Ke ʻike nei ʻoe i kekahi manawa i kahi ʻeha poʻo nui me ka mae ʻole a nāwaliwali paha ma kekahi ʻaoʻao o kou kino? Ke paʻakikī nei ʻoe i ka ʻōlelo ʻana i kekahi manawa? ʻAʻole kēia he migraine wale nō. He ʻano migraine kūikawā kēia he mea nui e makaʻala. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo Hemiplegic Migraine.
He aha ka Migraine Hemiplegic?
I ka ʻōlelo maʻalahi, ʻo ka migraine hemiplegic kahi kūlana e hoʻoulu ai ka migraine i ka nāwaliwali o nā mākala ma kekahi ʻaoʻao o kou kino . Hoʻomaka pinepine kēia nāwaliwali o nā mākala i ka wā "aura" o ka migraine. ʻO ia hoʻi, hana ʻia ia ma mua a ma hope paha o ka hoʻomaka ʻana o ke poʻo. I kekahi manawa hiki ke hele pū ʻia kēia nāwaliwali o nā mākala me nā loli o ka ʻike, ka paʻakikī o ka ʻōlelo ʻana, a me nā loli o ka manaʻo.
E noʻonoʻo, ʻaʻole hiki iā ʻoe ke hāpai koke i hoʻokahi lima, a i ʻole he paʻakikī iā ʻoe ke neʻe i hoʻokahi wāwae, a i ʻole manaʻo ʻoe e hele ana kou waha i kekahi ʻaoʻao. Ke hana ʻia kekahi mea e like me kēia, makaʻu nā mea a pau, ʻeā? ʻO ia ka mea e hana ʻia ma kēia hihia.
He aha nā ʻano migraine hemiplegic i loaʻa?
ʻElua mau ʻano nui o ka migraine hemiplegic, i māhele ʻia i ʻelua mau ʻano e pili ana i ke kumu kumu:
1. Familial Hemiplegic Migraine (FHM): Hiki mai kēia ʻano inā ua loaʻa mua kekahi o kou ʻohana iā ia, ʻo ia hoʻi he loulou genetic . Aia kekahi mau ʻano like ʻole o kēia ʻano (FHM type 1, type 2, type 3). Hoʻokumu ʻia kēlā me kēia o kēia mau ʻano like ʻole e kahi mutation gene ʻokoʻa. I kekahi manawa, inā ʻaʻole hiki i nā kauka ke loaʻa ka mutation gene kikoʻī, ua kapa ʻia hoʻi ʻo FHM type 4.
2. Sporadic Hemiplegic Migraine (SHM): Hiki ke hiki koke mai kēia ʻano i loko o ke kanaka me ka ʻole o ka mōʻaukala ʻohana o ke ʻano. ʻO ia hoʻi, hiki mai ia me ka ʻole o ka mōʻaukala ʻohana o ka maʻi.
He pilikia anei ka migraine hemiplegic?
He mea kēia a ka poʻe he nui e makaʻu nei. ʻOiai hiki ke weliweli ka loaʻa ʻana o ka migraine hemiplegic, ʻaʻole ia he pilikia . Eia nō naʻe, ʻo ka pilikia , ua like loa kona mau hōʻailona me ko ka hahau ʻana, kahi e pono ai ka mālama lapaʻau pilikia. Hiki ke ʻike ʻia ka nāwaliwali o nā ʻiʻo ma kekahi ʻaoʻao o ke kino, nā loli i ka ʻike, a me ka paʻakikī i ka ʻōlelo ʻana ma nā ʻaoʻao ʻelua.
He mea nui loa: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻoiai ka mae ʻana ma kekahi ʻaoʻao o kou kino, ka nalowale o ka ʻike, a i ʻole ka paʻakikī o ka ʻōlelo ʻana, mai hoʻāʻo e hoʻoholo iā ʻoe iho inā he hahau a he migraine hemiplegic paha. E ʻoluʻolu e hele i ka haukapila kokoke loa a kāhea koke aku i kahi ambulance ulia pōpilikia. I ka hihia o ka hahau ʻana, he mea nui ka manawa. No laila, inā kānalua, he mea naʻauao ke ʻimi i ka ʻōlelo aʻo lapaʻau.
Pehea ka maʻamau o kēia ʻano?
ʻOiai he maʻi maʻamau ka migraines, ʻaʻole maʻamau ka migraines hemiplegic. Ua ʻike ʻia kahi noiʻi ma Denmark e hoʻopilikia wale ana ke ʻano i hoʻokahi i loko o 10,000 mau kānaka.
He aha nā hōʻailona o ka migraine hemiplegic?
