Ðe wò ŋutilã ƒe akpa ɖeka hã tsia dzodzodzoe le taɖuame ta? Esia ku ɖe taɖuame si nye hemiplegic migraine ŋu!

Ðe taɖuame sesẽ aɖe nɔa ŋuwò ɣeaɖewoɣi si kpena ɖe wò ŋutilã ƒe akpa ɖeka ƒe lãmetutudɔ alo gbɔdzɔgbɔdzɔ ŋua? Ðe nuƒoƒo sesẽna na wò ɣeaɖewoɣia? Menye taɖuame ɖesiaɖe koe esia nye o. Esia nye taɖuame ƒomevi tɔxɛ aɖe si ŋu wòle vevie ŋutɔ be woanya. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be Hemiplegic Migraine ŋu.

Nukae nye Hemiplegic Migraine?

Kpuie ko la, taɖuame si nye taɖuame si me taɖuame nana wò ŋutilã ƒe akpa ɖeka ƒe lãmekawo gbɔdzɔna . Zi geɖe la, lãmeka ƒe gbɔdzɔgbɔdzɔ sia dzea egɔme le taɖuame ƒe "aura" ƒe akpaa me. Eyae nye be edzɔna do ŋgɔ na taɖuamea ƒe gɔmedzedze alo emegbe. Ɣeaɖewoɣi la, lãmekawo ƒe gbɔdzɔgbɔdzɔ sia ate ŋu akplɔ nukpɔkpɔ ƒe tɔtrɔ, nuƒoƒo sesẽ, kple seselelãme ƒe tɔtrɔ.

Bu eŋu kpɔ, kasia màte ŋu akɔ alɔ ɖeka ɖe dzi o, alo afɔ ɖeka ʋuʋu sesẽ na wò, alo nèsena le ɖokuiwò me be yeƒe nu le yiyim ɖe axa ɖeka. Ne nane si le abe esia ene dzɔ la, vɔvɔ̃ ɖoa amesiame, alo? Emae nye nusi dzɔna le nya sia me.

Taɖuame ƒomevi kawoe li?

Taɖuame ƒomevi vevi eve li, eye woma wo ɖe hatsotso eve me le nusi gbɔ wòtso ta:

1. Ƒomea ƒe Taɖuame si Gblẽna (FHM): Esia ƒomevi dzɔna ne wò ƒomea me tɔ aɖe xɔe kpɔ, si fia be domenyiŋusẽfianu ƒe kadodo aɖe le wo dome . Ƒomevi sue geɖewo li siwo le ƒomevi sia me (FHM ƒomevi 1, ƒomevi 2, ƒomevi 3). Domenyiŋusẽfianu ƒe tɔtrɔ vovovo gbɔe ƒomevi sue siawo dometɔ ɖesiaɖe tsona. Ɣeaɖewoɣi la, ne ɖɔktawo mete ŋu ke ɖe domenyiŋusẽfianu ƒe tɔtrɔ tɔxɛa ŋu o la, woyɔnɛ hã be FHM ƒomevi 4 lia.

2. Taɖuame si woyɔna be Sporadic Hemiplegic Migraine (SHM): Esia ƒomevi ate ŋu adzɔ kpata le amesi si dɔlélea ƒe ƒome ŋutinya aɖeke mele o ŋu. Eyae nye be edzɔna dɔlélea ƒe ŋutinya aɖeke manɔmee.

Ðe taɖuame si nye hemiplegic migraine nye nusi dzɔ kpata?

Esia nye nusi ame geɖe vɔ̃na na. Togbɔ be taɖuame si nye hemiplegic migraine kpɔkpɔ ate ŋu ado vɔvɔ̃ na ame hã la, zi geɖe la, menye nudzɔdzɔ kpatae wònye o . Gake kuxiae nye be eƒe dzesiwo ɖi ʋusɔgbɔdɔ, si hiã be woawɔ atike na ame kpata la tɔ ŋutɔ . Woate ŋu akpɔ lãmekawo ƒe gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka, nukpɔkpɔ ƒe tɔtrɔ, kple nuƒoƒo sesẽ le wo ame evea siaa me.

