He aha ka hemiplegic migraine?

Anter

• Hoʻomaʻo hemiplegic migraine
• Nā kumu a me nā mea hoʻonāukiuki i ka migraine hemiplegic
• Nā mea hoʻonāukiuki o hemiplegic migraine
• Nā ʻōuli o hemiplegic migraine
• Pehea ia ʻike?
• Kāohi a me nā kumu pilikia
• Outlook

Hōʻike Overview

ʻO Hemiplegic migraine kahi ʻano laha ʻole o ka maʻi migraine. E like me nā migraines ʻē aʻe, hemiplegic migraine ke kumu o ka ʻeha nui a me ka puʻuwai, nausea, a me ka noʻonoʻo i ka mālam a me ke kani. Mālama pū kekahi ia i ka nāwaliwali o ka manawa, ka helu a me ke kani ʻana, a me ka maʻi lōlō ma kekahi ʻaoʻao o ke kino. Hoʻomaka kēia mau ʻōuli ma mua o ka maʻi poʻo. "Hemiplegia" ʻo ia hoʻi ka paralysis.

Hoʻopili ka migraine hemiplegic i kahi helu liʻiliʻi o ka poʻe i loaʻa ka migraine me ka aura. Hoʻopili pū ʻo Aura me nā ʻōuli ʻike, e like me nā uila o ke kukui a me nā zigzag i kū ma mua a i ʻole ma ka wā o ka migraine. Hoʻopili pū ʻo Aura i nā pilikia sensory ʻē aʻe a me ka haʻi ʻōlelo pilikia. I ka poʻe me ka migraine hemiplegic, ʻo ka nāwaliwali a palalysis paha ma ke ʻano he aura.

Aia he ʻelua ʻano nui o ka migraine hemiplegic. ʻO kāu ʻano i hoʻokumu ʻia ma ka mōʻaukala ʻohana o migraines:

• ʻO ka migraine hemiplegic ʻohana(FHM) pili i ʻelua mau ʻohana pili pono ma ka ʻohana like. Inā he FHM kāu, e loaʻa ana i kāu mau keiki he 50 pakeneka o ka hoʻoilina i ke ʻano.
• Sporadic hemiplegic migraine (SHM) pili i ka poʻe i loaʻa ʻole kahi moʻolelo ʻohana o ke ʻano.

Hoʻokumu kahi migraine hemiplegic i nā ʻōuli e like me ka hilahila a me ka pilikia e ʻōlelo, kahi like me ka maʻi hahau. Ke ʻike nei i kahi neurologist a i ʻole poʻo loea ʻeha no ka hoʻāʻo ʻana hiki ke kōkua iā ʻoe e loaʻa ka ʻike kūpono a me ka lāʻau.

Hoʻomaʻo hemiplegic migraine

ʻO ka nui o nā lāʻau like i hoʻohana ʻia e mālama i ka migraines maʻamau e hana pū no ka hemiplegic migraines. Hiki i kekahi mau lāʻau ke pale i kēia mau poʻo poʻo ma mua o ka hoʻomaka ʻana:

• Hiki i nā lāʻau lapaʻau kiʻekiʻe ke hōʻemi i ka helu o migraines āu e loaʻa ai a hōʻemi i kēia mau maʻi poʻo.
• Hiki ke kōkua i nā lāʻau anti-hopu i kēia ʻano maʻi poʻo.

ʻO nā lāʻau i kapa ʻia ʻo triptans kekahi o nā hana nui no ka migraines maʻamau. Eia naʻe, ʻaʻole lākou e koi ʻia no ka poʻe me ka migraines hemiplegic. Hiki iā lākou ke hōʻino i nā ʻōuli o ka hemiplegic migraine, a i ʻole ke kumu o ka hōʻino mau. ʻO Triptans kahi sumatriptan (Imitrex), zolmitriptan (Zomig), a me rizatriptan (Maxalt).

Nā kumu a me nā mea hoʻonāukiuki i ka migraine hemiplegic

Hoʻokumu ʻia ka migraine hemiplegic e nā loli (hoʻololi) i nā genes. Ua hoʻopili ʻia kekahi mau ʻaoʻao i ka hemiplegic migraine, me:

• ATP1A2
• CACNA1A
• PRRT2
• SCN1A

Hāpai ʻo Genes i nā ʻōkuhi no ka hana ʻana i nā protein e kōkua ai i nā hunaola nerve e kamaʻilio. Hoʻopili ka mutation i kēia mau gen i ka hoʻokuʻu ʻia ʻana o nā kemika lolo i kapa ʻia ʻo neurotransmitters. Ke hoʻololi ʻia nā genes, hoʻopau ʻia ka kamaʻilio ʻana ma waena o kekahi mau ʻāʻī nerve. Hiki i kēia ke alakaʻi i nā poʻo hina nui a me nā haunaele ʻike.

I ka FHM, holo ka hoʻololi o ka ʻohana i loko o nā ʻohana. I ka SHM, loli ke ʻano o ka ʻāpana.

