التفاصيل البيبلوغرافية
| العنوان: |
TENZIJSKA GLAVOBOLJA IZ ASPEKTA JAVNOZDRAVSTVENOG PROBLEMA I MOGUĆNOSTI ZBRINJAVANJA. (Croatian) |
| العنوان البديل: |
TENSION-TYPE HEADACHE FROM THE ASPECTS OF PUBLIC HEALTH ISSUES AND TREATMENT POSSIBILITIES. (English) |
| المؤلفون: |
TITLIĆ, MARINA, MIHALJ, MARIO, FILIPOVIĆ-GRČIĆ, PETAR, KATIĆ, ANA ĆURKOVIĆ, FILIPOVIĆ-GRČIĆ, ANA |
| المصدر: |
Acta Medica Croatica; 2019, Vol. 73 Issue 4, p367-371, 5p |
| مصطلحات موضوعية: |
ANTIRHEUMATIC agents, PRIMARY headache disorders, RACIAL differences, HEADACHE, PREVENTIVE medicine, TENSION headache |
| الملخص (بالإنجليزية): |
Introduction: Tension-type headache (TTH) belongs to the group of primary headaches. The pain origin is not completely clear, nor is the pathophysiological process of its occurrence. The headache may be of episodic (lasting for up to 15 days) or chronic (lasting for 15 or more days) type. Aim: The aim of the study was to assess public health issues of TTH and the possibilities of its appropriate treatment and prophylaxis. Methods: In this research, we used the PubMed database and the words 'tension-type headache, prevalence and therapy'. Results: The TTH prevalence significantly oscillates depending on socioeconomic conditions and, possibly, race differences. The prevalence increases with age. It is more common in women. It is treated with analgesics and nonsteroidal antirheumatic agents. Chronic TTH prophylaxis includes amitriptyline, mitrazapine and venlafaxine. When necessary, second-line prophylaxis that includes clomipramine, maprotiline and mianserin is administered. Besides these, non-medicamentous treatment methods such as acupuncture, biofeedback, cognitive-behavioral treatment and relaxation trainings are also used. Discussion: In the modern world, TTH is a relatively often public-health issue the pathophysiological mechanism of which has not been clarified yet. This headache is deemed to be of multifactorial cause. Besides episodic headaches, a much greater problem is chronic TTH that requires continuous prophylaxis. The non-medicamentous methods of TTH prophylaxis are insufficiently researched and require clinical scientific evaluation. Conclusion: In the modern world, TTH, especially chronic TTH, makes a public-health issue that is to be adequately treated. Besides the wide variety of medicamentous therapies, required are also auxiliary treatment methods that need to be additionally evaluated. [ABSTRACT FROM AUTHOR] |
| Abstract (Croatian): |
Uvod: Tenzijska glavobolja (TTH) spada u skupinu primarnih glavobolja. Nastanak boli nije posve jasan kao ni patofiziološki proces nastanka boli. Glavobolja može biti epizodična (trajanje boli do 15 dana) ili kroničnog (trajanje boli 15 ili više dana) tipa. Cilj: Cilj ovog rada je procjena javnozdravstvenog problema tenzijske glavobolje kao i mogućnosti adekvatnog liječenja i profilakse tenzijske glavobolje. Metode: Za ovo ispitivanje koristili smo bazu podataka Pub med uzimajući pojmove; tenzijska glavobolja, prevalencija i liječenje (tension type headache, prevalence, therapy). Rezultati: Učestalost TTH značajno oscilira u ovisnosti o socioekonomskim uvjetima, a moguće i o rasnim razlikama. Učestalost raste sa životnom dobi. Češće se javlja kod žena. Liječi se analgeticima i nesteroidnim antireumaticima. Profilaksa kronične TTH provodi se primjenom amitriptilina, mirtazapina, venlafaksina. U slučaju potrebe uključuje se druga linija profilakse koja obuhvaća klomipramin, maprotilin i mianserin. Uz to koriste se i nemedikamentne mogućnosti liječenja kao što su akupunktura, biofeedback metode, kognitivno-bihevioralno liječenje, relaksacijski treninzi. Rasprava: Tenzijska glavobolja je relativno čest javno-zdravstveni problem u suvremenom svijetu čiji patofiziološki mehanizam nije posve rasvijetljen. Smatra se da je ova glavobolja multifaktorski uvjetovana. Osim epizodične glavobolje značajno veći problem je kronična tenzijska glavobolja koja zahtijeva kontinuiranu profilaksu. Nemedikamentne metode profilakse TTH su nedovoljno istražene i zahtijevaju kliničko-znanstvenu evaluaciju. Zaključak: U suvremenom svijetu tenzijska glavobolja, posebno kronična TTH, je javnozdravstveni problem koji treba zbrinjavati na adekvatan način. Uz široku lepezu medikamentne terapije nameću se i pomoćne metode liječenja koje treba dodatno evaluirati. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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