偏头痛和怀孕的关系
Katherine Phillips1, Prut Koonalintip2,3,4, Benjamin R Wakerley3,4
1Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Life (Basel, Switzerland)
|October 26, 2024
概括
偏头痛影响了许多生育年龄的女性. 本综述涵盖了怀孕期间的偏头痛,其管理,以及对怀孕结果和药物的影响.
科学领域:
- 神经学 神经学
- 产科 产科 产科 产科 产科
- 药理学 药理学是指药理学的学科.
背景情况:
- 偏头痛在生育年龄的女性中很普遍,影响近20%.
- 了解偏头痛在怀孕期间的影响对于母亲和胎儿的健康至关重要.
研究的目的:
- 审查怀孕期间偏头痛的临床过程.
- 概述孕妇头痛和偏头痛的安全管理策略.
- 总结偏头痛及其治疗对怀孕结果的影响.
主要方法:
- 临床研究和病例报告的文献综述.
- 综合当前关于怀孕中偏头痛管理的证据.
- 对与偏头痛和药物相关的妊娠结果数据的分析.
主要成果:
- 偏头痛模式可以在怀孕期间发生变化,一些妇女经历了改善,而另一些妇女则恶化.
- 基于证据的指导方针存在于安全的药理和非药理偏头痛管理.
- 某些偏头痛药物可能会对怀孕结果构成风险,需要仔细选择.
结论:
- 怀孕中偏头痛的有效管理需要采取量身定制的方法.
- 临床医生和患者之间的共同决策对于安全有效的治疗至关重要.
- 需要进一步的研究,以充分阐明偏头痛及其治疗对后代的长期影响.
相关概念视频
Mitral Valve Prolapse III: Nursing Management
5
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
5
Pathophysiology of Vomiting
325
Vomiting is a complex physiological response to expel harmful or irritating substances from the body. It's a defensive mechanism triggered by stimuli like poisons, microbial toxins, cytotoxic drugs, and mechanical abdominal distension. The process is centrally coordinated by the vomiting (or emetic) center located in the medulla of the brainstem. This area, rich in muscarinic M1, histamine H1, neurokinin 1 (NK1), and serotonin 5-HT3 receptors, coordinates the act of vomiting through...
325
Equilibrium and Balance
4.5K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
4.5K
Mania and Antimanic Drugs: Overview
136
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
136
Disorders of the Female Reproductive System
332
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
332
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
175
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
175


