Ua loaʻa anei iā ʻoe kahi ʻeha poʻo e like me ka pahū ʻana o kou poʻo, ʻeha wale nō ma kekahi ʻaoʻao? Ke manaʻo nei hoʻi ʻoe e luaʻi, ʻaʻole hiki ke nānā i ke kukui, a huhū ke lohe ʻoe i kahi leo? ʻO kēia ka mea a mākou e kapa nei he migraine. ʻAʻole kēia he ʻeha poʻo maʻamau. He ʻano kēia e pili ana i ka lolo. No kekahi poʻe, ʻaʻole hiki ke hoʻomanawanui i kēia ʻeha. ʻO ka mea wale nō a lākou e hana ai, ʻo ia ke noho i loko o kahi lumi pouli a mālie a kali i ka nalo ʻana o ka ʻeha. No laila, inā ʻoe e ʻeha nei i kēia, he mea nui loa iā ʻoe ke ʻike e pili ana i kahi ʻano lāʻau i kapa ʻia ʻo 'Triptans'.
He aha nā Triptans?
I ka ʻōlelo maʻalahi, ʻo nā 'Triptans' kahi ʻano lāʻau lapaʻau kūikawā i hāʻawi ʻia e mālama i nā migraines. ʻO kēia ka laina mua o ka lāʻau lapaʻau no nā migraines. ʻAʻole hiki i kēia mau lāʻau ke pale aku i ka migraines mai ka hanana ʻana (koe wale nō i kekahi mau hihia kūikawā), akā hiki iā lākou ke hoʻōki iā lākou ke hiki mai.
Ua ʻike ʻia kēia mau lāʻau lapaʻau, i kapa ʻia ʻo 'Triptans', i nā makahiki 1980 a ua hoʻololi i ka mālama ʻana i nā migraines. ʻO 'Sumatriptan' ka lāʻau lapaʻau mua i ʻāpono ʻia no kēia kumu. Ua hoʻolauna ʻia kekahi mau 'Triptan' ʻē aʻe ma hope.
ʻAʻole wale ka migraine he ʻeha poʻo, he maʻi koʻikoʻi ia e hiki ke hoʻopilikia i kou lā. Akā ʻo ka nūhou maikaʻi, loaʻa nā lāʻau lapaʻau kūpono e like me 'Triptans' i kēia lā.
Pehea e hana ai nā triptans?
I mea e hoʻomaopopo ai i kēia, pono mua kākou e nānā i ke ʻano o ko kākou ʻeha. ʻAʻole ʻeha pololei nā aʻalolo i loko o ko kākou kino. Akā, hoʻouna lākou i nā hōʻailona i ko kākou lolo e hōʻike ana he mea kekahi i loko o ke kino, e like me ka ʻeha a i ʻole ka maʻi. Hoʻololi ka lolo i kēlā mau hōʻailona i ka mea a kākou e kapa nei he "ʻeha."
ʻAʻole maopopo i nā kānaka ʻepekema pehea e loaʻa ai ka migraines, akā manaʻoʻiʻo lākou he ʻekolu mau kumu nui e kōkua i ia mea:
1. Hoʻāla ʻia ʻana o ka neuron: I ka wā o ka migraine, hoʻāla ʻia kekahi mau hunaola nerve (neurons) i loko o ka lolo ma ke ʻano kūpono ʻole. ʻO kēia ke kumu o ka ʻeha a me nā hōʻailona ʻē aʻe.
2. Nā loli o ke kahe koko: Ke loaʻa ka migraine, e haiki a hoʻonui ʻia nā kīʻaha koko i loko o ka lolo, kahi e hoʻololi ai i ke kahe koko.
