Pamene Zizindikiro za Migraine Zikubwezeretsanso Stroke
A hemiplegic migraine ndi mtundu wosasinthasintha wa migraine umene umayambira ali mwana.
Mbali yaikulu ya hemiplegic migraine ndi motor aura, yomwe imayambitsa kufooka kapena kuuma kumbali imodzi ya thupi
Ngakhale chochititsa mantha kuti apeze hemiplegic migraine, uthenga wabwino ndi wakuti pali mankhwala omwe alipo.
Kumvetsetsa Hemiplegic Migraines
Mankhwala otchedwa Hemiplegic migraines ndi osiyana ndi achidule a migraines ndi auras chifukwa cha motor aura.
Ngakhale zili choncho, munthu amene ali ndi hemiplegic migraine nthawi zambiri amakumana ndi auras ena pambali pa motor aura.
Mwachitsanzo, munthu amene ali ndi vuto la hemiplegic migraine angayambe kuwona aura (mwachitsanzo, kuwona magetsi akuwunika) motsogoleredwa ndi aura (mwachitsanzo, kusowa mtima) imayamba mu dzanja, kufalikira mu mkono ndi nkhope. Ngakhale kuti zofooka zimachitika pambali imodzi, anthu ena amaziwona pambali zonse za thupi.
Kuwonjezera pa zizindikiro za aura, nthawi ya hemiplegic migraine aura ndi yosiyana ndi ya migraine yomwe ili ndi aura . Ndipotu, aura ya hemiplegic migraine nthawi zambiri imatha oposa ola limodzi, ndipo pafupifupi asanu pa anthu 100 aliwonse, imatenga maola oposa 24.
Mitundu
Pali mitundu iwiri ya hemiplegic migraine:
Azimayi a Hemiplegic Migraine (FHM)
Monga momwe dzina limasonyezera, mawonekedwe achibale amachotsedwa.
Ofufuza kafukufuku anapeza kuti mitundu itatu ya kusintha kwa majini imayambitsidwa ndi achibale awo omwe amadzimvera chisoni kwambiri.
- FHM1 imayamba chifukwa cha kusintha kwa chiwalo cha CACNA1A chomwe chili pa chromosome 19
- FHM2 imayamba chifukwa cha kusintha kwa maselo a ATP1A2 omwe ali pa chromosome 1
- FHM3 imayamba chifukwa cha kusintha kwa maselo a SCN1A omwe ali pa chromosome 2
Popeza kuti ma gene genetication (pamene DNA ikusinthidwa) amasungidwa mwazidzidzidzi, ngati kholo liri ndi mtundu wamtundu wa hemiplegic migraine, mwanayo ali ndi mwayi wopeza mtundu umenewo.
Monga momwe kafukufuku amachitira pa hemiplegic migraine, pali mitundu yambiri yosinthika kwa majini yomwe ikupezeka. Mwachitsanzo, kusintha kwa maselo a PRRT2 kwagwirizananso ndi hemiplegic migraine.
Hemiplegic Migraine (SHM)
Mtundu umenewu si wamba kusiyana ndi banja la hemiplegic migraine ndipo siulandira, zomwe zikutanthauza kuti munthu sadzakhala ndi mbiri ya banja la hemiplegic migraine. M'malomwake, kusintha kwa chibadwa cha munthu amene ali ndi mpweya wotuluka m'mimba mwachangu kumachitika pokhapokha.
Zizindikiro
Zizindikiro za mutu wamphongo wopweteka kwambiri ndi ofanana ndi za mutu wa banja. Kuphatikiza pa kufooka kwa mbali imodzi komwe kunachitika pa gawo la aura (lotchedwa hemiplegia), vuto la hemiplegic migraine likhoza kuphatikizapo chimodzi kapena zizindikiro zotsatirazi:
- Mutu wamphamvu
- Nausea ndi / kapena kusanza
- Chisamaliro kuunika ndi / kapena kumveka
- Aura yachizindikiro imasonyeza ngati masomphenya akusinthika, kutengeka ndi kukumbidwa, ndi / kapena vuto loyankhula
Powonongeka kwakukulu kwa hemiplegic migraine, munthu akhoza kukhala ndi malungo, kugunda, ndi kukomoka.
Kuchiza
Pofuna kupewa matenda a hemiplegic migraine, dokotala amatha kupereka kalan SR (kutulutsidwa mwamsanga) kapena Diamox SR (wotulutsidwa-release release acetazolamide). Mankhwala awa amatengedwa tsiku ndi tsiku.
Kuchiza matenda oopsa a hemiplegic migraine kungakhale kovuta kwambiri, malinga ndi American Migraine Foundation. Ichi ndi chifukwa chakuti pali mankhwala omwe madokotala amafuna kuti anthu omwe ali ndi matendawa asapewe chifukwa akhoza kuonjezera chiopsezo chokhala ndi stroke.
Mankhwalawa ndi awa:
- Triptans
- Zotsatira za Ergotamine
- Beta-blockers
Kawirikawiri, antisteroidal anti-inflammatories (NSAIDs), mankhwala osokoneza bongo, kapena opioids amagwiritsidwa ntchito pofuna kuthetsa migraine yopanda pake.
Mawu Ochokera
Ngati mukukhulupirira kuti mukukumana ndi mutu wa chifuwa chachikulu, nkofunika kuti mupeze chithandizo chamankhwala. Hemiplegic migraine ndi yachilendo ndipo imatha kutsanzira zovuta zina, monga matenda a zilonda . Ngati mwapezeka ndi hemiplegic migraine, ndikofunika kuona katswiri wam'mutu kuchipatala.
> Zotsatira:
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
> Pelzer N, Stam AH, Haan J, Ferrari MD, Terwindt GM. Wodziwika bwino komanso wamtundu wa hemiplegic migraine: matenda ndi matenda. Tsamba Yogwiritsira Ntchito Njira Neurol . 2013 Feb; 15 (1): 13-27.
> Pelzer N et al. Nthenda yowonongeka komanso malungo mumtundu wa hemiplegic migraine wachibadwa 2. Wotsata banja lachiwiri lokhala ndi zaka makumi asanu ndi limodzi (15) omwe ali ndi chidziwitso chatsopano cha ATP1A2. Cephalalgia. 2017 Jul; 37 (8): 737-55.
> Robertson CE. (2017). Hemiplegic migraine. Mu: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.
> MB Russell MB, Ducros A. Zosasintha ndi familila hemiplegic migraine: njira zothandizira matenda, zizindikiro za matenda, matenda, ndi kasamaliro. Lancet Neuro l. 2011 May; 10 (5): 457-70.