Ho makatsang ho batsoali ba bangata, hlooho ea hlooho e tloaelehile haholo bana ba sekolo le bacha. Litsebi li tlaleha hore bana ba lilemo li 30 ho ea ho tse 50 ho ba 50% ba kenang sekolo le 50% ho isa ho 80% ea bacha ba utloa bohloko ba hlooho.
Mahloko a hlooho ea migraine a tloaelehile, hape. Li etsa karolo ea 3% ea bana ba kenang sekolo sa mathomo, 11% ea liithuti tsa sekolo sa mathomo, le 23% ea liithuti tsa sekolo se phahameng.
Matšoao a Migraine
Hangata matšoao a migraine a kenyelletsa:
- ho opeloa ke hlooho ka lehlakoreng le leng la hlooho (ho se kopane); ho leka-lekana ho utloisa bohloko bo boholo mahlakoreng ka bobeli a hlooho ea ngoana (ka bobeli) ho ka boela ha etsahala
- ho opeloa ke hlooho kapa ho otloa ke hlooho
- ho nyefutsa kapa ho hlatsa
- kutloisiso ea leseli (photophobia)
- kutloisiso ea molumo (phonophobia)
- ho hanyetsa ho monate (ho senya maikutlo)
- kapara e qalang pele ho migraine kapa ha hlooho ea hlooho ea migraine e qala 'me e ka kenyelletsa ho ferekana ha pono, ho fokola ha mesifa ka lehlakoreng le leng la' mele (hemiparesis), kapa bothata ba puo (apasia)
- lihlopha tsa puo e liehang kapa e senyang (dysarthria); vertigo; ho lla litsebeng (tinnitus); pono ea bobeli (diplopia); ho ferekanya ho bonahalang; ataxia; ho fokotseha maemong a fokolang; ho fokotsa ho utloa; kapa bokooa ba nako e le 'ngoe le boikutlo ba ho lla ka mahlakore ka bobeli (paresthesias tse peli), e le aura pele hlooho ea migraine e qala (basilar-type migraine)
Matšoao a hlooho ea hlooho ea migraine e boetse e mpefala ka mesebetsi e tloaelehileng, e kang ho tsamaea kapa ho nyoloha litepisi.
Ho lemoha Migraines ho Bana
Le hoja ka linako tse ling ho hlahlojoa e kang hlooho ea CT, hlooho ea MRI, lefu la x-ray, kapa ho koaheloa ke lumbar ho etsoa ha ngoana a e-na le hlooho e tloaelehileng, hore a hlokomele lisosa tse ling, ho fumanoa ke migraine hangata ho entsoe feela ka mokhoa oa matšoao a ngoana . Hangata teko ha e hlokehe ha ngoana a e-na le hlooho e sa foleng le tlhahlobo e tloaelehileng ea methapo ea pelo, ntle le hore ka tšohanyetso ngoana a qale ho tšoaroa ke hlooho e bohloko, hlooho ea hae e fetoloa (ho ba thata kapa ho tloaelehileng, ka mohlala), kapa haeba ngaka ea hao ea bana e sibolla lintho tse sa tloaelehang nakong ea nako tlhahlobo ea 'mele.
E le karolo ea litekanyetso tsa ho hlahloba migraine, ngaka ea hao ea bana e tla hlahloba ho bona hore na ngoana oa hau ke mang:
- e bile le litlhaselo tse 5 tsa migraine (migraine ntle le aura) kapa litlhaselo tse 2 tsa migraine (migraine le aura)
- litlhaselo tsa migraine li qeta lihora tse pakeng tsa 1 le 72
- e na le matšoao kapa matšoao afe kapa afe a ka bontšang hore hlooho e bakoa ke boloetse bo bong
Ho ba le litho tse ling tsa malapa tse nang le hlooho ea hlooho ea migraine ho ka boela ha etsa hore ho fumanoe hore migraine e na le ngoana, kaha migraine e bonahala e matha malapeng.
