Migraine

Migraine ikunzwe cyane, igaragara kuri umugore umwe kuri batanu, umugabo umwe kuri 16, ndetse n'umwana umwe kuri 11. Ibitero bya Migraine biba kenshi inshuro eshatu ku bagore, bishobora guterwa n'itandukaniro ry'imisemburo. Byongeye kandi, ibintu by'umuzuko n'ibidukikije bigira uruhare mu iterambere rya migraine. Kandi kubera ko ari uburwayi bwo mu muryango, buragenderwa. Bisobanura ko niba umubyeyi afite migraine, hari amahirwe agera kuri 50% ko umwana ashobora kuyirwara na we. Niba ufite migraine, ibintu bimwe na bimwe bishobora gutera igitero. Ariko, ibi ntibisobanura ko niba ufite igitero cya migraine, ari amakosa yawe, ko ukwiye kumva uciwe intege cyangwa ukagira ipfunwe kubera ibimenyetso byawe. Impinduka z'imisemburo, cyane cyane ihinduka rya estrogeni rishobora kubaho mu gihe cy'imihango, gutwita na perimenopause bishobora gutera igitero cya migraine. Ibindi bintu bizwi bizatera migraine birimo imiti imwe n'imwe, kunywa inzoga, cyane cyane divayi itukura, kunywa caffeine nyinshi, umunaniro. Gutera imbaraga z'imbonerahamwe nko kumurika cyane cyangwa impumuro ikomeye. Impinduka zo kuryama, impinduka z'ikirere, kudakoresha ifunguro cyangwa ibiryo bimwe na bimwe nka foromaje zakuze n'ibiribwa bikozwe.

Ikimenyetso cy'ingenzi cya migraine ni ububabare bukomeye bw'umutwe. Ubwo bubabare bushobora kuba bukomeye ku buryo buhagaritse ibikorwa byawe bya buri munsi. Bushobora kandi guherekejwe n'iseseme no kuruka, ndetse no kugira uburibwe bw'umucyo n'ijwi. Ariko, migraine ishobora kugaragara itandukanye cyane ukurikije umuntu. Bamwe bashobora kugira ibimenyetso bya prodrome, intangiriro y'igitero cya migraine. Ibi bishobora kuba ibyihutirwa bito nko gucika intege, impinduka z'imitekerereze, irari ry'ibiryo, guhagarara kw'ijosi, kunyara kenshi, cyangwa guhumura kenshi. Rimwe na rimwe abantu ntibashobora kubona ko ibi ari ibimenyetso by'igitero cya migraine. Ku bantu hafi kimwe cya gatatu babana na migraine, aura ishobora kubaho mbere cyangwa mu gihe cy'igitero cya migraine. Aura ni ijambo dukoresha ku bimenyetso by'ubwonko by'igihe gito bishobora gukira. Akenshi biba by'amaso, ariko bishobora kuba harimo n'ibindi bimenyetso by'ubwonko. Bisanzwe byiyongera mu minota mike kandi bishobora kumara igihe kigera ku isaha imwe. Ingero za migraine aura harimo ibintu by'amaso nko kubona imiterere y'imigeometri cyangwa ibintu by'umucyo, cyangwa amatara adakomeye, cyangwa no kubura ubushobozi bwo kubona. Bamwe bashobora kugira ubugufi cyangwa kumva nk'aho hari ibintu bito byinjira mu ruhu ku ruhande rumwe rw'isura cyangwa umubiri, cyangwa no kugira ikibazo cyo kuvuga. Mu mpera y'igitero cya migraine, ushobora kumva unaniwe, udasobanukiwe, cyangwa wumva uhagaze igihe kigera ku munsi umwe. Ibi bita igihe cya post-drome.

Migraine ni ubuvuzi bwo kuvura. Ibyo bisobanura ko ubuvuzi bushingiye ku bimenyetso bivugwa n'umurwayi. Nta kizami cyo muri laboratwari cyangwa icyo kwisuzuma gifoto gifasha kumenya cyangwa guhakana migraine. Hashingiwe ku bipimo byo kuvura, niba ufite ibimenyetso by'ububabare bw'umutwe buherekejwe no kugira uburibwe bw'umucyo, kugabanuka kw'imikorere no kuruka, birashoboka ko ufite migraine. Nyamuneka reba umuganga wawe kugira ngo amenye uko yakuvura migraine."

