ImpiloAmalungiselelo

Izidakamizwa ngoba migraine - triptans. Umthamo futhi izici isinyathelo

Migraine - lokhu ingenye izifo ezivame kakhulu, okuyinto kunganciphisa ukusebenza kahle iziguli eziningi. Lesi sifo cishe ama-6% amadoda 18% abesifazane. Lezi zibalo ngempela eliphezulu. Nokho, u-60% abantu abaphethwe yilesi sifo, ngokuzimela ukuthatha analgesics ezihlukahlukene ngenxa yobuhlungu. Njengomthetho, izenzo ezinjalo kuyonezela inkambo isifo.

Cha analgesics

Abantu abaningi abaphethwe migraines, angazi kanjani ukuyeka ukuhlaselwa, futhi sekwephuzile ukuthatha amaphilisi ezinhlungu. Kule umphumela ukwelashwa lincane kakhulu. Noma ingabe lingekho. Lokhu kubangela ukuthi isiguli siqala ukuba kancane kancane ukwandisa umthamo imithi. Ngenxa yalokho yezenzo ezinjalo kuphela kwandisa ingozi yokungenwa ukulimala kwezinso, ukuthuthukiswa kolwelwesi. Kwezinye izimo, analgesics eyanele kungaholela eziyingozi kakhulu - ukuvela bekhanda izidakamizwa olubangelwa.

Yingakho uma unanoma iluphi uhlobo izimpawu migraine kufanele ubheke Ochwepheshe. Ukuzelapha kuleli cala, ungakwazi kuyonezela isimo lesiguli. Ekupheleni kwekhulu le-19 iqembu elisha ngokuphelele sidalwe izidakamizwa antimigraine - agonists ukukhetha 5 NT 18 / D-receptor. izinto ezinjalo amagama ahlobene of 5-gidroksitritamina. Esifushanisiwe igama labo - triptanity. Izidakamizwa ngoba migraine kulesi sizukulwane is NEMPUMELELO okuningi kuka analgesics ezivamile. Ngaphezu kwalokho, la mathuluzi babe kutholakale kalula kubo bonke imikhakha iziguli.

kanjani izidakamizwa

Triptans - ukuphathwa eziphambili kakhulu lesi sifo ezingemnandi, migraine. Kukholakala ukuthi zonke lezi izidakamizwa ukusebenza ngendlela efanayo. Nokho, esinye isiguli kusiza ambalwa kuphela inqwaba triptans. Ngakho-ke, ukukhethwa sokugcina lo mkhiqizo uhlala kuphela nesiguli. Ukuze ubone ukuthi ukusebenza kwe-triptane ethile, kudingeka ukuhlola izidakamizwa ngesikhathi ukuhlaselwa migraine. Okungenani kunezinto ezintathu zazo okufanele uhambe ngayo. Uma izidakamizwa kuye kwasiza, ingasetshenziswa esikhathini esizayo. Yiqiniso, ukukhetha kungathinta kakhulu izindleko triptan. Phela, le mithi akuzona ezishibhile. Ngaphezu kwalokho, ekwakhiweni ngamunye has a analgesic umphumela othile. Ngaphezu kwalokho, kubalulekile ukwazi ukuthi iyini le triptans ngoba migraine, isici isinyathelo, izindlela reception kanye contraindications.

Okokuqala, izidakamizwa ezinjalo zinethonya receptor isitsha izindonga. ngenxa yalokho-ke izimbangela olugcwele osuke usuvulekile imithambo yegazi cerebral, kanye kusiza ukuphungula ubuhlungu bekhanda.

amalungiselelo anjalo ifa selectivity sezingeni eliphezulu. Yingakho triptans inethonya imithambo yegazi laseDura. Lena enye yezinhlobo ezingu amakhono abo. Nokho, abanakho nomthelela izitsha neuropathy yenhliziyo. Kufanele kuqashelwe ukuthi triptans - izidakamizwa migraine ukuthi ukuvimba okuvela kuyo ubuhlungu ezingeni yokwamukela, zitholakala nucleus umgogodla we emsipheni trigeminal. Lokhu kunciphisa kakhulu ukuzwela ubuhlungu.

