Cluster mob taub hau

Qog taub hau yog ib hom txawv txawv ntawm mob taub hau.Nws yog ib-sab ib sab taub hau mob uas yuav muaj kev sib dua ntawm lub qhov muag, tawv muag daj, thiab txhaws ntswg. Kev tawm tsam kawg los ntawm 15 feeb txog 3 teev, tshwm sim txhua hnub lossis yuav luag txhua hnub rau lub limtiam lossis hli. Qhov kev tawm tsam no sib cais los ntawm lub sijhawm tsis muaj mob uas kav ntev li 1 hlis lossis ntev dua.

Cluster mob taub hau tuaj yeem ntxhov siab nrog lwm hom mob taub hau heev xws li mob tob tob tob, mob taub hau, thiab mob taub hau mob taub hau.

Cov kws kho mob tsis paub meej tias dab tsi ua rau mob taub hau. Lawv zoo li cuam tshuam rau lub cev tam sim ntawd tso histamine (tshuaj lom neeg hauv lub cev tawm thaum lub cev teb) lossis serotonin (tshuaj ua los ntawm cov leeg hlwb) hauv thaj chaw ntawm lub paj hlwb hauv lub ntsej muag hu ua trigeminal hlab ntsha. Qhov teeb meem hauv thaj chaw me me ntawm lub hauv paus ntawm lub hlwb hu ua hypothalamus tuaj yeem koom nrog.

Cov txiv neej ntau dua li cov poj niam cuam tshuam. Cov mob taub hau tuaj yeem tshwm sim thaum muaj hnub nyoog li cas, tab sis feem ntau ntawm 20s txog hnub nyoog nruab nrab. Lawv nyiam sib sau ua neej.

Cluster mob taub hau tuaj yeem tsim los ntawm:

• Cawv thiab luam yeeb
• Qhov chaw siab (mus ncig ua ke thiab cua mus ncig)
• Lub teeb ci ntsa iab (suav nrog hnub ci)
• Kev ua tau zoo (ua haujlwm lub cev)
• Thaum tshav kub kub (huab cua kub lossis da dej kub)
• Cov zaub mov muaj nitrites ntau (nqaij npuas kib thiab nqaij tshwj tseg)
• Qee yam tshuaj
• Kab yeeb

Qog taub hau pib tshwm sim los ntawm mob hnyav, mob taub hau sai sai. Mob taub hau feem ntau ntaus li 2 rau 3 teev tom qab koj tsaug zog. Tab sis nws kuj tuaj yeem tshwm sim thaum koj tsaug zog. Cov mob taub hau yuav tshwm sim txhua hnub nyob rau tib lub sijhawm ntawm ib hnub. Kev tawm tsam tuaj yeem nyob ntev rau lub hlis. Lawv tuaj yeem hloov nrog rau lub sijhawm tsis muaj mob taub hau (mob taub hau) lossis lawv tuaj yeem txuas mus ntev li ib xyoos lossis ntev dua yam tsis tau tso tseg (mob ntev).

Cluster mob taub hau feem ntau yog:

• Hlawv, ntse, nkhaus lossis khov kho
• Muaj zog ntawm ib sab ntawm lub ntsej muag los ntawm caj dab mus rau tuam tsev, feem ntau cuam tshuam rau lub qhov muag
• Ntawm nws qhov phem tshaj tsis pub dhau 5 mus rau 10 feeb, qhov mob siab tshaj plaws ntev ntev 30 feeb txog 2 teev

Thaum lub qhov muag thiab lub qhov ntswg tib yam li mob taub hau cuam tshuam, cov tsos mob tuaj yeem suav nrog:

• O o hauv lossis ib ncig ntawm lub qhov muag (yuav cuam tshuam rau ob lub qhov muag)
• Ntev dua kua muag
• Qhov muag liab
• Droopy tawv muag
• Los ntswg lossis txhaws ntswg nyob zoo tib yam li mob taub hau
• Liab, ntsej muag yaim, nrog tawm hws

Koj tus kws kho mob tuaj yeem txheeb xyuas hom mob taub hau no los ntawm kev kuaj mob lub cev thiab nug txog koj cov tsos mob thiab keeb kwm kev kho mob.

Yog tias kuaj lub cev thaum kuaj mob, qhov kev kuaj mob yuav qhia pom Horner syndrome (daim tawv muag muag ntawm ib sab lossis ib tus menyuam me). Cov tsos mob no yuav tsis muaj nyob rau lwm lub sijhawm. Tsis muaj lwm yam pauv ntawm lub paj hlwb (neurologic) yuav pom.

Kev ntsuam xyuas, xws li MRI ntawm lub taub hau, xav tau los txiav txim lwm yam ua rau mob taub hau.

