Kua hoha koe ki ngā mate pōuri? Me kōrero tātou mō ngā Triptan!

He mate pōuri e ahua ana ka pahū tō mahunga, ka puta mai ngā rama ki mua i ō kanohi, ā, e ahua ana koe me te mea ka ruaki koe... Kua mōhio koe ki tēnei wheako? I ētahi wā me noho koe i roto i tētahi rūma pōuri, marino mō te rā katoa, tika? Ehara te mate pōuri i te mate pōuri anake, engari ko te tangata anake e pāngia ana e taua mate e mōhio ana. Nō reira, i tēnei rā ka kōrero tātou mō tētahi momo rongoā tino nui e whakamahia ana hei rongoā i ngā mate pōuri. Ko ngā Triptan tēnā.

He aha ngā Triptan?

He māmā noa iho, he momo rongoā ngā Triptan e hoatu ana hei whakamutu i te whakaekenga o te migraine ina tīmata . E kiia ana koinei te rongoā tuatahi mō ngā migraine. I te nuinga o te wā, kāore ēnei rongoā e ārai i te whakaekenga o te migraine, engari ka taea e rātou te āwhina ki te whakahaere i te mamae me ētahi atu tohu ina tīmata .

Ehara i te mea he ānini noa te migraine. He mate pūnaha io e pā ana ki te roro. Koia te take, i tua atu i te ānini, kei reira anō ngā āhuatanga pēnei i te panoni tirohanga, te kite i ngā mārama i mua i ō tātou kanohi (aura), te whakapairuaki, te ruaki, me te aro ki te mārama me te tangi. Mō ētahi, he tino kino ēnei tohu, kāore e taea e rātou te mahi i tetahi mea engari ko te takoto noa i te wāhi pōuri, marino kia mutu rā anō te migraine.

Nā ngā triptan i kitea i te tekau tau atu i 1980, i huri te rongoā mō ngā migraines. Ko te triptan tuatahi, ko '(Sumatriptan),' i whakaurua mai i te tekau tau atu i 1990. He maha atu anō ngā triptan i whakaurua mai i muri mai.

He aha ngā momo triptan e wātea ana?

E whitu ngā momo triptan i tēnei wā. He rongoā ēnei mō ngā migraines katoa, engari kua whakaaetia ētahi mō ngā momo migraines motuhake, ā, mō te whakamahi hoki i roto i ngā tamariki me ngā taiohi. Ko te huarahi māmā ki te tautuhi i ēnei rongoā ko te rapu i te kupu whakamutunga "-triptan" i roto i ō rātou ingoa.

Kei te ripanga i raro nei ngā momo triptan me te huarahi e taea ai te tiki.

He pēhea te mahi a ēnei rongoā e kiia nei ko ngā Triptan?

Hei mārama ki te mahi a tēnei rongoā, me mārama tātou ki te āhua o te mamae me te putanga mai o te migraines.

Kia titiro tātou ki te āhua o te mamae e pā ana ki a tātou.

Whakaarohia kua pā tō matihao ki tētahi wāhi. Kāore te matihao e tino rongo i te mamae. Ka tukuna e ngā io o te matihao he tohu ki te roro e mea ana, "Kei te whara tetahi mea i konei." Ka whakamaoritia e te roro taua tohu hei "mamae" ka meinga koe kia rongo.

Kāore he pito io e rongo ana i te mamae i roto i ō tātou roro, koia te take kāore anō kia tino mārama ngā kaipūtaiao ki te puta o te migraines. Engari kua kitea e rātou ētahi tikanga e whai wāhi ana ki tēnei.

Ko te kōrero i muri i ngā migraines

E whakaponohia ana e toru ngā āhuatanga matua e whai wāhi ana ki te puta mai o te migraines:

1. Te whakahohenga o ngā io: He mea hanga ō tātou roro, tō tātou taurakira, me ō tātou io i ngā pūtau e kiia nei ko ngā io. Ina puta he migraine, ka mura ētahi io i roto i te roro i tētahi ara motuhake. Ko tēnei whakahohenga o te roro te mea e meinga ai tātou kia rongo i te mamae me ētahi atu tohu o te migraine.

2. Ngā panonitanga o te rere o te toto: I te wā e pāngia ana e te migraine, ka whakawhāiti, ka whānui hoki ngā oko toto i roto i te roro. Ka huri tēnei i te rere o te toto. Nā te mea ka pāngia ēnei oko toto e ngā triptan, e whakaarohia ana hoki koinei tētahi o ngā take o te migraine.

