Kupeza zizindikiro za migraine pamodzi ndi vertigo
Tangoganizani ulendo wopita ku malo okongola otchuka kapena masewera olimbitsa thupi, odzaza ndi abwenzi, maswiti a thonje, ndi kutentha kwa dzuwa. Zimamveka zokondweretsa mpaka mutapita pang'onopang'ono kuyenda ndikumva zozunguliridwa ndi chizungulire. Izi zikhoza kukhala momwe zimakhalira kwa ena a inu amene mukuvutika ndi zobvala zamkati, mtundu wa mutu umene umayambitsa matenda osokoneza bongo, nthawi zambiri opanda ululu, mwa anthu omwe ali ndi mbiri ya migraines.
Mau oyamba
Mankhwala osokoneza bongo amakhudza anthu 1%. Odwala omwe ali ndi vuto lodzidzimutsa ndi losiyana ndi zomwe zimachitika pamtunda wa migraine aura , chifukwa chakuti mphindi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi zisanu ndi chimodzi zimakhala ngati aura ndipo nthawi zambiri sichitha kupweteka kwa mutu. Posachedwapa, Komiti Yotchukitsa Matenda a Vestibular a Bárány Society ndi Komiti Yachigawo ya Migraine ya bungwe la International Headache Society (IHS) linayambitsa njira zomwe madokotala angagwiritse ntchito kuti azindikire kuti maselo amatha kupweteka.
Zotsatira za Malemba
Malinga ndi zofunikira zachidule cha International Classification of Headache Disorder (ICHD-II), zizindikiro za kuvala migraine zikuphatikizapo:
- Mbiri yakale kapena yakale ya migraine ndi wopanda aura
- Zozizwitsa 5 zomwe zimakhala zozizira kwambiri
- Pafupifupi magawo 50 pa magawo onsewa ali ndi chimodzi kapena zingapo izi
- zolaula
- photophobia ndi phonophobia
- Mutu uli ndi zinthu ziwiri zotsatirazi: kupweteka kumutu kumodzi, kupweteka, zolimbitsa thupi kapena zolimba kwambiri, kupweteka kwambiri ndi zochitika zochitika nthawi zonse
- Zizindikiro sizikufotokozedwa ndi matenda ena
Kodi Zizindikiro za Vesi Ndi Ziti?
Zizindikiro za pamadzi, malinga ndi momwe Bárány Society imafotokozera za Zizindikiro za Vestibular zikuphatikizapo:
- kutembenuka kwadzidzidzi (pamene munthu akumverera akusuntha kapena kuti malo ake akuzungulira kapena akuyenda)
- positional vertigo (vertigo yosinthidwa ndi kusintha kumutu)
- zozizwitsa zowonongeka.
- chitsimikizo choyendetsa mutu kapena chizungulire ndi mseru
Zizindikiro za mthupi zimakhala "zosavuta" ngati zikulepheretsa ntchito za tsiku ndi tsiku ndi "zovuta" ngati zikuletsa ntchito za tsiku ndi tsiku.
Kudziwa
Kudziŵa kuti chovala chodzidzimutsa chimapangidwa ndi katswiri wa zamaganizo kapena katswiri wa mutu. Palibe mayesero apadera, komabe matendawa ndi omwe amachititsa kuti adziwe zizindikiro zake kwa dokotala. Komabe, dokotala wanu mwina mukuganiza kuti ubongo uli ndi maginito opanga maginito ( MRI ) ndi / kapena magnetic resonance angiography ( MRA ) kuonetsetsa kuti palibe vuto linalake lalikulu lachipatala limene likuchitika monga: stroke kapena vertebrobasilar ischemic Kuukira (TIA). Mwinanso mungaphunzire zamagetsi kapena mayesero kuti mutulutse matenda a Meniere . Zochitika zina zamankhwala zomwe zingakhale zofanana ndi chovala chodziletsa chimakhala ndi chizunguliro choopsa kapena chiwopsezo choopsa, chowopsya chotchedwa paroxysmal positional vertigo , kapena mtundu wina wa migraine wotchedwa basilar migraine .
Chithandizo
Chithandizo cha vestibular migraine chimafanana ndi chithandizo cha migraines mu njira zochiritsira zoopsa komanso zowononga, kuphatikizapo kuyambitsa kupeweratu Ergotamine kapena triptans ndi njira zabwino zothandizira mankhwala, zomwe zimagwirizana ndi ntchito yawo mu episodic migraine. Ngati chovala cha munthu chimachitika mobwerezabwereza ndi / kapena makamaka kulepheretsa, kusiyana ndi mankhwala odziteteza monga anti- bloc kapena anti-calcium, monga chingwe chamtundu, chingakhale chothandiza. Nthawi zina, mankhwala osokoneza bongo, omwe angatanthauzidwe kuti ndi "anti-vertigo" mankhwala, agwiritsidwa ntchito. Zitsanzo zowonongeka ndizo: antiemetics monga promethazine, benzodiazepines ngati lorazepam, kapena antihistamines monga meclizine.
Kubwezeretsanso mavitamini ndi chinthu chomwe chiyenera kuganiziridwa ndi odwala omwe ali ndi vuto lotha msinkhu. Mu mankhwala amtundu uwu, odwala amaphunzira momwe angawongolere kulingalira kwawo ndikuchepetsa kuchepa kwa chizungulire, pamene chovala cha migraine chikuchitika.
Pansi
Ngati mukuvutika ndi episodic vertigo popanda kapena kupwetekedwa mutu, kuposa kupenda zizindikiro zanu ndi wothandizira zaumoyo wanu. Dokotala wanu adzatulutsa zifukwa zina za chizungulire asanatuluke kuti azindikire kuti ali ndi vuto lodziletsa. Koma, ngati izi ndizidziwitso, simuli nokha, ndipo pali njira zambiri zothandizira apo.
> Zotsatira:
Bisdorff AR. Kusamalira zovala zosamalitsa. Adv Adv Neurol Disord. 2011 May; 4 (3): 183-191.
Black DF & Robertson CE. Matenda a miguine. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Komiti Yoyang'anira Mutu ya Komiti Yapadziko Lonse Yamutu. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: njira zochizira. J Vestib Res . 2012; 22 (4): 167-72.