Ke ʻike nei ʻoe i kekahi manawa i nā hōʻailona ʻē e like me ka ʻike ʻana i nā kukui i mua o kou mau maka, ka ʻike ʻana i nā laina, a i ʻole ka manaʻo koke ʻana i ke kani ʻana o kou mau lālā ma mua o kou ʻeha poʻo? I kekahi manawa paʻakikī paha iā ʻoe ke ʻōlelo. ʻAʻole kēia he mau mea wale nō. Kāhea mākou i kēia (Migraine Aura) . Ua like ia me kahi premonition liʻiliʻi, he ʻōlelo aʻo ma mua o ka hiki ʻana mai o ka ʻino i kapa ʻia ʻo migraine. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia (Migraine Aura) ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo, ʻae?
E nānā mua kākou i ke ʻano o ka migraine aura.
I ka ʻōlelo maʻalahi, ʻo ka migraine aura he ʻano o nā loli sensory a kekahi poʻe e ʻike ai ma mua o ka hoʻomaka ʻana o ka migraine headache. Ua like ia me kahi "wā hoʻomaopopo." Hiki iā ia ke hoʻopilikia i kou mau manaʻo, e like me ka ʻike, ka lohe, a me ka hoʻopā. E noʻonoʻo penei:
- ʻIke ʻoe i nā ʻano kukui like ʻole i mua o kou mau maka, e like me nā kiko liʻiliʻi e lana ana, a me nā zigzags.
- Manaʻo paha kekahi poʻe e lohe ana lākou i ke kani mau ʻana i loko o ko lākou mau pepeiao, a mākou e kapa nei ʻo Tinnitus .
- Hiki paha iā ʻoe ke poniuniu a nalowale paha kou kaulike.
- ʻOiai he mea kakaikahi, aia kekahi mau manawa i hiki ʻole ai i kekahi poʻe ke ʻōlelo pono.
Hoʻomaka pinepine kēia mau hōʻailona ma kahi o 30 a 60 mau minuke ma mua o ke poʻo ʻeha. Akā ʻo ka mea nui, ʻaʻole i loaʻa i nā kānaka a pau me ka migraines kēia (Migraine Aura), a ʻaʻole ia e hana me nā migraines a pau.
Aia kekahi mau ʻano o ka Migraine Aura?
ʻAe, ke kamaʻilio nei mākou e pili ana i ʻekolu mau ʻano nui o ka migraine aura.
1. ʻAura ʻIke: ʻO kēia ke ʻano maʻamau. Pili ia i nā loli manawa pōkole i kou ʻike. No ka laʻana, ʻike koke paha ʻoe i nā kukui a i ʻole nā kaha.
2. Aura Sensorimotor: ʻO kēia ka manawa e hoʻopilikia ʻia ai kou mau manaʻo a i ʻole kou neʻe ʻana. Hiki iā ʻoe ke manaʻo i ka mae ʻana, ka ʻūlū ʻana, a i ʻole ka nāwaliwali ma kekahi a ʻoi aku paha mau ʻāpana o kou kino. I kekahi manawa hiki paha kēia a ʻaʻole paha e hana me kahi aura ʻike maka.
3. Dysphasic Aura: ʻO kēia ke ʻano kakaikahi loa. Hōʻike ʻia ia e ka ʻōlelo slurred, nalowale ka hoʻomanaʻo, a me ka paʻakikī e hoʻomaopopo i ka mea e ʻōlelo ʻia nei.
Pehea ka maʻamau o kēia?
Ua ʻōlelo mākou ʻaʻole nā kānaka āpau me ka migraines e ʻike i ka migraine aura. Ma ke ʻano helu, ma waena o 25% a me 30% o ka poʻe me ka migraines e ʻike i ka migraine aura. ʻO ia hoʻi ma kahi o hoʻokahi i loko o ʻehā mau kānaka.
Mai ka poʻe i ʻike i kēia (Migraine Aura):
- Ma waena o 90% a me 99% o ka poʻe e ʻike i kahi aura ʻike maka. ʻO ia hoʻi, ʻo ia ka mea e hana ʻia i ka hapa nui o ka poʻe.
- Ma kahi o 36% o nā kānaka e ʻike i kahi aura sensory.
- Loaʻa ka dysphasic aura i kahi poʻe liʻiliʻi , ma kahi o 10% .
Pehea ʻoe e ʻike ai i ka aura maka?
Hiki i kekahi kanaka e ʻike nei i kahi aura visual ke ʻike i nā hōʻailona pili i ka hihiʻo:
- Nā kukui ʻālohilohi: ʻĀlohilohi koke nā kukui i mua o nā maka.
