Kodi mukumwa mankhwala nthawi zonse ochizira mutu? Ndiye phunzirani za mutu watsopanowu! (Kubwereza Mutu / Kugwiritsa Ntchito Mankhwala Mopitirira Muyeso Mutu)

Kodi nthawi zambiri mumakhala ndi mutu wopweteka? Ndizachilendo kuti timwe mankhwala kapena mankhwala ochepetsa ululu poyembekezera kuchira msanga nthawi ngati zimenezi. Koma, kodi mumadziwa kuti nthawi zina, kugwiritsa ntchito mankhwala ochepetsa ululu mobwerezabwereza komanso mopitirira muyeso kungapangitse mutu kukhala wopweteka kwambiri ndikuyamba mtundu wina wa mutu? Ndicho chifukwa chake madokotala amati 'Medication Overuse Headaches'. Koma m'mawu wamba, izi zimadziwika kuti 'Rebound Headaches'. Tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi 'Rebound Headaches' ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, 'Rebound Headaches' ndi mtundu wa mutu womwe ungachitike mukamwa mankhwala ochulukirapo a mutu wanu. Izi nthawi zambiri zimakhala vuto lachiwiri. Izi zikutanthauza kuti ngati muli kale ndi mtundu wina wa mutu, monga cluster headaches, mutha kukhala ndi 'Rebound Headaches' chifukwa chomwa mankhwala a mutuwo pafupipafupi. Vutoli limapezeka makamaka kwa anthu omwe ali ndi mutu waching'alang'ala.

Izi zimatchedwa 'Rebound' chifukwa cha momwe zimachitikira. Taganizirani izi motere: mukatenga mankhwala opweteka mutu, ululu umachepa ndipo mumamva mpumulo. Koma, pamene mankhwalawo akutha, ululuwo "umabwereranso". Nthawi zambiri , ululuwo umakhala woipa komanso woopsa kuposa kale. Ndicho chifukwa chake umatchedwa 'Rebound Headache.'

Matendawa angayambitsidwe ndi mankhwala aliwonse omwe amaperekedwa kwa mutu waching'alang'ala. Izi zikutanthauza kuti izi zitha kuchitika osati ndi mankhwala olembedwa ndi dokotala okha, komanso ndi mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa chipatala. Komabe, mankhwala ena, makamaka omwe ali ndi mankhwala olamulidwa "Opioids" ndi "Barbiturates", ndi omwe angayambitse "Rebound Headaches" awa.

Kodi 'mutu wobwerera m'mbuyo' uwu ndi wofala bwanji?

Mutu wobwerera m'mbuyo siwofala kwambiri, koma umapezekanso mwa anthu padziko lonse lapansi. Akatswiri akuti pafupifupi 1% ya anthu padziko lonse lapansi ali ndi vutoli. Malipoti ena amayambira pa 0.5% mpaka 2.6%. Vutoli limapezeka kwambiri mwa akazi.

Kodi zizindikiro za 'Rebound Headaches' ndi ziti?

Mutu wobwerera m'mbuyo ndi vuto lofala lomwe limapezeka mwa anthu omwe ali ndi mutu waching'alang'ala kapena mutu wofanana ndi wa kupsinjika maganizo. Zizindikiro za mutu wobwerera m'mbuyowu zimachitika limodzi ndi zizindikiro za mutu womwe munali nawo kale. Izi zikuphatikizapo:

• Mutu waukulu.
• Kumva nseru.
• Kutopa, kutopa.
• Kuvuta kuyang'ana kwambiri pa chinthu china.
• Mavuto okumbukira.
• Kuvutika maganizo, nkhawa, kapena mantha.

Palinso chitsanzo cha mutu uwu:

• Ululu uwu umabwera mukadzuka m'mawa kapena nthawi yochepa mutadzuka.
• Ndikamwa mankhwala, amachepa kwa kanthawi, koma mankhwalawo akatha, ululu umabwereranso.
• Ululu womwe umabwereranso mankhwala akatha ukhoza kukhala woipa kwambiri kuposa kale.
• Izi zikachitika, palibe mankhwala omwe mungamwe omwe angathandize kwambiri.

Tangoganizirani, Kamala nthawi zonse amadwala mutu waching'alang'ala. M'mawa uliwonse akadzuka, mutu wake umamva wolemera komanso wopweteka. Akamwa mankhwala, umachepa kwa kanthawi, koma mankhwalawo akatha, ululu umabwereranso mwamphamvu kuposa kale. Kamala akhoza kukhala ndi vuto lotchedwa 'Rebound Headache'.

