Abin da za a Sani Game da Cocktail na Migraine

Wadatacce

• Menene hadaddiyar giyar ƙaura?
• Shin akwai sakamako masu illa?
• Me game da hadaddiyar giyar ƙaura ta OTC?
• Yaya amincin hadaddiyar giyar ƙaura ta OTC?
• Waɗanne nau'ikan magani zasu iya taimakawa?
• Me game da bitamin, kari, da sauran magunguna?
• Layin kasa

An kiyasta cewa Amurkawa suna fuskantar ƙaura. Duk da yake babu magani, ana amfani da ƙaura tare da magunguna waɗanda ke sauƙaƙe alamomi ko taimakawa hana rigakafin ƙaura daga faruwar farko.

Wani lokaci, a cikin saitunan likita, ana iya bi da alamun cutar ƙaura tare da “hadaddiyar giyar ƙaura.” Wannan ba abin sha bane, amma maimakon haɗuwa da takamaiman magunguna don taimakawa wajen kawar da alamun ƙaura.

Wannan labarin zai bincika abin da ke cikin hadaddiyar giyar ƙaura, yuwuwar sakamako mai illa, da sauran zaɓuɓɓukan maganin ƙaura.

Menene hadaddiyar giyar ƙaura?

Idan ka sami kanka neman likita don ciwo na ƙaura, ɗayan zaɓin maganin da za'a iya baka shine hadaddiyar giyar ƙaura.

Amma menene daidai a cikin wannan maganin ƙaura, kuma menene abubuwan da ke cikin daban suke yi?

Yana da mahimmanci a lura cewa magunguna a cikin hadaddiyar giyar ƙaura na iya bambanta dangane da wasu yanayin kiwon lafiya da amsarku ta baya game da maganin ceton ƙaura.

Wasu magunguna waɗanda za a iya haɗa su a cikin hadaddiyar giyar ƙaura sun haɗa da:

• Masu fassara: Wadannan magunguna suna da tasirin maganin kumburi kuma ana tsammanin zasu iyakance jijiyoyin jini a kwakwalwarku, suna taimakawa rage saukin ciwo. Misali na ɓacin rai a cikin hadaddiyar giyar ƙaura shine sumatriptan (Imitrex).
• Antiemetics: Wadannan magunguna na iya taimakawa tare da ciwo, ma. Wasu na iya sauƙaƙe tashin zuciya da amai. Misalan da za'a iya amfani dasu a cikin hadaddiyar giyar ƙaura sun haɗa da prochlorperazine (Compazine) da metoclopramide (Reglan).
• Ergot alkaloids: Ergot alkaloids suna aiki iri ɗaya don masu nasara. Misalin alkaloid ergot da aka yi amfani da shi a cikin hadaddiyar giyar ƙaura shine dihydroergotamine.
• Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs): NSAIDs sune nau'in maganin rage zafi. Wani nau'in NSAID wanda zai iya kasancewa a cikin hadaddiyar giyar ƙaura shine ketorolac (Toradol).
• IV steroids: IV steroids suna aiki don sauƙaƙa zafi da kumburi. Ana iya ba su don taimakawa hana ƙaura daga dawowa a cikin 'yan kwanaki masu zuwa.
• Maganin jini (IV): Ruwan IV na taimakawa maye gurbin duk wani ruwa da ka rasa. Wadannan ruwan kuma suna taimakawa hana illa daga magungunan da aka haɗa a cikin hadaddiyar giyar ƙaura.
• IV magnesium: Magnesium wani abu ne na halitta wanda ake amfani dashi sau da yawa don hana haɗarin ƙaura.
• IV valproic acid (Depakote): Wannan magani ne na kwace wanda za'a iya amfani dashi don magance mummunan ƙaura.

Ana ba da magunguna a cikin hadaddiyar giyar ƙaura ta hanyar IV. Gabaɗaya magana, yakan ɗauki kusan awa ɗaya ko fiye don tasirin wannan magani don fara aiki da kuma jin sauƙin bayyanar cututtuka.

Shin akwai sakamako masu illa?

