He aha ka migraine vestibular?
![Testing and Treatment for Vestibular Migraine - Spotlight on Migraine Season 2, Episode 2](https://i.ytimg.com/vi/5Ek6zGkaC-s/hqdefault.jpg)
Anter
- Nā hōʻailona migest vestibular
- Nā kumu a me nā kumu o ka migraines vestibular
- Pehea ia ʻike?
- Hoʻomaʻo, pale, a me ka hoʻokele
- Outlook
Hōʻike Overview
Kuhi kahi migraine vestibular i kahi ʻāpana o ka vertigo i kekahi mea i loaʻa ka mōʻaukala o ka migraines. Manaʻo ka poʻe me ka vertigo e like me lākou, a i ʻole nā mea e puni ana iā lākou, ke neʻe nei inā ʻaʻole maoli. "Vestibular" pili i ka ʻōnaehana i loko o kou pepeiao o loko e kāohi ana i ke kaulike o kou kino.
Pili pinepine nā migraines me nā ʻeha ʻehaʻeha, akā ʻokoʻa nā migraines vestibular no ka mea ʻaʻole pili iki nā ʻāpana. He nui ka poʻe i loaʻa i nā migraines maʻamau a basilar paha (me aura) ʻike pū kekahi i nā migraines vestibular, akā ʻaʻole ka poʻe āpau.
Hiki i nā migraines vestibular ke hala i mau kekona a i ʻole mau minuke, akā hoʻomau lākou i kekahi mau lā. Kākaʻikahi ka lōʻihi o ko lākou lōʻihi ma mua o 72 mau hola. I ka hapanui o nā hihia, kū mau nā ʻōuli no kekahi mau minuke i kekahi mau hola. Ma waho aʻe o ka vertigo, ʻike paha ʻoe i ke kaulike ʻole, ʻūlū, a me ke poʻo māmā. Ke hoʻoneʻe nei i kou poʻo i kumu e hoʻonui ai i kēlā mau hōʻailona.
Loaʻa kahi migraine vestibular ma kahi o ka heluna kānaka. ʻO ia ke kumu maʻamau o nā hanana vertigo spontan. E ʻike paha nā keiki i nā ʻāpana e like me ka migraines vestibular. I nā keiki, ʻike ʻia ʻo ia ʻo "benign paroxysmal vertigo o ka wā kamaliʻi." ʻOi aku paha kēlā mau keiki i ka ʻike ʻana i ka migraines ma hope o ke ola.
Nā hōʻailona migest vestibular
ʻO ka hōʻailona nui o ka migraine vestibular kahi ʻāpana o ka vertigo. Hana maʻamau ia ma ka hanana. E ʻike paha ʻoe i nā ʻōuli e like me:
- manaʻo kaulike ʻole
- maʻi neʻe i hoʻokumu ʻia i kou poʻo
- ʻūpikipiki i ka nānā ʻana i nā neʻe e like me nā kaʻa a i ʻole nā poʻe e hele wāwae ana
- ʻālohilohi
- ke manaʻo nei e luliluli ana ʻoe ma ka moku
- nausea a me ka luaʻi ma ke ʻano he hopena o nā ʻōuli ʻē aʻe
Nā kumu a me nā kumu o ka migraines vestibular
ʻAʻole maopopo i nā kauka ke kumu o ka migraines vestibular, akā manaʻo kekahi poʻe he hana nui ka hoʻokuʻu kūleʻa ʻole ʻana o nā kemika i ka lolo.
ʻO kekahi o nā kumu like e hoʻonāukiuki i nā ʻano migraines ʻē aʻe hiki ke hoʻoulu i ka migraine vestibular, me:
- hoʻoluhi
- nele i ka hiamoe
- hoʻomake wai
- nā loli, a i ʻole nā hoʻololi i ka kaomi barometric
- menstruation
Hiki i kekahi mau meaʻai a me nā mea inu ke hoʻoulu i ka migraine vestibular:
- kokoleka
- waina ʻulaʻula
- nā paʻi waiū ʻelemakule
- monosodium glutamate (MSG)
- nā ʻiʻo i hana ʻia
- kope
- soda me ka caffeine
ʻOi aku ka makaʻu o nā wahine no ka loaʻa ʻana o migraines vestibular. Manaʻo nā kauka e holo ana nā migraines vestibular i loko o nā ʻohana, akā ʻaʻole i hōʻike ʻia nā noiʻi i kēlā loulou.