Vevietɔ ŋutɔ: Ne èkpɔ dzesi siawo dometɔ aɖe gbeɖeka, vevietɔ wò ŋutilã ƒe akpa ɖeka ƒe lãme ʋuʋu, wò susu meganɔ ʋuʋum o, alo wò nuƒoƒo sesẽ la, mègadze agbagba be ye ŋutɔ yeatso nya me nenye be ʋusɔgbɔdɔ alo taɖuame si ƒe akpa aɖe gblẽ o. Taflatse yi kɔdzi si te ɖe ŋuwò alo nàyɔ dɔnɔdzikpɔʋu si kpɔa dɔnɔwo gbɔ kpata enumake. Le ʋusɔgbɔdɔ gome la, ɣeyiɣie nye nu vevitɔ. Eyata ne ɖikeke le mewò la, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Aleke gbegbee nɔnɔme sia bɔe?

Togbɔ be taɖuame nye dɔléle si bɔ hã la, taɖuame si ƒe akpa eve ƒe lãme gblẽna mebɔ nenema gbegbe o . Numekuku aɖe si wowɔ le Denmark ɖee fia be ame ɖeka le 10,000 ɖesiaɖe me koe dɔlélea dzea edzi.

Nukae nye taɖuame si nye hemiplegic migraine ƒe dzesiwo?

Dzesi siwo dzena le nɔnɔme sia mee nye:

• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka: Esiae nye dzesi vevitɔ. Alɔ, afɔ, alo mo ƒe akpa ɖeka ate ŋu agbɔdzɔ.
• Nukpɔkpɔ ƒe tɔtrɔ: Teƒe siwo ŋkuagbãtɔ, akaɖi siwo le keklẽm, zig-zag ƒe nɔnɔmewo, kple nukpɔkpɔ zi eve ate ŋu adzɔ.
• Mo, asiwo, alo afɔwo ƒe ʋuʋu alo ʋuʋudedi .
• Nuƒoƒo sesẽ: Nya siwo wogblɔna le mɔ gbegblẽ nu, mete ŋu ƒoa nu nyuie o.
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ (Ðeɖiteameŋu).
• Sese le eɖokui me be yetɔtɔ.

Dzesi siawo sɔ kple esiwo wokpɔna zi geɖe le taɖuame ƒe "aura" ƒe akpaa me (si fia be do ŋgɔ na taɖuame alo le eƒe taɖuɣi). Gake taɖuame si ƒe akpa aɖe gblẽ ate ŋu agblẽ nu le lãmekawo, nuƒoƒo, kple nukpɔkpɔ ŋu le mɔ bubu nu wu taɖuame ƒomevi bubuwo.

Dzesi siawo ate ŋu anɔ anyi tso gaƒoƒo ʋɛ aɖewo va ɖo ŋkeke ʋɛ aɖewo. Le go siwo mebɔ o me la, woate ŋu anɔ anyi kwasiɖa ene. Gake zi geɖe la, dzesi siawo nu yina keŋkeŋ .

Aleke taɖuame si nye hemiplegic migraine sena le eɖokui me?

Taɖuame nana taɖuame sesẽ aɖe si le ƒoƒom . Zi geɖe la, taɖuame sia dzɔna le lãmekawo ƒe gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka megbe alo ne edzɔna. Mɔ bɔbɔe aɖe si dzi nàto anya ne taɖuame si nye hemiplegic migraine le ŋuwòe nye be nàkɔ wò abɔ eveawo ɖe dzi ɖe ta dzi. Abɔ ɖeka ate ŋu ase le eɖokui me be yeƒe kpekpeme le kpekpem wu evelia, si ana wòasesẽ be woalée .

Nukae hea taɖuame si nye hemiplegic migraine vɛ?

Wokpɔe be nusi koŋ gbɔ esia tsonae nye dɔwɔwɔ fũu akpa le lãmekawo ƒe lãmenugbagbeviwo me . Etɔxɛe la, esia tsoa tɔtrɔ si vaa wò lãmekawo me si woyɔna be "Cortical Spreading Depression" gbɔ.

Kpuie ko la, elektrikŋusẽ aɖe toa míaƒe lãmekawo me. Esia kpena ɖe ions (ion molecules) ŋu wozɔna to lãmekawo me, woɖoa gbedasiwo ɖe ahɔhɔ̃mekawo, eye woɖoa dze kple ŋutilã ƒe akpa vovovowo. Elektrikŋusẽ sia trɔna (depolarization) le nuwɔna aɖe si woyɔna be "cortical spreading depression" me. Abe ƒutsotsoe blewu ene la, ezɔna tso ahɔhɔ̃a ƒe akpa ɖeka yia akpa kemɛ, eye wògblẽa elektrikŋusẽ ƒe ɖoɖo si sɔ si le lãmekawo me la me . Emae nye nusi hea taɖuame si ƒe akpa aɖe ƒu ƒe dzesiwo vɛ.