Kubera ko hari ubwoko butandukanye bw'uburemere bw'uburwayi bwa migraine, hari kandi uburyo butandukanye bwo kuyivura. Bamwe bakeneye icyo twita kuvura cyangwa igisubizo cy'ibitero bya migraine bidakunda kubaho. Mu gihe abandi bakeneye kuvurwa byombi, kuvura kwa vuba no kuvura kwirinda. Kuvura kwirinda bigabanya umubare n'uburemere bw'ibitero bya migraine. Bishobora kuba imiti yo kunywa buri munsi, inshinge buri kwezi, cyangwa inshinge n'imiti itangwa buri mezi atatu. Imiti ikwiye ifatanije n'impinduka mu mibereho ishobora gufasha kunoza ubuzima bw'abana na migraine. Hari uburyo bwo gucunga no kugabanya ibintu biterwa na migraine hifashishijwe uburyo bwa SEEDS. S ni yo kuryama. Teza imbere umuco wawe wo kuryama ukurikije gahunda runaka, kugabanya amashusho n'ibintu bidutera guhangayika nijoro. E ni siporo. Tangira buhoro, ndetse n'iminota itanu rimwe mu cyumweru hanyuma utangire kongera igihe n'umubare kugira ngo ubigire akamenyero. Kandi komeza kwimuka no gukora ibikorwa ukunda. E ni kurya ibiryo byiza, byuzuye inshuro eshatu kumunsi kandi uhore unywa amazi ahagije. D ni ibitabo. Andika iminsi yawe ya migraine n'ibimenyetso byawe mu gitabo. Koresha kalendari, gahunda, cyangwa porogaramu. Zana icyo gitabo mu buvuzi bwawe bw'inyongera hamwe na muganga wawe kugira ngo mubisuzuma. S ni gucunga umunaniro kugira ngo ufashe gucunga ibitero bya migraine biterwa n'umunaniro. Tekereza ku buvuzi, kwiyumvisha, biofeedback, n'izindi tekinike zo kuruhuka zikukorera.

Migraine ni ububabare bw'umutwe bushobora gutera ububabare bukomeye cyangwa kumva nk'aho hari ibintu bikubita, akenshi ku ruhande rumwe rw'umutwe. Akenshi biherekejwe n'iseseme, kuruka, no kugira uburibwe bukabije bw'umucyo n'ijwi. Ibitero bya Migraine bishobora kumara amasaha cyangwa iminsi, kandi ububabare bushobora kuba bukabije ku buryo buhagaritse ibikorwa byawe bya buri munsi.

Kuri bamwe, ikimenyetso cy'uburyo cyitwa aura kibaho mbere cyangwa hamwe n'ububabare bw'umutwe. Aura ishobora kuba harimo ibibazo by'amaso, nko kumva amatara adakomeye cyangwa ibintu by'umwijima, cyangwa ibindi bibazo, nko kugira ubugufi ku ruhande rumwe rw'isura cyangwa mu kuboko cyangwa ukuguru no kugira ikibazo cyo kuvuga.

Imiti ishobora gufasha kwirinda migraine imwe n'imwe no kuyigabanya ububabare. Imiti ikwiye, ifatanije n'ubuvuzi bwigenga n'impinduka mu mibereho, ishobora gufasha.

Imigongo, ikubita abana n'abangavu ndetse n'abakuze, ishobora kunyura mu byiciro bine: igihe kibanziriza, aura, igitero na nyuma y'igitero. Si buri wese ufite imigongo anyura muri buri cyiciro.

Umunsi umwe cyangwa ibiri mbere y'igitero cy'umutwe, ushobora kubona impinduka nto ziguhishurira ko hari igitero cy'umutwe kigiye kuza, birimo:

• Impatwe.
• Irari ry'ibiribwa.
• Kubabara kw'ijosi.
• Gushobora kenshi.
• Kubika amazi.
• Kubyimba kenshi.

Kuri bamwe, aura ishobora kubaho mbere cyangwa mu gihe cy'igitero cy'umutwe. Auras ni ibimenyetso bisubira inyuma by'ubwonko. Akenshi biba ibibazo by'amaso ariko bishobora kandi kuba ibindi bibazo. Buri kimenyetso gisanzwe gitangira buhoro buhoro, kikazamuka mu minota mike kandi gishobora kumara iminota 60.

Ingero za migraine auras zirimo:

• Ibimenyetso by'amaso, nko kubona imiterere itandukanye, ibintu byera cyangwa imirasire y'umucyo.
• Kubura ubushobozi bwo kubona.
• Kubabara nk'ibishishwa mu kuboko cyangwa ukuguru.
• Kugira intege nke cyangwa uburibwe mu maso cyangwa uruhande rumwe rw'umubiri.
• Kugira ikibazo cyo kuvuga.

Igitero cy'umutwe gisanzwe kiramara amasaha 4 kugeza kuri 72 niba kitavuwe. Uko imigongo iza kenshi bitandukanye ukurikije umuntu ku wundi. Ibigitero by'umutwe bishobora kuza gake cyangwa bikagera incuro nyinshi mu kwezi.

