Ukufumana iimpawu ze-migraine kunye ne-vertigo
Cinga uhambo oluya epakini elimnandi okanye i-carnival, ezaliswe ngabahlobo, i-cotton candy kunye nokukhanya kwelanga. Izandi ezimnandi uze uhambe ngokuhamba nge-whirl-whirless and experience experience. Oku kunokwenzeka ukuba uvakalelwa njani ngabanye abachaphazelekayo kwi-vestibular migraines, uhlobo lweentloko ezibangelwa intlanzi, ngokuqhelekileyo bengenayo intloko, kubantu abanembali ye-migraines.
Intshayelelo
I-vestibular migraines ithintela kwi-1% yabemi. Izigulane ze- vertigo ezine-vestibular migraine amava ahluke kwi-vertigo enye inokuyibona ngexesha le- migraine aura , ngokuba i-vertigo ayigcinanga imizuzu engama-5-60 njenge-aura kwaye ayisoloko ibandulela intlungu yentloko. Kungekudala, iKomiti yokuHlulwa kweeVestibular eziphazamisayo zeBárány Society kunye neCommittee Committee Substitute of the International Headache Society (i-IHS) yenzelwe imigaqo yokuba oogqirha bangayisebenzisa ukuxilonga i-vestibular migraines.
Iikhrayithi zokuHlola
Ngokwezigaba zokuhlengahlengiswa kwenkqubo yesibini ye- International Classification of Headache Disorder (ICHD-II), iimpawu ze-vestibular migraine ziquka:
- Imbali ekhoyo okanye edlulileyo ye-migraine kunye okanye ngaphandle kwe-aura
- Ubuncinane ama-5 episodes yezibonakaliso ze-vestibular ngeemodareyitha ezinamandla ukuya ku-5 ukuya kwiiyure ezingama-72
- Ubuncinane iipesenti ezingama-50 zeengqungquthela zinomnye okanye ngaphezulu kwezi mpawu
- aura ebonakalayo
- photophobia kunye nefonophobia
- intloko nge ubuncinane ezimbini ezi zinto zilandelayo: iintlungu zentloko enye, ukutshiza, ukunyamezela okanye ukunyamezela, ukunyuka komsebenzi ngokuqhelekileyo
- Iimpawu azichazwe ngenye imeko yonyango
Ziziphi iimpawu zeVestibular?
Izimpawu zeVestibular, ngokweBárány Society's Classification of Vestibular Symptoms ziquka:
- i-vertigo ngokukhawuleza (xa umntu evakalelwa ukuba ahamba okanye ukuba iindawo ezijikelezayo zijikelezayo okanye zihamba)
- i-vertigo yesimo (i-vertigo eyenziwe ngenguqu kwindawo yesintloko)
- i-vertigo eyenziwe ngokubonakalayo (i-vertigo eyenziwe ngumsebenzi omkhulu, obonakalayo obonakalayo)
- i-vertigo eyenziwe yintloko okanye utywaba ngesisongeleko
Izimpawu ze-Vestibular "zithelekise" ukuba ziphazamisana nemisebenzi yemihla ngemihla kwaye "zinzima" ukuba zithintela imisebenzi yansuku zonke.
Ukuxilongwa
Ukuxilongwa kwe-vestibular migraine yenziwa ngumdlavuza wegazi okanye i-headache specialist. Akukho zodwa iimvavanyo ezizodwa, kodwa kunoko ukuxilongwa yi-kliniki, nto leyo ithetha ukuba isigulane echaza izibonakaliso zakhe kugqirha. Nangona kunjalo, ugqirha wakho mhlawumbi uya kugqiba ngeso lengqondo ngengqondo (i- MRI ) kunye / okanye i-angiography ye-magnetic resonance ( MRA ) ukuqinisekisa ukuba akukho nenye imeko yezobuchopho ezinzulu zihamba njengolu hlobo: i-stroke okanye i-vertebrobasilar hlaselwa (TIA). Ungaphinda ufumane i-audiometry okanye uvavanyo lokuvalelwa ukulawula isifo sikaMeniere . Ezinye iimeko zonyango ezinokuthi zifana ne-vestibular migraine zixinzelelekile ukuxakeka kwezilwanyana okanye ukuhlaselwa kwesibindi, i-vertigo enobungozi obunobungozi , okanye olunye uhlobo lwe-migraine olubizwa ngokuba yi- basilar migraine .
Unyango
Ukunyangwa kwe-vestibular migraine kufana nokunyanga kwama-migraines kwimiqathango emibini yonyango kunye neyokukhusela, ngokubhekiselele ekukhuseleni i-Ergotamine okanye i- triptan zikhetho ezintle zokwenza unyango olunzima, olufana nokusetyenziswa kwabo kwi-episodic migraine. Ukuba i-vestibular migraines eyenzeka rhoqo kunye / okanye ngokukhubaza ngokukodwa, kunokugqithisa imithi yokukhusela njenge- beta blocker okanye i-calcium channel antagonist, njenge-verapamil, inokuba luncedo. Ngamanye amaxesha, iintsholongwane ezingabonakaliyo, ezinokuthi zichazwe njengeyeza "anti-vertigo", zisetyenzisiwe. Imizekelo yezinto ezikhuselekileyo zibandakanya: i- antiemetics njenge-promethazine, i-benzodiazepines njenge-lorazepam, okanye i- antihistamines njenge-meclizine.
Ukuvuselelwa kwe-Vestibular yinto ekufuneka iqwalaselwe kwizigulane ezine-vestibular migraine. Kulo hlobo lonyango lomzimba, izigulane zifunda indlela yokuphucula umqondo wazo wokulinganisela kunye nokunciphisa ukuvakalelwa kwazo, xa i-migraine i-vestibular isenzeka.
Okukwintsusa
Ukuba unesifo se-vertigo nesigxina, kunokuhlaziya iimpawu zakho kunye nomboneleli wakho wezempilo. Ugqirha wakho uya kulawula ezinye izizathu zokungcola ngaphambi kokuba enze ukuxilongwa kwe-vestibular migraine. Kodwa, ukuba oko kukuxilongwa, awuyedwa, kwaye kukho iindlela ezininzi zokonyango ngaphandle.
> Imithombo:
Bisdorff AR. Ulawulo lwe-vestibular migraine. I-Adv Adv Neurol Disord. 2011 ngoMeyi; 4 (3): 183-191.
Black DF & Robertson CE. Vestibular migraine. Ku: U-UpToDate, iBasow DS (Ed), UpToDate, Waltham, MA, 2013.
IKomidi yokuBaluleka kweNtloko ye-International Headache Society. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 33 (9): 629-808.
ULimpert T, u-Olesen J, uFurman J, i-Waterston J, i-Seemungal B, i-Carey J, kunye ne-al. I-Vestibular migraine: imilinganiselo yokuxilonga. J Vestib Res . 2012; 22 (4): 167-72.