Acute therapy of the most common primary headaches

Skorupan, Nikolina

doi:10.5937/arhfarm1601042s

Arh farmaciju

2016

DOI: 10.5937/arhfarm1601042s

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Acute therapy of the most common primary headaches

Nikolina Skorupan¹

Abstract: Primarne glavobolje su klinički sindromi nepoznate etiologije čija je glavna karakteristika glavobolja, a međusobno se razlikuju na osnovu karakteristika bola i spektra pratećih simptoma. Najznačajnije primarne glavobolje su glavobolja tenzionog tipa (TTG), migrena i klaster glavobolja (KG). S obzirom da je uzrok primarnih glavobolja nepoznat, terapija je simptomatska. Kratkoročni cilj lečenja predstavlja brzo i efikasno otklanjanje/ublažavanje bola tokom ataka glavobolje, što se postiže akutnom terapijom. Nee… Show more

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Cited by 2 publications

References 16 publications

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Approach to a patient with a headache in the general practice setting

Petrov-Kiurski¹,

Knežević²

2020

Opšta medicina

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Uvod. Glavobolje se definišu kao bol lokalizovan iznad orbitomeatalne linije. Dijagnostikuju se i leče nedovoljno. Cilj rada. Ispitati koliko lekari u opštoj medicini znaju o dijagnostičkom i terapijskom pristupu glavoboljama i da li postoji razlika u odnosu na pol i region gde rade. Metod. Na našem godišnjem skupu, Dani opšte medicine, održanom 30.03.2019. godine u Beogradu, realizovana je akreditovana provera znanja na temu Pristup pacijentu sa glavoboljom u opštoj medicini. Test koji je sadržao 50 pitanja o rešavanju kliničkih problema kod različitih tipova glavobolja, položen je sa >60% tačnih odgovora. Podaci su obrađeni softverskim statističkim paketom SPSS 20. Statistička značajnost je definisana za nivo p<0,05. Rezultati. Test je popunilo 432 lekara, sa 98,4% tačnih odgovora. Primenom stratifikovane terapije, migrenu leči 29,5% (p=0,746). Antiemetike ordinira 7,2% lekara. Indometacin kao dijagnostičko-terapijski test poznaje 38,4%. Kortikosteroidnu terapiju kod arteritisa džinovskih ćelija pravilno primenjuje 57,7%. Glavobolje uzrokovane vaskularnim poremećajima imaju 56,9% tačnih odgovora. Njih 31,7% ispravno sumnja na disekciju unutrašnje karotidne arterije (p=0,631). Intrakranijalnu neoplazmu 40% lekara dijagnostikuje magnetnom rezonancijom. Ispravan pristup kod hipertenzivne krize ima 87,2%. Bakterijski meningitis uspešno prepoznaje 83,3% ispitanika. Dijagnostiku i terapiju glavobolja koje se pripisuju supstancijama ili njihovoj obustavi, prepoznaje 74,2%, a prekomernoj upotrebi medikamenata 51,9%. U odgovorima nema značajne razlike u odnosu na pol, ali su lekari iz uže Srbije dali više tačnih odgovora (p=0,005). Zaključak. Lekari su pokazali visok nivo znanja o dijagnostičkom i terapijskom pristupu glavoboljama. Nedostaju znanja o glavoboljama uzrokovanim kranijalnim ili cervikalnim vaskularnim događajima. Ključne reči: Glavobolja, dijagnostika, terapija, primarna zdravstvena zaštita. Zahvalnost Izražavamo posebnu zahvalnost prof. dr Svetlani Simić na učešću u izradi akreditovanog testa, koji je poslužio kao instrument ovog istraživanja. Takođe, zahvaljujemo prim. dr Slavoljubu Živanoviću, prim. dr Dragici Kosi, prim. dr Mirjani Pešić i prim. dr Vesni Marić, koji su popunjene testove unosili u elektronsku bazu podataka.

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Approach to a patient with a headache in the general practice setting

Petrov-Kiurski¹,

Knežević²

2020

Opšta medicina

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The importance of education of patients with migraine

Krstić¹,

Trbović²,

Jovanović³

et al. 2022

Sestrinska vizija

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Migraine is a type of headache with recurring attacks of unilateral pulsating pain of high intensity. It is accompanied by photophobia, phonophobia and nausea and/or vomiting. Migraine treatment is very complex because often it is not possible to apply only one medicine that will relieve the pain for a long period of time. Aim of this work is to investigate the most common problems of patients with migraine and the impact of patient education on their quality of life. The method of systematic presentation of the research of other researchers was applied. The databases Scindeks, Hrcak, Google schoolar, Scielo, BMJ were searched. According to the results of numerous studies, the most common migraine triggers are alcohol, smells, emotional disturbances, stress, fatigue, lack of sleep and hormonal changes. The most pronounced problems of migraine patients are moderate to severe pain, throbbing pain, sensitivity to light, sensitivity to sounds, nausea and vomiting during a migraine attack. The reviewed studies show that education (about migraine, triggers, headache attacks, therapy, self-care) for patients with migraine is very useful for improving their health and quality of life. Health care of migraine patients should be based on individual problems and care needs because only in this way can better control of headaches and greater functionality of patients be encouraged. Care, therapy and education help prevent migraine attacks and improve quality of life.

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Acute therapy of the most common primary headaches

Cited by 2 publications

References 16 publications

Approach to a patient with a headache in the general practice setting

Approach to a patient with a headache in the general practice setting

The importance of education of patients with migraine

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