I-Migraine isifo esingapheliyo segazi. Kubonakaliswa ngokuhlaselwa ngokukhawuleza kweentloko eziphambili okanye ezinzima, ezenzekayo ngokuphendula kwiziganeko ezibangelwayo (imeko zemozulu, uxinzelelo, ukusetyenziswa kotywala, njl.). Intlungu ihlala yinye, isusela kwiiyure ezingama-4 ukuya kwiintsuku ezi-3, ihamba kunye neentlanzi, ukuhlanza, ukukhanya kunye nesandi.
Unyango lwe-migraine luyinkimbinkimbi kwaye luquka ukusetyenziswa kwamachiza. Siza kuqwalasela, yiyiphi iilungiselelo ezisuka kwimigraine isetyenziswe ngoku, kwaye yintoni efunekayo ukukhetha.
Indlela yokukhetha imithi yokuthatha imitha?
Kukho inani lamachiza asetyenziselwa ukufudumala kwi-migraine ukunqanda ukuhlaselwa kwentlungu. Liliphi uhlobo lweyeza elisebenzisayo kwimigraines, lingaxelela kuphela ugqirha ozayo emva kokuxilongwa.
Kufuneka kuphawulwe ukuba akukho "mhle", iyeza elona lihle kakhulu lokuthintela imithi, eya kuba nakho ukunceda ngokupheleleyo izigulane. Inyaniso yokuba isilwanyana esilunceda ngokupheleleyo isigulane, asinakufanelekela abanye. Ngaphezu koko, kwimeko yesigulane esifanayo, imishanguzo yokulwa ne-migraine inokukunceda ekuhlaselweni omnye kwaye ayiyikuphumelela nakwezinye. Xa ukhetha umkhiqizo wezobisi, kufuneka uqikelele ubunzima beentlungu kunye neqondo lokukhubazeka, kunye nokuchasene nezifo ezithintekayo.
Kukholelwa ukuba unyango lwe-migraine lusebenza ukuba:
- le nkunkuma inciphisa intlungu yesifo kunye nokuphucula ukuzinzela iiyure ezingama-2;
- ukulungiswa "imisebenzi" ngokufanelekileyo kwiintlobo ezimbini zokuhlaselwa;
- emva kokungeniswa kwakhe, ukuhlaselwa kwe-migraine akuphinde kwenzeke kwakhona kwiintsuku ezilandelayo;
- akukho mfuneko yokwamkelwa okongeziweyo kwalolu hlobo okanye enye indlela yokunciphisa ukuhlaselwa.
Iingcali ze-migraine
Kwinqanaba lokuqala, xa ukhetha unyango lwe-migraine, i-anesthetics kunye ne-non-steroidal anti-inflammatory drugs ezaziwa kuwo wonke umntu: i-paracetamol, i-metamizole, i-aspirin, i-ketoprofen, i-naproxen, i-diclofenac, i- ibuprofen, i-codeine, njl. Nangona kunjalo, izigulane ezininzi ziye zaphawula ukuphumelela okuphantsi kwezi zixhobo zokufuduka kwemigraines.
Triptans nge migraine
Ukusebenza ngokugqithiseleyo kukulungelelanisa iqela lama-triptans, okuquka: almotriptan, freotriptan, eletriptan, rizotriptan, zolmitriptan, naratriptan, sumatriptan. Impembelelo yalezi yobisi ayikazange ifundwe ngokupheleleyo, kwaye uphando lwekliniki luqhutyelwa. Ngako-ke, ezinye zezi mali azikavunyelwanga ukusetyenziswa kweli lizwe.
I-Triptans yizilwanyana ze-vasoconstrictive ezisetyenziselwa i-migraines, ezisebenza kuphela kwiinqanawa zobuchopho. Ukongezelela, i-tryptans isenzo kuma-receptors ye-cortex ye-cerebral, ukunciphisa ukukhutshwa kwezinto ezibangelwa ukuvuvukala nentlungu. Ziyakuchaphazela i-nerve trigeminal, ekunciphiseni ububele bayo kwiintlungu.
I-Sumatriptan (isilwanyana esivumelekileyo) sisetyenziswe nge-intranasally, ngomlomo nangaphantsi. Ngexesha le-migraine aura, la mayeza ayinakusetyenziswa.
Ergotamine kunye ne-migraine
Ngokwe siseko se-ergotamine, ezi ziyobisi zilandelayo: kaginergin, gynofort, neoginophor, ergormar, sekabrevin, akliman. Le mali isebenza kakhulu xa ithe yathathwa ekuqaleni kweentlungu zesifo. I-Ergotamine nayo inefuthe le-vasoconstrictor. Ayinakusetyenziswa ixesha elide, njengoko lingayilutha. Ngokuqhelekileyo, i-ergotamine imiselwe ngokuhlanganisana nezinye iziyobisi - umzekelo, i-caffeine.