- Nā kiko ʻōlinolino: Nā kiko liʻiliʻi o nā kala like ʻole e lana ana a puni.
- Nā laina Zigzag: ʻIke ʻia nā mea e like me nā laina jagged a haki.
- ʻIke noe: Me he mea lā aia nā mea ma loko o ka noe.
- Nā wahi makapō: Ua lilo koke kekahi mau wahi o ka ʻike i mea ʻike ʻole ʻia.
- E like me ka nānā ʻana i kahi mea ma o ka wai a i ʻole ka wela: Hiki ke ʻike ʻia nā mea me he mea lā ua ʻāwili ʻia, e like me kā lākou hana ʻana ke nānā ʻoe i nā mea ma o ka nalu o ka ea wela.
Hoʻonui mālie kēia mau hōʻailona, ʻaʻole lākou e hiki koke mai.
He mea weliweli anei ka Migraine Aura?
ʻAʻole maʻamau ka migraine aura he mea weliweli a hoʻoweliweli paha i ke ola, akā hiki ke lilo i mea ʻoluʻolu ʻole a hoʻoweliweli hoʻi i ka mea e loaʻa ana.
Akā ʻo ka mea nui loa ma ʻaneʻi, ʻo ia ka hiki i kēia mau hōʻailona (Migraine Aura) ke like me nā hōʻailona o kahi maʻi weliweli loa e like me ka hahau ʻana a i ʻole ka transient ischemic attack (TIA).
No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona no ka manawa mua, a inā he ʻokoʻa a ʻoi aku paha ka koʻikoʻi ma mua o ka maʻamau, e ʻike koke i ke kauka me ka kānalua ʻole. A laila hiki i ke kauka ke hoʻoholo inā he migraine aura kēia a i ʻole kekahi mea ʻoi aku ka koʻikoʻi.
No ke aha e hana ʻia ai kēia (Migraine Aura)?
ʻAʻole maopopo loa ke kumu kikoʻī o ka migraine aura. Eia nō naʻe, e like me ka noiʻi ʻepekema, ua manaʻoʻiʻo ʻia e hana ʻia kēia ma ka ʻāpana o ka lolo e ʻike ana i nā mea, kapa mākou iā ia ʻo ka visual cortex , a ua manaʻo ʻia he mea paha ia no ka mea e like me ka nalu uila e pālahalaha ana ma laila. Ma muli o kēia loli i ka hana uila e hana ʻia ai nā mea ʻē i ka ʻike.
He aha ka mea e hoʻonui ai i kēia (Migraine Aura)? (Nā mea hoʻonāukiuki)
Hoʻopilikia kēia mau lāʻau pale (Migraine Aura) i nā mea like e hoʻonui pinepine ai i nā migraines (nā migraines maʻamau me ka ʻole o ka aura). E nānā kākou i ke ʻano o lākou:
- Mālamalama ikaika: Hiki i ka lā ikaika koke, nā kukui uila, a i kekahi manawa kukui ʻālohilohi mai kahi TV a i ʻole ka pale kamepiula ke hoʻopilikia iā ia.
- Kekahi mau meaʻai a mea inu paha: Hiki i nā mea e like me ka tīhi, kokoleka, kofe, tī, a me nā meaʻai i hana ʻia ke hoʻopilikia i kekahi poʻe.
- Kekahi mau lāʻau lapaʻau: Eia kekahi laʻana, nā lāʻau hoʻomalu hānau.
- Kaumaha: He kumu nui kēia e hoʻopilikia ai i nā poʻe he nui. Ke kaumaha i hoʻokumu ʻia e nā mea e like me nā pilikia keʻena, nā pilikia ʻohana, nā hoʻokolohua, a pēlā aku.
- Nā maʻi hiamoe:ʻAʻole lawa ka hiamoe, a hiamoe nui paha.
- Nā wā maʻamau i nā wahine: Pili kēia i nā loli hormonal.
- Nā ʻala ikaika: ʻAla kekahi mau mea ʻala e like me ka uahi.
- Nā loli o ke aniau.
ʻO kēia nā kumu maʻamau, akā hiki ke ʻokoʻa mai kēlā kanaka a kēia kanaka.
