Migraine Yamadzimadzi: Zizindikiro, Machiritso, ndi Matenda Okhudzana Nawo

Mitsempha Yogwiritsira Ntchito Matenda Omwe Amagwiritsira Ntchito Matenda Omwe Amagwiritsira Ntchito Zovuta Zambiri za Chizungulire ndi Vertigo

Ngati mwauzidwa kuti muli ndi magraines, kapena mukuganiza kuti muli ndi matendawa, mwina mumakhala ndi nkhawa kwambiri. Kodi ndondomekozi ndi ziti, zimapezeka bwanji, ndipo zimatani? Mukudziwa bwanji kuti si chinthu china, monga stroke? Kodi mungathe kuyembekezera chiyani ndipo ndi chiyani chomwe chikugwiritsidwa ntchito?

Mankhwala osokoneza bongo amalingalira kuti ndi ofala kwambiri kuposa momwe amaganizira poyamba, omwe amachititsa kuti munthu mmodzi pa 100 alionse azikhalapo.

Mitsempha Yam'madzi - Tanthauzo

Mawu akuti "kuvala migraine" amatanthauza chizungulire chomwe chimabwera chifukwa cha zochitika za migraine. Ndondomeko yamakono ndi gawo la khutu lamkati lomwe limatiuza komwe tili mlengalenga mu miyeso itatu. Ngati mwathamanga m'mabwalo mwamsanga ndikuyimitsa, mukudziwa zomwe zimachitika pamene dongosolo lanu lavala silikugwira ntchito bwino.

Komanso imatchedwa migraine yomwe imagwirizanitsidwa ndi vertigo (MAV), kapena migrainous vertigo, nsalu zamakono zokhazokha ndi chimodzi mwa zifukwa zomwe zimayambitsa vutolo mwadzidzidzi . Vertigo, panthawiyo, imatanthauzidwa ngati kumverera kwa chizungulire chomwe chimagwirizanitsidwa ndi kumverera kuti mukuzungulira kapena dziko likuzungulira mozungulira iwe.

Migraine Headaches ndi Chizungulire

Migraines ndi chimodzi mwa matenda omwe amapezeka kwambiri m'magazi. Pamene anthu ambiri amaganiza za migraine, amaganiza kuti amatha kupwetekedwa mutu, nthawi zambiri amayamba kupweteka chifukwa cha kuwala kapena phokoso lowala. Nthaŵi zina migraine, zachilendo zingayambe kutsogolo kwa maso a migraineur, kapena amatha kumva zozizwitsa zowopsya.

(panthawi ya migraine kapena aura pamaso pa migraine .) Migraines angayambitse mitundu yambiri ya mavuto a ubongo, komabe, kuphatikizapo chizungulire.

Mwa njira zina, lingaliro lakuti chizungulire chimaphatikizapo migraines sizodabwitsa. Ndipotu, Nausea kawirikawiri imachitika pa migraines, ndipo kawirikawiri imaphatikizidwa ndi kumverera kwa matenda odwala.

Zizindikiro zimenezi zimapezeka pafupifupi 54 peresenti ya odwala omwe ali ndi migraine, poyerekeza ndi 30 peresenti ya anthu omwe ali ndi mutu wamagazi . Maganizo a chiwongolero (chitsimikizo cha kayendetsedwe ka kayendetsedwe ka madzi) angayambitse migraines, kutanthauza kugwirizana pakati pa migraines ndi chizungulire.

Pamene chizungulidwe ndi matenda a kuyenda ndizofala ndi mitundu ina ya migraine, maselo amkati amadziwika kwambiri ndi mazenera, kusasunthika kapena kusowa malire, kukhudzidwa ndi kuyendayenda, komanso kumva mosamveka kapena kumveka (kumveka m'makutu). kuti pafupifupi 10 peresenti ya anthu omwe ali ndi migraines amavutika ndi chovala chachilendo cha migraine.

