Ngaba ngamanye amaxesha ukhe ube nentloko ebuhlungu ekhatshwa kukungaziva okanye ubuthathaka kwelinye icala lomzimba wakho? Ngaba ngamanye amaxesha unengxaki yokuthetha? Le ayisiyonto nje ebangela i-migraine. Olu luhlobo olukhethekileyo lwe-migraine olubaluleke kakhulu ukuba luqapheleke. Namhlanje sithetha ngemeko ebizwa ngokuba yi-Hemiplegic Migraine.
Yintoni iHemiplegic Migraine?
Ngamafutshane, i-hemiplegic migraine yimeko apho i-migraine ibangela ubuthathaka bemisipha kwelinye icala lomzimba wakho . Obu buthathaka bemisipha budla ngokuqala ngexesha le-"aura" ye-migraine. Oko kukuthi, kwenzeka ngaphambi okanye emva kokuba intloko iqalile. Obu buthathaka bemisipha ngamanye amaxesha bunokuhamba notshintsho embonweni, ubunzima bokuthetha, kunye notshintsho kwiimvakalelo.
Khawucinge nje, ngequbuliso awukwazi ukuphakamisa ingalo enye, okanye ufumana ubunzima bokushukumisa umlenze omnye, okanye uziva ngathi umlomo wakho uya ecaleni. Xa into efana nale isenzeka, wonke umntu uyoyika, akunjalo? Yiloo nto eyenzekayo kweli tyala.
Ziziphi iintlobo ze-hemiplegic migraine ezikhoyo?
Kukho iintlobo ezimbini eziphambili ze-hemiplegic migraine, ezahlulwe zibe ziintlobo ezimbini ngokusekelwe kwisizathu esiyintloko:
1. I-Familial Hemiplegic Migraine (FHM): Olu hlobo lwenzeka ukuba umntu kusapho lwakho ukhe waba nalo ngaphambili, oko kuthetha ukuba kukho ikhonkco lemfuza . Kukho iintlobo ezahlukeneyo zolu hlobo (uhlobo lwe-FHM 1, uhlobo lwe-2, uhlobo lwe-3). Uhlobo ngalunye kwezi ntlobo lubangelwa kukuguquka kwemfuza okwahlukileyo. Ngamanye amaxesha, ukuba oogqirha abakwazi ukufumana utshintsho oluthile lwemfuza, lukwabizwa ngokuba yi-FHM type 4.
2. I-Sporadic Hemiplegic Migraine (SHM): Olu hlobo lunokwenzeka ngequbuliso kumntu ongenalo naliphi na imbali yosapho lwakhe lwesi sifo. Oko kukuthi, luvela ngaphandle kwembali yosapho lwakhe lwesi sifo.
Ngaba i-hemiplegic migraine yingxaki engxamisekileyo?
Le yinto abantu abaninzi abayoyikayo. Nangona ukuba ne-hemiplegic migraine kunokuba yinto eyoyikisayo, ayisoloko iyinto engxamisekileyo . Nangona kunjalo, ingxaki kukuba iimpawu zayo zifana kakhulu nezo zestroke, ezifuna unyango olungxamisekileyo. Ubuthathaka bemisipha kwelinye icala lomzimba, utshintsho ekuboneni, kunye nobunzima bokuthetha kunokubonwa kuzo zombini.
Kubaluleke kakhulu: Ukuba ukhe wahlangabezana nazo naziphi na ezi mpawu, ingakumbi ukungaziva kwelinye icala lomzimba wakho, ukulahlekelwa zingqondo, okanye ubunzima bokuthetha, musa ukuzama ukuzenzela isigqibo sokuba ingaba yi-stroke okanye yi-hemiplegic migraine. Nceda uye esibhedlele esikufutshane okanye utsalele i-ambulensi yongxamiseko ngokukhawuleza. Kwimeko ye-stroke, ixesha libaluleke kakhulu. Ke ngoko, ukuba uyathandabuza, kuya kuba bubulumko ukufuna ingcebiso kagqirha.
Ixhaphake kangakanani le meko?
Nangona iintloko ezibuhlungu zixhaphakile, iintloko ezibuhlungu ezibangelwa kukungakhathali azixhaphakanga kangako . Uphononongo olwenziwe eDenmark lufumanise ukuba le meko ichaphazela umntu omnye kuphela kwabayi-10,000.
