Mob taub hau

Ib qho mob taub hau yog ib hom mob taub hau. Nws yuav tshwm sim nrog cov tsos mob xws li xeev siab, ntuav, lossis rhiab rau lub teeb thiab suab. Hauv ntau tus neeg, mob caj pas tsuas yog hnov ​​ntawm ib sab taub hau.

Ib qho mob taub hau mob taub hau tshwm sim los ntawm lub hlwb ua haujlwm txawv. Qhov kev ua no tuaj yeem cuam tshuam los ntawm ntau yam. Tab sis lub saw tiag tiag ntawm cov xwm txheej tseem tsis meej. Feem ntau cov kws kho mob ntseeg hais tias qhov kev tua ntawd pib rau lub hlwb thiab cuam tshuam rau txoj kev puas siab ntsws thiab tshuaj lom neeg. Cov kev pauv hloov cuam tshuam rau cov ntshav txaus hauv lub hlwb thiab cov nqaij mos uas nyob ib puag ncig.

Kev mob taub hau rau feem ntau tshwm sim ua ntej hnub nyoog 10 txog 45 xyoos. Qee zaum, lawv pib ntxov lossis tom qab. Cov migraines khiav hauv tsev neeg. Tus mob migraines tshwm sim rau cov poj niam ntau dua li tus txiv neej. Qee tus poj niam, tab sis tsis yog txhua txhua, muaj tsawg dua migraines thaum lawv cev xeeb tub.

Mob taub hau tuaj yeem tshwm sim los ntawm ib qho ntawm cov hauv qab no:

• Caffeine tshem tawm
• Hloov pus feem ntau hauv cov poj niam lub cev ntas lossis los siv cov tshuaj tiv thaiv tsis pub muaj menyuam
• Hloov ntawm cov qauv pw tsaug zog, xws li pw tsis txaus
• Haus cawv
• Kev tawm dag zog lossis lwm yam kev ntxhov siab lub cev
• Muaj suab nrov lossis teeb ci ntsa iab
• Cov khoom noj uas ploj lawm
• Tsw ntxhiab lossis ntxhiab tsw
• Haus luam yeeb los yog raug cov pa luam yeeb
• Kev ntxhov siab thiab ntxhov siab

Cov migraines tuaj yeem tshwm sim los ntawm tej yam zaub mov. Feem ntau muaj:

• Qhob noom xim kasfes
• Khoom noj siv mis, tshwj xeeb yog cov cheeses
• Cov zaub mov nrog monosodium glutamate (MSG)
• Cov khoom noj uas muaj tyramine, uas suav nrog cawv txiv hmab liab, laus cheese, nqaij ntses, nqaij qaib, txiv ntseej, thiab lwm yam taum
• Txiv hmab txiv ntoo (avocado, txiv tsawb, txiv mab txiv ntoo)
• Cov Nqaij muaj nitrates (nqaij npuas kib, nqaij kub, salami, kho nqaij)
• Dos
• Txiv laum huab xeeb thiab lwm yam txiv ntoo thiab noob
• Cov zaub mov ua, fermented, pickled, lossis marinated cov khoom noj

Kev mob taub hau tseeb tsis yog los ntawm lub hlwb los yog lwm yam mob loj. Tsuas yog cov kws saib xyuas kev noj qab haus huv uas ua tshwj xeeb mob taub hau tuaj yeem txiav txim siab seb koj cov tsos mob tshwm sim los ntawm kev mob taub hau lossis lwm yam mob.

Nws muaj ob hom ntsiab lus ntawm migraines:

• Migraine nrog aura (mob taub hau classic)
• Migraine tsis muaj aura (hom mob taub hau heev)

Lub aura yog ib pawg mob ntawm cov leeg (cov leeg hlwb) cov tsos mob. Cov tsos mob no suav tias yog daim paib ceeb toom qhia txog kev mob taub hau yuav los. Feem ntau, lub zeem muag raug cuam tshuam thiab tuaj yeem suav nrog ib qho lossis tag nrho cov hauv qab no:

• Cov dig muag ib ntus lossis cov pob liab qab
• Qhov muag plooj
• Qhov muag mob
• Pom cov hnub qub, cov kab zigzag, lossis cov teeb nrais
• Qhov muag tsis pom kev (tsuas yog pom cov khoom ze rau nruab nrab ntawm thaj chaw saib)

Lwm cov kev mob rau lub cev muaj xws li yawning, nyuaj ua kom pom tseeb, xeev siab, teeb meem nrhiav cov lus zoo, kiv taub hau, tsis muaj zog, loog, thiab tingling. Qee qhov ntawm cov tsos mob no tsis tshua pom nrog kev mob taub hau heev. Yog tias koj muaj ib qho ntawm cov tsos mob no, koj tus kws kho mob yuav xaj kuaj mus nrhiav qhov ua rau.