Mu gihe cy'igitero cy'umutwe, ushobora kugira:

• Kubabara akenshi ku ruhande rumwe rw'umutwe wawe, ariko akenshi ku mpande zombi.
• Kubabara guhora guhora.
• Kugira uburibwe bw'umucyo, urusaku, rimwe na rimwe impumuro n'ibikubita.
• Isesemi no kuruka.

Nyuma y'igitero cy'umutwe, ushobora kumva unaniwe, udasobanukiwe kandi unaniwe kugeza ku munsi umwe. Bamwe bavuga ko bumva bishimye. Kugira umutwe utunguranye bishobora kongera kubabaza gato.

Migraine ikunze kudasobanurwa no kudakurikiranwa. Niba ukunze kugira ibimenyetso bya migraine, bandika ibyabaye n'uburyo wabivura. Hanyuma, hamagara umuganga wawe kugira ngo muganire ku kuribwa kw'umutwe. Ndetse niba ufite amateka y'uburibwa bw'umutwe, reba umuganga wawe niba imiterere yahindutse cyangwa ububabare bw'umutwe butunguranye. Reba umuganga wawe ako kanya cyangwa ujye mu bitaro byihuse niba ufite ibimenyetso bikurikira, bishobora kugaragaza ikibazo gikomeye cy'ubuzima: - Ububabare bw'umutwe butunguranye, bukomeye nk'inkuba. - Ububabare bw'umutwe bufatanije numuriro, ijosi rihagaze, guhuzagurika, gutakaza ubwenge, guhindagurika, kubona ibintu bibiri, kubabara cyangwa intege nke mu gice icyo ari cyo cyose cy'umubiri, bishobora kuba ikimenyetso cy'indwara yo mu bwonko. - Ububabare bw'umutwe nyuma yo gukomeretsa umutwe. - Ububabare bw'umutwe buhoraho bubi cyane nyuma yo gukorora, gukora imyitozo, gukora cyane cyangwa guhindura umubiri. - Ububabare bushya bw'umutwe nyuma yimyaka 50.

Nubwo impamvu ziterwa na migraine zitazwi neza, ibintu by'umuzuko n'iby'ibidukikije bigaragara ko bigira uruhare.

Impinduka mu bwonko n'imikorere yabwo hamwe n'umutsi wa trigeminal, inzira nyamukuru y'ububabare, bishobora kuba birebwa. Ibi bishobora kuba biterwa n'imikorere mibi y'ibintu by'ubwonko - harimo serotonin, ifasha kugenzura ububabare mu mikorere yawe y'imitsi.

Abashakashatsi baracyiga uruhare rwa serotonin muri migraine. Ibindi bintu by'ubwonko bigira uruhare mu bubabare bwa migraine, birimo peptide ifitanye isano na calcitonin gene (CGRP).

Hari impamvu nyinshi zitera migraine, zirimo:

• Impinduka z'imisemburo mu bagore. Kugabanuka kwa estrogen, nko mbere cyangwa mu gihe cy'imihango, gutwita no gucura, bigaragara ko biterwa n'ububabare bw'umutwe mu bagore benshi.

Imiti y'imisemburo, nka imiti igabanya imbyaro, ishobora kandi kuba ikomeza migraine. Ariko kandi, bamwe mu bagore basanga migraine yabo ibaho kenshi iyo bafata iyo miti.

• Ibinyobwa. Ibi birimo inzoga, cyane cyane vino, no kunywa caffeine nyinshi, nka kawa.
• Umuvuduko. Umuvuduko wo mu kazi cyangwa mu rugo ushobora gutera migraine.
• Ibintu by'ubwenge. Umucyo ukaze cyangwa uhindagurika ushobora gutera migraine, kimwe n'amajwi akomeye. Impumuro nziza - nka parfum, paint thinner, utabaze w'itabi n'ibindi - biterwa na migraine mu bantu bamwe.
• Impinduka zo kuryama. Kubura ibitotsi cyangwa kuryama cyane bishobora gutera migraine mu bantu bamwe.
• Umuvuduko w'umubiri. Imbaraga nyinshi z'umubiri, harimo n'imibonano mpuzabitsina, bishobora gutera migraine.
• Imiti. Imiti igabanya imbyaro na vasodilators, nka nitroglycerin, bishobora kongera migraine.
• Ibiribwa. Foromaje zishaje n'ibiribwa byinshi byumunyu n'ibitunganyirijwe bishobora gutera migraine. Ibi bishobora kuba biterwa no kudakoresha ibiryo.
• Ibinyabutabire byo mu biribwa. Ibi birimo isukari ya aspartame na preservative monosodium glutamate (MSG), iboneka mu biribwa byinshi.