Pehea ʻoe e ʻike pono ai i ke ʻano o ka migraine aura? (Diagnosis)
Ke ʻike ʻoe i ke kauka ke loaʻa iā ʻoe nā hōʻailona migraine aura, ʻo ka mea mua āna e hana ai , ʻo ia ka hōʻoia ʻaʻohe pilikia olakino koʻikoʻi ʻē aʻe. No ka mea, e like me kā mākou i ʻōlelo ai ma mua, hiki i kēia mau hōʻailona ke like me ka TIA a i ʻole ka mini stroke.
No laila, hiki i ke kauka ke hana i nā hoʻokolohua e like me kēia:
- Hoʻokolohua Kino: Ua nānā ʻia kou olakino laulā.
- Hoʻokolohua Maka: E nānā e ʻike inā ua hana ʻia kēia mau hōʻailona e kekahi pilikia maka ʻē aʻe.
- ʻO kahi CT Scan (Computed Tomography Scan) o ke poʻo: Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o loko o ka lolo. Hiki i kēia ke kōkua i ka ʻike inā he hewa kekahi mea me ka lolo, e like me kahi puʻupuʻu a i ʻole kahi ʻūpā koko.
- ʻO ka MRI lolo (Magnetic Resonance Imaging): He hoʻāʻo kēia e lawe i nā kiʻi kikoʻī o nā ʻiʻo a me nā ʻōpū o ka lolo. Hāʻawi ia i nā kiʻi ʻoi aku ka maopopo ma mua o ka CT scan.
Ma hope wale nō o kēia mau hoʻokolohua hiki i ke kauka ke haʻi pololei iā ʻoe inā he Migraine Aura kou a i ʻole kekahi mea ʻē aʻe.
He aha ka mea hiki ke hana ʻia e hoʻōki i kēia (Migraine Aura)? (Lāʻau lapaʻau)
ʻO ka pahuhopu nui o ka mālama ʻana i ka migraine aura ʻo ia ke kāohi i nā hōʻailona a hōʻemi i nā poʻo ʻeha e hele pū me ia. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:
- Nā lāʻau hoʻopau ʻeha: ʻO nā lāʻau lapaʻau ma luna o ka counter e like me ka acetaminophen , ibuprofen , a me ka aspirin hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha o ka ʻeha poʻo ke lawe ʻia i ka hoʻomaka ʻana o ka aura.
- ʻO Triptans: He mau lāʻau lapaʻau kēia i hana kūikawā ʻia no nā migraines. ʻO nā laʻana e komo pū me ka sumatriptan a me ka rizatriptan . Loaʻa lākou ma ke ʻano o nā pila, nā pīpī ihu, a i ʻole nā inikini. Ke ālai nei lākou i nā ala e hoʻouna i nā hōʻailona ʻeha i ka lolo.
- ʻO ka pīpī nasal Dihydroergotamine a i ʻole ka inikini: Hoʻohana ʻia kēia e hōʻemi i nā hōʻailona o ka migraines.
- ʻOpioids: He mau lāʻau hoʻomaha ʻeha ikaika loa kēia. Hāʻawi ʻia lākou i ka poʻe hiki ʻole ke hoʻohana i nā lāʻau lapaʻau e like me triptans, a i ʻole ka poʻe i loaʻa ʻole ka pōmaikaʻi mai ia mau mea. Loaʻa iā lākou kahi pilikia kiʻekiʻe o ka maʻi ʻona, no laila e noʻonoʻo wale ʻia lākou inā ʻaʻole i holomua nā koho ʻē aʻe a pau.
- Nā lāʻau lapaʻau anti-nausea:Inā hele mai ka nausea a me ka luaʻi me ka migraine aura, hiki i nā lāʻau lapaʻau e like me metoclopramide a me chlorpromazine ke kāohi i kēlā mau hōʻailona.
- Nā mea hoʻohui magnesium: Ua hōʻike kekahi mau noiʻi hiki i ka magnesium ke hōʻemi i nā auras ʻike a hōʻemi i ka ʻeha.
ʻO ka mea nui loa, ʻo kēlā me kēia lāʻau lapaʻau āu e lawe ai, e lawe wale ia e like me ke kuhikuhi a kāu kauka, a ma ke ʻano i kuhikuhi ʻia. Mai hele wale i ka hale kūʻai lāʻau lapaʻau a kūʻai i nā mea āu e makemake ai.
ʻAʻole hiki ke pale ʻia ka Migraine Aura? (Kāohi ʻana)
He mea paʻakikī ke hoʻōki loa i nā migraine auras. Akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pinepine o ko lākou hanana ʻana, pehea ko lākou koʻikoʻi, a pehea ka lōʻihi o ko lākou mau manawa. Inā loaʻa iā ʻoe nā migraines pinepine a koʻikoʻi me nā migraine auras, hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- Nā mea hoʻohui meaʻai: Magnesium , CoQ10 (coenzyme Q10), Riboflavin (vitamin B2) a pēlā aku. Pono e lawe ʻia kēia mau mea e like me ke kuhikuhi a kāu kauka.
