Uninzi lwabaxhamli be-migraine abayiki nje kuphela ukuhlaselwa kwe-migraine ekudambiseni kodwa kubenokukwazi ukuhlakulela ingxaki ye-migraine, njenge-stroke okanye i-seizure eyenziwa yimigraine. Iindaba ezilungileyo kukuba ezi ngxaki zinqabile.
Isimo seMigrainosus
Iimpawu ze- status migrainosus zifana nantoni na iimpawu zakho "eziqhelekileyo" ze-migraine. Uhlobo oluphambili kukuba kwiimeko zithintela impawu zinzima kakhulu kwaye ziphelile, kwaye zihlala ixesha elide-eqinisweni, iimpawu ziyaqhubeka kwiiyure ezingama-72.
Oko kushiwo, kunokubakho ixesha lokuphucula isiqhelo (ukuya kwiiyure eziyi-12) ngenxa yemithi okanye ukulala.
Kwakhona, ngamanye amaxesha iimpawu zemoya migrainosus ziyakulinganisa loo mayeza asebenzisa ngayo intloko - ingxaki yesifo esentloko esenzeka ngenxa yokuthatha i-migraine okanye ikhanda lokunciphisa intlungu ngenxa yeentsuku ezili-10 ukuya kwi-15 ngenyanga, kwiinyanga ezingaphezu kwe-3.
Migrainous Infarction
Ngokwe-International Headache Society, i-infraction ehamba phambili iyenzeka xa, ngexesha le- migraine ne-aura , isigulane sine- stroke kwindawo yesifo esivela kuyo iimpawu ze-aura. Ngamanye amazwi, enye okanye ezininzi iimpawu zabo ze-aura ziyaqhubeka (ubuncinane ngaphezu kweyure enye). Ukubetha kubonwa ngugqirha kwi-neuroimaging, njenge-MRI yengqondo.
Nangona le ngxaki ingaqhelekanga, oogqirha bayayilumkisa xa umntu enempawu ze-aura ezingahambi. Ukongezelela, kunokubakho uxhulumaniso phakathi kwemigraines kunye nomngxuma kwintliziyo yomntu ebizwa ngokuba yi- patent foramen ovale , okanye i-PFO - intambo encinane phakathi kwamagumbi aphezulu entliziyo engavaliyo ngexesha lokuzalwa malunga neepesenti ezingama-20 zoluntu.
Ucwaningo lufumene unxibelelwano phakathi kwabantu abane -migraine ne-auras kunye nobukho be-PFO . Umngcipheko we-PFO yintlanzi, njengoko i-blood clots encinci ingasuka entliziyweni ngokusebenzisa le ngxoworho engqondweni. Oku kuthethwa ukuba, ukuvalwa kwe-PFO kwizigulane ezine-migraines akuyona imigaqo eqhelekileyo yokukhusela isifo, njengoko isayensi emva kwayo isingenakulinganiswa.
I-Aura eqhubekayo ngaphandle kweFaffistance
Ngokungafani ne-infraction eguquguqukayo, i-aura eqhubekayo ngaphandle kwe-infarction (PMA) ivela xa iimpawu ze-aura ziqhubeka ngeveki enye okanye ngaphezulu ngaphandle kobukho ubungqina bokubetha kwi-CT scan okanye i-MRI yengqondo. Kungamangalisa ukufunda ukuba i-PMA yaziwa ngokuba yimihla yokugqibela ukuya kwiminyaka-kude kube kwi-28 iminyaka, ngokutsho kwesifundo se-2010 kwiNtloko . Isiseko sezenzululwazi malunga nale nkxalabo ye-migraine asikacacanga, njengonyango. Iyeza-anti-convulsant, iLamictal (i-lamotrigine) ingaba yimiyeza ephumelelayo.
I-Migraine Seizure
Ukubanjwa kwe-migraine ukutshatyalaliswa okwenzeka ngexesha okanye phakathi kweyure elilodwa le-migraine nge-aura. Njenga-migraine infarction, oku kuyinkcaso engavumelekanga kwaye idinga ukuvavanya. Enyanisweni, i-migraine-aura eyabangela ukuxhatshazwa ngamaxesha ngamanye amaxesha angaboni kakuhle, njengoko i-auras ngezinye izihlandlo iyakwazi ukulinganisa ukuxhatshazwa kunye nokunye, Kungakho ukuhlolwa okunyamekileyo kuyadingeka yi-neurologist.
Okukwintsusa
Qiniseka ukuba uninzi lwe-migraines isombululo kunye noxinzelelo, njengokufana nokushaywa komzimba kunye nokuthinjelwa, akuqhelekanga. Oko kuthethwa, kubalulekile ukufumana unyango ngokukhawuleza ukuba ufumana i-aura migraine aura, okanye i-aura kunye / okanye intloko ehlukileyo eyahlukileyo.
Imithombo:
UGonzalez, J. (2010). Icandelo lokufundisa: I-Migraine Stroke. Abemi kunye neCandelo labanye. Intloko. Umama weNtloko weMerika.
IKomidi yokuBaluleka kweNtloko ye-International Headache Society. (2013). Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia, 33 (9): 629-808.
Morley, uSharon Scott. "Izikhokelo ze-Migraine: Icandelo 3. Iziphakamiso zeeMithi eziBodwa." Am Fam Phys . 2000; 62: 2145-52.
Thissen, S., et al. Ukuqhubekeka kwemigraine aura: amatyala amatsha, ukuphononongwa kweencwadi, kunye neengcamango malunga ne-pathophysiology. Intloko , ngo-2014 Sep; 54 (8): 1290-309.