Hemiplegic Migraine Yog Dab Tsi?

Zoo Siab

• Hemiplegic migraine kho mob
• Cov tshwm sim thiab chiv keeb ntawm hemiplegic migraine
• Lub hauv paus ntawm hemiplegic migraine
• Cov tsos mob ntawm tus mob hemiplegic migraine
• Nws kuaj tau li cas?
• Kev tiv thaiv thiab txaus ntshai
• Outlook

Txheej txheem cej luam

Hemiplegic migraine yog yam tsawg kawg ntawm kev mob taub hau mob taub hau. Zoo li lwm yam kev mob taub hau, hemiplegic mob taub hau ua rau mob heev thiab throbbing mob, xeev siab, thiab rhiab heev rau lub teeb thiab suab. Nws kuj ua rau qhov tsis muaj zog ib ntus, loog thiab tingling, thiab tuag tes tuag taw ntawm ib sab ntawm lub cev. Cov tsos mob no yuav pib ua ntej mob taub hau. “Hemiplegia” txhais tau tias tuag tes tuag taw.

Hemiplegic migraine cuam tshuam rau qee tus neeg tsawg leej neeg uas muaj mob migraine nrog aura. Aura suav nrog pom cov tsos mob tshwm sim, zoo li flashes ntawm lub teeb thiab zigzag qauv uas tau tshwm sim ua ntej lossis thaum lub caij mob migraine. Aura tseem suav nrog lwm cov teeb meem piav tsis meej thiab teeb meem hais lus. Hauv cov neeg uas muaj mob hawb pob mob hemiplegic, qhov tsis muaj zog lossis tuag tes tuag taw tshwm sim ua ib feem ntawm qhov aura.

Muaj ob hom hemiplegic migraine. Hom twg koj tau yog nyob ntawm koj tsev neeg keeb kwm yws yws:

• Familial hemiplegic migraine(FHM) cuam ​​tshuam tsawg kawg ob tug neeg txheeb ze hauv tib tsev neeg. Yog tias koj muaj FHM, txhua tus ntawm koj cov menyuam yuav muaj 50 feem pua ​​ntawm qhov muaj feem los ntawm qhov muaj mob.
• Sporadic hemiplegic migraine (SHM) cuam ​​tshuam rau cov neeg uas tsis muaj tsev neeg li keeb kwm ntawm tus mob.

Kev mob taub hau hemiplegic ua rau cov tsos mob zoo li tsis meej pem thiab teeb meem hais lus, uas zoo ib yam li cov mob stroke. Mus ntsib tus kws kho mob neurologist lossis mob taub hau kom kuaj tau tuaj yeem pab koj kom raug kuaj mob thiab kho mob kom zoo.

Hemiplegic migraine kho mob

Ntau yam ntawm tib cov tshuaj siv los kho mob qoj ib ce kuj ua haujlwm rau hemiplegic migraines. Ob peb cov tshuaj yuav tiv thaiv cov mob taub hau ua ntej lawv pib:

• Cov tshuaj muaj ntshav siab tuaj yeem txo qis cov mob taub hau uas koj tau txais thiab ua rau cov mob taub hau tsawg dua.
• Anti-qaug dab peg tshuaj kuj tseem yuav pab tau nrog hom mob taub hau no.

Cov tshuaj hu ua triptans yog ib qho ntawm kev kho mob siab rau migraines ib txwm muaj. Txawm li cas los xij, lawv tsis pom zoo rau cov neeg uas muaj mob qog mob hemiplegic. Lawv tuaj yeem ua rau cov mob o pob txha taub ntau dua, lossis ua kev puas tsuaj mus ib txhis. Triptans suav nrog sumatriptan (Imitrex), zolmitriptan (Zomig), thiab rizatriptan (Maxalt).

Cov tshwm sim thiab chiv keeb ntawm hemiplegic migraine

Hemiplegic migraine tshwm sim los ntawm kev hloov pauv (hloov zuj zus mus) rau cov noob. Ob peb cov noob tau txuas rau hemiplegic migraine, nrog rau:

• ATP1A2
• CACNA1A
• PRRT2
• SCN1A

Cov noob keeb kwm coj cov lus qhia los ua cov protein uas pab cov hlwb sib txuas lus. Kev hloov pauv hauv cov noob caj noob ces cuam tshuam rau kev tso tawm cov tshuaj lom neeg lub hlwb hu ua neurotransmitters. Thaum cov noob caj noob ceg hloov pauv, kev sib txuas lus ntawm qee cov xov ntawm lub paj hlwb tau cuam tshuam. Qhov no tuaj yeem ua rau mob taub hau heev thiab cuam tshuam nrog lub zeem muag.

Hauv FHM, cov hloov pauv gene nyob hauv tsev neeg. Hauv SHM, kev hloov pauv ntawm cov gene tshwm sim nthawv.