Kusanthula Matenda a Magetsi

Kuti adziwe kuti palibenso chovala chodziletsa, pali njira zina zomwe zimayenera kukumana nazo. Izi zimapangidwa kuchokera ku mbiri yanu, zizindikiro zanu, kukula kwa zizindikiro zanu, kutalika kwa zigawo zanu, ndi mbiri yanu ya migraines m'mbuyomo.

Nthaŵi zambiri kafukufuku wamthupi, komanso mayeso a ma laboratory ndi masewero ojambula zithunzi, ndi oyenera.

Zina zowopsa zowonongeka zimayenera kuchitidwa musanatuluke.

Zosowa Zosokoneza Vestibular Migraine

Ngakhale kuti 40 peresenti ya anthu omwe ali ndi migraines ali ndi zizindikiro zina zooneka bwino, pali zizindikiro zenizeni zomwe ziyenera kuthandizidwa kuti zidziwe kuti maselo amatha kusokonezeka.

Zizindikiro izi zimatanthauzidwa ndi Bárány Society Kuyika kwa Zizindikiro za Vestibular, ndipo zimaphatikizapo:

• Anthu ayenera kukhala ndi mbiri ngati zizindikiro za migraine, monga kupweteka kwa mutu, mkati mwa maola angapo a chizungulire, osachepera 50 peresenti ya nthawiyo. (Mwa kuyankhula kwina, nthawi ya vertigo imagwirizanitsidwa ndi migraine pafupifupi theka la zigawo.)
• Payenera kukhala ndi magawo asanu omwe akhalapo mphindi zisanu mpaka 72.
• Sitiyenera kukhala ndi chifukwa china chimene chikhoza kufotokoza zizindikiro.
• Zizindikiro zimaphatikizapo zithunzi za aura (mwachitsanzo, kuwona nyali zowala), kukhudzidwa kuyendayenda, photophobia (kutsegula kuwala), phonophobia (kumveka kovuta), ndi zizindikiro zowoneka bwino.

Zizindikiro za m'mimba zimaphatikizapo:

• Vertigo (ngati mwadzidzidzi mumamva ngati mukupota kapena chipinda chikuzungulira)
• Positi Vertigo (Vertigo yomwe imapezeka mukasuntha kapena mutembenuzire mutu wanu pamalo osiyana.)
• Vertigo yowonongeka (Vertigo yomwe imapezeka poyang'ana kuyang'ana chinthu chosuntha.)
• Kuyendetsa mutu kunapangitsa vertigo (Vertigo yomwe imayambitsidwa ndi kusamuka kwa mutu.)
• Kuyendetsa mutu kunachititsa chizungulire ndi Vertigo (Zozunguza zomwe zimakhala zovuta kumalo osungira malo.)

Ndani Amalandira Migraines ya Vestibular?

Mankhwalawa amapezeka mwa anthu omwe ali ndi mbiri yeniyeni ya migraines, komabe n'kofunika kuzindikira kuti matenda a mutu wa migraine sadziwika bwino. Mofanana ndi mitundu ina ya migraine, chovala chachilendo chotchedwa migraine chimakhala chofala kwambiri kwa amayi kuposa amuna. Migraine imeneyi nthawi zambiri imaoneka pakati pa zaka 20 ndi 40 koma ingayambe muubwana. Kwa amayi, zizindikiro zowonjezereka zimatchulidwa kawirikawiri. Mankhwalawa amadziwika kuti amayendetsa mabanja.

Chifukwa ndi Genetics ya Vestibular Migraine

Zomwe zimayambitsa migraine sizimvetsetsa bwino, komanso zimakhala zochepa kwambiri. Chikhulupiriro ndi chakuti ntchito yolakwika ya ubongo imafalikira kuti isinthe momwe ife timasulira malingaliro athu, kuphatikizapo kupweteka, komanso kusintha kusintha kwa magazi kudzera m'mitsempha ya mutu.

Malinga ndi zamankhwala, pali njira zomwe amalingalira kuti zimasinthidwa zomwe zimagwirizana ndi trigeminal system (mbali ya ubongo yomwe yachitidwa pa migraines) ku dongosolo lavala.

