Yala aw fana bɛ aw hakili bɔ aw fari fan kelen na ni kunkolodimi ye wa? Nin bɛ kuma kunkolodimi kan min bɛ wele ko hemiplegique!

Yala tuma dɔw la aw bɛ kungolodimi jugumanba sɔrɔ min bɛ taa ni aw farikolo fan kelen ye min bɛ kɛ ni sɔgɔsɔgɔninjɛ walima fanga dɔgɔyali ye wa? Yala a ka gɛlɛn i ma tuma dɔw la ka kuma wa? Nin tɛ kunkolodimi suguya bɛɛ dɔrɔn ye. Nin ye kunkolodimi suguya kɛrɛnkɛrɛnnen ye min nafa ka bon kosɛbɛ ka i janto a la. Bi an bɛ kuma bana dɔ kan min bɛ wele ko Hemiplegic Migraine.

Migraine Hemiplegique ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, kunkolodimi min bɛ kɛ ni kunkolodimi ye min bɛ kɛ sababu ye ka farikolo fan kelen farikolo fanga dɔgɔya . A ka c’a la, o farikolo fanga dɔgɔyali bɛ daminɛ kunkolodimi "aura" waati la. O kɔrɔ ye ko a bɛ kɛ sani kungolodimi ka daminɛ walima a daminɛ kɔfɛ. O farikolo fanga dɔgɔyali bɛ se ka kɛ sababu ye tuma dɔw la ni yeli yeli yeli ye, kuma gɛlɛya ani dusukunnata caman yeli.

Miiri k’a filɛ, i tɛ se ka i bolo kelen kɔrɔta yɔrɔnin kelen, walima i sen kelen lamaga gɛlɛyara, walima i b’a ye ko i da bɛ taa fan kelen fɛ. Ni nin ɲɔgɔnna ko kɛra, bɛɛ bɛ siran, tiɲɛ tɛ? O de bɛ Kɛ nin ko in na.

Kunkolodimi suguya jumɛnw bɛ yen?

Kungolodimi suguya fila bɛ yen minnu bɛ kɛ ni u ye, olu bɛ tila suguya fila ye ka da a sababu basigilen kan:

1. Denbaya kɔnɔ kunkolodimi (FHM): Nin suguya bɛ sɔrɔ ni a kɛra aw ka denbaya kɔnɔ mɔgɔ dɔ ye ka kɔrɔ, o kɔrɔ ye ko jɛɲɔgɔnya bɛ a ni ɲɔgɔn cɛ jamu fɛ . Nin suguya in suguya fitinin damadɔ bɛ yen (FHM suguya 1, suguya 2, suguya 3). O suguya fitinin kelen-kelen bɛɛ bɛ sɔrɔ jamu caman cili fɛ. Tuma dɔw la, ni dɔgɔtɔrɔw ma se ka jɛnɛya sɛgɛsɛgɛli kɛrɛnkɛrɛnnen sɔrɔ, o bɛ wele fana ko FHM suguya 4.

2. Kungolodimi (SHM) min bɛ sɔrɔ yɔrɔnin kelen na (SHM): Nin suguya bɛ se ka kɛ yɔrɔnin kelen mɔgɔ la, bana in tɛ a ka denbaya kɔnɔ. O kɔrɔ ye ko a bɛ kɛ k’a sɔrɔ bana in ma sɔrɔ denbaya kɔnɔ.

Yala kunkolodimi (migraine hemiplegique) ye kɔrɔtɔko ye wa?

Nin ye fɛn ye mɔgɔ caman bɛ siran min ɲɛ. Hali ni kunkolodimi bɛ se ka kɛ siran ye, a ka ca a la, o tɛ kɔrɔtɔko ye . Nka, gɛlɛya ye ko a taamasiɲɛw ni sɔgɔsɔgɔninjɛ taamasiɲɛw bɛ tali kɛ ɲɔgɔn na kosɛbɛ, o min bɛ furakɛli kɔrɔtɔlen de wajibiya. Farikolo fanga dɔgɔyali farikolo fan kelen fɛ, yelikɛcogo caman yeli, ani kuma gɛlɛya bɛ se ka ye o fila bɛɛ la.

