Ama-migraineurs amaningi ayesabi nje kuphela ukuhlasela kwawo kwe-migraine ekhubaza kodwa futhi angakwazi ukuthuthukisa inkinga ye-migraine, njenge-strake noma i-seizure eyenziwa yi-migraine. Izindaba ezinhle ukuthi lezi zinkinga azivamile.
Isimo se-Migrainosus
Izimpawu ze- status migrainosus zifana nanoma yiziphi izimpawu zakho "ezivamile" ze-migraine kungenzeka. Umehluko oyinhloko wukuthi esimweni sokwehlisa izimpawu kunzima kakhulu futhi sikhathele, futhi sihlala isikhathi eside - empeleni, izimpawu ziqhubeka isikhathi esingaphezu kwamahora angu-72.
Lokho kuthiwa, kungase kube nezikhathi zokuphumula okuncane (kuze kube amahora angu-12) ngenxa yemithi yokwelapha noma ukulala.
Kanti futhi ngezinye izikhathi izimpawu zesimo semithi migrainosus zingalingisa ukuthi imithi isetshenziswa kanjani ukuphathwa ikhanda - isifo sekhanda esenziwa ngenxa yokuthatha imithi ye-migraine noma imithi yokuphulukisa izinhlungu izinsuku ezingu-10 kuya kwezingu-15 ngenyanga, izinyanga ezingaphezu kwezintathu.
I-Migrainous Infarction
Ngokusho kwe-International Headache Society, i-infarction eguquguqukayo ivela lapho, lapho i- migraine ene-aura , isiguli sine- stroke endaweni yobuchopho okuvela khona izimpawu ze-aura. Ngamanye amazwi, esinye sezibonakaliso zabo ze-aura ziqhubeka (okungenani ngaphezulu kwehora elilodwa). Lesi sifo siboniswa ngudokotela onobuchopho, njenge-MRI yobuchopho.
Ngenkathi lokhu kutholakala kungavamile, odokotela bayacwayiswa lapho umuntu enezimpawu ze-aura ezingahambi. Ngaphezu kwalokho, kungase kutholakale uxhumano phakathi kwe-migraines nomgodi enhliziyweni yomuntu ebizwa ngokuthi i- patent foramen ovale , noma i-PFO - umgodi omncane phakathi kwamagumbi aphezulu enhliziyo engavali ekubelethweni ngamaphesenti angu-20 abantu.
Izifundo zithole ukuxhumana phakathi kwabantu abane -migraine ne-auras kanye nokuba khona kwe-PFO . Ingozi ye-PFO iyingozi, njengoba ama-blood clots amancane angasuka enhliziyweni ngale mgodi ebuchosheni. Lokhu kuthiwa, ukuvalwa kwama-PFO ezigulini ezine-migraines akuyona indlela ejwayelekile yokuvimbela ukushaywa yisifo, njengoba isayensi esilandelayo isengacacile.
I-Aura Eqhubekayo Ngaphandle Kwe-Infarction
Ngokungafani ne-infarction ethintekayo, i-aura ephikisanayo ngaphandle kwe-infarction (PMA) kwenzeka lapho izimpawu ze-aura ziqhubeka ngesonto elilodwa noma ngaphezulu ngaphandle kobufakazi bokushaya kwesifo se-CT noma i-MRI yobuchopho. Kungase kusimangaze ukufunda ukuthi i-PMA iye yaziwa ngezinsuku zokugcina kuya eminyakeni - ngisho nangaphezulu kweminyaka engu-28, ngokusho kwesifundo esisodwa se-2010 esihlokweni. Isisekelo sezesayensi salenkinga ye-migraine ayisacacile, njengokwelashwa. Imithi elwa ne-anti-convulsant, i-Lamictal (i-lamotrigine) ingaba yimithi ephumelela kakhulu.
I-Migraine Seizure
Ukuqothulwa kwe- migraine yi-seizure eyenzeka ngesikhathi noma ngaphakathi kwehora elilodwa le-migraine nge-aura. Njenge-migraine infarction, lokhu kuyinkimbinkimbi engavamile futhi kudinga ukuhlolwa okuphelele. Eqinisweni, i-migraine-aura eyabangela ukugunjwa ngezinye izikhathi ngezinye izikhathi ayitholakali, ngoba ama-auras ngezinye izikhathi angalingisa ukugubha futhi ngokufanayo, yingakho ukuhlolwa okucophelela kuyadingeka isazi sezinzwa.
Ngaphansi
Qinisekisa ukuthi iningi lezinkinga ze-migraines nezixazululo, njenge-stroke ne-seizures, akuvamile. Uma kuthiwa, kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma uhlangabezana ne-migraine aura eqhubekayo, noma i-aura kanye / noma ikhanda elihluke ngokujwayelekile.
Imithombo:
Gonzalez, J. (2010). Isifundo sokufundisa: I-Migraine Stroke. Ohlalayo kanye Nengxenye Yesiqephu. Izinwele. I-American Headache Society.
Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. (2013). "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia, 33 (9): 629-808.
UMorley, uSharon Scott. "Izikhombandlela eziphathelene ne-Migraine: Ingxenye 3. Izincomo Zezidakamizwa Ngamanye." Am Fam Phys . 2000; 62: 2145-52.
Thissen, S., et al. Ukuqhubeka kwemigraine aura: amacala amasha, ukubuyekezwa kwezincwadi, kanye nemibono mayelana ne-pathophysiology. Isihloko senhloko, ngo-Septhemba 2014; 54 (8): 1290-309.