N’chifukwa chiyani ‘mutu wobwerera m’mbuyo’ umachitika? Kodi zimayambitsa chiyani?

'Kupweteka mutu kobwerezabwereza' kumachitika mukamagwiritsa ntchito mankhwala ochulukirapo pa mutu wanu, nthawi zambiri mopitirira muyeso. Ngakhale kuti mankhwala aliwonse a mutu angayambitse vutoli, mankhwala ena amatha kuyambitsa vutoli mwachangu.

Izi ndi mitundu ya mankhwala omwe angayambitse 'mutu wobwerera m'mbuyo':

• `(Opioids)` (Opioids) ndi mankhwala osakaniza okhala ndi opioids.
• Mankhwala osakaniza okhala ndi `(Barbiturate)`.
• Ergotamine ndi mankhwala osakaniza okhala ndi ergotamine.
• Mankhwala ophatikizana a Acetaminophen-aspirin-caffeine.
• Triptans ndi gulu la mankhwala osokoneza bongo.
• Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs). Zitsanzo: ibuprofen, diclofenac.
• Acetaminophen (yomwe imadziwika ndi mayina amakampani monga Panadol®).
• `(Otsutsana ndi peptide yokhudzana ndi majini a Calcitonin (CGRP)` (Otsutsana ndi peptide yokhudzana ndi majini a Calcitonin).

Kuti muyambe kudwala mutu wobwerera m'mbuyo, muyenera kuti mwagwiritsa ntchito mankhwalawa kwa masiku osachepera pamwezi. Chiwerengero cha masiku chimasiyana malinga ndi mankhwala.

Kusintha kwa ulamuliro wa zizindikiro za ululu (Kuyika pakati pa ululu)

Ngakhale izi zingamveke zovuta, akatswiri amakhulupirira kuti yankho losavuta ndilakuti momwe matupi athu amaonera ululu, momwe zizindikiro za ululu zimafalikira, zimasintha. Tikakhala ndi ululu wosatha, momwe matupi athu amagwirira ntchito zizindikiro za ululu zimasintha. Izi zimapangitsa kuti zizindikiro za ululu zichitike mosavuta, kapena momwe timamvera ululu umasintha (umamveka kwambiri kuposa kale, kapena zinthu zomwe sizinapwetekepo kale).

Komanso, mukamwa mankhwala ochepetsa ululu nthawi zonse, momwe thupi lanu limachitira zizindikiro za ululu zimasintha. Chifukwa chake mutha kukhala ndi vuto lolekerera mankhwalawo ndikufunika mlingo wokwera. Kapena mitsempha yanu ingasinthe momwe imachitira zizindikiro za ululu. Kafukufuku wowonjezereka amafunika kuti adziwe ngati zinthuzi zimathandizira kubwereranso kwa mutu.

Ndani ali pachiwopsezo chachikulu cha 'kupweteka mutu'?

Kupweteka mutu kobwerezabwereza kumachitika kwambiri mwa akazi, makamaka azaka zapakati pa 30 ndi 50. Enanso ali pachiwopsezo chachikulu:

• Anthu omwe ali ndi `(Metabolic syndrome)`.
• Anthu omwe amadya mamiligalamu oposa 200 a caffeine patsiku.
• Anthu omwe ali ndi mavuto amisala, makamaka kuvutika maganizo, nkhawa, mantha, komanso matenda ovutika maganizo pambuyo pa zoopsa (PTSD).
• Anthu omwe ali ndi vuto la kugwiritsa ntchito fodya (vuto la kugwiritsa ntchito fodya).
• Anthu omwe ali ndi mbiri ya m'banja lawo ya 'Rebound Headaches' kapena vuto la kugwiritsa ntchito mankhwala osokoneza bongo/vuto la kugwiritsa ntchito mowa.

Kodi mavuto a vutoli ndi otani?

Pali mavuto angapo omwe angachitike chifukwa cha 'mutu wobwerera m'mbuyo':

• Kukhala mutu waching'alang'ala nthawi zonse.
• Kudalira mankhwala, makamaka zinthu zomwe zimalamulidwa.
• Kumwa mankhwala ochulukirapo kungayambitse poizoni kapena kupitirira muyeso.
• Mavuto omwe amayamba chifukwa cha mankhwala osapweteka m'mimba, mwachitsanzo, zilonda zam'mimba komanso kutuluka magazi m'mimba.
• Zizindikiro za 'Rebound Headache' zimakhala zofala kapena zowopsa.

Kodi mungazindikire bwanji 'mutu wobwerera m'mbuyo'?