A nafa ka bon kosɛbɛ: Ni aw ye nin taamasiɲɛ ninnu dɔ sɔrɔ don dɔ, kɛrɛnkɛrɛnnenya la, aw farikolo fan kelen bɛ kirin, aw hakili tɛ bɔ, walima ni kuma gɛlɛyara, aw kana a ɲini aw yɛrɛ fɛ k’a latigɛ ni a ye kirinni ye walima ni kunkolodimi ye min bɛ kɛ ni a ye. Aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la walima aw bɛ anpulu kɔrɔtɔlen wele joona. Ni kirinni kɛra, waati de ye fɛnba ye. O la sa, ni siga b’a la, hakilitigiyako don ka dɔgɔtɔrɔ dɔ ka laadilikan ɲini.

Nin bana in ka ca cogo di?

Hali ni kunkolodimi ye bana ye min ka teli ka sɔrɔ, kunkolodimi min bɛ kɛ ni kunkolodimi ye, o tɛ caya o cogo la . Sɛgɛsɛgɛli dɔ kɛra Danemarke jamana na, o y’a jira ko nin bana in bɛ mɔgɔ kelen dɔrɔn de minɛ mɔgɔ 10 000 o 10 000 la.

Kunkolodimi taamasiɲɛ jumɛnw bɛ yen minnu bɛ kɛ ni kunkolodimi ye?

Taamasiɲɛ minnu bɛ ye nin bana in na olu ye:

• Farikolo fanga dɔgɔyali farikolo fan kelen fɛ: O de ye a taamasiɲɛba ye. Bolo, sen, walima ɲɛda fan kelen bɛ se ka barika dɔgɔya.
• Yɛlɛma donna yeli la: Fiyentɔw, yeelenw bɛ manamana, zig-zag cogoyaw ani yeli fila bɛ se ka kɛ.
• Ɲɛda, bolow walima senw bɛ sɔgɔsɔgɔ walima ka kirin .
• Kuma gɛlɛya: Daɲɛw fɔli, minnu tɛ se ka kuma ka jɛya.
• Sɛgɛnba sɔrɔli (Sɛgɛn).
• A bɛ kɛ i n’a fɔ a hakili ɲagamina.

Nin taamasiɲɛ ninnu ni minnu bɛ ye tuma caman na kunkolodimi "aura" waati la (o kɔrɔ ye ko ka kɔn kungolodimi ɲɛ walima kungolodimi waati). Nka, kunkolodimi minnu bɛ kɛ ni kunkolodimi fila ye, olu bɛ se ka nɔ bila farikolo, kuma ni yeli la cogo wɛrɛ la ka tɛmɛ kunkolodimi suguya tɔw kan.

Nin taamasiɲɛ ninnu bɛ se ka mɛn ka bɔ lɛri damadɔ la ka se tile damadɔ ma. A man teli ka kɛ, u bɛ se ka mɛn fo dɔgɔkun naani. Nka, a ka ca a la, o taamasiɲɛw bɛ tunu pewu .

Kunkolodimi min bɛ kɛ ni kunkolo yɔrɔ fila ye, o bɛ kɛ cogo di?

Kungolodimi bɛ kungolodimi jugumanba bila mɔgɔ la min bɛ mɔgɔ gosi . A ka ca a la, o kungolodimi bɛ na farikolo fan kelen fɛ farikolo fanga dɔgɔyali kɔfɛ walima ni a bɛ kɛ a la. Fɛɛrɛ nɔgɔman min bɛ se k’a dɔn ni kunkolodimi bɛ aw la, o ye ka aw bolokɔni fila kɔrɔta aw kun sanfɛ. Bolo kelen bɛ se ka girinya ka tɛmɛ tɔ kelen kan, o bɛ a to a minɛni ka gɛlɛn .

Mun de bɛ kunkolodimi bila mɔgɔ la?

o sababuba jirala ko baara caya kojugu farikoloɲɛnajɛw la . Kɛrɛnkɛrɛnnenya la, o bɛ sɔrɔ fɛn dɔ yeli fɛ i ka farikolojidɛsɛ la min bɛ wele ko "Cortical Spreading Depression".