Kev kho mob taub hau pawg:

• Tshuaj mob los kho qhov mob thaum nws mob
• Tshuaj noj kom tiv thaiv tau mob taub hau

KHO PHOOJ YWG HAIS TXOG TAUB HAU THAUM LUB OCCUR

Koj tus kws kho mob yuav qhia cov kev kho mob no rau thaum uas mob taub hau tshwm sim:

• Cov tshuaj triptan, xws li sumatriptan (Imitrex).
• Kev tiv thaiv kev kho mob (tshuaj steroid) xws li prednisone. Pib ntawm qhov kev ntsuas siab, tom qab ntawd maj mam txo nws dhau 2 mus rau 3 lub lis piam.
• Kev ua pa rau 100% (ntshiab) oxygen.
• Kev txhaj tshuaj ntawm dihydroergotamine (DHE), uas tuaj yeem nres pawg li tsis pub dhau 5 feeb (Ceeb Toom: cov tshuaj no tuaj yeem tsim kev phom sij yog noj nrog sumatriptan).

Koj yuav tsum muaj ntau dua ib txoj kev kho mob no los tswj koj mob taub hau. Koj tus kws khomob yuav xav kom koj sim ntau yam tshuaj uantej nws txiav txim siab seb qhov twg yog qhov zoo rau koj.

Tshuaj mob thiab tshuaj yeeb dej tsis daws tus mob taub hau mob taub hau vim tias siv sijhawm ntev ua haujlwm.

Kev phais mob yuav pom zoo rau koj thaum tag nrho lwm yam kev kho mob tsis ua haujlwm. Ib qho kev kho mob zoo li no yog neurostimulator. Cov cuab yeej no xa cov cim hluav taws xob me me rau qee cov kev txiav txim siab zoo xws li cov hlab hlwb occipital hauv tawv taub hau. Koj tus kws khomob tuaj yeem qhia koj ntau dua txog kev phais mob.

UA TIV THAIV TXUJ CI

Zam kev haus luam yeeb, haus cawv, tej yam khoom noj, thiab lwm yam uas yuav ua rau koj mob taub hau. Phau ntawv sau mob taub hau tuaj yeem pab koj txheeb xyuas qhov koj ua kom mob taub hau. Thaum koj mob taub hau, sau cov hauv qab no:

• Hnub thiab sijhawm pib qhov mob pib
• Dab tsi koj tau noj thiab haus hauv 24 teev dhau los
• Npaum li cas koj pw
• Koj tau ua dab tsi thiab qhov twg yog qhov koj tau ua ntej pib mob
• Yuav mob taub hau ntev npaum li cas thiab ua li cas thiaj nres

Txheeb xyuas koj qhov chaw khaws ntawv cia nrog koj tus kws kho mob txhawm rau txheeb xyuas qhov ua rau mob lossis ua qauv rau koj kev mob taub hau. Qhov no tuaj yeem pab koj thiab koj tus kws kho mob tsim phiaj xwm kho mob. Paub koj cov chiv keeb tuaj yeem pab koj kom zam dhau lawv.

Cov mob taub hau yuav ploj mus lawv tus kheej los yog koj yuav tau kho kom tiv thaiv lawv. Cov tshuaj hauv qab no kuj tseem siv tau los kho lossis tiv thaiv cov tsos mob mob taub hau:

• Cov tshuaj tsis haum
• Cov tshuaj tiv thaiv kab mob
• Tshuaj ntshav siab
• Qaug tshuaj

Cawv taub hau tsis yog tsim txom txoj sia. Lawv feem ntau tsis ua rau muaj kev hloov mus tas li rau lub hlwb. Tab sis lawv nyob ntev (mob ntev), thiab feem ntau mob txaus kom cuam tshuam kev ua haujlwm thiab lub neej.

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 mob taub hau 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 cev xeeb tub los yog cev xeeb tub. Qee cov tshuaj tsis tsim nyog noj thaum cev xeeb tub.
• Koj yuav tsum tau noj tshuaj mob ntau dua 3 hnub hauv ib asthiv.
• Koj mob taub hau yuav mob heev dua thaum pw.

Yog tias koj haus luam yeeb, tam sim no yog lub sijhawm zoo nres. Kev haus cawv thiab lwm yam zaub mov uas ua rau muaj mob tob hau tuaj yeem yuav tsum tau zam. Tshuaj muaj peev xwm tiv thaiv tau mob taub hau ntawm qee kis.

Cov tshuaj tob hau hauv keeb kwm; Mob taub hau - histamine; Kev tsiv teb tsaws chaw neuralgia; Mob taub hau - pawg; Horton mob taub hau; Vascular mob taub hau - pawg; Mob taub hau Episodic; Mob tob hau mob taub hau

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

• Lub Hlwb
• Hypothalamus
• Ua rau muaj mob taub hau
• Kev mob ntawm pawg mob taub hau

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 NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 103.

Hoffmann J, Tsib Hlis A. Kev kuaj mob, tus mob pathophysiology, thiab kev tswj cov mob taub hau. Lancet NeurolCov. 2018; 17 (1): 75-83. PMID: 29174963 www.ncbi.nlm.nih.gov/pubmed/29174963.

Rozental JM. Hom mob taub hau, mob caj dab ntev-mob taub hau, thiab lwm hom mob taub hau. Hauv: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Qhov tseem ceeb ntawm Cov Tshuaj Kho MobCov. 4 tug ed. Philadelphia, PA: Elsevier; 2018: chap 20.