Dit\u00ebt kur keni dhimbje koke \u2013 p\u00ebrve\u00e7 sulmeve t\u00eb migren\u00ebs \u2013 priren t\u00eb jen\u00eb m\u00eb shum\u00eb se ato pa dhimbje? N\u00ebse po, mund t\u00eb keni nj\u00eb dhimbje koke nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve (MOH). E quajtur edhe dhimbje koke kronike ditore, dhimbje koke e tep\u00ebrt e p\u00ebrdorimit t\u00eb ila\u00e7eve (MOH) ose dhimbje koke e p\u00ebrs\u00ebritur, MOH ndodh m\u00eb shpesh tek njer\u00ebzit me nj\u00eb \u00e7rregullim par\u00ebsor t\u00eb dhimbjes s\u00eb kok\u00ebs si migrena, dhimbje koke grupore ose dhimbje koke e tipit tension, sipas Fondacionit Amerikan t\u00eb Migren\u00ebs. Shkaktohet nga p\u00ebrdorimi shum\u00eb i shpesht\u00eb i medikamenteve akute, megjith\u00ebse sakt\u00ebsisht se \u00e7far\u00eb do t\u00eb thot\u00eb "shum\u00eb e shpesht\u00eb" mund t\u00eb varet nga ila\u00e7i q\u00eb merret. Dhimbja e kok\u00ebs nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve nuk \u00ebsht\u00eb thjesht e bezdisshme sepse keni dhimbje koke pothuajse t\u00eb vazhdueshme: MSH gjithashtu mund t\u00eb shkaktoj\u00eb dhimbje koke q\u00eb jan\u00eb rezistente ndaj ila\u00e7eve parandaluese t\u00eb migren\u00ebs, duke i b\u00ebr\u00eb gjithashtu trajtimet akute m\u00eb pak efektive. Shihni \u00e7far\u00eb duhet t\u00eb dini p\u00ebr dhimbjen e kok\u00ebs nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve MOH<\/p>\n
Shoqata Nd\u00ebrkomb\u00ebtare e Dhimbjes s\u00eb Kok\u00ebs e p\u00ebrkufizon MOH si dhimbje koke q\u00eb shfaqet 15 ose m\u00eb shum\u00eb dit\u00eb n\u00eb muaj te nj\u00eb person me nj\u00eb \u00e7rregullim para-ekzistues t\u00eb dhimbjes s\u00eb kok\u00ebs dhe q\u00eb zhvillohet si pasoj\u00eb e p\u00ebrdorimit t\u00eb tep\u00ebrt t\u00eb rregullt t\u00eb barnave p\u00ebr dhimbje koke akute ose simptomatike p\u00ebr m\u00eb shum\u00eb se tre muaj. Medikamente t\u00eb ndryshme kan\u00eb udh\u00ebzime t\u00eb ndryshme p\u00ebr at\u00eb se \u00e7far\u00eb p\u00ebrb\u00ebn mbip\u00ebrdorim. Sipas Fondacionit Amerikan t\u00eb Migren\u00ebs, p\u00ebrdorimi i triptan\u00ebve, alkaloideve ergot, analgjezik\u00ebve t\u00eb kombinuar ose opioideve p\u00ebr 10 ose m\u00eb shum\u00eb dit\u00eb n\u00eb muaj konsiderohet abuzim. Marrja e qet\u00ebsuesve t\u00eb thjesht\u00eb, duke p\u00ebrfshir\u00eb ila\u00e7et anti-inflamatore josteroide (NSAIDs) - nj\u00eb klas\u00eb barnash q\u00eb p\u00ebrfshin aspirin\u00eb, ibuprofen dhe naproksen - n\u00eb 15 ose m\u00eb shum\u00eb dit\u00eb n\u00eb muaj p\u00ebrb\u00ebn gjithashtu p\u00ebrdorim t\u00eb tepruar. Dhimbjet e kok\u00ebs nga p\u00ebrdorimi i tep\u00ebrt i barnave zakonisht zgjidhen pas nd\u00ebrprerjes s\u00eb p\u00ebrdorimit t\u00eb tep\u00ebrt, megjith\u00ebse pacient\u00ebt mund t\u00eb p\u00ebrjetojn\u00eb nj\u00eb periudh\u00eb ku dhimbjet e kok\u00ebs p\u00ebrkeq\u00ebsohen p\u00ebrpara se t\u00eb p\u00ebrmir\u00ebsohen.<\/p>\n
