So wo nipadua no fã biako nso hwere w’adwene wɔ wo nipadua no fã biako esiane atiridiinini nti? Eyi fa atiridiinini a ɛyɛ hemiplegic ho!

So ɛtɔ mmere bi a wo ti yɛ wo yaw kɛse a wo nipadua no fã biako a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw ka ho? Ɛtɔ mmere bi a, ɛyɛ den ma wo sɛ wobɛkasa? Eyi nyɛ atiridiinini biara kɛkɛ. Eyi yɛ atiridiinini soronko bi a ɛho hia yiye sɛ yɛma yɛn ani da hɔ. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no Hemiplegic Migraine ho asɛm.

Dɛn ne Hemiplegic Migraine?

Sɛ yɛbɛka no tiawa a, atiridiinini a ɛyɛ fã bi yɛ tebea a ɛma atiridiinini ma wo nipadua no fã biako ntini yɛ mmerɛw . Saa ntini mu mmerɛwyɛ yi taa fi ase wɔ "aura" fã a ɛwɔ atiridiinini mu. Ɛne sɛ, ɛba ansa na tiyɛ no afi ase anaasɛ ɛno akyi. Ɛtɔ mmere bi a, nsakrae a ɛba aniwa mu, kasa a ɛyɛ den, ne nkate mu nsakrae betumi aka saa ntini mu mmerɛwyɛ yi ho.

Fa no sɛ, mpofirim ara wuntumi mma wo nsa biako so, anaasɛ ɛyɛ den ma wo sɛ wobɛkanyan wo nan biako, anaasɛ wote nka sɛ w’ano rekɔ ɔfã biako. Sɛ biribi te sɛ eyi si a, obiara suro, ɛnte saa? Saa na ɛba wɔ asɛm yi mu.

Hemiplegic migraine ahorow bɛn na ɛwɔ hɔ?

Hemiplegic migraine ahorow atitiriw abien na ɛwɔ hɔ, na wɔakyekyɛ mu abien a egyina nea ɛde ba no so:

1. Abusua mu Hemiplegic Migraine (FHM): Sɛ obi a ɔwɔ w’abusua mu anya bi pɛn a, a ɛkyerɛ sɛ awosu mu abusuabɔ bi wɔ hɔ a, eyi ba . Nneɛma nketewa pii wɔ hɔ a ɛte sɛɛ (FHM type 1, type 2, type 3). Ɛsono awosu mu nkwaadɔm mu nsakrae na ɛde saa subtypes yi mu biara ba. Ɛtɔ mmere bi a, sɛ nnuruyɛfo ntumi nhu awosu mu nkwaadɔm mu nsakrae pɔtee no a, wɔsan frɛ no FHM type 4.

2. Sporadic Hemiplegic Migraine (SHM): Saa ɔkwan yi betumi aba mpofirim wɔ obi a onni abusua abakɔsɛm biara a ɛfa tebea no ho no so. Ɛne sɛ, ɛba a abusua biara nni yare no ho abakɔsɛm.

So hemiplegic migraine yɛ ade a egye ntɛmpɛ?

Eyi yɛ biribi a nnipa pii suro. Bere a atiridiinini a ɛyɛ fã bi a ɛyɛ hu a wubenya no betumi ayɛ hu no, mpɛn pii no ɛnyɛ nea egye ntɛmpɛ . Nanso, ɔhaw no ne sɛ ne sɛnkyerɛnne ahorow no te sɛ akisikuru a egye ayaresa a egye ntɛmpɛ de ba no ara pɛ . Wotumi hu ntini a ɛyɛ mmerɛw wɔ nipadua no fã biako, nsakrae a ɛba wɔ anisoadehu mu, ne kasa a ɛyɛ den wɔ abien no nyinaa mu.

