Ese utakaza ubwenge ku ruhande rumwe rw'umubiri wawe bitewe n'umutwe urwaye migraine? Ibi bivuga ku mutwe urwaye migraine ukoresheje hemiplegic!

Ese hari igihe uhura n'umutwe ukabije ujyana no kugira ibinya cyangwa intege nke ku ruhande rumwe rw'umubiri wawe? Ese hari igihe uhura n'ingorane zo kuvuga? Iyi si migraine gusa. Iyi ni ubwoko bwihariye bwa migraine bugomba kwitabwaho cyane. Uyu munsi turimo kuvuga ku ndwara yitwa Hemiplegic Migraine.

Migraine yo mu bwoko bwa Hemiplegic ni iki?

Muri make, migraine yo mu bwonko iterwa n'imitsi itera intege nke ku ruhande rumwe rw'umubiri wawe . Ubu burwayi bw'imitsi bukunze gutangira mu gihe cy'"aura" y'umutwe uterwa n'imitsi. Ni ukuvuga ko bibaho mbere cyangwa nyuma yuko umutwe utangiye. Ubu burwayi bw'imitsi rimwe na rimwe bushobora guherekezwa n'impinduka mu kureba, kugorwa no kuvuga, ndetse n'impinduka mu buryo umuntu yumva.

Tekereza, uhita udashobora guterura ukuboko kumwe, cyangwa ukagira ikibazo cyo kwimura ukuguru kumwe, cyangwa wumva umunwa wawe ugiye ku ruhande rumwe. Iyo ikintu nk'iki kibaye, abantu bose baratinya, sibyo? Ni ko bigenda muri iki gihe.

Ni ubuhe bwoko bw'indwara ya migraine ifata amaraso mu nda?

Hari ubwoko bubiri bw'ingenzi bwa migraine iterwa n'amaraso, bugabanyijemo ubwoko bubiri hashingiwe ku mpamvu nyamukuru:

1. Migraine yo mu muryango iterwa n'indwara ya hemiplegic (FHM): Ubu bwoko bubaho iyo umuntu wo mu muryango wawe yigeze kuburwara mbere, bivuze ko hari isano iri hagati y'uturemangingo . Hari ubwoko butandukanye bw'ubu bwoko (FHM type 1, type 2, type 3). Buri bwoko muri ubu bwoko buterwa n'impinduka zitandukanye mu turemangingo. Hari igihe, iyo abaganga badashobora kubona impinduka runaka mu turemangingo, byitwa kandi FHM type 4.

2. Indwara ya Migraine ifata ibice by'umubiri mu buryo butunguranye (SHM): Ubu bwoko bushobora kugaragara mu buryo butunguranye ku muntu udafite amateka y'iyi ndwara mu muryango. Ni ukuvuga ko ibaho nta mateka y'umuryango wa muntu ufite iyi ndwara.

Ese indwara ya migraine yo mu kibuno ni ikibazo cyihutirwa?

Iki ni ikintu abantu benshi batinya. Nubwo kugira ikibazo cyo kubabara umutwe mu gice cy'imbere cy'umubiri bishobora gutera ubwoba, akenshi si ikibazo cyihutirwa . Ariko, ikibazo ni uko ibimenyetso byacyo bisa cyane n'iby'indwara yo mu bwonko, isaba ubuvuzi bwihutirwa. Intege nke z'imitsi ku ruhande rumwe rw'umubiri, impinduka mu kureba, no kunanirwa kuvuga bishobora kugaragara muri byombi.

Icy'ingenzi cyane: Niba ugize kimwe muri ibi bimenyetso, cyane cyane ibinya ku ruhande rumwe rw'umubiri wawe, guta ubwenge, cyangwa kugorwa no kuvuga, ntugerageze kwihitiramo niba ari indwara yo mu bwonko cyangwa indwara yo mu bwonko ifata imitsi. Jya ku bitaro bikwegereye cyangwa uhamagare imbangukiragutabara vuba vuba. Mu gihe urwaye indwara yo mu bwonko, igihe ni cyo cy'ingenzi. Kubwibyo, niba ushidikanya, ni byiza gushaka inama kwa muganga.

Iyi ndwara ikunze kugaragara gute?

