Muaj ntau hom mob migraines uas ua rau tus neeg tsis xis nyob. Txhua tus ntawm lawv muaj nws tus kheej cov tsos mob thiab ua rau. Ib hom kab mob hemiplegic migraine. Nrog nws, ib tug neeg muaj kev xav tsis zoo. Nyeem ntxiv txog qhov ua rau thiab kev kho mob ntawm tus mob no hauv kab lus.
Hemilegic migraine - yog dab tsi? Qhov no yog ib yam kab mob uas tsis xis nyob yog tshwm sim nrog loog ntawm ib sab ntawm lub cev. Daim ntawv ntawm tus kab mob no yog suav hais tias tsis tshua muaj thiab feem ntau yog muaj los ntawm noob neej. Muaj qee qhov tshwj xeeb ntawm nws txoj kev kho mob.
Yog vim li cas
Hemilegic migraine tshwm sim vim:
- Tus kab mob caj ces. Yog tias tsawg kawg yog ib tus niam txiv tau muaj kev tawm tsam zoo li no, ces nws yuav zoo li tias lawv cov menyuam yuav muaj lawv thiab. Tsev neeg mob hemilegic migraine yog ib qho ntawm feem ntau.
- Cov tshuaj hormones. Feem ntau ntawm cov neeg mob uas muaj tus kab mob no yog poj niam. Kev hnov mob tshwm sim nrog kev cuam tshuam ntawm endocrine system, hormonal ntshawv siab thaum cev xeeb tub, siv cov tshuaj tiv thaiv tsis tu ncua.
- mob nkees. Migrainetshwm sim los ntawm tus kheej kev ntxhov siab, overstrain, insomnia, uas ua rau lub cev tsis muaj zog, txo qis vascular tone.
- Tus cwj pwm phem. Cawv, haus luam yeeb, noj zaub mov ntau ntxiv tuaj yeem ua rau tus kab mob no.
- nrov nrov, ci ntsa iab, tsw tsw phem.
About the clinic picture
Feem ntau mob hnyav tshwm sim los ntawm 15 feeb mus rau ob peb teev. Thaum qhov kev tawm tsam ntev li ob peb hnub, cov xwm txheej migraine tshwm. Nrog migraine nrog aura, nws tshwm sim los ntawm cov tsos mob-harbiners:
- Kev ua haujlwm tsis zoo, qaug zog tshwm.
- Yav flicker ua ntej ob lub qhov muag, kiv taub hau yog hnov.
- Tseem xeev siab, ntuav.
- Tsuas yog qhov tshwm sim ntawm arterial hypertension.
- Muaj leeg tsis muaj zog, twitching ntawm libs.
- Xav ntxhov siab lossis ntxhov siab.
- chim lossis nyuaj siab.
Harbiners muaj peev xwm kav ntev li ob peb feeb mus rau ob peb teev. Hemiplegic migraine zoo ib yam li cov tsos mob ntawm lub paj hlwb. Tab sis nrog mob hlab ntsha tawg, limb tuag tes tuag taw tuaj yeem hloov tsis tau.
Signs
Cov tsos mob ntawm hemiplegic migraine yog dab tsi? Tus kab mob manifests nws tus kheej raws li nram no:
- Muaj mob taub hau hnyav ntawm hom pulsating uas tshwm sim los ntawm ib feem ntawm pob txha taub hau thiab lub ntsej muag. Cov tsos mob tuaj yeem cuam tshuam rau lub qhov muag qhov muag, lub xub pwg nyom, thiab tseem muab rau hauv lub xub pwg hniav.
- Tshuajmob qhov muag, qhov muag tsis pom kev, qhov muag tsis pom kev.
- Qee zaum, vim mob hnyav, muaj lub sijhawm luv luv, tsis nco qab, delirium, hnov qab, distortion ntawm tsw.
- ntuav tshwm sim thaum noj zaub mov, thiab qhov no tsis txo qhov mob.
- Ntxiv rau cov qauv mob, hemiplegia lossis tuag tes tuag taw tshwm sim. Qee zaum qhov ntxeev sab tuaj yeem thim tau.