Kafukufuku wa mafupa a anthu omwe ali ndi vertigo ndi migraine awonetsa mwayi wochulukirapo wa majini ngati C geneNAA gene, chifukwa cha atxia ya mtundu 2 . Ma jini ena omwe ali ogwirizana ndi vertigo ndi migraine ndi ATP1A2 (omwe amagwirizananso ndi episodic ataxia) ndi SCN1A. Zamoyo zonsezi zimagwirizana ndi njira za ion zomwe zimayendetsa momwe magetsi amafalikira mu ubongo.

Kuchiza kwa Vestibular Migraine

Chithandizo cha chovala chachilendo chimakhala chofanana ndi mankhwala ena amtundu wa migraine , ndipo kawirikawiri, amaphatikizapo njira zosiyanasiyana zochiritsira. Pankhani ya mankhwala, nthawi zambiri mankhwala omwe amachotsa chizungulire amachepetsa mutu komanso mosiyana. Mankhwalawa ndi awa:

• Pewani kukhumudwitsa - Chimodzi mwa zoyamba ndi zofunika kwambiri ndikuzindikira (ndikupewa kupewa ngati zilipo) chirichonse chimene chimachititsa kuti migraines ayambe . Izi zingaphatikizepo zakudya zina, kugona tulo, kapena nyali zowala zoyambira. Nthaŵi zina maulendo owonetsa amachititsa kuti munthu asamasunthike.
• Njira zamoyo - Kuchokera ku ukhondo wodetsedwa, miyeso ya moyo ikhoza kupanga kusiyana kwakukulu kwa anthu okhala ndi migraines. Mwachitsanzo, anthu ambiri omwe ali ndi migraines amapeza kuti ndibwino kuti azimutse ndi kugona nthawi yomweyo tsiku lililonse, ngakhale kumapeto kwa sabata.
• Mankhwala othandiza a migraine ( kuchotsa mankhwala a migraine .)
• Mankhwala osamalidwa a migraine (mankhwala oletsa kugonana ) - Pali magulu angapo a mankhwala omwe angayesedwe kuti athe kuchepetsa chiwerengero cha migraine. Izi zingaphatikizepo mankhwala osokoneza bongo monga Neurontin (gabapentin), beta-blockers, tricyclic antidepressants, calcium channel blockers, ndi zina zambiri.
• Mankhwala osokoneza bongo (antiemetics) monga Thorazine kapena Reglan.
• Mankhwala osokoneza bongo monga meclizine.
• Njira zokhudzana ndi makhalidwe - Njira zothandizira munthu kuti asatengere chithandizo, monga chithandizo chotsitsimutsa, chithandizo chamaganizo, ndi biofeedback ndi mbali yofunika kwambiri ya chithandizo.
• Mankhwala othandizira kuti azikhala osasinthasintha pamene akuyenda ndi chovala chachilendo.

Matenda okhudzana ndi Vestibular Migraine

Palinso zinthu zina zomwe zingakhale zofanana kapena zimagwirizanitsa ndi chovala chachilendo. Izi zikuphatikizapo:

• Kugwiritsira ntchito basilar migraine - basilar migraine , kapena matenda a Bickerstaff, ndi mtundu wofanana wa migraine womwe umayambitsanso mgwirizano, koma nthawi zambiri umathetsa ukalamba msinkhu. Mawu akuti basilar amatanthauza umisiri wa basilar umene umapereka zambiri mwa ubongo ndi magazi, kuphatikizapo malo oyenera. Mosiyana ndi chovala cha migraine, basilar migraine ikhoza kuchititsa zizindikilo zina monga masomphenya awiri, mawu osasunthika, kusintha kwa kumva, kukhumudwa, kusintha kwa maganizo, komanso kutaya chidziwitso.
• Matenda a Meniere - Matenda a Meniere ndi matenda a khutu lamkati lomwe limayambitsa mavitamini ndi tinnitus. Matenda a Meniere akhoza kusokonezeka ndi chovala chodziletsa. Komanso, si zachilendo kuti wina akhale ndi mavuto awiriwa. Pafupifupi 45 peresenti ya anthu omwe ali ndi matenda a Meniere ali ndi chizindikiro chimodzi cha mtundu wa migraine panthawi ya chiwopsezo cha vertigo, ndipo pali ngozi yowonjezera ya migraine mwa anthu omwe ali ndi Meniere's. Izi zikusonyeza kuti zinthu ziwirizi zingakhale zogwirizana kwambiri ndi chiyambi.
• Matenda oopsa - Anthu omwe ali ndi migraine ali ndi zaka 16 panthawi yomwe amakhala ndi mwayi wopezeka ndi vuto la mantha, lomwe limakhala lalitali kuposa anthu opanda migraine. Zonsezi zikhoza kupereka lingaliro la chizungulire. Kuwopsya kumapangitsanso kupweteka kwa mfuwa, kukhumudwa, kunyowa, kumverera kwa kupweteka, kutukuta, kusowa, kukulira ndi zina zambiri. Kwenikweni, si zachilendo kuti anthu akhale ndi zinthu zitatu izi: kusuntha, nkhawa, ndi mavuto oyenera. Izi zimatchedwa kuti chizungulire chachisokonezo cha migraine .
• Matenda opatsirana - Anthu omwe ali ndi migraine amtundu uliwonse amavutika kwambiri ndi matenda oyenda, ndipo amasonyezanso kugwirizana pakati pa dongosolo lovala ndi migraines.

Zingakhale Zotani? - Kuzindikira Mosiyana kwa Mitsempha Yachimake

Monga tanenera kale, kugwiritsidwa ntchito kwa chovala chaching'onoting'ono chotchedwa migraine kumangotengedwa pokhapokha ngati zinthu zina zatha. Izi zikuphatikizapo zomwe zili pamwambapa monga Meniere matenda, komanso:

• Kupwetekedwa kwa Brainstem kapena kuschemical ischemic
• Benign positional vertigo
• Matenda a mitsempha
• Zojambula zamatope
• Psychiatric chizungulire

Kulimbana ndi Vestibular Migraines

Mankhwalawa amatha kusintha kwambiri moyo wanu. Chifukwa cha zotsatirazi, ndizofunikira kukhazikitsa ndondomeko ya mankhwala ngati muli ndi migraines kuphatikizapo mankhwala okhaokha komanso kupewa njira zoyendetsera moyo ndi njira zamakhalidwe.

Zingakhale zokhumudwitsa kuthana ndi zizindikirozi, ndipo mukhoza kumverera kuti ndinu osungulumwa chifukwa cha iwo, koma anthu omwe ali ndi magalasi amkati amakhala nawo bwino, monga momwe anthu ambiri amafunira njira zothetsera migraines tsiku lililonse. Pali gulu lalikulu la anthu omwe angathe kutembenukira kwa wina ndi mnzake kuti amve malangizo ndi uphungu. Mutha kukhala ndi gulu lothandizira kumudzi wanu, koma pali magulu ambiri othandizira anthu ogwira ntchito ku migraine omwe akupezekapo omwe angapereke thandizo, komanso kukuthandizani kuphunzira zafukufuku waposachedwapa.

_Zotsatira

• _{Dieterich, M., Obermann, M., ndi N. Celebisoy. Chimake chochititsa chidwi: Chigwirizano Chosavuta Kwambiri cha Episodic Vertigo. Journal of Neurology . 2016. 263 Suppl 1: S82-9.}
• _{Sohn, J. Posachedwapa Zopita Kumvetsetsa kwa Vestibular Migraine. Khalidwe la Neurology . 2016. 2016: 1801845.}
• _{Tedeschi, G., Russo A., Conte, F., Laura, M., ndi A. Tessitore. Vratibular Migraine Pathophysiology: Malingaliro ochokera ku Structural and Functional Neuroimaging. Sayansi ya Nzeru . 2015. 36 Suppl 1: 37-40.}
• _{Brevern, M., ndi T. Lemert. Matenda a Migraine. Handbook of Clinical Neurology . 2016. 17: 301-16.}