Kev mob taub hau feem ntau tshwm sim li 10 mus rau 15 feeb ua ntej mob taub hau, tab sis tuaj yeem tshwm sim li ob peb feeb rau 24 teev ua ntej. Qhov mob taub hau ib txwm tsis ua raws lub suab paj nruag.

Cov mob taub hau feem ntau:

• Pib ua npus mob thiab tau ntau zuj zus mus rau ob peb teev
• Raug mob qa, ntaus, lossis ua kom nrov nruj
• Muaj mob tsis zoo nyob rau ib sab ntawm lub taub hau nrog mob mob nraub qaum qhov muag lossis caj qaum ntawm lub taub hau thiab caj dab
• Kawg 4 rau 72 teev

Lwm cov tsos mob uas tuaj yeem tshwm sim nrog mob taub hau muaj xws li:

• Ua daus no
• Nce tso zis
• Nkees
• Tsis qab los noj mov
• Xeev siab thiab ntuav
• Hnov mus rau lub teeb lossis suab
• Tawm hws

Cov tsos mob yuav linger, txawm hais tias tom qab lub taub hau mus deb. Qhov no yog hu ua migraine hangover. Cov tsos mob tuaj yeem suav nrog:

• Mloog zoo li kev xav tsis meej, zoo li koj txoj kev xav tsis meej los yog tsis muaj
• Xav tau kev pw tsaug zog ntau dua
• Caj dab

Koj tus kws kho mob tuaj yeem txheeb xyuas tau mob taub hau mob taub hau los ntawm nug txog koj cov tsos mob thiab keeb kwm tsev neeg ntawm migraines. Kev kuaj mob lub cev tag nrho yuav ua tiav los txiav txim siab yog tias koj mob taub hau vim mob leeg, cov leeg ntshav, lossis lub hlwb tsis zoo.

Tsis muaj ib qho kev ntsuas tshwj xeeb los ua pov thawj tias koj kev mob taub hau yog tiag tiag mob taub hau. Feem ntau, tsis tas yuav kuaj tshwj xeeb. Koj tus kws kho mob yuav yuam kom lub paj hlwb CT lossis MRI scan yog tias koj tsis tau muaj dua ib zaug li. Qhov kev kuaj mob kuj tseem yuav raug xaj yog tias koj muaj cov tsos mob txawv txawv nrog koj mob taub hau, suav nrog kev ua kom tsis muaj zog, nco qab, lossis tsis nco qab.

Yuav tsum muaj EEG los txiav txim qhov chua leeg. Lumbar puncture (txha caj qaum) yuav ua tiav.

Tsis muaj kev kho tshwj xeeb rau kev mob taub hau mob taub hau. Lub hom phiaj yog kho koj lub dias mob tam sid, thiab txhawm rau tiv thaiv cov tsos mob los ntawm zam thiab hloov koj cov chiv.

Ib qho tseem ceeb yog kawm paub tswj hwm koj lub pob nyob hauv tsev. Phau ntawv sau mob taub hau tuaj yeem pab koj txheeb xyuas qhov koj ua kom mob taub hau. Tom qab ntawd koj thiab koj tus kws kho mob tuaj yeem npaj yuav ua li cas kom zam dhau cov kev xav no.

Cov kev hloov hauv lub neej muaj xws li:

• Cov cwj pwm pw tsaug zog zoo dua, xws li pw kom txaus thiab mus pw tib lub sijhawm thaum txhua hmo
• Kev noj zaub mov zoo dua, suav nrog kev noj zaub mov kom tsis txhob noj thiab zam rau koj qhov kev noj zaub mov
• Tswj kev ntxhov siab
• Kev poob phaus, yog tias koj rog dhau

Yog tias koj nquag muaj mob pob qij ib ce, koj tus kws kho mob yuav sau ntawv muab tshuaj kom txo tsawg. Koj yuav tsum tau noj tshuaj txhua hnub kom nws ua tau hauj lwm zoo. Tshuaj noj mob suav nrog:

• Cov tshuaj tiv thaiv kab mob
• Cov tshuaj ntshav siab, xws li beta blockers
• Tshuaj tiv thaiv qaug dab peg
• Calcitonin gene-ntsig txog cov kab mob peptide

Botulinum toxin yam A (Botox) kev txhaj tshuaj kuj tseem tuaj yeem pab txo kev mob taub hau yog tias lawv tshwm sim ntau dua 15 hnub hauv ib hlis.

