Apo Migraine Zviratidzo zvinoratidzira Stroke
A hemiplegic migraine rudzi rushoma rwemigraine runotanga muhuduku.
Chinhu chinokosha chehemiplegic migraine ndiyo motor aura, inokonzera kushaya simba kana kuparara kune rumwe rutivi rwemuviri
Kunyange zvazvo zvinotyisa kuti vaone hemiplegic migraine, mashoko akanaka ndeokuti kune marapirwo anowanikwa.
Kunzwisisa Hemiplegic Migraines
Hemiplegic migraines yakasiyana neyechipiri migraines ne auras nemhaka yemoto aura.
Kunyange zvakadaro, munhu ane hemiplegic migraine anowanzosangana nedzimwe kanara kunze kwemoto aura.
Semuenzaniso, munhu anotarisana ne hemiplegic migraine kurwisa angatanga kuonana kanara (zvichiona, kuona magetsi anotsvaira) achiteverwa neaora sensory (somuenzaniso, kushaya simba uye kugunzva), uye pakupedzisira, mota motor, iyo inowanzova isina simba inotanga muruoko, ichipararira muruoko uye chiso. Kunyange zvazvo utera husingawanzoitika kune rumwe rutivi, vamwe vanhu vanohuwana nawo kumativi ose emuviri.
Mukuwedzera kune zviratidzo zve aura, nguva yehemiplegic migraine aura yakasiyana neyomuitiro wekuti migraine ane aura . Kutaura zvazviri, the aura ye hemiplegic migraine kurwisana inowanzopedza nguva inopfuura awa imwe, uye mumativi mashanu evanhu, inotora maawa anopfuura makumi maviri.
Aina
Kune marudzi maviri ehemiplegic migraine:
Familial Hemiplegic Migraine (FHM)
Sezvo zita rinoratidzira, fomu yemhuri inotora nhaka.
Vatsvakurudzi vakatanga kuziva zvitatu zvinoshanduka mumagetsi zvakabatana nevemhuri hemiplegic migraine:
- FHM1 inokonzerwa nekuchinja kweCACNA1A gene iri pa chromosome 19
- FHM2 inokonzerwa nekuchinja kwemuchina weAATP1A2 uri pane chromosome 1
- FHM3 inokonzerwa nekuchinja kwomuviri we SCN1A uri pane chromosome 2
Sezvo izvi zvisikwa zvipenyu (apo DNA yakarongeka inoshandurwa) inotora nhaka muzvinyorwa zvinotaridzika, kana mubereki ane rudzi rwemhuri hemiplegic migraine, mwana wake ane 50 muzana yekana yekuwana nhaka iyo.
Sezvo kutsvakurudza kunopfuurira kune hemiplegic migraine, mamwe maitiro ekuchinja kwezvinhu ari kuwanikwa. Semuenzaniso, kuchinja kwemuganda we PRRT2 kwakabatanidzwawo kumhuri ye hemiplegic migraine.
Sporadic Hemiplegic Migraine (SHM)
Izvozvi hazviwanzozivikanwi kupfuura mhuri yehemiplegic migraine uye hauna nhaka, izvo zvinoreva kuti munhu haazove nemhuri yehutiplegic migraine. Pane kudaro, kuchinja kwemashoko omunhu ane sporadic hemiplegic migraine inowanzoitika.
Zviratidzo
Zviratidzo zvepfungwa dzinokonzerwa nehemiplegic musoro dzinofanana neyemusoro wemusoro wemhuri. Mukuwedzera kune utera humwechete hunoonekwa panguva yechikamu che aura (chinonzi hemiplegia), hemiplegic migraine kurwisa kunogonawo kusanganisira chimwe kana zvimwe zvezviratidzo zvinotevera:
- Misoro yakasimba
- Nausea uye / kana kurutsa
- Kunzwisisa kuedza uye / kana inzwi
- Zvimwe zviratidzo zvemara zvinoratidza sechiratidzo chinoshanduka, kupera uye kurira, uye / kana kutambudzika kutaura
Mune zvakanyanya hemiplegic migraine kurwisa, munhu angava nefivha, kugumburwa, uye coma.
Mishonga
Kuchengetedza hemiplegic migraine kurwisa, chiremba wepamusoro anogona kupa Calan SR (yakasununguka-yakasununguka verapamil) kana Diamox SR (yakasununguka-kusunungurwa acetazolamide). Iyi mishonga inotorwa zuva rimwe nerimwe.
Kurapa acute hemiplegic migraine kurwisa kungave kwakaoma zvikuru, maererano neAmerican Migraine Foundation. Ichi ndechokuti kune mishonga iyo vanachiremba vanoda vanhu vane chirwere ichi kuti vadzivise nokuti vanogona kuwedzera njodzi yekurohwa.
Iyi mishonga inosanganisira:
- Triptans
- Ergotamine derivatives
- Beta-blockers
Kazhinji, nonsteroidal anti-inflammatories (NSAIDs), anti-nausea zvinodhaka, kana opioid anoshandiswa kugadzirisa kusaremera migraine.
Shoko Rinobva
Kana iwe uchitenda iwe unenge uchitambudzika nehemiplegic musoro, zvakakosha iwe unotsvaga kurapwa kwekuongorora kwakakwana. Hemiplegic migraine haigoni uye inogona kutevedzera mamwe mamiriro ezvinhu akaoma, sechirwere kana chirwere chevascular. Kana iwe uchitaridzika ne hemiplegic migraine, zvakakosha kuona nyanzvi yepachirapa mukurapwa.
> Sources:
> Kusarudzwa Kwemusoro kweKomiti Komiti Yenyika Dzepasi Pose Inonzi Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 33 (9): 629-808.
> Pelzer N, Stam AH, Haan J, Ferrari MD, Terwindt GM. Mhuri uye sporadic hemiplegic migraine: kuongororwa uye kurapwa. Curr Treat Treat Options Neurol . 2013 Feb; 15 (1): 13-27.
> Pelzer N et al. Coma yakakurumbira uye fever mumhuri yehemiplegic migraine rudzi rwechipiri 2. Anotarisira makore makumi maviri ekutevera kwemhuri huru ine mutauro weAATP1A2 inochinja. Cephalalgia. 2017 Jul; 37 (8): 737-55.
> Robertson CE. (2017). Hemiplegic migraine. Mu: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.
> Russell MB, Ducros A. Sporadic uye familila hemiplegic migraine: nzira dzepathophysiological, kliniki maitiro, kuongororwa, uye kutungamirirwa. Lancet Neuro l. 2011 May; 10 (5): 457-70.