Triptans waayo xanuunka dhanjafka. Qiimaha daroogada: Triptans

Dhanjaf - dhibaato dad badan oo buka. Ku dhawaad qof kasta ugu yaraan hal mar ah xanuun aragnimada uu nool yahay ee madaxa. Sida caadiga ah, ay ku weheliyay dawakh, lallabo, matag, iyo sidoo kale kabuubyo, jidhidhico iyo tabar ee jirka, photo- iyo phonophobia. Ka dib markii weerar lagu qaaday, bukaanka ka cabanaya daalka, feejignaan xumo iyo hurdo. Mararka qaarkood waxaa jira xaalado marka cudurka la ordo, oo kaa caawin kara oo kaliya madax triptans bukaanka. Waa in la ogaadaa in xanuunka dhanjafka - cudur ee haweenka, sida ay u badan yihiin nugul cudurada sida, badan ragga. Qiyaastii 10-18% dadka waaweyn ee qaba cudurka xanuunka dhanjafka.

Dhibaatadu waxa ay ka mid ah madax-yaqaan, nin kasta

Dadka intooda badan ma caawimaad ka caafimaad oo aqoon doondoono oo isku dayo in uu soo kaaban lahayd xanuunkan, inta aad qaadanaysid analgesics. Baahnayn in la sheego, hab noocan ah aanay ku caawin, laakiin kaliya yhay cudurka. Isticmaalka caasiyoobay of analgesics keeni kartaa horumarinta daroogada ay sabab u madax xanuun raaga. Sidaa darteed, ma aha la yaab in ay jirto tiro badan oo su'aalo ah oo ku saabsan nooca kiniinka madax - ugu wax ku ool ah.

Si buuxda daaweeyo xanuunka dhanjafka waa wax aan macquul aheyn, laakiin si loo hagaajiyo tayada nolosha waa u suurtoobaan alaabta gaarka ah, kuwaas oo loo magacaabay by neurologist ah. Waxaa hadda jira waxaa lagu yaqaan tiro aad u badan oo ah xanuunka dhanjafka in ay yihiin ku filan wax ku ool ah labada weerar, iyo in muddo ka interictal. Next, aragti dhaw at daawooyinka loo isticmaalo xanuunka dhanjafka: liis agabyo iyo therapy weerarkii-free ba'an. Waxaa caddeeyeen in triptans - daawooyinka ugu waxtarka badan in la baabi'iyo madax xanuunka daran. Iyadoo daawooyinka profilatikada ee loo xilsaaray kooxaha soo socda:

• β-blockers;
• murugada,
• antiemetic;
• biyo-L vitamin B;
• blockers calcium,
• anticonvulsants.

Aqbalaada dhan ha ka sarrayso kaalinta sida daawooyinka waa u magacaabi qof xirfad leh.

Maxaad isku aragto madax xanuun?

Ka hor inta aadan u fahmaan sida ay u dhaqmaan triptans ka madax xanuun, qiimaha taas oo ku xiran saaraha, waxaa lagama maarmaan ah in la fahmo hab ay of cudurada ka. Madax uu yeesho sabab u kicinta ee receptors ka mid ah xuubka iyo weelashii cerebral. Marka xiisadda xad-dhaaf ah oo waxaa ka buuxa xididdada dhiigga, gaar ahaan xididdada, oo ku yaalla gobolka hypotonic uu yeesho xanuun aad u daran, taas oo la suulin karin oo keliya macnaha of dawooyinka gaarka ah. cilmi badan oo sugayay muddo dheer, diyaarinta daaweynta xanuunka dhanjafka, ku soo gabagabeeyey in triptans - habka ugu wanaagsan ee wax looga qabto cudurada this.

guryaha triptans

Daawooyinka loogu talagalay gaabiso weelashii uu la'egayah ee maskaxda. Triptans - daawo ah oo u dhaqmo on the xuduntii iyo receptors ee dareemaha trigeminal, taas oo iyana waxay yaraysaa dareen ee marinka xanuunka. Triptans - daroogada antimigraine casriga ah, kaas oo ay leeyihiin selectivity halkii sare si ay xididdada dhiigga ee Mater Duuraa ah (Duuraa Mater encephali) iyo weelasha yaryar oo durugsan iyo wadnaha.

daawo soo bandhigay waa wax ku ool yaraynta xanuunka heer xuduntii spinal ee dareemaha trigeminal. Waxa intaa dheer in oo dhan triptans kor ku xusan - daroogada in kaliya ma u dhimi karto dhacdooyinka soo noqoshada cudurka, laakiin sidoo kale la baabi'iyo daliilka la xiriira caafimaad oo u (tusaale ahaan, lallabo, matag, photophobia, iyo codka) ee.