Kowace magungunan da za a iya haɗawa a cikin hadaddiyar giyar ƙaura suna da nasa tasirin na kansa. Wasu daga cikin abubuwan illa na yau da kullun ga kowane magungunan sun haɗa da masu zuwa:

• Masu fassara:
  • gajiya
  • ciwo da ciwo
  • matsewa a yankuna kamar kirji, wuya, da muƙamuƙi
• Neuroleptics da antiemetics:
  • tsoka tics
  • rawar jiki
  • rashin natsuwa
• Ergot alkaloids:
  • bacci
  • ciki ciki
  • tashin zuciya
  • amai
• NSAIDs:
  • ciki ciki
  • gudawa
  • ciwon ciki
• Steroids:
  • tashin zuciya
  • jiri
  • matsalar bacci

Me game da hadaddiyar giyar ƙaura ta OTC?

Wataƙila kun taɓa jin labarin giyar ƙaura ta kan-kan-kan (OTC). Wannan haɗin magunguna ne guda uku:

• Asfirin, milligram 250 (MG): Ana amfani da wannan magani don rage zafi da kumburi.
• Acetaminophen, 250 MG: Yana rage radadi ta hanyar rage yawan sinadarin prostaglandins da jikinka yake samarwa.
• Maganin kafeyin, 65 MG: Wannan yana haifar da vasoconstriction (takaita jijiyoyin jini).

Lokacin da aka haɗu tare, kowane ɗayan waɗannan abubuwan na iya zama mafi tasiri a cikin sauƙaƙe alamun cututtukan ƙaura fiye da abubuwan da ke cikin mutum.

An lura da wannan tasirin a cikin. An samo daidaitaccen haɗin aspirin, acetaminophen, da maganin kafeyin don samar da ƙarin taimako fiye da kowane magani da kansa.

Excedrin Migraine da Excedrin Extra ƙarfi sune magunguna biyu na OTC waɗanda ke ɗauke da asfirin, acetaminophen, da maganin kafeyin.

Koyaya, likitoci galibi suna ba marasa lafiya shawara su guji Excedrin da dangoginsu saboda haɗarin amfani da ciwon kai fiye da kima.

Madadin haka, likitoci sun bada shawarar shan ibuprofen (Advil, Motrin), naproxen (Aleve), ko acetaminophen (Tylenol). Gabaɗaya suna ba da shawara game da maganin kafeyin na OTC, saboda yana iya haifar da sakamako masu illa kamar zuciya mai tsere da rashin bacci.

Hakanan akwai nau'ikan nau'ikan nau'ikan nau'ikan nau'ikan nau'ikan kayan haɗin. Tabbatar bincika marufin samfurin don tabbatar da abubuwan aiki.

Yaya amincin hadaddiyar giyar ƙaura ta OTC?

OTC magunguna na ƙaura waɗanda ke ɗauke da asfirin, acetaminophen, da maganin kafeyin na iya zama ba lafiya ga kowa. Wannan shi ne batun musamman don:

• mutanen da suka kamu da cutar rashin lafia a kowane ɗayan abubuwa uku
• duk wanda ke shan wasu magungunan da ke dauke da sinadarin acetaminophen
• yara 'yan ƙasa da shekaru 12, saboda haɗarin cutar Reye
• haɗarin magani don amfani da ciwon kai

Yi magana da likitanka kafin amfani da wannan samfurin idan kun:

• samun mummunan rauni na ƙaura ko ciwon kai wanda ya bambanta da labarinku na yau da kullun
• masu juna biyu ko masu shayarwa
• suna da cutar hanta, cututtukan zuciya, ko cutar koda
• suna da tarihin yanayi kamar ƙwannafi ko miki
• yi asma
• suna shan duk wasu magunguna, musamman masu yin diure, magungunan rage jini, steroid, ko wasu NSAIDs

Wasu sakamako masu illa na wannan nau'in magani sun haɗa da:

• ciwon ciki
• tashin zuciya ko amai
• gudawa
• jiri
• matsalar bacci
• yawan amfani da ciwon kai

Waɗanne nau'ikan magani zasu iya taimakawa?

Akwai wasu magunguna waɗanda zasu iya taimakawa wajen kawar da alamun ƙaura. Ana ɗaukar waɗannan yawanci da zarar kun ji farkon bayyanar cututtuka. Kuna iya saba da wasu daga cikinsu daga ɓangarorin da ke sama. Sun hada da:

