Ke manaʻo pinepine nei ʻoe i ka poniuniu a me ke poʻo māmā? He migraine vestibular paha kēia!

Ke manaʻo nei ʻoe i kekahi manawa e like me ʻoe e milo ana, ke milo nei kou kino, a ke milo nei nā mea a puni ʻoe e like me ka ʻōpae milo? Ua like ia me kou wā ma luna o kahi ʻūlū a i ʻole ka waʻa. Hiki iā ʻoe ke loaʻa i kahi ʻeha poʻo, ka paʻakikī i ka nānā ʻana i ke kukui, a i ʻole ke kani ʻana o kou mau pepeiao ke lohe ʻoe i nā leo nui. Inā ʻeha ʻoe i kēia mau hōʻailona, ​​a laila e lilo ke kumuhana o kēia lā i mea nui loa iā ʻoe. E kamaʻilio kākou e pili ana i kahi kūlana kikoʻī i kapa ʻia ʻo ka migraine vestibular .

He aha ka Vestibular Migraine? I ka ʻōlelo maʻalahi...

ʻO ka migraine vestibular, i ka ʻōlelo maʻalahi, he ʻano ia e hoʻopilikia ai i kā mākou ʻōnaehana nerve . ʻO ka mea nui e hana ʻia, ʻo ia kou manaʻo i ka poniuniu (vertigo) . Hiki i kēia poniuniu ke hoʻolilo iā ʻoe i mea e like me ʻoe me ke kaulike ʻole , ʻoiai ke kū nei ʻoe. Ua hōʻike kekahi mau noiʻi ʻo ka migraine vestibular ka lua o ke kumu nui o ka poniuniu i nā kānaka.

Ua ʻike ʻia hoʻi ia ma nā inoa ʻē aʻe, e like me `migraine-associated vertigo (MAV)`, `migraine-related vestibulopathy`, a me `migrainous vertigo`. Eia naʻe, ʻaʻole pono mākou i kēia mau inoa āpau i ka ʻōlelo o kēlā me kēia lā. ʻIke ka hapa nui o ka poʻe e pili ana i ka migraine vestibular.

Ke hoʻāʻo nei nā kauka a me nā mea noiʻi e hoʻomaopopo pono inā he ʻāpana kēia o ka migraine a i ʻole he maʻi ʻokoʻa. Eia naʻe, hoʻokahi mea i maopopo. He hopena koʻikoʻi kēia maʻi i ke ola o kēlā me kēia lā o kānaka , ʻo ia hoʻi ke hōʻemi nei i ko lākou ʻano ola. ʻO ia ke kumu e paipai ai nā kauka i nā hoʻololi ʻana i ke ʻano o ka nohona a, inā pono, nā lāʻau lapaʻau e like me nā lāʻau lapaʻau.

He mea maʻamau anei kēia?

He maʻi maʻamau ka migraine vestibular e hoʻopilikia ana i nā poʻe he nui. Eia nō naʻe, ʻaʻole maʻamau ka migraine vestibular. Ua ʻike ʻia ma kahi noiʻi ma ʻAmelika Hui Pū ʻIa he 2.7% o ka heluna kanaka i loaʻa nā hōʻailona migraine vestibular. Ua ʻike ʻia hoʻi he pakeneka koʻikoʻi o ka poʻe e ʻimi nei i ka lāʻau no ka dizziness a me nā pilikia kaulike he migraine vestibular. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

He aha nā hōʻailona o ka migraine vestibular?

ʻO nā hōʻailona nui a ʻike nui ʻia, ʻo ia nā mea e pili ana i ka vertigo . ʻO kēia mau mea:

• Hiki mai nā pilikia me ke kaulike . Hiki iā ʻoe ke poniuniu i ke kū ʻana a i ʻole ke hele ʻana.
• Manaʻo puni ke poʻo .
• Manaʻo māmā a lana paha (māmā ke poʻo) .

Hiki i kēia poniuniu ke hele mai a hele aku i loko o kekahi mau minuke, a i ʻole hiki ke mau no nā lā. E noʻonoʻo, pehea inā e hoʻomākaukau ana ʻoe e hele i ka hana a hoʻomaka koke nā mea a puni ʻoe e wili? A i ʻole, pehea inā aia ʻoe i waenakonu o kahi hālāwai koʻikoʻi a hoʻomaka e poniuniu a luaʻi? Hiki ke lilo i mea ʻino loa kēia, e hiki ʻole ai ke hana i kāu mau hana o kēlā me kēia lā.