Le esia taDomenyiŋusẽfianu ƒe tɔtrɔ aɖe le eme. Eyae nye domenyiŋusẽfianu ƒe tɔtrɔ siwo kpɔa ŋusẽ ɖe alesi lãmenugbagbeviwo wɔa dɔe dzi. Wode dzesi domenyiŋusẽfianu ƒe vovototo siwo gbɔna le amesiwo ŋu taɖuame si nye hemiplegic migraine le ŋu:

• `CACNA1A` (ƒome ƒe ƒomevi 1 alo autosomal recessive ƒomevi) .
• `ATP1A2` (ƒomevi 2 si tso ƒome ƒe nɔnɔme me alo ƒomevi si dzɔna le eɖokui si)
• `SCN1A` (3 ƒomevi siwo tso ƒome ƒe nɔnɔme me)
• `PRRT2` (ƒomevi ɖesiaɖe tso ƒome ƒe nɔnɔmewo me)

Ðɔktawo le ɖi kem fifia be ɖewohĩ ƒomevi sue bubu siwo womenya haɖe o hã li.

Nukawoe hea taɖuame si nye hemiplegic migraine vɛ?

Nusiwo nana taɖuame si ƒe akpa aɖewo gblẽna ɖe edzi, alo ``Triggers'', sɔ kple taɖuame ƒomevi bubuwo. Esiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, gake esiwo bɔ dometɔ aɖewoe nye:

• Nuteɖeamedzi
• Tɔtrɔ le alɔ̃dɔdɔ ƒe nɔnɔme ŋu (alɔ̃madɔmadɔ nyuie, alɔ̃dɔdɔ fũ akpa) .
• Lãmesẽfefewɔwɔ
• Ta ƒe Nuveviwɔame
• Kekeli si klẽna nyuie
• Nuɖuɖu aɖewo alo tɔtrɔ le nuɖuɖu ƒe nɔnɔmewo me (le kpɔɖeŋu me, nuɖuɖu dzi ɖeɖe kpɔtɔ) .

Taɖuame aɖewo dzea egɔme le nɔnɔmetatawo dodokpɔ tɔxɛ aɖe si woyɔna be cerebral angiogram megbe. Esia nye scan si léa ŋku ɖe alesi ʋuka siwo le ahɔhɔ̃a me le dɔ wɔm ŋu.

Ɣekaɣie taɖuame si nye hemiplegic migraine dzea egɔme zi geɖe?

Ame akpa gãtɔ dzea taɖuame si ƒe akpa aɖe gblẽna zi gbãtɔ ne wonye ɖeviwo, le ƒe 12 va ɖo ƒe 17. Ne èle tsitsim la, zi geɖe la, taɖuame siawo ƒe amedzidzedze zi gbɔ zi geɖe kple woƒe sesẽ dzi ɖena kpɔtɔna.

Kuxi kawoe ate ŋu ado tso taɖuame si ƒe akpa eve me gblẽ me?

Taɖuame si nye hemiplegic migraine ƒe amedzidzedze akpa gãtɔ nu tsona le ŋkeke ʋɛ aɖewo ko me. Gake le dɔléle siwo mebɔ o kple esiwo nu sẽ me la , taɖuame ƒe dzesi siwo nye hemiplegic migraine ate ŋu anɔ anyi kwasiɖa geɖe. Taɖuame ate ŋu agblẽ nu le wò susu kple ŋutilã ƒe lãmesẽ ŋu. Dzesiawo ate ŋu ado kplamatse wò ŋutɔ wò dɔwɔnawo, hadomekadodowo, kple dɔwɔƒe alo sukudɔwo.

Kuxi sesẽwo mebɔ o, gake woate ŋu ado mo ɖa. Kpɔɖeŋuwo:

• Alɔ̃madɔmadɔ
• Ŋkuɖodzinu ƒe Bubu
• Amenyenye alo nuwɔna ƒe tɔtrɔ
• Sidzedze ƒe Tsitsi ƒe Kuxiwo (Susu ƒe Nuwɔametɔnyenye) .
• Nuƒoƒo kple lãmekawo ƒe dɔwɔwɔ ƒe ŋutetewo tutuɖo ƒe kuxiwo le ɖevi suewo me
• Coma

Aleke wowɔa dea dzesi taɖuame si ƒe akpa eve ƒe lãme gblẽ?

