Anatomy ya Migraine

Kutha kwa Migraine Attack ndi Zizindikiro

Pamene anthu ambiri amaganiza kuti "migraine" amaganiza za ululu umene umayambitsa. Zoona, komabe, mutu wa migraine uli ndi zambiri.

Nkhani yachidule ya migraine imakhala ndi magawo anayi, otchulidwa ngati magawo kapena zigawo zikuluzikulu. Ndikofunika kuzindikira kuti sikuti migraineur iliyonse imakumana ndi magawo anai onse. Ndiponso, zigawo zingasiyana mosiyana pazigawo zosiyanasiyana.

Zigawo zinayi za mutu wa migraine ndi:

• Prodrome
• Aura
• Mutu
• Postdrome

Prodrome

Prodrome (yomwe nthawi zina imatchedwa "mutu wa mutu") ikhoza kukhala ndi maola ochuluka kapena ngakhale masiku asanakwane mutu wa migraine. Prodrome ikhoza kuonedwa ngati "kuwala kwa chikasu," chenjezo kuti migraine yayandikira.

Kwa pafupifupi 60 peresenti ya migraineurs omwe amamva prodrome, ikhoza kukhala yothandiza kwambiri chifukwa, nthawi zina, imapatsa mpata, kuchotsa chigamulocho. Kwa migraineurs amene amamva prodrome, zimakhala zovuta kuti asunge mutu wa migraine komanso kudziŵa thupi lake.

Zizindikiro zofanana ndi za prodrome ndi izi:

• Kulakalaka chakudya
• Kutsekula kapena kutsekula m'mimba
• Kusintha kwa thupi kumasintha: kupanikizika, kukwiya, ndi zina zotero.
• Kuthamanga kwa mitsempha, makamaka m'khosi
• Kutopa
• Kusayendetsedwa kosasinthasintha
• Kusungirako zamagetsi
• Kuwonjezeka kwafupipafupi kokopa

Aura

A aura ndi omwe amadziwika bwino pa magawo. Aura amatsatira prodrome ndipo kawirikawiri amatha kupitirira ola limodzi.

Zizindikiro ndi zotsatira za aura zimasiyana kwambiri, ndipo zina zingakhale zoopsa kwambiri, makamaka zikadziwika koyamba.

Ngakhale anthu ambiri amaganiza kuti aura ndizowonetseratu, auras akhoza kukhala ndi zizindikiro zosiyanasiyana, kuphatikizapo:

• Zizindikiro zooneka: magetsi oyatsa, mizere ya wavy, mawanga, kutayika pang'ono, kuona masomphenya

• Zizindikiro zolakwika (zonunkhira zonunkhira zomwe siziripo)
• Kuwongolera kapena kupweteka kwa nkhope kapena kumapeto kwa kumutu komwe kumapweteka mutu
• Zovuta kupeza mawu ndi / kapena kuyankhula
• Kusokonezeka
• Vertigo
• Kufa ziwalo
• Zolemba zamakono (kumva zinthu zomwe siziripo_
• Kuchepa kwa kumva kapena kutaya kwa kumva
• Kutengeka kochepetsedwa
• Hypersensitivity kumva ndi kukhudza

Pafupifupi 20 peresenti ya migraineurs ali ndi aura. Mofanana ndi prodrome, migraine aura, pamene migraineur akudziŵa, akhoza kukhala chenjezo, ndipo nthawi zina amalola kugwiritsa ntchito mankhwala kuti abweretse chigawocho musanayambe mutu.

Monga tanenera kale, sizinthu zonse za migraine zomwe zimaphatikizapo magawo onse. Ngakhale kuti si wamba, pali zigawo zina zomwe munthu amatha kuonera aura, koma palibe mutu. Pali mawu angapo omwe amagwiritsidwa ntchito pa zochitikazi, kuphatikizapo "migraine chete," "sans-migraine," ndi "migraine ofanana."

