Vestibular Migraine yog dab tsi?

Zoo Siab

• Vestibular migraine cov tsos mob
• Cov teeb meem thiab mob tshwm rau ntawm pob qij txha vestibular
• Nws kuaj tau li cas?
• Txoj kev kho, tiv thaiv, thiab tswj hwm
• Outlook

Txheej txheem cej luam

A vestibular migraine yog hais txog qhov xwm txheej ntawm vertigo hauv ib tus neeg uas muaj keeb kwm muaj mob ntawm migraines. Cov neeg uas mob vertigo hnov ​​zoo li lawv, lossis cov khoom nyob ib puag ncig lawv, tau txav mus los thaum lawv tsis nyob. "Vestibular" yog hais txog cov kab ke hauv koj lub pob ntseg sab hauv uas tswj koj lub cev qhov sib npaug.

Mob taub hau feem ntau cuam tshuam nrog mob taub hau mob heev, tab sis vestibular yastes muaj sib txawv vim hais tias ntu ntu no feem ntau tsis muaj mob taub hau txhua. Coob tus neeg uas tau mob migraines classic lossis zoo nkauj (nrog auras) kuj muaj kev yastes yastaw, tab sis tsis yog txhua tus neeg.

Vestibular migraines tuaj yeem tsuas yog ob peb feeb lossis feeb, tab sis qee zaus lawv pheej mob rau ib hnub. Tsis tshua muaj lawv ua ntev dua 72 teev. Feem ntau, cov tsos mob yuav nyob ntev li ob peb feeb txog rau ntau teev. Ntxiv nrog rau vertigo, tej zaum koj yuav mloog zoo li tshuav sib luag, kiv taub hau, thiab taub hau tsaus nti. Tsiv koj lub taub hau tuaj yeem ua rau cov tsos mob siab dua tuaj.

Kev mob caj dab vestibular tshwm sim hauv kwv yees li ntawm cov neeg. Nws yog qhov tshwm sim feem ntau ntawm kev tshwm sim sab ntev ntawm cov leeg ntsug. Cov menyuam yaus yuav muaj kev tshwm sim zoo ib yam li pob xaws pob txha sib ceg. Hauv cov menyuam yaus, nws yog lub npe hu ua "benign paroxysmal vertigo ntawm thaum yau." Cov menyuam yaus no muaj feem ntau dua li lwm tus muaj kev mob siab rau migraines tom qab lub neej.

Vestibular migraine cov tsos mob

Cov tsos mob tseem ceeb ntawm kev mob caj dab vestibular yog ntu ntawm vertigo. Feem ntau nws tshwm sim nthawv. Koj yuav muaj cov tsos mob nrog rau:

• kev xav tsis txaus
• cov kev mob tshwm sim los ntawm kev txav koj lub taub hau
• kiv tob hau los ntawm saib qhov chaw txav mus los xws li lub tsheb lossis neeg taug kev
• lub teeb ci ntsa iab
• zoo nkaus li koj tseem co co nkoj
• xeev siab thiab ntuav raws li tau muaj los ntawm lwm tus tsos mob

Cov teeb meem thiab mob tshwm rau ntawm pob qij txha vestibular

Cov kws kho mob tsis paub meej tias dab tsi ua rau mob pob txha taub hau, tab sis qee tus neeg ntseeg tias kev tso tshuaj tawm hauv lub hlwb ua lub luag haujlwm sib txawv.

Qee yam tseem ceeb uas ua rau lwm hom mob qes tuaj yeem ua rau pob qij txha pob, nrog rau:

• kev ntxhov siab
• tsis pw tsaug zog
• lub cev qhuav dej
• huab cua hloov, lossis hloov pauv ntawm lub siab barometric
• kev coj khaub ncaws

Qee yam zaub mov thiab dej haus tuaj yeem ua rau lub ntsej muag pob txha taub hau me me:

• dej qab zib
• liab cawu cub
• neeg laus yuaj
• monosodium glutamate (MSG)
• cov nqaij ua zaub mov cia
• kas fes
• dej qab zib nrog caffeine

Cov poj niam muaj feem ntau dua qhov yuav muaj kev pheej hmoo rau mob caj dab. Cov kws kho mob xav tias kev mob caj dab vestibular khiav hauv tsev neeg, tab sis kev tshawb fawb tseem tsis tau muaj pov thawj txuas rau.