Faa'iidooyinka ugu weyn ee triptans

Kuwani guryaha pharmacological ee xawaaraha sare lagu daro natiijada. Suugaan in nus saac ah waxaa jira calaamado saamaynta wanaagsan ee daroogada jirka bukaanka. Saamaynta daweynta la hayo weerar dhanjafka oo dhan. Inta badan bukaanka madax ma soo noqnoqon.

Maalmahan, saynisyahano ayaa cadeeyay in la ogaado ee barametereka weerarkii waa in si degdeg ah u qaataan triptans waayo xanuunka dhanjafka. Horaantii waxaa jiray aragtida ah in dhanjafku waa in loola dhaqmaa marxaladood, laga bilaabo dhaweynta daawooyinka fudud.

Daawooyinka loo isticmaalo xanuunka dhanjafka: liiska daawooyinka ugu caansan

In kooxda triptan daroogada waxaa ka mid ah kuwan soo socda:

• 'Zomig'.
• "Amigrenin".
• "Sumatriptan".
• "Imigran".
• "Relpaks".
• "Trimigren".
• "Sumamigren".
• "Rapimed".
• "Almotriptan".
• "Naramig".
• "Naratriptan."
• "Frovatriptan."
• "Zolmitriptan."

daroogada ee bukaan kasta waxaa laga yaabaa in si adag shaqsiga, sidaa darteed si loo hubiyo in waxtarka of this ama wax kale oo daawooyinka, dhakhaatiirta ku talinaynaa in ay isku dayaan waxa qaadanaya saddex dhanjafku. Kooxda Tryptamine ee daroogada waxa lagu gartaa bioavailability sare, waa mid fudud in ay ka gudbaan ku kala ooday dhiig-maskaxda, waa ku ool yaraynta dhanjafku, xataa wajiga daran. Daawooyinka Kuwani ku haboon si ay u qoraan in bukaanka qaba dhexdhexaad ah cudurka darnaanta daran.

Notes Codsiga

Marar badan waxaan maqli su'aal isku mid: waxa kaniiniyada madax waa ka wanaagsan? waxbarashada tijaabo ah ayaa muujiyay in tabta ugu wanaagsan oo in la baabi'iyo calaamadaha xanuunka dhanjafka waa triptans. Waxaa aad u fiican in ay qaataan triptans for dhanjafka marka ogaadaa calaamadaha ugu horreeya ee weerarka. The saamayn xanuunka ugu badan ayaa la arkay laba saacadood ka dib qaadashada daawada. Ka hor inta qaadashada daroogada ah, si taxadar leh u akhri tilmaamaha iyo la tasho dhakhtar. Waa arrin aad u muhiim ah si looga hortago in badinta daroogada. Triptans for dhanjafka laguma talinayo in ay wada isticmaalaan oo la isticmaalayo antibiyootiko, antifungal, wakiilada fayruska, iyo sidoo kale la murugada.

Si loo gaaro natiijada la rabay, bukaanka waa in ay u hoggaansamaan xeerarka soo socda oo qaata triptans:

• la khafiif ah in ay madax-dhexdhexaad qaato 1 kiniin ah (ama hal dose buufiyo);
• dose labaad waxa laga soo qaatay oo aan hore ka badan 2 chasa;
• ma jiro maalinta qaataan ka badan laba qiyaasood,
• triptans laguma talinayo in ay qaataan ka badan laba maalmood toddobaadkii.

Inta lagu jiro daaweynta aad cunto waa in laga joojiyaa Products tiraminsoderzhaschie:

• kookaha,
• shukulaatada,
• digir,
• ukunta,
• celery;
• liinta,
• supplements nafaqada;
• jiiska,
• yaanyada,
• nuts,
• cabitaanka khamriga.

Mid ka mid ah sidoo kale waa inuusan wax ka cunin cuntada qabow.

At dhacdo of triptane xanuunka dhanjafka, qiimaha kuwaas oo hoos lagu tilmaamay doonaa, sidoo kale waxaa loo isticmaali karaa daawooyinka kale, sida metoclopramide ama domperidone.

waxyeellooyin

Marka badinta daroogada ah, bukaanka la kulmaan caqabado soo socda:

• wareer;
• lama filaan ah anaphylactic,
• cidhiidhi,
• lalabo,
• dareen ah diirimaad,
• Wadnaxanuun of caajisnimo ah, xiidmaha,
• matag,
• afka oo qalala,
• myalgia;
• calool-xanuun,
• dawakhsanaan;
• dareenka maqaarka gubanaya;
• Cudurka anjioedema,
• tachycardia;
• finan;
• polyuria;
• tabar-dari muruq,
• hoos dareenka;
• rabshooyin dareen;
• shuban haemorrhagic;
• kaadida oo soo noqnoqda,
• vasospasm wadnaha.