Dhimbja e kok\u00ebs nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve mund t\u00eb ndihet ndryshe nga t\u00eb gjith\u00eb. Vihet re se nuk ka r\u00ebnd\u00ebsi n\u00ebse ndodhet p\u00ebrpara apo prapa, djathtas apo majtas, sip\u00ebr apo posht\u00eb, ka intensitet t\u00eb leht\u00eb, t\u00eb moderuar apo t\u00eb r\u00ebnd\u00eb. Nuk \u00ebsht\u00eb cil\u00ebsia e dhimbjes s\u00eb kok\u00ebs, por shpesht\u00ebsia q\u00eb na intereson n\u00eb k\u00ebt\u00eb rast. Nj\u00eb tipar karakteristik i MSH \u00ebsht\u00eb frekuenca me t\u00eb cil\u00ebn ndodh.<\/p>\n
N\u00ebse nuk jeni t\u00eb sigurt n\u00ebse ajo q\u00eb po p\u00ebrjetoni \u00ebsht\u00eb MSH, provoni t\u00eb mbani nj\u00eb ditar dhe t\u00eb num\u00ebroni numrin e dit\u00ebve t\u00eb dhimbjes s\u00eb kok\u00ebs q\u00eb keni. Mos num\u00ebroni vet\u00ebm dit\u00ebt kur keni simptoma t\u00eb sulmit t\u00eb migren\u00ebs, por t\u00eb gjitha dit\u00ebt me \u00e7do lloj dhimbje koke. P\u00ebrndryshe, mund t\u00eb num\u00ebroni numrin e dit\u00ebve q\u00eb jeni t\u00eb sigurt se jan\u00eb plot\u00ebsisht pa dhimbje koke. Sa dit\u00eb jan\u00eb t\u00eb kristalta q\u00eb nga momenti kur hapni syt\u00eb deri n\u00eb momentin kur flini nat\u00ebn, pa dhimbje koke? Dit\u00ebt e qarta duhet t\u00eb jen\u00eb t\u00eb pakt\u00ebn 15 dit\u00eb n\u00eb muaj p\u00ebr t\u00eb shmangur migren\u00ebn kronike.<\/p>\n
Disa lloje t\u00eb medikamenteve q\u00eb mund t\u00eb p\u00ebrdoren p\u00ebr leht\u00ebsimin urgjent t\u00eb nj\u00eb sulmi t\u00eb migren\u00ebs duhet t\u00eb p\u00ebrdoren me kujdes p\u00ebr shkak t\u00eb rrezikut t\u00eb dhimbjes s\u00eb kok\u00ebs, sipas Fondacionit Amerikan t\u00eb Migren\u00ebs. Opioidet, t\u00eb quajtura edhe narkotik\u00eb, t\u00eb till\u00eb si oksikodoni dhe hidrokodoni, mund t\u00eb shkaktojn\u00eb p\u00ebrkeq\u00ebsim ose dhimbje koke m\u00eb t\u00eb shpeshta kur p\u00ebrdoren \u00e7do jav\u00eb. K\u00ebto barna ndryshojn\u00eb sistemet e rregullimit t\u00eb dhimbjes s\u00eb trurit n\u00eb nj\u00eb m\u00ebnyr\u00eb t\u00eb keqe dhe jo vet\u00ebm p\u00ebrkeq\u00ebsojn\u00eb sulmet e migren\u00ebs n\u00eb aspektin e shpesht\u00ebsis\u00eb, ashp\u00ebrsis\u00eb dhe koh\u00ebzgjatjes, por shpesh i b\u00ebjn\u00eb ato t\u00eb patrajtueshme.<\/p>\n
Marrja e qet\u00ebsuesve p\u00ebr arsye t\u00eb tjera p\u00ebrve\u00e7 migren\u00ebs mund t\u00eb shkaktoj\u00eb MOH. P\u00ebr shembull, ju mund t\u00eb merrni qet\u00ebsues p\u00ebr dhimbjen e shpin\u00ebs, truri nuk e di dallimin. Gjithashtu, shpesht\u00ebsia e p\u00ebrdorimit dhe lloji i barit jan\u00eb t\u00eb lidhura me shnd\u00ebrrimin n\u00eb MSH.<\/p>\n
