Ðe wò hã nèsena le ɖokuiwò me zi geɖe be yeƒe ta gbãna eye yeƒe ta me kɔa? Esia ate ŋu anye taɖuame si woyɔna be vestibular migraine!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yele tsatsam, wò ŋutilã le tsatsam, eye nusianu si ƒo xlã wò le tsatsam abe ta si le tsatsam enea? Ele abe ne èle ʋuʋudedi alo tɔdziʋu me ene. Àte ŋu ase taɖuame si le ƒoƒom hã, asesẽ na wò be nàlé ŋku ɖe akaɖia ŋu, alo wò towo aƒo ne èse toɣliɖeɖe sesẽwo. Ne dzesi siawo le fu ɖem na wò la, ekema egbe ƒe tanya anɔ vevie na wò ŋutɔ. Mina míaƒo nu tso nɔnɔme aɖe koŋ si woyɔna be vestibular migraine ŋu .

Nukae nye Vestibular Migraine? Kpuie ko la,...

Ne míagblɔe kpuie ko la, vestibular migraine nye dɔléle aɖe si gblẽa nu le míaƒe lãmekawo ŋu . Nu vevitɔ si dzɔnae nye be èsena le ɖokuiwò me be yeƒe ta le ʋuʋum (vertigo) . Taɖuame sia ate ŋu ana nàse le ɖokuiwò me be yemeda sɔ o , ne èle tsitrenu gɔ̃ hã. Numekuku aɖewo ɖee fia be taɖuame si woyɔna be vestibular migraine ye nye nu evelia si hea taɖuame vɛ na amewo.

Wonyae kple ŋkɔ bubuwo hã, abe `taɖuame si do ƒome kple taɖuame (MAV)`, `taɖuame si do ƒome kple vestibulopathy`, kple `taɖuame ƒe ʋuʋu`. Ke hã, míehiã ŋkɔ siawo katã le gbesiagbenuƒoƒo me o. Ame akpa gãtɔ nya nu tso taɖuame si woyɔna be vestibular migraine ŋu.

Ðɔktawo kple numekulawo gale agbagba dzem kokoko be yewoanya nenye be taɖuame ƒe akpa aɖee esia nye loo alo nɔnɔme bubu aɖee. Ke hã, nu ɖeka me kɔ. Nɔnɔme sia kpɔa ŋusẽ gã aɖe ɖe amewo ƒe gbesiagbegbenɔnɔ dzi , si fia be eɖea woƒe agbenɔnɔ dzi kpɔtɔna. Esia tae ɖɔktawo kafui be woatrɔ agbenɔnɔ eye ne ehiã la, woazã atikewo abe atike ene.

Ðe esia nye nɔnɔme si bɔ nyateƒea?

Vestibular migraine nye dɔléle si bɔ si dzea ame geɖe dzi. Gake taɖuame si woyɔna be vestibular migraine mebɔ nenema gbegbe o. Numekuku aɖe si wowɔ le United States ɖee fia be ame siwo ade 2.7% ƒe taɖuame ƒe dzesiwo le vestibular migraine ŋu. Wokpɔe hã be amesiwo le taɖuame kple dadasɔ ƒe kuxiwo ƒe atike dim ƒe alafa memamã ɖedzesi aɖe xɔ taɖuame si woyɔna be vestibular migraine. Eya ta, ne dzesi siawo le ŋuwò la, ɖo ŋku edzi be menye wò ɖeka koe o.

Nukae nye vestibular migraine ƒe dzesiwo?

Dzesi vevitɔwo kple esiwo dzena wue nye esiwo do ƒome kple vertigo . Esiawo dometɔ aɖewoe nye:

• Kuxi siwo ku ɖe dadasɔ ŋu doa mo ɖa. Àte ŋu ase le ɖokuiwò me be yeƒe ta natsi ne èle tsitrenu alo nèle zɔzɔm.
• Sese le eɖokui me be taɖuame .
• Sese le eɖokui me be ta le bɔbɔe alo le tsia dzi (ta ƒe ʋuʋu) .