N’an y’a fɔ cogo nɔgɔman na, kuran chargement dɔ bɛ tɛmɛ an ka nerve cellules fɛ. O bɛ ionw (ion molecules) dɛmɛ ka tɛmɛ nɛrɛmuguma kɔnɔ, ka cikanw ci farikolo yɔrɔw ma, ani ka kumaɲɔgɔnya kɛ ni farikolo yɔrɔw ye. O kuran charge (depolarisation) bɛ Changé (depolarisation) kɛcogo dɔ la min bɛ wele ko "cortical spreading depression". I n’a fɔ jikuru dɔɔni dɔɔni, a bɛ bɔ kunsɛmɛ fan kelen fɛ ka taa fan wɛrɛ fɛ, ka farikolojidɛsɛbanakisɛw ka kuran cogoya nɔgɔman tiɲɛ . O de bɛ kunkolodimi taamasiɲɛw bila mɔgɔ la.

O de kamaYɛlɛma dɔ bɛ kɛ ni jamu ye. O kɔrɔ ye ko fɛn minnu bɛ fɛn caman Changements dans les gènes minnu bɛ nɔ bila nerve cellules ka baara kɛcogo la. Nin jamu suguya ninnu dɔnna kunkolodimi bɛ mɔgɔ minnu na:

• `CACNA1A` (denbaya suguya 1 walima otosomali recessif suguya) .
• `ATP1A2` (suguya 2 min bɛ bɔ denbaya kɔnɔ walima suguya yɛrɛma)
• `SCN1A` (suguya 3 bɛ bɔ denbaya kɔnɔ)
• `PRRT2` (suguya bɛɛ bɔra denbaya kɔnɔ)

Dɔgɔtɔrɔw bɛ sigasiga sisan ko suguya fitinin wɛrɛw bɛ se ka kɛ, nka u ma dɔn.

Kunkolodimi (migraine hemiplegique) sababu ye mun ye?

Fɛn minnu bɛ kunkolodimi juguya, walima ``Triggers'', olu ni kunkolodimi suguya wɛrɛw ye kelen ye. Olu bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la, nka minnu bɛ kɛ tuma caman na, olu dɔw ye:

• Hamina
• Sunɔgɔcogo caman yeli (sunɔgɔbaliya, sunɔgɔ kojugu) .
• Farikoloɲɛnajɛ dege
• Kungolo Trauma
• Yeelen min bɛ yeelen bɔ
• Dumuni dɔw walima dumunikɛcogo caman yeli (misali la, dumunikɛbaliya) .

Kungolodimi dɔw bɛ daminɛ ja sɛgɛsɛgɛli kɛrɛnkɛrɛnnen kɔfɛ min bɛ wele ko cerebral angiogramme. Nin ye sɛgɛsɛgɛli ye min bɛ a lajɛ joli siraw bɛ baara kɛ cogo min na kunsɛmɛ na.

A ka ca a la, kunkolodimi bɛ daminɛ tuma jumɛn?

Mɔgɔ fanba bɛ kunkolodimi sɔrɔ fɔlɔ u denmisɛnman, u si bɛ san 12 ni san 17 cɛ.Ni aw bɛ kɔrɔbaya, a ka ca a la, o kunkolodimi ninnu ka caya ni u juguya bɛ dɔgɔya.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ kunkolodimi fɛ?

Kunkolodimi minnu bɛ kɛ ni farikolo yɔrɔ dɔw ye, olu fanba bɛ ban tile damadɔ kɔnɔ. Nka, ni a man teli ka kɛ ani ni a ka jugu , kunkolodimi taamasiɲɛw bɛ se ka mɛn dɔgɔkun caman kɔnɔ. Kunkolodimi bɛ se ka nɔ bila i hakili ni i farikolo kɛnɛya la. Taamasiɲɛw bɛ se ka aw yɛrɛ ka baara bali, aw ni ɲɔgɔn cɛ jɛɲɔgɔnyaw, ani baara walima lakɔli baara.