Qee tus neeg nrhiav kev pab cawm zaub mov thiab vitamins. Nrog koj tus kws kho mob tham seb puas yog riboflavin lossis magnesium puas yog rau koj.

TSHUAJ NTSHE

Lwm yam tshuaj yog noj thaum thawj tus cim qhia tias mob qog. Cov tshuaj tom tsev muag tshuaj (OTC) rau tshuaj mob, xws li acetaminophen, ibuprofen, lossis tshuaj aspirin feem ntau pab tau thaum koj mob taub hau me. Nco ntsoov hais tias:

• Noj tshuaj ntau dua 3 hnub hauv ib asthiv yuav ua rau mob taub hau rov huam tuaj. Cov no yog mob taub hau uas pheej rov qab los vim tias siv tshuaj kho mob ntau dhau.
• Noj tshuaj acetaminophen ntau dhau yuav ua rau koj lub siab puas.
• Ntau dhau ibuprofen lossis tshuaj aspirin tuaj yeem ua rau mob koj lub plab lossis lub raum.

Yog tias cov kev kho no tsis pab, nug koj tus kws kho mob txog tshuaj noj. Cov no suav nrog cov tshuaj txau qhov ntswg, cov tshuaj mus rau lwm qhov, lossis cov kev txhaj tshuaj. Pawg tshuaj uas feem ntau siv yog hu ua triptans.

Qee cov tshuaj migraine ua kom cov hlab ntshav qis. Yog tias koj muaj pheej hmoo ua mob rau lub plawv lossis mob plawv, nrog koj tus kws kho mob tham ua ntej siv cov tshuaj no. Qee cov tshuaj migraine yuav tsum tsis txhob siv los ntawm cov poj niam cev xeeb tub. Tham nrog koj tus kws kho mob txog cov tshuaj twg yog rau koj yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub.

Lwm yam tshuaj ntxiv kho cov tsos mob migraine, xws li xeev siab thiab ntuav. Lawv yuav siv ib leeg los yog nrog rau lwm yam tshuaj uas kho tus mob migraine nws tus kheej.

Kub taub hau yog tshuaj ntsuab rau migraines. Nws tuaj yeem siv tau rau qee tus neeg. Ua ntej siv feverfew, nco ntsoov tias koj tus kws kho mob pom zoo. Cov tshuaj ntsuab muaj muag nyob hauv cov khw muag tshuaj thiab cov khw muag khoom noj khoom haus hauv tsev noj qab haus huv tsis muaj cai. Ua haujlwm nrog cov kws qhia paub txog tshuaj ntsuab thaum xaiv cov tshuaj ntsuab.

UA NTEJ MIGRAINE TAUB HAU

Yog tias koj lub pob muaj mob tshwm sim ntau dua ob zaug hauv ib lub lim tiam txawm tias siv triptans, koj tus kws kho mob yuav muab koj cov tshuaj rau noj txhua hnub, uas tuaj yeem tiv thaiv koj lub cev muaj mob. Lub hom phiaj yog tiv thaiv heev npaum li cas yastes yauv tshwm sim thiab mob taub hau heev npaum li cas. Cov tshuaj no tuaj yeem pab tiv thaiv lossis txo qis mob taub hau:

• Cov tshuaj noj feem ntau siv rau ntshav siab, (xws li beta-blockers, angiotensin blockade agents, thiab calcium channel blockers)
• Qee cov tshuaj siv los kho kev nyuaj siab
• Qee cov tshuaj siv los kho cov qaug dab peg, hu ua anticonvulsants
• Botulinum toxin yam A txhaj rau xaiv cov neeg mob

Cov cuab yeej siv tshiab uas muab cov kev sib txawv ntawm cov hlab ntshav nqus lossis sib nqus ntawm lub zog loj kuj tseem raug ntsuas rau kev kho mob taub hau migraine. Lawv lub luag haujlwm tiag hauv kev kho mob migraines tseem tsis meej.