3. Mumura:He tukanga te mumura e whakamahia ana e te tinana hei tiaki me te whakaora i a ia anō. Kua kitea hoki ka tukuna ngā matū e puta ai te mumura i te wā o te migraines.

He aha te pānga o ngā triptan ki tēnei tukanga?

Nā, kia tirohia me pēhea te wawao a ngā Triptan ki tēnei. Ka honoa ngā pūtau o tō tātou pūnaha io tetahi ki tetahi mā roto i ngā matū e kiia nei ko ngā neurotransmitters. He rite ēnei ki ngā kī. He wāhanga kei ngā pūtau io e kiia nei ko ngā kaiwhakawhiwhi. He rite ēnei ki ngā kī. Ina hono te kī matau (neurotransmitter) ki te kī matau (kaiwhiwhi), ka whakahohe te pūtau.

Ka mahi ngā triptan mā te whai i te neurotransmitter serotonin i roto i te roro. Ko te tikanga o tēnei ka herea ēnei rongoā ki ngā kaiwhakawhiwhi mō te serotonin, ā, ka whakahohehia hoki. E toru ngā momo kaiwhakawhiwhi e pā ana ki ēnei:

• Ngā kaiwhakawhiwhi 5HT1B: Kei roto i ngā oko toto o te roro ēnei. Ina whakahohehia ēnei kaiwhakawhiwhi e ngā triptan, ka whakawhāitihia ngā oko toto kua whānui rawa nā te migraines. Ka whakaitihia te mamae.
• Ngā kaiwhakawhiwhi 5HT1D: Kei roto i te pūnaha io "Trigeminal" ēnei, e whai wāhi ana ki te kite i te mamae. Ina whakahohehia ēnei e ngā triptan, ka aukati i te tukunga o ngā matū e puta ai te mamae.
• Ngā kaiwhakawhiwhi 5HT1F: Ka āwhina hoki ēnei ki te whakawhāiti i te tuku tohu mamae ki te roro.

He aha ngā painga o te whakamahi i ngā Triptan?

He maha ngā painga o ngā triptan ki te whakaritea ki ngā rongoā mō te migraine o mua.

• He iti ake ngā pānga taha: He iti ake ngā pānga taha o ngā Triptan i ngā rongoā tawhito, ā, kāore i te tino kino.
• Kāore e whakawara: Ka taea e ētahi rongoā whakamamae mamae mō te migraines, inā koa ngā opioids, te whakawara. Heoi, kāore ngā triptans e whakawara.
• Tino haumaru: Ko ngā triptan he momo rongoā tino haumaru. He tino haumaru ngā rongoā pēnei i te `(Sumatriptan)`, ā, i ētahi whenua ka taea te hoko mai i te toa rongoā me te kore he whakahaunga a te tākuta.
• E wātea ana i roto i ngā āhua rerekē: E ai ki tā tātou i kite ai i te ripanga o mua, ka taea te tiki i ēnei i roto i ngā āhua rerekē pērā i ngā pire, ngā rehu ihu, me ngā werohanga. He māmā ake te rehu ihu mō te tangata e uaua ana ki te horomi i te pire, e ruaki ana rānei.

He aha ngā ngoikoretanga, ngā pānga taha, me ngā raruraru?

Pērā i ngā rongoā katoa, he pānga taha anō ō ngā Triptan, ā, me mōhio koe ki ēnei.

Ngā huakore o ngā Triptans

Ko te ngoikoretanga matua, kāore e ārai i te migraines . Ka whakamahia hei rongoā whakaora hei "whakamutu" i te migraine i muri i tōna tīmatanga. Heoi, kotahi te take motuhake, ko te migraine o te wā paheketanga. Ka taea e ētahi triptan te āwhina ki te ārai i te migraines mēnā ka tangohia i te rua rā i mua i tō paheketanga. Ma tō tākuta koe e tohutohu mō tēnei.

Ko tētahi atu mea, kāore i te pai te whakamahi nui rawa . Me nui ake i te kotahi te horopeta o te rongoā mō ētahi tāngata hei whakaiti i te migraines. Heoi, ki te maha rawa ngā wā ka tangohia e koe ngā Triptans, ka heke pea tōna whai huatanga. Ehara i te mea koinā anake, engari ka pāngia koe e te "mamae upoko i te nui rawa o te whakamahinga rongoā" nā te nui rawa o te whakamahinga o te rongoā. Nō reira, he mea tino nui kia whakamahia noa ēnei i roto i te horopeta me te auau kua tohua, e ai ki te tākuta .