Nws kuaj tau li cas?

Vestibular migraines tuaj yeem ua qhov nyuaj rau kev kuaj mob vim tias tsis muaj qhov ntsuas pom tseeb rau nws. Hloov chaw, koj tus kws kho mob yuav tham txog koj cov tsos mob thiab keeb kwm thiab txiav txim siab txog cov laj thawj uas tau teev tseg hauv cov txheej txheem hauv International Classification of Headache Disorders:

1. Koj puas tau muaj tsawg kawg yog tsib ntu lossis hnyav ntawm lub hnub nyoog ntev ntev li 5 feeb txog 72 teev?
2. Koj puas tau yav tas los lossis puas koj tseem tau txais migraines nrog lossis tsis muaj aura?
3. Tsawg kawg 50 feem pua ​​ntawm cov kis ntawm vuv tseem koom nrog tsawg kawg ntawm ib qho hauv qab no:
   a. mob rhiab heev rau lub teeb, hu ua photophobia, los yog lub suab, lub npe hu ua phonophobia
   b. nrig txog kev pom aura
   c. mob taub hau muaj tsawg kawg yog ob ntawm cov yam ntxwv:
   kuv. Nws nyob ntawm ib sab koj lub taub hau.
   ii. Mloog nws zoo li nws yog pulsating.
   iii. Txoj kev siv yog siv pes tsawg lossis hnyav.
   iv. Mob taub hau cuam tshuam nrog lub cev ua ub no.
4. Puas muaj lwm yam kev mob uas piav qhia txog koj cov tsos mob zoo dua?

Txhawm rau kho koj zoo tshaj plaws, koj tus kws kho mob yuav xav txiav txim tawm cov kev mob no uas tuaj yeem ua rau cov tsos mob:

• hlab ntaws lossis kua dej tawm hauv koj sab hauv pob ntseg
• transient ischemic tawm tsam (TIAs), tseem hu ua ministrokes
• Meniere's disease (mob pob ntseg sab hauv)
• Benign positional vertigo (BPV), uas ua rau ncua sij hawm luv los sis kiv taub hau

Txoj kev kho, tiv thaiv, thiab tswj hwm

Tib cov tshuaj siv rau vertigo tuaj yeem muab kev cawm los ntawm kev mob vestibular migraine lub sijhawm. Cov tshuaj no pab kho kiv taub hau, mob taub hau, xeev ntuav thiab ntuav, thiab lwm cov tsos mob.

Yog tias koj pheej muaj kev tshwm sim ntau zaus, koj tus kws kho mob yuav sau ntawv rau tib cov tshuaj uas pab tiv thaiv kom txhob muaj lwm yam kev mob taub hau. Cov tshuaj no suav nrog:

• beta blockers
• triptans xws li sumatriptan (Imitrex)
• tshuaj tiv thaiv qaug dab peg, xws li lamotrigine (Lamictal)
• calcium channel blockers
• Cov Tshuaj Tiv Thaiv CGRP, xws li erenumab (Aimovig)

Outlook

Tsis muaj ib yam tshuaj uas yuav kho tau yastes yastaw. Ib tus neeg German txij li xyoo 2012 tau saib cov tib neeg uas muaj pob txha taub hau dhau li 10 xyoo. Cov kws tshawb nrhiav tau pom tias dhau sijhawm, qhov ntau zaus ntawm vertigo tsawg dua nyob rau hauv 56 feem pua ​​ntawm cov neeg mob, nce ntxiv hauv 29 feem pua, thiab yog kwv yees li qub hauv 16 feem pua.

Cov neeg uas tau txais mob pob qij txha feem ntau yuav ua rau muaj kev muaj mob ntau dua thiab muaj kev pheej hmoo ntau rau ischemic mob stroke. Tham nrog koj tus kws kho mob txog kev kho thiab tiv thaiv cov mob ntawd, nrog rau lwm yam kev txhawj xeeb uas koj muaj.