Nea ɛho hia yiye: Sɛ wunya saa sɛnkyerɛnne ahorow yi mu biara da, titiriw wo nipadua no fã biako a ɛyɛ mmerɛw, wo ho yɛ wo hyew, anaasɛ ɛyɛ den sɛ wobɛkasa a, mmɔ mmɔden sɛ w’ankasa wubesi gyinae sɛ ebia ɛyɛ akisikuru anaasɛ atiridiinini a ɛma obi ho kyere no. Yɛsrɛ sɛ monkɔ ayaresabea a ɛbɛn wo anaa frɛ ambulance a egye ntɛmpɛ ntɛm ara. Wɔ ɔyare a ɛma obi hwe ase fam no, bere yɛ ade titiriw. Enti, sɛ w’adwene mu yɛ wo naa a, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu.

Saa tebea yi abu so dɛn?

Bere a atiridiinini yɛ tebea a ɛtaa ba no, atiridiinini a ɛyɛ fã bi a ɛyɛ mmerɛw no ntaa mma saa . Nhwehwɛmu bi a wɔyɛe wɔ Denmark daa no adi sɛ tebea no ka nnipa 10,000 biara mu biako pɛ.

Dɛn ne atiridiinini a ɛyɛ hemiplegic migraine ho sɛnkyerɛnne?

Nsɛnkyerɛnne a ɛda adi wɔ tebea yi mu ne:

• Ntini a ɛyɛ mmerɛw wɔ nipadua no fã biako: Eyi ne sɛnkyerɛnne titiriw. Ebia abasa, nan, anaa anim fã biako ayɛ mmerɛw.
• Nsakrae a ɛsakra wɔ aniwa so: Anifuraefo, akanea a ɛhyerɛn, zig-zag nhyehyɛe, ne aniwa abien betumi aba.
• Anim, nsa, anaa nan a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw .
• Ɔkasa a ɛyɛ den: Nsɛmfua a ɛyɛ dɛ, ontumi nkasa pefee.
• Ɔbrɛ kɛse a wɔte nka (Ɔbrɛ).
• Sɛ́ wobɛte nka sɛ n’adwene atu afra.

Saa nsɛnkyerɛnne yi te sɛ nea wɔtaa hu wɔ "aura" fã a ɛwɔ atiridiinini mu (kyerɛ sɛ, ansa na tiyɛ no reba anaasɛ bere a ne ti yɛ no yaw). Nanso, ɛsono atiridiinini a ɛyɛ hemiplegic betumi aka ntini, kasa, ne anisoadehu wɔ ɔkwan soronko so sen atiridiinini ahorow afoforo.

Saa sɛnkyerɛnne ahorow yi betumi atra hɔ nnɔnhwerew kakraa bi akosi nna kakraa bi. Wɔ tebea horow a ɛntaa nsi mu no, wotumi di adapɛn anan. Nanso, mpɛn pii no, saa sɛnkyerɛnne ahorow yi yera koraa .

Atiridiinini a ɛyɛ fã bi te nka dɛn?

Atiridiinini de tiyɛ a emu yɛ den a ɛyɛ yaw ba . Mpɛn pii no, saa tiyɛ yi ba bere a ntini a ɛyɛ mmerɛw wɔ nipadua no fã biako akyi anaasɛ ɛde ba. Ɔkwan tiawa a wobɛfa so ahu sɛ wowɔ hemiplegic migraine ne sɛ wobɛma wo nsa abien no nyinaa so asen wo ti. Ebia abasa biako bɛte nka sɛ emu yɛ duru sen foforo no, na ɛbɛma ayɛ den sɛ wobɛkura mu .

Dɛn na ɛde atiridiinini a ɛyɛ hemiplegic ba?

Wɔahu nea ɛde eyi ba titiriw ne dwumadi a ɛboro so wɔ ntini mu nkwammoaa mu . Titiriw no, eyi fi nsakrae a ɛba wo ntini mu a wɔfrɛ no "Cortical Spreading Depression" mu.

