Xa iMigraine Symptoms ikhumbuza iStroke
I-migraine ye-hemiplegic yinto engaqhelekanga ye-migraine eqala ebuntwaneni.
Into ebalulekileyo ye-migraine ye-hemiplegic yi-aura ye-motor, ebangela ubuthathaka okanye ukukhubazeka kwelinye icala lomzimba
Ngethuba elothusayo ukufumana i-migraine ye-hemiplegic, iindaba ezilungileyo kukuba kukho unyango olukhoyo.
Ukuqonda i-Hemiplegic Migraines
I-migraines ye-Hemiplegic ihluke kwi- migraines yeklasi kunye ne-auras ngenxa ye-motor aura.
Nangona kunjalo, umntu one-migraine ene-hemiplegic ngokuqhelekileyo ufumana ezinye i-auras ngaphandle kwe-motor aura.
Umzekelo, umntu ohlaselwa yi-hemiplegic migraine unokuqala ukufumana i-aura ebonakalayo (umzekelo, ukubona izibane ezikhanyayo) zilandelwa yi-aura ye-sensory (umzekelo, ukuphazamiseka nokukhwaza), kwaye ekugqibeleni, i-motor aura, ebuthathaka iqala esandleni, isasaza kwingalo nobuso. Nangona ububuthakathaka buvela kwinqanaba elithile, abanye abantu bayakufumana kumacala omabini omzimba.
Ukongeza kwimpawu ze-aura, ubude be-hemiplegic migraine aura buhluke kwi- migraine efana ne-aura . Enyanisweni, i-aura ye-hemiplegic migraine yokuhlasela ihlala ihlala ngaphezu kweyure enye, kwaye malunga neepesenti ezi-5 zabantu, ihlala ngaphezu kweeyure ezingama-24.
Iintlobo
Kukho iintlobo ezimbini ze-migmine ye-hemiplegic:
I-Hemiplegic Migraine (FHM)
Njengoko igama libonisa, ifom yohlobo luzuze ilifa.
Abaphengululi baqala ukufumanisa ukuguquka kwezinto ezi-3 ezinxulumene nomndeni osisigxina.
- I-FHM1 ibangelwa utshintsho kwi-CACNA1A i-gene ekhoyo kwi-chromosome 19
- I-FHM2 ibangelwa iinguqu kwi-ATP1A2 gene efumaneka kwi-chromosome 1
- I-FHM3 ibangelwa yiinguqu kwi-SCN1A i-gene ekhoyo kwi-chromosome 2
Ekubeni ukuguqulwa kwemizimba (xa i-DNA ngokulandelelanayo ishintshiwe) izuzwe kwi-autosomal pattern, xa umzali enolwazi lwe-familial hemiplegic migraine, umntwana wakhe unekhefu lama-50 lokufumana elo hlobo.
Njengoko uphando luvela kwi-migraine ye-hemiplegic, kukho ukutshintshwa kwezinto eziphilayo. Ngokomzekelo, ukuguqulwa kwenguqu ye-PRRT2 kuye kwadibaniswa ne-familial hemiplegic migraine.
Hemiplegic Migraine (SHM)
Olu hlobo aluqhelekanga ngaphezu kohlobo lwe-hemiplegic migraine kwaye aluzuze ilifa, oku kuthetha ukuba umntu akayi kuba nembali yentsapho ye-hemiplegic migraine. Kunoko, ukuguqulwa kwemfuyo yomntu onomjikelezo we-migraine we-hemiplegic kwenzeka ngokukhawuleza.
Iimpawu
Iimpawu zeentloko zesifo se-hemiplegic zifana nezo ntlobo zentlungu. Ukongezelela kobuthathaka obunobunye obunamava e-aura (ebizwa ngokuba yi-hemiplegia), ukuhlaselwa kwe-migraine ye-hemiplegic kungabandakanya enye okanye ngaphezulu kwezi zimpawu ezilandelayo:
- Inwele embi
- Isihlunu kunye / okanye ukuhlanza
- Ukuqonda ukukhanya kunye / okanye isandi
- Izimpawu ze-aura ezinjengeempawu zenguqu zitshintsho, ukuphazamiseka nokukhwaza, kunye / okanye inkathazo yokuthetha
Xa kuhlaselwa kwe-migraine eyingozi kakhulu, umntu unokufumana umkhuhlane, ukuxhatshazwa, kunye ne-coma.
Unyango
Ukuthintela ukuhlaselwa kwe-migraine ye-hemiplegic, ugqirha weentloko unokumisela i-Calan SR (i-verapamil yokukhululwa) okanye i-Diamox SR (i-acetazolamide ekhululwayo). La mayeza athathwa rhoqo imihla.
Ukunyanga i-hemiplegic migraine ekuhlaselweni kancinci kunokuba nzima kakhulu, ngokutsho kwe-American Migraine Foundation. Oku kungenxa yokuba kukho imichiza yokuba oogqirha bafuna abantu abanolu daba ukuba baphephe ngenxa yokuba banokwandisa umngcipheko wokuba nesifo.
La mayeza aquka:
- Triptans
- Ergotamine
- Beta-blockers
Ngokuqhelekileyo, izidakamizwa ezingekho komzimba (anti-inflammories) (i-NSAIDs), iziyobisi ezichasene ne-nausea, okanye i-opioids zisetyenziselwa ukunciphisa i-migraine engabonakaliyo.
ILizwi
Ukuba ukholelwa ukuba unokufumana intloko yesifo sekhanda, kuyimfuneko ukuba ufune unyango malunga novavanyo olululo. I-migemine ye-Hemiplegic ayinqabile kwaye iyakwazi ukulinganisa ezinye iimeko ezinzulu, njenge- stroke okanye isifo se-vascular. Ukuba ufumanisa ukuba unemigraine ye-hemiplegic, kubalulekile ukuba ubone ingcali yonyango yonyango.
> Imithombo:
> Ikomidi lokuBamba iintloko zeMatyala eManyeneyo. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 33 (9): 629-808.
> I-Pelzer N, iStam AH, iHaan J, i-Ferrari MD, i-Terwindt GM. I-familial and sporadic hemiplegic migraine: ukuxilongwa nokunyangwa. I-Curr Yiphatha Khetha Neurol . 2013 Feb; 15 (1): 13-27.
> Pelzer N et al. I-coma ephindaphindiweyo kunye nomkhuhlane kwi-familial hemiplegic migraine hlobo 2. Umntu oneminyaka eyi-15 ekulandelelanweni kwintsapho enkulu enomxholo we-ATP1A2. Cephalalgia. 2017 Julayi; 37 (8): 737-55.
> URobertson CE. (2017). Hemiplegic migraine. Ku: U-UpToDate, uSwitanson JW (Ed), UpToDate, Waltham, MA.
> MBR Russell, Ducros A. I-spradic kunye ne-familila hemiplegic migraine: iindlela ze-pathophysiological, iimpawu zekliniki, ukuxilongwa, kunye nokuphathwa. Lancet Neuro l. NgoNovemba ka-2011; 10 (5): 457-70.