Taɖuame sia ate ŋu ava eye wòadzo le aɖabaƒoƒo ʋɛ aɖewo ko me, alo ate ŋu anɔ anyi ŋkeke geɖe. Bu eŋu kpɔ, ne èle dzadzram ɖo be yeayi dɔme eye kasia nusianu si ƒo xlã wò la te tsatsam ya ɖe? Alo, ne èle kpekpe vevi aɖe titina eye nète taɖuame henɔ ʋuʋum ya ɖe? Esia ate ŋu agblẽ nu ŋutɔŋutɔ, si ana be màte ŋu awɔ wò gbesiagbedɔwo o.

Ne míagblɔe tututu la, esia ate ŋu anye seselelãme sesẽ aɖe, abe atsiaƒumedɔléle le meli me ene. Ame aɖewo gɔ̃ hã mate ŋu afɔ tso aba dzi o.

Tsɔ kpe ɖe taɖuame sia ŋu la, dzesi bubuwo ate ŋu ado mo ɖa:

• Aɖuɖɔtoe kple ʋuʋudedi ate ŋu adzɔ.
• Toɣliɖeɖe, kekeli, kple ʋeʋẽ aɖewo ƒe seselelãme ate ŋu adzi ɖe edzi. Esia fia be gbeɖiɖi siwo le dzɔdzɔme nu meɖea fu na wò o gɔ̃ hã ate ŋu ase le ɖokuiwò me abe ɖe wotsi wò to me ene, wò ŋkuwo ate ŋu azu blɔ akpa be màte ŋu akpɔ kekelia o, eye ʋeʋẽ aɖewo (ami ʋeʋĩ, nuɖuɖu ƒe ʋeʋẽ) ate ŋu ana wò ta nave wò.
• Taɖuame ate ŋu adzɔ. Esia ate ŋu asẽ abe taɖuame si bɔ ene, alo ate ŋu asẽ nenema gbegbe. Ɣeaɖewoɣi la, taɖuame koe ate ŋu adzɔ eye taɖuamea nu ayi.

Nukatae taɖuame si woyɔna be vestibular migraine dzɔna? Nukawoe gbɔ wòtsona?

Eŋutinunyalawo gale numekuku wɔm tso nusi tututu gbɔ esia tso alo nusiwo gbɔ wòtso ŋu . Eyae nye be esesẽ be woagblɔ tututu be "esiae nye nusi gbɔ wòtso". Gake wokpɔ afɔku geɖe siwo ate ŋu ahe nɔnɔme sia vɛ. Woawoe nye:

• Taɖuame ƒe ŋutinya ƒe amesinɔnɔ . Vevietɔ ne taɖuame ƒe dzesiwo nɔ ŋuwò tso ɖevime ke la, anɔ eme be taɖuame si woyɔna be vestibular migraine ava dze dziwò le wò tsitsime.
• Nuteɖeamedzi . Nɔnɔme sia ate ŋu ado mo ɖa ne èle nuteɖeamedzi geɖe me tom. Bu eŋu kpɔ, ne taɖuame sia nɔ ŋuwò esime dɔwɔwɔ le ɔfis kple kuxiwo le aƒeme wu tsɔtsɔ na wò ya ɖe?
• Alɔ̃madɔmadɔ, ɖeɖiteameŋu si gbɔ eme . Esia ate ŋu adzɔ hã ne èle dɔ wɔm atraɖii mèdɔ alɔ̃ nyuie alo mègbɔ ɖe eme na wò ŋutilã o.
• Serotonin ƒe dadasɔmakpɔmakpɔ . Serotonin nye atike vevi aɖe le míaƒe ahɔhɔ̃ me. Eƒe agbɔsɔsɔ fũ alo eƒe ʋɛ akpa hã ate ŋu akpɔ ŋusẽ ɖe seselelãme dzi.
• Lãmetsiŋusẽ ƒe tɔtrɔ . Nɔnɔme sia ate ŋu atso lãmetsiŋusẽ ƒe tɔtrɔ gbɔ, vevietɔ le nyɔnuwo ƒe dzinukpɔkpɔ me, alo le dzinukpɔkpɔ me.
• Tɔtrɔ siwo vaa yame ƒe nɔnɔme ƒe nyaƒoɖeamenu me . Esia fia be esia ate ŋu adzɔ na ame aɖewo siwo ƒe yame ƒe nɔnɔme trɔna.
• Nuɖuɖu kple tsi aɖewo . Esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, nusiwo abe cheese, tsokolet, lã siwo ŋu wotrɔ asi le, nuɖuɖu siwo me MSG (monosodium glutamate), kɔfi, kple wein le ate ŋu ahe esia vɛ.