Sɛ yɛbɛka no tiawa a, anyinam ahoɔden bi fa yɛn ntini mu nkwammoaa mu. Eyi boa ma ions (ion molecules) fa ntini mu nkwammoaa no mu, de nkra kɔma ntini mu nkwaadɔm, na wɔne nipadua no afã horow di nkitaho. Saa anyinam ahoɔden yi sesa (depolarization) wɔ adeyɛ bi a wɔfrɛ no "cortical spreading depression" mu. Te sɛ asorɔkye a ɛbɔ brɛoo no, efi amemene no fã biako kɔ ɔfã foforo, na ɛsɛe anyinam ahoɔden nhyehyɛe a ɛfata a ɛwɔ ntini mu nkwammoaa no mu . Ɛno na ɛde atiridiinini a ɛyɛ hemiplegic ho sɛnkyerɛnne ba.

Eyi ntiAwosu mu nsakrae bi ka ho. Ɛne sɛ, nsakrae a ɛba awosu mu nneɛma mu a ɛka ɔkwan a ntini mu nkwammoaa yɛ adwuma. Wɔahu awosu mu nkwaadɔm ahorow a edidi so yi wɔ nnipa a wɔwɔ atiridiinini a ɛyɛ hemiplegic migraine mu:

• `CACNA1A` (abusua su 1 anaa autosomal recessive su) .
• `ATP1A2` (type 2 a efi abusua abusua mu anaasɛ nea ɛba ara kwa) .
• `SCN1A` (3 ahorow a efi abusua akyi)
• `PRRT2` (ahorow nyinaa fi abusua mu) .

Mprempren nnuruyɛfo susuw sɛ ebia nnuru nketewa afoforo wɔ hɔ, nanso wonnim.

Dɛn ne nneɛma a ɛkanyan atiridiinini a ɛyɛ hemiplegic?

Nneɛma a ɛma hemiplegic migraines yɛ kɛse, anaa ``Triggers'', ne atiridiinini ahorow afoforo yɛ pɛ. Eyinom betumi ayɛ soronko wɔ onipa biara ho, nanso nea ɛtaa ba no bi ne:

• Ɔbrɛ
• Nsakrae a ɛba sɛnea obi nna mu (wɔnda yiye, nna a wɔda dodo) .
• Nipadua mu mmɔdenbɔ
• Ti a Ɛyɛ Awerɛhow
• Hann a ɛhyerɛn
• Nnuan bi anaa nsakrae a ɛba wɔ adidi mu (sɛ nhwɛso no, aduan a wohuruw) .

Atiridiinini a ɛyɛ fã bi fi ase bere a wɔayɛ mfoninitwa nhwehwɛmu titiriw bi a wɔfrɛ no cerebral angiogram akyi. Eyi yɛ scan a ɛhwɛ sɛnea mogya ntini a ɛwɔ amemene no mu no reyɛ adwuma.

Bere bɛn na hemiplegic migraine taa fi ase?

‍ , 12 17 . , ‍ ‍ .

Dɛn ne nsɛnnennen a ebetumi afi hemiplegic migraine mu aba?

Migraine ntua dodow no ara a ɛba nipadua no fã bi mu no gyae wɔ nna kakraa bi mu. Nanso, wɔ nsɛm a ɛntaa nsi na emu yɛ den mu no , hemiplegic migraine ho sɛnkyerɛnne betumi atra hɔ adapɛn pii. Atiridiinini betumi aka w’adwene ne wo nipadua akwahosan. Nsɛnkyerɛnne betumi asiw w’ankasa dwumadi ahorow, fekubɔ, ne adwuma anaa sukuu dwumadi kwan.

Nsɛnnennen a emu yɛ den ntaa mma, nanso ebetumi aba. Nhwɛso ahorow:

• Akisikuru a ɛma obi ho kyere no
• Nkae a Wɔhwere
• Nsakrae a ɛba wɔ nipasu anaa nneyɛe mu
• Nkate mu Nkɔso Ho Ɔhaw ahorow (Adwene mu Mmofra a Wɔadi M dɛm) .
• Nsɛnnennen a ɛwɔ kasa ne nipadua mu ahoɔden a wɔde yɛ adwuma mu nkɔso mu wɔ mmofra nkumaa mu
• Coma

Ɔkwan bɛn so na wohu sɛ obi anya atiridiinini a ɛyɛ hemiplegic?