• OTC magunguna: Wadannan sun hada da kwayoyi kamar acetaminophen (Tylenol) da NSAIDs kamar ibuprofen (Advil, Motrin), da asfirin (Bayer).
• Masu fassara: Akwai hanyoyi da yawa waɗanda zasu iya taimakawa sauƙaƙe alamun cutar ƙaura. Misalan sun hada da sumatriptan (Imitrex), rizatriptan (Maxalt), da almotriptan (Axert).
• Ergot alkaloids: Ana iya amfani da waɗannan a cikin yanayi yayin da masu nasara ba sa aiki don sauƙaƙe alamun. Wasu misalai sun hada da dihydroergotamine (Migranal) da ergotamine tartrate (Ergomar).
• Masu farin ciki: Ana amfani da waɗannan magungunan sau da yawa don magance ciwon ƙaura na ƙaura kuma ana iya ba da umarni ga marasa lafiya da ba za su iya ɗauka ba. Misalan sun hada da ubrogepant (Ubrelvy) da rimegepant (Nurtec ODT).
• Ditans: Hakanan za'a iya amfani da waɗannan magunguna a maimakon masu saɓo. Misali shine lasmiditan (Reyvow).

Hakanan akwai magunguna da za a iya sha don taimakawa wajen hana kamuwa da cutar ƙaura daga faruwa. Wasu zaɓuka sun haɗa da:

• Magungunan hawan jini: Misalan sun hada da beta-blockers da calcium channel blockers.
• Magungunan antidepressant: Amitriptyline da venlafaxine su ne masu damuwa uku na tricyclic waɗanda zasu iya taimakawa hana hare-haren ƙaura.
• Magungunan rigakafi: Wadannan sun hada da magunguna kamar valproate da topiramate (Topamax).
• Masu hana CGRP: Ana ba da magungunan CGRP ta hanyar allura kowane wata. Misalan sun hada da erenumab (Aimovig) da fremanezumab (Ajovy).
• Allurar Botox: Alurar Botox da ake bayarwa kowane watanni 3 na iya taimakawa hana ƙaura a cikin wasu mutane.

Me game da bitamin, kari, da sauran magunguna?

Baya ga nau'ikan magunguna da yawa, akwai kuma magungunan marasa magani wanda zai iya taimakawa sauƙaƙe bayyanar cututtuka ko hana ƙaura ta farawa.

Wasu zaɓuka sun haɗa da:

• Hanyoyin shakatawa: Ayyukan shakatawa kamar biofeedback, motsa jiki na numfashi, da tunani na iya taimakawa rage damuwa da tashin hankali, wanda sau da yawa na iya haifar da harin ƙaura.
• Motsa jiki na yau da kullun: Lokacin da kuke motsa jiki, kun saki endorphins, waxanda suke masu rage radadin ciwo. Motsa jiki na yau da kullun na iya taimakawa rage matakan damuwar ku wanda, bi da bi, na iya hana ƙaura ta farawa.
• Vitamin da ma'adanai: Akwai wasu shaidu da ke nuna cewa bitamin da ma'adanai da yawa na iya alaƙa da ƙaura. Misalan sun hada da bitamin B-2, coenzyme Q10, da magnesium.
• Acupuncture: Wannan wata dabara ce wacce ake saka allurar sirara cikin takamaiman matsi a jikinku. Ana tunanin cewa acupuncture na iya taimakawa wajen dawo da kwararar kuzari cikin jikin ku. Wannan na iya taimakawa sauƙaƙa ciwon ƙaura da iyakance yawan hare-haren ƙaura, kodayake bincike kan wannan ba shi da matsala.

Yana da mahimmanci a lura cewa wasu ganye, bitamin, da kayan ma'adinai bazai zama lafiya ga kowa ba. Tabbatar da magana da likitanku kafin gwada waɗannan magunguna.

Layin kasa

Wani hadaddiyar hadaddiyar giyar hadadden magunguna ne da ake bayarwa don magance cututtukan ciwon mara mai tsanani. Ainihin magungunan da aka yi amfani da su a cikin hadaddiyar giyar ƙaura na iya bambanta, amma yawanci ya haɗa da marasa ƙarfi, NSAIDs, da antiemetics.

Hakanan ana samun hadaddiyar giyar ƙaura a cikin magungunan OTC. Kayan OTC yawanci suna dauke da asfirin, acetaminophen, da maganin kafeyin. Waɗannan abubuwan haɗin suna da tasiri yayin amfani da su tare fiye da lokacin da aka ɗauka su kadai.

Yawancin magunguna daban-daban ana amfani dasu akai-akai don magance ko hana alamun ƙaura. Bugu da ƙari, wasu ganye, kari, da dabarun shakatawa na iya taimakawa, suma. Yana da mahimmanci a yi magana da likitanka game da nau'in maganin da zai iya zama mafi kyau a gare ku.