Vestibular Migraines vs Zvimwe Zvinokonzera Chizivo Uye Vertigo
Kana iwe wakaziviswa kuti une vestibular migraines, kana kuti unofungidzira kuti unogona kuva nechirwere ichi, iwe unenge uchinetseka zvikuru. Ndezvipi izvo izvi zvinoshandiswa, izvo zvinoonekwa sei, uye zvinobatwa sei? Unoziva sei kuti hachisi chimwe chinhu, chakadai sitiroko? Chii chaunogona kutarisira uye chii chinonzi chirevo?
Vestibular migraines inofungidzirwa kuva yakajairika kupfuura yekare yaifungidzirwa, inokwira kusvika kune imwe muzana yevanhu.
Vestibular Migraine - Tsanangudzo
Izwi rokuti "vestibular migraine" rinoreva kureva chizuru chinokonzerwa nemagraine phenomena. Iyo ye vestibular system ndiyo chikamu chenzeve yomukati iyo inotitaurira kuti tiripi mune nzvimbo mumatatu matatu. Kana iwe wakatopotera mumakwikwi nokukurumidza ndokubva wamira, unoziva chii chinoitika apo yako yeti vestibular isiri kushanda zvakanaka.
Uyewo inonzi migraine inobatanidza ne vertigo (MAV), kana kuti migrainous vertigo, zvipfeko zvemasimba ndeimwe yezvikonzero zvinowanzovhiringidzika zvinokonzerwa nemhepo . Vertigo, zvakare, inotsanangurwa sekunzwa kweruzivo rwunobatanidza nekunzwa kuti uri kusvetuka kana nyika iri kutenderera zvakakupoteredza.
Migraine Headaches uye Chizoro
Migraines ndeimwe yezvinowanzosangana neurological disorders. Apo vanhu vazhinji vanofunga nezvemigraine, vanofungidzira misoro inotyisa, kazhinji inowedzera kuwedzera nekuedza kana rwiyo rukuru. Mune zvimwe zviitiko zvemigraine, maitiro asina kujairika anogona kuonekwa pamberi pemeso emugadziri, kana kuti vangawana zvinoshamisa zvisinganzwisisiki zvisinganzwisisiki.
(panguva yemugraine kana sean aura pamberi pemigraine .) Migraines inogona kukonzera mamwe marudzi mazhinji ematambudziko emagetsi, zvisinei, kusanganisira chizuru.
Mune dzimwe nzira, pfungwa yokuti chizivi chinotungamira migraines hazvishamisi. Pashure pezvose, Nausea inowanzoitika panguva yemigraines, uye inowanzosangana nekunzwa kwekufamba kwechirwere.
Zviratidzo izvi zvinowanikwa mune 54 muzana yevarwere vane migraine, vachienzanisa ne30 chete yevanhu vane hutano hwemusoro . Manzwiro echirtigo (chirevo chisingaoneki chekufamba) anogona kukonzera migraines, achiwedzera kuratidza kuwirirana pakati pemigraines uye chirwere.
Nepo chirwere chekuita uye chirwere chekurwara chinowanzosiyana nemamwe marudzi e-migraine, vestibular migraines inonyanya kuratidzwa ne vertigo, kusagadzikana kana kusava nekuenzanisa, kunzwisisika kuenderera mberi, uye kunzwa kusina kufanana kana tinnitus (kuchera munzeve.) Zvinofungidzirwa kuti inenge 10 muzana yevanhu vane migraine vanotambura ne vestibular migraine.
Kuongorora Vestibular Migraine
Kuita kuti kuongororwa kweva vestibular migraine, kune zvimwe zviyero izvo zvinofanira kusangana. Kuongororwa kunowanzoitwa kubva pane zvakaitika kare, zviratidzo zvako, chiyero chezviratidzo zvako, urefu hwezvikamu zvako, uye nhoroondo yako ye migraines munguva yakapfuura.