ʻO nā hōʻailona e ʻike ʻia ma kēia ʻano:
- Ka nāwaliwali o nā ʻiʻo ma kekahi ʻaoʻao o ke kino: ʻO kēia ka hōʻailona nui. Hiki ke nāwaliwali kahi lima, wāwae, a i ʻole kekahi ʻaoʻao o ka maka.
- Nā loli o ka ʻike: Hiki ke ʻike ʻia nā wahi makapō, nā kukui ʻālohilohi, nā ʻano zig-zag, a me ka ʻike pālua.
- Ka maneʻo a i ʻole ke ʻano ʻūlū ma ka maka, nā lima, a i ʻole nā wāwae .
- Paʻakikī i ka ʻōlelo ʻana: Hua ʻōlelo hūpō, ʻaʻole hiki ke ʻōlelo maopopo.
- Manaʻo luhi loa (Fatigue).
- Manaʻo huikau.
Ua like kēia mau hōʻailona me nā mea i ʻike pinepine ʻia i ka wā "aura" o ka migraine (ʻo ia hoʻi, ma mua a i ʻole i ka wā o ke poʻo). Eia nō naʻe, hiki i nā migraines hemiplegic ke hoʻopilikia i nā ʻiʻo, ka ʻōlelo, a me ka ʻike ma mua o nā ʻano migraines ʻē aʻe.
Hiki i kēia mau hōʻailona ke mau mai kekahi mau hola a i kekahi mau lā. I nā hihia kakaikahi, hiki iā lākou ke mau a hiki i ʻehā pule. Eia nō naʻe, i ka hapanui o nā hihia, nalo loa kēia mau hōʻailona .
Pehea ka manaʻo o ka migraine hemiplegic?
Hoʻokumu ka migraine i kahi ʻeha poʻo nui a ʻūlū . Hiki pinepine kēia ʻeha poʻo ma hope a i ʻole me ka nāwaliwali o nā ʻiʻo ma kekahi ʻaoʻao o ke kino. ʻO kahi ala maʻalahi e ʻike ai inā he migraine hemiplegic kou, ʻo ia ke hāpai i kou mau lima ʻelua ma luna o kou poʻo. Hiki i kekahi lima ke kaumaha ma mua o kekahi, e paʻakikī ai ke paʻa .
He aha ke kumu o ka migraine hemiplegic?
Ua ʻike ʻia ke kumu nui o kēia ʻo ia ka hana nui ʻana i loko o nā hunaola nerve . ʻO ke kikoʻī, ua hana ʻia kēia e kahi loli i loko o kou mau nerve i kapa ʻia ʻo "Cortical Spreading Depression".
I ka ʻōlelo maʻalahi, hele kahi uku uila ma o kā mākou mau hunaola nerve. Kōkua kēia i nā ion (nā molekala ion) e hele ma o nā hunaola nerve, hoʻouna i nā leka i nā neurotransmitters, a kamaʻilio me nā ʻāpana like ʻole o ke kino. Hoʻololi kēia uku uila (depolarization) ma ke kaʻina hana i kapa ʻia ʻo "cortical spreading depression." E like me ka nalu lohi, hele ia mai kekahi ʻaoʻao o ka lolo a i kekahi ʻaoʻao, e hoʻopilikia ana i ke ʻano uila maʻamau o nā hunaola nerve . ʻO ia ke kumu o nā hōʻailona o ka migraine hemiplegic.
No kēiaUa pili kahi hoʻololi ʻana o ka genetics. ʻO ia hoʻi, nā loli i nā genes e hoʻopilikia i ke ʻano o ka hana ʻana o nā hunaola nerve. Ua ʻike ʻia nā ʻano genes like ʻole i loko o ka poʻe me ka migraine hemiplegic:
- ʻO `CACNA1A` (ʻano ʻohana 1 a i ʻole ke ʻano autosomal recessive)
- ʻATP1A2 (ʻano 2 i loaʻa mai kahi ʻohana a i ʻole ke ʻano kūlohelohe)
- `SCN1A` (3 mau ʻano e hele mai ana mai ka ʻohana)
- `PRRT2` (nā ʻano āpau mai nā moʻolelo ʻohana)
Ke manaʻo nei nā kauka i kēia manawa aia paha he mau ʻano ʻē aʻe i ʻike ʻole ʻia.
He aha nā mea hoʻonāukiuki no ka migraine hemiplegic?