Ziziphi iimpawu ze-hemiplegic migraine?
Iimpawu ezibonakala kule meko zezi:
- Ubuthathaka bemisipha kwelinye icala lomzimba: Olu luphawu oluphambili. Ingalo, umlenze, okanye elinye icala lobuso lisenokuba buthathaka.
- Utshintsho embonweni: Amabala angaboniyo, izibane ezikhanyayo, iipateni ezizi-zig-zag, kunye nokubona kabini kunokwenzeka.
- Ubuso, izandla, okanye imilenze Ukuba ndindisholo okanye ukurhawuzelela .
- Ubunzima bokuthetha: Amagama angaqondakaliyo, ukungakwazi ukuthetha ngokucacileyo.
- Ukuziva udiniwe kakhulu (Ukudinwa).
- Ndiziva ndididekile.
Ezi mpawu zifana nezo zidla ngokubonakala ngexesha le-"aura" ye-migraine (oko kukuthi, ngaphambi okanye ngexesha lentloko ebuhlungu). Nangona kunjalo, ii-hemiplegic migraines zinokuchaphazela izihlunu, intetho, kunye nokubona ngokwahlukileyo kunezinye iintlobo ze-migraine.
Ezi mpawu zinokuhlala iiyure ezimbalwa ukuya kwiintsuku ezimbalwa. Kwiimeko ezingaqhelekanga, zinokuhlala iiveki ezine. Nangona kunjalo, kwiimeko ezininzi, ezi mpawu ziyanyamalala ngokupheleleyo .
Ivakalelwa njani i-hemiplegic migraine?
Intloko ebuhlungu ibangela intloko ebuhlungu kakhulu nebuhlungu . Le ntloko idla ngokuvela emva okanye ngenxa yobuthathaka bemisipha kwelinye icala lomzimba. Indlela elula yokwazi ukuba une-hemiplegic migraine kukuphakamisa iingalo zombini ngaphezu kwentloko yakho. Ingalo enye isenokuvakala inzima kunenye, nto leyo eyenza kube nzima ukuyibamba .
Yintoni ebangela i-hemiplegic migraine?
Eyona nto ibangela oku kuchongwe njengomsebenzi ogqithisileyo kwiiseli zemithambo-luvo . Oku kubangelwa kukutshintsha kwemithambo-luvo yakho okubizwa ngokuba yi-"Cortical Spreading Depression".
Ngamafutshane, umbane uhamba kwiiseli zethu zemithambo-luvo. Oku kunceda ii-ion (iimolekyuli ze-ion) ukuba zihambe kwiiseli zemithambo-luvo, zithumele imiyalezo kwii-neurotransmitters, kwaye zinxibelelane namalungu ahlukeneyo omzimba. Lo mbane uyatshintsha (ukususwa kwe-polarization) kwinkqubo ebizwa ngokuba yi-"cortical spreading depression." Njenge-slow wave, uhamba ukusuka kwelinye icala lobuchopho ukuya kwelinye, uphazamise indlela eqhelekileyo yombane yeeseli zemithambo-luvo . Yiloo nto ibangela iimpawu ze-hemiplegic migraine.
YaleKubandakanyeka utshintsho lwemfuza. Oko kukuthi, utshintsho kwimfuza oluchaphazela indlela esebenza ngayo iiseli zemithambo-luvo. Ezi ntlobo zemfuza zilandelayo zichongiwe kubantu abane-hemiplegic migraine:
- `CACNA1A` (uhlobo losapho 1 okanye uhlobo lwe-autosomal recessive)
- `ATP1A2` (uhlobo 2 oluvela kwimvelaphi yosapho okanye uhlobo oluzenzekelayo)
- `SCN1A` (iintlobo ezi-3 ezivela kwimvelaphi yosapho)
- `PRRT2` (zonke iintlobo ezivela kwiimvelaphi zosapho)
Oogqirha okwangoku bacinga ukuba kusenokubakho ezinye iintlobo zesifo, kodwa ezingaziwayo.
Ziziphi izinto ezibangela i-hemiplegic migraine?
