LEČENJE I PREVENCIJA POSTOPERATIVNE GLAVOBOLJE POMOĆU LEKOVA

  • Slobodan M Janković Univerzitet u Kragujevcu, Fakultet medicinskih nauka

Sažetak


Glavobolja se najčešće javlja posle operacija izvedenih u spinalnoj anesteziji i posle kraniotomija, posebno kod operacija neuroma akustičnog nerva. Uzrok glavobolje posle spinalne anestezije je curenje likvora kroz otvor na duri i sniženje njegovog pritiska, dok bol posle kraniotomije nastaje usled oštećenja perikranijalnih mišića i mekih tkiva.

Epiduralna primena morfina i intravenska primena kosintropina ili aminofilina na kraju operacije mogu sprečiti nastanak postoperativne glavobolje, dok su u lečenju efikasni kofein, gabapentin, pregabalin, teofilin, hidrokortizon ili kosintropin. Lekovi nisu efikasni u prevenciji glavobolje posle kraniotomije, dok se za lečenje koriste parenteralno kodein i/ili paracetamol. Nesteroidni antiinflamatorni lekovi se izbegavaju u lečenju glavobolje posle kraniotomije zbog ekstra- i intra-kranijalnih neželjenih dejstava.

Pravovremena primena odgovarajućih lekova u prevenciji ili lečenju postoperativne glavobolje značajno smanjuje patnju pacijenta, ubrzava oporavak i sprečava pojavu hronične glavobolje

Biografija autora

Slobodan M Janković, Univerzitet u Kragujevcu, Fakultet medicinskih nauka
Redovni profesor Farmakologije i toksikologije i Klinicke farmacije

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Objavljeno
2015/04/29
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