Mob taub hau los ntawm ntau qib ntawm kev siv zog thiab tus cwj pwm. Feem ntau, tus mob no tsis ua rau muaj kev txhawj xeeb rau lawv txoj kev noj qab haus huv hauv tib neeg - tom qab tag nrho, txhua tus muaj mob migraine ib ntus. Txhua tus neeg tau muaj tus mob no tsawg kawg ib zaug hauv lawv lub neej. Nyob rau tib lub sijhawm, migraine tsis ua rau muaj txiaj ntsig zoo rau kev noj qab haus huv. Qhov no yog qhov feem ntau ntawm cov pej xeem xav. Qhov no yog qhov yuam kev - qee cov tsos mob ntawm mob taub hau yuav tsum ceeb toom tus neeg mob thiab ua rau nws mus ntsib kws kho mob hlwb. Kev kuaj mob yog tsim nyog los tshem tawm cov tsos mob ntawm neoplasms. Point mob ntawm lub taub hau nyob rau hauv ib qho chaw yog ib qho mob hnyav uas yuav tsum tsis txhob ignored.
hom mob taub hau thiab lawv cov laj thawj
Migraine yog ib yam kab mob neurological. Nws yog nyob rau hauv nqe lus nug yog tias tus neeg mob yws ntawm qhov mob taub hau. Lawv tuaj yeem sib txawv ntawm qhov xwm txheej thiab kev siv zog. Migraine tuaj yeem yog ob qho kab mob ywj pheej thiab cov tsos mob ntawm txhua yam kab mob. Txhawm rau kom paub tias tus kab mob twg ua rau kev txhim kho ntawm migraine, ntau cov kev tshawb fawb soj ntsuam yuav tsum tau ua. Cov no yog CT, MRI, kuaj xyuas qhov mob ntawm lub ncauj tsev menyuam nqaj qaum, ntsuasKev ua haujlwm ntawm cov hlab ntsha, thiab lwm yam. Yog tias lub taub hau mob ntawm ib qho chaw, qhov no kuj yog ib qho kev tshwm sim ntawm migraine.
Neurology paub qhov txawv ntawm cov kab mob migraine hauv qab no:
- Classic (nrog aura). Xws li tus mob migraine tsis yog tsuas yog mob taub hau loj hauv lub tuam tsev lossis hauv pliaj, tab sis kuj yog lub npe hu ua aura. Nws zoo li tus neeg mob uas nws pom flickering rau sab laug thiab sab xis, tab sis thaum nws tig nws ntsia, nws hloov tawm tias tsis muaj dab tsi nyob ntawd. Cov nyhuv no yog hu ua "visual aura", thiab txhua tus neeg mob uas mob migraine classic yog paub txog nws.
- Ib txwm migraine tsis muaj aura feem ntau tshwm sim rau cov neeg hauv lawv nees nkaum xyoo thiab laus dua. Qhov ua rau ntawm tus mob no feem ntau yog osteochondrosis ntawm lub ncauj tsev menyuam nqaj qaum, pathologies ntawm cov hlab plawv system, mob hlwb. Ib qho mob migraine tsis yog qhov tshwm sim ntawm qhov mob ntawm lub taub hau. Nws yog ib tug enveloping xwm. feem ntau lub nraub qaum ntawm lub taub hau, thiab lub hauv pliaj, thiab lub tuam tsev raug mob tib lub sijhawm. Los yog ib lub tuam tsev ntawm ib sab thiab sab nraub qaum ntawm lub taub hau. Sab saum toj ntawm lub taub hau yuav luag tsis mob nrog mob migraine.
- Ophthalmoplegic migraine yog ib yam mob uas cov leeg ntawm lub cev pom lub cev tsis ua haujlwm tag nrho lossis ib nrab. Raws li qhov tshwm sim ntawm qhov no, nyob rau ib feem ntawm qhov mob tshwm sim, pom ob lub qhov muag, ptosis lossis mydriasis tau pom. Qhov kev kuaj mob no tsis tshua muaj, thiab tsis yog tsuas yog tus kws kho mob neuropathologist, tab sis kuj yog tus kws kho mob ophthalmologist cuam tshuam nrog nws txoj kev kho. Yog tias tus neeg mob sau tseg tias mob nyob rau sab xis ntawm lub taub hau (tej zaum tsis tshua muaj, sab laug) lossis hauv pliaj yog nrog kev tsis pom kev, nws muaj peev xwm ua tau.ophthalmoplegic migraine.
