Dab Tsi Paub Txog Migraine Cocktail

Zoo Siab

• Qho dej cawv migraine yog dab tsi?
• Puas muaj kev mob tshwm sim?
• Yuav ua li cas hais txog ib qho dej cawv OTC pob dej cawv?
• Yuav muaj kev nyab xeeb li cas rau OTC pob dej cawv?
• Lwm hom tshuaj twg tuaj yeem pab tau?
• Dab tsi txog cov vitamins, tshuaj pab, thiab lwm yam tshuaj?
• Hauv qab kab

Nws tau kwv yees tias cov neeg Asmeskas muaj kev mob taub hau. Txawm hais tias tsis muaj kev kho mob, mob taub hau feem ntau kho nrog cov tshuaj uas ua rau cov tsos mob yooj yim lossis pab tiv thaiv kev mob taub hau los ntawm kev tshwm sim thawj zaug.

Qee zaum, hauv kev kho mob, kev mob taub hau tuaj yeem kho nrog "pob dej cawv taub hau." Qhov no tsis yog haus dej xwb, tab sis yog muab cov tshuaj tshwj xeeb los pab txo cov tsos mob taub hau.

Kab lus no yuav ua rau kuv saib ze dua txog dab tsi hauv kev txhaj tshuaj rau migraine, cov kev mob tshwm sim uas yuav tshwm sim, thiab lwm yam kev xaiv kho mob rau migraine.

Qho dej cawv migraine yog dab tsi?

Yog tias koj pom koj tus kheej nrhiav kev kho mob rau kev mob taub hau, ib txoj kev kho mob koj yuav tau muab yog pob dej cawv rau dej cawv.

Tab sis dab tsi xyov yog nyob hauv kev kho mob migraine no, thiab cov khoom sib txawv ua dab tsi?

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj nyob hauv kev mob taub hau me ntsis tuaj yeem sib txawv raws li lwm yam mob thiab koj cov lus teb yav dhau los txog kev kho cov mob migraine

Qee cov tshuaj uas tuaj yeem suav nrog hauv pob kab mob migraine suav nrog:

• Triptans: Cov tshuaj no muaj cov nyhuv los tiv thaiv thiab xav kom nqaim cov hlab ntshav hauv koj lub hlwb, pab ua kom mob yooj yim. Ib qho piv txwv ntawm triptan hauv ib qho dej cawv migraine yog sumatriptan (Imitrex).
• Antiemetics: Cov tshuaj no tuaj yeem pab rau qhov mob ib yam, thiab. Qee qhov kuj tseem yuav ua rau xeev siab thiab ntuav. Piv txwv uas tuaj yeem siv rau hauv pob taub dej txhaws muaj xws li prochlorperazine (Compazine) thiab metoclopramide (Reglan).
• Ergot alkaloids: Ergot alkaloids ua haujlwm zoo ib yam li triptans. Ib qho piv txwv ntawm ergot alkaloid siv nyob rau hauv lub pob dej migraine yog dihydroergotamine.
• Nonsteroidal anti-inflammatory tshuaj (NSAIDs): NSAIDs yog ib hom tshuaj kho mob kom txo tus mob. Ib hom NSAID uas tej zaum yuav muaj nyob rau hauv lub pob dej cawv migraine yog ketorolac (Toradol).
• IV siv tshuaj: Tshuaj steroids IV ua haujlwm kom yooj yim mob thiab o. Lawv yuav raug muab los pab tiv thaiv koj txoj kev mob taub hau los ntawm kev rov qab los ob peb hnub tom ntej no.
• Tso dej rau raws dej (IV): Cov dej dej IV pab ua rau lub cev pauv mus ua cov dej uas koj poob lawm. Cov kua dej no tseem yuav pab tiv thaiv cov kev mob tshwm sim los ntawm cov tshuaj muaj nrog rau hauv dej cawv migraine.
• IV magnesium: Magnesium yog lub hauv paus ntuj uas feem ntau siv los tiv thaiv kev mob taub hau.
• IV txiaj rau cov kua qaub (Depakote): Nov yog kev qaug dab peg tshuaj uas tuaj yeem siv los kho mob tob tob heev.

Cov tshuaj nyob rau hauv pob mob taub hau me ntsis feem ntau muab ntawm IV. Feem ntau hais lus, siv sijhawm ntev li ib teev lossis ntev dua rau cov teebmeem ntawm qhov kev kho mob no pib ua haujlwm thiab mloog tus mob zoo.

Puas muaj kev mob tshwm sim?

Txhua yam ntawm cov tshuaj noj uas tuaj yeem suav nrog mob taub hau mob pob txig txhaws nws muaj nws cov kev mob tshwm sim. Qee qhov mob tshwm sim rau txhua qhov ntawm cov tshuaj suav nrog cov hauv qab no:

• Triptans:
  • nkees
  • ib ce thiab hauj sim
  • nruj rau hauv thaj chaw xws li lub hauv siab, caj dab, thiab puab tsaig
• Neuroleptics thiab antiemetics:
  • leeg nqaij tics
  • tshee tshee
  • nyob tsis tswm
• Ergot alkaloids:
  • kev tsaug zog tsaug zog
  • mob plab dhau
  • xeev siab
  • ntuav
• NSAIDs:
  • mob plab dhau
  • zawv plab
  • mob plab
• Steroids:
  • xeev siab
  • kiv taub hau
  • teeb meem pw tsaug zog

Yuav ua li cas hais txog ib qho dej cawv OTC pob dej cawv?