Izinto ezenza i-hemiplegic migraines ibe mandundu, okanye "IiTriggers", ziyafana nezinye iintlobo ze-migraine. Ezi zinokuhluka kumntu nomntu, kodwa ezinye eziqhelekileyo ziquka:
- Uxinzelelo
- Utshintsho kwiindlela zokulala (ukungalali kakuhle, ukulala kakhulu)
- Ukuzilolonga komzimba
- Ukonzakala entloko
- Ukukhanya okuqaqambileyo
- Ukutya okuthile okanye utshintsho kwindlela yokutya (umzekelo, ukungatyi ukutya)
Ezinye iintloko ezibuhlungu ze-hemiplegic ziqala emva kovavanyo olukhethekileyo lwemifanekiso olubizwa ngokuba yi-cerebral angiogram. Olu luvavanyo olujonga indlela esebenza ngayo imithambo yegazi engqondweni.
Iqala nini i-hemiplegic migraine?
Uninzi lwabantu luqala ukuba ne-hemiplegic migraines xa besebancinci, phakathi kweminyaka eli-12 neli-17. Njengoko ukhula, ukuphindaphinda kunye nobukhali bezi ntlungu ze-migraine kudla ngokuncipha.
Ziziphi iingxaki ezinokubakho ze-hemiplegic migraine?
Uninzi lwezihlaselo ze-hemiplegic migraine ziyaphela kwiintsuku ezimbalwa. Nangona kunjalo, kwiimeko ezingaqhelekanga nezinzima , iimpawu ze-hemiplegic migraine zinokuhlala iiveki. I-migraine inokuchaphazela impilo yakho yengqondo neyomzimba. Iimpawu zinokuphazamisana nemisebenzi yakho yobuqu, ubudlelwane bezentlalo, kunye nomsebenzi okanye umsebenzi wesikolo.
Iingxaki ezinkulu azixhaphakanga, kodwa zinokwenzeka. Imizekelo:
- Ukuxhuzula
- Ukulahlekelwa yiMemori
- Utshintsho kubuntu okanye kwindlela yokuziphatha
- Iingxaki zoPhuhliso lweNgqondo (Ukukhubazeka kwengqondo)
- Ubunzima ekuphuhlisweni kwezakhono zokuthetha nezemoto kubantwana abancinci
- I-Coma
Ifunyanwa njani i-hemiplegic migraine?
Ugqirha uxilonga i-hemiplegic migraine emva kovavanyo lomzimba kunye novavanyo lwe-neurological . Ngexesha lovavanyo, ugqirha uza kukubuza ngembali yakho yezonyango kunye nembali yezonyango yosapho lwakho. Qiniseka ukuba uxelela ugqirha wakho ukuba kukho izalamane zakho zegazi ezine-migraine.
Kubalulekile ukuba uvavanywe ukuze kuthintelwe ezinye iimeko ezineempawu ezifanayo. Ugqirha wakho unokucebisa uvavanyo olufana nolu:
- Uvavanyo lweMfuzo
- Iskena se-CT
- Iskeni se-MRI `(MRI)`
- Ukubhoboza eLumbar
- I-electroencephalogram (EEG)
Iphathwa njani i-hemiplegic migraines?
Ugqirha angakunika amayeza afana nala anceda ukuphelisa i-hemiplegic migraine:
- Amayeza okudakumba (umz., ii-tricyclics kunye nee-SNRIs)
- Amayeza okulwa ne-hypertension (umz. ii-beta-blockers okanye ii-calcium channel blockers)
- Amayeza Okuthintela Ukuxhuzula
- Ukuba kuyimfuneko, ii-CGRP Antagonists kunye/okanye iBotulinum Toxin
Thetha nogqirha wakho malunga nemiphumo emibi yalo naliphi na iyeza olinikwayo. Uza kukuxelela nokuba uthatha kangaphi kwaye njani idosi nganye.
Yintoni endinokuyilindela ukuba ndine-hemiplegic migraine?
Xa uqala ukuba neempawu ze-hemiplegic migraine, kuyinto eqhelekileyo ukuziva uxhalabile kwaye usoyika. Usenokucinga nokuba sistroke, ingakumbi ukuba awukaze ube naso ngaphambili. Intlungu kunye nobuthathaka obuvayo bunokwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla.