3. Ka mumū: Manaʻo ʻia kekahi mau kemika mumū i loko o ka lolo e hoʻoulu ai i ka migraines.
I kēia manawa, e nānā kākou pehea e hoʻopili ai nā 'Triptans' i kēia mau kaʻina hana. Loaʻa i ko kākou lolo kahi 'Neurotransmitter' i kapa ʻia ʻo 'Serotonin', he ʻelele kemika e lawe ana i nā leka ma waena o nā aʻalolo. Hana like nā lāʻau lapaʻau 'Triptans' me kēia 'Serotonin'. Hoʻopaʻa lākou i ʻekolu ʻano 'receptor' kūikawā i loko o ka lolo. E noʻonoʻo i kēia mau 'receptors' e like me nā kī i kahi laka, a ʻo 'Triptans' e like me nā kī e kūpono iā lākou.
- Nā mea loaʻa 5HT1B: Hoʻomalu kēia i ka laulā o nā kīʻaha koko i loko o ka lolo. Hoʻāla nā Triptans i kēia mau mea loaʻa a kōkua i ka hoʻohaiki ʻana i nā kīʻaha koko i lilo i ākea pono ʻole i ka wā o ka migraine.
- Nā mea loaʻa 5HT1D a me 5HT1F: Hoʻemi kēia i ka hana o ka ʻōnaehana nerve e lawe ana i nā hōʻailona ʻeha i ka lolo. ʻO ia hoʻi, ke kāohi nei lākou i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
Penei ke ʻano o ka mālama ʻana o nā triptans i ka ʻeha migraine a me nā hōʻailona ʻē aʻe.
He aha nā ʻano triptans i loaʻa?
ʻEhiku ʻano triptans e hoʻohana ʻia nei i kēia manawa. Hoʻopau kēia mau lāʻau āpau i ka ʻāpana "-triptan" o ko lākou inoa, e maʻalahi ai ke ʻike. Na kāu kauka e hoʻoholo i ke ʻano o ka triptan i kūpono loa iā ʻoe.
| Ka inoa o ka lāʻau lapaʻau Triptan | Nā palapala i loaʻa |
|---|---|
| ʻO Almotriptan | Pila waha |
| ʻEletriptan | Pila waha |
| ʻO Frovatriptan | Pila waha |
| ʻO Naratriptan | Pila waha |
| ʻO Rizatriptan | Pila waha |
| Sumatriptan | Nā pila, ka pīpī ihu, ka inikini subcutaneous |
| Zolmitriptan | Nā pila a me ka pīpī ihu |
He aha nā pōmaikaʻi o nā triptans?
He waiwai nui nā Triptans no ka poʻe maʻi migraine no kekahi mau kumu.
- Nā hopena ʻaoʻao emi: Ke hoʻohālikelike ʻia me nā lāʻau migraine ma mua, ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao o Triptans, a ʻaʻole lākou i koʻikoʻi.
- ʻAʻole hoʻopilikia: Hiki i nā kānaka ke lilo i mea hoʻopilikia i nā lāʻau ʻeha, ʻoiai nā opioids. Eia nō naʻe, ʻaʻole hoʻopilikia nā triptans.
- Palekana: Ma keʻano laulā, he papa lāʻau palekana loa nā Triptans.
- Loaʻa i nā ʻano like ʻole: E like me kāu e ʻike ai, loaʻa kēia lāʻau lapaʻau ʻaʻole wale ma ke ʻano he pila, akā, he ʻano pīpī ihu a he ʻano inikini hoʻi. Hiki ke hoʻohana ʻia kahi pīpī a i ʻole kahi inikini no kekahi mea paʻakikī i ka ale ʻana i nā pila a i ʻole ka luaʻi.
Nā hopena ʻaoʻao a me nā mea e pono ai e ʻike e pili ana i nā triptans
E like me nā lāʻau lapaʻau āpau, hiki i nā Triptans ke hana i kekahi mau hopena ʻaoʻao liʻiliʻi. Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau, a inā loaʻa, ʻaʻole lākou he mea koʻikoʻi.
- Pōʻino
- Hiamoe a luhi paha
- Ka holoi ʻana
- Ka luaʻi
- ʻEha ʻāʻī
- Ka hou ʻana
- Ka mae ʻana o nā lālā
- Manaʻo nāwaliwali
- I ka liʻiliʻi loa, hiki paha iā ʻoe ke ʻeha a ʻeha paha ka umauma.