Koj kuj tseem yuav tau hnov ​​txog qhov yuav tom (OTC) mob taub hau dej qab zib. Qhov no yog qhov sib txuas ntawm peb cov tshuaj:

• Tshuaj aspirin, 250 milligrams (mg): Cov tshuaj no yog siv los txo qhov mob thiab mob.
• Acetaminophen, 250 mg: Nws daws qhov mob los ntawm kev txo qis prostaglandins uas koj lub cev tsim tawm.
• Caffeine, 65 mg: Qhov no ua rau vasoconstriction (nqaim ntawm cov hlab ntsha).

Thaum noj ua ke, txhua yam ntawm cov khoom xyaw no tuaj yeem muaj txiaj ntsig zoo dua ntxiv los ntawm kev kho mob tawv nqaij mob taub hau ntau dua li cov khoom sib xyaw nrog.

Cov txiaj ntsig no tau pom nyob hauv a. Kev sib xyaw ua ke ntawm cov tshuaj aspirin, acetaminophen, thiab caffeine tau pom tias muab kev zoo ntau dua li txhua cov tshuaj los ntawm nws tus kheej.

Excedrin Migraine thiab Excedrin Lub zog ntxiv yog ob qho tshuaj OTC uas muaj cov tshuaj aspirin, acetaminophen, thiab caffeine.

Txawm li cas los xij, cov kws kho mob feem ntau qhia rau cov neeg mob kom tsis txhob Excedrin thiab nws cov lus qhia vim muaj kev pheej hmoo rau kev siv tshuaj ntau dhau kev mob taub hau.

Hloov chaw, cov kws kho mob pom zoo kom noj ibuprofen (Advil, Motrin), naproxen (Aleve), lossis acetaminophen (Tylenol). Lawv feem ntau qhia tawm tsam OTC muaj caffeine, vim nws tuaj yeem ua rau muaj kev phom sij tsis zoo xws li lub plawv dhia thiab pw tsaug zog.

Kuj tseem muaj cov hom nrov uas muaj qhov sib xyaw ntawm cov khoom xyaw. Nco ntsoov xyuas cov ntawv ntim khoom kom paub meej cov khoom sib xyaw.

Yuav muaj kev nyab xeeb li cas rau OTC pob dej cawv?

Cov tshuaj OIC mob taub hau uas muaj cov tshuaj aspirin, acetaminophen, thiab caffeine yuav tsis muaj kev nyab xeeb rau txhua tus. Qhov no yog qhov tshwj xeeb tshaj yog rau:

• cov neeg uas tau muaj kev fab tshuaj ua ntej rau ib qho ntawm peb yam
• tus neeg twg noj lwm yam tshuaj uas muaj acetaminophen
• cov me nyuam qis dua 12 xyoos, vim muaj kev pheej hmoo ntawm Tus Mob Reye
• kev pheej hmoo rau tshuaj noj ntau dhau mob taub hau

Tham nrog koj tus kws kho mob ua ntej siv hom khoom no yog tias koj:

• mob taub hau heev los sis mob taub hau uas txawv ntawm qhov koj raug
• xeeb menyuam los yog pub niam mis
• muaj kab mob siab, mob plawv, lossis mob raum
• muaj keeb kwm ntawm cov mob xws li kub siab lossis mob txhab
• mob hawb pob
• tab tom noj lwm yam tshuaj, tshwj xeeb kho diuretics, tshuaj ntshav-tshuaj, steroids, lossis lwm yam NSAIDs

Qee qhov mob tshwm sim ntawm hom tshuaj no suav nrog:

• mob plab
• xeev ntuav lossis ntuav
• zawv plab
• kiv taub hau
• teeb meem pw tsaug zog
• tshuaj noj dhau li mob taub hau

Lwm hom tshuaj twg tuaj yeem pab tau?

Muaj lwm yam tshuaj uas tuaj yeem pab txo cov tsos mob migraine. Cov no ib txwm coj los sai li sai tau yog tias koj hnov ​​zoo li pib mob. Koj yuav tau paub ib co ntawm lawv los ntawm ntu saud. Lawv suav nrog:

• Cov tshuaj OTC: Cov tshuaj no suav nrog cov tshuaj xws li acetaminophen (Tylenol) thiab NSAIDs zoo li ibuprofen (Advil, Motrin), thiab tshuaj aspirin (Bayer).
• Triptans: Muaj ob peb qho triptans uas tuaj yeem pab txo cov tsos mob tob hau. Piv txwv suav nrog sumatriptan (Imitrex), rizatriptan (Maxalt), thiab almotriptan (Axert).
• Ergot alkaloids: Cov no tuaj yeem siv rau hauv cov xwm txheej thaum triptans tsis ua haujlwm kom yooj yim cov tsos mob. Qee cov piv txwv suav nrog dihydroergotamine (Migranal) thiab ergotamine tartrate (Ergomar).
• Cov Txiaj Ntsim: Cov tshuaj no feem ntau siv los kho mob tob tob thiab mob taub hau thiab tuaj yeem raug tshuaj rau cov neeg mob tsis tuaj yeem siv triptans. Piv txwv suav nrog ubrogepant (Ubrelvy) thiab rimegepant (Nurtec ODT).
• Ditans: Cov tshuaj no tseem tseem siv tau los ua qhov chaw triptans. Ib qho piv txwv yog lasmiditan (Reyvow).