Iindaba ezimnandi zezokuba iimpawu ze-hemiplegic migraines zihlala ziphela xa umjikelo we-migraine uphela, kwaye kukho unyango olunokunceda ukunciphisa ukuphindaphindeka kwezi migraines.
Ihlala ixesha elingakanani i-hemiplegic migraine?
Iimpawu ze-Hemiplegic migraine zinokuhlala ukusuka kwiyure ukuya kwiintsuku ezininzi . Nangona kunjalo, ezi mpawu zihlala ziphela phakathi kosuku. Ngokomyinge, abantu banokuba neentlungu ezintathu ze-hemiplegic migraine ngonyaka. Eli nani liyahluka kumntu nomntu.
Inani leentlungu ze-migraine onazo nalo linokwahluka. Usenokuba nenye ngosuku, okanye ezimbalwa ebomini bakho. Ngamanye amaxesha kunokubakho amaxesha amade, angenazimpawu phakathi kokuhlaselwa yi-migraine.
Abantu abaninzi bathi iimpawu ze-migraine ziyancipha njengoko bekhula . Ngokwesiqhelo, emva kweminyaka engama-50, i-hemiplegic migraine inokuba yi-migraine eqhelekileyo ngaphandle kobuthathaka bemisipha. Ugqirha unokukunceda ufumane unyango lokulawula i-migraine yakho ubomi bakho bonke.
Ngaba i-hemiplegic migraine ingathintelwa?
Akunakwenzeka ukuthintela zonke iintlobo ze-hemiplegic migraine. Nangona kunjalo, amayeza okuthintela anokunceda ukunciphisa inani lamaxesha okufumana ii-migraine.Ugqirha wakho angacebisa ukuba uyithathe. Kodwa khumbula, nokuba uyisebenzisa le mithi, usenokufumana i-migraine. Kwakhona, xa sele unesifo se-migraine, ugqirha wakho angakunika amayeza okuyekisa, ukunciphisa ixesha layo, kunye nokunciphisa ubukhali bayo.
Ugqirha wakho unokukunceda uchonge izinto ezibangela i-migraine yakho, ukuze unciphise umngcipheko wakho.
Ndifanele ndimbone nini ugqirha?
Ukuba une-migraines eneempawu ezichaphazela amandla emisipha, bona ugqirha.
Okubaluleke kakhulu: Ukuba ufumana iimpawu zestroke - ezinje ngobuthathaka kwelinye icala lomzimba, ukudideka, okanye ingxaki yokuthetha - fowunela u-911 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko.
Ukuba awuqinisekanga ukuba unesifo se-hemiplegic migraine okanye isifo sohlangothi, fowunela iinkonzo zongxamiseko . Ukuba awuqinisekanga, okanye ukuba akukho kuxilongwa ngokusemthethweni, kungcono ukuhlala phantsi konyango lukagqirha.
Ndingayibuza yiphi imibuzo ugqirha wam?
- Luhlobo luni lonyango olucetyiswayo?
- Zithini iziphumo ebezingalindelekanga zonyango?
- Ndifanele ndithathe nini kwaye kangaphi amayeza okuthintela?
- Ngaba kukhuselekile kum ukuthatha i-NSAID ukunyanga i-hemiplegic migraine?
Okokugqibela, izinto ekufuneka uzikhumbule
Xa ufumana imeko ebizwa ngokuba yi-hemiplegic migraine, usenokuziva usoyika kwaye uxhalabile. Usenokuzibuza, "Ngaba le yi-stroke? Ngaba ndifanele nditsalele umnxeba ku-911?" Musa ukuthandabuza ukutsalela umnxeba iinkonzo zongxamiseko ukuba awuqinisekanga. Iqela lakho lezonyango linokukunceda uchonge unobangela weempawu zakho, ulawule ii-migraine zakho, kwaye uzithintele ukuba zingaphindi zenzeke. Ugqirha wakho uza kusebenza nawe ukunceda ukunciphisa impembelelo ye-hemiplegic migraine ebomini bakho. Ungakhathazeki, le meko inokulawulwa.
I- Hemiplegic migraine, i-migraine, intloko ebuhlungu, ubuthathaka bemisipha, istroke, iimpawu, unyango
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