I ka pololei, hiki i kēia ke lilo i manaʻo koʻikoʻi, e like me ka maʻi kai ma luna o ka moku. Hiki i kekahi poʻe ke hiki ʻole ke ala aʻe mai kahi moe.

Ma waho aʻe o kēia dizziness, hiki ke loaʻa nā hōʻailona ʻē aʻe:

• Hiki ke loaʻa ka luaʻi a me ka luaʻi .
• Hiki ke piʻi aʻe ka ʻike i ka walaʻau, ka mālamalama, a me kekahi mau ʻala . ʻO ke ʻano kēia, ʻoiai nā leo i hoʻopilikia ʻole iā ʻoe maʻamau, hiki ke manaʻo ʻia ua paʻa lākou i loko o kou mau pepeiao, hiki i kou mau maka ke lilo i polū loa e nānā aku i ka mālamalama, a ʻo kekahi mau ʻala (ʻala ʻala, nā ʻala meaʻai) e hōʻeha paha i kou poʻo.
• Hiki ke loaʻa nā ʻeha poʻo . Hiki ke like kēia me ka ʻino o ka migraine maʻamau, a i ʻole he emi iki paha ka ʻino. I kekahi manawa, hiki ke loaʻa wale ka poniuniu a nalowale paha ke poʻo.

No ke aha e kū mai ai ka migraine vestibular? He aha nā kumu?

Ke noiʻi nei nā loea i ke kumu kikoʻī a i ʻole nā ​​kumu o kēia. ʻO ia hoʻi, he paʻakikī ke ʻōlelo pololei "ʻo kēia ke kumu". Eia naʻe, ua ʻike lākou i kekahi mau mea pilikia e hiki ke kōkua i kēia kūlana. ʻO lākou:

• Loaʻa ka moʻolelo o nā migraines . ʻOi loa inā loaʻa iā ʻoe nā hōʻailona migraine mai kou wā kamaliʻi, ʻoi aku ka nui o kou loaʻa ʻana i ka migraine vestibular ma hope o ke ola.
• Kaumaha . Hiki ke loaʻa kēia ʻano ke kaumaha nui ʻoe. E noʻonoʻo, pehea inā loaʻa iā ʻoe kēia poniuniu i ka wā i kaumaha ai ʻoe i ka hana ma ke keʻena a me nā pilikia ma ka home?
• ʻAʻohe hiamoe, luhi nui . Hiki ke hana ʻia kēia ke hana mau ʻoe me ka ʻole o ka hiamoe kūpono a i ʻole ka hoʻomaha no kou kino.
• Ke kaulike ʻole o ka serotonin . He kemika koʻikoʻi ka serotonin i loko o ko kākou lolo. Hiki i ka nui a i ʻole ka liʻiliʻi o ia mea ke hoʻopilikia i ke ʻano.
• Nā loli hormonal . Hiki ke hana ʻia kēia kūlana ma muli o nā loli hormonal, ʻoiai i ka wā menopause i nā wahine, a i ʻole i ka wā o ka menstruation.
• Nā loli i ke kaomi barometric . ʻO ke ʻano kēia hiki ke hana i kēia no kekahi poʻe me nā loli i ke aniau.
• Kekahi mau meaʻai a me nā wai . Hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. No kekahi poʻe, hiki ke hoʻoulu ʻia kēia e nā mea e like me ka tīhi, ke kokoleka, nā ʻiʻo i hana ʻia, nā meaʻai me MSG (monosodium glutamate), ke kofe, a me ka waina.

Pehea e ʻike pololei ai ke kauka i ka migraine vestibular?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka kūpono . E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona. Pehea ka lōʻihi o kou poniuniu a me ka nalowale o ke kaulike? I ka manawa hea ʻoe e manaʻo nui ai? He mau nīnau kēia e nīnau pinepine ʻia iā ʻoe.