Sa m\u00eb shum\u00eb dit\u00eb dhimbje koke t\u00eb ket\u00eb nj\u00eb person, aq m\u00eb shum\u00eb ka t\u00eb ngjar\u00eb q\u00eb ajo t\u00eb zhvillohet n\u00eb migren\u00eb kronike. Studimet e kryera si n\u00eb popullat\u00ebn e p\u00ebrgjithshme ashtu edhe n\u00eb klinika tregojn\u00eb se njer\u00ebzit q\u00eb kan\u00eb 10 deri n\u00eb 14 dit\u00eb dhimbje koke n\u00eb muaj kan\u00eb 20 her\u00eb m\u00eb shum\u00eb gjasa t\u00eb p\u00ebrjetojn\u00eb dhimbje koke ditore n\u00eb krahasim me njer\u00ebzit q\u00eb kan\u00eb m\u00eb pak se pes\u00eb dit\u00eb dhimbje koke n\u00eb muaj. Frekuenca e dit\u00ebve t\u00eb dhimbjes s\u00eb kok\u00ebs \u00ebsht\u00eb n\u00eb fakt nj\u00eb faktor rreziku kryesor p\u00ebr transformimin dhe frekuenca e dhimbjeve t\u00eb kok\u00ebs lidhet me at\u00eb se sa her\u00eb dikush k\u00ebrkon nj\u00eb mjekim akut p\u00ebr trajtim - megjith\u00ebse k\u00ebto jan\u00eb rreziqe t\u00eb ve\u00e7anta, ato ushqehen me secilin. Kjo \u00ebsht\u00eb arsyeja pse ne po p\u00ebrpiqemi kaq shum\u00eb p\u00ebr t\u00eb reduktuar numrin total t\u00eb dit\u00ebve me dhimbje koke n\u00eb muaj, si dhe numrin e dit\u00ebve akute t\u00eb mjekimit n\u00eb muaj.<\/p>\n
Kafeina n\u00eb 100 deri n\u00eb 200 miligram\u00eb (mg) n\u00eb dit\u00eb \u00ebsht\u00eb ndoshta e mjaftueshme p\u00ebr t\u00eb kontribuar n\u00eb dhimbjen e kok\u00ebs nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve. P\u00ebr referenc\u00eb, 8 ons kafe p\u00ebrmban midis 80 dhe 100 mg kafein\u00eb, dhe 12 ons e nj\u00eb pije freskuese me kafein\u00eb ka midis 30 dhe 40 mg, sipas Administrat\u00ebs s\u00eb Ushqimit dhe Barnave. Disa ila\u00e7e kund\u00ebr dhimbjes s\u00eb kok\u00ebs p\u00ebrmbajn\u00eb gjithashtu kafein\u00eb. \u00cbsht\u00eb m\u00eb mir\u00eb t\u00eb luftojm\u00eb kafein\u00ebn, p\u00ebr sa koh\u00eb q\u00eb nuk \u00ebsht\u00eb kafein\u00eb me doz\u00eb t\u00eb lart\u00eb, p\u00ebr t\u00eb par\u00eb n\u00ebse mund t'i ndihmojm\u00eb pa i hequr nj\u00eb k\u00ebnaq\u00ebsi.<\/p>\n
Dekongestant\u00ebt pa recet\u00eb dhe pilulat e gjumit me recet\u00eb mund t\u00eb kontribuojn\u00eb ndjesh\u00ebm n\u00eb MSH. Ka disa polemika midis ekspert\u00ebve n\u00ebse benzodiazepinat mund t\u00eb shkaktojn\u00eb dhimbje koke nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve. Un\u00eb personalisht besoj se ato mund t\u00eb nd\u00ebrhyjn\u00eb n\u00eb trajtimin dhe p\u00ebr k\u00ebt\u00eb arsye nuk i p\u00ebrshkruaj ato p\u00ebr pacient\u00ebt e mi me migren\u00eb. Edhe kur jan\u00eb n\u00eb ankth, k\u00ebrkoj trajtime t\u00eb tjera. thot\u00eb ai.<\/p>\n
Udh\u00ebzimet e mjekimit p\u00ebr MSH ndahen n\u00eb kategori t\u00eb ndryshme, por pothuajse askush nuk merr vet\u00ebm nj\u00eb ila\u00e7 p\u00ebr t\u00eb trajtuar migren\u00ebn, thot\u00eb Tepper. Mund t\u00eb keni disa dit\u00eb me triptan, disa dit\u00eb me analgjezik t\u00eb kombinuar, disa dit\u00eb me NSAID. "Ndoshta \u00ebsht\u00eb m\u00eb mir\u00eb t\u00eb supozohet se n\u00ebse dikush po merr 10 ose m\u00eb shum\u00eb dit\u00eb trajtim akut n\u00eb muaj, ka t\u00eb ngjar\u00eb t\u00eb zhvilloj\u00eb dhimbje koke nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve dhe t\u00eb kthehet n\u00eb migren\u00eb kronike," thot\u00eb ai.<\/p>\n
