Ha Matšoao a Migraine a Hlahloba Stroke
Hemiplegic migraine ke mofuta o sa tloaelehang oa migraine o qalang bongoaneng.
Karolo ea bohlokoa ea hemiplegic migraine ke mote au aura, e bakang bofokoli kapa ho holofala ka lehlakoreng le leng la 'mele
Ha a ntse a tšosoa ho ba le hemiplegic migraine, litaba tse monate ke hore ho na le phekolo e fumanehang.
Ho utloisisa Hemiplegic Migraines
Hemiplegic migraines e fapane le migraine ea khale le auras ka lebaka la motor aura.
Leha ho le joalo, motho ea nang le hemiplegic migraine ka tloaelo o hlaheloa ke li-auras tse ling ka ntle ho motlakase aura.
Ka mohlala, motho ea nang le tlhaselo ea hemiplegic migraine a ka 'na a qala ho ba le aura e bonahalang (mohlala, ho bona mabone a khantšang) a lateloa ke aura e utloahalang (mohlala, ho tsieleha le ho otla),' me qetellong, e leng motor aura, e nang le bofokoli boo hangata e qala letsohong, e hasana ka letsohong le sefahlehong. Le hoja bofokoli bo tloaelehile ka lehlakoreng le leng, batho ba bang ba e utloa ka mahlakore ka bobeli a 'mele.
Ntle le matšoao a aura, nako ea hemiplegic migraine aura e fapane le ea migraine e tloaelehileng e nang le aura . Ha e le hantle, aura ea tlhaselo ea hemiplegic migraine hangata e nka nako e fetang hora e le 'ngoe,' me e ka bang liphesente tse hlano tsa batho, e nka lihora tse fetang 24.
Mefuta
Ho na le mefuta e 'meli ea hemiplegic migraine:
Metsoalle ea Hemiplegic Migraine (FHM)
Joalokaha lebitso le bontša, mofuta oa lelapa o futsitse.
Qalong bafuputsi ba ile ba hlokomela liphetoho tse tharo tsa liphatsa tsa lefutso tse amanang le malapa a nang le bothata bo botle ba malapa:
- FHM1 e bakoa ke liphetoho tsa liphatsa tsa lefutso tsa CACNA1A tse nang le chromosome 19
- FHM2 e bakoa ke liphetoho tsa lefutso la ATP1A2 tse teng ka chromosome 1
- FHM3 e bakoa ke liphetoho tsa lefutso la SCN1A tse teng ka chromosome 2
Kaha liphetoho tsena tsa liphatsa tsa lefutso (ha liphatsa tsa lefutso tsa DNA li fetoloa) li futsitsoe ka mokhoa o moholo oa likoloto, haeba motsoali a na le mofuta oa lelapa la hemiplegic migraine, ngoana oa hae o na le menyetla ea 50 ea ho rua mofuta oo.
Ha lipatlisiso li hlaha ho hemiplegic migraine, ho fumanoa liphetoho tse ngata tsa lefutso. Ka mohlala, liphetoho tsa lefutso la liphatsa tsa lefutso tsa PRRT2 li boetse li amana le malapa a hemiplegic migraine.
Sporadic Hemiplegic Migraine (SHM)
Mofuta ona ha o tloaelehe ho feta lelapa la hemiplegic migraine mme ha o futsane, e leng se bolelang hore motho ha a na lelapa la hemiplegic migraine. Ho e-na le hoo, liphetoho tsa lefutso tsa motho ea nang le migrine ea hemiplegic sporadic e etsahala ka boomo.
Matšoao
Matšoao a hlooho ea hlooho ea hlooho ea pelo e tšoana le ea hlooho ea lelapa. Ho phaella bofokoling bo le bong bo fumanoang nakong ea aura (e bitsoang hemiplegia), tlhaselo ea hemiplegic migraine e ka boela ea akarelletsa e le 'ngoe kapa tse ling tsa matšoao a latelang:
- Hlooho e bohloko
- Nosea le / kapa ho hlatsa
- Kutloisiso ho khanya le / kapa molumo
- Matšoao a aura a tloaelehileng a kang pono e fetoha, ho sithabela le ho sisinya, le / kapa mathata ho bua
Ha a hlaseloa haholo haemiplegic migraine, motho a ka 'na a tšoaroa ke feberu, ho tsieleha le ho hlasela.
Litlhare
E le ho thibela litlhaselo tsa hemiplegic migraine, ngaka e nang le hlooho e ka 'na ea fana ka kakaretso ea Calan SR (e tsoetseng pele-ho lokolloa verapamil) kapa Diamox SR (e boloketsoeng-release release acetazolamide). Meriana ena e nkoa letsatsi ka leng.
Ho sebetsana le tlhaselo e matla ea hemiplegic migraine ho ka ba thata haholo, ho ea ka American Migraine Foundation. Lebaka ke hobane ho na le meriana eo lingaka li batlang hore batho ba nang le lefu lena ba qobe hobane ba ka eketsa kotsi ea ho ba le stroke.
Meriana ena e kenyelletsa:
- Triptans
- Li-derivatives tsa Ergotamine
- Beta-blockers
Ka tloaelo, li-antisteroidal anti-inflammatories (NSAIDs), li-anti-nausea lithethefatsi, kapa li-opioids li sebelisetsoa ho kokobetsa migraine e sa hlomphehang.
Lentsoe le Tsoang ho
Haeba u lumela hore mohlomong o na le hlooho ea hemiplegic, ke habohlokoa hore u batle lingaka bakeng sa tlhahlobo e feletseng. Hemiplegic migraine ha e fumanehe hangata 'me e ka etsisa maemo a mang a tebileng, joaloka lefu la seoa kapa lefu la sefuba. Haeba u fumanoa u na le hemiplegic migraine, ke habohlokoa ho bona setsebi sa hlooho ea meriana bakeng sa phekolo.
> Mehloli:
> Komiti ea Khatiso ea Hlooho ea Mokhatlo oa Machaba oa Hlooho ea Mantlha. "Sebopeho sa Machaba sa Headache Disorders: Khatiso ea 3 (beta version)". Cephalalgia 2013; 33 (9): 629-808.
> Pelzer N, Stam AH, Haan J, Ferrari MD, Terwindt GM. E tloaelehileng le e fokolang ea hemiplegic migraine: ho hlahlojoa le kalafo. Curr Treat Treat Options Neurol . 2013 Feb; 15 (1): 13-27.
> Pelzer N et al. Pherekano e tloaelehileng le feberu ea mofuta oa lelapa oa hemiplegic migraine 2. Motho ea lebeletseng lilemo tse 15 tsa lelapa le leholo le nang le phetoho e ncha ea ATP1A2. Cephalalgia. 2017 Jul; 37 (8): 737-55.
> Robertson CE. (2017). Hemiplegic migraine. Ka: UpToDate, Swanson JW (Ed), UpToDate, Waltham, MA.
> Russell MB, Ducros A. Sporadic le familila hemiplegic migraine: mekhoa ea phekolo ea mafu, lik'hemik'hale, ho hlahlojoa, le tsamaiso. Lancet Neuro l. 2011 Mahae; 10 (5): 457-70.