Nubwo indwara ya migraine ari indwara ikunze kugaragara, indwara ya migraine yo mu mara ntikunze kugaragara cyane . Ubushakashatsi bwakorewe muri Danemark bwagaragaje ko iyi ndwara ifata umuntu umwe gusa mu bantu 10.000.

Ni ibihe bimenyetso by'indwara ya migraine ifata hemiplegic?

Ibimenyetso bigaragara muri iyi ndwara ni ibi bikurikira:

• Intege nke z'imitsi ku ruhande rumwe rw'umubiri: Iki ni cyo kimenyetso nyamukuru. Ukuboko, ukuguru, cyangwa uruhande rumwe rw'isura bishobora kuba bidakomeye.
• Impinduka mu kureba: Ibice bitagaragara, amatara amurika, imiterere ya zig-zag, no kubona kabiri bishobora kubaho.
• Kubabara cyangwa kumva urimo gushyuha mu maso, mu biganza, cyangwa mu maguru .
• Kugorwa no kuvuga: Gucura amagambo, kutabasha kuvuga neza.
• Kumva unaniwe cyane (Umunaniro).
• Numva ntazi icyo nkora.

Ibi bimenyetso bisa n'ibisanzwe bigaragara mu gihe cy'umutwe wa "aura" (ni ukuvuga mbere cyangwa mu gihe cyo kubabara umutwe). Ariko, umutwe wa hemiplegic ushobora kugira ingaruka ku mitsi, imvugo, no kureba bitandukanye n'ubundi bwoko bwa migraine.

Ibi bimenyetso bishobora kumara amasaha make kugeza ku minsi mike. Mu bihe bidasanzwe, bishobora kumara ibyumweru bine. Ariko, mu bihe byinshi, ibi bimenyetso birashira burundu .

Indwara yo kubabara mu nda (hemiplegic migraine) yumva imeze ite?

Umutwe utera umutwe ukabije kandi utera cyane . Uyu mutwe ukunze kuza nyuma y'intege nke z'imitsi ku ruhande rumwe rw'umubiri. Uburyo bworoshye bwo kumenya niba ufite umutwe utera hemiplegic ni ukuzamura amaboko yombi hejuru y'umutwe wawe. Ukuboko kumwe gushobora kumva kuremereye kurusha ukundi, bigatuma bigorana kuwufata .

Ni iki gitera indwara ya hemiplegic migraine?

Impamvu nyamukuru ibi byagaragaye ko ari ugukora cyane mu turemangingo tw’imitsi . By’umwihariko, ibi biterwa n’impinduka mu mitsi yawe yitwa "Cortical Spreading Depression".

Mu magambo make, ingufu z'amashanyarazi zinyura mu turemangingo tw'imitsi yacu. Ibi bifasha izoni (molecules za izoni) gutembera mu turemangingo tw'imitsi, kohereza ubutumwa ku mashini zikora neurotransmitters, no kuvugana n'ibice bitandukanye by'umubiri. Iyi ngufu z'amashanyarazi irahinduka (depolarization) mu buryo bwitwa "cortical spreading depression." Kimwe n'umuraba ugenda buhoro, uva ku ruhande rumwe rw'ubwonko ujya ku rundi, bigahungabanya imiterere isanzwe y'amashanyarazi y'uturemangingo tw'imitsi . Ibyo nibyo bitera ibimenyetso by'indwara ya migraine yo mu bwonko.

Kuri ibiHarimo impinduka mu miterere y'uturemangingo. Ni ukuvuga impinduka mu miterere y'uturemangingo zigira ingaruka ku mikorere y'uturemangingo tw'imitsi. Ubwoko bw'uturemangingo bukurikira bwagaragaye ku bantu bafite migraine yo mu bwoko bwa hemiplegic:

• `CACNA1A` (ubwoko bwa 1 bw'umuryango cyangwa ubwoko bwa autosomal recessive)
• `ATP1A2` (ubwoko bwa 2 bukomoka mu muryango cyangwa ubwoko bw’umuntu utari ubyiteze)
• `SCN1A` (ubwoko 3 bukomoka mu muryango)
• `PRRT2` (ubwoko bwose bukomoka mu miryango)

Abaganga muri iki gihe bakeka ko hashobora kuba hari izindi ndwara zitandukanye, nubwo zitaramenyekana.

Ni ibihe bintu bitera indwara ya hemiplegic migraine?

