Ukuthola izimpawu ze-migraine kanye ne-vertigo
Cabanga uhambo oluya epaki elihle elihle noma umkhosi, ogcwele abangane, i-candy candy, kanye nokushisa kwelanga okufudumele. Umsindo ujabule uze uhambe uhambo oluthambile-u-whirl kanye nesipiliyoni esiyingozi. Lokhu kungase kube indlela ozizwa ngayo ngabanye benu abahlukunyezwa yi-vestibular migraines, uhlobo lwezinsizi olubangela ukuzondeka okungokwemvelo, ngokuvamile okungenayo ikhanda, kubantu abanomlando we-migraines.
Isingeniso
Izidakamizwa ze-Vestibular zithinta ku-1% wabantu. Iziguli ze- vertigo ezine-vestibular migraine isipiliyoni zihlukile ku-vertigo eyodwa ezingase zithole ngesikhathi se- migraine aura , ngoba ngokuvamile ama-vertigo awahlali amaminithi angu-5-60 njenge-aura futhi ngokuvamile ayengaphambi kokuhlupheka kwekhanda. Muva nje, iKomidi Lokuhlukaniswa Kwezinkinga Zama-Vestibular weBárány Society kanye nekomidi le-Migraine Classification Society le-International Headache Society (i-IHS) lenze indlela abadokotela abangayisebenzisa ukuze bahlolisise ama-vestibular migraines.
Izigaba zokuhlukaniswa
Ngokwezigaba zokuhlukaniswa kohlelo lwesibili lwe- International Classification of Headache Disorder (ICHD-II), izimpawu ze-vestibular migraine zifaka:
- Umlando wamanje noma owedlule we-migraine noma ngaphandle kwe-aura
- Okungenani ama-episodes angu-5 wezimpawu ze-vestibular ezilinganiselwe ukuze zibe namandla kakhulu okuhlala emizuzu emi-5 kuya kumahora angu-72
- Okungenani amaphesenti angu-50 eziqephu zinezici ezithile noma eziningi
- i-visual aura
- photophobia kanye ne- phonophobia
- ikhanda okungenani izici ezimbili ezilandelayo: ubuhlungu bekhanda elilodwa, ukuxosha, ukulinganisela noma ukuqina okukhulu, ukuqhuma komzimba ngokusebenza komzimba
- Izimpawu azichazwe ngesinye isimo sezokwelapha
Ziyini izimpawu ze-Vestibular?
Izimpawu ze-Vestibular, ngokusho kweBárány Society's Classification of Vestibular Symptoms zifaka:
- i-vertigo yokuzenzekelayo (uma umuntu ezwa sengathi uhamba noma ukuthi okuzungezile kuphefumula noma kugeleza)
- i-vertigo yangasese (i-vertigo eyenziwe ngushintsho esimweni esiyinhloko)
- i-vertigo eyenziwe ngeso lengqondo (i-vertigo ebangelwa ukugqugquzela okubukeka okukhulu, okuhambelayo)
- i-vertigo ekhishwa ngenhliziyo noma isiyezi nge-nausea
Izimpawu ze-Vestibular "zilinganisela" uma ziphazamisa imisebenzi yansuku zonke futhi "ziqinile" uma zivimbela imisebenzi yansuku zonke.
Ukuxilongwa
Ukuxilongwa kwe-vestibular migraine kwenziwa yinkinga yezinzwa noma i-headache specialist. Azikho izivivinyo ezikhethekile, kodwa kunalokho ukuxilongwa kungumtholampilo, okusho ukuthi wenziwa isiguli echaza izimpawu zakhe kudokotela. Noma kunjalo, udokotela wakho cishe uzobe ucabangela ubuchopho ngesithombe se-resonance magnetic resonance ( MRI ) kanye / noma i-magnetic resonance angiography ( MRA ) ukuqinisekisa ukuthi akekho isimo esithile esibucayi sezokwelapha esiqhubekayo njengokuthi: isisu se-isrokhi ukuhlasela (TIA). Ungase uphinde uhlole i-audiometry noma uvivinyo lokuzwa ukuze ulawule isifo sikaMeniere . Ezinye izimo zezokwelapha ezingase zifane ne-vestibular migraine ziyizixuku ezihlobene nokukhathazeka noma ukuhlaselwa kwesibindi, i- vertigo enobungozi obuthakathaka , noma olunye uhlobo lwe-migraine okuthiwa i- basilar migraine .
Ukwelapha
Ukwelashwa kwe-vestibular migraine kufana nokuphathwa kwe-migraines ukuthi kokubili ukwelashwa okunamandla nokuvimbela kuyabhekwa, ngaphezu kokubangela ukugwema i-Ergotamine noma i- triptans yizinketho ezifanele zokuphathwa kokwelapha, okufana nokusetshenziswa kwazo ku-episodic migraine. Uma i-vestibular migraines yenzeke njalo futhi / noma ngokukhubaza ngokukhethekile, kunemithi evikelayo njenge- beta blocker noma umphikisi we-calcium, njenge-verapamil, ingaba usizo. Ngezinye izikhathi, izidakamizwa ezithintekayo, ezingachazwa ngokuthi "imithi yokulwa ne-vertigo", zisetshenzisiwe. Izibonelo zezidakamizwa zokuhlukunyezwa zihlanganisa: i- antiemetics njenge-promethazine, i-benzodiazepines efana ne-lorazepam, noma ama- antihistamine afana ne-meclizine.
Ukuvuselelwa kwe-Vestibular kuyinto okufanele ihlolwe kumagciwane ane-vestibular migraine. Kule ndlela yokwelapha ngokomzimba, iziguli zifunda ukuthuthukisa umqondo wazo wokulinganisela nokunciphisa ukuzwa kwabo kokuzondeka, uma i-vestibular migraine isenzeka.
Ngaphansi
Uma uhlupheka nge-vertigo episodic noma ungenayo ikhanda, kunokubukeza izimpawu zakho nomhlinzeki wakho wezempilo. Udokotela wakho uzokhipha ezinye izimbangela zezoyezi ngaphambi kokuthola ukuxilongwa kwe-vestibular migraine. Kodwa, uma lokhu kutholakala, awusiye wedwa, futhi kukhona izinketho eziningi zokwelapha ngaphandle lapho.
> Imithombo:
Bisdorff AR. Ukuphathwa kwe-vestibular migraine. I-Ther Adv Neurol Disord. 2011 Meyi; 4 (3): 183-191.
I-Black DF neRobertson CE. I-vestibular migraine. Ku: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia 2013; 33 (9): 629-808.
U-Lempert T, u-Olesen J, u-Furman J, u-Waterston J, u-Seemungal B, u-Carey J, et al. I-Vestibular migraine: i-diagnostic criteria. J Vestib Res . 2012; 22 (4): 167-72.