Nā mea hoʻonāukiuki o hemiplegic migraine

ʻO nā mea maʻamau o ka hemiplegic migraines e komo pū ana:

• hoʻoluhi
• kukui uila
• ʻuhane ikaika
• liʻiliʻi a nui loa paha o ka hiamoe

ʻO nā mea pākuʻi migraine ʻē aʻe:

• nā meaʻai e like me nā meaʻai i hana ʻia, nā paʻi waiū kahiko, nā meaʻai paʻakai, a me ka MSG hoʻohui
• ʻalekoke a me ka caffeine
• hōʻalo ʻana i ka meaʻai
• loli ke aniau

Nā ʻōuli o hemiplegic migraine

Hiki i nā ʻōuli o ka hemiplegic migraine ke hoʻopili pū me:

• nāwaliwali ma kekahi ʻaoʻao o kou kino - e like me kou maka, lima, a me kou wāwae
• numbness a i ʻole tingling ma ka ʻaoʻao i hoʻopili ʻia o kou alo a lālā paha
• nā uila o ka mālamalama, ʻike lua, a i ʻole nā ​​haunaele ʻike ʻē aʻe (aura)
• hoʻopilikia i ka ʻōlelo ʻana a i ʻole ka haʻi ʻōlelo slurred
• hiamoe
• ʻūpā
• nalo o ka hoʻohui ʻana

Kākaʻikahi ka poʻe me ka hemiplegic migraines i nā hōʻailona koʻikoʻi, e like me kēia:

• huikau
• lilo o ka kaohi i ka neʻe
• hoʻemi i ka ʻike
• poho hoʻomanaʻo
• koma

Hiki ke mau nā hōʻailona mai kekahi mau hola a i kekahi mau lā. Hiki ke hoʻomau i ka nalo ʻana i kekahi manawa no nā mahina.

Pehea ia ʻike?

Hoʻomaopopo nā kauka i ka migraine hemiplegic ma muli o kāna mau ʻōuli. E ʻike ʻia ʻoe me kēia ʻano maʻi poʻo inā loaʻa ma kahi o ʻelua mau hoʻouka ʻana o ka migraine me ka aura, nāwaliwali, a me ka ʻike, ka ʻōlelo, a me nā ʻōuli ʻōlelo. Pono e hele aku kēia mau ʻōuli ma hope o ka hoʻomaikaʻi ʻana o kou ʻeha.

Hiki i ka hemiplegic migraine ke paʻakikī e hoʻokaʻawale ʻē aʻe i nā kūlana ʻē aʻe, e like me ka hahau a i ʻole ka puʻu liʻiliʻi (i kapa ʻia hoʻi he hoʻouka ischemic transient) Hiki i kona mau ʻōuli ke like me nā maʻi e like me nā sclerosis a epilepsy paha.

E kāpae i nā kūlana me nā ʻōuli like, e hana ke kauka i nā hoʻokolohua e like me kēia:

• A CT scanhoʻohana i nā kukuna X e hana i nā kiʻi i loko o kou kino.
• An MRI hoʻohana i nā mākēneki ikaika a me nā nalu lekiō e hana i nā kiʻi i loko o kou kino.
• An electroencephalogramana i ka hana uila i kou lolo.
• An echocardiogramhoʻohana i nā nalu kani e hana i nā kiʻi o kou puʻuwai.

Inā loaʻa iā ʻoe hoʻokahi a ʻoi aku paha nā lālā o ka ʻohana me kēia ʻano migraine, makemake paha ʻoe e hoʻāʻo i ka ʻikepili Eia nō naʻe, ʻaʻole hōʻoia ka hapanui o nā poʻe me FHA i ka maikaʻi. ʻAʻole i loaʻa i nā kānaka noiʻi nā gen a pau i pili i kēia ʻano.

Kāohi a me nā kumu pilikia

Hoʻomaka pinepine ka hoʻouka ʻana o ka migraines hemiplegic i ka wā kamaliʻi a i ʻole ʻōpio makua. Loaʻa paha iā ʻoe kēia ʻano ʻeha o ke poʻo inā holo i kou ʻohana. Inā loaʻa i kekahi o kou mau mākua ka hemachegic migraine, loaʻa iā ʻoe he 50 pakeneka o ka loaʻa pū ʻana i kēia mau maʻi poʻo.

Hiki ʻole paha iā ʻoe ke pale aku i nā maʻi poʻo o hemiplegic inā holo lākou i kou ʻohana. Eia nō naʻe, hiki iā ʻoe ke lawe i ka lāʻau e hōʻemi i ka nui o nā maʻi poʻo i loaʻa iā ʻoe.

ʻO kahi ala ʻē aʻe e pale ai i kēia neʻe ʻana o ka pale ʻana i nā kumu āpau e hoʻonāukiuki i kou poʻo poʻo.

Outlook

Kū kekahi poʻe i ka loaʻa ʻana o ka migraines i ko lākou wā ʻelemakule. I nā poʻe ʻē aʻe, ʻaʻole hele ke ʻano.

ʻO ka loaʻa ʻana o ka migraines me ka aura hiki ke pāpālua i kou makaʻi no kekahi ʻano o ka hahau - ʻoi aku i nā wahine. Hoʻonui hou aʻe ka makaʻu inā ʻoe puhi (kāne a wahine) a i ʻole lawe i nā lāʻau kaohi hānau (wahine). Eia nō naʻe, haʻahaʻa haʻahaʻa ka makaʻu o ka hahau ʻana i ka nui.