ʻO ka mea nui loa, ʻo ia ke pale ʻana i ka hoʻohana pinepine ʻana i ka lāʻau lapaʻau. Inā ʻoe e hoʻohana i nā triptans he nui aʻe ma mua o ka mea a kāu kauka e ʻōlelo ai iā ʻoe, hiki iā lākou ke lilo i mea emi ka hopena a hoʻonui i nā poʻo ʻeha. Ua kapa ʻia kēia he poʻo ʻeha ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau.
ʻO wai ka mea pono ʻole e lawe i nā triptans?
ʻAʻole kūpono nā Triptans no nā poʻe me kekahi mau kūlana olakino.
- Maʻi puʻuwai a i ʻole nā pilikia o ka ʻōnaehana kahe koko: Inā ua loaʻa iā ʻoe a i ʻole he pilikia paha no ka maʻi puʻuwai, ke koko kiʻekiʻe i hoʻomalu ʻole ʻia (unmanaged hypertension), ka hahau ʻana, a i ʻole ka hoʻouka kaua ischemic transient (TIA), ʻaʻole paha e ʻōlelo aku kāu kauka i kēia lāʻau lapaʻau.
- Nā pilikia me nā lāʻau lapaʻau ʻē aʻe (Nā pilina lāʻau):Hiki i nā Triptans ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, ʻoiai nā mea i loaʻa ka ergotamine, i hoʻohana ʻia e mālama i nā migraines. No laila e hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, ʻoiai nā huaora .**
- Nā makuahine hāpai a hānai waiū paha: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a hānai waiū paha, pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā triptans.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ke hoʻopilikia nei nā hopena ʻaoʻao o nā triptans i kāu mau hana o kēlā me kēia lā, a inā manaʻo ʻoe ʻaʻole e hana maikaʻi ana kāu lāʻau lapaʻau e like me ka wā ma mua, e kamaʻilio me kāu kauka.
I ka manawa hea e ʻimi ai i ke kōkua lapaʻau pilikia:
ʻAʻole pinepine nā Triptans i nā hopena ʻino koʻikoʻi. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona e like me ka hōʻeha puʻuwai a i ʻole ka hahau ʻana, e hele koke i ka keʻena pilikia o ka haukapila (ETU).
- ʻEha nui o ka umauma a i ʻole ka ʻūmiʻi
- Puʻuwai puʻuwai kūpono ʻole (wikiwiki, lohi)
- Paʻakikī ka hanu ʻana
- Ka maneʻo, nāwaliwali, a i ʻole ka lolo ma kekahi ʻaoʻao o ke kino.
Hiki i kekahi poʻe me ka migraines ke ʻike i nā hōʻailona like me ka hahau. Eia nō naʻe, ʻaʻole hiki iā mākou ke hoʻoholo ma ka home inā he hōʻailona migraine a he hahau paha. No laila , inā kānalua, ʻo ka mea palekana loa e hana ai, ʻo ia ke ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi loa nā Triptans hiki ke hoʻōki i ka migraine ke hana ʻia.
- ʻAʻole pale kēia lāʻau lapaʻau i ka migraines, hoʻomalu wale ia i ka ʻeha a me nā hōʻailona ʻē aʻe ke loaʻa lākou.
- Na kāu kauka e hoʻoholo i ke ʻano a me ka nui o ka triptan i kūpono iā ʻoe. Mai hoʻohana i nā lāʻau lapaʻau a haʻi.
- Mai lawe i nā lāʻau lapaʻau ma mua o ke kauoha a kāu kauka. ʻO ka hana ʻana pēlā e hoʻonui ai i kou ʻeha poʻo.
- Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi puʻuwai a i ʻole ke koko kiʻekiʻe, e hoʻomaopopo pono i kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka nalowale o ka ʻike ma kekahi ʻaoʻao o ke kino, e hele koke i kahi Keʻena Pilikia (ETU).
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