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Huvudvärk

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Hortons huvudvärk Kommer plötsligt, intensiv smärta bakom ena ögat, kan vara mellan en vecka och flera månader. Man får anfall - flera gånger per dag kan de förekomma.
Symptom till Hortons Ögonrodnad, tårflöde, nästäppa, svettningar i panna och ansikte, förminskad pupill...
Migrän Plötslig huvudvärk eller kommer efter symptom = aura. Kortvarig - halvt till helt dygn. Kan växla sida under attacken. Aura kan vara synfenomen.
Behandla spänningshuvudvärk? Inte läkemedel. Man ska stressa mindre, blir en harmonisk person.
Behandla Horton? Icke-farmakologisk: ha mycket sinnesintryck. Profylax: kalciumkanalblockare, Pizotifen, Litium, Kortikosteroider. Akut: Triptaner eller Mjöldrygealkaloider.
Behandla migrän? Icke-farmakologisk: förebygga anfall, ha avkoppling, mindre stress, undvika triggers. Profylax: 1. betablockare. 2. Pixotifen, kalciumkanalblockare, antidepressiva, ARB.. 3. Botox, antileptikum. Akut: vila, mörkt, kallt, analgetika, NSAID, Triptan...
Vad är mjöldrygealkolider? De ger sammandragning av glattmuskulaturen i blodkärl.
Vad är triptaner? Binder till och stimulerar serotonin receptorer - förhindrar vidgning av blodkärl.
Created by: jossean
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