Mkpụrụ ọgwụ Migraine ọgwụ ọjọọ na Ụlọ Mberede
Mgbe ụfọdụ, mgbu nke ọgụ mpụga siri ike nke na ọ chọrọ nleta ụlọ mberede. Ma ọ bụ, n'ọnọdụ ndị ọzọ, ọgbụgbọ na vomiting na-eso ọgụ mwakpo migraine ịṅụ ọgwụ oriri ọgwụ. N'ụlọ mberede ma ọ bụ ebe nlekọta ngwa ngwa, a na-ejikarị ọgwụ ndị na-efe efe na-emekarị mpụ migraine. Mana nke kachasị mma?
Otu nnyocha na Nchọpụta ihe na- agbasaghị 330 ndị ọrịa nwere nnukwu migraine ọgụ iji nweta ma ọ bụ 1g sodium valproate, 10mg Reglan (metoclopramide), ma ọ bụ 30mg Toradol (ketorolac).
Sodium valproate bụ ọgwụ na-ejide onwe ya na ọ na-eji oge ọnụ eme ihe iji gbochie mpụga. N'ezie, American Academy of Neurology kwubiri na ngwaahịa valproate, divalproex sodium na sodium valproate, dị irè (Ọkwa A ọgwụ) iji gbochie mpụga. A na-ekwu nke a, ọ dị mkpa iburu na valproate na-emegiderịta onwe ya n'ime ndị ime ime.
Reglan (Metoclopramide) bụ ọgwụ mgbochi ma ọ bụ ọgwụ mgbochi. Ọ na - eme ka ndị na - anabata ndị na - anabata dopamine na ụbụrụ ma na - eme ka gastroparesis belata (mgbe eburu ihe ndọtị na - egbu oge). A na-ejikarị ya eme ihe dị ka onye na-elekọta ndị ọzọ maka ịgwọ mpụga na ụlọ mberede. O nwere ike ime ka obi ghara ịdị gị mma.
Toradol (Ketorolac) bụ NSAID na mmalite ngwa ngwa. Dị ka Reglan, a na-ejikarị ya eme ihe na ụlọ mberede iji mesoo mpụga. Cheta na, NSAID nwere ọtụtụ nsogbu ndị nwere ike ibute ya ma ụfọdụ ndị ga-ezere ya, karịsịa ndị nwere akụkọ afọ nke ọbara ọgbụgba, ọrịa akụrụ na / ma ọ bụ ọrịa obi.
Gini ka ihe omumu nke Migraine mere?
N'ọmụmụ ihe ahụ, ndị ọrịa niile kọrọ banyere mgbu mpụ migraine mbụ nke 7 ma ọ bụ karịa na nkwụsị nke 0 ruo 10, ọtụtụ ndị anaghịkwa ebute ọgwụ mgbochi mgbochi.
Mgbe otu awa nke natara otu n'ime ọgwụ atọ ahụ a kpọtụrụ aha n'elu, ndị natara sodium valproate ka mma site na nkezi 2.8 ma ndị natara Reglan na Toradol dị mma site na nkezi 4.7 na 3.9, n'otu n'otu.
Ihe nchoputa a gosiputara na ndi natara sodium valproate choro ndi ozo no na ndi ozo (pasent 69) dika ndi natara metoclopramide (pasent 33) na ketorolac (pasent 52). Nri ọgwụ migraine na-azọpụta
N'ikpeazụ, ọnụ ọgụgụ ka ukwuu nke ndị na-anata Reglan chọrọ ka ha nweta ọgwụ a n'otu nlekọta ụlọ mberede ọhụụ na-atụle ya na ndị ọzọ abụọ.
Ihe niile a na - ekwu, na awa iri abụọ na anọ mgbe ọ gwụchara, ọ dị ala na - enweghi nsogbu ọ bụla n'ime atọ dị iche iche: sodium valproate (pasent 4), Reglan (pasent 11) na Toradol (pasent 16) - ọ bụghị oke nkwubi.
Gịnị Ka Ihe A Nile Pụtara?
- Reglan na Toradol nwere ike ịhọrọ sodium valproate dịka ọgwụ na-enye ọnya maka mpụ ọgụ migraine n'ime ụlọ mberede.
- Reglan nwere ike ịbụ ọkachamara ọgwụ n'etiti ndị ọrịa na-aga na ER maka migraine-ọ bụ ezie na nke a abụghị ọchịchị siri ike na ngwa ngwa.