Ngā pānga taha noa

Ahakoa kāore e pāngia te katoa e ēnei pānga taha ina tango ana i ngā triptan, ka pāngia pea ētahi tāngata e ēnei pānga.

Āhea koe e kore ai e tango i ngā triptans?

Kāore e tika ana ngā triptan mō te hunga whai mate hauora (he ārai tēnei).

• Ngā taunekeneke ki ētahi atu rongoā: Mena kei te tango koe i ētahi atu rongoā kei roto ko te "Ergotamine" mō ngā migraines, mō ētahi atu mate rānei, ka taunekeneke pea ēnei ki ngā Triptans. Nō reira, he mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe .
• Ngā mate ngakau, ngā raruraru tohanga toto rānei: Kāore e pai ngā Triptan mēnā he mate ngakau tōu, he toto toto tiketike kāore i te whakahaeretia (te toto toto tiketike), he mate uaua ā-roto rānei. Kāore hoki ngā tākuta e taunaki i ēnei rongoā mēnā kua pāngia koe e ngā mate manawa o te ngakau, ngā whakaeke ngakau, ngā whiu, ngā TIA rānei.
• Te haputanga me te whāngai ū: Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai ū rānei, me kōrero koe ki tō tākuta mō te whakamahi i ngā triptan.

Āhea koe me rapu tohutohu hauora?

Āhea te waea atu ki te tākuta

Mena ka pāngia koe e ngā pānga kino o ngā triptan, ki te whakararuraru i ō mahi o ia rā, ki te whakaaro rānei koe kāore e mahi ana tētahi rongoā kua roa e tangohia ana e koe, kōrero ki tō tākuta. Tērā pea ka taea e ia te hoatu ki a koe tētahi atu triptan, tētahi atu maimoatanga rānei.

Ngā āhuatanga e hiahia ana kia rongoatia tonutia

He tino onge (iti iho i te 1%) ngā pānga kino kino o ngā triptan, engari ki te pāngia koe e tētahi o ngā tohu e whai ake nei o te mate ngakau, te whiu rānei, me haere tonu koe ki te tari ohorere o te hōhipera (ETU) .

Ngā tohu e pā ana ki te mate ngakau:

• Te mamae o te uma, te kore whakamarie rānei
• Te tere o te manawa (Tachycardia) te puhoi rānei o te manawa (Bradycardia)
• Te uaua ki te manawa (Dyspnea)

Ngā tohu e pā ana ki te whiu:

Ko tētahi o ngā tohu matua o te whiu ko te pararutiki, te ngoikore, te ngoikore rānei i te taha kotahi o te tinana (hemiplegia). Ka puta anō hoki ēnei tohu i roto i ētahi take kino o te migraine.

Mena kāore anō kia pāngia koe e te migraine i mua, ā, ka pāngia koe e te mamae nui o te upoko me ngā tohu pēnei i te whiu, whakaarohia he āhuatanga ohorere tēnei.

Ko tēhea Triptan te mea pai mōku?

He pātai tēnei e pātaihia ana e te tini tāngata. Kāore he mea e kiia nei ko te "triptan pai rawa atu." Ko te rongoā e tino pai ana mō tētahi tangata, kāore pea e tino pai mō tētahi atu. Mā tō tākuta e whakatau ko tēhea triptan te mea pai mōu me pēhea te tango (pire, rehu rānei) i runga i ngā āhuatanga maha, tae atu ki te āhua o ō migraines, ō mate hauora kē atu, me ētahi atu rongoā e tangohia ana e koe .

I mua i te kitenga o ngā triptan, he tino uaua te oranga o te hunga e pāngia ana e te migraine. I ēnei rā, nā ēnei rongoā, miriona tāngata kua kore e mamae i te migraine, ā, ka taea e rātou te noho noa i te oranga. Ki te pāngia koe e te migraine, kaua e manawanui noa ki te mamae. Kōrero ki tō tākuta, tirohia mēnā ka taea e ngā triptan te āwhina i a koe. Ka taea e ēnei rongoā te āwhina i a koe ki te noho noa i tō rā, kaua e noho pararutiki i te migraine.