Oduruyɛfo bi hu sɛ obi anya atiridiinini a ɛyɛ fã bi a ɛyɛ mmerɛw bere a wɔayɛ nipadua mu nhwehwɛmu ne ntini mu nhwehwɛmu awie no . Wɔ nhwehwɛmu ahorow yi mu no, oduruyɛfo no bebisa wo w’ayaresa ho abakɔsɛm ne w’abusua aduruyɛ ho abakɔsɛm. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wo mogya abusuafo no mu bi wɔ atiridiinini a.

Ɛho hia sɛ wɔyɛ nhwehwɛmu de yi tebea afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara no fi hɔ. Ebia wo duruyɛfo bɛkamfo nhwehwɛmu ahorow te sɛ:

• Awosu mu Nhwehwɛmu
• CT Scan a wɔde yɛ nhwehwɛmu
• MRI scan `(MRI)`
• Lumbar Puncture a Wɔde Tow Nnipa Mu
• Electroencephalogram (EEG) a wɔde yɛ nhwehwɛmu .

Ɔkwan bɛn so na wɔsa atiridiinini a ɛyɛ hemiplegic?

Oduruyɛfo betumi akyerɛw nnuru te sɛ eyinom ama atiridiinini a ɛyɛ fã bi:

• Nnuru a ekum adwenemhaw (sɛ nhwɛso no, tricyclics ne SNRIs) .
• Nnuru a ɛko tia mogya mmoroso (sɛ nhwɛso no, beta-blockers anaa calcium channel blockers) .
• Nnuru a Wɔde Ko Tia Akisikuru
• Sɛ ɛho hia a, CGRP Antagonists ne/anaasɛ Botulinum Toxin

Wo ne wo duruyɛfo nkasa mfa nnuru biara a wɔde bɛma wo no mu nsunsuanso bɔne ho . Ɔbɛsan nso akyerɛ wo mpɛn dodow a wobɛnom ne sɛnea wobɛfa dodow biara.

Sɛ mewɔ hemiplegic migraine a, dɛn na metumi ahwɛ kwan?

Sɛ wufi ase nya hemiplegic migraine ho sɛnkyerɛnne a, ɛyɛ ade a ɛfata sɛ wobɛte dadwen ne ehu nka. Ebia wubesusuw mpo sɛ ɛyɛ akisikuru, titiriw sɛ wunnyaa bi da a. Ɛyaw ne mmerɛwyɛ a wote no betumi ama ayɛ den sɛ wobɛyɛ wo da biara da dwumadi ahorow.

Asɛmpa no ne sɛ mpɛn pii no, atiridiinini a ɛyɛ fã bi ho sɛnkyerɛnne no fi hɔ bere a atiridiinini no kyinhyia no aba awiei no, na ayaresa ahorow bi wɔ hɔ a ebetumi aboa ma atiridiinini yi a ɛtaa ba no so atew.

Bere tenten ahe na atiridiinini a ɛyɛ hemiplegic di?

Hemiplegic migraine ho sɛnkyerɛnne betumi atra hɔ dɔnhwerew biako kosi nna pii . Nanso, mpɛn pii no, saa sɛnkyerɛnne ahorow yi yera da koro. Sɛ wɔkyekyem pɛpɛɛpɛ a, nkurɔfo betumi anya atiridiinini a ɛyɛ hemiplegic bɛyɛ mprɛnsa afe biara. Saa dodow yi gu ahorow wɔ onipa biara mu.

Atiridiinini dodow a wunya nso betumi ayɛ soronko. Ebia wubenya bi da biara, anaasɛ kakraa bi pɛ wɔ w’asetra mu. Ɛtɔ mmere bi a, bere tenten a sɛnkyerɛnne biara nni ho betumi aba wɔ atiridiinini ntua ntam.

