Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 21 Iune 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Migraña: Diagnostico y abordaje - Doctor German Alonso Reyes Botero
Wikiō: Migraña: Diagnostico y abordaje - Doctor German Alonso Reyes Botero

Anter

Hoʻohana ʻia ʻo Naratriptan e mālama i nā ʻōuli o ka migraine headache (ʻeha, ʻeha nā poʻo o ke poʻo i kekahi manawa me ka nausea a me ka noʻonoʻo i ke kani a i ʻole ke kukui). Aia ʻo Naratriptan i kahi papa o nā lāʻau i kapa ʻia he agonists receptor serotonin selective. Hana ia ma ka hoʻopili ʻana i nā kīʻaha koko a puni ka lolo, ka hoʻōki ʻana i nā hōʻailona ʻeha mai ka hoʻouna ʻia ʻana i ka lolo, a me ka hoʻōki ʻana i ka hoʻokuʻu ʻia ʻana o kekahi mau mea kūlohelohe e hōʻeha ai i ka ʻeha, kahoho, a me nā ʻōuli ʻē aʻe o ka migraine. ʻAʻole pale ʻo Naratriptan i ka hōʻeha ʻana o ka migraine a hōʻemi paha i ka nui o nā poʻo hina i loaʻa iā ʻoe.

Hele mai ʻo Naratriptan ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i ka hōʻailona mua o ka maʻi migraine. Inā hoʻomaikaʻi kāu mau hōʻailona ma hope o kou lawe ʻana i ka naratriptan akā hoʻi mai ma hope o 4 mau hola a ʻoi paha, hiki iā ʻoe ke lawe i ka papa ʻelua. Eia nō naʻe, inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o kou lawe ʻana i ka naratriptan, mai lawe i ka papa ʻelua ma mua o ke kāhea ʻana i kāu kauka. E haʻi aku kāu kauka iā ʻoe i ka nui o nā papa āu e lawe ai i kahi manawa o 24 mau hola. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pololei i ka naratriptan e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


Hiki paha iā ʻoe ke lawe i kāu mahele lāʻau mua o naratriptan i ke keʻena o ke kauka a i ʻole kahi wahi olakino ʻē aʻe kahi e hiki ai ke nānā ʻia no nā hopena koʻikoʻi.

Kāhea i kāu kauka inā ʻaʻole maikaʻi maikaʻi kou mau poʻo poʻo a hanana pinepine paha ma hope o ka lawe ʻana i ka naratriptan.