Ngaphezu kwalokho, le mithi kunganciphisa izikhathi umuntu uyahluleka uma elwa, kanye kahle kakhulu kuqede izimpawu ezihambisana, ezifana umsindo futhi photophobia, ukuhlanza kanye nesicanucanu.

Imikhakha isenzo ka triptans

Ukuze uqonde ukuthi le mithi isinyathelo, ukunikeza izisekelo:

  1. Vasoconstriction, elise ubuchopho.
  2. isinyathelo eqeda ukuvuvukala: nokwehlisa ukuvuvukala, okuyinto ubeka ingcindezi phezu eziyimpumelelo emsipheni.
  3. Ukucindezelwa yavusa ezinzwa trigeminal futhi kuncishiswe uzwela yayo ubuhlungu.

Njengoba ubona, triptans ngoba migraine - izidakamizwa ephumelela kunazo ezingaba limise ukuhlasela kwalesi sifo. Into eyinhloko ukukhetha izidakamizwa kwesokudla

Emihle nemibi triptans

Phakathi izinzuzo imikhiqizo efana ukunikeza ukuphathwa kuhle ubuhlungu kanye nezimpawu ezihambisana, isinyathelo esisheshayo. Ngaphezu kwalokho, triptans ingasetshenziswa ekwelapheni isifo ezigabeni zeminyaka ehlukene.

Yiqiniso, noma ikuphi izidakamizwa has bokwenza. Ngokuphelele ukusiza triptans ngoba migraine futhi ikhanda. Nokho, nomkhakha we isinyathelo lezi izidakamizwa is akukaqondwa ngokugcwele. Ngaphezu kwalokho, akubona bonke abantu bakwazi ukuthatha triptans njengoba impilo yabo. Akuvunyelwe yokusebenzisa le mithi kubantu abaphethwe isifo senhliziyo. Kulesi sigaba labo labanelitsemba amahlule igazi kanye nomfutho wegazi ophezulu abulalayo likhona.

Isizukulwane sokuqala

Migraine amalungiselelo - triptans - kunemibandela zihlukaniswe ngamaqembu eziningana. Lesi yisihloko sokuqala futhi isizukulwane sesibili. izidakamizwa ngamunye kunezinzuzo zako siqu kanye nobubi obuthile. Ngakho, isizukulwane sokuqala "Sumatriptan" kweqiniso. Lona izidakamizwa kuqala. Wayeqonda cishe ngokuphelele futhi uhlobo ejwayelekile ekwelapheni migraine. Ngo zokwelapha kwathatha abantu abayizinkulungwane 60 iqhaza. Ngokokuqala ngqá izidakamizwa kwatholakala GlaxoSmithKline ngo-1989.

Ngokuyinhloko "sumatriptan" yaqaphela ngesimo amaphilisi ezivamile, amaphilisi camera, futhi spray. Ngamunye wabo usebenza ncamashí. Umthelela esiphezulu emva ngokuthatha amaphilisi kwenzeka ngemva emibili nesiquntu amahora, spray - 90 amaminithi.

isizukulwane sesibili

Triptans - izidakamizwa ngoba migraine, fanele kuze lo xuku - baningi. Ngaphezu kwalokho, kungukuthi ngokwanele wafunda. Khiqiza kubo ngesimo amaphilisi. Phakathi ephumelela kunazo yilezi:

