Ukubukeka, ukukhuluma, nokuphazamiseka kwemizwa ngokuvamile okubonakalayo
Emaphesenti angaphezu kwangu-30 amacala, i- migraine izobe ilandelwe ukuphazamiseka kwengqondo okubizwa ngokuthi i-aura. I-Auras ngokuyinhloko ihilela umbono kodwa ingafaka futhi inzwa, inkulumo, ngisho nokulimala kwezimoto. Ngokuvamile baqala noma yikuphi ukusuka emaminithini ambalwa kuya kwehora ngaphambi kokuba ubuhlungu be-migraine buvele, ukuthuthukisa kancane kancane kunokuba bonke ngesikhathi esisodwa.
I-Auras nayo ingenzeka ngesikhathi sekhanda le-migraine ngokwayo futhi, kwezinye izimo, ngaphandle kobuhlungu nhlobo (isimo esibizwa ngokuthi i- migraine elinganayo ).
Ngokuvamile, izimpawu ze-aura zizohlala emaminithini amahlanu kuya kwangu-60 bese zixazulula ngokuzodwa zingenakho ukulimala komzimba kwanoma yiluphi uhlobo.
Izimpawu ezibonakalayo ze-Migraine Aura
Abantu abathola i-migraine aura bazovame ukubona indawo ekhanyayo noma ukulahlekelwa okuncane kombono (scotoma) ensimini yabo yombono. Lokho okubonakalayo okubonakalayo kuzobe kwandiswe kancane kancane futhi kungene embonweni womuntu wangaphandle. Kukhona ngalesi sigaba ukuthi umuntu angakwazi ukubhekana nokuphazanyiswa kwe-optical, kufaka phakathi:
- izibani ezikhanyayo noma ezikhanyayo
- i- mirucination ebonakalayo njengemigqa ye-zigzag noma ukushintshashintsha, ubuciko be-kaleidoscopic
- ukuzwela okukhanyayo (photophobia)
- umbono ongenalutho
- ubuhlungu beso
Izimpawu Zezinzwa Ze-Migraine Aura
Izimpawu ze-neurological zingase zenzeke phakathi ne-migraine aura, kungaba ngokwabo noma ngokuhambisana nezimpawu ezibonakalayo.
Kuzovame ukuqala ngokulinganisa kwesilungu noma eceleni kolunye uhlangothi.
Lo mzwa uzovame ukuthuthela kwezinye izingxenye zomzimba - njengokungathi kusuka ehlombe langakwesokudla kuya kwesokudla esingaphambili - kodwa cishe kuphela ohlangothini olulodwa lomzimba, hhayi kokubili. (Lokhu kungenxa yokuthi izinzwa eziningi ziyi-peripheral, okusho ukuthi insizakalo ingakwesokudla noma kwesobunxele bomzimba.) Njengoba umuzwa uhambela, ushiya ngemuva kokuphazamiseka okugcina ekugcineni.
Izinkinga zokukhuluma noma zolimi ziyaziwa ukuthi zenzeka, noma zodwa noma zihlangene nokuphazamiseka okubukwayo kanye / noma okuzwakalayo.
Ezimweni ezihlukumezayo, ukulahlekelwa okwesikhashana kokulawulwa kwemoto kungenzeka, nakuba lokhu kuvame ukubonwa ku- migrine ye- hemiplegic kunokuthi ngesikhathi se-migraine aura.
Ukuthola i-Migraine Aura
Odokotela bazovame ukuxilongwa ngokusekelwe emlandweni wezokwelapha komuntu kanye nokubukeza izimpawu. Okunye ukuhlolwa, okufana ne- POUND mnemonic (okuhloswe ukukhomba uhlobo lwezimpawu) kanye ne- questionnaire ye-ID (ehlose ukunquma ubunzima bezimpawu), kungaba usizo ekuqinisekiseni ukuxilongwa kwe-migraine.
Umtholampilo onolwazi uzophinde ahlose ukuhlukanisa izimpawu ze-aura ezivela kwezinye izimo ezinengqondo ezinjenge- stroke noma ukuthunjwa . Uma kukhona ukungabaza ngokuqondene nesibangela, i- imagery magnetic resonance imaging (MRI) ye-brain ingase ilandelwe.
Ukutshengisa Izimpawu Zokuqala Zokuxwayisa
Ezingamaphesenti angama-30 amacala, i-migraine izobe yandulela yilokho esikubiza ngokuthi izimpawu ze-premonitory (cabanga "ukulungiselela"). Lezi azizona izici ze-aura migraine kodwa kunesibonakaliso sokuqala sokuxwayisa sokuthi i-migraine isondela.
Izimpawu ze-premonitory zivame ukuba zenzeke usuku noma ezimbili ngaphambi kwe-migraine futhi ngokuvamile ziba zifihlile.
Izici ezivame kakhulu zihlanganisa:
- ukukhathala
- ukucasuka
- ukulahlekelwa ukudla
- izifiso zokudla
- isiyaluyalu
- ukuhlanza
- izikhukhula
- ukuvuthwa okwandisiwe
- ukujuluka okukhulu
- ukuvuvukala ebusweni
Ngenkathi lezi zimpawu zingenasisekelo, inhlanganisela yesifo ingasinika isilumkiso esanele ukuze sikwazi ukugwema izimbangela ezimbi kakhulu ukuhlaselwa. Kwezinye izimo, kungase kubuye kusivumele ukuba sikhiphe ukuhlaselwa ngokuphelele.
> Umthombo
- > I-Headache International Society. "I-International Classification of Headache Disorders (I-3rd Edition.)" I- Cephalalgia. 2013; 33 (9): 629-808.