I-Vestibular Migraines vs Ezinye Izimbangela Zesizungu Ne-Vertigo
Uma utshelwe ukuthi une-vestibular migraines, noma usolwa ukuthi ungase ube nalesi sifo, mhlawumbe uzizwa ucindezeleke kakhulu. Ziyini ngempela lezi migraines, zitholwa kanjani, futhi ziphathwa kanjani? Uyazi kanjani ukuthi akuyona enye into, njengesihlungu? Yini ongayilindela nokuthi yikuphi ukubikezela?
I-migraines ye-Vestibular icatshangwa ukuthi iyavame kakhulu kunalokho okucatshangwa ngaphambili, isithinta iphesenti elilodwa labantu.
I-Vestibular Migraines - Incazelo
Igama elithi "i-vestibular migraine" libhekisela ekutholeni isizungu esivela ku-migraine phenomena. Uhlelo lwe-vestibular luyingxenye yendlebe yangaphakathi eyasitshela ukuthi sikuphi isikhala ngezilinganiso ezintathu. Uma usuvele ugaxekile emibuthanweni ngokushesha wabeka, uyazi ukuthi kwenzekani lapho uhlelo lwakho lwe-vestibular lungasebenzi kahle.
Futhi okuthiwa i-migraine ehlotshaniswa ne-vertigo (i-MAV), noma i-vertigo eguquguqukayo, i-vestibular migraines ingenye yezimbangela ezivame kakhulu zomsindo we-vertigo . I-vertigo, nayo, ichazwa njengokuzwa kwesimo sosizi okuhlobene nomzwelo wokuthi uyaphenya noma umhlaba ujikelezayo nxazonke.
I-Migraine Headaches ne-Dizziness
I-Migraines ingenye yezifo ezivame kakhulu zezinzwa. Lapho abantu abaningi becabanga nge-migraines, bacabanga ngekhanda elibuhlungu, ngokuvamile libi kakhulu ngomsindo okhanyayo noma okhanyayo. Kwezinye izimo ze-migraine, amaphethini angavamile angavela phambi kwamehlo e-migraineur, noma angase athole ukuzwa okungavamile kokuphazamiseka noma ukugubha.
(ngesikhathi i-migraine noma njenge- aura ngaphambi kwe-migraine .) I-Migraines ingabangela ezinye izinhlobo eziningi zezinkinga ze-neurological, noma kunjalo, kufaka phakathi isizungu.
Ngandlela-thile, umqondo wokuthi ugozi uhamba ne-migraines akumangazi. Phela, i-Nausea ivame ukuqhubeka ngesikhathi se-migraines, futhi ivame ukuhambisana nesifo sokugula.
Lezi zimpawu zenzeka okungenani ngamaphesenti angu-54 weziguli ezine-migraine, uma kuqhathaniswa namaphesenti angu-30 kuphela abantu abanezinkinga zekhanda . Imizwa ye-vertigo (umqondo wokunyakaza ongaqondakali) ingabangela ukuhamba kwemigudu, iphinde iphakamise uxhumano phakathi kwe-migraines nesizungu.
Ngesikhathi isiyezi nokuzwa kwesifo sokunyakaza kuvamile nezinye izinhlobo ze-migraine, i-vestibular migraines ibonakala ngokuyinhloko yi-vertigo, ukungaqiniseki noma ukungabi namandla okulinganisela, ukuzwela ukuhamba, nokuzwa okungenakuzwa (noma ukukhala ezindlebeni.) Kucatshangwa ukuthi amaphesenti angaba ngu-10 abantu abane-migraines bahlushwa yi-vestibular migraine.
Ukuthola i-Vestibular Migraine
Ukwenza ukuxilongwa kwe-vestibular migraine, kunezinqubo ezithile okufanele zihlangabezane nazo. Ukuxilongwa ngokuvamile kwenziwa ngokusekelwe emlandweni wakho, izimpawu zakho, izinga lezibonakaliso zakho, ubude beziqephu zakho, nomlando wakho we-migraines esikhathini esidlule.