Ibintu bituma indwara ya migraine itera gucika intege, cyangwa "Ibintu bitera" ni bimwe n'ubundi bwoko bwa migraine. Ibi bishobora gutandukana bitewe n'umuntu ku wundi, ariko bimwe muri byo bisanzwe birimo:

• Guhangayika
• Impinduka mu mikorere y'ibitotsi (kudasinzira neza, gusinzira cyane)
• Imyitozo ngororamubiri
• Ihungabana ryo mu Mutwe
• Umucyo mwinshi
• Hari ibyo kurya cyangwa impinduka mu mirire (urugero, gusiba kurya)

Hari indwara zo mu bwonko ziterwa n'imitsi yo mu bwonko itangira nyuma y'ikizamini cyihariye cyo gupima indwara cyitwa angiogram yo mu bwonko. Iki ni isuzuma rireba uko imitsi y'amaraso yo mu bwonko ikora.

Ubusanzwe migraine iterwa n'amaraso itangira ryari?

Abantu benshi batangira kugira migraine ifata ibice by'umubiri bakiri bato, hagati y'imyaka 12 na 17. Uko ugenda ukura, inshuro n'ubukana bw'iyi migraine bikunze kugabanuka.

Ni izihe ngorane zishobora guterwa n'indwara ya migraine yo mu mara?

Indwara nyinshi zo kurwara migraine yo mu bwoko bwa hemiplegic zishira mu minsi mike. Ariko, mu bihe bidasanzwe kandi bikomeye , ibimenyetso byo kurwara migraine yo mu bwoko bwa hemiplegic bishobora kumara ibyumweru byinshi. Iyo ndwara ishobora kugira ingaruka ku buzima bwawe bwo mu mutwe no ku mubiri. Ibimenyetso bishobora kubangamira ibikorwa byawe bwite, imibanire yawe n'abandi, ndetse n'akazi cyangwa akazi k'ishuri.

Ingorane zikomeye ni gake cyane, ariko zishobora kubaho. Ingero:

• Indwara zo mu mutwe
• Gutakaza Kwibuka
• Impinduka mu miterere cyangwa imyitwarire
• Ibibazo by'iterambere ry'ubwenge (Ubumuga bwo mu mutwe)
• Ingorane mu iterambere ry'imivugire n'ubushobozi bwo kugenda mu mubiri ku bana bato
• Koma

Ni gute indwara ya migraine iterwa n'amaraso mu nda (hemiplegic migraine) ipimwa?

Mu gihe cyo gusuzuma indwara ya migraine yo mu maraso, muganga azagusuzuma nyuma yo gupimwa no gupimwa indwara z'imitsi . Muri ibi bizamini, muganga azakubaza amateka y'ubuzima bwawe n'amateka y'ubuzima bw'umuryango wawe. Menya neza ko wabwiye muganga wawe niba hari uwo mu muryango wawe ufite iyo ndwara.

Ni ngombwa kwipimisha kugira ngo hamenyekane izindi ndwara zifite ibimenyetso bisa. Muganga wawe ashobora kukugira inama yo gupima indwara nka:

• Ikizamini cy'uturemangingo
• Gupima CT (CT Scan)
• Isuzuma rya MRI `(MRI)`
• Gupfumura mu Kibuno
• Electroencephalogram (EEG)

Indwara zo mu mutwe ziterwa n'imitsi yo mu nda zivurwa zite?

Muganga ashobora kuguha imiti nk'iyi ivura indwara ya migraine iterwa n'amaraso:

• Imiti igabanya ububabare (urugero: tricyclics na SNRIs)
• Imiti igabanya umuvuduko w'amaraso (urugero: beta-blockers cyangwa calcium channel blockers)
• Imiti yo kurwanya ifatwa ry'imfubyi
• Iyo bibaye ngombwa, CGRP Antagonists na/cyangwa Botulinum Toxin

Vugana na muganga wawe ku ngaruka mbi z'imiti iyo ari yo yose uhabwa. Azakubwira kandi inshuro n'uburyo bwo gufata buri dose.

Ni iki nakwitega mu gihe mfite ikibazo cyo kubabara mu nda?

Iyo utangiye kugira ibimenyetso bya migraine yo mu nda, ni ibisanzwe kumva uhangayitse kandi ufite ubwoba. Ushobora no gutekereza ko ari stroke, cyane cyane niba utarigeze uyirwara mbere. Ububabare n'intege nke wumva bishobora gutuma bigorana gukora imirimo yawe ya buri munsi.