Lub hauv paus ntawm hemiplegic migraine

Tej yam tshwm sim ntawm cov qog ntshav muaj xws:

• kev ntxhov siab
• lub teeb ci
• cwj pwm txawv heev
• ntau dhau lawm lossis pw ntau dhau lawm

Lwm yam kev mob taub hau xws li:

• cov khoom noj xws li cov khoom noj ua tiav, cov cheese qub, cov khoom noj qab ntsev, thiab MSG ntxiv
• dej cawv thiab caffeine
• hla kev noj mov
• huab cua hloov

Cov tsos mob ntawm tus mob hemiplegic migraine

Cov tsos mob ntawm tus mob hemiplegic migraine tuaj yeem suav nrog:

• kev ua kom tsis muaj zog ntawm ib sab ntawm koj lub cev - suav nrog koj lub ntsej muag, caj npab, thiab ceg
• loog lossis tingling hauv qhov cuam tshuam ntawm koj lub ntsej muag lossis tes taw
• flaws ntawm lub teeb, ob lub zeem muag, lossis lwm lub zeem muag cuam tshuam (aura)
• muaj teeb meem hais lus los yog hais lus tsis meej
• tsaug zog
• kiv taub hau
• poob kev sib koom tes

Tsis tshua muaj, cov neeg uas muaj hemragic migraines muaj cov tsos mob hnyav dua, xws li cov hauv qab no:

• tsis meej pem
• poob ntawm kev tswj ntawm lub zog
• tsis nco qab
• nco ploj
• coma

Cov tsos mob tuaj yeem nyob ntawm ob peb teev mus rau ob peb hnub. Kev nco ploj qee zaum tuaj yeem txuas rau lub hlis.

Nws kuaj tau li cas?

Cov kws kho mob kuaj pom mob hemiplegic migraine raws li nws cov tsos mob. Koj yuav pom tias mob taub hau no yog tias koj tau muaj tsawg kawg yog ob qho kev tawm tsam ntawm kev mob taub hau nrog aura, tsis muaj zog, thiab lub zeem muag, hais lus, lossis cov tsos mob hais lus. Cov tsos mob no yuav tsum ploj mus tom qab koj lub taub hau zoo tuaj.

Hemiplegic migraine tuaj yeem nyuaj qhia sib nrug ntawm lwm yam mob, xws li mob stroke lossis mini-mob stroke (tseem hu ua kev hloov ischemic nres). Nws cov tsos mob kuj tuaj yeem ua tau zoo ib yam li cov kab mob zoo li ntau yam sclerosis lossis epilepsy.

Txhawm rau tshem tawm cov mob uas muaj cov tsos mob zoo sib xws, koj tus kws kho mob yuav ua cov kev ntsuas zoo li no:

• A Iav scansiv xoo hluav taws xob los ua cov duab hauv koj lub cev.
• Ib MRI siv cov hlau nplaum sib txuas thiab cov xov tooj cua sib zog ua duab hauv koj lub cev.
• Ib electroencephalogramntsuas kev ntsuas hluav taws xob hauv koj lub hlwb.
• Ib echocardiogramsiv lub suab sib luag los tsim cov duab ntawm koj lub siab.

Yog tias koj muaj ib lossis ntau tus neeg hauv tsev neeg muaj hom mob migraine no, koj yuav xav kuaj ntsuas keeb kwm. Txawm li cas los xij, feem ntau cov neeg muaj FHA yuav tsis raug kuaj. Cov kws tshawb nrhiav tseem tsis tau pom muaj tag nrho cov noob keeb txuas rau tus mob no.

Kev tiv thaiv thiab txaus ntshai

Kev tawm tsam ntawm hemiplegic migraines feem ntau pib thaum yau los yog thaum tiav hluas. Koj feem ntau yuav muaj hom mob taub hau no yog tias nws khiav hauv koj tsev neeg. Yog tias koj ib tus niam txiv muaj mob pob txha taub hau mob ib ce, koj muaj 50 feem pua ​​yuav tau mob taub hau no thiab.

Koj yuav tsis tuaj yeem tiv thaiv kev mob taub hau hemiplegic yog tias lawv khiav hauv koj tsev neeg. Txawm li cas los xij, koj tuaj yeem noj tshuaj los txo tsawg cov mob taub hau uas koj tau txais.

Lwm txoj hauv kev los tiv thaiv cov mob yastaw no yog zam qee yam uas ua rau koj mob taub hau.

Outlook

Qee tus neeg yuav tsum tsis mob taub hau thaum lawv loj tuaj. Hauv lwm cov neeg, tus mob tsis ploj mus.

Muaj mob yastaw nrog aura tuaj yeem ua ob npaug rau qee yam mob stroke - tshwj xeeb tshaj yog rau cov pojniam. Txoj kev pheej hmoo yuav nce ntxiv yog tias koj haus luam yeeb (txiv neej thiab poj niam) lossis noj tshuaj txwv (poj niam). Txawm li cas los xij, kev pheej hmoo ntawm mob hlab ntsha hauv feem ntau tseem yog qhov zoo nkauj.