Iyadoo ay taasi jirto oo dhan, waayo, triptans dhanjafka - daawo degdeg ah-simaha. qiyaasta Subject iyo inta jeer ee qaadashada khatarta daroogada ee waxyeellooyin waa ay yar tahay. Guud ahaan, dhammaan triptans dulqaadan by jidhka caadiga ah. Dhibaatooyinka ay keento, haddii ay dhacdo, markaas ka muujiyay fudud iyo xaliyo degna aan faragelin caafimaad. khasaare ugu weyn ee triptans - taasi waa ay kharashka. Nasiib darro, bukaanka oo dhan ma awoodi karo daroogada noocan oo kale ah.

sababo

Triptans for dhanjafka ha ku talinaynaa in la isticmaalo in arrimaha soo socda:

• stroke,
• angina angiospastic;
• uurka;
• shil cerebrovascular;
• inta lagu jiro naas-nuujinta ilmaha;
• coagulopathy (xinjirowga dhiigga);
• dadka qaangaarka ah;
• cudurada nidaamka wadnaha iyo,
• diidmo in walxaha bioactive samaynta;
• hypertension caasiyoobay,
• arrhythmia;
• cudurka beerka iyo kelyaha,
• atherosclerosis.

Ka hor inta dejinaya triptans gaar ah, dhakhtarka xaadirka ah waa in ay aqoonsadaan sababaha halista atherosclerosis. qodobada waxaa ka mid ah kuwan soo socda:

• diabetes;
• Haweenka post-dhaleysnimada;
• sigaarka,
• hypertension,
• cayilka;
• heer sare ah ee kolestaroolka dhiiggaaga aan caadi ahayn;
• da'da ka badan 40 sano oo nin;
• cabista hidde si wadno.

Bukaanjiifka qaar ayaa halista ugu jira waa in ay helaan qiyaasta koowaad ee tryptamine iyada oo ay kormeerayaan takhasus u leh oo ay gacanta ku ECG.

Scheme dhanjafka daaweynta

Waxaa jira mabaadi'da guud ee daaweynta daweynta cudurada yihiin in xaq kiisaska intooda badan:

• lagama maarmaan ah in la bilaabo daweynta, analgesics, ama isku darka dhanba (oo ay ku jiraan daawooyinka anti-bararka magnyl);
• Haddii la isticmaalo xanuunka ma siin natiijo wanaagsan, ka dibna ka dib markii 45 daqiiqo waa inay qaataan triptan ah;
• haddii triptan a ahayd natiijo la'aan, weerarka soo socda waa in ay isticmaalaan daroogada kale oo ka soo group triptanovoy;
• iyadoo madax atypical waa lagama maarmaan in la isticmaalo daawooyinka ka hortaga bararka non-steroidal.

Isticmaalka qalabka casriga ah ee daaweynta ee xanuunka dhanjafka, abuuray oo ku saleysan triptans, caawiyo si ay nolol sahlan dad badan oo buka. Ha illoobin in qaadashada daawooyinka, kuwaas oo loo qori karo dhakhtar, iyo kaliya marka cudurka. Waxaa jira xaalado marka triptans iyo analgesics kale nonspecific ma siin natiijada la rabay oo aan la baabi'iyo xanuunka. Xaaladdan oo kale, sida caadiga ah dhakhaatiirta qori therapy adag la daawooyinka anticonvulsant, iyo beta-blockers. Daawooyinka waxaa ka mid ah dawooyinka soo socda:

• "Penbutolol".
• "Nadolol."
• "Betaxolol."
• "Topiramate".
• "Neurontin."
• "Phenobarbital".
• "Timolol".
• "Propranolol".
• "Labetanol".
• "Bellataminal".
• "Metoprolol".
• "Topamax".
• "Acebutolol".

Sida loo yareeyo dhacdooyinka weerarada?

Si loo yareeyo inta jeer ee bukaanka xanuunka dhanjafka waa u hoggaansamaan xeerarka soo socda:

• si joogto ah u cunaan,
• reebo cuntooyinka cunto aad iyo sharaabka in ay kiciyaan oo weerar (biirka, shukulaatada, cheese, champagne, liinta, khamri ah cas);
• joojinta sigaarka,
• sida ay suurto gal tahay in ay dibadda dheer;
• badbaaddo diiqad,
• Layli (haboon - dabaasha);
• fogaado safar dheer bas, doon, baabuur.

Triptans yihiin madax xanuun, qiimaha

Triptans waxaa soo saaray qaabab kala duwan qiyaasta: xalal isku duro, sanka lagu buufiyo, kiniin, dabada futada. On qiimaha daroogada saamayn ku foomka sii daayo, qiyaasta, tirada kiniinka ku xirmo. Sidaas darteed, qiimaha daawooyinka, kuwaas oo kala duwan in aad u ballaaran - 150-1500 rubles halkii pack.