Lu na hi mi tam takin kan neih ve fo thin a ni. A châng chuan lu na tê tê kan neih chuan damdawi dawrah kalin painkiller kan lei ṭhin. Mahse, lu natna damdawi chi hrang hrang hman a awm tih i hria em, a hman dik loh chuan harsatna a zual thei tih i hria em? Okay, chuvangin vawiinah hian heng lu natna damdawi chungchanga hriat tur zawng zawng kan sawi dawn a ni.
Lu natna damdawi chi hrang hrang
A awlsam zawngin sawi ila, doctor-te’n lu natna damdawi an pekte hi chi thum-ah then theih a ni. Type tin hi thil chi hrang hrang atan hman a ni.
- Symptomatic relief: Hei hi damdawi chi khat, lu na kan neih huna kan hriat vek leh kan ei thin chu a ni. Heng damdawi te hian lu natna, luak chhuak , leh luak chhuak ang chi symptoms te chu a control thei a ni.
- Abortive therapy: Hengte hi a danglam deuh deuh. Especially in severe headaches like migraines , heng damdawi te hian lu natna hnuaia awm chu a lo intan veleh a titawp nghal a ni. Hetiang hian lu na hi a na zual lovin a thunun theih a ni.
- Preventive therapy: Hei hi damdawi chi khat, lu na fo, nitin pawh ni thei, an natna tihziaawmna leh a nasatzia tihziaawmna tura nitin pek thin a ni.
I doctor chuan eng damdawi nge i tana tha tur tih a rel tur a ni tih hre reng ang che. Chuvangin damdawi dawrah nangmah chauhin damdawi lei loh tur a ni.
Damdawi i ei tam lutuk chuan eng nge thleng ang? – “Rebound” tih lu na
Hei hi mi tam takin an hriat loh thil a ni a, mahse a pawimawh em em a ni. Painkiller i ei fo, chu chu kar khatah ni hnih aia tam i ei chuan, a tih theih chu i lu natna a tizual sauh sauh a ni . Hei hi kan ti a"Medication-Overuse Headache emaw Rebound Headache emaw" tih a ni.
Ngaihtuah teh, painkiller i ei fo hian i thluak peng hrang hrang, natna controltu te chu an lo thiam tawh thin. Hun engemaw chen hnuah chuan damdawi chu a chhe zel a, chu hmunte chuan control an hloh a, natna signal an pe leh ta a ni. Chuvangin damdawi chu i ei tam a ngai a, cycle ang maiin a chhunzawm zel bawk.
Hetiang natna thlen thei damdawi te:
- Damdawi chi hrang hrang ` aspirin` , `acetaminophen` (paracetamol), leh ` Ibuprofen` te hi damdawi dawr a\angin prescription tel lova lei theih a ni.
- Caffeine awmna natna tidamtu .
- Damdawi chak tak tak, `triptans`, `narcotics`, leh `barbiturates` te doctor-in a pek te.
Lu na damdawi i ei fo a ngai bawk a nih chuan he thu hi i doctor nen inbia ngei ang che.
Lu natna venna atana hmanraw tangkai tak tak
Damdawi bakah hian lu natna thunun nan thil tam tak tih theih a awm. Eng nge an nih i han thlir teh ang.
| Instruction category ah hian a awm | Thil tih tur |
|---|---|
| Damdawi hman dan chungchang | – Painkiller hman hi kar khatah ni hnih chauh tihkhawtlai. – Lu na tan veleh damdawi ei tur a ni. – Doctor-in damdawi a pek ang ngeiin ei tur a ni. – Doctor hnenah hun ruat saah kal ngei ngei tur a ni. |
| Lu natna chungchanga hriatna | – I lu natna awm dan leh a chhan hriat theih nan “Headache Diary” ziak la. – I lu natna chi hrang hrang leh a enkawl dan tur chu i chhungte hnenah hrilh rawh. |
| Nunphung a inthlak danglam thin | – Chaw ei hi skip suh, a bik takin chawhmeh ei hi skip suh. – Nitin darkar 7 tal mut tha tur. – Ni khatah minute 30 tal exercise la. – Ni khatah tui glass 6-8 tal in thin tur a ni. – Lu natna tipung thei ei tur (nitrates nei sausage leh ham, leh tyramine awmna cheese upa tawh ang chi) te hriatchhuah leh pumpelh. |
| In lama i tih theih thilte | – Lu na i neih chuan pindan lum, thim, reh takah chawlh hahdam rawh. – I lu-ah cold compress hnawih la. – Relaxation strategy hrang hrang practice. |
Lu natna damdawi chipchiar takin
1. Symptomatic Relief
Heng chi hrang hrangte hi damdawi dawr atanga kan lei theih tlangpui (Over-the-Counter – OTC) te an ni.
