Ukumangalisa abazali abaninzi, iintloko ziqheleke kakhulu kubantwana abaneminyaka engama-10 ubudala. Iingcali zibika ukuba i-30% ukuya kwi-50% yabantwana abaneminyaka yesikolo kunye ne-50% ukuya kwi-80% yabaselula inamahlunu.
Intloko ze-Migraine ziqhelekile, nazo. Zenzeka kwi-3% yabantwana besikolo sokuqala, i-11% yabafundi besikolo seprayimari, kunye ne-23% yabafundi bezikolo eziphakamileyo.
Izimpawu zeMigraine
Izimpawu zeMigraine ziquka rhoqo:
- intlungu yentloko kwelinye icala lentloko (unilateral); ukulinganisela intlungu enzima kumacala omabini entloko yomntwana (ngokubambisana) kuya kwenzeka
- intlungu okanye ukuphuka kwentlungu
- isicupunu okanye ukuhlanza
- uvakalelo ekukhanyeni (photophobia)
- uvakalelo kwisandi (i-phonophobia)
- ukuphazamiseka kwizinto ezivumbayo (ukungcola)
- i- aura eqala ngaphambi kokuba i-migraine okanye njengentloko ye-migraine iqala kwaye ingaquka ukuphazamiseka kokubonakalayo, ubuthathaka obusondelene kolunye uhlangothi lomzimba (hemiparesis), okanye ukukhubazeka kolwimi (aphasia)
- iziqendu zeentetho ezincitshisiweyo okanye ezinokutshatyalaliswa (dysarthria); vertigo; ukukhala ezindlebeni (tinnitus); Umbono obini (diplopia); iziphazamiso ezibonakalayo; ataxia; ukunciphisa amanqanaba okuqonda; ukuva kweendlebe; okanye i-numbness times kunye neengcamango zokubhukuda kumacala omabini (ii-paresthesias ezibini), njenge-aura ngaphambi kokuba intloko ye-migraine iqale (i-buslar-type migraine)
Izibonakaliso zentlungu ye- migraine zenziwa zibi nakwezinto eziqhelekileyo zemizimba, njengokuhamba okanye ukunyuka kwezitebhisi.
Ukuchonga iMigraines kubantwana
Nangona uvavanyo olunjengeNtloko ye-CT, i-MRI ye-head, i-sinus x-ray, okanye i-lumbar puncture ngamanye amaxesha kwenziwa ngexa umntwana ephethe iintloko, ukuba alawulwe ezinye izimbangela, ukuxilongwa kwe-migraine kudlalwa nje ngumzekelo weempawu zomntwana . Ukuvavanya akusoloko kuyimfuneko ukuba umntwana unesifo esibuhlungu kunye nesifo esiqhelekileyo sokuhlolwa kwegazi, ngaphandle kokuba umntwana eqale ngokuqala ukuba nekhanda elibi, intloko yakhe iyatshintsha (ibe nzima kakhulu okanye rhoqo, umzekelo), okanye ukuba udokotela wakho wezilwanyana ufumana ukungahambi kakuhle kwegazi ngexesha vavanyo lomzimba.
Njengengxenye yendlela yokuxilonga imithi ye-migraines, udokotela wakho wezilwanyana uya kuhlola ukuze abone ukuba umntwana wakho:
- uye waba nokuhlaselwa kwe-5 migraine (migraine ngaphandle kwe-aura) okanye i-2 migraine attack (migraine ne aura)
- Ukuhlaselwa kwe-migraine kudlulileyo phakathi kwama-1 no-72 iiyure
- unayo nayiphi impawu okanye iimpawu ezingabonisa ukuba iintloko zibangelwa esinye isifo
Ukuba namanye amalungu entsapho kunye nentloko ye-migraine nayo iya kugqiba ukuxilongwa kwe-migraine kumntwana, njengoko kubonakala sengathi imigraines ihamba kwiintsapho.
