Matenda a ubongo wa migraine , omwe amadziwika ndi zowawa zam'mutu ndi zopweteka, ndizofala masiku ano. Pothandizira migraine, magulu osiyanasiyana amagwiritsidwa ntchito, ndipo mankhwalawo akuwongolera kugwiriridwa ndi migraine ndikuwateteza (kupewa). Kusankha mankhwala osokoneza bongo kumachitika kwa odwala payekha, kuganizira zinthu zowopsya, maonekedwe a umunthu, kukhalapo kwa concomitant pathologies, kukula kwa ululu, ndi zina zotero.
Imodzi mwa mankhwala ogwira mtima kwambiri pofuna kuchotsa zizindikiro za migraine ndi kukonzekera gulu la triptans. Triptans imatsogoleredwa ndi mankhwala omwe amathandiza kuti athetse mavuto omwe amachititsa kuti thupi lanu likhale lopweteka, komanso kuchepetsa kuchuluka kwa matenda.
Njira yogwiritsira ntchito triptans
Triptans ndi mankhwala a migraine, omwe akulimbikitsidwa kwa odwala omwe amavutika kwambiri ndi matenda (kuthamangitsidwa), komanso kuti amalephera kusokonezeka. Triptans ndizochokera kwa serotonin, mkhalapakati wa dongosolo lamanjenje.
Njira yeniyeni yeniyeni yogwiritsira ntchito mankhwala a gulu lino siinaphunzire mokwanira mpaka pano. Zimaganiziridwa kuti mankhwalawa amalimbana ndi migraine, omwe ali ndi zotsatira zotsatirazi pa trigeminovascular system (neurons of the trigeminal nerve core ndi zotengera zosayenerera za ubongo, zomwe ndi zofunika kwambiri pa "kukhazikitsidwa" kwa chiwonongeko):
- Kuletsa machitidwe a trigeminal nerve system (neuroinhibitory effect);
- zotengera za cerebrospinal zing'onozing'ono ndi ziwiya za nembanemba za ubongo ndi kuchepetsa kuthamanga kwa magazi mwa iwo (vasoconstrictor kanthu).
Dziwani kuti ma triptans samakhudza mitsempha yina ya thupi la munthu.
Mitundu ya triptans
Triptan yoyamba, yomwe idayamba kugwiritsidwa ntchito kwa migraine, ndi sumatriptan. Kugwiritsira ntchito chida ichi, phunziro lake, mayesero a zachipatala walola kuti zotsatira za ma triptans zitheke komanso kupanga mankhwala atsopano komanso ogwira mtima kwambiri. Pakalipano, mankhwala odziwika kwambiri komanso ogwiritsidwa ntchito kwambiri kuchokera ku gulu la triptans ndi awa:
- Naratriptan;
- Frovatriptan;
- Eletriptan;
- Risotriptan;
- Zolmitriptan;
- Almotriptan ndi ena.
Monga lamulo, triptans amapezeka mu mapiritsi a mauthenga ovomerezeka. Komabe, palinso makonzedwe a gululi la intranasal (sprays) ndi jekeseni (subjectaneous injections), komanso triptans mu mawonekedwe a rectal suppositories.
Zofunika za triptans
Tryptans ayenera kutengedwa mwamsanga chiyambi cha zizindikiro zoyamba za kugunda kwa migraine. Mapiritsi sangathe kulumidwa, amafunika kutsuka ndi madzi ambiri. Monga lamulo, piritsi limodzi ndilokwanira kuti asiye kuukira. Ngati kupweteka sikungatheke, lipiritsi lotsatira likhoza kutengedwa pambuyo pa maola awiri. Limbikitsani zotsatira za kugwiritsira ntchito mankhwala osokoneza bongo m'kalasiyi ndi mankhwala osagwiritsa ntchito mankhwala omwe sagwiritsidwe ndi zotupa (pamfundo ya dokotala).
Musatenge triptans pa migraine aura . Ndi mseru wowawa ndi kusanza, njira zowonongeka, zopanda mphamvu kapena zowopsa za kayendetsedwe zimakonda. Tryptans sungakhoze kutengedwera kawiri kawiri pa sabata. Simungagwirizanitse ntchito yawo ndi maantibayotiki, mankhwala oletsa tizilombo toyambitsa matenda kapena antidepressants.
Zowopsa bwanji ndi triptans?
Maphunziro a zachipatala amasonyeza kulekerera bwino kwa triptans kwa odwala osiyanasiyana.
Triptans amatsutsana pazochitika zoterezi:
- matenda owopsa;
- matenda osokoneza ubongo;
- mtima;
- chithandizo;
- zovuta zowonongeka komanso zopanda mphamvu;
- mimba ndi lactation.