Kuj tseem muaj tshuaj noj uas tuaj yeem tiv thaiv kom txhob mob taub hau los ntawm kev tshwm sim. Qee qhov kev xaiv suav nrog:

• Cov tshuaj ntshav siab: Piv txwv li cov beta-blockers thiab calcium channel blockers.
• Tshuaj pab tiv thaiv kev ntxhov siab: Amitriptyline thiab venlafaxine yog ob qho tricyclic antidepressants uas tuaj yeem pab tiv thaiv kev mob taub hau.
• Antiseizure tshuaj: Cov no suav nrog cov tshuaj zoo li valproate thiab topiramate (Topamax).
• CGRP inhibitors: Cov tshuaj CGRP tau txhaj tshuaj los ntawm kev txhaj txhua lub hlis. Piv txwv li suav nrog erenumab (Aimovig) thiab fremanezumab (Ajovy).
• Kev txhaj tshuaj Botox: Qhov Botox txhaj ib zaug txhua 3 lub hlis yuav pab tiv thaiv kev mob taub hau rau qee tus neeg.

Dab tsi txog cov vitamins, tshuaj pab, thiab lwm yam tshuaj?

Ntxiv nrog rau ntau hom tshuaj, kuj tseem muaj cov tshuaj tsis yog kws kho mob uas tuaj yeem pab txo cov tsos mob lossis tiv thaiv kev mob taub hau.

Qee qhov kev xaiv suav nrog:

• Cov tswv yim so: So kev coj ua zoo li biofeedback, ua pa ua pa thiab ua kom zoo zoo tuaj yeem pab txo kev ntxhov siab thiab nro, uas feem ntau tuaj yeem tawm tsam mob tob tob.
• Kev tawm dag zog tas li: Thaum koj qoj ib ce, koj tso cov tshuaj endorphins, uas yog cov mob ua kom mob rau ntuj. Kev tawm dag zog tsis tu ncua yuav pab txo qis koj cov kev ntxhov siab, uas yog, tuaj yeem tiv thaiv kev pheej hmoo mob taub hau.
• Cov vitamins thiab minerals: Muaj qee cov pov thawj tias ntau cov vitamins thiab minerals muaj txuas nrog kev mob taub hau. Piv txwv li suav cov vitamin B-2, coenzyme Q10, thiab magnesium.
• Kev Txhawb Nqa: Nov yog ib qho txheej txheem nyob rau hauv uas koob txhaj koob yog tso rau hauv lub siab cov ntsiab lus ntawm koj lub cev. Nws tau xav tias kev cog lus acupuncture yuav pab ua kom lub zog khiav tawm thoob koj lub cev. Qhov no tuaj yeem pab yooj yim mob taub hau thiab txo cov zaus ntawm kev mob taub hau, txawm hais tias cov kev tshawb fawb ntawm qhov no tsis txaus ntseeg.

Nws tseem ceeb heev kom nco ntsoov tias qee cov tshuaj ntsuab, vitamins, thiab cov tshuaj ntxhia muaj peev xwm tsis muaj kev nyab xeeb rau txhua tus. Nco ntsoov nrog koj tus kws kho mob tham ua ntej sim cov tshuaj no.

Hauv qab kab

Lub taub dej migraine yog cov sib txuam ntawm cov tshuaj uas tau muab rau kho mob tob hau mob tshwm sim. Cov tshuaj noj uas siv rau hauv lub pob dej cawv txhawm rau muaj peev xwm sib txawv, tab sis nws feem ntau suav nrog triptans, NSAIDs, thiab antiemetics.

Ib qho dej cawv taub hau pob txha taub hau kuj tseem muaj nyob hauv cov tshuaj OTC. OTC cov khoom lag luam feem ntau muaj cov tshuaj aspirin, acetaminophen, thiab caffeine. Cov khoom siv no ua tau zoo dua thaum siv los ua ke ntau dua li thaum lawv nyob ib leeg.

Ntau ntau hom tshuaj siv feem ntau siv rau kev kho lossis tiv thaiv cov tsos mob taub hau. Ib qho ntxiv, qee cov tshuaj ntsuab, tshuaj ntxiv, thiab cov tswv yim so kom txaus yuav pab tau ib yam nkaus. Nws yog ib qho tseem ceeb nrog kws kho mob tham txog hom kev kho mob uas yuav zoo rau koj.