I mut laiin i mit hmaah ripple ang maia hring dup mai chu i hmu nghal tawh em? Ni chhuahna kawngpui i en chuan boruak a ri chhuak ang maiin, a nih loh leh kaleidoscope hmanga i en ang maiin? He thil tawn hi a hlauhawm deuh thei. Mahse, lungngai suh. Vawiin hian mi tam tak nghawng thei dinhmun kan sawi dawn a, chu chu scintillating scotoma an ti a ni.
He scintillating scotoma hi eng nge ni tak tak?
A awlsam zawngin, hei hi i mit hmuhna hmun thim tak, eng emaw, eng emaw anga lang a ni. Damdawi lam hawi chuan i mit hmuhna hmun thim tak chu "scotoma" kan ti a. "Scintillating" tih awmzia chu eng emaw, eng emaw tihna a ni. Chuvangin a hming hi an pahnih inzawmkhawm atanga lo chhuak a ni.
Hetiang dinhmun hi hun rei lote chhung, minute nga chhung, darkar khat thleng a awm tlangpui. A chang chuan darkar engemaw zat a daih thei bawk. A tam zawkah chuan hei hi a chhan ber chu migraine lu na vang a ni. Mahse, thluak emaw, mit (retina)-a inthlak danglamna dang vang pawh a ni thei.
Hei hi eng ang shape nge a nih?
Hei hi mi tin hian a danglamin kan hmu thei a ni. Mi thenkhat chuan shimmering, moving, rippled, pulsating, emaw wave ang chi pattern angin an ngai a. Hei hi pattern lian tak tak engemaw zat a awm.
| Pattern awm dan | Hrilhfiahna |
|---|---|
| Ring emaw arc emaw a awm | I mit hmuhna lairil atanga rawn chhuak line curved ang maiin an lang. Circle kimchang tak an ni thei a, C letter ang chi arc an ni thei bawk a, hengte hi zawi zawiin a bo vek ang. |
| Fortification pattern hrang hrang | Chungte chu kulh hlui bang chunga ha ang mai a ni. Chu chu zig-zag pattern-a kal line an ni tihna a ni. |
| Checkerboard hmanga siam a ni | Chessboard ang chi, square dum leh var inthlak danglam chuan mit hmuhna a tikhawlo. |
Hei hi a chhan berte chu engte nge ni?
Kan sawi tawh ang khan scintillating scotoma hi migraine chi hnih vang a nih a rinawm ber a:
1. Migraines with aura: Aura hi migraine lu na tan hmaa vaukhânna chhinchhiahna a ni. Heng ang chi hmuh theiha inthlak danglamna te pawh a huam tel bawk.
2. Retinal migraines emaw Ocular migraines: Hetiang a nih chuan mit pakhatah chauh mit hmuh dan a danglam thei.
Ngaihtuah teh, hei hi kan vision hnathawh dan a ni. Mit hian a hmuh chu retina atanga thluak lamah signal angin a thawn chhuak thin. Thluak chuan chu signal chu a hrilhfiah a, thlalak angin min hmuhtir a ni. Migraine a lo awm hian thluaka chemical leh electrical change thenkhat a awm a, chu chuan he signaling system hi a tibuaitu a ni. Chutah chuan heng flashing pattern te hi a lo lang ta a ni.
Mahse, hei hi migraine vang a ni ngai lo. A tlem berah chuan he symptom hi natna dang, na zawk avanga lo awm pawh a ni thei.
Anni chu:
- Seizures: A chang chuan heng mit lama inthlak danglamna te hi seizure lo awm hma emaw, a lo chhuah lai emaw hian a awm thei.
- Strokes leh Transient Ischemic Attacks (TIAs): Heng natnaah hian Scintillating Scotoma hi a awm thei bawk a, chu chu thluaka thisen kal tlem vang a ni. Hei hi kan ngaihtuah ber tur a ni.
Engtin nge enkawl a nih?
Hei hi enkawl dan tur chu a chhan bulpuiah a innghat a ni .
Migraine hi a thlen tam ber a nih avangin enkawl hian he natna hi a thunun thei a ni. Migraine a lo chhuah veleh tihtawp nan "rescue" damdawi pek theih a awm.