ʻO ke kumu o kēia, aia kekahi mau maʻi ʻē aʻe e hiki ai ke hoʻoulu i ka poniuniu. No ka laʻana, ʻo ka poniuniu kekahi hōʻailona nui o nā maʻi e like me ka maʻi Ménière a me ka BPPV (Benign Paroxysmal Positional Vertigo) . No laila, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ka hōʻoia ʻaʻole ʻoe i loaʻa i kekahi o kēia mau maʻi ʻē aʻe. A laila wale nō lākou e manaʻo ai he migraine vestibular paha kāu.

ʻO ka maʻamau, e hoʻoholo ke kauka he migraine vestibular kou inā hoʻokō ʻia nā kūlana aʻe:

• Inā ʻike koke ʻoe i ka poniuniu me ka luaʻi ʻana a i ʻole ka nausea .
• Pono ma ka liʻiliʻi he ʻelima mau hanana o ka vertigo . Eia kekahi, pono e loaʻa nā hōʻailona ʻē aʻe o ka migraine (ʻeha poʻo, ʻike i ka mālamalama/kani) ma ka liʻiliʻi he hapalua o kēlā mau hanana.
• Hiki i ka poniuniu ke mau mai ʻelima mau minuke a i 72 mau hola (3 mau lā) .
• Inā koʻikoʻi loa ka poniuniu a hoʻopilikia i kāu mau hana o kēlā me kēia lā a pale paha iā ʻoe mai ka hele ʻana i ka hana .
• Inā loaʻa iā ʻoe ka migraine aura . ʻO ia hoʻi, nā hōʻailona e like me ka ʻike ʻana i nā kukui i mua o kou mau maka, ka ʻike ʻana i nā kaha, a me ka paʻakikī i ka ʻōlelo ʻana ma mua o ka hoʻomaka ʻana o ka migraine.

Inā manaʻo kāu kauka he migraine vestibular kēia, hiki iā ia ke hana i kekahi mau hoʻokolohua, e like me:

• Hoʻokolokolo Neurological : E nānā kēia i nā mea e like me kāu mau reflexes, ikaika, a me ke ala āu e hele ai.
• Videonystagmography a i ʻole Electronystagmography : He mau hoʻokolohua kūikawā kēia e nānā i nā neʻe ʻana o nā maka a me ka hana o ka ʻōnaehana kaulike i loko o kou pepeiao o loko.
• Nā hoʻāʻo kiʻi : Hiki ke hana ʻia nā mea e like me nā scan CT a i ʻole nā ​​​​scan MRI o ka lolo e hōʻoia i ʻaʻohe pilikia ʻē aʻe i loko o ka lolo.
• Hoʻāʻo no ka nalowale o ka lohe : E nānā no nā pilikia o ka lohe.

He aha nā lāʻau lapaʻau no ka migraine vestibular?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no ka migraine vestibular. ʻO ka maʻamau, paipai paha nā kauka i kēia mau mea:

• Nā lāʻau lapaʻau
• Nā loli o ke ʻano o ka nohona
• Lapaʻau Hoʻōla Vestibular

E nānā kākou i kēlā me kēia me nā kikoʻī hou aku.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i ʻelua ʻano lāʻau lapaʻau. ʻO kekahi he lāʻau lapaʻau i kēlā me kēia lā a i ʻole hebedoma paha e hōʻemi a pale paha i ka hanana ʻana o nā migraines vestibular . ʻO kekahi he lāʻau lapaʻau e kāohi i nā hōʻailona ke kū mai lākou .

Hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka pale ʻana i nā migraines vestibular:

• Nā antidepressants Tricyclic : Kōkua kēia i ka kaohi ʻana i nā migraines ke hāʻawi ʻia i nā dosis haʻahaʻa.
• Nā mea pale i ke kahawai kalipuna
• Nā lāʻau lapaʻau antiseizure
• Nā mea pale Beta : He ʻano lāʻau lapaʻau kēia i hāʻawi ʻia no ke koko kiʻekiʻe.

Nā lāʻau lapaʻau e hōʻemi i nā hōʻailona:

• Nā lāʻau ʻeha NSAID (nā lāʻau anti-inflammatory nonsteroidal) : No ka laʻana, ʻo Ibuprofen.
• Nā lāʻau lapaʻau no ka maʻi neʻe : Hoʻēmi i ka poniuniu a me ka nausea.
• Lāʻau lapaʻau antipsychotic : Hoʻohana ʻia kēia mau mea i kekahi manawa e kāohi i ka nausea nui a me ka luaʻi ʻana.