Pehea ia ʻike?
Hiki i nā migraines vestibular ke paʻakikī i ke kuhi maʻi no ka mea ʻaʻohe hoʻokolohua ʻoki maopopo nona. Akā, e kūkākūkā kāu kauka i kāu mau ʻōuli a me ka mōʻaukala a noʻonoʻo i nā mea i kau ʻia e nā alakaʻi i ka International Classification of Headache Disorder:
- Ua loaʻa iā ʻoe ma kahi o ʻelima mau māhele vertigo kaulike a koʻikoʻi paha i hala 5 mau minuke i 72 mau hola?
- Loaʻa iā ʻoe ma mua a loaʻa paha iā ʻoe kahi migraines me ka ʻaʻohe aura?
- Ma ka liʻiliʻi he 50 pākēneka o nā māhele vertigo i hoʻopili ʻia ma ka liʻiliʻi o kekahi o kēia mau mea:
a. ʻeha ʻeha i ka mālamalama, ʻike ʻia ʻo photophobia, a i ʻole i ke kani, i ʻike ʻia ʻo phonophobia
b. he aura ʻike maka
c. kahi poʻo ʻeha e pili ana i ʻelua o kēia mau ʻano:
i Hoʻokumu ʻia ia ma kekahi ʻaoʻao o kou poʻo.
ii. Me he mea lā ke kuʻi nei ia.
iii. Kūlike a koʻikoʻi paha ka ikaika.
iv. Hoʻonui ka ʻeha o ke poʻo me ka hoʻoikaika kino. - Aia kekahi kūlana e wehewehe pono i kāu mau hōʻailona?
I mea e mālama pono ai iā ʻoe, e makemake ana kāu kauka e kāpae i kēia mau ʻano ʻē aʻe i hiki ke hoʻokumu ʻia i nā ʻōuli.
- huhū o ke aʻa a i ʻole nā kulu wai i loko o kou pepeiao o loko
- hoʻouka ischemic kuewa (TIA), i kapa ʻia he ministrokes
- ʻO ka maʻi ʻo Meniere (kahi maʻi pepeiao o loko)
- ʻO ka vertigo kūlana kiʻekiʻe (BPV), ka mea e hōʻemi ai i nā wā pōkole o ka loli liʻiliʻi a ikaika paha
Hoʻomaʻo, pale, a me ka hoʻokele
ʻO nā lāʻau like i hoʻohana ʻia no ka vertigo hiki ke hāʻawi i ke kōkua mai nā episode migra vestibular. Kōkua kēia mau lāʻau i ka mālama ʻana i ka lōlō, ka neʻe ʻana o ka neʻe, ka nausea a me ka luaʻi, a me nā ʻōuli ʻē aʻe.
Inā ʻike pinepine ʻoe i nā hanana, hiki i kāu kauka ke kuhikuhi i nā lāʻau like e kōkua i ka pale ʻana i nā ʻano migraines. Pili kēlā mau lāʻau:
- beta ālai
- triptans e like me sumatriptan (Imitrex)
- anti-ka hopu lāʻau, e like me lamotrigine (Lamictal)
- paukū ʻaʻa calcium
- Nā mea kūʻē CGRP, e like me erenumab (Aimovig)
Outlook
ʻAʻohe mea ola no ka migraines. Ua nānā kahi Kelemania mai 2012 i ka poʻe me ka migraines vestibular ma kahi o kahi manawa o 10 mau makahiki. Ua ʻike nā kānaka noiʻi i ka hala ʻana o ka manawa, ua emi ka pinepine o ka vertigo ma 56 ka nui pākēneka o nā hihia, hoʻonui ʻia ma 29 pākēneka, a ua like ia ma 16 pākēneka.
ʻO ka poʻe i loaʻa i ka migraines vestibular ʻoi aku paha ka maʻi maʻi a ʻoi aku ka nui o ka makaʻu no ka hahau ischemic. E kamaʻilio me kāu kauka e pili ana i ka mālama ʻana a me ka pale ʻana i kēlā mau ʻano, a me nā hopohopo ʻē aʻe āu e loaʻa ai.