Impinduka z'imisemburo mu bagore. Kugabanuka kwa estrogen, nko mbere cyangwa mu gihe cy'imihango, gutwita no gucura, bigaragara ko biterwa n'ububabare bw'umutwe mu bagore benshi.

Imiti y'imisemburo, nka imiti igabanya imbyaro, ishobora kandi kuba ikomeza migraine. Ariko kandi, bamwe mu bagore basanga migraine yabo ibaho kenshi iyo bafata iyo miti.

Ibintu byinshi bishobora gutuma urwara migrane, birimo:

• Amateka y'umuryango. Niba hari umuntu wo mu muryango wawe urwara migrane, hari amahirwe menshi yo kuzarwara nawe.
• Imyaka. Migrane ishobora gutangira mu myaka yose, nubwo akenshi itangira mu gihe cy'ubwangavu. Migrane ikunda kuba nyamara cyane mu myaka ya za 30, hanyuma igenda igabanuka kandi igenda iba nke mu myaka ikurikiyeho.
• Ibitsina. Abagore bafite amahirwe menshi inshuro eshatu kurusha abagabo yo kurwara migrane.
• Guhinduka kw'imisemburo. Ku bagore barwara migrane, ububabare bw'umutwe bushobora gutangira mbere gato cyangwa nyuma gato y'itangira ry'imihango. Bishobora kandi guhinduka mu gihe cyo gutwita cyangwa mu gihe cy'ubuze bw'imihango. Migrane isanzwe irushaho kumera neza nyuma y'ubuze bw'imihango.

Kunywa imiti igabanya ububabare kenshi bishobora gutera ububabare bukabije bw'umutwe buterwa no gukoresha imiti cyane. Ibyago bisa nkaho biri hejuru cyane ku bantu bakoresha aspirine, acetaminophen (Tylenol, n'izindi) hamwe n'imiti irimo caffeine. Ubwo bubabare bw'umutwe bushobora kandi kubaho ufata aspirine cyangwa ibuprofen (Advil, Motrin IB, n'izindi) iminsi irenga 14 mu kwezi cyangwa triptans, sumatriptan (Imitrex, Tosymra) cyangwa rizatriptan (Maxalt) iminsi irenga icyenda mu kwezi.

Ububabare bw'umutwe buterwa no gukoresha imiti cyane buva aho imiti ihagaritse kugabanya ububabare maze itangira gutera ububabare bw'umutwe. Hanyuma ukomeza gukoresha imiti igabanya ububabare, bikaba ari byo bikomeza icyo kibazo.

Migraine ni indwara iterwa no kudakora neza kw'ubwonko, nubwo imiterere yabwo iba ari iy'ubusanzwe. MRI y'ubwonko igaragaza gusa imiterere yabwo, ariko ntabwo igaragaza uko bukora. Niyo mpamvu migraine itaboneka kuri MRI. Kuko iterwa no kudakora neza kw'ubwonko, nubwo imiterere yabwo iba ari iy'ubusanzwe.

Migraine itera ubumuga bukomeye kuri bamwe. Mu by'ukuri, ni yo mpamvu ya kabiri itera ubumuga ku isi hose. Ibimenyetso biterwa n'ubwo buhumeka si ububabare gusa, ahubwo ni no kubabara umucyo n'amajwi, ndetse n'ubushe n'kuruka.

Hari uburemere butandukanye bw'iyi ndwara. Hari abantu bakenera imiti yo kuvura migraine gusa kuko bayirwara gake. Ariko hari n'abandi bayirwara kenshi, wenda kabiri cyangwa gatatu mu cyumweru. Niba bakoresheje imiti yo kuvura buri gihe, bishobora gutera ibindi bibazo. Abo bantu bakeneye kuvurwa kugira ngo bagabanye kenshi kwirwara no gukomeza kw'ububabare. Iyo miti ishobora kuba imiti yo kunywa buri munsi. Bishobora kuba inshinge zimwe mu kwezi cyangwa izindi nshinge zitangwa buri mezi atatu.

Niyo mpamvu kuvurwa kubuza kwirwara ari ingenzi cyane. Mu kuvurwa kubuza kwirwara, dushobora kugabanya kenshi kwirwara ndetse n'uburemere bw'ububabare kugira ngo utazirwara inshuro zirenze ebyiri mu cyumweru. Ariko kandi, kuri bamwe, nubwo bavuwe, bashobora kuguma bafite ibimenyetso bya migraine kenshi mu cyumweru. Kuri bo, hari uburyo bwo kuvura ububabare bukoresha imiti, nko gukoresha biofeedback, uburyo bwo kuruhuka, kuvura hakoreshejwe imitekerereze, ndetse n'ibikoresho byinshi bitavura hakoreshejwe imiti mu kuvura ububabare bwa migraine.

Yego, ni uburyo bwo kuvura migraine ikaze. Izo nshinge za onabotulinum toxin A zitangwa na muganga wawe buri byumweru 12 kugira ngo zigabanye kenshi kwirwara n'uburemere bw'ububabare bwa migraine. Ariko kandi, hari uburyo bwinshi bwo kuvura. Kandi ni ingenzi ko uganira na muganga wawe ku buryo bukubereye.

Uburyo bwiza bwo gufatanya n'itsinda ryawe ry'abaganga ni uko, icya mbere, uba ufite itsinda ry'abaganga. Abantu benshi barwaye migraine ntibigeze baganira na muganga ku bimenyetso byabo. Niba ufite ububabare bw'umutwe aho ugomba kuruhuka mu cyumba cy'umwijima, aho ushobora kurwara mu nda. Nyamuneka, ganira n'umuganga wawe ku bimenyetso byawe. Ushobora kuba ufite migraine kandi dushobora kuyivura. Migraine ni indwara ikaze. Kandi kugira ngo iyi ndwara ivurwe neza, abarwayi bagomba kuyumva. Niyo mpamvu ngenera abaganga banjye bose gukora ubuvugizi. Menya ibijyanye na migraine, jya mu miryango ivugira ku barwayi, sohoza urugendo rwawe n'abandi, kandi ugire imbaraga binyuze mu buvugizi no mu bikorwa byo guca akarengane ka migraine. Kandi hamwe, umurwayi n'itsinda ry'abaganga bashobora kuvura indwara ya migraine. Ntuzigere utinya kubabaza itsinda ryawe ry'abaganga ibibazo cyangwa impungenge ufite. Kumenya byose bigira akamaro. Murakoze ku gihe cyanyu kandi tubifuriza ibyiza.

Niba ufite migraine cyangwa amateka y'umuryango wa migraine, umuganga wamenyereye kuvura ububabare bw'umutwe, uzwi nka neurologue, azashobora kubona migraine hashingiwe ku mateka yawe y'ubuzima, ibimenyetso, ndetse no ku isuzuma ry'umubiri n'ubwonko.

Niba ubuzima bwawe budasanzwe, bugoranye cyangwa butunguranye bukabije, ibizamini byo gukuraho izindi mpamvu z'ububabare bwawe bishobora kuba:

• Iskaneri ya MRI. Iskaneri ya magnetic resonance imaging (MRI) ikoresha ikirango gikomeye cya magnétique n'amajwi ya radio kugira ngo ikore amashusho y'ubwonko n'imitsi y'amaraso. Iskaneri ya MRI ifasha kuvura ibibyimba, ibicurane, kuva amaraso mu bwonko, indwara zandura, n'izindi ndwara z'ubwonko n'imiterere y'ubwonko, bizwi nka neurologique.
• Iskaneri ya CT. Iskaneri ya computerized tomography (CT) ikoresha uburyo bwa X-rays kugira ngo ikore amashusho y'ubwonko. Ibi bifasha kuvura ibibyimba, indwara zandura, kwangirika kw'ubwonko, kuva amaraso mu bwonko n'ibindi bibazo by'ubuzima bishobora gutera ububabare bw'umutwe.

Ubuvuzi bwa migraine bugamije guhagarika ibimenyetso no gukumira ibitero bya nyuma. Imiti myinshi yateguwe kuvura migraine. Imiti ikoreshwa mu kurwanya migraine igabanijwemo ibice bibiri bikomeye:

• Imiti igabanya ububabare. Izwi kandi nka kuvura kwa vuba cyangwa kuvura guhagarika, ubu bwoko bw'imiti bufatwa mu gihe cy'igitero cya migraine kandi bugamije guhagarika ibimenyetso.
• Imiti ikuraho. Ubu bwoko bw'imiti bufatwa buri gihe, akenshi buri munsi, kugira ngo kugabanye uburemere cyangwa kenshi kwa migraine. Uburyo bwo kuvura bwawe biterwa n'ubwinshi n'uburemere bw'ububabare bw'umutwe ufite, niba ufite isereri n'kuruka hamwe n'ububabare bw'umutwe, uko ububabare bw'umutwe bwakubuza gukora, n'izindi ndwara ufite. Imiti ikoreshwa mu kugabanya ububabare bwa migraine ikora neza iyo ifashwe mu gihe cyambere cy'igitero cya migraine - igihe ibimenyetso bya migraine bitangiye. Imiti ishobora gukoreshwa mu kuyivura irimo:
• Imiti igabanya ububabare. Iyi miti igurwa mu maduka cyangwa imiti ivurwa na muganga irimo aspirine cyangwa ibuprofen (Advil, Motrin IB, izindi). Iyo ifashwe igihe kirekire, ishobora gutera ububabare bw'umutwe buterwa n'imiti, kandi ishobora gutera uburwayi n'kuva amaraso mu mara. Imiti igabanya ububabare bwa migraine ivangwa na kafeyi, aspirine na acetaminophen (Excedrin Migraine) ishobora gufasha, ariko akenshi iba ifasha gusa mu kubabara ububabare buke bwa migraine.
• Triptans. Imiti ivurwa na muganga nka sumatriptan (Imitrex, Tosymra) na rizatriptan (Maxalt, Maxalt-MLT) ikoreshwa mu kuvura migraine kuko ibuza inzira z'ububabare mu bwonko. Ifatwa nk'uduti, inshinge cyangwa imiti yo mu mazuru, ishobora kugabanya ibimenyetso byinshi bya migraine. Ishobora kuba idakwiriye abafite ibyago byo kugira umwijima cyangwa indwara y'umutima.
• Lasmiditan (Reyvow). Iyi tableti nshya ifatwa mu kanwa yemewe mu kuvura migraine hamwe cyangwa idafite aura. Mu igeragezwa ry'imiti, lasmiditan yagabanije ububabare bw'umutwe cyane. Lasmiditan ishobora kugira ingaruka zo gusinzira no gutera uburwayi, bityo abayifata bagirwa inama yo kudatwara imodoka cyangwa gukora imashini byibuze amasaha umunani.
• Abarwanya imiti ya calcitonin gene-related peptides, bazi kandi nka gepants. Ubrogepant (Ubrelvy) na rimegepant (Nurtec ODT) ni gepants ifatwa mu kanwa yemewe mu kuvura migraine mu bakuru. Mu igeragezwa ry'imiti, imiti yo muri uyu muryango yari ikora kurusha placebo mu kugabanya ububabare nyuma y'amasaha abiri bayifashe. Kandi yari ikora mu kuvura ibimenyetso bya migraine nka kuruka no kubabara umucyo n'amajwi. Ingaruka mbi zisanzwe harimo umunwa wumye, kuruka no gusinzira cyane. Ubrogepant na rimegepant ntibikwiye gufatwa hamwe n'imiti ikomeye ya CYP3A4 inhibitor nka zimwe mu miti ikoreshwa mu kuvura kanseri.
• Intranasal zavegepant (Zavzpret). Ikigo gishinzwe ibiryo n'imiti cyemeje vuba aha iyi miti yo mu mazuru mu kuvura migraine. Zavegepant ni gepant kandi ni yo miti yonyine ya migraine iboneka nk'imiti yo mu mazuru. Itanga igabanya ububabare bwa migraine mu minota 15 kugeza ku masaha 2 nyuma yo gufata dose imwe. Imiti ikomeza gukora kugeza amasaha 48. Kandi ishobora kunoza ibindi bimenyetso bijyanye na migraine, nka kuruka no kubabara umucyo n'amajwi. Ingaruka mbi zisanzwe za zavegepant harimo guhinduka kw'uburyo bwo kubona, kubabara mu mazuru no kubabara mu muhogo.
• Imiti ya opioid. Ku bantu badashobora gufata indi miti ya migraine, imiti ya narcotic opioid ishobora gufasha. Kubera ko ishobora gutera ubumwe, iyi miti ikoreshwa gusa iyo nta yindi miti ikora.
• Imiti igabanya isereri. Ibi bishobora gufasha niba migraine yawe ifite aura ifatanije n'isereri n'kuruka. Imiti igabanya isereri irimo chlorpromazine, metoclopramide (Gimoti, Reglan) cyangwa prochlorperazine (Compro, Compazine). Ibi bifatwa akenshi hamwe n'imiti igabanya ububabare. Imiti igabanya ububabare. Iyi miti igurwa mu maduka cyangwa imiti ivurwa na muganga irimo aspirine cyangwa ibuprofen (Advil, Motrin IB, izindi). Iyo ifashwe igihe kirekire, ishobora gutera ububabare bw'umutwe buterwa n'imiti, kandi ishobora gutera uburwayi n'kuva amaraso mu mara. Imiti igabanya ububabare bwa migraine ivangwa na kafeyi, aspirine na acetaminophen (Excedrin Migraine) ishobora gufasha, ariko akenshi iba ifasha gusa mu kubabara ububabare buke bwa migraine. Dihydroergotamine (Migranal, Trudhesa). Iboneka nk'imiti yo mu mazuru cyangwa inshinge, iyi miti ikora neza iyo ifashwe vuba nyuma yo gutangira ibimenyetso bya migraine ku bimenyetso bya migraine bisanzwe bikemara amasaha arenga 24. Ingaruka mbi zishobora kuba harimo kwiyongera kw'isereri n'kuruka bijyanye na migraine. Intranasal zavegepant (Zavzpret). Ikigo gishinzwe ibiryo n'imiti cyemeje vuba aha iyi miti yo mu mazuru mu kuvura migraine. Zavegepant ni gepant kandi ni yo miti yonyine ya migraine iboneka nk'imiti yo mu mazuru. Itanga igabanya ububabare bwa migraine mu minota 15 kugeza ku masaha 2 nyuma yo gufata dose imwe. Imiti ikomeza gukora kugeza amasaha 48. Kandi ishobora kunoza ibindi bimenyetso bijyanye na migraine, nka kuruka no kubabara umucyo n'amajwi. Ingaruka mbi zisanzwe za zavegepant harimo guhinduka kw'uburyo bwo kubona, kubabara mu mazuru no kubabara mu muhogo. Zimwe muri iyi miti ntizikwiye gufatwa mu gihe cyo gutwita. Niba utwite cyangwa ugerageza gutwita, ntukoreshe iyi miti utabanje kuvugana n'abaganga bawe. Imiti ishobora gufasha gukumira migraine ikunda kubaho. Umuganga wawe ashobora kugusaba imiti ikuraho niba ufite ububabare bw'umutwe buhoraho, burambye cyangwa bukomeye budakira neza mu kuvura. Imiti ikuraho igamije kugabanya kenshi ubonerwa migraine, uburemere bw'ibitero n'igihe bikemara. Amahitamo harimo:
• Imiti irwanya indwara zifata umutwe. Valproate na topiramate (Topamax, Qudexy, izindi) bishobora gufasha niba ufite migraine nke, ariko bishobora gutera ingaruka mbi nko guhindagurika, guhindura ibiro, kuruka n'ibindi. Iyi miti ntiterwa inama ku bagore batwite cyangwa abagerageza gutwita.
• Injisi za Botox. Injisi za onabotulinumtoxinA (Botox) buri mezi 12 zifasha gukumira migraine mu bamwe mu bakuru.
• Imiti ya monoclonal antibodies ya calcitonin gene-related peptides (CGRP). Erenumab-aooe (Aimovig), fremanezumab-vfrm (Ajovy), galcanezumab-gnlm (Emgality), na eptinezumab-jjmr (Vyepti) ni imiti mishya yemewe n'ikigo gishinzwe ibiryo n'imiti mu kuvura migraine. Itangwa buri kwezi cyangwa buri gihembwe binyuze mu nshinge. Ingaruka mbi isanzwe ni ubusembwa aho inshinge yashyizwe.
• Atogepant (Qulipta). Iyi miti ni gepant ifasha gukumira migraine. Ni tableti ifatwa mu kanwa buri munsi. Ingaruka mbi zishoboka z'iyi miti zishobora kuba harimo kuruka, gucibwamo n'umunaniro.
• Rimegepant (Nurtec ODT). Iyi miti irangwa no kuba gepant ifasha gukumira migraine uretse no kuvura migraine uko bibaye ngombwa. Baza umuganga wawe niba iyi miti ikubereye. Zimwe muri iyi miti ntizikwiye gufatwa mu gihe cyo gutwita. Niba utwite cyangwa ugerageza gutwita, ntukoreshe iyi miti utabanje kuvugana n'abaganga bawe.

Iyo ibimenyetso by'uburwayi bwa migraine bitangiye, gerageza kujya mu cyumba gitonnye, cyuzuye umwijima. Funga amaso hanyuma uruhuke cyangwa uhore. Shira igitambaro gikonje cyangwa igipfunyika cy'ububobere gifunze mu kirango cyangwa mu gitambaro ku gahanga hanyuma unywe amazi menshi.

Ibi bikorwa bishobora kandi guhumuriza ububabare bwa migraine:

• Gerageza uburyo bwo kuruhuka. Biofeedback n'izindi nshinga zo guhugura kuruhuka zigufasha kubona uburyo bwo guhangana n'ibintu bituma wahangayika, ibyo bishobora kugabanya umubare wa migraine ufite.
• Tegura gahunda yo kuryama no kurya. Ntugume cyane cyangwa utareba. Shyiraho kandi ukore gahunda ihoraho yo kuryama no kubyuka buri munsi. Gerageza kurya ifunguro rimwe buri munsi.
• Nywa amazi menshi. Kuguma ufite amazi ahagije, cyane cyane amazi, bishobora kugufasha.
• Andika ibyanditswe by'ububabare bw'umutwe. Kwandika ibimenyetso byawe mu gitabo cy'ububabare bw'umutwe bizagufasha kumenya byinshi kubyerekeye ibyo bituma ugira migraine n'ubuvuzi bukoreshwa cyane. Bizafasha kandi umuvuzi wawe kuvura indwara yawe no gukurikirana amajyambere yawe hagati y'ibyiciro.
• Kora siporo buri gihe. Gukora siporo ya aerobic buri gihe bigabanya umunaniro kandi bishobora kugufasha kwirinda migraine. Niba umuvuzi wawe abyemeye, hitamo igikorwa cya aerobic ukunda, nko kugenda, koga no kugendera kuri velo. Ariko, zuza buhoro buhoro, kuko imyitozo ikomeye kandi ya huti huti ishobora gutera ububabare bw'umutwe.

Gukora siporo buri gihe bishobora kandi kugufasha kugabanya ibiro cyangwa kugumana ibiro by'umubiri bikwiye, kandi ikibazo cyo kuba umubyi bivugwa ko ari kimwe mu bituma haba migraine.

Kora siporo buri gihe. Gukora siporo ya aerobic buri gihe bigabanya umunaniro kandi bishobora kugufasha kwirinda migraine. Niba umuvuzi wawe abyemeye, hitamo igikorwa cya aerobic ukunda, nko kugenda, koga no kugendera kuri velo. Ariko, zuza buhoro buhoro, kuko imyitozo ikomeye kandi ya huti huti ishobora gutera ububabare bw'umutwe.

Gukora siporo buri gihe bishobora kandi kugufasha kugabanya ibiro cyangwa kugumana ibiro by'umubiri bikwiye, kandi ikibazo cyo kuba umubyi bivugwa ko ari kimwe mu bituma haba migraine.

Ubuvuzi butari bwo busanzwe bushobora kugufasha mu kubabara umutwe kwa migraine igihe kirekire.

• Acupuncture. Ibizamini byakozwe byagaragaje ko acupuncture ishobora kugufasha mu kubabara umutwe. Muri ubu buvuzi, umuhanga ashyira amasuka menshi, mato kandi adakoreshejwe inshuro nyinshi, mu bice byinshi by'uruhu rwawe ku bice byagenwe.
• Biofeedback. Biofeedback isa nkaho ikora neza mu kugabanya ububabare bwa migraine. Ubu buryo bwo kuruhuka bukoresha ibikoresho byihariye kugufasha kumenya uburyo bwo kugenzura no kugenzura ibintu bimwe na bimwe by'umubiri bifitanye isano n'umunaniro, nko gukomera kw'imitsi.
• Ubuvuzi bwo guhindura imitekerereze. Ubuvuzi bwo guhindura imitekerereze bushobora kugirira akamaro bamwe mu bantu bafite migraine. Ubwo bwoko bw'ubuvuzi bugufasha kumenya uburyo imyitwarire n'ibitekerezo bigira ingaruka ku buryo ubona ububabare.
• Guhuza n'imyitozo ya yoga. Guhuza bishobora kugabanya umunaniro, uzwiho gutera migraine. Iyo bikozwe buri gihe, yoga ishobora kugabanya kenshi no kumara igihe kinini cya migraine.
• Imyaka, amavitamine na minerali. Hari ibimenyetso byerekana ko imyaka ya feverfew na butterbur ishobora kwirinda migraine cyangwa kugabanya uburemere bwayo, nubwo ibyavuye mu bushakashatsi bitandukanye. Butterbur ntiterwa inama kubera impungenge z'umutekano.

Umuzingo mwinshi wa riboflavin (vitamine B-2) ushobora kugabanya kenshi no gukomeza ububabare bw'umutwe. Ibikoresho bya Coenzyme Q10 bishobora kugabanya kenshi kwa migraine, ariko hakenekwa ubushakashatsi bunini.

Ibikoresho bya magnésium byarakoreshejwe mu kuvura migraine, ariko ibyavuye bitandukanye.

Imyaka, amavitamine na minerali. Hari ibimenyetso byerekana ko imyaka ya feverfew na butterbur ishobora kwirinda migraine cyangwa kugabanya uburemere bwayo, nubwo ibyavuye mu bushakashatsi bitandukanye. Butterbur ntiterwa inama kubera impungenge z'umutekano.

Umuzingo mwinshi wa riboflavin (vitamine B-2) ushobora kugabanya kenshi no gukomeza ububabare bw'umutwe. Ibikoresho bya Coenzyme Q10 bishobora kugabanya kenshi kwa migraine, ariko hakenekwa ubushakashatsi bunini.

Ibikoresho bya magnésium byarakoreshejwe mu kuvura migraine, ariko ibyavuye bitandukanye.

Baza umuvuzi wawe niba ubu buvuzi bukubereye. Niba utwite, ntukoreshe ubu buvuzi utabanje kuvugana n'umuvuzi wawe.