Kuwana zviratidzo zvemigraine pamwe ne vertigo
Chimbofungidzira rwendo rwokuenda kune imwe nzvimbo yakanaka yepaki kana yemidhinari, izere neshamwari, candy candy, uye rimwe zuva rinopisa. Inonzwika zvakanaka kusvikira iwe uchienda kunofamba-t-whirl kukwira uye uchinzwa chizoro chinokonzera. Izvi zvingava kuti zvinonzwa sei kune vamwe venyu vanotambura nekupfeka mavara, chimiro chepfungwa chinokonzera episodic mutano, kazhinji pasina musana, mune vanhu vane nhoroondo ye migraines.
Nhanganyaya
Vestibular migraines inosvika kusvika 1% yevanhu. Vatigigo varwere vane ruzivo rwekudzivirira migraine zvakasiyana nerutivi rwomunhu runogona kuitika panguva yemigraine aura , mukuti vertigo haigoni kupera maawa 5-60 sean aura uye haisi kutotangira kurwadziwa kwemukoko. Munguva pfupi yapfuura, Komiti yeKutsanangurwa kweVestibular Kushungurudzwa kweBárány Society uye Migraine Classification Subcommittee yeSouth Africa Headache Society (IHS) yakagadzirisa zvinotenderwa navanachiremba kuti vaongorore maziso emakumbo.
Chikamu Criteria
Maererano nemitemo yezvinyorwa zvechipiri shanduro yeInternational Classification of Headache Disorder (ICHD-II), zviratidzo zvekucheka migraine dzinosanganisira:
- Nhoroondo yazvino kana yapfuura ye migraine kana kuti isina kanara
- Zvimwe zvikamu zvishanu zvezvipfeko zvekudzivirira zvinokonzeresa zvakanyanya kusvika kune simba zvakasimba kubva pamaminitsi mashanu kusvika maawa 72
- Zvinenge makumi mashanu kubva muzana zvezvikamu izvi zvine imwe kana zvimwe zvezvinhu izvi
- kuonekwa kanara
- photophobia uye phonophobia
- misoro ine zvinyorwa zviviri zvinotevera: humwe-hutatu hutatu hutatu, hutsika, huwandu kana hunyanya hukuru, kushungurudzika nekuita basa
- Zviratidzo hazvitsanangurwi nedzimwe mamiriro ezvehutano
Ndezvipi zviratidzo zveVestibular?
Zviratidzo zvevestibular, maererano neBárány Society's Classification yeVestibular Zviratidzo zvinosanganisira:
- spontaneous vertigo (kana munhu achinzwa achifamba kana kuti nzvimbo dzakapoteredza dziri kupota kana kufamba)
- positional vertigo (vertigo inokonzerwa nokuchinja mumusoro)
- vheti-induced vertigo (vertigo inokonzerwa nehombe, inofamba inooneka inosimudzira)
- musoro motion-induced vertigo kana dutu neusea
Zviratidzo zvekudzivirira ndezve "kuenzanisa" kana zvinopesana nemabasa ezuva nezuva uye "zvakanyanya" kana dzikarambidza mabasa ezuva nezuva.
Kuziva
Kuongororwa kwemaziso ekudzivirira migraine kunoitwa neurologist kana nyanzvi nyanzvi. Hapana huongorori hunokosha, asi pane hutachiona huri kliniki imwe, zvinoreva kuti yakaitwa nemurwere anotsanangura zviratidzo zvake kuna chiremba. Kunyange zvakadaro, chiremba wako angangodaro iwe unofungidzira nezveuropi ne magnetic resonance imaging ( MRI ) uye / kana magnetic resonance angiography ( MRA ) kuve nechokwadi kuti hapana imwe mamiriro ekurapa yakakomba iri kuitika se: stroke kana vertebrobasilar inopera ischemic kurwisa (TIA). Iwe unogonawo kupinda maometriyamu kana kuedza kwekunzwa kuti utonge kunze kwechirwere chaMeniere . Zvimwe zvehutano zvinogona kunge zvakafanana nehutachiona hwemigraine inodonha nehutano hwehutano kana kutyisidzira, kushaya benzi paroxysmal positional vertigo , kana rumwe rudzi rwemigraine inonzi buslar migraine .
Kurapa
Kurapa kwevanosasa migraine kwakafanana nekurapa kwemasimba mune zvekuti zvirwere zvakaoma uye zvekudzivirira zvinoonekwa, kunze kwekutora kusazvidzivirira Ergotamine kana triptans inosarudzwa nenzira yakakodzera yekurapa kwakanyanya, yakaenzana nekushandiswa kwavo mu episodic migraine. Kana munhu akavhara mavara ari kuitika kakawanda uye / kana kunyanya kuporesa, kupfuura mishonga inodzivirira seine beta blocker kana calcium muchengeti wevhesi, semutsetse, inogona kubatsira. Dzimwe nguva, zvipfeko zvinoputika, zvinogona kutsanangurwa se "anti-vertigo" mishonga, yakashandiswa. Mienzaniso yezvipfeko zvinopisa zvinosanganisira: antiemetics yakadai se promethazine, benzodiazepines yakafanana neLorazepam, kana antihistamines yakafanana nemeclizine.
Kuvandudza vestibular zvakare chimwe chinhu chinofanirwa kuonekwa kune varwere vane vestibular migraine. Mukurudzi urwu rwehutano hwepanyama, varwere vanoziva nzira yekuvandudza manzwiro avo ekuenzanisa uye kuderedza kushungurudzika kwavo kwechezzinesi, apo chigadziro chechirwere chinenge chichiitika.
Pasi Pasi
Kana iwe uchitambura kubva pane episodic vertigo kana kuti usina musana wepamusoro, pane kuongorora zviratidzo zvako nehupi wehutano wehutano. Chiremba wako achatonga kunze kwezvimwe zvinokonzera chirwere chisinganzwisisiki asati aita kuongororwa kwe vestibular migraine. Asi, kana izvi zvikaonekwa, iwe hausi woga, uye kune nzira dzakawanda dzokurapa kunze uko.
> Sources:
Bisdorff AR. Kutungamira kwekuvhara ropa. Ther Adv Neurol Disord. 2011 May; 4 (3): 183-191.
Black DF & Robertson CE. Vestibular migraine. Mu: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Musoro weKutsanangurira Komiti yeAustralia Headache Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808.
Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Vestibular migraine: chirwere chekuongorora. J Vestib Res . 2012; 22 (4): 167-72.