I-Vestibular Migraines vs Ezinye izizathu zeNzululwazi kunye neVergo
Ukuba uye watshelwa ukuba une-vestibular migraines, okanye ucinga ukuba unayo le ngxaki, mhlawumbi uvakalelwa kakhulu. Ziyintoni na ezi zi-migraines, zithatyathwa njani, kwaye zingaphathwa njani? Uyazi njani ukuba akuyinto enye, njengesihlungu? Yintoni onokuyilindela kwaye yintoni na ukuchazwa?
I-migraines ye-Vestibular icingelwa ukuba iqhelekile kunokuba icinga ngaphambili, ichaphazela kwipesenti enye yabemi.
I-Vestibular Migraines - Inkcazo
Igama elithi "vestibular migraine" libhekisela kwisidlova esiphumela kwimiphumo ye-migraine. Inkqubo ye- vestibula yile nxalenye yendlebe yangaphakathi eyasitshela apho sisekho kwindawo emithathu. Ukuba uye wada wahlawula ngokujikeleza ngokukhawuleza waza wayeka, uyazi ukuba kwenzekani xa i-vestibular yakho ingasebenzi kakuhle.
Kwakhona kuthiwa i-migraine ehambelana ne-vertigo (MAV), okanye i-vertigo ehamba phambili, i-vestibular migraines enye yezona zizathu eziqhelekileyo ze-vertigo ngokukhawuleza . I-Vertigo, ngokuchazwayo, ichazwa njengento yokuvalelwa kwesidlo esinxulumene nesivakalelo sokuthi ujikeleza okanye ihlabathi lijikeleze.
Imisipha ye-Migraine kunye neNkathazo
I-Migraines enye yeengxaki ezixhaphakileyo zegazi. Xa abaninzi abantu bacinga ngemigraines, bacinga ukuba iintloko zibuhlungu, zidla ngokugqithisa ngokukhanya okanye ukuvakala kwengxolo. Kwezinye iimeko ze-migraine, iipatheni ezingavamile zingabonakala phambi kwamehlo e-migraineur, okanye zifumana iimvakalelo ezingaqhelekanga zokugungqa okanye ukubetha.
(ngexesha le-migraine okanye njenge- aura phambi kwe-migraine .) I-Migraines inokubangela ezinye iindidi ezininzi zeengxaki ze-neurological, nangona kunjalo, kuquka ukungcola.
Ngandlela-thile, ingcamango yokuba ukungcola okuhamba kunye nemigraines akumangalisi. Emva kwakho konke, i-Nausea ibonakala ngokuphindaphindiweyo ngexesha le-migraines, kwaye idla ngokuhamba kunye nesifo sokugula.
Ezi zimpawu zenzeke kwi-54 ekhulwini zegulane ezine-migraine, xa kuthelekiswa neepesenti ezingama-30 kuphela zabantu abaneentloko zentlungu . Imvakalelo ye-vertigo (ingqiqo yokunyakaza) ingabangela i-migraines, icetyise ngakumbi ukuxhamla phakathi kwe-migraines kunye nesisu.
Nangona utywala kunye nesifo sesifo sokunyakaza ziqhelekileyo kunye nezinye iifraine, i-vestibular migraines ibonakala ngokuyinhloko nge-vertigo, ukungaqiniseki okanye ukungabikho kokulinganisela, ukuvakalelwa kwindwendwe, kunye nokuphulaphula okungenakunyaka okanye i- tinnitus (ukukhala ezindlebeni.) Kucingelwa ukuba malunga neepesenti ezili-10 zabantu abane-migraines baxhamla kwi-vestibular migraine.
Ukuchonga i-Vestibular Migraine
Ukwenza ukuxilongwa kwe-vestibular migraine, kukho imigaqo ethile ekufuneka idibene nayo. Ukuxilongwa ngokuqhelekileyo kwenziwa ngokusekelwe kwimbali yakho, iimpawu zakho, ubuncinane beempawu zakho, ubude beepasodes zakho, kunye nembali yakho ye-migraines esikhathini esidlulileyo.