Nnipa pii ka sɛ atiridiinini ho sɛnkyerɛnne so tew bere a wɔrenyin no . Mpɛn pii no, bere a obi adi mfe 50 akyi no, atiridiinini a ɛyɛ hemiplegic betumi abɛyɛ atiridiinini a ɛba daa a ntini mu mmerɛwyɛ biara nni mu. Oduruyɛfo betumi aboa wo ma woanya ayaresa a wode bedi w’atiridiinini ho dwuma wɔ w’asetra nyinaa mu.

So wobetumi asiw atiridiinini a ɛyɛ hemiplegic ano?

Ɛrentumi nyɛ yiye sɛ wobesiw atiridiinini a ɛyɛ hemiplegic ntua nyinaa ano. Nanso, nnuru a wɔde siw ano betumi aboa ma mpɛn dodow a wunya atiridiinini no so atew.Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa. Nanso kae sɛ, sɛ wonom saa aduru yi mpo a, ebia wobɛda so ara anya atiridiinini. Afei nso, sɛ wunya atiridiinini wie a, wo duruyɛfo betumi akyerɛw nnuru ama wo de asiw ano, atew bere tenten a egye so, na ama emu ayɛ den so atew.

Wo duruyɛfo nso betumi aboa wo ma woahu nneɛma a ɛkanyan w’atiridiinini, ma enti wubetumi atew asiane a ɛwɔ hɔ no so.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ atiridiinini a ɛwɔ sɛnkyerɛnne ahorow a ɛka ntini ahoɔden a, kɔ oduruyɛfo nkyɛn.

Nea ɛho hia yiye: Sɛ wohu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woayɛ akisikuru – te sɛ mmerɛwyɛ wɔ nipadua no fã biako, adwene a ɛyɛ basaa, anaa kasa mu ɔhaw – frɛ 911 (anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ) ntɛm ara.

Sɛ wunnim sɛ ebia worenya atiridiinini a ɛyɛ hemiplegic anaasɛ woreyɛ akisikuru a, frɛ adwumayɛbea a ɛhwɛ ntɛmpɛ so . Sɛ wunnim, anaasɛ aban mpanyimfo biara nni hɔ a ɛkyerɛ sɛ wowɔ yare no a, ɛyɛ nea asiane biara nni ho sɛ wobɛtra oduruyɛfo hwɛ ase.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• Ayaresa bɛn na wokamfo kyerɛ?
• Dɛn ne ayaresa no mu nsunsuanso bɔne?
• Bere bɛn na ɛsɛ sɛ menom nnuru a wɔde siw ano ne mpɛn ahe?
• So asiane biara nni ho sɛ mɛnom NSAID de asa atiridiinini a ɛyɛ hemiplegic?

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Sɛ wunya tebea bi a wɔfrɛ no hemiplegic migraine a, ebia wobɛte ehu ne dadwen nka. Ebia wubebisa sɛ, "So eyi yɛ ɔyare a ɛma obi hwe ase? So ɛsɛ sɛ mefrɛ 911?" Mma ntwentwɛn wo nan ase sɛ wobɛfrɛ wɔn a wɔhwɛ ntɛmpɛ so sɛ wunnye nni a. W’aduruyɛfo kuw no betumi aboa wo ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba, adi w’atiridiinini no ho dwuma, na wɔasiw ano bio. Wo duruyɛfo ne wo bɛyɛ adwuma de aboa ma wɔatew nkɛntɛnso a hemiplegic migraine nya wɔ w’asetra so no so. Mma ɛnhaw wo, wobetumi adi tebea yi ho dwuma.

` Hemiplegic migraine, atiridiinini, tiyɛ, ntini mu mmerɛwyɛ, ɔyare a ɛma obi hwe ase, sɛnkyerɛnne, ayaresa