- Daim ntawv retinal ntawm tus kab mob yog nrog los ntawm qhov pom ntawm "qhov muag tsis pom" me ntsis. Tus neeg mob raug kev txom nyem los ntawm qhov tshwm sim ntawm cov cheeb tsam dub nyob rau hauv qhov chaw ntawm lub zeem muag. Cov txheej txheem no yog nrog los ntawm kev tua mob hauv occiput. Qee zaum, qhov mob yuav tsis ntse, tab sis mob hauv qhov xwm txheej. Rau kev kuaj mob kom raug thiab teem caij kho kom zoo, tus neeg mob yuav tsum tau kuaj MRI ntawm lub hlwb, ua ib qho electroencephalogram. Qee zaum, kev kuaj mob yuav tsum tau kuaj xyuas qhov xwm txheej ntawm cov hlab ntsha.
- Cov mob migraine nyuaj tsis yog tsuas yog mob taub hau xwb, tab sis kuj los ntawm kev pom, hnov, vestibular teeb meem. Qee zaum, kev tawm tsam ntawm tus kab mob no tuaj yeem ua rau tsis nco qab. Yog hais tias tus mob no nyuaj los ntawm convulsions, tus neeg mob yuav muaj qaug dab peg. Txhawm rau txheeb xyuas qhov tseeb ntawm tus kab mob, koj yuav tsum tau kuaj xyuas electroencephalogram thiab lwm yam kev tshawb fawb.
Tshuaj taub hau
Ib qhov mob taub hau, tshwm sim ntawm ib qho chaw, yog ib qho mob txaus ntshai heev. Tus mob no, nyob ntawm qhov zaus ntawm qhov tshwm sim thiab qhov kaj ntawm qhov kev xav, yuav qhia tau tias kev kuaj mob:
- vegetative-vascular dystonia;
- neoplasms ntawm ib qho benign lossis malignant yam;
- intracranial siab;
- dhia hauv ntshav siab (hypertension lossis tseem ceeb kub siab);
- osteochondrosis ntawm lub ncauj tsev menyuam nqaj qaum.
Cov no yog cov laj thawj tseem ceeb rau mob taub hau ntawm ib qho. Qhov ntau zausmuaj qhov tsis xis nyob thiab mob - qhov ntau dua uas tus neeg mob tau mob hnyav.
Kev xav ntawm tus neeg mob
Ua ntej kev sab laj nrog kws kho mob paj hlwb, tus neeg mob yuav tsum mloog nws tus kheej txhawm rau piav qhia kom raug raws li qhov ua tau ntawm lub sijhawm teem raws nraim li cas nws lub taub hau mob ntawm ib qho. Kev xav tuaj yeem yog:
- mob nrawm nrawm, zoo li rab koob nrog rab koob ntse.
- Localization ntawm qhov teeb meem: lub taub hau mob ntawm ib qho chaw - saum lub taub hau, hauv qab ntawm lub taub hau lossis lwm qhov.
- Tsaus nti hauv qhov muag thaum muaj kev tawm tsam, lossis tej zaum tus neeg mob tau dhau mus thaum mob migraine.
- Thaum muaj kev tawm tsam, tus neeg mob pom cov duab ntxoov ntxoo, flickering rau sab laug lossis sab xis, tsaus nti ntawm qee qhov chaw hauv qhov pom.
Nws tseem yuav tsim nyog los qhia meej tias lub sijhawm ntawm kev tawm tsam - ob peb feeb lossis feeb? Ntau tus neeg mob piav qhia cov tsos mob rau tus kws kho mob neuropathologist, qhov yooj yim dua nws yuav yog los kos ib daim duab kho mob rau kev teem caij kho kom haum.