- Damdawi chi hrang hrang triptans te .
- CGRP blockers tia koh pawla ruihhlo te .
- Natna tihdamna damdawi NSAIDs (Nonsteroidal anti-inflammatory medications) an tih .
Heng enkawlna zingah hian eng enkawlna nge i tan a tha ber tih i doctor chuan a rel ang. Chuvangin heng symptoms te hi i neih chuan Doctor pan a, thurawn mumal tak lak a pawimawh hle.
Enkawl loh chuan eng nge thleng ang?
Hei hi zawhna pawimawh tak a ni.
Hei hi migraine avanga lo awm a nih chuan mit lama harsatna, scintillating scotoma an tih chu hun eng emaw chen atan a ni. Hun engemaw chen hnuah a bo mai ang. Mahse, lu na na tak, luak chhuak, luak chhuak, leh migraine nena lo êng en theih lohna te hi a hrehawm hle thei a ni.Hetiang thil hian i ni khat chhung zawng a tibuai thei a ni. Enkawlna tel lo chuan i tih theih awmchhun chu pindan thim leh reh takah thuin a liam hun nghah mai a ni. I hnathawh leh chhungkaw nun tibuaitu lian tak a ni.
A lehlamah chuan hei hi seizure chhinchhiahna a nih chuan i tan vaukhânna pawimawh tak a ni. I thil tih chu i titawp tur a ni a, hmun him takah i kal tur a ni a, tanpuina dil turin mi i ko tur a ni tihna a ni. Seizure hi minute 5 aia rei a nih chuan, emaw, i dam kim hmaa a dang a lo awm chuan, chu chu nunna atana hlauhawm emergency Status Epilepticus tih a ni.
A tlem hle nachungin, hei hi stroke chhinchhiahna a nih chuan enkawlna tihkhawtlai hian thluak a tichhe vek thei a, thihna pawh a thlen thei bawk. Chuvangin hetiang thil hi a vawi khatna atana i tawn chuan damdawi lam pan nghal a pawimawh hle.
Engtikah nge Doctor i hmuh ang?
I dam chhunga a vawi khatna atana hetiang scintillating scotoma i tawn chuan medical emergency-ah ngai rawh.
A chhan chu, doctor tih loh chu tumahin hei hi migraine nge paralysis ang chi natna khirh zawk a ni tih an hre thei lo. Chuvangin hetiang hi a vawi khatna atana a lo thlen chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal mai tur a ni.
I doctor chuan migraine i nei tih a lo hriat tawh chuan heng symptoms te hi sawipui rawh. Mahse tun ṭumah hian i migraine hi a danglam a nih chuan, a nih loh leh a tlangpui aia na zawk a nih chuan, emaw, ngaihtuahna i neih chuan doctor thurawn lak hreh suh. Ringhlelna i neih chuan damdawi lam thurawn lak a tha ber.
Scintillating scotoma hmangin i khalh thei ang em?
Ni lo tak zet a ni. Scintillating scotoma nei chunga lirthei khalh hi a hlauhawm hle. I mit hmuhna hmun tlemte pawh hloh hian nangmah leh i chhehvela mi dangte chu hlauhawmah a dah thei a ni. He hmun thim hi a tlangpuiin a lo thang zauh zauh a, i mit hmuhna zawng zawngah a darh thei a, chuvangin hmun te tak te anga i ngaih a, i khalh chuan minute tlemte chhungin a lianin a hlauhawm thei hle.
Take-Home Thuchah a ni
- Scintillating Scotoma hi hmun dum, mit hmaa lang, a hring dup, wavy pattern nei a ni. Migraine nen a inzawm fo thin.
- Hetiang thil hi i tawn hmasak ber a nih chuan emergency a ni. Stroke ang chi natna khirh tak a nih loh nan damdawi inah kal nghal rawh.Emergency Treatment Unit (ETU) ah kal rawh.
- Heng dinhmun hnuaiah hian eng chhan pawh nise lirthei khalh suh. A hlauhawm hle mai.
- Hei hi migraine vang a nih chuan a thunun theihna tur damdawi tha tak tak a awm. I doctor nen inbia la, i tana tha tur enkawlna chu hmu rawh.
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