Izigulane zeMigraine
Akukho nonyango yokuthintela intloko, kodwa ngoku unyango lwama-migraine lungaphinda luncede ukunciphisa ukuba kaninzi kangakanani umntwana wakho unemigraines kwaye unciphise ubunzima beempawu zakhe ze-migraine.
Ezi zonyango ziquka:
- ukuphepha ukuthatha i-migraine evangelisayo, kubandakanywa nezondlo zokutya (ushizi, i-chocolates, kunye neziqhamo ze-citrus, njl.), ukuphuka ukudla, ukukhubazeka kokulala, nokungabikho kokuzivocavoca, njl njl.
- ukuthatha i-dose efanelekayo yobudala be-pain reliever (i-acetaminophen okanye ibuprofen) ngokukhawuleza xa kunokwenzeka xa i-migraine iqalisa, kodwa ukuphepha ngaphezu kwamathamo angaphezu kwethathu ngeveki ngenxa yesisu, njengokuba kuthatha ixesha elide kunakho ukukwenza ukuba
- iyeza-anti-nausea, ezifana neZofran (ondansetron), ukuba isisulu sokuncwina kunye nokuhlanza yinxalenye enkulu yokuhlaselwa komntwana wakho
- i-triptan efana ne-Imitrex (i-sumatriptan), i-Maxalt (rizatriptan), okanye i-Zomig (i-zolmitriptan) esetyenziswe kaninzi kubantwana nakwishumi, ngokukodwa njengamanani amaninzi avunyelwe yi-FDA kule minyaka yobudala
- unyango lwe-prophylactic nsuku zonke ukukhusela ikhanda xa umntwana wakho enesibindi sesithathu se-migraine intloko nganye, enokubandakanya i-antihistamine Periactin (i-cyproheptadine), i-anti-depressant amitriptyline, okanye imithi ye-antiepileptic, njenge- Topamax (topiramate) okanye i-Valproate (i-disodium valproate)
I-Topamax ngoku i-FDA ivunyelwe ukukhusela i-migraines kubantwana.
Oko Okufuneka Ukwazi NgoMigraines Kwabantwana
Ezinye izinto ezaziyo malunga nemigraines kubantwana ziquka ukuba:
- Ngaphambi kokuphelelwa ngumntwana, abafana bafumana i-migraines emininzi kunamantombazana, kodwa kamva emva kokuba sele bekhulile, amantombazana aqala ukufumana i-migraines engaphezu kwamakhwenkwe.
- Idayari ye-header symptom sympty, apho urekhoda iinkcukacha malunga nentloko yengane yakho - kubandakanywa xa wayenayo, yintoni eyayiyibangela, kwaye yintoni eyenze ibe ngcono - inokukunceda ukuba ufumane i-migraine echaphazelayo ukukhusela kwikamva.
- Ukuhlukahluka kwe-Migraine kubantwana kunokubandakanya i-vertigo ye-paroxysmal, i- cyclic vomiting syndrome , kunye nesisu esiswini.
- Nangona abantwana abaninzi abane-migraine baqhubeka benesihloko njengabantu abadala, malunga ne-25% baya kuphuma iintloko zabo.
- Ukuntuleka kwe-coenzyme Q10 kunokuba negalelo kwimigraines kwabanye abantwana, kwaye ngezinye iinkqubo izaziso ze-neurologists zijonga amazinga e-coenzyme Q10 xa kuhlolwa abantwana abane-migraines.
Ingcali ye-neurologist yezilwanyana inokukunceda ukuhlalutya nokuphatha umntwana wakho ngeentloko ze-migraine.
Imithombo
I-American Academy ye-Neurology. I-Parameter ye-Practice: Ukuvavanywa kwabantwana kunye nabaselula kunye neenwele eziphindaphindiweyo. Neurology 2002; 59: 490-498.
I-American Academy ye-Neurology. Yenza iParamameter: unyango lwe-Pharmacological of migraine intloko kubantwana. Neurology 2004; 63: 2215-2224.
Lewis DW. Migraine yabantwana. I-Neurol Clinic - 01-MAY-2009; 27 (2): 481-501