Uninzi lwexesha uvavanyo lomzimba, kunye neemvavanyo zelabhoratri kunye nezifundo zengqondo, ziqhelekileyo.
Ezinye izizathu ezinobungozi zokungcola kufuneka zilawulwe ngaphandle kokuba i-diagnostic ingenziwa.
Inkcazo yokuxilongwa kweVestibular Migraine
Nangona ama-40 ekhulwini abantu abane-migraines baneempawu ezithile ze-vestibular, kukho impawu ekhethekileyo ekufuneka idibene nayo ukuze kuhlolwe i-vestibular migraines.
Ezi zimpawu zichazwe nguBárány Society's Classification of Vestibular Symptoms, kwaye zibandakanya:
- Abantu kufuneka babe nembali ukuba iimpawu ze-migraine, ezinjengeentloko ze-throbbing, kwiiyure ezimbalwa zezoxinzelelo, ubuncinane ama-50 ekhulwini kwexesha. (Ngamanye amagama, ixesha le-vertigo lidibene ne-migraine ubuncinane kwisiqingatha seziqephu.)
- Kufuneka ukuba ubuncinane ubuncinci bee-episodes eziye zadlula emihlanu ukuya kwiiyure ezingama-72.
- Akufuneki kubekho esinye isizathu esichaza impawu.
- Iimpawu ziquka i-aura ebonakalayo (umzekelo, ukubona izibane ezikhanyayo), ukuqonda ukunyakaza, isithombe se-photophobia (ukukhanya komnene), i-phonophobia (inzululwazi ekhutshulwayo) kunye neempawu ze-vestibular.
Izimpawu zeVestibular ziquka:
- I-Vertigo yangaphandle (ukuba ngokukhawuleza uzive ngathi ujikelezayo okanye igumbi lijikelezayo.)
- I-Positional Vertigo (iVergogo eyenzekayo xa uhamba okanye ujika intloko yakho kwindawo ehlukile.)
- I-vertigo eyenziwe ngokubonakalayo (i-vertigo eyenzeka ngokuphendula ukujonga into ehambayo.)
- Ukunyuswa kwentloko kwenzelwe i-vertigo (Vertigo ebangelwa ukunyuka kwentloko.)
- Ukunyuswa kwentloko kubangele ukuzondla kunye ne-Vertigo (Ukuxakeka kwintlupheko apho kukho ukuphazamiseka kwendawo yokuqhelaniswa kwendawo.)
Ngubani ofumana iiVestibular Migraines?
I-migraines ye-Vestibular ivame ukuvela kubantu abanembali eqinisekileyo ye-migraines, kodwa kubalulekile ukuba uqaphele ukuba ukuxilongwa kwe-headaches ye-migraine kuphawulwa. Njengezinye iindidi ze-migraine, i-vestibular migraine ixhaphake kakhulu kubasetyhini kunamadoda. Le migraines idla ngokubonakala phakathi kweminyaka engama-20 no-40 kodwa ingaqalisa ebuntwaneni. Kubafazi, ukugqithisa kweempawu kudlalwa kwixesha lokuqala ngaphambi kokuya esikhathini. I-migraines ye-Vestibular yaziwa ukuba isebenze kwiintsapho.
Isizathu kunye neGenetics yeVestibular Migraine
Iimbangela ze-migraine aziqondanga kakuhle, kunye ne-vestibular migraine nangona kunjalo. Inkolelo kukuba umsebenzi oqhelekileyo weengqondo usasazeka ekutshintsheni indlela esiqhele ngayo ukutshintsha iingqondo zethu, kubandakanywa intlungu, kunye nokutshintsha ukuhamba kwegazi kwimithambo ekhanda.
Kwimiqathango yonyango, kukho iindlela ezicingelwa ukuba zisebenze ezidibanisa inkqubo yesigxina (inxalenye yengqondo eyenziwe ngexesha le-migraines) kwisistimu ye-vestibular.