Cov tsos mob tseem ceeb ntawm hemiplegic migraine yog qhov tshwm sim ntawm qhov mob hauv lub taub hau, uas cov kab mob hauv lub paj hlwb yuav tshwm sim. Cov tsos mob no tshwm sim tom qab qhov mob ploj mus thiab yuav kav ntev li ob peb lub lis piam.
ICD-10 hemiplegic migraine suav nrog hauv ntu G43.1. Kev faib tawm thoob ntiaj teb yog siv los ntawm cov kws kho mob thoob ntiaj teb kom ua tiav cov ntaub ntawv.
Diagnosis
Himiplegic migraine kuaj tau li cas? Kev tuag tes tuag taw yog ib qho cim ntawm kev mob stroke, yog li txhawm rau tshem tawm cov kab mob no, yuav tsum tau kuaj xyuas tomography ntawm lub hlwb. Sib nqus resonance imaging yuav tso cai rau koj los tsim lub xeev ntawm cov hlab ntsha ntawm lub paj hlwb, cov leeg nqaij. Cov tsos mob ntawm tus kab mob tuaj yeem zais cov kab mob txaus ntshai: mob stroke, qog, vascular mob. Kev kuaj tshuaj hormonal yog ua los txiav txim qhov ua rau mob uas ua rau tuag tes tuag taw.
Yuav kho li cas?
Kev kho mob hemiplegic migraine hauv txhua kistus kheej. Txoj kev kho yog xaiv los ntawm tus kws kho mob raws li qhov ua rau thiab keeb kwm. Tus kab mob no nyuaj kho nrog tshuaj. Feem ntau yog siv sijhawm ntau los xaiv txoj kev kho mob. Ib txoj hauv kev zoo yog kev siv prophylaxis ua ntej tawm tsam. Txhawm rau ua qhov no, nws yog ib qho tsim nyog kom tsis txhob muaj qhov cuam tshuam. Feem ntau, cov xwm txheej no tsis yooj yim los txheeb xyuas, yog li lawv tsis tuaj yeem zam tau.
Ntau tus kws kho mob sau tshuaj kho mob. Txhawm rau ua qhov no, xaiv:
- Anspasmodics. Cov tsos mob ntawm tus kab mob yog txuam nrog spasms ntawm cov hlab ntsha, thaum lub lumen nqaim ntawm lawv cov phab ntsa, muaj ib tug ua txhaum ntawm cov ntshav ncig thiab kev noj haus ntawm lub paj hlwb. Nrog kev pab los ntawm myotropic antispasmodics, nws yuav ua tau kom tshem tawm cov leeg nqaij spasms, thiab qhov mob yuav tsum nres. Kev phom sij muaj xws li txhais tau tias "No-shpa", "Drotaverin", "Papaverin". Cov tshuaj ua ke nrog antispasmodic thiab analgesic zog yog siv. Cov no yog Spazmalgon, Kombispasm, Novigan. Nws raug nquahu kom xaiv cov khoom lag luam nrog kev sib xyaw ua ke txhawm rau txhawm rau tshem tawm cov kab mob syndromes.
- Non-steroidal anti-inflammatory tshuaj. Cov tshuaj siv tau zoo xws li Diclofenac, Naproxen, Ibuprofen, Indomethacin. Cov tshuaj no yuav tsum tau noj thaum pib mob.
- Tshaj tawm. Lawv muaj cov nyhuv analgesic. Qhov nrov tshaj plaws suav nrog Analgin, Ketorolac, Amigrenin, Sumamigren.
- Beta blockers. Feem ntau cov kws kho mob tau sau ntawv "Propranolol", uas ib txwm zam los ntawm tib neeg, tab sis cov tshuaj tsis tuaj yeem siv rau cov teeb meem ua pa.teeb meem, xws li bronchial hawb pob. Beta-blockers kuj tseem siv los tiv thaiv.
- Calcium antagonists. Siv tsawg dua li lwm yam tshuaj. Cov no yog Verapamil, Nicardipine.
- Triptans. Cov txiaj ntsig zoo suav nrog "Sumatriptan", "Imigran", "Trimigren", "Electriptan". Vim lawv cov nyhuv nqaim, triptans yog suav tias yog qhov zoo tshaj plaws hauv kev kho mob migraine. Lawv kuj pab nrog cov tsos mob - photosensitivity, suab ntxhov siab, xeev siab.