Mutu

Mutu wamutu umakhala gawo lotayirira kwambiri pa nthawi ya migraine. Zotsatira zake sizimangokhala pamutu koma zimakhudza thupi lonse. Kupweteka kwa mutu kumatha kukhala kovuta kwambiri kotero kuti ndi kovuta kumvetsa ndi omwe sanamvepo.

Gawoli limakhala limodzi ndi maola 72.

Nthawi zambiri zimakhala nthawi yaitali kuposa maola 72, zimatchedwa status migrainosus , ndipo chithandizo cha mankhwala chiyenera kufunidwa. Ululu umakhala woipitsidwa ndi ntchito iliyonse.

Zizindikiro zina za mutu wa mutu zingaphatikizepo:

• Kupweteka kumutu komwe kawirikawiri kumapweteka, kapena kumbali imodzi (ululu uwu ukhoza kusunthira kumbali inayo kapena kukhala pakati)
• Phonophobia (kumveka kulira)
• Photophobia (kumvetsa kuwala)
• Nsowa ndi kusanza
• Kutsekula m'mimba kapena kudzimbidwa
• Kusokonezeka kwapadera ndi / kapena mphuno
• Kusokonezeka maganizo kapena nkhawa yaikulu
• Kutentha ndi kutentha
• Chizungulire
• Kutaya madzi m'thupi kapena kusungira madzi, malinga ndi momwe thupi limakhudzira

Postdrome

Mutu utatha, chiwonongeko cha migraine sichinathe. The postdrome (nthawi zina amatchedwa mutu wamutu) imatsatira mwamsanga pambuyo pake.

Anthu ambiri amafotokoza postdrome ngati akumva "ngati zombie" kapena "hungover." Maganizo amenewa nthawi zambiri amatengedwa ndi mankhwala omwe amachitidwa kuti athetse migraine, koma akhoza kuba chifukwa cha migraine yokha.

Zizindikiro zowonjezereka zimasonyezedwa kuti zimatsagana ndipo mwinamwake zimayambitsidwa ndi kutuluka kwa magazi kosasintha ndi ma EEG kwa maola 24 mutatha mapeto a mutu. Zikakhala kuti prodrome ndi / kapena aura zimachitika popanda kupweteka kwa mutu, postdrome ikhoza kuchitikabe. Zizindikiro za postdrome zikuphatikizapo:

• Kutopa
• Maonekedwe amasintha
• Kufooka kwa minofu
• Chizungulire kapena kumutu
• Kusalongosoka kovuta
• Khosi lamtundu

Mawu Ochokera

Chithunzi chachikulu apa ndikuti pali zambiri pa mutu wa migraine kusiyana ndi mutu. Koma uthenga wabwino ndi wakuti anthu omwe amavutika ndi migraines, zimakhala zopindulitsa kwambiri kuphunzira za magawo awa. Mukatha kuwazindikira, muli ndi mwayi wabwino wopewa kapena kuchepetsa kupweteka kwa mutu wanu.

> Zotsatira:

> Giffin NJ, Lipton RB, Silberstein SD, Olesen J, Goadsby PJ. Migraine postdrome. Zolemba zamagetsi zimaphunzira. Neurology. 2016 Jul 19; 87 (3): 309-13.

> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.

> Lampl C, Rudolph M, Deligianni CI, Mitsikostas DD. Kumva kupweteka kwa mitsempha m'maganizo a migraine: Chizindikiro choyambirira kapena gawo la chiwonongeko? J Mutu wa Mutu . 2015; 16: 80.

> National Institute of Neurological Disorders ndi Stroke. (2017). Mutu: Chiyembekezo Kupyolera Mufufuza.

> Ng-Mak DS et al. Mfundo zazikulu za migraine postdrome: phunziro loyenerera kuti likhazikitse mafunso a post-migraine. Mutu . 2011 Jan; 51 (1): 105-17.