Thuoc tri dau nua dau

Thứ tư, 16 Tháng một 2013, 10:05 GMT+7

Dau nua dau la mot dang dau dau dac biet, chiem khoang 10% dan so, gap o ca nam va nu voi ty le nu gap 3 lan nam; la mot hoi chung than kinh voi nhung trieu chung dien hinh nhu thay doi kha nang cam nhan cua cac giac quan, dau dau va buon non.

Dau nua dau

Dau nua dau dien hinh thuong chi anh huong mot ben dau, nhuc va keo dai tu 4 - 72 gio dong ho voi nhung trieu chung buon non, non mua, so anh sang va so am thanh (nhay cam voi am thanh va anh sang). Khoang 1/3 nguoi bi chung dau nua dau cam nhan duoc tien trieu (aura) hinh anh, mui vi, hoac mot cam nhan giac quan khong binh thuong bao hieu con dau nua dau sap dien ra. Ve nguyen tac dieu tri la dung thuoc giam dau, thuoc chong non neu bi buon non va tranh cac yeu to gay dau dau.

Thuoc tri dau nua dau 1 Ty le hong cau thap co the gay dau nua dau.

Nguyen nhan cua dau nua dau chua ro rang; gia thuyet duoc chap nhan pho bien nhat la benh ly cua he thong than kinh su dung chat dan truyen than kinh serotonin. Co mot so loai dau nua dau khac nhau, mot so bat nguon tu than nao (voi su roi loan van chuyen ion canxi va kali) va mot so la do di truyen. Dau nua dau co xu huong bien mat khi dang mang thai, nhung mot so phu nu lai bi dau nua dau nhieu hon khi mang thai.

Cac bien phap du phong benh dau nua dau la mot phan quan trong trong dieu tri benh nay. Cac bien phap nay co nhieu loai, bao gom uong thuoc hay bo sung dinh duong, thay doi loi song nhu tang cuong the duc va tranh cac yeu to kich hoat con dau. Muc tieu cua bien phap du phong la de giam tan so, muc do dau va giam thoi gian cua nhung con dau, dong thoi tang hieu qua cua cac bien phap cat con dau.

Luu y khi dung thuoc

Hien nay, co nhieu loai thuoc duoc dung de tri chung benh nay. Tuy nhien, con tuy thuoc vao the benh nhe hay nang ma co chi dinh khac nhau.

Neu la the nhe (con dau thua, cuong do dau nhe hay vua phai) truong hop nay chi nen dung thuoc giam dau thong thuong khong steroid nhu cac loai aspirin, indometacin, diclofenac... (nguoi mac benh da day dung paracetamol).

Neu the nang, con dau day, dung naproxen, gynergen...

Cach dung thuoc du phong chung dau nua dau cung co nhieu loai, song con tuy thuoc vao the trang tung nguoi benh ma co chi dinh dung thuoc cho thich hop.

Dung thuoc du phong doi voi nguoi co kem dau da day, the nang co the chon lua mot trong cac thuoc nhu dihydroergotamin (co tac dung duy tri the can bang van mach o nao, khang serotonin) hay thuoc pizotifen dung cho nam gioi phi dai tuyen tien liet. Hoac flunarizin giup ngan chan su tich tu ion canxi trong te bao than kinh, phong dau nua dau.

Ngoai viec dung thuoc, nguoi benh dau nua dau can co che do an uong thich hop nhu kieng ruou va thuoc la (tranh hit phai khoi thuoc), han che ruou, bia, ca phe. Ngoai ra, benh nhan can tranh nhung con cang thang ve than kinh; dam bao ngu du (toi thieu 7 gio moi ngay), tap luyen than the deu dan de giam huyet ap va tang cuong tuan hoan mau.

Nhung cach phong ngua va dieu tri chung dau nua dau hien nay pho bien la dung flunarizin (furunas) duoc nhieu thay thuoc ke toa va co ban nhieu o cac cua hang tan duoc.

Flunarizin duoc dung trong du phong va dieu tri chung dau nua dau, ke ca roi loan tien dinh, roi loan tri nho, roi loan giac ngu... Tuy nhien khong duoc dung trong cac truong hop qua man voi cac thanh phan cua thuoc, hay nhung nguoi co tien su tram cam, roi loan van dong, trieu chung ngoai thap, Parkinson hoac khi dang su dung cac thuoc chen beta.

Thuoc cung co tuong tac voi ruou, thuoc tri dong kinh, thuoc ngu, thuoc chong tram cam, an than, thuoc uong tranh thai. Cac tac dung phu nhu hoa mat, met moi, khi dung keo dai co the gay tram cam. Khi dung, can than trong doi voi nguoi lon tuoi, nguoi huyet ap thap, suy than, phu nu dang mang thai hay nguoi dang lai xe, van hanh may moc...

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