Kev kho mob
Thaum lub taub hau mob ntawm ib qho taw tes, cov neeg feem coob nyiam noj cov tshuaj uas muaj zog heev. Txoj hauv kev no yog qhov tsis ncaj ncees lawm: qhov kev tawm tsam ntawm qhov mob yuav rov qab los dua. Kev txwv nws txhua zaus nrog cov tshuaj tsis raug. Nws yog qhov zoo dua los mus dhau qhov kev kuaj mob ib zaug, nrhiav qhov ua rau mob thiab haus cov tshuaj uas yuav kho tau tus kab mob thiab tiv thaiv qhov mob rov qab.
Yog vim li cas nyob rau hauv kev ua txhaum ntawm lub paj hlwb, noj nootropics thiab vasodilators yuav pab tau. Zoo heev"Cinnarizine" tau ua pov thawj nws tus kheej, uas, txawm hais tias nws belongs rau cov tshuaj ntawm cov laus tiam, yog tseem nquag siv nyob rau hauv niaj hnub neurology thiab psychiatry. Cov tshuaj no yog pheej yig, twb nyob rau hauv thawj lub lim tiam ntawm noj nws, nws muaj peev xwm muaj ib tug tseem ceeb vasodilating nyhuv, uas yuav ua rau kom tag nrho ploj ntawm migraine ntawm tej etiology, tsis hais txog ntawm lub localization ntawm qhov mob - nyob rau hauv sab xis ntawm lub taub hau, rov qab lub taub hau, crown
- Yog tias tus neeg mob tau kuaj mob osteochondrosis ntawm ncauj tsev menyuam, mob taub hau tsis tshua muaj tshwm sim. Nws lub hauv pliaj feem ntau mob, muaj qhov mob taw tes hauv thaj tsam ntawm lub tuam tsev thiab lub kaus mom. Nyob rau hauv cov ntaub ntawv no, nws tsis muaj txiaj ntsig kom tsuas yog tso tseg qhov mob - osteochondrosis yuav tsum tau kho ua ntej. Cov chav kawm ntawm kev txhaj tshuaj intramuscular ntawm Kombilipen, Milgamma yuav tsum tau rov ua dua txhua peb lub hlis. Yuav tsum tau kho massage ntawm lub ncauj tsev menyuam-collar cheeb tsam. Kev kho mob qoj ib ce yuav tau txais txiaj ntsig. Tsis muaj ib qho xwm txheej twg yuav tsum tus neeg mob hnyav dhau thiab nqa ntau dua tsib kilograms, nrog rau kev sib tw hnyav thiab kev ua kis las.
- Spot cephalgia nyob rau hauv lub taub hau cheeb tsam feem ntau yog ib qho kev tshwm sim ntawm vegetative-vascular dystonia. Hauv qhov no, noj vasodilators thiab sedatives yuav pab tau. Koj tuaj yeem tau txais tam sim ntawd nrog kev noj sedative infusions. Piv txwv li, Fitosedan muaj cov nyhuv sedative muaj zog. Koj tuaj yeem siv nootropics. Qee zaum, tus kws kho mob yuav sau cov tshuaj uas muaj cov nyhuv tranquilizing me ntsis -Piv txwv li, "Afobazol".
Cluster headache: cov tsos mob
Ib qho tsis tshua pom thiab nyuaj ntawm qhov mob taub hau yog beam cephalgia. Cov kws kho mob kuj hu nws pawg, histamine lossis Horton, nyob ntawm qhov chaw thiab qhov mob. Nws tshwm sim hauv cov tsos mob hauv qab no:
- mob hauv lub cev nqaij daim tawv thaum lub sijhawm tawm tsam tom ntej;
- tsis xis nyob thiab mob ntawm ib sab nkaus xwb (tsis tas li), hauv thaj chaw tuam tsev;
- cephalgia tuaj yeem tshwm sim thaum hmo ntuj - thiab feem ntau tus neeg mob raug yuam kom sawv los ntawm qhov mob hnyav heev;
- lub sijhawm ntawm qhov kev tawm tsam sib txawv - feem ntau nws yog tsib mus rau rau feeb, tab sis qee zaus nws tuaj yeem kav ntev li ib teev ua ntej noj tshuaj loog;
- nasopharyngeal o thiab tearing;
- pupil constriction.