  1. "Natriptan" - umphumela Kuye kwaphawulwa cishe ihora ngemva ukungenisa. Ubuhlungu kuyehla. umphumela Maximum kwenzeka ngaphakathi kwamahora ambalwa.
  2. "Frovatripan" - lokhu izidakamizwa Kuthi buthaka, kodwa abathola okungaphansi manifest ezingemnandi engemihle.
  3. "Zolmitriptan" - usebenza ngemva kwemizuzu engu-15 ngemva kokuphathwa. Umthelela esiphezulu kufinyelelwa Ngemva kokuba kudlule cishe ihora. Lesi sidakamizwa muhle kakhulu ukuhlasela eliphakeme.
  4. "Rizatriptan" - efana ukulungiswa isizukulwane sokuqala, kodwa kunomphumela evelele.
  5. "Almotriptan" - lokhu izidakamizwa luphakeme "Sumatriptan" izikhathi eziningana kahle. Umthelela esiphezulu kufinyelelwa emva 1.5 amahora.
  6. "Relpaks" - lokhu umuthi sokusungula ngaphezulu ngokuya umthelela imithambo yegazi ebuchosheni. Nakuba ukusebenza kakhulu efana "sumatriptan".

Izidakamizwa ngoba migraine (triptans): Intengo nezincomo reception

Ukuze ngikwenze kucace kakhudlwana lapho izidakamizwa khona, sethula itafula:

egameni lendawo yokuhweba noma

Valium igama ngamazwe

I Isikali e angu

esiphezulu I umthamo wansuku zonke e angu

Izindleko isilinganiso izidakamizwa

"Sumamigren"

"Sumatriptan" amaphilisi

50 noma 100

Ayikho ezingaphezu kuka-300

engama-ruble 170 kuya 387

"Amigrenin"

"Sumatriptan" amaphilisi

50 noma 100

Ayikho ezingaphezu kuka-300

Kusukela ruble 132 kuya 288

"Imigran"

"Sumatriptan" ngesimo isifutho

20

40

engama-ruble 449 kuya 1010

"Sumatriptan"

"Sumatriptan" amaphilisi

50 noma 100

Ayikho ezingaphezu kuka-300

Kusukela ruble 88 170

'Zomig'

"Zolmitriptan" amaphilisi

2.5

Hhayi ezingaphezu kwezingu-10

Kusukela ruble 593 kuya 1170

"Replaks"

"Eletriptan" amaphilisi

40

Hhayi ezingaphezu kuka-80

Kusukela ruble 338 kuya 636

Izici reception

Ngakho, indlela engcono kunazo zonke ongayithatha triptans ngoba migraine futhi ikhanda? Imiyalelo kulokhu kuzosiza ukunquma imithamo kanye nesikhathi ukulaliswa esibhedlela. Into esemqoka - khumbula ukuthi uma ubuhlungu ukuthi kwandisa kancane kancane futhi akanawo imvelo migraine, thatha imithi enjalo uhlelo kwenza akukho mqondo. Kulokhu, kufanele uthathe analgesic-non-ethize. Lokhu kubaluleke kakhulu. Ngokuvamile, triptans kufanele kuthathwe ngemuva kokuphela aura, noma kungakapheli amahora amabili lapho kuqala ukungakhululeki. Ngaphezu kwalokho, lapho migraine triptan futhi ingasetshenziswa neminye imithi, njenge metoclopramide noma domperidone.

Ngokuqondene spray, kufanele kusetshenziswe ngesikhathi isicanucanu ngokwanele liphinyiselwe futhi, yebo, ukuhlanza. "Imigran" ingase ikhishwe ukuqeda isimo migraine. Triptanity angabelwa hhayi kuphela ekuthuthukiseni lesi sifo, kodwa futhi in the izinkathi phakathi nokuhlasela ukuze kuvinjelwe. Lokhu uvunyelwe ezimweni lapho:

  1. izinga wesiguli zokuphila iye yawohloka.
  2. Ama-NSAID kunzima kabi ukukwelapha.
  3. ukuhlaselwa Migraine zenzeka kanengi ukudlula kabili ezinsukwini ezingu-30.