Aleke ɖɔkta awɔ anya vestibular migraine nyuie?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàkpɔ ɖɔkta bibi aɖe . Ðɔktaa abia wò dɔlélea ƒe dzesiwo gbã. Ɣeyiɣi didi kae taɖuame sia le ŋuwò eye mègada asɔ o? Ɣekaɣie nèsena le ɖokuiwò me wu? Esiawo nye nya siwo wobiaa wò zi geɖe.

Nusitae nye be atikewɔwɔ me nɔnɔme bubuwo li siwo ate ŋu ana ame natɔtɔ. Le kpɔɖeŋu me, taɖuame hã nye nɔnɔmewo abe Ménière ƒe dɔléle kple BPPV (Benign Paroxysmal Positional Vertigo) ene ƒe dzesi vevi aɖe . Eyata nu gbãtɔ si wò ɖɔkta awɔe nye be nàkpɔ egbɔ be nɔnɔme bubu siawo dometɔ aɖeke mele ŋuwò o. Ema ko hafi woasusu be ɖewohĩ vestibular migraine le ŋuwò.

Zi geɖe la, ɖɔkta aƒo nya ta be taɖuame le ŋuwò ne èwɔ ɖe nɔnɔme siwo gbɔna dzi:

• Ne èkpɔ taɖuame kpata si kpe ɖe ʋuʋudedi alo ʋuʋudedi ŋu .
• Ele be vertigo ƒe ɣeyiɣi atɔ̃ ya teti nanɔ anyi . Azɔ hã, ele be taɖuame ƒe dzesi bubuawo (taɖuame, kekeli/gbeɖiɖi ƒe seselelãme) nanɔ anyi le ɣeyiɣi mawo ƒe afã ya teti me.
• Taɖuame ate ŋu anɔ anyi tso miniti atɔ̃ va ɖo gaƒoƒo 72 (ŋkeke 3) .
• Ne taɖuamea nu sẽ ale gbegbe be wògblẽa nu le wò gbesiagbedɔwo ŋu alo xea mɔ na wò be màte ŋu ayi dɔme o .
• Ne taɖuame ƒe aura le ŋuwò la . Eyae nye dzesiwo abe akaɖiwo kpɔkpɔ le wò ŋkume, flitetewo kpɔkpɔ, kple nuƒoƒo sesẽ hafi taɖuamea nadze egɔme ene.