Harbinger ntawm cov kab mob hnyav
Beam cephalgia, nyob rau hauv uas tus neeg mob tas li muaj kev mob throbbing nyob rau sab xis ntawm lub taub hau, yuav qhia tau hais tias kev loj hlob ntawm cov kab mob thiab tej yam kev mob:
- hlwb hlav ntawm ntau lub hauv paus chiv keeb;
- abstinence condition;
- aneurysms;
- hematomas vim raug mob taub hau thiab concussions;
- tshuaj lom nrog qee yam tshuaj;
- noj vasodilators (piv txwv li, nitroglycerin) lossis histamine.
Tunnel taub hau kho mob
Kev kho tshuaj tuaj yeem raug sau los ntawm kws kho mob hlwb tom qab tau txaistshawb fawb tau. Rau kev kuaj mob kom raug, feem ntau yuav tsum tau ua MRI ntawm lub hlwb thiab electroencephalography. Yog tsis paub qhov tseeb ntawm qhov tshwm sim ntawm beam cephalgia, kom txog rau thaum kev kuaj pom tseeb, qhov mob tuaj yeem nres nrog cov tshuaj hauv qab no:
- Ketorol yog ib qho tshuaj kho mob uas muaj zog heev uas txo tau qhov mob hnyav tshaj kaum mus rau kaum tsib feeb tom qab noj.
- "Instant". Lub active ingredient ntawm cov tshuaj yog ibuprofen. Nws yog ib tug ceev-acting zoo anti-inflammatory thiab analgesic tshuaj. Muag hauv ib lub tsev muag tshuaj yam tsis muaj tshuaj.
- "Citramon" yog qhov nrov tshaj plaws thiab pheej yig tshaj tshuaj tua kab mob, uas kuj muaj caffeine. Muab lub zog, muaj txiaj ntsig zoo.
Rau qhov mob ntawm lub taub hau, feem ntau cov neeg nyiam noj cov tshuaj tua kab mob muaj zog. Txoj hauv kev no yog qhov tsis ntseeg: qhov kev tawm tsam ntawm qhov mob yuav rov qab los, thiab ntau dua ib zaug. Kev txwv nws txhua zaus nrog cov tshuaj tsis raug. Nws yog qhov zoo dua los mus kuaj tag nrho ib zaug, nrhiav qhov ua rau mob thiab noj cov tshuaj uas yuav tshem tawm qhov ua rau tus kab mob thiab tiv thaiv qhov mob rov qab.
Tus kws kho mob twg kho mob migraine
Yuav kom tshem tau cov kab mob ntawm cov kab mob cephalgia los yog taw qhia migraine mus tas li, txhawm rau paub tias yog vim li cas lub nraub qaum ntawm lub taub hau mob, koj yuav tsum tau kuaj xyuas kom tiav. Los ntawm kev ua raws li lub hauv paus ntawm qhov teeb meem, koj tuaj yeem ua tiav qhov kev zam mus ntev. Ua tauteem caij nrog tus kws kho mob neurologist them nyiaj. Tab sis tom qab ntawd cov kev tshawb fawb yuav tau them tag nrho. Raws li qhov tshwm sim, tag nrho cov nyiaj uas tus neeg mob yuav tsum tau siv txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau qhov mob yuav yog tsawg kawg yog nees nkaum txhiab rubles. result).
Koj mus tau lwm txoj kev thiab tsis siv ib dime rau kev kuaj mob. Tab sis qhov no yuav siv sij hawm ntau dua. Tus neeg mob yuav tsum coj nws txoj cai kho mob thiab mus rau hauv lub tsev kho mob hauv cheeb tsam, qhov chaw nws yuav tau txais daim coupon rau kev teem caij nrog tus kws kho mob hauv zos. Nws, nyob rau hauv lem, yuav muab ib daim coupon rau kev sab laj nrog ib tug neurologist. Twb tau nyob ntawd, tom qab kev nthuav qhia ntawm txhua qhov kev tsis txaus siab, kev kho mob ntxiv yuav raug sau thiab xa mus rau cov kev tshawb fawb tsim nyog yuav raug tawm.