Indlela yokubhekana ikhanda

Ukuze ususe ukuhlaselwa migraine, kubalulekile kuqala ukuzama ukuthatha angu 1,000 acetylsalicylic acid, i-caffeine isiphuzo amnandi equkethe, noma 10 angu zomuthi "Motilium". Uma emva kwemizuzu 45 Ikhanda iqhubeka, kungenzeka ukusebenzisa triptan.

Kufanele kuqashelwe ukuthi ezimweni lapho yokuhlasela ezintathu analgesic nonspecific enganikanga yi oyifunayo, ungakwazi ngokushesha thatha liyini ikhambi lokuhlupheka migraine. Uma kube aura, ukusetshenziswa aspirin kubiza kuphela ngemva kokuba iqalile, futhi ngemva okuvela buhlungu - izidakamizwa ngoba migraine (triptans).

Kuthiwani uma ubuhlungu wabuya?

Balinganiselwa ku-50% eziguli kukhona ukubuya ikhanda ezinsukwini ezimbalwa. Ochwepheshe batusa ukuthi usesimweni esinjalo buphinde imithi migraine - triptans. Kufanele kukhunjulwe mayelana umthamo sangemihla zomuthi. Ukuthatha izidakamizwa akukho ngaphambili kuka emahoreni amabili ngemuva iphilisi kuqala. Uma ikhanda kungenziwa ibekezelelwe, isiguli kungase kuthathe indawo triptans analgesic nonspecific.

Kuyaphawuleka ukuthi uyabuya ukungakhululeki ngokuvamile kuyagcinwa ezigulini nge izikhathi ngokwanele eside ukuthi ingahlala ngaphandle kokuthatha umuthi wezinhlungu amahora angaphezu kuka-24. Ngisho ngenkathi kokuthatha imvamisa triptan kwemicimbi efana cishe alishintshanga. Nokho, izazi zikholelwa ukuthi ukusebenzisa "Eletriptan" futhi "naratriptan" kusiza ukunciphisa inani ukuhlaselwa ezintsha.

Uma kungekho yi

Kunezikhathi lapho izidakamizwa ngoba migraine (triptans) nezidakamizwa ezingekho eqondene ungayeki elamukelekile futhi alubuqedi ubuhlungu. Kulokhu, udokotela angaba linqume ukwelashwa eziyinkimbinkimbi, okuyindawo ehlanganisa yokuphuza imithi anticonvulsant, kanye B-blocker. Le mithi ihlanganisa "nadolol," "acebutolol", "penbutolol", "Labetanol", "Betaxolol" nabanye.

imiphumela emibi triptans

Le mithi zingafundwa izinsuku ezingu-10 kuphela ngenyanga. Kungenjalo, ungase ube nezinkinga ezithile. Ukusetshenziswa njalo triptans kungaholela ikhanda, okuyinto eyenzeka ngo-seziguli ezithola izidakamizwa. Ngaphezu kwalokho, leyo mithi isinyathelo imiphumela emibi, kuhlanganise:

  1. A imfudumalo nokuqina ezingalweni nasemilenzeni, ukozela, ukutubeka komzimba, isiyezi, ukuzwela.
  2. esiswini myocardial noma ubende, nesifo ischemic, oluhambisana uhudo, nomlomo owomile, ubuhlungu besisu nesicanucanu.
  3. Myalgia futhi ukuba buthakathaka kwezicubu.
  4. vasospasm coronary, isilethikusebenza, angina pectoris, tachycardia, palpitations.
  5. Polyuria, futhi ukuchama kaningi.
  6. Anaphylaxis, angioedema, urticaria.

Naphezu kwakho konke lokhu, triptans ngoba migraine - umuthi esheshayo esebenza. Uma uthatha imithi ngokuqinile ngokusho imiyalelo ke akunankinga. Okuwukuphela kusimo abalulekile kwemithi enjalo - izindleko. Akuwona wonke umuntu abakwaziyo ukuthenga umuthi onjalo.

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