAmerica vanoona migraine , unoziva zviratidzo izvi. Uye, ungangoda mushonga migraine mishonga kubatsira.

Ndiani anokanganisa migraine?

Zvidzidzo zvinofungidzira kuti pakati pe10% ne13% yevanhu pasi rese vanogara nemigraine. Muchokwadi, vangangoita mamirioni mashanu eAmerica vanowana imwe migraine pamwedzi, uye vanopfuura mamirioni gumi nemana vanoti migraine inokonzeresa kuremara kune mwero.

Asi huwandu hunosiyana zvakanyanya nezera uye bonde. Vakadzi vane mukana wakapetwa katatu sevarume vane migraine. About 20% yevakadzi muU.S. uye 9.7% yevarume vakasangana nemusoro wakanyanya kana migraine mumwedzi mitatu yadarika, sekumwe kuongorora kwakaitwa ne U.S. Centers for Disease Kudzora nekudzivirira (CDC). Mishumo yemarwadzo echangobva kuitika emigraine akachinja nezera. Semuenzaniso, 24.7% yevakadzi vane makore 18-44 ekuberekwa vanonzi vakasangana nemusoro wakakomba kana migraine mumwedzi mitatu yekupedzisira. Asi pakati pevakadzi vane makore makumi manomwe nemashanu zvichikwira, iyo muzana yevanhu vane migraine ichangoburwa yaingova 6.3% chete.

Saka chii munhu ane migraine kuti aite? Kana yako migraine misoro ichiwanzoitika, inogona kunge iri nguva yekutsvaga rubatsiro rwehunyanzvi.

Migraine mishonga

Paunenge uine musoro wakajairika, iwe unogona kusvika kune wepamusoro-the-counter kurwadziwa kunodzora senge naproxen, Tylenol, kana Advil. Kana kuti unogona kungonwa mvura uye kurara munzvimbo inotonhorera, ine rima, yakanyarara kwechinguva. Kazhinji, izvi hazvina kukwana kugogodza migraine.

Kunyange pasina mushonga we migraine, pane nzira mbiri dzinobudirira dzekurapa migraine nemishonga, sekureva kweNational Institute of Neurological Disorders uye Stroke kuNational Institutes of Health. Nzira yekutanga ndeyekudzivirira kwekurwiswa kwemigraine, uye yechipiri marwadzo ekurwadziwa kwemigraine zviratidzo kana kurwiswa kwaitika.

Mishonga yemishonga yekudzivirira migraine

NINDS inoshuma kuti kudzivirira kurapwa kwemigraine kunosanganisira kushandiswa kwemishonga pamwe nekuchinja maitiro. Vanhu vanowanzo gara nemusoro wemusoro vanofanirwa kudzidzira maitiro ekugadzirisa kushungurudzika, senge kurovedza muviri, kufungisisa, biofeedback, uye dzimwe nzira dzekuzorora.

Maererano ne Mahan chehrenama , MD, neurologist uye migraine nyanzvi muMcLean, Virginia, varwere vanofanirwa kufunga nezvemishonga yekudzivirira kana yavo migraine kurwisa kuri kazhinji (kanopfuura kane kusvika kumatanhatu kurwiswa pamwedzi) kana kuremadza zvakanyanya. Mishonga yekudzivirira inowanzo kuverengerwa-yakatemerwa, kunze kwekumwe kuwedzererwa senge magnesium oxide, anodaro. Iyi inodzivirira mishonga inogona kubatsirawo varwere kupindura zvirinani pakurwadziwa kwekubvisa mishonga kana migraine ikaitika.

Mishonga yekudzivirira inotorwa zuva nezuva, kunyangwe kana iwe usina musoro. Zvinogona kusanganisira:

Anticonvulsants, senge Topamax (topiramate) kana valproic asidhi
Tricyclic antidepressants, senge Elavil ( amitriptyline kana Pamelor ( nortriptyline )
Beta anovharira , seLopressor ( metoprolol kana Inderal ( propranolol )
Botox
Calcium chiteshi blockers, senge Cardizem ( diltiazem kana Calan ( verapamil )
CGRP inhibitors, senge Aimovig (erenumab), Kusimba (galcanezumab), kana Ajovy (fremanezumab). Vyepti (eptinezumab) anga ari inogamuchirwa neDFA , asi haisati yawanikwa pamusika.

Abortive migraine mishonga

Anenge murwere wese anotsvaga kurapwa kwemigraine anoda mushonga wekubvisa migraine. Iyi ndiyo mishonga inotorwa pakutanga kwemigraine kubvisa kana kumisa kurwisa kwemigraine.

Vazhinji varwere vanotsvaga kurapwa maererano nemusoro wavo vanga vasina kubudirira pakurapa nemazvo pamusoro pekambani isiri-yekurapa analgesics, Dr. Chehrenama anodaro. Saka kana iwe wapfuura nesarudzo yemishonga yako yeExcedrin uye musoro wako uchiramba kusimuka, ingangove nguva yekukumbira chiremba wako mushonga wekunyorerwa.

Mimwe mishonga inobvisa pamuviri ndeye migraine-yakatarwa, kunge triptans. Triptans iboka rakakurumbira remishonga. Ivo vanoshanda nekumutsa serotonin muuropi, iyo inoderedza kuzvimba uye inokanganisa tsinga dzeropa, ichimisa migraine. Triptans inosanganisira Axert (almotriptan), Dzokazve ( eletriptan ), Frova ( frovatriptan ), Kufamba (naratriptan), Maxalt ( rizatriptan ), Imitrex ( sumatriptan ), uye Zomig ( zolmitriptan ). Mimwe mishonga mitsva mitsva ichangobva kugamuchirwa kurapwa kwakanyanya kwemigraine: Reyvow ( lasmiditan ) uye Ubrelvy ( ubrogepant ).

Asi chiremba wako anogona kusarudza kupa asiri-migraine chaiwo mishonga yekubvisa, senge nonsteroidal anti-inflammatory drug (NSAIDs). Iye kana iye achakwanisa kukupa iwe yakanakisa yekurapa kuraira uye kunyorera zvichibva pane zvako chaicho zviratidzo, zvinodhaka zvekutonga zvido, uye migraine mishonga mhedzisiro.

Kana murwere achinetseka nekusvotwa kana kurutsa [panguva yemigraine], havakwanisi kutora mishonga yemuromo zvinobudirira uye kazhinji zvinoda zvisiri-zvemumuromo mafomu emigraine abortive, senge yekumwaya yemumhino kana jekiseni repasi, Dr. Chehrenama anodaro.

Saka kana iwe uri mumwe wemamirioni avanhu muU.S. vanogara nemigraine, taura nachiremba wako nezvesarudzo dzekurapa.