Ingabe ngezinye izikhathi uzwa ubuhlungu bekhanda obukhulu obuhambisana nokungazweli noma ubuthakathaka ohlangothini olulodwa lomzimba wakho? Ingabe ngezinye izikhathi uba nobunzima bokukhuluma? Lokhu akuyona nje i-migraine. Lolu uhlobo olukhethekile lwe-migraine olubaluleke kakhulu ukuqaphela. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Hemiplegic Migraine.
Kuyini i-Hemiplegic Migraine?
Kalula nje, i-hemiplegic migraine yisimo lapho i-migraine ibangela ubuthakathaka bemisipha kolunye uhlangothi lomzimba wakho . Lobu buthakathaka bemisipha buvame ukuqala ngesikhathi sesigaba "se-aura" se-migraine. Okusho ukuthi, kwenzeka ngaphambi noma ngemva kokuqala kwekhanda elibuhlungu. Lobu buthakathaka bemisipha ngezinye izikhathi bungahambisana nezinguquko embonweni, ubunzima bokukhuluma, kanye nezinguquko ekuzwaneni.
Cabanga nje, ngokuzumayo awukwazi ukuphakamisa ingalo eyodwa, noma uba nobunzima bokuhambisa umlenze owodwa, noma uzizwa sengathi umlomo wakho uya ohlangothini olulodwa. Uma kwenzeka into efana nale, wonke umuntu uyesaba, akunjalo? Yilokho okwenzekayo kulesi simo.
Yiziphi izinhlobo ze-hemiplegic migraine ezikhona?
Kunezinhlobo ezimbili eziyinhloko ze-hemiplegic migraine, ezihlukaniswe ngezinhlobo ezimbili ngokusekelwe embangela eyinhloko:
1. I-Familial Hemiplegic Migraine (FHM): Lolu hlobo lwenzeka uma othile emndenini wakho eke waba nalo ngaphambili, okusho ukuthi kukhona ukuxhumana kwezakhi zofuzo . Kunezinhlobo eziningana zalolu hlobo (uhlobo lwe-FHM 1, uhlobo lwesibili, uhlobo lwesithathu). Uhlobo ngalunye lwalezi zinhlobo lubangelwa ukuguquka kwezakhi zofuzo okuhlukile. Ngezinye izikhathi, uma odokotela bengakwazi ukuthola ukuguquka kwezakhi zofuzo okuqondile, lubizwa nangokuthi uhlobo lwe-FHM 4.
2. I-Sporadic Hemiplegic Migraine (SHM): Lolu hlobo lungavela ngokuzumayo kumuntu ongenawo umlando womndeni walesi simo. Okusho ukuthi, luvela ngaphandle komlando womndeni walesi sifo.
Ingabe i-hemiplegic migraine iyisimo esiphuthumayo?
Lokhu kuyinto abantu abaningi abayesabayo. Nakuba ukuba ne-hemiplegic migraine kungaba yinto eyesabekayo, ngokuvamile akuyona into ephuthumayo . Kodwa-ke, inkinga ukuthi izimpawu zayo zifana kakhulu nezesifo sohlangothi, esidinga ukwelashwa okuphuthumayo. Ubuthakathaka bemisipha kolunye uhlangothi lomzimba, izinguquko embonweni, kanye nobunzima bokukhuluma kungabonakala kuzo zombili.
Kubaluleke kakhulu: Uma uke waba nanoma yiziphi zalezi zimpawu, ikakhulukazi ukungazweli ohlangothini olulodwa lomzimba wakho, ukulahlekelwa ukwazi, noma ubunzima bokukhuluma, ungazami ukuzinqumela ukuthi ingabe isifo sohlangothi noma i-hemiplegic migraine. Sicela uye esibhedlela esiseduze noma ushayele i-ambulensi ephuthumayo ngokushesha. Uma kwenzeka isifo sohlangothi, isikhathi sibaluleke kakhulu. Ngakho-ke, uma ungabaza, kuwukuhlakanipha ukufuna iseluleko sezokwelapha.
Sivame kangakanani lesi simo?
Nakuba i-migraines iyisimo esivamile, i-hemiplegic migraines ayivamile kangako . Ucwaningo olwenziwe eDenmark luthole ukuthi lesi simo sithinta umuntu oyedwa kuphela kwabayi-10,000.