Kazhinji yenguva yekuongorora mumuviri, pamwe nekuongorora kwema laboratory uye zvidzidzo zvekufungidzira, zvakajairika.
Zvichida zvikonzero zvinokonzera zvinokonzerwa nechezzinza zvinofanira kutongwa zvisati zvaitika.
Zviratidzo Zvokuona Kuti Vestibular Migraine
Kunyange makumi mana kubva muzana yevanhu vane migraines vane zviratidzo zvekare, kune zviratidzo zvakananga zvinofanirwa kuitwa kuti zviongorore maziso ekudzivirira.
Zviratidzo izvi zvinotsanangurwa neBárány Society's Classification yeVestibular Symptoms, uye inosanganisira:
- Vanhu vanofanira kunge vane nhoroondo kana zviratidzo zvemigraine, zvakadai sokuputika musoro, mukati maawa mashomanana echizungu, zvishoma ne50 muzana yenguva. (Mune mamwe mazwi, nguva ye vertigo inobatanidza ne-migraine mune hafu yezvikamu zvese.)
- Panofanira kunge pane zvikamu zvishanu zvakagara kubva kumaminitsi mashanu kusvika maawa 72.
- Ikoko haufaniri kuva nechimwe chikonzero chinogona kutsanangura zviratidzo.
- Zviratidzo zvinosanganisira kanara (zvichienzanisa, kuona chiedza chakajeka), kunzwisisa kwekufamba, photophobia (chiedza chekunzwisisa), phonophobia (kushungurudzika kwakagadziriswa), uye zviratidzo zvemaziso.
Zviratidzo zvemavara zvinosanganisira:
- Spontaneous Vertigo (Kana kamwe kamwe iwe unonzwa sokuti iwe uri kusvetuka kana kuti chipinda chiri kutenderera iwe.)
- Positional Vertigo (Vertigo iyo inoitika kana iwe uchifamba kana kutendeukira musoro wako pane imwe nzvimbo.)
- Vertigo inotarisa-induced (Vertigo iyo inoitika mukupindura kutarisa chinhu chinofamba.)
- Head motion induced vertigo (Vertigo iyo inokonzerwa nekufamba kwemusoro.)
- Musoro unoita kuti uve neutano ne Vertigo (Dhazinesi umo mune kushungurudzika mumamiriro ezvinhu epakati.)
Ndiani Anowana Vestibular Migraines?
Vratibular migraines inowanzoitika kune vanhu vane nhoroondo yakasimbiswa ye migraines, asi zvakakosha kuziva kuti kuongorora kwemusoro kwemusoro kunotaridzirwa. Kufanana nedzimwe mhando dzomugraine, vestibular migraine inowanzoonekwa kune vakadzi kupfuura varume. Iyi migraines inowanzoita kuti ioneke pakati pemakore 20 ne40 asi inogona kutanga muhuduku. Kune vakadzi, kuwedzera kwezviratidzo kunowanzoonekwa munguva yekutanga-kuenda kumwedzi. Vestibular migraines inozivikanwa kuti inomhanya mumhuri.
Chinokonzera uye Genetics yeVestibular Migraine
Zvinokonzera migraine hazviwanzwisiswi zvakanaka, uye vestibular migraine kunyange zvishoma. Kutenda ndeyekuti kusagadzikana kwehutano hwehutachiona hunopararira kuchinja maitiro edu anowanzoshandura manzwi edu, kusanganisira marwadzo, pamwe nekuchinja kubuda kweropa kuburikidza nemariti ari mumusoro.
Mumashoko ekurapa, kune nzira dzinofungidzirwa kuti dzinoshandiswa dzinobatanidza hutatu hutsika (chikamu cheuropi chinoshandiswa panguva yemigraines) kumusasa we vestibular.
