ʻeha Poʻo Mai Nā Sinuses
Nānaina
'ʻO ka ʻeha poʻo mai nā sinuses he ʻeha poʻo paha e like me ka maʻi i loko o nā sinuses (sinusitis). E hiki paha iā ʻoe ke manaʻo i ke kaomi a puni nā maka, nā papalina a me ka lae. Malia paha ke kīloi kou poʻo. Akā, ʻo kēia ʻeha paha he migraine maoli nō.'
Nā hōʻailona
Nā hōʻailona a me nā hōʻailona o ka ʻeha poʻo mai nā sinuses paha e komo pū ai:
- ʻEha, kaomi a piha i loko o nā papalina, lae a i ʻole lae
- ʻOi aku ka ʻeha inā kūlou ʻoe i mua a moe i lalo
- Ihu ʻāʻī
- Luhi
- ʻEha i nā niho o luna
ʻO ka manawa hea e ʻike ai i ke kauka
E kūkā me kāu mea lawelawe inā:
- ʻOi aku ka nui o nā hōʻailona o kou poʻo ʻeha ma mua o 15 mau lā i ka mahina a i ʻole e pono ai ka lāʻau ʻeha pinepine i loaʻa me ka ʻole o ka palapala kauoha
- Loaʻa iā ʻoe kahi poʻo ʻeha nui, a ʻaʻole kōkua ka lāʻau ʻeha i loaʻa me ka ʻole o ka palapala kauoha
- Ke haʻalele nei ʻoe i ke kula a i ʻole ka hana ma muli o nā poʻo ʻeha pinepine a i ʻole nā poʻo ʻeha e hoʻopilikia ana i kou ola i kēlā me kēia lā
Nā kumu
ʻO kaʻeha poʻo mai nā sinuses e pili pinepine ana i nā migraine a i ʻole nā ʻano ʻeha poʻo ʻē aʻe.
Pili kaʻeha poʻo mai nā sinuses i ka ʻeha a me ke kaomi ma ka maka a me nā sinuses a hiki ke hoʻoulu i nā hōʻailona ihu. ʻAʻole i hana ʻia ka hapa nui o kēia mau ʻeha poʻo e nā maʻi sinus a ma ke ʻano laulā ʻaʻole pono e mālama ʻia me nā antibiotics.
Nā mea pilikia
Hiki i nā headaches sinus ke hoʻopilikia i kekahi, akā, ʻoi aku paha ka nui inā loaʻa iā ʻoe:
- Ka mōʻaukala ma mua o nā migraines a i ʻole nā headaches
- Ka mōʻaukala ʻohana o nā migraines a i ʻole nā headaches
- Nā loli hormonal e pili ana i nā headaches
Ka pale ʻana
Inā lawe ʻoe i nā lāʻau lapaʻau pale aku paha ʻaʻole paha, hiki iā ʻoe ke pōmaikaʻi mai nā loli o ke ola e hiki ke kōkua i ka hōʻemi ʻana i ka nui a me ka nui o nā ʻeha poʻo. Hiki ke kōkua kekahi a ʻoi aku paha o kēia mau manaʻo no ʻoe:
- E pale i nā mea hoʻoulu. Inā me he mea lā ua hoʻoulu kekahi mau meaʻai a i ʻole nā ala i kou mau ʻeha poʻo i ka wā ma mua, e pale aku iā lākou. Hiki i kāu mea lawelawe ke kuhikuhi iā ʻoe e hōʻemi i kāu inu kofe a me ka waiʻona a pale aku i ka paka. Ma ke ʻano laulā, e hoʻokumu i kahi papa hana i kēlā me kēia lā me nā ʻano hiamoe maʻamau a me nā meaʻai maʻamau. Eia kekahi, e ho'āʻo e kaohi i ke kaumaha.
- E hoʻoikaika mau. Hoʻemi ka hoʻoikaika kino aerobic i ke kaumaha a hiki ke kōkua i ka pale ʻana i nā ʻeha poʻo. Inā ʻae kāu mea lawelawe, e koho i kekahi hoʻoikaika kino aerobic āu e makemake ai, me ka hele wāwae, ka ʻauʻau a me ke kaʻa paikikala. E hoʻomehana mālie, akā naʻe, no ka mea hiki i ka hoʻoikaika kino wikiwiki a ikaika ke hoʻoulu i nā ʻeha poʻo. Manaʻo ʻia hoʻi he kumu nā mea momona i nā ʻeha poʻo, a hiki i ka hoʻoikaika kino mau ke kōkua iā ʻoe e mālama i kahi kaumaha olakino a i ʻole e lilo i ke kaumaha.