Litlhare tsa Migraine
Ha ho na pheko ea migraine ea hlooho ea hlooho, empa hona joale phekolo ea migraine e ka thusa ho fokotseha hore na ngoana oa hao o na le migraine hangata hakae mme o fokotsa matla a matšoao a migraine.
Litlhare tsena tsa migraine li kenyeletsa:
- ho qoba mekhoa e tloaelehileng ea ho ba le migraine, ho kenyelletsa le lijo tse hlahisang lijo (cheese, likolete, le litholoana tsa lemonate, joalo-joalo), ho senya lijo, mekhoa e metle ea ho robala le ho hloka boikoetliso, joalo-joalo.
- ho nka tekanyo e loketseng ea lilemo tsa bohloko ba bohloko (acetaminophen kapa ibuprofen) kapele kamoo ho ka khonehang ha migraine e qala, empa e qoba litekanyo tse fetang tse tharo ka beke bakeng sa hlooho ea hlooho, ha ho li noa hangata ho ka etsa hore ka linako tse ling ho be le hlooho e bohloko
- meriana e khahlanong le ho nyekeloa ke pelo, e kang Zofran (ondansetron), haeba ho soabisa le ho hlatsa ke karolo e kholo ea tlhaselo ea migraine ea ngoan'a hao
- triptan e kang Imitrex (sumatriptan), Maxalt (rizatriptan), kapa Zomig (zolmitriptan) tse sebelisoang khafetsa bana le bacha, haholo-holo ha ba bangata ba amoheloa ke FDA bakeng sa lihlopha tsena tsa lilemo
- meriana ea letsatsi le letsatsi e thibelang hlooho haeba ngoana oa hao a e-na le bonyane hlooho ea moriri oa migraine khoeli le khoeli, e ka kenyelletsang antihistamine Periactin (cyproheptadine), meriana ea anti -pileptic, e kang Topamax (topiramate) kapa Valproate (disodium valproate)
Hona joale Topamax e amoheloa ke FDA ho thibela migraine le bana.
Seo U Lokelang ho se Tseba ka Migraine ho Bana
Lintho tse ling tse lokelang ho tseba ka migraine ho bana li kenyelletsa:
- Pele ba kena lilemong tsa bohlankana, bashanyana ba fumana migraine e mengata ho feta banana, empa hamorao, kamora ho kena bokhachane, banana ba qala ho fumana migraine ho feta bashanyana.
- Hlooho ea hlooho ea migraine e le letšoao la diary, leo ho lona u tlalehang lintlha tse mabapi le hlooho ea ngoana oa hau-ho kenyelletsa le ha a e-na le eona, e ka 'na eaba e entse hore e be efe le hore na e entse hore e be betere - e ka u thusa ho fumana likarolo tse itseng tsa migraine ho qoba nakong e tlang.
- Ho fetoha ha li-migraine ho bana ho ka kenyelletsa sebete sa paroxysmal vertigo, lefu la mahlatsipa le hlatsoang , le mpa migraine.
- Le hoja bana ba bangata ba nang le migraine ba ntse ba tsoela pele ho tšoaroa ke hlooho ha ba le batho ba baholo, hoo e ka bang 25% e tla ba le hlooho ea hlooho.
- Ho haelloa ke coenzyme Q10 ho ka tlatsetsa ho migraine ho bana ba bang, 'me ka linako tse ling li-neurologists li sheba litekanyetso tsa coenzyme Q10 ha li hlahloba bana ba nang le migraine.
Ngaka ea methapo ea mafu ea bana e ka boela ea thusa ho hlahloba le ho tšoara ngoana oa hao ka hlooho ea hlooho ea migraine.
Lisebelisoa
American Academy of Neurology. Mekhoa ea ho etsa lipatlisiso: Tlhaloso ea bana le bacha ba nang le hlooho ea hlooho e tloaelehileng. Neurology 2002; 59: 490-498.
American Academy of Neurology. Mekhoa ea ho etsa lipatlisiso: Kalafo ea meriana ea hlooho ea malapa ea migraine. Neurology 2004; 63: 2215-2224.
Lewis DW. Migraine ea bana. Kliniki ea Neurol - 01-MAY-2009; 27 (2): 481-501