Inkuru nziza ni uko ibimenyetso bya migraine ifata hemiplegic akenshi bishira iyo migraine irangiye, kandi hari uburyo bwo kuvura bushobora kugabanya inshuro iyi migraine ifatwa.

Indwara yo kubabara mu nda (hemiplegic migraine) imara igihe kingana iki?

Ibimenyetso bya migraine yo mu nda bishobora kumara isaha imwe kugeza ku minsi myinshi . Ariko, ibi bimenyetso bikunze kubura mu munsi umwe. Ugereranyije, abantu bashobora kugira ibitero bitatu bya migraine yo mu nda ku mwaka. Uyu mubare uratandukanye bitewe n'umuntu ku wundi.

Umubare w'ibitero bya migraine uhura nabyo ushobora gutandukana. Ushobora kubikora ku munsi, cyangwa bike mu buzima bwawe. Hari igihe hashobora kubaho igihe kirekire kidatanga ibimenyetso hagati y'ibitero bya migraine.

Abantu benshi bavuga ko ibimenyetso bya migraine bigabanuka uko umuntu agenda akura . Ubusanzwe, nyuma y'imyaka 50, migraine yo mu nda ishobora guhinduka migraine isanzwe idafite intege nke z'imitsi. Muganga ashobora kugufasha kubona uburyo bwo kuvura migraine yawe mu buzima bwawe bwose.

Ese indwara ya migraine iterwa n'amaraso ishobora kwirindwa?

Ntibishoboka kwirinda indwara zose ziterwa n’imitsi yo mu nda. Ariko, imiti yo kwirinda ishobora kugabanya inshuro urwara iyo mitsi.Muganga wawe ashobora kukugira inama yo kuyifata. Ariko wibuke ko nubwo wafata uyu muti, ushobora kurwara migraine. Nanone, iyo umaze kugira migraine, muganga wawe ashobora kukwandikira imiti yo kuyihagarika, ikagabanya igihe cyayo, kandi ikagabanya ubukana bwayo.

Muganga wawe ashobora kandi kugufasha kumenya ibintu bitera migraine, bityo ukabasha kugabanya ibyago byo kurwara migraine.

Ni ryari ngomba kujya kwa muganga?

Niba ufite migraines ifite ibimenyetso bigira ingaruka ku mbaraga z'imitsi, gana muganga.

Icy'ingenzi cyane: Niba ubonye ibimenyetso bya stroke - nko kugira intege nke ku ruhande rumwe rw'umubiri, urujijo, cyangwa kuvuga nabi - hamagara 911 (cyangwa nimero y'ubutabazi bw'ibanze yo mu gace utuyemo) ako kanya.

Niba utazi neza niba ufite ikibazo cyo kubabara umutwe mu gice cy'imbere cy'umubiri cyangwa indwara yo gucika kw'imitsi, hamagara inzego z'ubutabazi bwihuse . Niba utazi neza, cyangwa niba nta ndwara yemewe ihari, ni byiza kuguma witabwaho na muganga.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ingaruka mbi z'ubuvuzi ni izihe?
• Ni ryari kandi kangahe nkwiye gufata imiti yo kwirinda indwara?
• Ese nta kibazo mfite cyo gufata imiti igabanya ububabare bw'umutwe (NSAID) kugira ngo mvure indwara ya migraine iterwa n'amaraso?

Amaherezo, ibintu byo kwibuka

Iyo uhuye n'indwara yitwa hemiplegic migraine, ushobora kumva ufite ubwoba kandi uhangayitse. Ushobora kwibaza uti "Ese iyi ni stroke? Nkwiye guhamagara 911?" Ntutindiganye guhamagara ikigo cyita ku butabazi bwihuse niba utazi neza. Itsinda ry'abaganga rishobora kugufasha kumenya impamvu y'ibimenyetso byawe, gucunga migraine yawe, no kuyikumira ko itazongera kubaho ukundi. Muganga wawe azakorana nawe kugira ngo agabanye ingaruka hemiplegic migraine igira ku buzima bwawe. Ntugahangayike, iyi ndwara irashobora gukemurwa.

` Umutwe utera indwara ya migraine, umutwe utera migraine, kubabara umutwe, intege nke z'imitsi, gucika intege kw'imitsi, ibimenyetso, uburyo bwo kuvura