- E hōʻemi i nā hopena o ka estrogen. Inā me he mea lā ke hoʻoulu nei ka estrogen a i ʻole e hoʻoʻino ai i kou mau ʻeha poʻo, makemake paha ʻoe e pale aku a i ʻole e hōʻemi i nā lāʻau āu e lawe nei e loaʻa ana ka estrogen. ʻO kēia mau lāʻau lapaʻau e komo pū ana i nā papa hana hānau a me ka hoʻololi hormone. E kamaʻilio me kāu mea lawelawe e pili ana i nā koho a i ʻole nā mea kūpono no ʻoe.
ʻImi ʻike
He paʻakikī ke ʻike i ke kumu o ka ʻeha poʻo. E nīnau mai ka mea lawelawe iā ʻoe e pili ana i kou ʻeha poʻo a e hana i kahi hoʻokolokolo kino.
Hiki i kāu mea lawelawe ke hana i nā hoʻokolokolo kiʻi e kōkua i ka ʻike ʻana i ke kumu o kou ʻeha poʻo, e komo pū ana:
- CT scan. Hoʻohana nā CT scan i ka kamepiula e hana i nā kiʻi ʻāpana o ka lolo a me ke poʻo (e komo pū ana nā sinuses) ma o ka hoʻohui ʻana i nā kiʻi mai kahi mīkini X-ray e huli a puni ke kino.
- Magnetic resonance imaging (MRI). Me ka Magnetic resonance imaging (MRI), hoʻohana ʻia kahi kahua magnetic a me nā nalu radio e hana i nā kiʻi ʻāpana o nā ʻano i loko o ka lolo.
Ka mālama ʻana
ʻO ka hapa nui o nā kānaka e manaʻo nei he ʻeha poʻo mai nā sinuses, ʻoiaʻiʻo he migraines a i ʻole nā ʻeha poʻo tension-type.
Hiki ke mālama ʻia nā migraines a me nā ʻeha poʻo maʻi a i ʻole hoʻi hou me nā lāʻau lapaʻau kuhikuhi ʻia e lawe ʻia i kēlā me kēia lā e hōʻemi a pale aku paha i nā ʻeha poʻo a i ʻole e lawe ʻia i ka hoʻomaka ʻana o kahi ʻeha poʻo e pale aku ai i ka ʻino.
No ka mālama ʻana i kēia mau ʻano ʻeha poʻo, hiki i kāu mea hoʻolako ke kuhikuhi:
Triptans. He nui nā kānaka me nā hoʻouka migraine e hoʻohana i nā triptans e hoʻomaha i ka ʻeha. Hana nā triptans ma o ka pale ʻana i nā ala ʻeha i loko o ka lolo, akā hoʻonui i ka constriction o nā kīʻaha koko a pono e pale ʻia inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi naʻau a i ʻole ka hahau.
ʻO nā lāʻau lapaʻau e komo pū ana ʻo sumatriptan (Imitrex, Tosymra, a me nā mea ʻē aʻe), rizatriptan (Maxalt), almotriptan, naratriptan (Amerge), zolmitriptan (Zomig), frovatriptan (Frova) a me eletriptan (Relpax). Loaʻa nā triptans ma ke ʻano he papa, nā pīpī ihu a me nā inikini.
A hōʻike ʻia ka hui pū ʻana o ka papa hoʻokahi o sumatriptan a me naproxen sodium (Treximet) he ʻoi aku ka maikaʻi i ka hoʻomaha ʻana i nā hōʻailona migraine ma mua o kēlā me kēia lāʻau lapaʻau ma kona iho.
Ergots. ʻOi aku ka maikaʻi ʻole o nā lāʻau lapaʻau hui pū ʻana o ergotamine a me ka caffeine (Migergot) ma mua o nā triptans. Me he mea lā ʻoi aku ka maikaʻi o nā ergots i ka poʻe e lōʻihi ana ko lākou ʻeha ma mua o 72 mau hola.
Hiki i ka ergotamine ke hoʻonāukiuki i ka nausea a me ka luaʻi e pili ana i kāu mau migraines a me nā hopena ʻē aʻe, a hiki nō hoʻi ke alakaʻi i nā ʻeha poʻo overuse lāʻau lapaʻau.
ʻO ka dihydroergotamine (D.H.E. 45, Migranal) kahi derivative ergot i ʻoi aku ka maikaʻi a he emi iki nā hopena maikaʻi ʻole ma mua o ka ergotamine. Loaʻa ia ma ke ʻano he pīpī ihu a ma ke ʻano inikini. Hiki i kēia lāʻau lapaʻau ke hoʻopuka i nā hopena ʻaoʻao emi ma mua o ka ergotamine a ʻoi aku ka emi o ka alakaʻi ʻana i nā ʻeha poʻo overuse lāʻau lapaʻau.
Hoʻonui nā ergots, me ka dihydroergotamine, i ka constriction o nā kīʻaha koko a pono e pale ʻia inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi naʻau a i ʻole ka hahau.