Nj\u00eb lloj medikamenti p\u00ebr trajtimin e migren\u00ebs, antagonist\u00ebt e receptorit CGRP, nuk duket se shkakton transformim n\u00eb dhimbje koke t\u00eb p\u00ebrditshme. Barnat q\u00eb pengojn\u00eb CGRP p\u00ebrdoren gjithashtu p\u00ebr t\u00eb parandaluar migren\u00ebn. Prandaj \u00ebsht\u00eb jetike q\u00eb mjekimi t\u00eb mbik\u00ebqyret nga nj\u00eb specialist i dhimbjes s\u00eb kok\u00ebs dhe t\u00eb p\u00ebrdoret gjithmon\u00eb sipas udh\u00ebzimeve t\u00eb tij, pasi ka rreziqe p\u00ebr dhimbje koke nga p\u00ebrdorimi i tep\u00ebrt i barnave.<\/p>","protected":false},"excerpt":{"rendered":"
Dit\u00ebt kur keni dhimbje koke \u2013 p\u00ebrve\u00e7 sulmeve t\u00eb migren\u00ebs \u2013 priren t\u00eb jen\u00eb m\u00eb shum\u00eb se ato pa dhimbje? N\u00ebse po, mund t\u00eb keni nj\u00eb dhimbje koke nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve (MOH). E quajtur edhe dhimbje koke kronike ditore, dhimbje koke e tepruar me ila\u00e7e (MOH) ose dhimbje koke e p\u00ebrs\u00ebritur, MOH ndodh m\u00eb shpesh tek njer\u00ebzit me nj\u00eb \u00e7rregullim par\u00ebsor t\u00eb dhimbjes s\u00eb kok\u00ebs si migrena, dhimbje koke grupore ose dhimbje koke e tipit tension, sipas Fondacionit Amerikan t\u00eb Migren\u00ebs. Shkaktohet nga p\u00ebrdorimi shum\u00eb i shpesht\u00eb i medikamenteve akute, megjith\u00ebse sakt\u00ebsisht se \u00e7far\u00eb do t\u00eb thot\u00eb "shum\u00eb e shpesht\u00eb" mund t\u00eb varet nga ila\u00e7i q\u00eb merret. Dhimbja e kok\u00ebs nga p\u00ebrdorimi i tep\u00ebrt i ila\u00e7eve nuk \u00ebsht\u00eb vet\u00ebm e bezdisshme sepse [\u2026]<\/p>","protected":false},"author":3,"featured_media":3538,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[51,50,54,40,33,46,70,48,47,69],"class_list":["post-3539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-52","tag-headache-neurology","tag-neurology","tag-54","tag-40","tag-33","tag-46","tag-70","tag-48","tag-47","tag-69"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/3539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/comments?post=3539"}],"version-history":[{"count":1,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/3539\/revisions"}],"predecessor-version":[{"id":3540,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/3539\/revisions\/3540"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/3538"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=3539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=3539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=3539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}