Migraine - cov tsos mob thiab kev kho mob ntawm txhua yam kev mob, tswv yim, yuav ua li cas los txo qhov mob

Kwv yees li ntawm 20% ntawm lub ntiaj teb cov pejxeem raug mob los ntawm tus kab mob ntev hu ua hemicrania ("ib nrab ntawm lub taub hau" hauv qhov txhais los ntawm Novolatinsky "). Nws yog feem ntau hu ua migraine thiab muaj ntau dua rau cov poj niam. Hemikraniya yog ib qho ntawm ntau txoj kev ua txhaum kev sib raug zoo, qee zaus nws kuj yog ib lub sijhawm los tsim kev tsis taus.

Mob hlwb - nws yog dab tsi?

Qhov teeb meem no yog ib yam kab mob hnyav. Migraines yog cov mob tsis tu ncua lossis rov qab tuaj yeem mob taub hau mob taub hau. Cov tsos mob ntawm hemicrania tsis cuam tshuam nrog kev poobsiab, cwj nrag, hlwb hlav , cov cim ntawm cov hlab ntsha thiab cov hlab ntsha. Feem ntau, qhov mob tau hnov ​​hauv ib nrab ntawm lub taub hau, tsawg zaus hauv ob qho tib si.

Migraine tsis muaj kev aura - dab tsi yog nws?

Daim ntawv no ntawm pathology yog characterized los ntawm kev tawm tsam ntev ntev tshaj 4 72 xuab moos. Nws tsis yooj yim to taub ua ntej tias migraine pib, cov tsos mob thiab kev kho mob ua tau tshwm sim tsuas yog tom qab pib qhov mob ntawm tus mob. Nws yog nyob hauv ib nrab ntawm lub taub hau, nrog rau kev cuam tshuam nyiaj txiag. Migraine tsis muaj lub aura tuaj yeem muaj qhov nruab nrab lossis siab siv. Feem ntau gemikraniya tsub tawm tsam cov kev ntaus los yog kev txawj ntse.

Migraine nrog aura - nws yog dab tsi?

Hom kab mob no tuaj yeem ua tau ob qho tib si tsis tu ncua thiab nyob ib ntus. Migraine nrog aura yog nrog los ntawm cov txheej txheem ntawm cov hlab ntsha paj hlwb uas tshwm sim 1-2 xuaj moos ua ntej yuav nres lossis ib txhij nrog nws. Nrog rau hom kab mob no, nws yooj yim mus tua, vim hais tias nrog cov tsos mob ntawm cov yam ntxwv ntawm hemicrania, koj tuaj yeem pib kho - noj tshuaj thiab tiv thaiv kev mob taub hau.

Migraines - Hom

Muaj ib qho kev faib tawm ntawm kev mob taub hau, uas muaj cov kev qhia txog cov kab mob pathology. Cov kab mob kev ntsuam xyuas rau txhua hom kev pab txiav txim siab seb hom mob migraine ib tus neeg mob muaj - cov tsos mob thiab kev kho mob nyob ntawm daim ntawv. Cov hom kab mob tseem ceeb yog xam raws (raws li qhov kho dua tshiab thib 3 ntawm qhov kev faib tawm):

• gemikraniya nrog aura;
• mob migraine ntev;
• hemicranium tsis muaj aura.

Thawj hom muaj xws li:

• migraine nrog lub ntse aura ;
• migraine nrog lub pob tw aura;
• hemiplegic migraine;
• retinal migraine.

Tus mob hemicrania muaj peev xwm tshwm sim nrog cov tsos mob rov qab los yog rov tshwm sim dua. Pathology tsis muaj aura muaj cov ntaub ntawv hauv qab no:

• ib qho kev coj khaub ncaws muaj tseeb tiag;
• vestibular migraine;
• hemicrania tsis muaj aura, txuam nrog poj niam cev xeeb tub.

Qhov teeb meem loj li cas?

Qhov teeb meem nyob rau hauv kev saib xyuas tsis yog mob siab xwb mob taub hau, nws tuaj yeem ua rau muaj kev rau txim loj. Cov kev mob tshwm sim ntawm hemicrania feem ntau tshwm sim thaum tsis muaj kev kho mob, tab sis qee zaus tsim muaj kev kho kom tsim nyog. Cov phom sij loj:

• mob stroke nrog migraine;
• mob qaug dab peg;
• ischemia ntawm lub paj hlwb;
• persistent aura (ntev dua ib lub lim tiam);
• oxygen starvation ntawm lub paj hlwb.

Migraine ua rau

Cov kws tshawb nrhiav tseem tsis tau tshawb nrhiav seb vim li cas qee cov tib neeg muaj tus kab mob no. Muaj ob peb qhov kev ntsuam xyuas piav txog kev mob qog nqaij hlav - mob hlwb, cawv, thiab qee yam tais diav, kev nyuab siab, tshuaj hormonal contraceptive thiab pw tsaug zog. Lub ntsiab tseem ceeb ntawm hemicrania yog heredity, lwm theories ntawm nws tshwm sim:

• deterioration ntawm cov ntshav txaus rau lub hlwb thiab qeeb ntawm cov kab mob arterioles;
• neurovascular mob ntawm cov hlab hlwb;
• pathology ntawm kev pauv ntawm serotonin;
• txo qis dua nyob rau hauv lub cev, tsis tseem ceeb ntawm txoj hlab ntsha loj.

