Treatment of migraine

If the attack has already begun, the patient first of all, must know that it will pass by itself, even without treatment. This will give the person a positive attitude, which has a treatment - agree, knowing that soon all over, it gives strength to deal with an attack.

Treatment attack should start as early as possible: the classic migraine - with the appearance of the aura, with other types - from the beginning of the headache. Drug treatment of migraine attack is represented by three lines of drugs.

Medications first and second line

For first-line drugs are common pain relievers such as pentalgin or pentalgin-H. If one drug does not work, then prescribe a combination of painkillers, such as pentalgin combined with analgesic having a different mechanism of action (Nise and others) - this is the second line of treatment. These drugs help only at the onset of the attack, and if it is not too heavy.

Medications third line

Treatment with drugs, the third line can be carried out only on prescription, since the patient can make a mistake and take for a migraine headache different origin and then the preparations of the third line is not only not reduce the headache, but can harm the patient (for example, if he did not vasodilatation brain as migraine I have a migraine. What to do? And their spasm). Third-line drugs cause spasm of cerebral vessels.

For third-line drugs include ergotamine, dihydroergotamine. To remove the attack doctor must choose the correct dose. If the initial dosage is not effective, then the subsequent use of these drugs does not lead to positive results.

For drugs the third line also includes sumatriptan, which appeared recently. This drug when administered subcutaneously is able to pull off an attack of ten minutes, the effect of its introduction, will continue for two hours. These drugs need to be administered under medical supervision. But there are other forms of sumatriptan - tablets and nasal spereya, they can be used on their own after a doctor's prescription.

Treatment of migraine status

Treatment of migraine status is carried out only in the hospital. Treatment usually involves intravenous drip various combinations of drugs that relieve headaches Headache: Causes and Complications , Vomiting, dehydration and prevent the emergence of a variety of neurological symptoms (disturbance of sensitivity, movement, etc.).

How to prevent a migraine attack

First of all, identify triggers an factors that can be eliminated: smoking, alcohol, lack of sleep, stress How to beat stress? Create an oasis , Fatigue, eating certain foods, especially chocolate, cheeses and sausages containing tyramine, which can cause a migraine attack. Sometimes the attack is provoked by vasodilators, such as nitroglycerin.

At constant suspense attack, depressed mood being treated at the psychotherapist and prescribers, improves mood and relieves anxiety Anxiety - how to distinguish normal from disease? .

Sometimes migraine provoking factor in women may be the pill - the trial is conducted their cancellation. But sometimes they are on the contrary, contribute to the improvement.

Drug prophylaxis of migraine

The aim of drug prevention is to reduce migraine frequency and intensity of migraine attacks, increased susceptibility to drugs, interrupted the attack and to improve the quality of life of the patient.

Drug prophylaxis of migraine may last up to six months and include a number of medications, physician selected individually for the patient. These are not drugs that relieve migraine.

The indication for such preventive treatments are two or more migraine attacks per month and the total ineffectiveness of conventional painkillers. In addition, preventive treatment is rarely required severe migraine attacks that are accompanied by neurological disorders.

If the removal of an attack apply the maximum possible dose drugs, for the prolonged prophylactic treatment is used the most effective drug for the patient in minimal doses.

Remember! For mild migraine attacks can help you correct way of life, but if migraine attacks recur regularly or are severe, in order to prevent them, should see a doctor.

Galina Romanenko

Signs of intercostal neuralgia - severe pain in the chest

Intercostal neuralgia can occur for various reasons, but most often it is the cause of osteochondrosis of the thoracic spine Osteochondrosis of the thoracic spine can be confused with other diseases   and shingles Ringworm - not only infectious disease . If time does not identify the cause of intercostal neuralgia and does not treat the underlying disease, the recurrence of it will be repeated again and again.

Consequences of osteochondrosis of the thoracic spine

Thoracic spine less agile when compared to other departments. Therefore, it is not so affected by physical activity and less frequent disk herniation. Nevertheless, the phenomenon of osteoarthritis (degenerative-dystrophic changes of intervertebral discs and vertebrae themselves) may cause this unpleasant phenomenon of constant aggravation intercostal neuralgia Neuralgia - the scourge of the elderly . Attacks intercostal neuralgia can trigger hypothermia, high nervous and mental load, sudden movement, prolonged exposure uncomfortable position, weight lifting, coughing, trauma ribs. All these factors lead to the infringement of the intercostal nerves at the point of exit from the spine.

At the same time there is a strong sudden pain along the intercostal nerves, aggravated by movement, coughing, deep breathing. The patient often starts to surface to breathe - it inhales deeply causes severe pain. If it is possible to probe the interested intercostal space, you'll find that the pain is growing towards the point of attachment of ribs to the spine, and in the strained intercostal muscles palpable painful nodules.

Repetition recurrence depends on the backbone, they may not appear for years, and may follow one after the other. With frequent relapses intercostal neuralgia over time to symptoms of the thoracic spine are joined symptoms of cervical and lumbosacral.

Intercostal neuralgia, especially if it was not the only attack, requires examination and prolonged complex treatment of the whole spine, since chest his department rarely affected in isolation.

Intercostal neuralgia shingles on the background

The cause of shingles is herpes virus, which once called this person chickenpox. After undergoing varicella virus hides in the nerve ganglia and is active only at lower immunity. Therefore, against the background of intercostal neuralgia shingles usually occurs during colds, after previous infections and operations, against the background of immunodeficiency.

In this case, the virus "emerges from his hiding place" for nerve trunks and causes inflammation in their turn. The disease usually begins appearance of general malaise, chills, fever. In the course of the intercostal nerve on one side of the chest itching and tingling. After some time in the course of the intercostal nerve appear redness and swelling, and then (about the fourth day) blisters with transparent contents as varicella.

Itching and pain are increasing with the spread of bubbly rash. Simultaneously can detect an increase axillary lymph nodes. Bubbles burst after some time, which creates Moisture inflamed surfaces and increased itching. About sixth or seventh day burst the bubbles begin to dry up to form crusts. Some time later, crusts fall off, leaving a slight redness, which eventually passes without a trace. This recurrence of intercostal neuralgia may end. Total exacerbation of herpes zoster Shingles and chickenpox - from the same pathogen   can last up to a month, while in the case of complications and more.

Shingles is particularly dangerous for immunocompromised patients (eg AIDS patients or cancer patients after chemotherapy and radiotherapy). In this case, there is a risk of generalized herpes virus infection of the patient. Affected skin and internal organs, which can lead to the death of the patient.

In order to get rid of relapses intercostal neuralgia of herpes zoster in the background, you need to check your immune system and, if necessary, carry out restorative treatment. Only then can long "drive" back into the nerve ganglia of the herpes virus and to interrupt a series of exacerbations intercostal neuralgia.

Intercostal neuralgia requires careful examination of the patient.