Ziyini izimpawu ze-hemiplegic migraine?
Izimpawu ezibonakala kulesi simo yilezi:
- Ubuthakathaka bemisipha kolunye uhlangothi lomzimba: Lolu uphawu oluyinhloko. Ingalo, umlenze, noma uhlangothi olulodwa lobuso lungase lube buthaka.
- Ukushintsha kombono: Kungase kube namabala angaboni, izibani ezikhanyayo, amaphethini e-zig-zag, kanye nokubona okuphindwe kabili.
- Ukungazweli noma ukuzwa ukuqaqamba ebusweni, ezandleni, noma emilenzeni .
- Ubunzima bokukhuluma: Ukukhuluma amagama angacacile, ukungakwazi ukukhuluma kahle.
- Ukuzizwa ukhathele kakhulu (Ukukhathala).
- Ukuzizwa udidekile.
Lezi zimpawu zifana nalezo ezivame ukubonakala ngesikhathi sesigaba "se-aura" se-migraine (okungukuthi, ngaphambi noma ngesikhathi sekhanda elibuhlungu). Kodwa-ke, i-hemiplegic migraines ingathinta imisipha, inkulumo, kanye nokubona ngendlela ehlukile kunezinye izinhlobo ze-migraine.
Lezi zimpawu zingahlala kusukela emahoreni ambalwa kuya ezinsukwini ezimbalwa. Ezimweni ezingavamile, zingahlala amasonto amane. Kodwa-ke, ezimweni eziningi, lezi zimpawu ziyanyamalala ngokuphelele .
I-migraine ye-hemiplegic izwakala kanjani?
I-migraine ibangela ikhanda elibuhlungu elibuhlungu kakhulu . Leli khanda livame ukuhambisana noma ubuthakathaka bemisipha kolunye uhlangothi lomzimba. Indlela elula yokubona ukuthi une-migraine ye-hemiplegic iwukuphakamisa izingalo zombili ngaphezu kwekhanda lakho. Ingalo eyodwa ingase izwakale inzima kunenye, okwenza kube nzima ukuyibamba .
Yini ebangela i-hemiplegic migraine?
Imbangela eyinhloko yalokhu ihlonzwe njengokusebenza ngokweqile kumaseli ezinzwa . Ngokukhethekile, lokhu kubangelwa ushintsho ezinzwa zakho olubizwa ngokuthi "i-Cortical Spreading Depression".
Kalula nje, ishaja kagesi ihamba ngamaseli ethu ezinzwa. Lokhu kusiza ama-ion (ama-molecule e-ion) ukuthi ahambe ngamaseli ezinzwa, athumele imiyalezo kuma-neurotransmitters, futhi axhumane nezingxenye ezahlukene zomzimba. Le shaja kagesi iyashintsha (i-depolarization) enkambisweni ebizwa ngokuthi "ukucindezeleka kokusabalalisa kwe-cortical." Njengegagasi elihamba kancane, ihamba isuka kolunye uhlangothi lobuchopho iye kolunye, iphazamise iphethini evamile kagesi yamaseli ezinzwa . Yilokho okubangela izimpawu ze-hemiplegic migraine.
KwalokhuKuhileleke ukuguquka kwezakhi zofuzo. Okungukuthi, izinguquko ezakhiweni zofuzo ezithinta indlela amangqamuzana ezinzwa asebenza ngayo. Izinhlobo ezilandelayo zezakhi zofuzo zitholakale kubantu abane-hemiplegic migraine:
- `CACNA1A` (uhlobo lomndeni 1 noma uhlobo lwe-autosomal recessive)
- `ATP1A2` (uhlobo 2 oluvela emndenini noma ohlotsheni oluzenzakalelayo)
- `SCN1A` (izinhlobo ezintathu ezivela emndenini)
- `PRRT2` (zonke izinhlobo ezivela ezizindeni zomndeni)
Odokotela okwamanje basola ukuthi kungase kube nezinye izinhlobo zamagciwane, kodwa ezingakaziwa.
Yiziphi izimbangela ze-hemiplegic migraine?