- Ihe di omimi e gosiputara n'ebe a bu na ihe ka otutu n'ime ihe ndi ozo abughi nsogbu nke nsogbu ha. Nke a pụtara na anyị chọrọ ọgwụgwọ ka mma iji nye ndị na-akwaga ahụ mgbu aka n'oge oké ọgụ.
Ihe nchekwa nke ọmụmụ nke a ga-ekwupụta bụ na ihe ka n'ọnụ ọgụgụ n'ime ndị na-esoghị na-ewere ọgwụ mgbochi ịpụga mba.
Nke a na-eme ka o sie ike ịkọwapụtara ndị nwere oké ọganihu na / ma ọ bụ nke na- adịghị ala ala (bụ ndị yiri ka ha na-aṅụ ọgwụ mgbochi).
Ihe ọzọ ị ga - ebuli bụ na ọgwụ ndị a na - arịa ọrịa na - arịa ọrịa abụghị nanị ndị a na - eji na - emeso oké njọ, oke mpụ migraine n'ime ụlọ mberede.
Nhọrọ ọzọ maka ọgwụgwọ migraine na ER bụ obere sumatriptan subcutaneous (ihe a na-enye dị ka ogwu n'ime anụ abụba gị). A na-enye ụdị ụdị antiemetics dị ka Compazine (prochlorperazine), na Benadryl (diphenhydramine) iji gbochie mmetụta ndị na-akpata antiemetics, dịka nkwụsịtụ na dystonia .
A na-enyekwa dihydroergotamine ( DHE ) n'ime ụlọ mberede ahụ ma bụrụ nke a ga-enye ya dị ka ihe ntanetị, na-etinye aka, ma ọ bụ intramuscularly. AKWỤKWỌ nwere ike ịkpata ọgbụgbọ, n'ihi ya, a na-enyekarị antiemetic iji gbochie nke a.
N'ikpeazụ, ụfọdụ ndị dọkịta ER na-enyekwa steroid nke a na-akpọ dexamethasone na otu n'ime ọgwụgwọ migraine ndị e kwuru n'elu-nkwupụta mmụta nke ahụ nwere ike inye aka belata ohere na isi ọwụwa ga-alọghachi n'oge. Ịdị elu na mmiri nke mmiri IV bụkwa akụkụ buru ibu nke ịgwọ migraines na ụlọ mberede, karịsịa ma ọ bụrụ na mmadụ nwere ọgbụgbọ na vomiting.
Okwu Site
Ọ bụrụ na ị kwụsịrị ịbanye na ER maka nnukwu mwakpo migraine, ị nwere ike ịnweta ọgwụ mgbochi (ma ọ bụ ọgwụ ogwu, ọ bụrụ na dọkịta gị enye gị sumatriptan). Na njedebe, ihe dọkịta na-enye gị bụ mkpebi onwe onye, nke dabeere na akụkọ nlekọta ahụ ike gị.
> Isi mmalite:
> Bajwa ZH, Smith JH. (February 2017). Nnukwu ọgwụgwọ migraine na ndị okenye. Na: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.
> Gilmore B, Michael M. > Ọgwụgwọ nke nnukwu Migraine isi ọwụwa. > Ọkachamara Fm. 2011 Feb 1; 83 (3): 271-280.
> Friedman BW et al. Ikpe ikpe ziri ezi nke IV valproate vs metoclopramide vs ketorolac maka akwa migraine. Nchọpụta ihe. 2014 Mee 18; 82 (11): 976-83.
> MAGH MA, Gutierrez FJ, Rieg TS, Moore TS, Gendron RT. Nlere anya, nke a na-enweghi ihe ọ bụla nke prochlorperazine nke na-egbuke egbuke na nchịkọta sumatriptan na nnukwu ọgwụ na migraine na ngalaba mberede. Ann Emerg Med . 2010 Jul, 56 (1): 1-6.
> Silberstein SD et al. Ntuzi nduzi na-egosi na akaebe: ọgwụgwọ maka ọgwụ maka ọgwụ mgbochi ọrịa mgbochi na ndị okenye: akụkọ banyere ụkpụrụ nchịkwa dị mma nke otu American Academy of Neurology na American Headache Society. Ihe ndị na-abụghị eziokwu na 2012; 78: 1337.