Migraine Headache ***** (2nd part)

Migraine Headache *****
(2nd part)

Ḍāẏāga no sis o CHI KIṮSĀ 2:

IHS criteria for Diagnosis of Migraine:

The International Headache Society (Ihs) is given by the international headache society (Ihs);

*Migraine without aura(80%)
A) HEADACHE PLACE ẎITBA 4 hours h TE 3 days
B) BA MI / vomiting and / or not being able to tolerate light or sound
C) ni cher any two
A) One-foot pain of the head
B) the level of pain is majha ri (moderate) or very bay shi (Immunization)
C) pain goes to the activities of general sha physical activities
D) the pain is like pulse (Pulsating)

  • Migraine with aura (20%)
    Ni Cher any three to stay

a)Reversible কোন focal brainstem বা cortical dysfunction
B) for more than 4 M and its source or two on the
C) Q Type T & ra taste ẏitba 60 m ni low
D) and the 60 m of the low and the 60 m of the low amount of headache

Chronic or transformed Migraine
A) day or almost day (15 times bay shi / pra month) who is the headache of 1 months or her / her / her bay.
B) the taste of headache 4 hours in the day of chi.
C) no one will be there to be a
A) migraine ḍāẏāga by poo rbē ihs by poo rbē
B) in three months the ray of headache (such as vomitin, and etc.) are the other symptoms (such as vomitin, and etc).
C) a gay headache was that sa was pain like new ka re migraine that’s all the caveman of ihs fill ray only except the taste of pain

Chi Kiṯsā of migraine 2:
We are divided into two parts.

1)Management of Acute Migraine
2)Migraine Prophylaxis

Management of Acute Migraine:

  • Simple analgesia with antiemetic:
  • ba mi or ba mi is not the main problem is not the main problem then use the mnōkta medicine that pa re
    a) Aspirin 900- 1200mg + Metochlorpramide 10mg or domperidone 10mg
    b) Alternative drug Paracetamol 1000mg and NSAIDS যেমন ibuprofen (400-800mg), Naproxen(500-1000mg), Diclofenac(25-50mg)

Patient k pain medicine er treatment re careful koro h bay a re codeine consulting drugs er byāpā day use koro le analgesic overuse headache tax te pa re.

Triptans:

This is the first time of the world, the somatriptan, rizatriptan, zolmitriptan, eletriptin, are, are, naratriptan, frovatriptan, frovatriptan

  • these medicines have been shown by 70 % of the 2 % of the response in 2 HOURS AND 2 % of the pain in 40 hours.
  • Zolmitriptan and rizatriptan are available in the middle of the world.
  • Sumatriptan Nasal Spray hi he bay available
  • medicine lo early accept kar le good deed ka re but its time er fruit is little less available
  • 30 % of the 12-24 % of the hour, the headache is back in the fee of 12-24 %
  • so the patient is usually 2 HOURS AFTER 2 hours of headache again, next to take another dose of medicine.
  • after being affected by three times, the one who is the one who is the one who is the one who is the one who is the one who is the one who is the one who is the Ave Bay three oral triptan unable h le nasal spray or subcutaneous sumatriptan di te h bay

Prophylaxis of Migraine²:
Who will look prophylaxis?
The Idol is attacked by 2 times or her bay or her bay, or lasting attack which lifrstyle the lifrstyle.

Prophylactic medicine

  • Beta Blockchain: Proprapnolol, Timothy, flame, metoprolol, atenolol
  • Amitriptyline:Migraine for the sake of tension type headache
    *Pizotifen:single nocturnal dose
  • Topiramite
    *Sodium valproate

Newer treatment option:
a) Botulinum toxin A
b) Greater occipital nerve blocks and stimulators