Txhais tau
Yog tias qaug dab peg tsis raug tshem tawm, lawv tus lej tuaj yeem nce ntxiv, thiab qhov no ua rau muaj teeb meem loj:
- Zoo migraine xav tau kev kho mob hauv tsev kho mob.
- Ib tug mob stroke migraine uas cuam tshuam rau ntau qhov chaw ntawm lub hlwb thiab ua rau lub cim rau lub neej.
- Ntshai qaug dab peg.
Ntau tus neeg tsis nyob hauv kev thaj yeeb nyab xeeb ntawm kev tawm tsam, vim lawv xav tias yuav rov muaj tus kabmob. Tej zaum lawv yuav poob siab, kev ua haujlwm tsis zoo. Kuj tseem muaj kev ua txhaum ntawm kev pw tsaug zog, tsis qab los noj mov. Yog li ntawd, mob khaub thuas thiab kab mob kis tau tshwm sim ntau zaus, kev ua phem tshwm sim.
Txhawm rau zam qhov teeb meem zoo li no, koj yuav tsum mus ntsib kws kho mob raws sijhawm. Nws yog ib qho tsim nyog ua raws li cov lus pom zoo los ntawm tus kws tshaj lij. Qhov no yuav txo qhov mob thiab tiv thaiv kev tawm tsam rov qab.
Kev Tiv Thaiv
Kev ntsuas tiv thaiv kab mob yuav tsum tau muab los ntawm tus kws tshaj lij yog tias muaj kev tawm tsam ntau zaus, ntau dua 2 zaug hauv ib hlis, thiab tseemyog tias lawv lub sijhawm ntev dua 3 hnub. Ua tsaug rau kev kho tshuaj, nws yuav muaj peev xwm tiv thaiv tsis tau tsuas yog mob, tab sis kuj muaj cov kab mob neurological uas ua rau muaj kev cuam tshuam. Yog li kom qhov kev tawm tsam tsis ntev thiab tsis tu ncua, teem caij teem sijhawm:
- Beta blockers.
- Kho kev nyuaj siab.
- Anticonvulsants.
- Calcium channel blockers.
- Serotonin antagonists.
Raws li kev tiv thaiv kev tiv thaiv, qhov ua rau muaj kev ntxhov siab - kev ntxhov siab, kev ua haujlwm ntau dhau, tus cwj pwm tsis zoo - yuav tsum tsis txhob tso cai. Kev xav tsis zoo feem ntau ua rau mob taub hau, tshwj xeeb tshaj yog migraines. Txo qhov zaus ntawm spasms nrog kev pab los ntawm kev noj zaub mov tshwj xeeb, uas koj tsis tuaj yeem noj cov khoom noj uas ua rau qaug dab peg. Cov zaub mov uas muaj tyramine yuav tsum tsis txhob noj: txuj lom, chocolate, cheese, dej qab zib.
Nws yog ib qho tseem ceeb uas yuav tsum ua raws li kev ua txhua hnub kom raug, kev hloov ntawm kev pw tsaug zog thiab so. Kev pw tsaug zog ntau dua (pw tsaug zog ntau dua 9 teev) kuj suav tias yog teeb meem, zoo li tsis muaj kev pw tsaug zog, thiab yog li ntawd tuaj yeem ua rau mob heev. Koj kuj yuav tsum haus dej kom ntau li ntau tau. Thaum thawj cov cim qhia ntawm kev tawm tsam tshwm sim, kev cais tawm ntawm irritants yog yuav tsum tau. Yog li ntawd, lawv thiaj li tua cov suab paj nruag, tua lub teeb, hloov cov dej num, thiab siv cov compression txias rau hauv pliaj thiab lub tuam tsev.
Zoo kawg
kho tus kab mob no kom tiav yuav tsis ua haujlwm. Cov tshuaj niaj hnub no tsuas yog tiv thaiv kev qaug dab peg thiab txo qhov zaus ntawm lawv qhov tshwm sim. Cov txiaj ntsig ntawm kev kho mob yog nyob ntawm tus kws kho mob, txoj kev yog thiab txoj kev kho mob.