Txhua tus neeg nyias coj txawv rau kev kho. Qee cov neeg muaj mob yastaws tsuas yog tsis tshua muaj thiab xav tau tsawg los kho. Lwm tus yuav tsum tau noj ob peb yam tshuaj lossis txawm mus pw hauv tsev khomob qee zaum.

Mob taub hau mob taub hau yog ib qho kev pheej hmoo ntawm mob hlab ntsha tawg. Kev pheej hmoo yog siab dua hauv cov neeg haus luam yeeb, ntau dua li ntawm cov poj niam uas muaj mob yastaw uas tshwm sim nrog kev mob siab. Ntxiv rau kev txiav tsis haus luam yeeb, cov neeg muaj mob pob qij ib ce yuav tsum zam lwm yam kev pheej hmoo ntawm mob hlab ntsha tawg. Cov no suav nrog:

• Noj tshuaj txwv
• Noj zaub mov tsis zoo, uas tuaj yeem ua rau muaj kev phom sij lossis ntshav siab

Hu 911 yog:

• Koj tabtom ntsib "kev mob taub hau phem tshaj plaws hauv koj lub neej."
• Koj muaj teeb meem hais lus, tsis pom kev, lossis teeb meem ib puag ncig los yog poob ntawm qhov sib npaug, tshwj xeeb yog tias koj tsis muaj cov tsos mob no nrog migraine ua ntej.
• Mob taub hau pib dheev.

Teem caij sib ntsib lossis hu rau koj tus kws khomob yog:

• Koj lub taub hau txawv lossis hloov mob.
• Cov kev kho mob uas ib zaug ua haujlwm tsis pab ntxiv lawm.
• Koj muaj kev phiv los ntawm koj cov tshuaj.
• Koj noj tshuaj tiv thaiv tsis pub muaj menyuam thiab mob taub hau mob taub hau.
• Koj mob taub hau yuav mob heev dua thaum pw.

Mob taub hau - mob taub hau; Mob leeg mob taub hau - mob taub hau

• Mob taub hau - dab tsi yuav nug koj tus kws kho mob

• Mob taub hau heev
• Kev mob taub hau
• CT scan ntawm lub paj hlwb
• Nruab nrab hauv lub paj hlwb thiab lub paj hlwb peripheral

Miskas Kev Mob taub Hau. Daim ntawv qhia txog Neeg Asmeskas mob taub hau txoj hauj lwm hais txog ntawm kev koom ua ke tshiab kev kho mob rau cov kev xyaum ua. Mob taub hau. 2019; 59 (1): 1-18. PMID: 30536394 www.ncbi.nlm.nih.gov/pubmed/30536394.

Dodick DW. Mob taub hau. Kev Looj Mem. 2018; 391 (10127): 1315-1330. PMID: 29523342 www.ncbi.nlm.nih.gov/pubmed/29523342.

Garza I, Schwedt TJ, Robertson CE, Smith JH. Mob taub hau thiab lwm yam mob craniofacial. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj Ntsuam. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 103.

Cov Pab tsiaj CP, Tomlinson CL, Rick C, li al. Botulinum co toxins ua rau kev tiv thaiv mob qog ntshav rau cov laus. Cochrane Database Syst Rev. 2018; 6: CD011616. PMID: 29939406 pubmed.ncbi.nlm.nih.gov/29939406/.

Hershey AD, Kabbouche MA, O'Brien HL, Kacperski J. Mob taub hau. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 613.

Cov ntsiab lus xyaum hloov tshiab cov ntsiab lus: Cov kev kho mob tob tob hauv cov menyuam yaus thiab cov hluas: Tshaj Tawm ntawm Kev Qhia Kev Txhim Kho, Kev Tshaj Tawm, thiab Kev Siv Tus Tswv Qhia ntawm American Academy of Neurology thiab American Headache Society. Neurology. 2020; 94 (1): 50. PMID: 31822576 pubmed.ncbi.nlm.nih.gov/31822576/.

Tassorelli C, Diener HC, Dodick DW, li al. Cov Lus Qhia ntawm International mob taub hau rau kev tswj hwm kev sim tshuaj ntawm kev tiv thaiv kev kho mob rau kev mob taub hau rau cov neeg laus. Cephalalgia. 2018; 38 (5): 815–832. PMID: 29504482 pubmed.ncbi.nlm.nih.gov/29504482/.