Ðɔkta aɖe kpɔa taɖuame si ƒe akpa aɖe gblẽ le ŋutilã dodokpɔ kple ahɔhɔ̃mekawo dodokpɔ vɔ megbe . Le dodokpɔ siawo me la, ɖɔktaa abia nya wò tso wò atikewɔwɔ ŋutinya kple wò ƒomea ƒe atikewɔwɔ ŋutinya ŋu. Kpɔ egbɔ be yegblɔe na wò ɖɔkta ne taɖuame le wò ʋumetɔwo dometɔ aɖe ŋu.

Ele vevie be woado wo kpɔ be woaɖe nɔnɔme bubu siwo me dzesi mawo tɔgbe le la ɖa. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔwo abe:

• Domenyiŋusẽfianu Dodokpɔ
• CT Scan ƒe dɔwɔwɔ
• MRI ƒe fotoɖeɖe `(MRI)`
• Akɔta ƒe Ʋuʋu
• Elektrikŋusẽ ƒe ahɔhɔ̃mekawo ƒe dɔwɔwɔ (EEG) .

Aleke wodaa taɖuame si ƒe akpa eve ƒe lãme gblẽnae?

Ðɔkta ate ŋu aŋlɔ atike siwo le abe esiawo ene na taɖuame si ƒe akpa aɖe gblẽ:

• Blanuilélenutsitikewo (e.g., tricyclics kple SNRIs) .
• Atike siwo tsia ʋusɔgbɔdɔ nu (e.g. beta-blockers alo calcium channel blockers) .
• Atike Siwo Wotsɔna Ðea Alɔ̃madɔmadɔ Nu
• Ne ehiã la, CGRP ƒe Dɔlékuiwutikewo kple/alo Botulinum Toxin

Ðo dze kple wò ɖɔkta tso atike ɖesiaɖe si wona wò ƒe nugbegblẽ le ame ŋu ŋu. Agblɔ zi nenie nàno atike ɖesiaɖe kple alesi nànoe hã na wò.

Nukae mate ŋu akpɔ mɔ na ne taɖuame si nye hemiplegic migraine le ŋunye?

Ne taɖuame si nye hemiplegic migraine ƒe dzesiwo dze egɔme la, esɔ be nàtsi dzimaɖi ahavɔ̃. Àte ŋu abui gɔ̃ hã be ʋusɔgbɔdɔe, vevietɔ ne mèxɔe kpɔ o. Vevesese kple gbɔdzɔgbɔdzɔ si nèsena le ɖokuiwò me ate ŋu ana wò gbesiagbedɔwo wɔwɔ nasesẽ.

Nya nyuiae nye be zi geɖe la, taɖuame si nye hemiplegic migraine ƒe dzesiwo nu yina ne taɖuame ƒe ɣeyiɣia wu enu ko, eye atikewɔwɔ aɖewo li siwo ate ŋu akpe ɖe ame ŋu be taɖuame siawo ƒe dzɔdzɔ dzi akpɔtɔ.

Ɣeyiɣi didi kae taɖuame si nye hemiplegic migraine nɔa anyi?

Hemiplegic migraine ƒe dzesiwo ate ŋu anɔ anyi tso gaƒoƒo ɖeka va ɖo ŋkeke geɖe . Gake zi geɖe la, dzesi siawo nu yina le ŋkeke ɖeka me. Le mamã dedie nu la, taɖuame ate ŋu adze amewo dzi abe zi etɔ̃ ene ƒe sia ƒe. Xexlẽme sia toa vovo tso ame ɖeka gbɔ yi bubu gbɔ.

Taɖuame ƒe amedzidzedze ƒe xexlẽme hã ate ŋu ato vovo. Ðewohĩ ɖeka anɔ asiwò gbesiagbe, alo ʋɛ aɖewo koe anɔ asiwò le wò agbe me. Ɣeaɖewoɣi la, ɣeyiɣi didi aɖe ate ŋu anɔ taɖuame ƒe amedzidzedze dome, eye dzesi aɖeke manɔ eŋu o.