Gɛlɛya jugumanw man ca, nka u bɛ se ka sɔrɔ. Misaliw:

• Kɔnɔboli
• Hakililajiginbaliya
• Yɛlɛma donna mɔgɔya wala kɛwalew la
• Hakilila yiriwali gɛlɛyaw (Hakilila-jɔ-baara) .
• Gɛlɛya minnu bɛ denmisɛnnin fitininw ka kuma ni farikoloɲɛnajɛ yiriwali la
• Koma

Kunkolodimi min bɛ sɔrɔ hemiplegique fɛ, o bɛ sɔrɔ cogo di?

dɔgɔtɔrɔ bɛ kunkolodimi sɛgɛsɛgɛ farikolo sɛgɛsɛgɛli ni hakililata sɛgɛsɛgɛli kɔfɛ . O sɛgɛsɛgɛliw senfɛ, dɔgɔtɔrɔ bɛna aw ɲininka aw ka furakɛli tariku ni aw ka denbaya ka furakɛli tariku la. Aw ye aw jija ka a fɔ aw ka dɔgɔtɔrɔ ye ni kunkolodimi bɛ aw joli somɔgɔw dɔ la.

A nafa ka bon ka sɛgɛsɛgɛli kɛ walasa ka bana wɛrɛw bɔ kɛnɛ kan minnu taamasiɲɛw bɛ ɲɔgɔn ta. Aw ka dɔgɔtɔrɔ bɛ se ka sɛgɛsɛgɛliw fɔ aw ye i n’a fɔ:

• Sɛgɛsɛgɛli min bɛ kɛ ni jamu ye
• CT Scan (CT Scan) ye
• MRI sɛgɛsɛgɛli `(MRI)`
• Lumbar Puncture (Kɔnɔbara sɔgɔli).
• Elektɔronsenfalogaramu (EEG) .

Kunkolodimi minnu bɛ kɛ ni farikolo yɔrɔ dɔw ye, olu furakɛra cogo di?

Dɔgɔtɔrɔ bɛ se ka furaw di aw ma minnu bɛ i n’a fɔ kunkolodimi min bɛ kɛ ni kunkolodimi ye:

• Degun furaw (misali la, tricycliques ani SNRI) .
• Tansiyɔn jiginni furaw (misali la, beta-blokantiw walima kalisiyɔmu kanali balilanw) .
• Kɔnɔboli furaw
• Ni a mago bɛ a la, aw bɛ CGRP kɛlɛlanw ni/walima Botulinum Toxin

Fura o fura bɛ di aw ma, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ . A bɛna a fɔ aw ye fana aw bɛ fura tata hakɛ kelen-kelen bɛɛ ta siɲɛ joli ani a tacogo.

Ne bɛ se ka mun makɔnɔ ni kunkolodimi bɛ ne la?

Ni aw ye kunkolodimi taamasiɲɛw daminɛ, a ka ca a la aw bɛ jɔrɔ ani ka siran. Aw bɛ se k’a miiri yɛrɛ ko kirinni don, kɛrɛnkɛrɛnnenya la ni aw ma deli ka o sɔrɔ fɔlɔ. I bɛ dimi ni barikantanya min sɔrɔ, o bɛ se ka gɛlɛya don i ka don o don baaraw kɛli la.

Kibaru duman ye ko a ka ca a la, kunkolodimi taamasiɲɛw bɛ ban ni kunkolodimi kuntaalajan banna, wa furakɛli dɔw bɛ yen minnu bɛ se ka dɛmɛ don ka kunkolodimi ninnu caya dɔgɔya.

Kunkolodimi min bɛ kɛ ni farikolo yɔrɔ dɔw ye, o bɛ mɛn waati joli kɔnɔ?

kunkolodimi taamasiɲɛw bɛ se ka mɛn ka bɔ lɛri kelen na ka se tile damadɔ ma . Nka, a ka ca a la, o taamasiɲɛw bɛ ban tile kelen kɔnɔ. Ni an y’a jateminɛ, mɔgɔw bɛ se ka kunkolodimi siɲɛ saba ɲɔgɔn sɔrɔ san kɔnɔ. O hakɛ tɛ kelen ye mɔgɔ kelen-kelen bɛɛ la.

