DR DALIBOR KOVAČEVIĆ specijalista anesteziolog i reanimatolog anaesthesiologist and reanimatologist
Da, može! Botulinum toksin tipa A predstavlja revolucionarni pristup u terapiji hronične migrene, definisane kao glavobolja koja se javlja 15 ili više dana mesečno, od kojih je najmanje osam sa karakteristikama migrene. Terapija se sprovodi kroz precizno definisane injekcije. Dejstvo se obično primećuje nekoliko dana nakon početka terapije, a maksimalni efekat dolazi u roku od 15 dana. „Kada se tretira čeoni deo glave, tad imamo dupli benefit. To je otklanjanje migrenoznih glavobolja te regije i korekcija bora čela. Terapija se lako podnosi, sa retkim i blagim nuspojavama kao što su lokalna slabost mišića, bol na mestu aplikacije“, kaže dr Dalibor Kovačević, specijalista anesteziolog i reanimatolog iz poliklinike „Regena“ u Novom Sadu. On dodaje da je terapija ciljana, za razliku od lekova koji opterećuju mnoge organe organizma, što je od izuzetnog značaja kod pacijenata sa slabom tolerancijom na lekove. Navodi i da tolerancija na tretman vremenom ne opada, što je važno za dugoročnu upotrebu. Botulinum toksin tipa A je takođe veoma efikasan za sprečavanje prekomernog znojenja, naročito pazuha, dlanova i stopala. Deluje tako što blokira oslobađanje acetilholina u znojne žlezde, čime selektivno zaustavlja znojenje bez oštećenja žlezda. „Prvi efekti su vidljivi u roku od tri do sedam dana, a maksimalan učinak se postiže za oko dve nedelje. Trajanje zavisi od regije, ali u pazuhu efekat traje šest do devet meseci, često i duže, dok je na dlanovima i stopalima obično nešto kraće“, kaže doktor Kovačević. Objašnjava da se koristi lokalna anestezija, najčešće u obliku kreme. Tretman traje oko 20 minuta, a pacijent se odmah vraća svakodnevnim aktivnostima. Efekat je klinički dokazan i terapija je bezbedna. „Pacijenti kažu da su prvi put u životu nosili svetlu odeću, ili da su se mirno rukovali bez znojenja dlanova“, kaže doktor Kovačević. MOŽE LI BOTOKS IZLEČITI MIGRENU ILI SPREČITI ZNOJENJE? CAN BOTOX CURE MIGRAINES OR PREVENT SWEATING?
Yes, it can! Botulinum toxin type A is a revolutionary approach to treating chronic migraines, defined as a headache that occurs 15 or more times per month, of which at least eight have the characteristics of a migraine. Treatment is administered with precisely defined injections. The effects are usually noticeable just a few days after the start of treatment, while the maximum effect appears within up to 15 days. “When the forehead part of the head is treated, we get a double benefit. It eliminates both migraine headaches in that region and forehead wrinkles. Treatment is easy to endure, with rare and mild side-effects that include muscle weakness and soreness at the location of application,” explains Dr Dalibor Kovačević, anaesthesiologist and reanimatologist at the Regena polyclinic in Novi Sad. He adds that the treatment is targeted, unlike medicines that impact many organs in the body, which is of exceptional importance for patients with weak tolerance to drugs. He adds that tolerance to the treatment does not decline over time, which is important for long-term use. Botulinum toxin type A is also very efficient at preventing excessive sweating, especially from the armpits, palms and feet. IT acts by blocking the release of acetylcholine to the sweat glands, therefore selectively stopping the sweating without damaging the glands. “First effects are visible within three to seven days, and maximum effect is achieved in about two weeks. Duration depends on the region, between six and nine months for armpits, sometimes longer, while it is shorter for the palms and feet,” says Dr Kovačević. He explains that a local anaesthetic is used, most often in the form of a cream. The treatment lasts about 20 minutes and the patient can immediately return to their everyday activities. The effect is clinically proven and the treatment is safe. “Patients say that they wore light-coloured clothes for the first time in their life, or that they weren’t embarrassed to shake hands,” explains Dr Kovačević.
POLIKLINIKA REGENA Novi Sad, Futoška 84 d +381 (21) 30 20 200 www.regena.rs
Promo » Promo | 119
Made with FlippingBook interactive PDF creator