-
Nā mea hoʻomaha ʻeha i loaʻa me ka ʻole o kahi kuhikuhi. Hiki ke mālama ʻia nā migraines a me nā ʻano ʻē aʻe o nā ʻeha poʻo me nā lāʻau lapaʻau i loaʻa me ka ʻole o kahi kuhikuhi, e like me ka acetaminophen (Tylenol, a me nā mea ʻē aʻe), naproxen sodium (Aleve) a me ibuprofen (Advil, Motrin IB, a me nā mea ʻē aʻe).
-
Triptans. He nui nā kānaka me nā hoʻouka migraine e hoʻohana i nā triptans e hoʻomaha i ka ʻeha. Hana nā triptans ma o ka pale ʻana i nā ala ʻeha i loko o ka lolo, akā hoʻonui i ka constriction o nā kīʻaha koko a pono e pale ʻia inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi naʻau a i ʻole ka hahau.
ʻO nā lāʻau lapaʻau e komo pū ana ʻo sumatriptan (Imitrex, Tosymra, a me nā mea ʻē aʻe), rizatriptan (Maxalt), almotriptan, naratriptan (Amerge), zolmitriptan (Zomig), frovatriptan (Frova) a me eletriptan (Relpax). Loaʻa nā triptans ma ke ʻano he papa, nā pīpī ihu a me nā inikini.
A hōʻike ʻia ka hui pū ʻana o ka papa hoʻokahi o sumatriptan a me naproxen sodium (Treximet) he ʻoi aku ka maikaʻi i ka hoʻomaha ʻana i nā hōʻailona migraine ma mua o kēlā me kēia lāʻau lapaʻau ma kona iho.
-
Ergots. ʻOi aku ka maikaʻi ʻole o nā lāʻau lapaʻau hui pū ʻana o ergotamine a me ka caffeine (Migergot) ma mua o nā triptans. Me he mea lā ʻoi aku ka maikaʻi o nā ergots i ka poʻe e lōʻihi ana ko lākou ʻeha ma mua o 72 mau hola.
Hiki i ka ergotamine ke hoʻonāukiuki i ka nausea a me ka luaʻi e pili ana i kāu mau migraines a me nā hopena ʻē aʻe, a hiki nō hoʻi ke alakaʻi i nā ʻeha poʻo overuse lāʻau lapaʻau.
ʻO ka dihydroergotamine (D.H.E. 45, Migranal) kahi derivative ergot i ʻoi aku ka maikaʻi a he emi iki nā hopena maikaʻi ʻole ma mua o ka ergotamine. Loaʻa ia ma ke ʻano he pīpī ihu a ma ke ʻano inikini. Hiki i kēia lāʻau lapaʻau ke hoʻopuka i nā hopena ʻaoʻao emi ma mua o ka ergotamine a ʻoi aku ka emi o ka alakaʻi ʻana i nā ʻeha poʻo overuse lāʻau lapaʻau.
Hoʻonui nā ergots, me ka dihydroergotamine, i ka constriction o nā kīʻaha koko a pono e pale ʻia inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi naʻau a i ʻole ka hahau.
-
Lasmiditan (Reyvow). Ua ʻāpono ʻia kēia papa waha hou no ka mālama ʻana i ka migraine me a i ʻole me ka aura. Pale ia i nā ala ʻeha, like me ka lāʻau lapaʻau triptan, akā ʻaʻole ia e constriction i nā kīʻaha koko.
-
Nā mea kūʻē CGRP. ʻO Ubrogepant (Ubrelvy) a me rimegepant (Nurtec ODT) nā mea kūʻē receptor calcitonin gene-related peptide (CGRP) waha i ʻāpono ʻia no ka mālama ʻana i ka migraine ʻoi aku a i ʻole me ka aura i nā pākeke.
-
Nā antibodies monoclonal CGRP. ʻO Erenumab-aooe (Aimovig), fremanezumab-vfrm (Ajovy), galcanezumab-gnlm (Emgality) a me eptinezumab-jjmr (Vyepti) nā lāʻau hou i ʻāpono ʻia e ka Food and Drug Administration e mālama i nā migraines. Hāʻawi ʻia lākou i kēlā me kēia mahina a i ʻole hapaha ma o ka inikini.
-
Nā lāʻau lapaʻau anti-nausea. Ma muli o ka pinepine ʻana o ka nausea i nā migraines, me a i ʻole me ka luaʻi, kūpono ka lāʻau lapaʻau no ka nausea a hui pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO nā lāʻau lapaʻau i kuhikuhi pinepine ʻia e komo pū ana ʻo chlorpromazine, metoclopramide (Reglan, Gimoti) a me prochlorperazine (Compro, Procomp).
-
Glucocorticoids. Hiki ke hoʻohana ʻia kahi glucocorticoid e like me dexamethasone (Hemady) me nā lāʻau lapaʻau ʻē aʻe e hoʻomaikaʻi i ka hoʻomaha ʻeha. Ma muli o ka pilikia o ka steroid toxicity, ʻaʻole pono e hoʻohana pinepine ʻia nā glucocorticoids.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua