Yini Imithi Yekhanda Evela Ku-Ergot? Izimpawu, Izimbangela, & Nokwelashwa Ekhaya

Imithi yekhanda evela ku-ergot iyimithi enamandla kadokotela eyenzelwe ngqo ukwelapha ama-migraines aqinile kanye namakhanda e-cluster. Le mithi isebenza ngokwenza imithambo yegazi ebuchosheni bakho iqine, leyo ebilokhu ivuvukele ngesikhathi sokuhlaselwa yikhanda. Ungase uyazi ngamagama afana ne-ergotamine noma i-dihydroergotamine, futhi iza ngezinhlobo ezahlukene ezihlanganisa amaphilisi, imijovo, kanye nama-suppositories e-rectal.

Yini imithi yekhanda evela ku-ergot?

Izithako ze-Ergot ziyigaba lemithi elivela esikhuntini esibizwa nge-ergot, esikhula ku-rye nakwezinye izinhlamvu. Le mithi isetshenziswe amashumi eminyaka ukwelapha amakhanda aqinile angaphenduli kahle ekwelashweni okuvamile kokunciphisa ubuhlungu. Zisebenza ngokubangela imithambo yegazi ekhanda lakho ukuthi iqine noma inciphe, okungamisa ubuhlungu obuqinile be-migraine.

Udkt wakho angase akubhalele le mithi uma izinciphisi zobuhlungu ezingathengwa ngaphandle kwemvume kadokotela noma ezinye izindlela zokwelapha i-migraine zingasebenzi kuwe. Zisebenza kahle ikakhulukazi kubantu ababa nama-migraines avamile, aqinile noma amakhanda e-cluster. Umuthi uza ngezinhlobo eziningana ukuze umhlinzeki wakho wezempilo akwazi ukukhetha inketho engcono kakhulu yesimo sakho esithile.

Umuthi wekhanda ovela ku-ergot uzizwa kanjani lapho usebenza?

Lapho umuthi ovela ku-ergot uqala ukusebenza, ngokuvamile uzoqaphela ukuthi ubuhlungu bekhanda lakho buqala ukuncipha phakathi kwemizuzu engama-30 kuya emahoreni amabili. Ukuzwa okushayayo, okushayayo okuvame kuma-migraines kuvame ukuncipha kuqala. Abantu abaningi bachaza ukuzwa sengathi ibhande eliqinile elizungeze ikhanda labo liyakhululeka kancane kancane.

Ungase futhi uqaphele ukuthi ukuzwela ekukhanyeni nasezwini kuqala ukuthuthuka njengoba umuthi usebenza. Abanye abantu bazwa ukuzwa okuncane ezandleni zabo noma ezinyaweni, okujwayelekile kodwa okufanele kube mnene. Isicanucanu esivame ukuhambisana namakhanda aqinile ngokuvamile sincipha njengoba ubuhlungu bakho buthuthuka.

Yini ebangela isidingo somuthi wekhanda we-ergot derivative?

Izinto eziningana zingaholela kudokotela wakho ukuthi ancome imithi ye-ergot derivative yamakhanda akho. Isizathu esivamile kakhulu ukuthi uma une-migraines eqinile engaphenduli kwezinye izindlela zokwelapha njenge-triptans noma izidambisi zokucasuka ezijwayelekile. Le mithi iba yimfuneko uma amakhanda akho ekuthinta kakhulu impilo yakho yansuku zonke kanye nekhono lokusebenza.

Nazi izimo eziyinhloko ezingaholela ekwelashweni kwe-ergot derivative:

• I-migraines eqinile evame ukuba khona ehlala ngaphezu kwamahora angu-4
• Amakhanda e-cluster avela emijikelezweni
• I-Migraines engaphenduli emithini ye-triptan
• Amakhanda ahambisana nokucasuka okukhulu nokuhlanza
• I-Status migrainosus, okuyi-migraine ehlala ngaphezu kwamahora angu-72
• Amakhanda okusebenzisa imithi ngokweqile lapho ezinye izindlela zokwelapha zehlulekile

Udokotela wakho uzohlola ngokucophelela iphethini lakho lekhanda kanye nomlando wakho wezokwelapha ngaphambi kokunquma le mithi. Zivame ukugcinelwa abantu abayidinga ngempela imiphumela yabo enamandla.

Yini umuthi wekhanda we-ergot derivative oyisibonakaliso noma uphawu sayo?

Ukunqunyelwa imithi ye-ergot derivative ngokuvamile kubonisa ukuthi unesifo sekhanda esibi esidinga ukungenelela kwezokwelapha okuqinile. Lokhu akusho ukuthi kukhona okungahambi kahle ngawe, kodwa kunalokho ukuthi amakhanda akho abucayi ngokwanele ukuthi kufanele kube nokwelashwa okukhethekile. Udokotela wakho cishe unqume ukuthi une-migraines engapheli noma amakhanda e-cluster.

Ukunqunywa kwale mithi kuvame ukubonisa ukuthi amakhanda akho anezici ezithile eziwenza abe yinselele ekwelapheni. Ungase ube namakhanda ahlala isikhathi eside ngokungavamile, avela njalo, noma abangele ukukhubazeka okukhulu. Ngezikhathi ezithile kubonisa ukuthi amakhanda akho asevele amelana nezinye izindlela zokwelapha ozizame.

Kwezinye izimo, ukudinga izithako ze-ergot kungase kusikisela ukuthi uhlangabezana nalokho odokotela abakubiza ngokuthi “izinhlungu zekhanda ezingaqedi” (refractory). Lokhu kusho ukuthi izinhlungu zakho zekhanda zinenkani futhi aziphenduli kahle ekwelashweni okuvamile kokuqala. Lokhu kuyakhathaza, kodwa akuvamile, futhi le mithi inganikeza impumuzo yangempela.

Ingabe imiphumela yemithi yezinhlungu zekhanda ye-ergot derivative inganyamalala yodwa?

Imiphumela yokwelapha yemithi ye-ergot derivative ingeyesikhashana futhi izonyamalala ngokwemvelo njengoba umzimba wakho usebenza ngemithi. Iningi lezithako ze-ergot lisebenza amahora angu-4 kuya kwangu-8, ngemva kwalokho imiphumela yazo yokulwa nezinhlungu zekhanda iyancipha kancane kancane. Lokhu empeleni indlela aklanywe ngayo ukusebenza, enikeza impumuzo ngesikhathi sesigameko sakho sezinhlungu zekhanda ngaphandle kokuhlala emzimbeni wakho isikhathi eside.

Noma yimiphi imiphumela emibi ongase uyithole, njengokucasuka okuncane, ukuzwa ukuluma eminweni yakho, noma isiyezi esincane, ngokuvamile iyazixazulula yodwa phakathi namahora ambalwa. Umzimba wakho ngokuvamile ususa le mithi ngokushesha, ngakho abantu abaningi bazizwa bejwayelekile phakathi kwamahora angu-12 kuya kwangu-24 ngemva kokuyithatha.

Nokho, uma uthatha le mithi kaningi kakhulu, ungase uthole okubizwa ngokuthi izinhlungu zekhanda ezibangelwa ukusetshenziswa ngokweqile kwemithi. Lokhu kusho ukuthi izinhlungu zakho zekhanda ziba kaningi ngoba umzimba wakho uthembele emithini. Kulesi simo, umjikelezo ngeke uzixazulule wodwa futhi udinga isiqondiso sezokwelapha ukuze uqhekezeke.

Ingaqondiswa kanjani imithi yezinhlungu zekhanda ye-ergot derivative ekhaya?

Ngenkathi izithako ze-ergot ziyimithi kadokotela edinga ukugadwa kwezokwelapha okuchwepheshile, kunezindlela eziningana ongasekela ngazo ukusebenza kwayo futhi uphathe ukwelashwa kwakho ekhaya ngokuphepha. Okubalulekile ukulandela imiyalelo kadokotela wakho ngokuqondile nokudala indawo esiza imithi ukuthi isebenze kahle.

Nazi izinyathelo ezingokoqobo ongazithatha ukuze uthuthukise ukwelashwa kwakho:

• Thatha imithi ngokushesha nje lapho uqala ukuzwa ubuhlungu bekhanda ukuze uthole imiphumela emihle
• Phumula ekamelweni elizolile, elimnyama ngemuva kokuthatha imithi
• Hlala umanzi ngokuphuza amanzi kancane kancane
• Sebenzisa i-compress ebandayo ebunzini lakho noma entanyeni
• Gwema ukukhanya okukhanyayo nemisindo emikhulu ngenkathi imithi isebenza
• Gcina idayari yobuhlungu bekhanda ukuze ulandelele ukuthi uyithatha nini imithi nokuthi isebenza kahle kangakanani
• Gcina imithi ngendlela efanele ngokuya ngemiyalelo yephakheji

Khumbula ukuthi le mithi inemikhawulo eqinile yokulinganisa, ngakho ungalokothi uthathe ngaphezu kwalokho okubekiwe ngisho noma ubuhlungu bekhanda buqhubeka. Ukudala indawo ezolile, enethezekile kungasiza ekuthuthukiseni ukusebenza kahle kwemithi futhi kusekele ukululama kwakho.

Yini indlela yokwelashwa kwezokwelapha ngemithi yobuhlungu bekhanda ye-ergot derivative?

Ukwelashwa kwezokwelapha nge-ergot derivatives kulandela indlela eqaphelayo, eyenzelwe umuntu ngamunye ukuthi udokotela wakho uzoyenza ngendlela efanele ngokuya ngohlobo lwakho oluthile lobuhlungu bekhanda kanye nomlando wakho wezokwelapha. Umhlinzeki wakho wezempilo uzoqala ngokunquma uhlobo olufanele lomuthi kuwe, kungakhathaliseki ukuthi ngamaphilisi omlomo, imijovo, noma ama-suppositories e-rectal. Ukukhetha kuncike ekutheni ubuhlungu bakho bekhanda bunzima kangakanani nokuthi udinga ukukhululeka ngokushesha kangakanani.

Udokotela wakho uzosungula imihlahlandlela ecacile yokulinganisa okufanele uyilandele ngokuqinile. Le mithi inemikhawulo ephezulu yansuku zonke neyamasonto onke okungafanele idluliswe ngokuphepha. Abantu abaningi bayalelwa ukuthi bayithathe kuphela uma bezwa ubuhlungu bekhanda buqala, hhayi njengesinyathelo sokuvimbela.

Ukuqokwa okuvamile kokulandela ngemuva kubalulekile uma usebenzisa i-ergot derivatives. Udokotela wakho uzoqapha ukuthi imithi isebenza kahle kangakanani, ahlole noma yimaphi imiphumela emibi, futhi aqinisekise ukuthi awuthuthukisi ubuhlungu bekhanda obungaphezu kwemithi. Bazobuye babuyekeze idayari yakho yobuhlungu bekhanda futhi bangase balungise uhlelo lwakho lokwelapha ngokusekelwe ekuphenduleni kwakho.

Kwezinye izimo, udokotela wakho angase ahlanganise izithako ze-ergot nezinye izindlela zokwelapha ezifana nemithi yokuvimbela noma izinguquko zendlela yokuphila. Umgomo uhlala ukuthola indlela esebenza kahle kakhulu ngenkathi kuncishiswa isidingo sakho salemithi enamandla.

Kufanele ngibone nini udokotela mayelana nomuthi we-ergot derivative wokuphelelwa yikhanda?

Kufanele uthinte udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezithile zokuxwayisa ngenkathi uthatha imithi ye-ergot derivative. Le mithi ngezinye izikhathi ingabangela imiphumela emibi engathi sína edinga ukunakekelwa kwezokwelapha ngokushesha. Ungalindi noma uzame ukulawula izimpawu ezikhathazayo uwedwa.

Funana nosizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Ubuhlungu obukhulu besifuba noma ukucindezela
• Ukuba ndikindiki noma ukuluma okungapheli
• Ushintsho embonweni noma ekukhulumeni
• Isicanucanu esikhulu nokuhlanza okukuvimbela ukuthi ungagcini uketshezi phansi
• Izimpawu zokujikeleza okungahambi kahle njengeminwe yezandla noma izinzwane ezibandayo, eziphaphathekile
• Ubuhlungu emlenzeni noma ukuqaqamba, ikakhulukazi uma uhamba
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile

Kufanele futhi uhlele ukuqokwa okuvamile nodokotela wakho uma ukuqaqamba kwekhanda lakho kuya kuba kubi nakakhulu naphezu kokwelashwa, uma udinga umuthi kaningi kunokuba ubekiwe, noma uma uhlangabezana nezinhlobo ezintsha zokuqaqamba kwekhanda. Ukuqapha njalo kusiza ukuqinisekisa ukuthi ukwelashwa kwakho kuhlala kuphephile futhi kusebenza kahle.

Yiziphi izici eziyingozi zokudinga umuthi we-ergot derivative wokuphelelwa yikhanda?

Izici eziningana zingakhuphula amathuba akho okudinga imithi ye-ergot derivative yokwelashwa kokuqaqamba kwekhanda. Ukuqonda lezi zici eziyingozi kungakusiza wena nodokotela wakho ukuthi nenze izinqumo ezingcono kakhulu zokwelashwa ngesimo sakho. Isici esibaluleke kakhulu ukuba nokuphelelwa yikhanda okukhulu, okumelana nokwelashwa noma ukuqaqamba kwekhanda okungahlali okungaphenduli eminye imithi.

Nazi izici eziyingozi ezingaholela ekwelashweni kwe-ergot derivative:

• Umlando womndeni we-migraines ezinzima
• Ukuzwa ama-migraines ahlala ngaphezu kwamahora angama-24
• Ukuba nezinhlungu zekhanda ze-cluster, ezivame kakhulu emadodeni
• Ukungaphenduli kahle emithini ye-triptan ngaphambilini
• Izinhlungu zekhanda ezivame ukungena emsebenzini noma emisebenzini yansuku zonke
• Ama-migraines anesicanucanu esibi esenza imithi yomlomo ibe nzima
• Ukuba phakathi kweminyaka engama-20-40 lapho ama-migraines avame ukuba maningi kakhulu

Kubalulekile ukuqaphela ukuthi izimo ezithile zezokwelapha zikwenza ungakwazi ukusebenzisa ama-ergot derivatives ngokuphepha. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ukuze aqinisekise ukuthi le mithi ilungele wena ngaphambi kokuyinikeza.

Ziyini izinkinga ezingaba khona zomuthi wekhanda we-ergot derivative?

Ngenkathi imithi ye-ergot derivative ingasebenza kahle kakhulu ngezinhlungu zekhanda ezinzima, inezingozi ezithile okufanele uzazi. Izinkinga ezivame kakhulu zivame ukuba mnene futhi zesikhashana, kodwa ukuqonda zonke izinto ezingenzeka kukusiza ukuthi usebenzise le mithi ngokuphepha. Udokotela wakho uzilinganisile lezi zingozi ngokumelene nezinzuzo zesimo sakho esithile.

Inkinga enkulu engaba khona ibizwa ngokuthi i-ergotism, eyenzeka lapho umuthi omningi wakha ohlelweni lwakho. Yingakho imikhawulo eqinile yokulinganisa ikhona futhi kungani ungafanele neze udlule inani elinikeziwe. Izimpawu zakuqala zihlanganisa ukuluma okuqhubekayo ezandleni zakho nasezinyaweni, ubuhlungu bemisipha, kanye nesicanucanu.

Ezinye izinkinga okufanele uziqaphele zihlanganisa:

• Izinhlungu zekhanda zokusebenzisa imithi ngokweqile ngenxa yokuthatha umuthi kaningi kakhulu
• Ukuvinjelwa kwemithambo yegazi okungathinta ukujikeleza kwegazi
• Ukwanda kwengozi yezinkinga zenhliziyo kubantu abanezifo zenhliziyo ezikhona
• Ukusebenzisana okungenzeka neminye imithi
• Ukwanda kwegazi eliphezulu
• Imiphumela engavamile kodwa ebucayi ekujikelezeni kwegazi ezingxenyeni zomzimba

Abantu abaningi basebenzisa izinto ezitholakala ku-ergot ngaphandle kokuba nezinkinga ezinkulu, ikakhulukazi uma belandela imiyalelo kadokotela wabo ngokucophelela. Ukuqapha njalo nokuxhumana ngobuqotho nomhlinzeki wakho wezempilo kuyisivikelo sakho esingcono kakhulu ezingozini.

Ingabe umuthi wezinhlungu zekhanda ovela ku-ergot muhle noma mubi ekuphathweni kwezinhlungu zekhanda ezingapheli?

Imithi etholakala ku-ergot ingaba mihle kakhulu ekwelapheni izigameko ezibuhlungu zekhanda, kodwa ngokuvamile ayisetshenziselwa izinhlungu zekhanda zansuku zonke ezingapheli. Le mithi yenzelwe ukumisa izinhlungu zekhanda esezivele zaqala kunokuvimbela izinhlungu zekhanda ukuthi zenzeke. Ezinhlungwini zekhanda ezingapheli, udokotela wakho cishe uzoncoma imithi ehlukene yokuvimbela esikhundleni saleyo.

Uma isetshenziswa ngendlela efanele ohlotsheni olufanele lwezinhlungu zekhanda, izinto ezitholakala ku-ergot zingaba usizo olukhulu. Zingahlinzeka ngokuphumula lapho ezinye izindlela zokwelapha ziye zahluleka futhi zikusize ukuthi ugcine izinga lempilo yakho ngesikhathi sezigameko ezibuhlungu zekhanda. Kodwa-ke, ukuzisebenzisa kaningi kungenza inkinga yakho yezinhlungu zekhanda ibe yimbi ngokubangela izinhlungu zekhanda ezibangelwa ukusetshenziswa ngokweqile kwemithi.

Isihluthulelo sokuthi le mithi ilungile noma imbi esimweni sakho sincike endleleni esetshenziswa ngayo. Ukulandela imiyalelo kadokotela wakho mayelana nemvamisa kanye nokulinganisa kubalulekile. Uma uzithola udinga le mithi kaningi ngaphezu kwezikhathi ezimbalwa ngesonto, sekuyisikhathi sokuxoxa ngemithi yokuvimbela nodokotela wakho.

Yini umuthi wezinhlungu zekhanda ovela ku-ergot ongadidaniswa nayo?

Imithi etholakala ku-ergot ngezinye izikhathi ididaniswa nezinye izindlela zokwelapha i-migraine, ikakhulukazi imithi ye-triptan efana ne-sumatriptan noma i-rizatriptan. Ngenkathi zombili izinhlobo zemithi zithatha izinhlungu zekhanda ezinzima, zisebenza ngezindlela ezehlukile kancane futhi zinezinhlobo ezihlukene zemiphumela emibi. Zombili zingabangela imizwa efanayo njengokuluma noma isiyezi esincane, okungaholela ekudidekeni.

Abanye abantu badida izithako ze-ergot nezinye izidambisi zentlungu noma bacabanga ukuthi zingasetshenziswa ngendlela efanayo nemithi yezinhlungu yekhanda etholakala ngaphandle kwemvume kadokotela. Lokhu kuwukuqonda okuyingozi ngoba izithako ze-ergot zinomkhawulo oqinile wokulinganisa futhi azikwazi ukuthathwa njalo njengezidambisi zentlungu ezivamile. Zinamandla kakhulu futhi zidinga ukugadwa ngokucophelela kwezokwelapha.

Imiphumela emibi yezithako ze-ergot ingase futhi ididwe nezimpawu zezinye izimo. Isibonelo, ukuzwa ukuluma okungase kubangelwe kungase kudideke nezinkinga zemizwa, noma isicanucanu singase sibangelwe isinambuzane esiswini. Hlala uxoxa nganoma yiziphi izimpawu ezintsha nodokotela wakho ukuze uqinisekise ukuhlolwa okufanele.

Imibuzo evame ukubuzwa ngemithi yekhanda ye-ergot derivative

Umbuzo 1: Zisebenza ngokushesha kangakanani izidakamizwa zekhanda ze-ergot derivative?

Imithi ye-Ergot derivative ngokuvamile iqala ukusebenza phakathi nemizuzu engama-30 kuya emahoreni amabili, kuye ngohlobo oluluthathayo. Imithombo yokujova isebenza ngokushesha, ngokuvamile inikeza ukukhululeka phakathi nemizuzu engu-15-30. Amaphilisi omlomo angase athathe ihora elingu-1-2 ukufinyelela umphumela wawo ogcwele. Ama-suppositories e-rectal awela phakathi, ngokuvamile esebenza phakathi nemizuzu engama-30-60.

Umbuzo 2: Ngingathatha imithi yekhanda ye-ergot derivative neminye imithi?

Akufanele neze uhlanganise izithako ze-ergot nemithi ethile, ikakhulukazi ezinye izidakamizwa ze-ergot, ezinye izibulali-magciwane, noma imithi ethile elwa nesikhunta. Nqamula unikeze udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa, izithasiselo, kanye nemithi yamakhambi oyithathayo. Ezinye izinhlanganisela zingaba yingozi futhi zibangele imiphumela emibi eyingozi ehlobene nokuncipha kwemithambo yegazi.

Umbuzo 3: Ngingayithatha kaningi kangakanani ngokuphepha imithi yekhanda ye-ergot derivative?

Iningi lezinto ezitholakala ku-ergot akufanele zithathwe ngaphezu kwamasonto amabili ukuze kugwenywe ikhanda elibangelwa ukusetshenziswa kwemithi ngokweqile kanye nezinye izinkinga. Udokotela wakho uzokunikeza imikhawulo ethile ngokusekelwe emuthini oqondile obekiwe. Ungalokothi udlule le mikhawulo, ngisho noma ikhanda lakho libuhlungu kakhulu. Uma udinga imithi kaningi, xoxa ngemithi yokuvimbela nodokotela wakho.

Q4: Ingabe imithi yekhanda ye-ergot derivative iphephile ngesikhathi sokukhulelwa?

Izinto ezitholakala ku-Ergot ngokuvamile azinconywa ngesikhathi sokukhulelwa ngoba zingabangela ukuqina kwesibeletho futhi zilimaze ingane esakhula. Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa ngezindlela zokwelapha ezinye zekhanda nodokotela wakho. Zikhona izinketho eziphephile zokuphatha ikhanda elibuhlungu ngesikhathi sokukhulelwa.

Q5: Kufanele ngenzeni uma umuthi wekhanda we-ergot derivative ungasebenzi ekhanda lami?

Uma i-ergot derivative yakho ebekiwe inganikezi ukukhululeka ngemuva kwesikhathi esilindelekile, ungalithathi elinye i-doses ngaphandle kokuxhumana nodokotela wakho kuqala. Esikhundleni salokho, zama ukuphumula egumbini elizolile, elimnyama futhi usebenzise ezinye izindlela zokunethezeka njengama-compresses abandayo. Xhumana nomhlinzeki wakho wezempilo ukuze uxoxe ukuthi uhlelo lwakho lokwelapha ludinga ukulungiswa noma uma kufanele ufune ukunakekelwa okuphuthumayo.