Aw bɛ kunkolodimi hakɛ min sɔrɔ, o fana bɛ se ka ɲɔgɔn ta. I bɛ se ka kelen sɔrɔ tile kɔnɔ, walima damadɔw dɔrɔn i ka ɲɛnamaya kɔnɔ. Tuma dɔw la, waati jan bɛ se ka kɛ kunkolodimi binkanniw ni ɲɔgɔn cɛ, taamasiɲɛ tɛ minnu na.

mɔgɔ caman b' a fɔ ko kunkolodimi taamasiɲɛw bɛ dɔgɔya ni u kɔrɔla . A ka ca a la, san 50 kɔfɛ, kunkolodimi bɛ se ka kɛ kunkolodimi basigilen ye ni farikolo fanga dɔgɔyara. Dɔgɔtɔrɔ bɛ se k’aw dɛmɛ ka furaw sɔrɔ walasa ka aw ka kunkolodimi kunbɛn aw ka ɲɛnamaya bɛɛ kɔnɔ.

Yala kunkolodimi bɛ se ka bali wa?

A tɛ se ka kɛ ka kunkolodimi bɛɛ bali. Nka, banakunbɛn furaw bɛ se ka dɛmɛ don ka dɔ bɔ kunkolodimi siɲɛ hakɛ la.Dɔgɔtɔrɔ bɛ se ka a fɔ aw ye ko aw ka a ta. Nka aw hakili to a la, hali ni aw bɛ fura in ta, aw bɛ se ka kunkolodimi sɔrɔ hali bi. Ani fana, ni kunkolodimi kɛra aw la, dɔgɔtɔrɔ bɛ se ka furaw di aw ma walasa k’a dabila, ka dɔ bɔ a kuntaala la, ka dɔ bɔ a juguya la.

Aw ka dɔgɔtɔrɔ fana bɛ se ka aw dɛmɛ ka aw ka kunkolodimi bila mɔgɔ la, o la aw bɛ se ka dɔ bɔ aw ka farati la.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni kunkolodimi bɛ aw la ni taamasiɲɛ minnu bɛ farikolo fanga nɔ bila aw la, aw bɛ taa dɔgɔtɔrɔso la.

A nafa ka bon kosɛbɛ : Ni aw ye kirinni taamasiɲɛw ye – i n’a fɔ farikolo fan kelen fanga dɔgɔyali, hakili ɲagami, walima kuma gɛlɛya – aw bɛ 911 (walima aw ka sigida kɔrɔtɔko nimɔrɔ) wele joona.

Ni aw dalen tɛ a la ko kunkolodimi walima kirinni bɛ aw la, aw bɛ kɔrɔtɔko baaradaw wele . Ni aw dalen tɛ a la, walima ni bana sɛgɛsɛgɛli ma kɛ fɔlɔ, a ka fisa aw ka to dɔgɔtɔrɔ ka ladonni kɔrɔ.

Ne ka kan ka ɲininkali jumɛnw kɛ n ka dɔgɔtɔrɔ la?

• Aw bɛ furakɛli sugu jumɛn fɔ?
• Furakɛli kɔlɔlɔ jumɛnw bɛ yen?
• Ne ka kan ka banakunbɛn furaw ta tuma jumɛn ani siɲɛ joli?
• Yala farati tɛ ne bolo ka AINE ta walasa ka kunkolodimi furakɛli kɛ wa?

A laban na, fɛn minnu ka kan ka to an hakili la

Ni aw ye bana dɔ sɔrɔ min bɛ wele ko kunkolodimi (migraine hemiplegique), aw bɛ se ka siran ani ka jɔrɔ. I bɛ se k’i yɛrɛ ɲininka ko: "Yala nin ye sɔgɔsɔgɔninjɛ ye wa? Yala ne ka kan ka 911 wele wa?" Aw kana siga ka kɔrɔtɔko baarakɛlaw wele ni aw dalen tɛ a la. Aw ka dɔgɔtɔrɔso jɛkulu bɛ se ka aw dɛmɛ ka aw ka bana taamasiɲɛw sababu dɔn, ka aw ka kunkolodimi kunbɛn, ani ka a bali ka kɛ tuguni. Aw ka dɔgɔtɔrɔ bɛna baara kɛ ni aw ye walasa ka dɛmɛ don ka dɔ bɔ kunkolodimi bɛ nɔ min bila aw ka ɲɛnamaya la. Aw kana aw hakili ɲagami, nin bana in bɛ se ka kunbɛn.

` Kunkolodimi (migraine hemiplegique), kunkolodimi, kungolodimi, farikolo fanga dɔgɔyali, sɔgɔsɔgɔninjɛ, taamasiɲɛw, furakɛli