ʻO nā mea e hoʻonui ai i ka migraines hemiplegic, a i ʻole "Triggers", ua like ia me nā ʻano migraines ʻē aʻe. Hiki ke ʻokoʻa kēia mau mea mai kēlā kanaka a kēia kanaka, akā ʻo kekahi mau mea maʻamau:
- Ke kaumaha
- Nā loli i nā ʻano hiamoe (ʻaʻole hiamoe maikaʻi, hiamoe nui)
- Hoʻoikaika kino
- ʻEha poʻo
- Mālamalama mālamalama
- ʻO kekahi mau meaʻai a i ʻole nā loli i nā ʻano ʻai (e like me ke kāpae ʻana i nā meaʻai)
Hoʻomaka kekahi mau migraines hemiplegic ma hope o kahi hoʻāʻo kiʻi kūikawā i kapa ʻia he angiogram cerebral. He scan kēia e nānā ana i ke ʻano o ka hana ʻana o nā kīʻaha koko i loko o ka lolo.
I ka manawa hea e hoʻomaka ai ka migraine hemiplegic?
ʻIke mua ka hapa nui o ka poʻe i nā migraines hemiplegic i ko lākou wā ʻōpiopio, ma waena o 12 a me 17 mau makahiki. I kou wā ʻelemakule, e emi pinepine ana ka pinepine a me ke koʻikoʻi o kēia mau hoʻouka migraine.
He aha nā pilikia e hiki mai ana mai ka migraine hemiplegic?
Hoʻopau ka hapa nui o nā hoʻouka migraine hemiplegic i loko o kekahi mau lā. Eia nō naʻe, i nā hihia kakaikahi a koʻikoʻi , hiki i nā hōʻailona migraine hemiplegic ke mau no nā pule. Hiki i ka migraine ke hoʻopilikia i kou olakino noʻonoʻo a me ke kino. Hiki i nā hōʻailona ke hoʻopilikia i kāu mau hana pilikino, nā pilina pili kanaka, a me ka hana a i ʻole ka hana kula.
He mea kākaʻikahi nā pilikia koʻikoʻi, akā hiki ke loaʻa. Nā Laʻana:
- Nā hopu ʻana
- Poho Hoʻomanaʻo
- Nā loli i ke ʻano a i ʻole ke ʻano
- Nā pilikia ulu ʻana o ka noʻonoʻo (Kīnā noʻonoʻo)
- Nā pilikia i ka hoʻomohala ʻana i ka ʻōlelo a me nā mākau motika i nā keiki ʻōpio
- Koma
Pehea e ʻike ʻia ai ka migraine hemiplegic?
Hoʻoholo ke kauka i ka migraine hemiplegic ma hope o ka hoʻokolokolo kino a me ka hoʻokolokolo neurological . I loko o kēia mau hoʻokolokolo, e nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino a me ka mōʻaukala olakino o kou ʻohana. E hōʻoia e haʻi i kāu kauka inā loaʻa kekahi o kou mau hoahānau koko i ka migraines.
He mea nui e hoʻāʻo ʻia e kāpae i nā kūlana ʻē aʻe i loaʻa nā hōʻailona like. Hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua e like me:
- Hoʻāʻo Genetic
- CT Scan
- ʻO ke kiʻi MRI `(MRI)`
- ʻO ke kuʻi ʻana o ka lumbar
- ʻO kahi electroencephalogram (EEG)
Pehea e mālama ʻia ai nā migraines hemiplegic?
Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia no ka migraine hemiplegic:
- Nā lāʻau antidepressants (e.g., tricyclics a me SNRIs)
- Nā lāʻau anti-hypertensive (e.g. beta-blockers a i ʻole calcium channel blockers)
- Nā lāʻau lapaʻau antiseizure
- Inā pono, nā CGRP Antagonists a/a i ʻole Botulinum Toxin
E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao o kekahi lāʻau lapaʻau i hāʻawi ʻia iā ʻoe. E haʻi pū ʻo ia iā ʻoe i ka pinepine a me pehea e lawe ai i kēlā me kēia mahele.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka migraine hemiplegic?
Ke hoʻomaka ʻoe e loaʻa i nā hōʻailona o ka migraine hemiplegic, he mea maʻamau ke hopohopo a me ka makaʻu. Manaʻo paha ʻoe he hahau ia, ʻoiai inā ʻaʻole ʻoe i loaʻa mua. ʻO ka ʻeha a me ka nāwaliwali āu e manaʻo ai hiki ke hoʻolilo iā ia i mea paʻakikī ke hana i kāu mau hana o kēlā me kēia lā.
ʻO ka nūhou maikaʻi, ʻo ka nalowale pinepine ʻana o nā hōʻailona o ka migraines hemiplegic ke pau ka pōʻaiapuni migraine, a aia nā lāʻau lapaʻau e hiki ke kōkua i ka hōʻemi ʻana i ke alapine (frequency) o kēia mau migraines.