Mea nui: Mai lawe i kekahi o nā lāʻau lapaʻau i ʻōlelo ʻia ma luna me ka ʻole o ke kūkākūkā ʻana me ke kauka. Na kāu kauka e kuhikuhi i ka lāʻau lapaʻau kūpono no kou kūlana a me ka nui kūpono.

Nā loli o ke ʻano o ka nohona

Ma waho aʻe o ka lāʻau lapaʻau, hiki i ka hana ʻana i kekahi mau hoʻololi i kou nohona ke kōkua i ka kaohi ʻana i kēia maʻi. E haʻi aku kāu kauka iā ʻoe i nā mea e like me:

• E hoʻomaha nui a hiamoe maikaʻi ma mua o ka maʻamau . E hoʻāʻo e loaʻa ma ka liʻiliʻi he 7-8 mau hola o ka hiamoe maikaʻi i ka lā.
• E ʻai i nā meaʻai a me nā meaʻai māmā i ka manawa kūpono . Mai pōloli.
• E pale i kekahi mau meaʻai a me nā mea inu . E like me kā mākou i ʻōlelo ai ma mua, hiki i kekahi poʻe ke ʻike i ka hoʻonui ʻia o kēia mau hōʻailona mai nā mea e like me ka tīhi, kokoleka, kofe, waina, nā meaʻai me MSG, a me nā meaʻai i mālama ʻia. E haʻi aku kāu kauka iā ʻoe i nā meaʻai maikaʻi ʻole iā ʻoe. E noho mamao aku mai iā lākou i ka hiki.
• E hana i kekahi hoʻoikaika kino . He mea maikaʻi ke hele wāwae iki i kēlā me kēia lā, e hana i kekahi hoʻoikaika kino e hoʻohauʻoli ai iā ʻoe. Eia nō naʻe, pono ʻoe e makaʻala i ka wā e poniuniu ai ʻoe.
• E ʻimi i nā ala e hōʻemi ai i ke kaumaha . ʻO nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ka hana ʻana i kahi mea e hauʻoli ai ʻoe (he hana leʻaleʻa) hiki ke kōkua i ka hōʻemi ʻana i ke kaumaha.

ʻO ka Vestibular Rehabilitation Therapy (VRT)

He ʻano kūikawā kēia o ka lāʻau physiotherapy. Hana ia ma ka hoʻomaikaʻi ʻana i ka hoʻonohonoho ʻana ma waena o kou lolo, nā maka, a me ka pepeiao o loko, e kōkua ana i ka hōʻemi ʻana i ka poniuniu a me nā pilikia kaulike . Aia kekahi mau hoʻomaʻamaʻa kūikawā no kēia. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kēia ʻano lāʻau.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi migraine vestibular?

Hiki ke ʻokoʻa maoli kēia mai kēlā kanaka a kēia kanaka . Pono kekahi poʻe e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau e kāohi i ke kūlana. Hiki i kekahi ke loaʻa ka hōʻoluʻolu nui ma o nā loli o ke ʻano o ka nohona e like me ka ʻai, ka hoʻoikaika kino, a me ka hoʻomaha. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka a loaʻa kahi hoʻolālā lapaʻau e kūpono iā ʻoe .

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka poniuniu pinepine, manaʻo ʻoe ua hewa ke kaulike, a inā paha e hoʻopilikia ia i kou ola o kēlā me kēia lā, pono ʻoe e ʻike i ke kauka . He mea nui loa kēia inā loaʻa iā ʻoe ka migraines.

Inā ʻoe kekahi i ʻike mua he Vestibular Migraine kou, e ʻike hou i kāu kauka i ka manawa penei:

• Inā piʻi pinepine ka poniuniu a inā paha e ʻoi aku ka ʻino o ka poniuniu .
• Inā ua hoʻonui ʻia kou ʻike i ka walaʻau ma waho.
• Inā e ʻoi aku ka ʻino o ke poʻo .