Inā ʻoe e lawe pinepine i ka naratriptan a i ʻole no ka lōʻihi ma mua o ka manawa i ʻōlelo ʻia o ka manawa, e ʻoi aku paha ka ʻeha o kou poʻo a i ʻole pinepine pinepine paha. ʻAʻole pono ʻoe e lawe i ka naratriptan a i ʻole nā ​​lāʻau ʻeha ʻeha ʻē aʻe no 10 mau lā i kēlā me kēia mahina. Kāhea i kāu kauka inā pono ʻoe e lawe i ka naratriptan e mālama i ʻoi aku ma mua o ʻehā mau poʻo poʻo i ka manawa 1 mahina.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Kuhi ʻia kēia lāʻau i kekahi manawa no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe naratriptan,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka naratriptan i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa naratriptan. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • mai lawe i ka naratriptan inā ua lawe ʻoe i kekahi o nā lāʻau i hala iho nei i nā hola he 24 i hala iho nei: nā agonist receptor serotonin ʻē aʻe e like me almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), rizatriptan (Maxalt), sumatriptan (Imitrex, i Treximet), a i ʻole zolmitriptan (Zomig); aiʻole nā ​​lāʻau lapaʻau ergot-type e like me bromocriptine (Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (Cafergot, Ergomar), methylergonovine (Methergine), methysergergovine (Methergine) a me pergolide (Permax).
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: acetaminophen (Tylenol); antidepressants e like me amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivipline) Surmontil); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); nā pale pale waha (nā pā kaohi hānau); nā mea hoʻoliʻiliʻi serotonin reuptake (SSRI) e like me citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem, ma Symbyax), fluvoxamine, paroxetine (Paxil), a me sertraline (Zoloft); a me nā mea koho serotonin / norepinephrine reuptake (SNRI) e like me desvenlafaxine (Pristiq), duloxetine (Cymbalta), sibutramine (Meridia), a me venlafaxine (Effexor). E haʻi aku i kāu kauka a kauka paha inā ʻoe e lawe nei i nā lāʻau aʻe a i ʻole ua oki ka lawe ʻana iā lākou i loko o nā pule ʻelua i hala iho nei: isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), a me tranylcypromine (Parnate). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a e nānā pono paha iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā ua loaʻa a loaʻa paha ʻoe i ka maʻi puʻuwai; he puʻuwai puʻuwai; angina (ʻeha o ka umauma); puʻuwai kūlike ʻole; hahau a i ʻole 'mini-stroke'; nā pilikia holo e like me nā veins varicose, ke koko i nā wāwae, ka maʻi o Raynaud (nā pilikia me ke kahe o ke koko i nā manamana lima, nā manamana wāwae, nā pepeiao, a me ka ihu), a i ʻole ka maʻi ischemic bowel (ka maʻi diarrhea a me ka ʻeha o ka ʻōpū i hoʻokumu ʻia e ke kahe o ke kahe o ke koko i nā ʻōpū. ); E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka naratriptan.
  • e haʻi i kāu kauka inā puhipaka ʻoe a ʻo ke kaumaha paha; inā ua loaʻa iā ʻoe a ua loaʻa paha i ke koko kiʻekiʻe, diabetes, high kolesterol, a i ʻole nā ​​puʻupaʻa a me nā maʻi ate paha; inā ua hele ʻoe i loko o ka menopause (hoʻololi o ke ola); aiʻole inā i loaʻa i kekahi ʻohana i ka maʻi puʻuwai a i ʻole hahau.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā ʻoe e hoʻolālā e lilo i ka moekolohe ke lawe ʻoe i kēia lāʻau, e kamaʻilio me kāu kauka e pili ana i nā hana kūpono o ka kaohi hānau. Inā hāpai ʻoe i ka lawe ʻana i ka naratriptan, e kāhea i kāu kauka.
  • pono ʻoe e ʻike i ka naratriptan e hiamoe ai ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
  • e kamaʻilio me kāu kauka e pili ana i kāu mau maʻi hōʻeha e ʻike pono ʻia ai lākou e ka migraine. ʻAʻole pono e hoʻohana ʻia ʻo Naratriptan e mālama i kekahi ʻano o ka migraine headache (hemiplegic a i ʻole basilar migraines) a i ʻole nā ​​ʻano ʻeha ʻeha ʻē aʻe (e like me ka huhū poʻo poʻohiwi).

Hoʻokumu paha ʻo Naratriptan i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nāwaliwali
  • luhi
  • hoʻohuhū ʻōpū
  • nausea
  • ʻūpā
  • mehana a anuanu hoʻi

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

  • ka paʻa, ʻeha, kaomi, a i ʻole ke kaumaha i ka umauma, ʻāʻī, ʻāʻī, a i ʻole ka ʻāʻā
  • wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai
  • pokole o ka hanu
  • e haki ana i ka hou anu
  • ʻālohilohi
  • nāwaliwali a palaka paha a i ʻole ka lima a me ka wāwae
  • ʻolelo lohi a paʻakikī paha
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • hulahula
  • hives
  • hūwī
  • ʻūlili
  • ʻeha ʻeha a ʻeha hoʻi o ka ʻōpū
  • ʻōpū koko
  • kōpaʻa
  • ka luaʻi
  • keʻokeʻo a i ʻole ʻulaʻula polū o nā manamana lima a me nā manamana wāwae
  • ʻeha, puhi ʻana, a i ʻole ka ʻūlū ʻana i nā lima a me nā wāwae paha

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).


E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org


I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • ʻālohilohi
  • ʻeha ʻāʻī
  • luhi
  • nalo o ke kūlike
  • ʻeha ka umauma

Mālama i nā manawa āpau me kāu kauka. Pono e nānā pinepine i kou kaomi koko.

Pono ʻoe e mālama i kahi diary ʻeha o ke poʻo e ke kākau ʻana i lalo ke loaʻa ʻoe i nā poʻo poʻo a ke lawe ʻoe i naratriptan.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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