Kev sib txheeb thiab qhov sib txawv ntawm qhov mob taw tes thiab mob migraine ib txwm
Pint cephalgia feem ntau yog ib feem ntawm lwm hom mob taub hau:
- "Tension pain" - lub tswv yim no hauv neurology tau tshwm sim ntev dhau los thiab tseem cuam tshuam. Muaj tshwm sim nyob rau hauv ob leeg txiv neej thiab poj niam vim muaj kev ntxhov siab heev thiab lub cev qaug zog. Nws yog qhia tsis tau tsuas yog nyob rau hauv taw tes cephalalgia, tab sis kuj nyob rau hauv lub fact tias lub hauv pliaj thiab sab nraub qaum ntawm lub taub hau raug mob (lub zos thiab xwm ntawm qhov mob hloov nyob rau hauv nruab nrab ib teev ib teev). Nyob rau tib lub sijhawm, tus neeg mob xav tias xeev siab, kiv taub hau, thiab tsis nco qab. Kev pw tsaug zog txaus feem ntau txaus los nres cov tsos mob no. Yog tus neeg mob pw tsis taus nws tus kheej, yuav tsum noj tshuaj tsaug zog.
- Histamine mob. Hauv 40% ntawm cov xwm txheej, nws cuam tshuam nrogthawj qhov mob. Ib hom mob migraine tuaj yeem yog qhov sib txawv ntawm lwm tus thiab hloov tus neeg mob tus mob. Piv txwv li, tus mob pib ua migraine nrog aura, tom qab ib teev nws ntws mus rau hauv daim ntawv ophthalmoplegic.
- Cranialgia yog ib yam mob uas tshwm sim thaum lub paj hlwb trigeminal ua rau mob. Qhov no yog ib qho laj thawj vim li cas lub nraub qaum ntawm lub taub hau thiab lub kaus mom raug mob. Rau cranialgia, tua nyob rau hauv daim ntawv ntawm lub sij hawm luv luv impulses yog yam ntxwv. Feem ntau, tus mob no tsis tas yuav muaj kev kho mob tshwj xeeb thiab ploj tom qab cov txheej txheem ntawm cov hlab ntsha trigeminal nres.
Cov lus qhia los ntawm cov kws kho mob hlwb: yuav ua li cas kom tsis txhob muaj kev loj hlob ntawm nqaj thiab qhov mob taw tes
Daim ntawv qhia yooj yim uas yuav pab tiv thaiv kev txhim kho ntawm migraine ntawm txhua yam etiology thiab kab mob uas ua rau nws:
- Txhua hmo koj yuav tsum tau pw tsawg kawg yim teev. Txawm hais tias muaj teeb meem dab tsi los ntxias tus neeg mob, txawm tias nws yuav nyuaj siab npaum li cas - hmo ntuj pw tsaug zog yuav tsum yog qhov yuav tsum tau ua.
- Khoom noj khoom haus tiav yog lub hauv paus ntawm lub paj hlwb noj qab haus huv. Tsis muaj teeb meem koj yuav tsum ua raws li kev noj zaub mov nruj thiab tshaib plab - txawm tias qhov tshwm sim tsis tshwm sim tam sim, lawv yuav tuaj nrog lub sijhawm (lub paj hlwb qaug zog los ntawm kev tshaib plab tsis zam txim rau tus cwj pwm zoo li no).
- Muaj cov amino acids txaus, cov vitamins thiab kab hauv cov khoom noj.
- Qhov kev tawm dag zog kom raug - nyob rau txhua qhov xwm txheej, koj yuav tsum nyob twj ywm kom tom qab koj tsis xav tias vim li cas koj lub taub hau mob (rov qab ntawm lub taub hau, lub kaus mom lossis lub hauv pliaj).
- qoj ib ce - tsis txhob tso koj tus kheej nrog kev tawm dag zog, tsis txhob ua haujlwm dhau.