Izinto ezenza i-hemiplegic migraine ibe yimbi kakhulu, noma "Izibangeli" ziyafana nezinye izinhlobo ze-migraine. Lezi zingahluka kumuntu nomuntu, kodwa ezinye ezivamile zifaka:
- Ukucindezeleka
- Izinguquko ezindleleni zokulala (ukungalali kahle, ukulala kakhulu)
- Ukuzikhandla ngokomzimba
- Ukulimala Ekhanda
- Ukukhanya okukhanyayo
- Ukudla okuthile noma izinguquko emikhubeni yokudla (isibonelo, ukweqa ukudla)
Ezinye izifo ze-hemiplegic migraines ziqala ngemva kokuhlolwa okukhethekile kwesithombe okubizwa ngokuthi i-cerebral angiogram. Lokhu kuskena okubheka indlela imithambo yegazi ebuchosheni esebenza ngayo.
I-migraine ye-hemiplegic ivame ukuqala nini?
Iningi labantu liqala ukuzwa i-hemiplegic migraines besebancane, phakathi kweminyaka eyi-12 neyi-17. Njengoba ukhula, ukuvama kanye nobukhali balokhu kuhlaselwa yi-migraine kuvame ukwehla.
Yiziphi izinkinga ezingaba khona ngenxa ye-hemiplegic migraine?
Iningi lokuhlaselwa yi-hemiplegic migraine liphela zingakapheli izinsuku ezimbalwa. Kodwa-ke, ezimweni ezingavamile nezinzima , izimpawu ze-hemiplegic migraine zingahlala amasonto. I-migraine ingathinta impilo yakho yengqondo neyomzimba. Izimpawu zingaphazamisa imisebenzi yakho yomuntu siqu, ubudlelwano nabantu, kanye nomsebenzi noma umsebenzi wesikole.
Izinkinga ezinkulu azivamile, kodwa zingase zenzeke. Izibonelo:
- Ukuquleka
- Ukulahlekelwa Inkumbulo
- Izinguquko ebuntwini noma ekuziphatheni
- Izinkinga Zokuthuthukiswa Komqondo (Ukukhubazeka Kwengqondo)
- Ubunzima ekuthuthukisweni kwamakhono okukhuluma kanye nokunyakaza kwabantwana abancane
- I-Coma
I-Hemiplegic migraine ihlolwa kanjani?
Udokotela uxilonga i-hemiplegic migraine ngemuva kokuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa . Phakathi nalezi zivivinyo, udokotela uzokubuza ngomlando wakho wezokwelapha kanye nomlando wezokwelapha womndeni wakho. Qiniseka ukuthi utshela udokotela wakho uma kukhona izihlobo zakho zegazi ezine-migraine.
Kubalulekile ukuhlolwa ukuze kutholakale ukuthi azikho yini ezinye izimo ezinezimpawu ezifanayo. Udokotela wakho angase akuncomele ukuhlolwa okufana nalokhu:
- Ukuhlolwa Kofuzo
- I-CT Scan
- Ukuskena kwe-MRI `(MRI)`
- Ukubhoboza Kwe-Lumbar
- I-electroencephalogram (i-EEG)
Iphathwa kanjani i-hemiplegic migraines?
Udokotela angase anikeze imithi efana nalena yokwelapha i-hemiplegic migraine:
- Ama-antidepressants (isb., ama-tricyclics nama-SNRI)
- Ama-antihypertensive agents (isib. ama-beta-blockers noma ama-calcium channel blockers)
- Imithi Yokulwa Nokuquleka
- Uma kudingeka, abaphikisi be-CGRP kanye/noma ubuthi be-Botulinum
Khuluma nodokotela wakho ngemiphumela emibi yanoma yimuphi umuthi owunikezwayo. Uzokutshela nokuthi kufanele uwuthathe kangaki futhi kanjani umthamo ngamunye.
Yini engingayilindela uma ngine-hemiplegic migraine?
Uma uqala ukuba nezimpawu ze-hemiplegic migraine, kuyinto evamile ukuzizwa ukhathazekile futhi wesaba. Ungase ucabange ukuthi yi-stroke, ikakhulukazi uma ungakaze ube nayo ngaphambili. Ubuhlungu nobuthakathaka obuzwayo kungenza kube nzima ukwenza imisebenzi yakho yansuku zonke.
