Vanenge 15 muzana yevakadzi uye 6% yevarume vanotambura nemigraine, mamiriro ezvinhu umo kusvibiswa kwepamwe uye kukura zvakanyanya kune mamwe masheti emakemikari kunotungamirira kune simba rakasununguka remusoro. Migraine ndeimwe yezvinonyanya kukosha zvekuremara kwenguva. Kune zvikonzero zvakasiyana-siyana uye mhando dzemusoro. Musoro unogona kuenzaniswa, somuenzaniso, nehutachiona hwehutachiona. Ndezvipi zvinokonzera kugara mumusoro?
Diagnostics
Nechinangwa chekuona chiremba, chiremba anotsanangura zvakadzama nezvemaitiro edzimusoro, kunyanya nguva yekutangira, kunyatsosvika panzvimbo, kusimba, nguva uye hupenyu huri hwomurwere.
Kurongwa
Mhando dzinonyanya kukosha dzemusoro:
- Kurwisana musoro. Ichi ndicho chinonyanya kunyanya kuratidza kunyoroka kuenzanisa zvakanyanya musoro. Munhu anonzwa manzwiro ejoka rinomisa pamusoro wake. Kutambudzika kwakadaro kunogona kupedza mazuva anoverengeka uye kuwedzera mukati mezuva.
- Cluster (bundle) musoro. Kazhinji kazhinji inowanikwa mune varume. Uku ndiko kurwadziwa kwakasimba-kumativi kwepodoxysmal zvakasikwa. Iyo inopedza maminitsi 20-60 uye inogona kuva nguva. Kakawanda kunotungamirirwa nekutuka nekudzikinurwa kwemaziso, pamwe nekusanganiswa kwemazino. Munhu anogona kumuka kubva kanoverengeka usiku.
- Musoro wezuva nezuva unopera (unopedza vhiki mbiri kupfuura mwedzi mumwe nomumwe). Inogona kubatanidzwa nekudya zvakanyanya kwea caffeine-ine zvinodhaka.
- Migraine. Inotanga sekurwisa, inogara kwenguva ye420 maawa. Kushandurwa kwemasimba kunowanzotangira nea aura (dambudziko rezvirwere zveeurologic). Kurwadziwa kwakanyanya kana kwakaoma kwekushaya unilateral kunogona kuendeswa neyeusaa. Kukanganisika kunogona kuitika kwezviratidzo mu chiedza chakajeka, ruzha uye zviito zvisinganzwisisiki.
Serious states
Nehupenyu hunoramba huripo hwemusoro, vanhu vanotanga kutora kuvapo kwehupi zvirwere zvakakomba, zvakadai sechirwere chepfungwa kana kuora ropa. Zvingaitika zviratidzo zvezviitiko izvi zvinogona kuva:
- kurutsa izvo hazvisi kubvisa musoro;
- neurological symptoms (kusanganisira kuora mwoyo).
Zvimwe zvinhu zvinofanira kutariswa zvinosanganisira:
- kugara mumusoro mumwana;
- kurwadziwa paunobata nzvimbo yemazuva, iyo inogona kuva chiratidzo chemashure arteritis (kuvhiringidza kwemuviri wekare). Ichi chirwere chinorapwa ne corticosteroids. Muzviitiko zvakawanda, vanhu vanogona kurarama nemusoro wepamusoro ivo pachavo. Vanoziva kuti chii chinokonzera icho uye chinofanira kuitwa kuti chidzivirire, uyewo vane mushonga unovabatsira, uye kazhinji hachitauri kuchiremba. Mishonga inonyanya kushandiswa ndeye acetylsalicylic acid, acetaminophen uye ibuprofen. Zvimwe zvinodhaka zvinodhaka zvine codeine zvinodhura uye, kana zvichishungurudzwa, zvinogona kukonzera kusingaperi kwemusoro wezuva nezuva. Kudzivirira kwemusoro kunosanganisira mararamiro ekururamisa:
- kudya kwekudya;
- kudya kwekudya;
- kurara kwakakwana nekumuka;
- kuderedza kunetseka.
Anesthetics
Musoro wemusoro haugone kupindura maanargics, akadai seacetaminophen, kunyanya mukuchinja kwehupenyu hwekutambudzika. Mumamiriro ezvinhu akadaro, chiremba anonyora: domperidone - kuderedza kushungurudza; Amitritiline inonzi antidipressant, inowanzoshandiswa kumusoro wemusoro wekutambudzika; sodium valproate - antiepileptic agent, iyo inoshandiswawo kuora mwoyo. Antimigraine zvinodhaka zvinosanganisira: ergotamine, 5HT receptor agonist, inokurudzirwa kuti ishandiswe kune varwere vane ischemic heart disease uye nehutachiona. Kuti uwane mushonga wemusoro wemusoro, ratidza: receptor agonists mune mavara e spray kana injection; muromo corticoids - zuva nezuva kudya kwevhiki mbiri kuchabatsira nebhudzi remusoro.
Mamwe marudzi ekurapa
Mishonga yemazuva ano, yakadai seansteopathy, acupuncture, aromatherapy, massage uye homeopathy, inozivikanwa kwazvo nevaya vanotambura nemusoro. Kana migraine kurwiswa kunobatanidzwa nekuenda kumwedzi (14% yevakadzi vanotambura nemigraine panguva yokuenda kumwedzi), hormone replacement therapy (HRT) inogona kukurudzirwa. Zvisinei, chirwere chinonzi hormone, kana chirongwa chekudzivirira pamuviri kana HRT, chinofanira kushandiswa nevaya vanotambura nemigraine, nokungwarira kukuru, nokuti vanowanzoshungurudzika, kunyanya kana pane chirwere ichi mumhuri. Ipa chero upi zvake hwehutano hwekutambura kwepfungwa dzisingagumi zvakaoma zvikuru. Chinhu chakanaka ndechekuti zviratidzo zvinenge nguva dzose dzinogona kutarisira kuva wakasviba, asi misoro inogona kuonekwa zvakare uye zvakare. Migraine inogona kutambudza munhu kwemakumi maviri kana kupfuura. Vakadzi vari pangozi yakakwirira yemusoro kune dzimwe nguva dzoupenyu, kunyanya munguva yekuyaruka, panguva yekuzvitakura uye pakupera kwemwedzi. Nenguva dzose kurwiswa kwemagraine, kusakwanira kugadzirisa kurapwa uye kukonzerwa nekurwadziwa pamararamiro emararamiro, zvinokwanisika kupa mishonga nguva inogara ichiita kuti kuderedza nguva yakawanda yekurwisa. Nechinangwa ichi, propranolol, atenolol uye pisotifen zvinoshandiswa. Inenge hafu yevarwere vanotora mishonga iyi vanoona kuchinja kukuru. Kuti kuderedza kuwanda kwezvibatanidza misoro kunobatsira calcium channel blocker verapamil.