Zvidzidzo zveGenetic zvevanhu vane vertigo uye migraine zvakaratidza mukana wakawedzerwa wemagenene akaita seCACNA1A gene, chikonzero chepisodic ataxia rudzi rwechipiri . Mimwe mazai ayo anowirirana ne vertigo uye migraine anosanganisira ATP1A2 (iyo inobatanidzwa ne episodic ataxia) uye SCN1A. Zvose zvemajeni zvakabatana neion chiteshi chinotarisira kuti magetsi anopararira sei muuropi.
Kurapa kweVestibular Migraine
Kurapa kwe vestibular migraine kwakafanana nemamwe migraine remitambo , uye kazhinji, inosanganisira kusanganiswa kwemaitiro akawanda ekurapa. Nezvekurapa mishonga, kazhinji nguva madhiragi anoderedza uchechedzi haabvumiri misoro uye zvakasiyana. Mishonga inosanganisira:
- Kudzivisa zvinhu zvinokonzera - Rimwe rematanho ekutanga uye anokosha nderokucherechedza (uye kudzivisa kana zvichibvira) chero chinokonzera migraines . Izvi zvinogona kusanganisira zvimwe zvokudya, kurasikirwa nehope, kana chiedza chakajeka chekutanga. Maitiro anooneka dzimwe nguva anotanga kuvhara muviri.
- Maitiro ehupenyu - Kubva kuhutano hwakanaka kune tsika, mararamiro emararamiro anogona kuita kusiyana kukuru kune vanhu vanogara nemigraines. Vanhu vazhinji vane migraines, somuenzaniso, vanoona zvichibatsira kumutsa nekuenda kurara panguva imwechete zuva rega rega, kunyange pakupera kwevhiki.
- Mushonga wemishonga yakasimba ( kubvisa migraine mishonga .)
- Chronic remraine medication ( preventive migraine mishonga ) - Kune makirasi akawanda emishonga inogona kuedzwa kuitira kuti kuderedza nhamba kana kuwedzerwa kwemagraine episodes. Izvi zvinogona kusanganisira mishonga yekurwisa-seizure yakadai saNeurontin (gabapentin), beta-blockers, tricyclic antidepressants, calcium channel blockers, nezvimwewo.
- Nausea mishonga (antiemetics) yakadai seTrarazine kana Reglan.
- Mishonga yeropaini yakadai semameclizine.
- Nzira dzekuzvibata - Maitiro ekuita maitiro e-migraine , akadai sokurapa kurapwa, kugadzirisa maitiro ekurapa, uye biofeedback chikamu chinokosha chekurapa.
- Chirwere chepanyama kubatsira pakusagadzikana paunenge uchifamba nechitsiko chemavara.
Matambudziko anowanikwa neVestibular Migraine
Kune dzimwe mamiriro ezvinhu angave akafanana kana akabatana ne vestibular migraine. Izvi zvinosanganisira:
- A basilar migraine - a buslar migraine , kana kuti Bickerstaff's syndrome, inoratidzirwa rudzi rwemigraine iyo inokonzerawo vertigo, asi kazhinji, inogadzirisa nekukura kwevanhu vakuru. Izwi rokuti buslar rinoreva "articular basilar" inopa zvakawanda zve brain brain neropa, kusanganisira nzvimbo dzekuenzanisa. Kusiyana nehutachiona hwemagraine, basilar migraine inogona kukonzera zvimwe zviratidzo zvakadai sekuonekwa kwemanzwi maviri, kutaura kwakanyanyisa, kunzwa kunoshanduka, kusagadzikana, kuchinja kwekunzwa, uye kunyange kurasikirwa kwekuziva.
- Meniere chirwere - Meniere chirwere chirwere chemukati wekunze chinokonzera zvose vertigo uye tinnitus. Meniere zvirwere zvinogona kuvhiringidzwa ne vestibular migraine. Uyezve, hazvisi zvisizvo kuti mumwe munhu ave nezvinetso zviviri. Vanenge 45 kubva muzana yevanhu vane zvirwere zveMeneere vane chiratidzo chimwechete chemigraine panguva yekutambudzwa kwe vertigo, uye kune ngozi yakawedzerwa yekutama kune vanhu vane Meniere's. Izvi zvinoratidza kuti mamiriro maviri aya angave akabatana zvakanyanya nekwakabva.