Ame geɖe gblɔna be taɖuame ƒe dzesiwo dzi ɖena kpɔtɔna ne yewole tsitsim . Zi geɖe la, le ƒe 50 xɔxɔ megbe la, taɖuame si ƒe akpa aɖe gblẽ ate ŋu ava zu taɖuame si bɔ edziedzi evɔ lãmekawo megbɔdzɔ o. Ðɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ atike siwo dzi nàto akpɔ wò taɖuame dzi le wò agbemeŋkekewo katã me.

Ðe woate ŋu axe mɔ ɖe taɖuame si nye hemiplegic migraine nua?

Manya wɔ be woaxe mɔ ɖe taɖuame si nye hemiplegic migraine ƒe amedzidzedzewo katã nu o. Gake atike siwo woatsɔ axe mɔ ɖe dɔlélea nu ate ŋu akpe ɖe ŋuwò nàɖe taɖuame si nèxɔna la dzi akpɔtɔ.Ðewohĩ wò ɖɔkta aɖo aɖaŋu be nànoe. Gake ɖo ŋku edzi be ne èno atike sia hã la, taɖuame ate ŋu anɔ ŋuwò kokoko. Azɔ hã, ne taɖuame dze dziwò ko la, wò ɖɔkta ate ŋu aŋlɔ atike na wò be wòadzudzɔ etɔ, aɖe eƒe ɣeyiɣi didi dzi akpɔtɔ, eye wòaɖe eƒe sesẽ dzi akpɔtɔ.

Wò ɖɔkta ate ŋu akpe ɖe ŋuwò hã be nàde dzesi nusiwo hea wò taɖuame vɛ, ale be nàte ŋu aɖe wò afɔkua dzi akpɔtɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne taɖuame le ŋuwò si ƒe dzesiwo gblẽa nu le lãmekawo ƒe ŋusẽ ŋu la, yi ɖɔkta gbɔ.

Vevietɔ ŋutɔ: Ne èkpɔ ʋusɔgbɔdɔ ƒe dzesiwo – abe gbɔdzɔgbɔdzɔ le ŋutilã ƒe akpa ɖeka, tɔtɔ, alo nuƒoƒo ƒe kuxi ene – ƒo ka na 911 (alo wò nutoa me xexlẽdzesi kpata) enumake.

Ne mèka ɖe edzi nenye be taɖuame alo ʋusɔgbɔdɔ le ŋuwò o la, ƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ . Ne mèka ɖe edzi o, alo ne dziɖuɖumegãwo mekpɔ dɔlélea le ŋuwò o la, anyo wu be nànɔ ɖɔkta ƒe dzikpɔkpɔ te.

Nya kawoe wòle be mabia nye ɖɔkta?

• Atikewɔwɔ ka ƒomevie nèkafu?
• Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu?
• Ɣekaɣie wòle be mano atike siwo woatsɔ axe mɔ ɖe dɔlélea nu, eye zi nenie wòle be mano?
• Ðe wòle dedie nam be mano NSAID atsɔ ada taɖuame si nye hemiplegic migrainea?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Ne èto nɔnɔme aɖe si woyɔna be hemiplegic migraine me la, àte ŋu avɔ̃ eye nàtsi dzimaɖi. Àte ŋu abia ɖokuiwò be, "Ðe esia nye ʋusɔgbɔdɔa? Ðe wòle be maƒo ka na 911a?" Mègahe ɖe megbe le kaƒoƒo na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ ne mèka ɖe edzi o. Wò atikewɔlawo ƒe ƒuƒoƒo ate ŋu akpe ɖe ŋuwò nàde dzesi nusi gbɔ wò dzesiawo tso, akpɔ wò taɖuame dzi, eye nàxe mɔ na wò be wòagadzɔ ake o. Wò ɖɔkta awɔ dɔ kpli wò be wòakpe ɖe ŋuwò nàɖe ŋusẽ si taɖuame si nye hemiplegic migraine kpɔna ɖe wò agbe dzi dzi akpɔtɔ. Mègatsi dzi o, woate ŋu akpɔ nɔnɔme sia gbɔ.

` Hemiplegic migraine, taɖuame, taɖuame, lãmekawo ƒe gbɔdzɔgbɔdzɔ, ʋusɔgbɔdɔ, dzesiwo, atikewɔwɔ