Dokotala amatha kuzindikira 'Rebound Headaches' malinga ndi miyezo ya International Classification of Headache Disorders. Izi ndi izi:

• Kukhala ndi mutu kwa masiku osachepera 15 pamwezi, poyerekeza ndi mutu womwe ulipo kale.
• Kumwa mankhwala nthawi zonse pochiza mutu kwa miyezi itatu kapena kuposerapo.
• Mutu uwu sukugwirizana kwenikweni ndi matenda ena aliwonse kapena chifukwa chake.

Pakadali pano palibe mayeso enieni omwe angathandize kuzindikira 'mutu wobwerera m'mbuyo'.

Kodi mungachiritse bwanji mutu wobwerera m'mbuyo? Kodi pali mankhwala ochiritsira matendawa?

Mutu wobwerera m'mbuyo ndi vuto lochiritsika kwambiri. Ngakhale kuti palibe "mankhwala" enieni a matendawa, chithandizo chingathandize kuwathetsa kwathunthu.

Njira zochiritsira zikuphatikizapo:

1. Kuletsa mankhwala kapena mankhwala omwe amayambitsa mutu wobwerera m'mbuyo: Iyi ndi sitepe yofunika kwambiri pochiza mutu wobwerera m'mbuyo. Kuti izi zigwire ntchito bwino, mankhwala omwe akukambidwawo ayenera kuyimitsidwa kotheratu. Pa mankhwala ena, makamaka opioids kapena barbiturates, dokotala wanu adzachepetsa pang'onopang'ono mlingo wanu kuti athandize kupewa zizindikiro zosiya kumwa mankhwala.Dokotala wanu adzakutsogolerani momwe mungasiyire kumwa mankhwalawa mosamala.

2. Mankhwala ena: Mukasiya kugwiritsa ntchito mankhwala omwe amayambitsa mutu wanu wobwerera m'mbuyo, mutha kugwiritsa ntchito mankhwala ena kuti muchepetse zizindikiro za mutu wanu. Mankhwalawa amatchedwa mankhwala ozungulira. Awa ndi mankhwala omwe amagwira ntchito mosiyana ndi mankhwala omwe amayambitsa mutu wanu wobwerera m'mbuyo. Zitsanzo zake ndi jakisoni wa Onabotulinumtoxin A (womwe umadziwikanso kuti Botox®), mankhwala a NSAID omwe amagwira ntchito nthawi yayitali (monga naproxen), kapena mankhwala oletsa kugwidwa (monga topiramate).

3. Mankhwala osagwiritsa ntchito mankhwala: Izi zimathandiza thupi lanu ndi malingaliro anu kuzolowera kusintha kwa chithandizo. Izi ndizofunikira kwambiri ngati muli ndi zizindikiro monga nkhawa kapena kuvutika maganizo. Izi zikuphatikizapo psychotherapy, biofeedback, hypnotherapy, ndi maphunziro opumula. Mankhwala amisala, makamaka omwe amakuthandizani kuchepetsa nkhawa zanu, angathandize kupewa mutu wobwerera m'mbuyo mtsogolo.

Chofunika kwambiri ndichakuti, musasiye kapena kuyamba kumwa mankhwala momwe mukufunira popanda upangiri wa dokotala. Chitani chilichonse motsogozedwa ndi dokotala.

Kodi mavuto/zotsatira zake za chithandizo ndi ziti?

Chimodzi mwa zotsatira zoyipa zomwe zingachitike chifukwa cha chithandizo ndi kuwonjezeka kwakanthawi kwa zizindikiro za mutu. Zotsatira zoyipazi zitha kuchepetsedwa mwa kuchepetsa mosamala komanso pang'onopang'ono kuchuluka kwa mankhwala omwe mukumwa pakadali pano ('kuchepetsa'). Komanso, kugwiritsa ntchito 'Bridge Medications' kapena mankhwala ena omwe atchulidwa kale kungathandize pa izi.

Ngati mankhwala omwe mukumwa ndi ovuta kuwagwiritsa ntchito, monga ma opioid kapena ma barbiturates, mutha kukumana ndi zizindikiro zosiya kumwa mukasiya kumwa. Dokotala wanu nthawi zambiri adzakuthandizani kupewa izi mwa kuchepetsa pang'onopang'ono mlingo wanu.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Nthawi yochira imadalira mtundu wa mankhwala omwe mudagwiritsa ntchito, mlingo womwe mudamwa, ndi zinthu zina zingapo. Dokotala wanu angakuuzeni bwino nthawi yomwe mukuchira komanso zomwe mungachite.

Kodi chimachitika ndi chiyani ngati ndili ndi 'Rebound Headaches'?