Ne wò ɖɔkta susui be taɖuame si woyɔna be vestibular migrainee nye esia la, ate ŋu awɔ dodokpɔ geɖe, abe:

• Ahɔhɔ̃mekadodokpɔ : Esia alé ŋku ɖe nuwo abe wò susu ƒe dɔwɔwɔ, ŋusẽ, kple alesi nèzɔnae ene ŋu.
• Videonystagmography alo Electronystagmography : Esiawo nye dodokpɔ tɔxɛ siwo léa ŋku ɖe ŋku ƒe ʋuʋu kple dadasɔ ƒe ɖoɖo si le wò to ememetɔ me ƒe dɔwɔwɔ ŋu.
• Nɔnɔmetata dodokpɔ : Woate ŋu awɔ nuwo abe CT scan alo MRI scan le ahɔhɔ̃a me be woakpɔ egbɔ be kuxi bubu aɖeke mele ahɔhɔ̃a me o.
• Tosese ƒe dodokpɔ : Kpɔe ɖa be tosese ƒe kuxiwo le ŋuwò hã.

Nukawoe nye vestibular migraine ƒe atikewo?

Nya nyuiae nye be atike aɖewo li na taɖuame si woyɔna be vestibular migraine. Zi geɖe la, ɖɔktawo ate ŋu akafu nu siwo gbɔna:

• Atikewo
• Agbenɔnɔ ƒe tɔtrɔ
• Vestibular Gbugbɔgaɖɔɖo ƒe Atikewɔwɔ

Mina míalé ŋku ɖe esiawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

Atikewo

Wò ɖɔkta ate ŋu aŋlɔ atike ƒomevi eve na wò. Ðekae nye atike si wozãna gbesiagbe alo kwasiɖa sia kwasiɖa be woatsɔ aɖe taɖuame si woyɔna be vestibular migraines dzi akpɔtɔ alo axe mɔ ɖe enu . Bubue nye atike si wozãna tsɔ léa dzesiawo nu ne wodo .

Atike geɖe ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe taɖuame si woyɔna be vestibular migraines nu:

• Tricyclic antidepressants : Esiawo kpena ɖe ame ŋu wòɖua taɖuame dzi ne wonae le agbɔsɔsɔ sue aɖe me.
• Calcium ƒe mɔxenu siwo xea mɔ na ʋuwo
• Atike siwo wozãna tsɔ tsia alɔ̃dɔdɔ nu
• Beta-blockers : Esiawo nye atike ƒomevi aɖe si wonaa ʋusɔgbɔdɔ hã.

Atike siwo woatsɔ aɖe dzesiawo dzi akpɔtɔ:

• NSAID vevesesenutsitikewo (Nonsteroidal anti-inflammatory drugs) : Le kpɔɖeŋu me, Ibuprofen.
• Ʋuʋudedi ƒe atikewo : Ðe taɖuame kple ʋuʋudedi dzi kpɔtɔ.
• Tagbɔdɔlékuiwutikewo : Wozãa esiawo ɣeaɖewoɣi tsɔ léa ʋuʋudedi kple ʋuʋudedi sesẽwo nu.

Vevietɔ: Mègano atike siwo míeyɔ ɖe etame la dometɔ aɖeke ne mèbia ɖɔkta o. Wò ɖɔkta aŋlɔ atike si sɔ na wò nɔnɔmea kple agbɔsɔsɔ si sɔ.

Agbenɔnɔ ƒe tɔtrɔ

Tsɔ kpe ɖe atikewo zazã ŋu la, tɔtrɔ aɖewo wɔwɔ le wò agbenɔnɔ ŋu hã ate ŋu akpe ɖe ŋuwò nàɖu nɔnɔme sia dzi. Wò ɖɔkta agblɔ nyawo abe:

• Gbɔ ɖe eme geɖe wu eye nàdɔ alɔ̃ nyuie wu alesi nèwɔna ɖaa . Dze agbagba nàdɔ alɔ̃ nyuie gaƒoƒo 7-8 ya teti gbesiagbe.
• Ðu nuɖuɖu kple numeɖenuwo ɖe game dzi . Dɔ megawu wò o.
• Ƒo asa na nuɖuɖu kple nunono aɖewo . Abe alesi míegblɔe va yi ene la, ame aɖewo ate ŋu akpɔ dzesi siawo ƒe dzidziɖedzi tso nuwo abe cheese, tsokolet, kɔfi, wein, nuɖuɖu siwo me MSG le, kple nuɖuɖu siwo wodzra ɖo ɖi gbɔ. Wò ɖɔkta agblɔ nuɖuɖu siwo gblẽa nu le ŋuwò na wò. Te ɖa le wo ŋu alesi nàte ŋui.
• Wɔ kamedede aɖewo . Enyo be nàzɔ vie gbesiagbe, awɔ kamedede aɖe si ana nàse le ɖokuiwò me be yeƒe dzi dze eme. Ke hã, ele be nàɖɔ ŋu ɖo ne taɖuame le ŋuwò.
• Di mɔ siwo dzi nàto aɖe nuteɖeamedzi dzi akpɔtɔ . Nuwo abe ŋugbledede, yoga, kple nane si ana nàkpɔ dzidzɔ (modzakaɖeɖe) wɔwɔ ate ŋu akpe ɖe ŋuwò nàɖe nuteɖeamedzi dzi akpɔtɔ.

Vestibular Gbugbɔgaɖɔɖo ƒe Atikewɔwɔ (VRT) .

Esia nye kamedede ƒe atikewɔwɔ tɔxɛ aɖe. Ewɔa dɔ to wò ahɔhɔ̃, ŋkuwo, kple to ememetɔ ƒe dɔwɔwɔ ɖekae me, si kpena ɖe ŋuwò be taɖuame dzi naɖe akpɔtɔ eye nàda asɔ . Kamedede tɔxɛ aɖewo li na esia. Wò ɖɔkta ate ŋu aɖo wò ɖe atikewɔwɔ sia ƒomevi gbɔ.

Nukae mate ŋu akpɔ mɔ na ne vestibular migraine le ŋunye?

Esia ate ŋu ato vovo ŋutɔŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ . Ahiã be ame aɖewo nayi edzi anɔ atikewo nom be woatsɔ aɖu nɔnɔmea dzi. Ame bubuwo ate ŋu akpɔ gbɔdzɔe ɖedzesi aɖe to agbenɔnɔ ƒe tɔtrɔwo abe nuɖuɖu, kamedede, kple ɖiɖiɖeme ene me. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi eye nàdi atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wò .

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne taɖuame nɔa ŋuwò enuenu, nèsena le ɖokuiwò me be mèda sɔ o, alo egblẽa nu le wò gbesiagbegbenɔnɔ ŋu la, ele be nàyi ɖɔkta gbɔ godoo . Esia le vevie ŋutɔ ne taɖuame le ŋuwò.

Ne ènye amesi nya xoxo be Vestibular Migraine le ye ŋu la, ke yi ɖɔkta gbɔ ake le ɣeyiɣi sia tɔgbe me:

• Ne taɖuamea le dzidzim ɖe edzi enuenu alo ne taɖuamea le sesẽm ɖe edzi .
• Ne toɣliɖeɖe si le gota ƒe seselelãme dzi ɖe edzi .
• Ne taɖuamea nu sẽ ɖe edzi la .

Nya kawoe wòle be mabia ɖɔktaa?

Esi wònye be vestibular migraine menye dɔléle si bɔ ŋutɔ o ta la, nyabiase geɖe ate ŋu anɔ asiwò tso eŋu. Mègavɔ̃ be yeabia nya siawo abe esiawo ene wò ɖɔkta o:

• Nukatae, Ðɔkta/Aƒenɔ, dɔléle sia le ŋunye?
• Ðe nye dzesiwo agagblẽ ɖe edzia?
• Atikewɔwɔ ka ƒomevie nèkafu nam?
• Ðe wòahiã be mano atike tegbeea?
• Tsɔ kpe ɖe nye nuɖuɖu dzi ɖuɖu kple ɖiɖiɖeme si sɔ ŋu la, nukae magate ŋu awɔ atsɔ akpɔ nye vestibular migraine ƒe dzesiwo gbɔ?