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

No ka mea, ʻaʻole maʻamau ka migraine vestibular, nui paha kāu mau nīnau e pili ana i ia mea. Mai makaʻu e nīnau i kāu kauka i nā nīnau e like me kēia:

• No ke aha, e Kauka/Wahine, i loaʻa ai iaʻu kēia maʻi?
• E ʻoi aku ka ʻino o koʻu mau hōʻailona?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• E pono anei iaʻu e lawe i ka lāʻau lapaʻau no ka wā pau ʻole?
• Ma waho aʻe o ka kaohi ʻana i kaʻu ʻai a me ka loaʻa ʻana o ka hoʻomaha lawa, he aha hou aʻe kaʻu e hana ai e hoʻokele i kaʻu mau hōʻailona migraine vestibular?

Inā loaʻa iā ʻoe ka migraine, ʻike paha ʻoe i nā hōʻailona: ka hoʻomaka koke ʻana o nā kukui ʻālohilohi, a ukali ʻia e ka ʻeha poʻo. Ua hoʻopiʻi paha ʻoe i kou migraines no ka poniuniu a me ka nalowale o ke kaulike. Eia nō naʻe, ʻo ka poniuniu mau a koʻikoʻi (me ka ʻeha poʻo a i ʻole me ka ʻole) hiki ke lilo i hōʻailona he migraine vestibular kou.

ʻO ka mea pōmaikaʻi, loaʻa i nā kauka nā lāʻau lapaʻau e hiki ke kōkua i ka pale ʻana i kēia ʻano mai ka hanana ʻana a i ʻole ka hōʻemi ʻana i kona mau hōʻailona. Aia kekahi mau mea hiki iā ʻoe ke hana, e like me ka lawa ʻana o ka hiamoe, ka pale ʻana i kekahi mau meaʻai, a me ka hōʻemi ʻana i ke kaumaha. Inā loaʻa iā ʻoe ka migraines a ke manaʻo mau nei ʻoe i ka poniuniu, pono ʻoe e ʻike i ke kauka. Hiki iā lākou ke holo i nā hoʻokolohua e pono ai e hōʻoia i loaʻa iā ʻoe ka migraine vestibular. ʻOi aku ka mea nui, hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike, nā lāʻau lapaʻau, a me nā lāʻau lapaʻau ʻē aʻe āu e pono ai e pale aku i kēia ʻano a i ʻole e hōʻemi i kona mau hōʻailona.

Nā mea nui e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)

ʻAe, e hoʻohui kākou i nā mea a pau a kākou i kamaʻilio ai a hoʻomanaʻo iā kākou iho i nā mea nui e hoʻomanaʻo ai:

• ʻO ka migraine vestibular kahi maʻi neurological i hōʻike ʻia e ka hoʻomaka koke ʻana o ka dizziness, ka nalowale o ke kaulike, a i kekahi manawa nā hōʻailona migraine (ʻeha poʻo, ʻike i ka mālamalama/kani).
• ʻOiai ʻaʻole kēia he mea maʻamau, hiki iā ia ke hoʻololi nui i kou ola .
• ʻOiai ʻaʻole ʻike ʻia nā kumu kikoʻī, ua ʻike ʻia nā mea e like me ke kaumaha, ka hiamoe ʻole, a me kekahi mau meaʻai he mau mea pilikia.
• He mea nui loa ka ʻike ʻana i ke kauka no ka loaʻa ʻana o kahi hōʻailona pololei, no ka mea, hiki i ka poniuniu ke loaʻa nā kumu ʻē aʻe.
• Aia nā lāʻau lapaʻau! Hiki ke mālama ʻia kēia kūlana me nā lāʻau lapaʻau, nā hoʻololi ʻana i ke ʻano o ka nohona (hiamoe maikaʻi, ʻai kūpono, hoʻoikaika kino, hoʻēmi i ke kaumaha), a me ka hoʻōla kaulike (VRT).
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​mai hopohopo, akā e ʻimi pono i ke kauka no ka ʻōlelo aʻo .

E hoʻomanaʻo, ʻo kou olakino kou kuleana. ʻO ka ʻike ʻana i kēia mau kūlana a me ka loaʻa ʻana o ka lāʻau lapaʻau i ka manawa kūpono e kōkua iā ʻoe e ola i kahi ola olakino a ʻoluʻolu hoʻi.

ʻO ka Migraine Vestibular, migraine, dizziness, vertigo, kaulike, nā maʻi neurological, headache, nausea