Esikhathini esiningi ukuhlolwa ngokomzimba, kanye nokuhlolwa kwelabhoratri nokucwaninga ngemifanekiso, kuvamile.
Ezinye izimbangela eziyingozi ezibangelwa ugozi kufanele zikhishwe ngaphambi kokuba kutholakale ukuthi kutholakala yini.
Impawu zokuxilonga zeVestibular Migraine
Nakuba amaphesenti angu-40 abantu abane-migraines anezimpawu ezithile ze-vestibular, kunezibonakaliso ezithile okumelwe zihlangabezane ukuze zihlolwe i-vestibular migraines.
Lezi zimpawu zichazwa yi-Bárány Society's Classification of Vestibular Symptoms, futhi zifaka:
- Abantu kumele babe nomlando uma izimpawu ze-migraine, ezifana nokukhanda ikhanda, kungakapheli amahora ambalwa esizungu, okungenani amaphesenti angu-50 wesikhathi. (Ngamanye amazwi, isikhathi se-vertigo sihlotshaniswa ne-migraine okungenani isigamu seziqephu.)
- Kumele kube okungenani iziqephu ezinhlanu eziye zahlala kumaminithi amahlanu kuya kumahora angu-72.
- Akufanele kube khona esinye isizathu esingachaza izimpawu.
- Izimpawu zihlanganisa i-aura ebonakalayo (isibonelo, ukubona izibani ezikhanyayo), ukuzwela ukunyakaza, photophobia (ukuzwela okukhanyayo), i-phonophobia (izinhlungu ezibangelwa umsindo), nezibonakaliso ze-vestibular.
Izimpawu ze-Vestibular zifaka:
- I-vertigo engavamile (Uma kungazelelwe uzizwe sengathi ugobhozela noma igumbi lizungeza wena.)
- I-Positional Vertigo (i-Vertigo eyenzeka uma uhambisa noma uvula ikhanda lakho endaweni ehlukile.)
- I-Vertigo evezwe ngokubonakalayo (i-Vertigo eyenzeka ngokuphendula ukubukela into ehambayo.)
- Ukunyakaza kwekhanda kwenza i-vertigo (Vertigo ebangelwa ukunyakaza kwekhanda.)
- Ukunyakaza kwekhanda kuhoxise ukuzondla nge-Vertigo (Isizungu esinesikhathi sokuphazamiseka kokuma kwendawo.)
Ubani othola i-Vestibular Migraines?
Imishanguzo ye-Vestibular ngokuvamile ivela kubantu abanomlando osungulwe we-migraines, nokho kubalulekile ukuqaphela ukuthi ukuxilongwa kwekhanda lomuthi we-migraine kukhonjisiwe. Njengezinye izinhlobo ze-migraine, i-vestibular migraine ivame kakhulu kwabesifazane kunamadoda. Le migraines ivame ukubukeka phakathi kweminyaka engama-20 no-40 kodwa ingaqala ebuntwaneni. Kwabesifazane, izimpawu ezikhulayo zivame ukuphawula esikhathini sokuqala kokuya esikhathini. I-migraine ye-Vestibular yaziwa ukuthi isebenza emindenini.
Imbangela ne-Genetics yeVestibular Migraine
Izimbangela ze-migraine ngokuvamile aziqondi kahle, futhi i-vestibular migraine ngisho nangaphansi kwalokho. Inkolelo yukuthi umsebenzi ongajwayelekile we-brainstem uhlakazeka ukushintsha indlela esijwayelekile ngayo ukuhumusha izinzwa zethu, kufaka phakathi ubuhlungu, kanye nokushintsha ukugeleza kwegazi emithanjeni ekhanda.
Ezimweni zezokwelapha, kunezinqubo ezicatshangelwe ukuthi zenziwe kusebenze ezixhumanisa uhlelo lwezintambo (ingxenye yocwaningo olusebenzayo ngesikhathi se-migraines) kwisistimu ye-vestibular.