Pehea ka lōʻihi o ka loaʻa ʻana o ka migraine hemiplegic?
Hiki i nā hōʻailona migraine hemiplegic ke mau mai hoʻokahi hola a i kekahi mau lā . Eia nō naʻe, nalowale pinepine kēia mau hōʻailona i loko o hoʻokahi lā. Ma ka awelika, hiki i nā kānaka ke loaʻa ma kahi o ʻekolu mau hoʻouka migraine hemiplegic i kēlā me kēia makahiki. ʻOkoʻa kēia helu mai kēlā kanaka a kēia kanaka.
Hiki ke ʻokoʻa ka nui o nā hoʻouka migraine āu e loaʻa ai. Loaʻa paha iā ʻoe hoʻokahi i ka lā, a i ʻole kekahi mau manawa wale nō i kou ola. I kekahi manawa aia paha he mau wā lōʻihi a ʻaʻohe hōʻailona ma waena o nā hoʻouka migraine.
He nui ka poʻe e ʻōlelo nei e emi ana nā hōʻailona migraine i ko lākou ʻelemakule ʻana . ʻO ka maʻamau, ma hope o 50 mau makahiki, hiki i ka migraine hemiplegic ke lilo i migraine maʻamau me ka nāwaliwali ʻole o nā ʻiʻo. Hiki i ke kauka ke kōkua iā ʻoe e ʻimi i nā lāʻau lapaʻau e hoʻokele i kāu migraines i kou ola a pau.
Hiki ke pale ʻia ka migraine hemiplegic?
ʻAʻole hiki ke pale aku i nā hoʻouka migraine hemiplegic āpau. Eia nō naʻe, hiki i nā lāʻau pale ke kōkua i ka hōʻemi ʻana i ka nui o nā manawa āu e loaʻa ai i ka migraines.E ʻōlelo paha kāu kauka e lawe iā ia. Akā e hoʻomanaʻo, ʻoiai inā ʻoe e lawe i kēia lāʻau lapaʻau, hiki nō iā ʻoe ke loaʻa i ka migraine. Eia kekahi, ke loaʻa iā ʻoe ka migraine, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e hoʻōki iā ia, e hōʻemi i kona lōʻihi, a e hōʻemi i kona koʻikoʻi.
Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i kāu mau mea hoʻoulu migraine, no laila hiki iā ʻoe ke hōʻemi i kou pilikia.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā migraines me nā hōʻailona e hoʻopilikia ai i ka ikaika o nā ʻiʻo, e ʻike i ke kauka.
He mea nui loa: Inā ʻike ʻoe i nā hōʻailona o ka hahau ʻana - e like me ka nāwaliwali ma kekahi ʻaoʻao o ke kino, ka huikau, a i ʻole ka pilikia e ʻōlelo - e kelepona koke i ka 911 (a i ʻole kāu helu ulia pōpilikia kūloko).
Inā ʻaʻole ʻoe maopopo inā he migraine hemiplegic a he stroke paha kou, e kelepona i nā lawelawe ulia pōpilikia . Inā ʻaʻole ʻoe maopopo, a inā ʻaʻohe hōʻailona kūhelu, ʻoi aku ka palekana o ka noho ʻana ma lalo o ka mālama ʻana a ke kauka.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
- He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
- He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
- I ka manawa hea a pehea ka pinepine e pono ai iaʻu e lawe i nā lāʻau pale?
- He palekana anei iaʻu ke lawe i kahi NSAID e mālama i ka migraine hemiplegic?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
Ke loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo hemiplegic migraine, makaʻu paha ʻoe a hopohopo. E noʻonoʻo paha ʻoe, "He hahau anei kēia? Pono anei au e kāhea i ka 911?" Mai kānalua e kāhea i nā lawelawe ulia pōpilikia inā ʻaʻole ʻoe maopopo. Hiki i kāu hui lapaʻau ke kōkua iā ʻoe e ʻike i ke kumu o kāu mau hōʻailona, e hoʻokele i kāu migraines, a pale iā lākou mai ka hana hou ʻana. E hana pū kāu kauka me ʻoe e kōkua i ka hōʻemi ʻana i ka hopena o ka migraine hemiplegic i kou ola. Mai hopohopo, hiki ke hoʻokele ʻia kēia maʻi.
ʻO ka migraine hemiplegic, migraine, ʻeha poʻo, nāwaliwali o nā ʻiʻo, hahau ʻana, nā hōʻailona, lāʻau lapaʻau
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