Ngati muli ndi mutu woti 'Rebound Headaches', mutha kuyembekezera kuti mutu wanu udzakula kwambiri bola ngati mupitiliza kumwa mankhwala omwe amayambitsa 'Rebound'. Kuti vutoli lithe, ndikofunikira kusiya kumwa mankhwala kapena mankhwala omwe amayambitsa 'Rebound Headaches'.

Kodi 'mutu wobwerera m'mbuyo' umatenga nthawi yayitali bwanji?

Mutu wobwerera m'mbuyo ukhoza kukhalapo bola mutamwa mankhwala omwe amayambitsa mutuwo. Kutalika kwa nthawi yomwe mutu umakhalapo kumatha kusiyana, ndipo pali zinthu zambiri zomwe zingakhudze nthawi yomwe umakhalapo. Dokotala wanu angakuuzeni bwino zomwe mungayembekezere kuchokera ku mutu wanu.

Kodi zimatenga nthawi yayitali bwanji kuti 'mutu wobwerera m'mbuyo' uchoke?

Anthu ambiri adzaona mutu wawo wobwerera m'mbuyo ukuchepa ndipo umatha mkati mwa miyezi iwiri. Pa milandu yoopsa kwambiri, zimatha kutenga miyezi isanu ndi umodzi. Panthawi imeneyo, dokotala wanu adzakuthandizani kuthana ndi zizindikiro zanu ndikuchepetsa zomwe zimakukhudzani. Adzayang'aniranso zizindikiro zanu ngati pakufunika kutero kuti atsimikizire kuti chithandizo chanu chikugwira ntchito.

Kodi chiyembekezo cha 'Rebound Headaches' ndi chotani?

Chiyembekezo cha mutu wobwerera m'mbuyo nthawi zambiri chimakhala chabwino, makamaka ngati mutazindikira msanga ndikupeza chithandizo.

Chithandizo nthawi zambiri chimakhala chothandiza anthu omwe ali ndi vutoli. Komabe, vutoli limatha "kubwereranso" ndipo mutu ukhoza kubwereranso. Ngati mukumva ngati mukubwereranso, ndikofunikira kulankhula ndi dokotala wanu mwachangu momwe mungathere. Kuchiza mutu wobwerezabwereza msanga kungafupikitse nthawi yomwe imatenga kuti munthu achire komanso kuti zinthu zikhale zosavuta.

Ngati simulandira chithandizo, kapena ngati chithandizo chachedwa, chiyembekezo sichili bwino. Mutu wobwerera m'mbuyo ukhoza kukhudza kwambiri moyo wanu. Komanso, mukapitiriza kugwiritsa ntchito mankhwala omwe amayambitsa mutu wobwerera m'mbuyo, zimakhala zovuta kuti muchiritse. Ichi ndichifukwa chake kuzindikira msanga ndi chithandizo ndikofunikira kwambiri.

Kodi Mutu Wobwerera M'mbuyo Ungapewedwe?

Inde, 'Rebound Headaches' ndi vuto lopewedwa kwambiri. Chofunika kwambiri ndi kuchepetsa kuchuluka kwa mankhwala aliwonse a mutu omwe mumagwiritsa ntchito.

Kwa anthu ena, mutu - makamaka mutu waching'alang'ala (womwe umayambitsa 80% ya mutu wobwerezabwereza) - sungapeweke. Aliyense amene wakhalapo ndi mutu waching'alang'ala amadziwa kuti si ululu wokhawokha. Ukhoza kuyambira wokhumudwitsa pang'ono mpaka woika moyo pachiswe. Popanda chithandizo, anthu ena amangogona m'chipinda chamdima komanso chopanda phokoso mpaka mutu waching'alang'ala utatha.

Mutu wobwerera m'mbuyo si chinthu chabwino, koma mutu wobwerezabwereza si wabwinonso. Mwamwayi, mankhwala atsopano (makamaka mankhwala oletsa) atsegula chitseko chopewera mutu wopitirira muyeso kapena kuchepetsa kuchuluka kwa mutu wopitirira muyeso. Mankhwalawa angathandize kuchepetsa kuchuluka kwa mutu wopitirira muyeso womwe mumakumana nawo. Muthanso kulankhula ndi dokotala wanu za zomwe zimayambitsa mutu wopitirira muyeso ndikuzipewa.

Izi zikuthandizani kuchepetsa kuchuluka kwa nthawi zomwe muyenera kumwa mankhwala oti "muthandize" kuti mutu wanu usamavutike. Izi zitha kukhala zokwanira kuti mutu usamabwererenso.