Ucwaningo lwezofuzo zabantu abane-vertigo kanye ne-migraine liveze amathuba okwanda kwamagciwane njengegciwane le-CACNA1A, imbangela ye- episodic ataxia hlobo 2 . Ezinye izakhi zofuzo ezixhunywe kokubili i-vertigo kanye ne-migraine zifaka i-ATP1A2 (futhi ihilelekile ne-episodic ataxia) ne-SCN1A. Zonke lezi zakhi zofuzo zihlobene neziteshi ze-ion ezilawula ukuthi ugesi usakazeka kanjani ebuchosheni.
Ukwelashwa kwe-Vestibular Migraine
Ukwelashwa kwe-vestibular migraine kufana nezinye izindlela zokwelashwa , futhi ngokuvamile, kuhlanganisa inhlanganisela yokwelapha eziningana zokwelashwa. Ngokuphathelene nemithi, izikhathi eziningi izidakamizwa ezidambisa isizungu ngeke zikhulule ikhanda futhi ngokuphambene nalokho. Ukwelashwa kufaka:
- Ukugwema izimbangela - Enye yezinyathelo zokuqala nezokubaluleke kakhulu ukuqaphela (futhi ugweme uma kungenzeka) noma yini edala i-migraines . Lokhu kungafaka ukudla okunye, ukulahleka kokulala, noma ukukhanya okukhanyayo kokuqala. Ukunyakaza okubonakalayo ngezinye izikhathi kungabangela i-vestibular migraine.
- Izindlela zokuphila - Ukusuka ekuhlanzeni ubuthongo, imikhuba yokuphila ingenza umehluko omkhulu kubantu abahlala ne-migraines. Abantu abaningi abane-migraines, isibonelo, bakuthola kuwusizo ukuvusa nokulala ngesikhathi esifanayo usuku ngalunye, ngisho nangezimpelasonto.
- Imithi yokwelashwa eqondile (imithi yokwehlisa imithi .)
- Imishanguzo yokungapheli kwe-migraine (imithi yokuvimbela imithi ) - Kunezigaba eziningana zemithi ezingase zizame ukuze kunciphise inombolo noma imvamisa yeziqephu ze-migraine. Lezi zingabandakanya imithi yokulwa ne-anti-seizure njenge-Neurontin (gabapentin), i-beta-blockers, i-tricyclic antidepressants, izivimbela zesiteshi se-calcium, nokuningi.
- Imithi ye-nausea (antiemetics) njengeTrarazine noma i-Reglan.
- Imithi yokuzivocavoca efana ne-meclizine.
- Izindlela zokuziphatha - Izindlela zokwelapha zokuziphatha , ezifana nokwelashwa okuphumuzayo, ukwelashwa kokuziphatha kwengqondo, kanye ne-biofeedback yingxenye ebalulekile yokwelapha.
- Ukwelapha ngokomzimba ukusiza ngokungazinzi ngenkathi uhamba nge-vestibular migraine.
Izinkinga ezihlobene ne-Vestibular Migraine
Kunezinye izimo ezingase zifane noma zifakwe nge-vestibular migraine. Lokhu kufaka:
- I-basilar migraine - i-basilar migraine , noma i-syndrome ye-Bickerstaff, uhlobo oluthile lwe-migraine elibangela futhi i-vertigo, kodwa ngokuvamile, ixazulula ngokukhula kwabantu abadala. Igama elithi buslar libhekisela kumshini we-basilar ohlinzeka okuningi kwe-brainstem ngegazi, kuhlanganise nezikhungo zokulinganisela. Ngokungafani ne-vestibular migraine, i-basilar migraine ingabangela ezinye izimpawu ezifana nombono ophindwe kabili, inkulumo ephikisiwe, izinguquko zokuzwa, ukuhlushwa, izinguquko ezithinta izinzwa, nokulahlekelwa nokuqonda.
- Isifo se-Meniere - Isifo se- Meniere yisifo esiyinkinga yangaphakathi esibangela kokubili i-vertigo ne-tinnitus. Isifo se-Meniere singase sidideke ne-vestibular migraine. Ngaphezu kwalokho, akuyona into engavamile ukuba othile abe nezinkinga zombili. Amaphesenti angaba ngu-45 abantu abanezifo ze-Meniere banesimiso esisodwa se-migraine-hlobo ngesikhathi sokuhlaselwa kwe-vertigo, futhi kunengozi eyengeziwe yokwelapha kubantu abaneMeniere's. Lokhu kusikisela ukuthi lezi zimo ezimbili zingase zihlobene eduze nemvelaphi.