Izifundo ze-Genetic zabantu abane-vertigo kunye ne-migraine zityhile ithuba lokunyuka kwamajelo njenge-CACNA1A gene, imbangela ye- episodic ataxia hlobo 2 . Ezinye izakhi zofuzo ezixhunyiwe kunye ne-vertigo kunye ne-migraine ziquka i-ATP1A2 (ikwabandakanyeka ne-ataisoia episodic) kunye ne-SCN1A. Zonke ezi zigulo zihambelana neendlela ze-ion ezilawula indlela ugesi olwenziwe ngayo kwingqondo.
Unyango lwe-Vestibular Migraine
Ukunyangwa kwe-vestibular migraine kufana nezinye i-migraine therapies , kwaye ngokuqhelekileyo, kubandakanya ukudibanisa kwamanyathelo amanyango amaninzi. Ngokubhekiselele kumachiza, amaxesha amaninzi izidakamizwa ezithintela ukuzondloba azikhupheli iintloko kunye nangona kunjalo. Unyango luquka:
- Ukuphephelwa kwezinto ezibangelwayo - Enye yamanyathelo okuqala kunye neyona nto ibalulekileyo kukubona (kwaye ugweme xa kunokwenzeka) nantoni na eyenza i-migraines . Oku kungabandakanya ukutya okuthile, ukulahleka kokulala, okanye izibane ezikhanyayo zokuqala. Ukunyuswa kwesibonakaliso ngamanye amaxesha kungabangela i-vestibular migraine.
- Izindlela zokuphila - Ukususela ekuhlaleni ubuthongo kwimikhwa, iindlela zokuphila zingenza umehluko omkhulu kubantu abahlala ne-migraines. Abantu abaninzi abanemigraines, umzekelo, bakufumene kuncedo ukuvusa nokuya kulala ngexesha elifanayo ngalunye, nangempelaveki.
- Iimithi zonyango eziqhelekileyo ( ukukhupha imithi ye-migraine .)
- Imithi ye-migraine engapheliyo (imichiza ye-migraine yokukhusela ) - Kukho amaqela amaninzi enokuthi ahlolwe ukwenzela ukunciphisa inani okanye ukuphindaphindiweyo kweempawu ze-migraine. Ezi ziquka ukuxhatshazwa ngamachiza anjenge-Neurontin (gabapentin), i-beta-blockers, i-tricyclic antidepressants, i-block block calcium, kunye nokunye.
- Imithi ye-nausea (antiemetics) njengeTrarazine okanye i-Reglan.
- Imithi yezoxakeka ezifana ne-meclizine.
- Izindlela zokuziphatha - iindlela zokuziphatha eziphathekayo , njengoluphiko lokuphumula, unyango lweendlela zokuziphatha, kunye ne-biofeedback yinxalenye ebalulekileyo yonyango.
- Ulwaphulo oluthile lokuncedisa ukungazinzi xa uhamba ne-vestibular migraine.
Iintlupheko ezinxulumene neVestibular Migraine
Kukho ezinye iimeko ezinokuba zifana okanye zifakwe kwi-vestibular migraine. Ezi ziquka:
- I-basilar migraine - i-basilar migraine , okanye i-Bickerstaff's syndrome, luhlobo oluthile lwe-migraine ekwabangela ukuba i-vertigo, kodwa ngokuqhelekileyo isombulula ngokukhula kwabantu abadala. Igama elithi buslar libhekisela kumbhotha we-buslar ohambisa ubuninzi beengqondo kunye negazi, kuquka neendawo zokulinganisela. Ngokungafani ne-vestibular migraine, i-buslar migraine inokubangela ezinye iimpawu ezifana nombono ombini, intetho edibeneyo, utshintsho lwendlebe, ukuxhamla, ukutshintsha kwentshukumo, kunye nokulahlekelwa kwengqondo.