- Dambudziko rekushungurudza - Vanhu vane migraine vane 16 muzana mukana wehupenyu hwese hwekuwedzera chirwere chinotyisa, chinowanikwa kanomwe kupfuura vanhu vasina migraine. Zvose zviri zviviri zvinogona kupa pfungwa yekuve nechezizinesi. Kuvhunduka kunogona kukonzera kurwadziwa kwechifuva, chills, kushungurudzika, kunzwa kwekugumburwa, kuputika, kupera, kurira uye nezvimwe. Muzvokwadi, hazvisi zvisizvo kuti vanhu vave nezvinhu zvose zvitatu: a migraine, kuzvidya mwoyo, uye zvinetso zvakaenzana. Izvi zvinonzi migraine-kushushikana nehukama hunobata .
- Kufungidzira kurwara - Vanhu vane migraine yemhando dzose vanowanzosangana nekutambudzwa kurwara, zvakare kuratidza kuwirirana pakati pemaitiro vestibular uye migraines.
Ndezvipi Zvingave Zvichida? - Kusiyanisa Kuongorora kweVestibular Migraines
Sezvakataurwa pamusoro apa, kufungidzirwa kwechigadziro chekudzivirira kwechigadziro kunowanikwa mushure mekunge mamwe mamiriro ezvinhu akange asina kubviswa. Izvi zvinosanganisira mitemo iri pamusoro apa yakadai seMeneere zvirwere, uyewo:
- Brainstem kushungurudzika kana kushandiswa kwechikafu chinonzi ischemic
- Benign positional vertigo
- Vestibular neuritis
- Vestibular paroxysms
- Psychiatric chizoro
Kutsungirira Vestibular Migraines
Vestibular migraines inogona kuva nechinonyanya kukosha muupenyu hwako. Pamusana pemigumisiro iyi, zvakakosha kugadzira chirongwa chakakwana chekurapa kana uine izvi migraines kusanganisira kwete mishonga chete asi kudzivirirwa kwezvinhu zvinoita uye mararamiro uye nzira dzekuita.
Zvinogona kukanganisa kurwisana nezvi zviratidzo izvi, uye iwe unganzwa wakasurukirwa nekuda kwavo, asi vanhu vane vestibular migraine vari muboka rakanaka, sezvo vanhu vazhinji vachifanira kuwana nzira dzekutarisana nemagraines zuva rega rega. Kune boka guru revanhu vanogona kutendeukira kune mumwe kune mazano uye mazano. Iwe unogona kunge uine boka rekutsigira munharaunda yako, asi pane dzakawanda zveveti vestibular migraine dzinotsigira misha inowanikwa pamwe chete iyo inogona kupa rubatsiro, pamwe chete nekukubatsira iwe kudzidza nezvekutsvakurudza kwemazuva ano pamusoro pemamiriro acho ezvinhu.
Sources
- Dieterich, M., Obermann, M., naN. Celebisoy. A vestibular migraine: The Most Frequent Entity of Episodic Vertigo. Journal of Neurology . 2016. 263 Kubatsira 1: S82-9.
- Sohn, J. Yakafambira Mberi Mukunzwisisa kweVestibular Migraine. Behavioral Neurology . 2016. 2016: 1801845.
- Tedeschi, G., Russo A., Conte, F., Laura, M., uye A. Tessitore. Vestibular Migraine Pathophysiology: Insights kubva muStrucural and Functional Neuroimaging. Neurological Sciences . 2015. 36 Kubatsira 1: 37-40.
- von Brevern, M., uye T. Lemert. Vestibular Migraine. Handbook of Clinical Neurology . 2016. 17: 301-16.