Izindaba ezinhle ukuthi izimpawu ze-hemiplegic migraines zivame ukuphela uma umjikelezo we-migraine uphela, futhi kunezindlela zokwelapha ezingasiza ekunciphiseni ukuvama kwalezi migraines.
I-migraine ye-hemiplegic ihlala isikhathi esingakanani?
Izimpawu ze-hemiplegic migraine zingahlala kusukela ehoreni kuya ezinsukwini eziningana . Kodwa-ke, lezi zimpawu zivame ukunyamalala zingakapheli usuku. Ngokwesilinganiso, abantu bangaba nokuhlaselwa kwe-hemiplegic migraine okuphindwe kathathu ngonyaka. Leli nani liyahlukahluka kuye ngomuntu nomuntu.
Inani lokuhlaselwa yi-migraine onayo lingahluka. Ungase ube nokuhlaselwa yi-migraine ngosuku, noma kube kumbalwa empilweni yakho. Ngezinye izikhathi kungaba nezikhathi ezinde, ezingenazo izimpawu phakathi kokuhlaselwa yi-migraine.
Abantu abaningi bathi izimpawu ze-migraine ziyancipha njengoba zikhula . Ngokuvamile, ngemva kweminyaka engu-50, i-hemiplegic migraine ingaba yi-migraine evamile ngaphandle kobuthakathaka bemisipha. Udokotela angakusiza ukuthola izindlela zokwelapha zokulawula i-migraine yakho impilo yakho yonke.
Ingabe i-hemiplegic migraine ingavinjelwa?
Akunakwenzeka ukuvimbela zonke izihlaselo ze-hemiplegic migraine. Kodwa-ke, imithi yokuvimbela ingasiza ekunciphiseni inani lezikhathi ohlaselwa ngazo yi-migraine.Udokotela wakho angase akuncome ukuthi uwuthathe. Kodwa khumbula, noma ngabe uwuthatha lo muthi, ungase uphathwe yi-migraine. Futhi, uma usuphethwe yi-migraine, udokotela wakho angakunikeza umuthi wokuwumisa, anciphise isikhathi sawo, futhi anciphise ubukhali bawo.
Udokotela wakho angakusiza futhi ukuthi ubone izinto ezibangela i-migraine yakho, ukuze unciphise ingozi yakho.
Kufanele ngimbone nini udokotela?
Uma une-migraines enezimpawu ezithinta amandla emisipha, bona udokotela.
Okubaluleke kakhulu: Uma uzwa izimpawu zesifo sohlangothi – njengobuthakathaka ohlangothini olulodwa lomzimba, ukudideka, noma inkinga yokukhuluma – shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha.
Uma ungaqiniseki ukuthi unesifo se-hemiplegic migraine noma isifo sohlangothi, shayela izinsizakalo eziphuthumayo . Uma ungaqiniseki, noma uma kungekho ukuxilongwa okusemthethweni, kungcono kakhulu ukuhlala ngaphansi kokunakekelwa udokotela.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
- Hlobo luni lokwelashwa olunconywayo?
- Iyini imiphumela emibi yokwelashwa?
- Kufanele ngithathe nini futhi kangaki imithi yokuvimbela?
- Ingabe kuphephile kimi ukuthatha i-NSAID ukwelapha i-migraine ye-hemiplegic?
Okokugcina, izinto okufanele uzikhumbule
Uma ubhekene nesimo esibizwa ngokuthi i-hemiplegic migraine, ungase uzizwe wesaba futhi ukhathazekile. Ungase uzibuze, "Ingabe lokhu kuyisifo sohlangothi? Ingabe kufanele ngishayele u-911?" Unganqikazi ukushayela izinsizakalo eziphuthumayo uma ungaqiniseki. Ithimba lakho lezokwelapha lingakusiza ukuthi uthole imbangela yezimpawu zakho, uphathe i-migraine yakho, futhi livimbele ukuthi ingaphinde yenzeke. Udokotela wakho uzosebenza nawe ukusiza ekunciphiseni umthelela i-hemiplegic migraine enawo empilweni yakho. Ungakhathazeki, lesi simo singalawulwa.
I- Hemiplegic migraine, i-migraine, ikhanda elibuhlungu, ubuthakathaka bemisipha, isifo sohlangothi, izimpawu, ukwelashwa
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