- Izifo zeMeniere - izifo zeMeneere yintlupheko yeendlebe zangaphakathi ezenza zombini i-vertigo kunye ne-tinnitus. Izifo zeMeniere zidideka kunye ne-vestibular migraine. Ukongezelela, akuqhelekanga ukuba umntu abe neengxaki zombini. Amaphesenti angama-45 abantu abanezifo ze-Meniere banomlinganiselo omnye we-migraine ngexesha lokuhlaselwa kwe-vertigo, kwaye kukho ingozi eyongezelelekileyo yokubamba iqhaza kubantu abaneMeniere. Oku kuphakamisa ukuba le mibini mibandela inokuthi idibaniswe ngokusondeleyo kwimvelaphi.
- Ukuphazamiseka kwamanxeba - Abantu abane-migraine baneepesenti ezili-16 zithuba lokuphila kwimeko yokuphazamiseka kwengxaki, ezo zihlandlo ezine eziphakamileyo kunabantu abangenayo imigraine. Zombini iimeko zinganika umqondo wezondlo. Ukuhlaselwa kweentlanzi kungabangela intlungu yesifuba, ukuphosa, isisongela, isithwathwa sokubhukuda, ukujuluka, ukuphazamiseka, ukugubungela kunye nokunye. Enyanisweni, akuqhelekanga ukuba abantu babe neemeko ezintathu: i-migraine, ixhala, kunye neengxaki ngokulinganisela. Oku kuthiwa yi- migraine-anxiety related to a dizziness .
- Ukugula kwesifo - Abantu abane-migraine yabo bonke uhlobo banokuthi banokugula ngenxa yesifo sokunyuswa, baphinda bacebise ukuxhamla phakathi kwenkqubo ye-vestibular kunye ne-migraines.
Yiyiphi enye into eyayingayi kuba nayo? - Ukuxilongwa okungafaniyo kweVestibular Migraines
Njengoko kuphawuliwe ngasentla, ukuxilongwa kwe-vestibular migraine kwenziwa kuphela emva kokuba ezinye iimeko zikhutshwe. Oku kubandakanya iimeko ezichazwe ngasentla ezifana nezifo zeMeniere, kunye:
- Ukuhlaselwa kweBrainstem okanye ukuhlaselwa kwe-ischemic esingaphantsi kwexesha
- I-vertigo yeBenign positional
- Vestibular neuritis
- Vestibular paroxysms
- Ingqondo yezengqondo
Ukujamelana neVestibular Migraines
I-migraines ye-Vestibular ingaba negalelo elikhulu ebomini bakho. Ngenxa yempembelelo, kubalulekile ukudala isicwangciso socwangciso olunzulu ukuba unayo i-migraines kubandakanyi nje imishanguzo kodwa ukuphepha kokubangela nokuphila nendlela yokuziphatha.
Oku kunokuba nzima ukujamelana nale mpawu, kwaye unokuziva uzimele ngenxa yabo, kodwa abantu abane-vestibular migraine bahlala behle, kuba abantu abaninzi kufuneka bafumane iindlela zokuhlangabezana nemigraines imihla ngemihla. Kukho uluntu olukhulu lwabantu abangakwazi ukuphendulela omnye kumnye ngeengcebiso kunye neengcebiso. Unokuba neqela lenkxaso yendawo kwindawo yakho, kodwa kuninzi yoluntu oluxhasayo lwe-vestibular migraine olukhoyo kwaye lunokunika inkxaso kunye nokukunceda ufunde malunga nophando olutsha kwimeko.
Imithombo
- Dieterich, M., Obermann, M., kunye noN. Celebisoy. I-vestibular migraine: IQumrhu Eliqhelekileyo Lama-Episodic Vertigo. Journal of Neurology . 2016. 263 I-Suppl 1: S82-9.
- Sohn, J. Uphuhliso olutshanje kwi-Vestibular Migraine. Neurology . 2016. 2016: 1801845.
- Tedeschi, G., Russo A., Conte, F., uLaura, M., no-A. Tessitore. I-Vestibular Migraine Pathophysiology: Iimbono ezivela kwi-Neuralimagination. Iingcali zeNzululwazi . 2015. 36 Isondlo 1: 37-40.
- von Brevern, M., kunye noT. Lemert. Vestibular Migraine. I-Handbook ye-Clinic Neurology . 2016. 17: 301-16.