Ne taɖuame le ŋuwò la, ɖewohĩ ènya dzesiawo: akaɖi siwo le keklẽm zi ɖeka, eye taɖuame si le ƒoƒom kplɔe ɖo. Ðewohĩ èbu fɔ wò taɖuame be eyae na taɖuame kple dadasɔ ƒe gbegblẽ. Gake taɖuame sesẽ si nu metsina o (si me ta le vevem alo esi mele vevem o) ate ŋu anye dzesi be taɖuame le ŋuwò.

Dzɔgbenyuietɔe la, atikewɔmɔnuwo le ɖɔktawo si siwo ate ŋu akpe ɖe wo ŋu woaxe mɔ ɖe nɔnɔme sia nu alo aɖe eƒe dzesiwo dzi akpɔtɔ. Nu aɖewo hã li nàte ŋu awɔ, abe alɔ̃dɔdɔ nyuie, asaƒoƒo na nuɖuɖu aɖewo, kple nuteɖeamedzi dzi ɖeɖe kpɔtɔ ene. Ne taɖuame le ŋuwò eye wò ta le ʋuʋum ɣesiaɣi la, ele be nàyi ɖɔkta gbɔ godoo. Woate ŋu awɔ dodokpɔ siwo hiã atsɔ aɖo kpe edzi be vestibular migraine le ŋuwò. Vevietɔ wu la, woate ŋu ana nyatakaka, atike, kple atike bubu siwo nèhiã be nàtsɔ axe mɔ ɖe nɔnɔme sia nu alo aɖe eƒe dzesiwo dzi akpɔtɔ la wò.

Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui tso nusiwo me míedzro me (Take-Home Message) .

Enyo, eyata mina míaƒo nusianu si ŋu míeƒo nu tsoe la nu ƒu eye míaɖo ŋku nu vevitɔ kekeake siwo wòle be wòanɔ susu me na mí dzi na mía ɖokui:

• Vestibular migraine nye ahɔhɔ̃mekawo ƒe dɔléle si ƒe dzesi enye taɖuame ƒe gɔmedzedze kpata, eƒe dadasɔ, kple ɣeaɖewoɣi taɖuame ƒe dzesiwo (taɖuame, kekeli/gbeɖiɖi ƒe seselelãme).
• Togbɔ be esia mebɔ boo o hã la, ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ dzi .
• Togbɔ be womenya nusi tututu gbɔ wòtso o hã la, wokpɔe be nusiwo le abe nuteɖeamedzi, alɔ̃madɔmadɔ, kple nuɖuɖu aɖewo ene nye nusiwo ate ŋu ahe afɔku vɛ.
• Ele vevie ŋutɔ be nàkpɔ ɖɔkta be woakpɔ dɔlélea nyuie , elabena nu bubuwo ate ŋu ahe taɖuame vɛ.
• Dɔdamɔnu aɖewo li! Woate ŋu akpɔ nɔnɔme sia gbɔ to atikewo, agbenɔnɔ ƒe tɔtrɔ (alɔ̃dɔdɔ nyuie, nuɖuɖu nyuie, kamedede, nuteɖeamedzi dzi ɖeɖe kpɔtɔ), kple dadasɔ ƒe atikewɔwɔ (VRT) zazã me.
• Ne dzesi siawo le ŋuwò la, mègatsi dzodzodzoe o, gake yi ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò .

Ðo ŋku edzi be wò lãmesẽe nye wò agbanɔamedzi. Ne ènya nɔnɔme siawo eye nèwɔ atike na wò ɖe game dzi la, ate ŋu akpe ɖe ŋuwò nànɔ agbe si me lãmesẽ le, si me dzidzeme le.

` Vestibular Taɖuame, taɖuame, taɖuame, vertigo, dadasɔ, ahɔhɔ̃medɔlélewo, taɖuame, ʋuʋudedi