- Ukuphazamiseka kobuhlungu - Abantu abane-migraine banamathuba angu-16 okuphila kwansuku zonke ekuthuthukiseni ukuphazamiseka kwesifo, okuphindwe izikhathi ezine ngaphezu kwabantu abangenayo i-migraine. Zombili izimo zinganikeza umqondo weziyezi. Ukuhlaselwa kobuhlungu kungabangela ubuhlungu besifuba, ukukhwehlela, ukucwenga, umzwelo wokukhamba, ukujuluka, ukugwedla, ukugubha nokuningi. Eqinisweni, akuvamile ukuthi abantu babe nezimo ezintathu: i-migraine, ukukhathazeka, nezinkinga ezinokulinganisela. Lokhu kubizwa ngokuthi u -diabziness ehlobene nokukhathazeka .
- Ukugula okuhambayo - Abantu abane-migraine bazo zonke izinhlobo banamathuba amaningi okugula ngenxa yokugula, futhi baphakamisa ukuxhumana phakathi kwesistimu ye-vestibular kanye ne-migraines.
Yini Okungahle Ibe Ngayo? - Ukuhlonza okuhlukile kwe-Vestibular Migraines
Njengoba kuphawuliwe ngenhla, ukuxilongwa kwe-vestibular migraine kwenziwa ngemuva kokuba ezinye izimo zikhishiwe. Lokhu kubandakanya izimo ezibalulwe ngenhla njengezifo ze-Meniere, kanye nokuthi:
- Ukulimala kwe-Brainstem noma ukuhlaselwa kwe-ischemic okudlulayo
- I-vertigo ye-Benign positional
- I-veurbular neuritis
- I-vestibular paroxysms
- Ukuzondeka kwengqondo
Ukubhekana ne-Vestibular Migraines
I-migraines ye-Vestibular ingaba nomthelela omkhulu ekuphileni kwakho. Ngenxa yalomthelela, kubalulekile ukwakha uhlelo oluphelele lokunakekelwa uma unemigraines efaka imithi hhayi kuphela kodwa ukugwema izimbangela nendlela yokuphila nezindlela zokuziphatha.
Kungaba ukukhathazeka ukubhekana nalezi zimpawu, futhi ungase uzizwe uhlukanisiwe ngenxa yabo, kodwa abantu abane-vestibular migraine bahlala ndawonye, njengoba abantu abaningi kudingeka bathole izindlela zokubhekana nemigraines nsuku zonke. Kunomphakathi omkhulu wabantu abangaphendukela komunye nomunye ukuze uthole amathiphu nezeluleko. Ungase ube neqembu lenkxaso yendawo emphakathini wakho, kodwa kunemiphakathi eminingi yokusekela i-vestibular migraine etholakalayo kanye nokuthi inganikeza ukusekelwa, futhi ikusize ufunde mayelana nocwaningo lwamuva esimweni.
Imithombo
- Dieterich, M., Obermann, M., noN. Celebisoy. I-vestibular migraine: Inhlangano Engavamile Kakhulu Ye-Episodic Vertigo. Journal of Neurology . 2016. 263 Ukusekela 1: S82-9.
- Sohn, J. Ukuthuthukiswa Kwamuva Kwokuqonda I-Vestibular Migraine. I-Neurology Yokuziphatha . 2016. 2016: 1801845.
- Tedeschi, G., Russo A., Conte, F., Laura, M., no A. Tessitore. I-Vestibular Migraine Pathophysiology: Ukuqonda okuvela ku-Neuroimaging. Sciences Neurological . 2015. 36 Isamba 1: 37-40.
- von Brevern, M., noT. Lemert. I-Vestibular Migraine. I-Handbook ye-Neurology yezokwelapha . 2016. 17: 301-16.