Chofunika: Nthawi zonse muyenera kutsatira malangizo a dokotala wanu okhudza mlingo ndi kuchuluka kwa kumwa mankhwala anu. Izi ndizofunikira kuti mupewe 'kupweteka mutu'. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu akulangizirani - ngakhale mankhwala ogulitsidwa kunja kwa ofesi ya dokotala.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi mutu wopweteka mutu (rebound headaches), ndikofunikira kutsatira malangizo a dokotala wanu a momwe mungawachiritsire. Chimodzi mwa zinthu zofunika kwambiri pa chithandizochi ndi kusiya kugwiritsa ntchito mankhwala kapena mankhwala omwe amayambitsa mutu wopweteka mutu (rebound headaches). Kuchita zimenezi kungathandize kuti mutu utha msanga.

Ndiyenera kupita liti kwa dokotala wanga?

Mukachiza mutu wobwerera m'mbuyo, muyenera kuonana ndi dokotala wanu monga momwe mwalangizidwira. Muyeneranso kuonana ndi dokotala wanu ngati muwona kusintha kulikonse pa kuchuluka kwa zizindikiro za mutu wanu, kapena ngati zizindikiro zanu zasintha mpaka kusokoneza zochita zanu za tsiku ndi tsiku.

Mutu wobwerera m'mbuyo si woopsa wokha. Komabe, mankhwala ena omwe anthu ena amamwa kuti awachiritse akhoza kukhala owopsa.

Kodi 'mutu wobwerera m'mbuyo' umamveka bwanji?

Mutu woti 'rebound headaches' umamveka ngati mutu womwe munali nawo kale. Komabe, nthawi zambiri umakhala woopsa kwambiri kuposa kale. Muthanso kukumana ndi zizindikiro zina, monga nkhawa kapena kuvutika maganizo.

Kodi Caffeine Imapangitsa Mutu Kubwerera M'mbuyo Kukhala Woipa Kwambiri?

Inde, ngati mumamwa caffeine yoposa mamiligalamu 200 patsiku. Kuchepetsa kumwa caffeine kungapangitse kuti chithandizo chanu chikhale chopambana komanso kuchepetsa kuopsa kwa 'mutu wobwerera m'mbuyo'.

Mukakhala ndi mutu waukulu, wobwerezabwereza, kapena mutu wonse wa mutu kapena mutu wa mutu, lingaliro loti mulibe mankhwala ochizira limakhala losapiririka. Komabe, pali njira zina zochizira mutu wanu wa mutu wa mutu. Izi zingakuthandizeni kuchepetsa kufunikira kwa mankhwala omwe angayambitse 'mutu wobwerera m'mbuyo'.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Wokondedwa, ndikukhulupirira kuti tsopano mwamvetsa bwino vuto ili lotchedwa 'Rebound Headaches'. Kumbukirani, si chizolowezi chabwino kumwa mankhwala ochepetsa ululu nthawi zonse. Kuchita izi kungapangitse kuti mutu wanu womwe ulipo ukhale woipa kwambiri, zomwe zimapangitsa kuti mukhale ndi matenda otchedwa 'Rebound Headaches'.

• Ngati mutu wanu umapweteka pafupipafupi ndipo mwakhala mukumwa mankhwala kwa masiku angapo motsatizana, onetsetsani kuti mwaonana ndi dokotala kuti akupatseni malangizo.
• Musawonjezere mlingo wa mankhwala kapena kumwa pafupipafupi kuposa momwe mukumvera, pokhapokha ngati dokotala wanu wakupatsani malangizo.
• Ngati mwapezeka ndi 'mutu wobwerera m'mbuyo', musachite mantha. Pali mankhwala abwino ochizira. Chofunika kwambiri ndi kusiya kumwa mankhwala omwe adayambitsa mutuwo.
• Vutoli lingathe kuchiritsidwa kwathunthu ndi njira zina zochiritsira komanso kusintha moyo wanu malinga ndi upangiri wa dokotala.

Ndi chithandizo choyenera, simungathe kungochotsa 'Rebound Headaches' yokha, komanso kupewa mankhwala omwe amayambitsa matendawa. Kenako mutha kuchita ntchito yanu ndikukhala moyo wanu momwe mukufunira, popanda kuletsedwa ndi zizindikiro za mutu wanu. Ndikukufunirani kuti muchire mwachangu!

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Mutu , mankhwala ochepetsa ululu, mutu wobwerera m'mbuyo, mutu waching'alang'ala, kugwiritsa ntchito mankhwala molakwika, mutu wopweteka, upangiri wa dokotala