| Generic Hming a ni | Market hming (e.g. Brand Names) 1.1. | Point pawimawh tak tak |
|---|---|---|
| Aspirin a ni | Bayer®, Bufferin® tih a ni | Pum natna leh gastritis a thlen thei. Naupang kum 14 hnuai lam hnena pek loh tur. Reye’s syndrome tih hming pu dinhmun hlauhawm tak a thlen thei. |
| Acetaminophen (Paracetamol) hmanga siam a ni. | Tylenol®, Panadol® tih a ni | Dose rawt aia tam ei chuan liver a tichhia thei. |
| Ibuprofen (NSAID) hman a ni. | Advil®, Motrin®, Brufen® te pawh a awm bawk | Pum natna leh gastritis a thlen thei. Chaw ei zawha ei a tha ber. |
| Naproxen sodium (NSAID) hmanga siam a ni. | Aleve®, Naprosyn® tih a ni | Ibuprofen hian hetiang bawk hian side effect a nei thei bawk. |
2. Nau pai tihtlem (Abortive Therapy) a ni
Hengte hi doctor-in migraine damdawi a pek a ni ber. Lu na tan veleh ei nghal tur a ni.
- Triptans: (e.g. Sumatriptan, Rizatriptan) Hengte hian thluaka thisen kalna kawng hrang hranga migraine a lo awm tan tirh atanga lo awm thin te chu a control a, natna a tiziaawm thin. Hengte hi thinlung natna emaw thisen sang emaw ang chi natna nei tan chuan a tha lo .
- Ergots: (e.g. Dihydroergotamine) Hengte hian a chunga damdawi te nen hian hna an thawk dun a, mahse side effect tam zawk an nei thei .
3. Hriselna atana invenna Therapy
Heng damdawi chi hrang hrang, lu na fo thinte hian nitin an ei thin a, chu chu an ven nan a ni. Chûng zînga tam tak chu a takah chuan natna dang (e.g., thisen sang , epilepsy ) tâna siam damdawi ni mah se, lu natna venna kawngah a ṭha hle tih hmuhchhuah a ni.
- Beta-blockers: (e.g. Propranolol) – Thisen sang enkawlna atana hman thin damdawi chi khat.
- Antidepressants: (e.g. Amitriptyline) – Depression damdawi chi khat, lungngaihna atana hman thin.
- Anticonvulsants: (e.g. Topiramate, Sodium Valproate) – Epilepsy natna damdawi chi khat.
- Botulinum toxin (Botox®) injection: Chronic migraine tan thla thum danah vawi khat vel pek thin injection chi khat.
- CGRP Antagonists: (e.g. Erenumab) – Hengte hi damdawi chi thar zawk, migraine venna atana siam bik a ni.
Heng damdawi te hian a nghawng kimchang hriat theih nan kar tlemte emaw thla khat emaw thla hnih emaw a ngai thei. Chuvang chuan dawhthei taka awm a, doctor-in a sawi ang chiaha damdawi hman a pawimawh.
Doctor hmuh nghal hun tur
Lu na hi a tam viau nachungin, a chang chuan natna khirh tak chhinchhiahna a ni thei. Heng a hnuaia symptoms te hi i neih chuan doctor pan nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- If you think , "Hei hi hun rei tak chhunga ka lu na ber a ni."
- Lu natna hi mit hmuh lohna, hriatna hloh, emaw, luak chhuak emaw nen a inzawm a nih chuan.
- Lu natna hi darkar 72 aia rei a nih chuan (a inkarah darkar 4 aia tam natna awm lohna hun a awm loh chuan).
- Lu natna ruala khawsik leh kawr khauh tak i neih chuan.
- Lu na hi lu hliam hnua tan a nih chuan.
- Thil pakhat chu i tan “dik lo” emaw, thil mak emaw i tih chuan.
Take-Home Thuchah a ni
- Lu na damdawi chi thum a awm a, chungte chu natna tidamtu, lu na tihdamna leh lu natna venna te an ni. Lu na apiang atan an thawk vek lo.
- Kar khata ni hnih aia tam painkiller hman hian lu na a tizual thei a ni. Hei hi “rebound headache” kan ti a.
- I lu natna damdawi leh a zat tur dik tak chu i doctor chuan a ruat tur a ni. Chuvangin damdawi dawr atangin nangmah chauhin damdawi lei suh.
- Damdawi chauh ni lovin, tui tam tak in te, a hun taka ei te, exercise lak te, mut tam te pawh hi lu natna control nan a pawimawh hle.
- I lu na ber ang chi symptom hlauhawm tak tak i neih chuan hun khawhral suh la, doctor hmu la, emergency room-ah kal nghal rawh.
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