How does pregnancy merge migraine to do?

summary

Migraine in pregnancy is a common type of headache, which is paroxysmal neurovascular dysfunction. It is characterized by recurrent unilateral or bilateral headache. Headache is one of the most common neurological complaints in pregnant women. During pregnancy, about 15% of migraine attacks occur for the first time and most of them occur in the first 3 months of pregnancy. At this time, the hormone level has been in the rising stage. How does pregnancy merge migraine to do? Let's talk about it

How does pregnancy merge migraine to do?

Most migraine patients are placed in a quiet and dark place for rest, and simple painkillers such as aspirin and acetaminophen (acetaminophen acetaminophen) can achieve curative effect, especially in the early stage of symptoms. Ergotamine can directly constrict blood vessels and make the excessive expansion and pulsation of cerebral artery return to normal. Ergotamine is an effective drug for the treatment of migraine. If the symptoms are serious and the curative effect of the above treatment measures is not significant, diazepam or chlorpromazine can be used for intramuscular injection; Or analgesic codeine oral, or intramuscular injection of pethidine (pethidine) and promethazine. In case of vomiting, metoclopramide (metoclopramide) can be injected intramuscularly to stop vomiting.

Prednisone can be given orally; Propranolol (propranolol) can be given to pregnant women with recurrent seizures. In order to reduce the side effects such as nausea and dizziness, small dose of propranolol should be taken. The drug can also block the development of fetus β- Adrenergic receptor, can cause fetal bradycardia, cardiac output decreased. The side effects were drowsiness, fatigue and increased appetite. Amitriptyline was a tricyclic antidepressant. It had good effect on migraine patients with tension headache.

Nifedipine (xintongding) is a calcium channel blocker, which can inhibit the contraction of vascular smooth muscle and protect brain cells. The common dosage is 10mg, 3 times / D, with few side effects. As a serotonin antagonist, phenothiazide has the effects of antihistamine, anticholinergic and bradykinin. The commonly used dose is 0.5mg, once a day, gradually increasing to three times. The side effects are drowsiness, fatigue and increased appetite. Amitriptyline is a tricyclic antidepressant, which has good effect on migraine patients with tension headache. The commonly used dose is 25mg, three times a day, or 75mg before going to bed.

matters needing attention

Rest properly and avoid strenuous exercise. But when the condition is stable, pay attention to appropriate exercise. Increase disease resistance, avoid cold, pay attention to active prevention of cold. Pay attention to the regular examination of color Doppler ultrasound during pregnancy, pay attention to maintain the law of life. Diet prevention and control: the diet is mainly light, and it is better to eat more fruits, vegetables and high-quality high protein food. Spicy, fat, sweet and thick taste, moldy products, pickled food and alcohol are forbidden.