- Nā lāʻau hoʻohaʻahaʻa koko: Hiki i nā mea pale kahawai calcium e like me Verapamil , a i ʻole nā mea pale beta e like me Timolol , Propranolol , a me Metoprolol Tartrate ke kōkua i ka pale ʻana i ka migraines.
- Nā lāʻau lapaʻau antiseizure : Hiki i nā lāʻau lapaʻau e like me topiramate a me valproate ke hōʻemi i ke alapine o ka migraines. Eia nō naʻe, hiki i kēia mau mea ke hana i nā hopena ʻaoʻao e like me ka nausea, ka dizziness, a me nā loli kaumaha.
- Nā Antidepressants: Hiki i kekahi mau antidepressants, e like me ka amitriptyline, ke kōkua i ka pale ʻana i ka migraines.
- ʻO nā antibodies monoclonal peptide pili i ka gene Calcitonin (CGRP): ʻO kēia nā lāʻau lapaʻau injectable hou loa i ʻae ʻia no ka mālama ʻana i nā migraines. Hāʻawi ʻia kēia mau inikini ma kahi o hoʻokahi manawa i ka mahina.
- Nā Inikini Botox®: No kekahi poʻe, kōkua nā inikini Botox i kēlā me kēia 12 pule i ka pale ʻana i ka migraines.
Hana ʻia kēia mau mea a pau ma lalo o ka nānā ʻana a ke kauka.
Pehea ka lōʻihi o kēia (Migraine Aura) e hana nei?
ʻO ka hapa nui o ka manawa, hoʻomaka mālie nā hōʻailona aura migraine, ʻaʻole i ka manawa hoʻokahi. ʻO ka maʻamau, mau kēia mau hōʻailona ma waena o 20 a me 60 mau minuke . A laila hoʻomaka ke poʻo ʻeha, akā i kekahi manawa hiki ke loaʻa ka aura me ka ʻole o ke poʻo ʻeha.
He aha kāu e hana ai ke ʻike ʻia nā hōʻailona o ka (Migraine Aura)?
Inā ʻike ʻoe he mau hōʻailona aura migraine kou, a inā paha e ʻike ʻoe i kekahi mau hōʻailona ʻē aʻe e hiki mai ana ma mua o ka migraine, e hana i kēia mau mea:
1. E hoʻōki i kāu hana i ka hikiwawe loa. Inā ʻoe e hoʻokele ana, e kū ma kahi palekana.
2. E lawe koke i ka lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.
3. Inā hiki, e hele i kahi lumi mālie a pouli a pani i kou mau maka no kekahi manawa, a i ʻole e hoʻāʻo e hiamoe.
4. ʻO ke kau ʻana i kahi ʻōmole wai anuanu ma ke poʻo e lawe mai i ka hōʻoluʻolu i kekahi poʻe.
Āhea wau e ʻike ai i ke kauka?
E like me kā mākou i ʻōlelo mua ai, hiki i nā hōʻailona o (Migraine Aura) ke like me nā hōʻailona o kekahi mau maʻi weliweli. No laila,
- Inā ʻo kēia ka manawa mua āu e loaʻa ai i kēia mau hōʻailona i kou ola .
- He aha inā ʻike ʻoe i nā hōʻailona ʻokoʻa mai nā mea i kū mai me ka migraine aura?
- Inā ʻoi aku ka mau o nā hōʻailona ma mua o 60 mau minuke .
- Inā hele pū ka aura me nā hōʻailona koʻikoʻi e like me ka numbness ma kekahi ʻaoʻao o ke kino, ka hiki ʻole ke ʻōlelo, a i ʻole ka makapō .
- Inā hana ʻia kekahi mea e like me kēia no ka manawa mua ma hope o 50 mau makahiki .
Ma ia kūlana , e ʻimi koke i ke kōkua lapaʻau.
Hiki ke loaʻa ka migraine me ka ʻole o ke poʻo ʻeha (Migraine Aura)?
ʻAe, hiki nō. ʻIke wale kekahi poʻe i nā hōʻailona o ka migraine aura, akā ʻaʻole lākou e ʻike i ka ʻeha poʻo ma hope. Kāhea pū mākou i kēia he "silent migraine" a i ʻole "acephalgic migraine." ʻOi aku ka paʻakikī o ka mālama ʻana i kēia ʻano, no ka mea, ʻoi aku ka lōʻihi o ka hana ʻana o ka lāʻau lapaʻau ma mua o ka manawa pōkole e loaʻa ai ka aura.
