What medicine to take for vascular migraine

The structure of the human brain is very complex, because it not only has many nerve organs, but also many large and small blood vessels to provide blood transfusion function. Headache is a very common symptom among people, and one type of headache is called vascular headache. Moreover, vascular headache is the most common type of headache. So what medicine should you take when you suffer from vascular headache?

Vascular headache refers to a clinical syndrome caused by vasomotor dysfunction in the head and dysfunction of the cerebral cortex, or temporary changes in certain body fluid substances. It is the most common type of headache in outpatient clinics. It is characterized by unilateral or bilateral paroxysmal throbbing pain, distending pain or piercing pain, and may be accompanied by symptoms of vascular autonomic dysfunction such as visual hallucinations, photophobia, hemianopsia, nausea and vomiting. Vascular headaches are divided into two categories: primary and secondary. Headaches caused by vasomotor dysfunction in the head are called primary vascular headaches, including migraines and cluster headaches; headaches caused by clear cerebrovascular diseases are called secondary headaches, including headaches caused by hypertension, subarachnoid hemorrhage, stroke, intracranial hematoma, cerebral vasculitis, etc.

treat

(1) Headache caused by cerebral ischemia

1. Actively treat the primary disease

Such as adjusting blood pressure, treating diabetes and cerebral arteriosclerosis, stabilizing heart function, etc.

2. Blood volume expansion

Danshen injection is commonly used for intravenous drip once a day, and one course of treatment is 10 to 14 days. Low molecular weight dextran, intravenous drip once a day. Vinorutone was administered by intravenous drip once daily.

3. Platelet aggregation inhibitors

Enteric-coated aspirin is commonly used, once a day. Dipyridamole, taken orally 3 to 4 times a day. Sulfapyridine, taken orally 3 times a day.

(ii) Hypertensive headache

Treatment is to arrange work and rest reasonably according to the condition, maintain adequate sleep, pay attention to dietary adjustment, and eat a low-salt, low-animal fat diet. For those with mental tension, headaches and insomnia, a small amount of sedatives or tranquilizers can be taken. Use of antihypertensive drugs: ① For long-term administration, it is advisable to use oral antihypertensive drugs with mild, long-lasting antihypertensive effect, few side effects and easy use, such as hydrochlorothiazide, reserpine, etc. as basic antihypertensive drugs; ② Combination medication, commonly used diuretics and other antihypertensive drugs are used in combination; ③ Start with a small dose, gradually increase the dose to achieve the purpose of lowering blood pressure, and then change to a maintenance dose to consolidate the therapeutic effect; ④ Acute hypertension and hypertensive crisis require the use of drugs with strong antihypertensive effects, such as postganglionic sympathetic nerve inhibitors, calcium antagonists, arteriole dilators, etc.; ⑤ For patients with significantly increased blood pressure for many years, it is not advisable to lower blood pressure too much or too quickly, because patients often cannot adapt and feel uncomfortable, and low blood pressure can easily lead to cerebrovascular accidents.

(III) Headache caused by hemorrhagic stroke

1. Actively fight cerebral edema and reduce intracranial pressure

Rapid use of dehydrating agents to combat cerebral edema and reduce intracranial pressure is an important measure in the treatment of hemorrhagic stroke. 20% mannitol is commonly used intravenously, once every 6 to 8 hours, or glycerol fructose is used intravenously twice a day. Furosemide can also be used for dehydration. If necessary, surgical treatment, such as hematoma elimination or hematoma aspiration, is performed to remove the hematoma and reduce intracranial pressure. For severe headaches caused by subarachnoid hemorrhage, cerebrospinal fluid replacement therapy can be performed (that is, after a successful lumbar puncture, 3 to 5 ml of cerebrospinal fluid is slowly released each time, and then an equal amount of normal saline is slowly injected), and the headache can be significantly relieved.

2. Treatment of the cause

Treat common causes of hemorrhagic stroke, such as hypertension, arteriosclerosis, cerebral vascular malformations, intracranial aneurysms caused by various reasons, and blood system diseases.

3. Stop bleeding

You can use tranexamic acid, 6-aminocaproic acid, tranexamic aromatic acid, etc. to prevent rebleeding and reduce the stimulation of blood to headache-sensitive structures in the brain.

4. Symptomatic treatment

Use analgesics, tranquilizers and sedatives appropriately.