Eia nō naʻe, ʻo ka lawe ʻana i ka ʻeha i ka wā e ʻike ʻia ai nā hōʻailona aura hiki ke kōkua i ka hoʻēmi ʻana i ka nausea a me ka ʻike e hiki mai ana ma hope.
He aha ke kumu o ka migraine aura me ka ʻeha ʻole?
ʻAʻole maopopo loa ke kumu o nā aura migraine. Eia nō naʻe, hiki iā ʻoe ke mālama i kahi puke moʻolelo . E kākau i lalo i ka wā i loaʻa ai kēia mau aura iā ʻoe, pehea ka lōʻihi o ko lākou mau ʻana, he aha nā hōʻailona āu i loaʻa ai, ka mea āu i hana ai i kēlā lā, ka mea āu i ʻai ai a inu ai, a pēlā aku. I ka hala ʻana o ka manawa, e hoʻomaopopo ʻoe i nā mea e hoʻonui ai i kāu "migraines leo ʻole".
He aha inā e hoʻomau wau i ka migraine aura?
ʻO ka maʻamau, ʻaʻole i emi iho ma mua o hoʻokahi hola ka lōʻihi o ka migraine aura. Eia nō naʻe, he mea kākaʻikahi loa, loaʻa paha i kekahi poʻe nā hōʻailona migraine aura e mau ana no hoʻokahi pule a ʻoi aku paha. Kāhea mākou i kēia "Persistent Aura me ka ʻole o ka Infarction." Inā hana kēia iā ʻoe, pono ʻoe e ʻike koke i ke kauka. E nānā ʻo ia iā ʻoe e ʻike inā ua hoʻokumu ʻia kēia mau hōʻailona e kekahi maʻi koʻikoʻi ʻē aʻe.
Hiki ke hoʻonui ʻia ka migraine aura i ka wā hāpai?
ʻAe, hiki i kekahi mau wahine ke ʻike i ka piʻi ʻana o ka migraines i ka wā hāpai, ʻoiai me ka ʻole o ka ʻeha poʻo (Migraine Aura).Inā hāpai ʻoe a loaʻa iā ʻoe nā hōʻailona migraine me a i ʻole ka migraine (migraine aura), e haʻi koke i kāu kauka. E haʻi aku ʻo ia iā ʻoe i nā lāʻau lapaʻau e palekana ai ke hoʻohana i ka wā hāpai.
No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau? (Leka Lawe-Home)
ʻAʻole maʻamau ka migraine aura he mea weliweli, akā hiki iā ia ke lilo i mea hoʻopilikia nui i kou ola o kēlā me kēia lā. Hiki iā ia ke lilo i mea weliweli no ka mea e ʻike nei.
- Inā loaʻa iā ʻoe nā hōʻailona o ka migraine aura, inā me ka ʻeha poʻo a i ʻole me ka ʻole o ke poʻo, e hōʻoia e haʻi i kāu kauka. Hiki iā ia ke kōkua iā ʻoe a e hōʻoia ʻaʻole kāu mau hōʻailona he hōʻailona o kahi maʻi koʻikoʻi ʻē aʻe.
- Inā ʻike ʻoe i kekahi mau hōʻailona hou, a i ʻole inā e ʻoi aku ka koʻikoʻi ma mua o ka maʻamau, e ʻimi koke i ke kōkua lapaʻau.
- Mai lawe i kekahi lāʻau lapaʻau āu e makemake ai me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- E ʻike i nā mea e hoʻoulu ai i kou migraine aura a e hoʻāʻo e noho mamao aku iā lākou i ka hiki.
- ʻO ka mālama ʻana i kahi nohona olakino (hiamoe maikaʻi, ʻai i ka meaʻai kaulike, hoʻoikaika kino, a hōʻemi i ke kaumaha) he mea kōkua nui nō hoʻi i ka kaohi ʻana i nā migraines a me ka migraine aura.
Manaʻolana wau ua aʻo ʻoe i kekahi mea mai kēia ʻike. Mai makaʻu e kamaʻilio me ke kauka e pili ana i nā hopohopo olakino āu e loaʻa ai.
ʻO ka Migraine, migraine, aura, Migraine Aura, ʻeha poʻo, nā loli o ka ʻike, nā hōʻailona neurological











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