Mob hlwb - cov paib

Lub ntsiab lus tseem ceeb ntawm hemicrania yog mob taub hau thiab mob heev, uas muab rau lub qhov muag, caj dab thiab lub puab tsaig. Nyob rau lub sij hawm ntawm kev tawm tsam, "predecessors" (ib lub sij hawm zoo) yuav tshwm sim los yog kev xav hauv aura. Mob caj dab - cov tsos mob:

• suab, photophobia;
• xeev siab;
• hypersensitivity rau odors;
• ntuav;
• kiv taub hau;
• poob ntawm kev taw qhia hauv qhov chaw lossis lub sijhawm;
• txob taus;
• nkees nkees;
• apathy;
• inhibition ntawm peristalsis ntawm lub plab (stasis);
• nyuaj siab, nyuaj siab ntxhov plawv;
• qhov muag tsis pom kev;
• loog;
• kev xav pom ;
• teeb meem nrog cov concentration;
• hais lus mob.

Mob hlwb - qhov twg mob taub hau?

Cov tsos mob muaj ntau feem ntau ntawm ib sab. Tus neeg xav tias mob siab heev, mob siab rau sab xis lossis sab laug ntawm lub hlwb. Qee lub sij hawm nws grabs lub qhov muag, pob ntseg, puab tsaig thiab caj dab los ntawm qhov tsim nyog. Feem ntau, lub taub hau tag nrho mob, migraine ntawm ob leeg cim yog li ntawd muaj zog uas nws tsis pub ua haujlwm ua kom txog thaum kawg ntawm qhov kev tawm tsam. Qhov siab tsis zoo nyob rau hauv cov tuam tsev thiab cov ceg ntoo.

Migraine thiab nro taub hau

Txoj kev kho yog muaj qhov lees tias kev normalization ntawm kev noj qab haus huv thiab kev tiv thaiv ntawm cov teeb meem. Nws yog ib qho tseem ceeb uas yuav tsum paub txog dab tsi nta taub hau thiab mob nqaij me nyuam muaj - cov tsos mob thiab kev kho mob ntawm cov kab mob no txawv, cov tshuaj noj kom tsis txhob muaj qhov tsis xis nyob. Muaj cov txheej txheem uas pab tau kom paub cov kab mob no txawm tias tsis muaj kev pab los ntawm kws kho mob.

Yuav ua li cas kom paub qhov txawv txav ntawm migraine los ntawm mob taub hau:

1. Rau gemikranii paub los ntawm unilateral thiab heev mob siab heev, uas yog tej zaum tsis yooj yim sua kom zam. Mob taub hau ntawm nro yog muaj qhov txhia chaw, nws qaug zog los yog nruab nrab.
2. Nrog migraine, muaj ib tug pob hauv lub hlwb. Nyob rau hauv lwm rooj plaub, qhov mob yog squeezed zoo li ib tug tight hoop.
3. Hemikraniya yog nrog cov tsos mob ntxiv - photophobia , thim qhov nrov nrov thiab ntse tsw, xeev siab thiab ntuav, uas kho tsis yooj yim. Cov cim no tsis yog yam ntxwv ntawm lub taub hau nrawm.

Mob caj dab - Qhov tseeb

Tshaj tawm txoj kev ua no tsis yooj yim, vim hais tias nws yog feem ntau masked rau cov kab mob zoo li, tuaj yeem txuam nrog hlwb qhov quav. Nws yog tshwj xeeb tshaj yog nyuaj rau kev kuaj mob ib tug migraine yam tsis muaj mob taub hau, thaum muaj tsuas yog ib qho aura. Yuav kom txiav txim siab hemicranium thiab nws txawv nrog lwm cov teeb meem, cov hauv qab no yog siv:

• ib qho kev soj ntsuam tag nrho nrog ib tug kws kho paj hlwb;
• anamnesis sau;
• ib qho kev tshawb fawb, tshawb xyuas tus neeg mob cov lus tsis txaus siab;
• khoos phis tawj thiab sib nqus resonance imaging .

Migraine - kev kho mob

Yeej tsis zoo ntawm hemicranium yog tseem tsis muaj tseeb, yog ntev li qhov ua rau nws tshwm sim tsis paub. Variants, dua li kho ib cov migraine, raug xaiv ib tus zuj zus. Muaj ntau txoj hauv kev los kho tus kab mob uas tau piav qhia:

• cov tshuaj tsis muaj kev noj tshuaj;
• kev txais tos ntawm cov tshuaj tshwjxeeb;
• siv lwm txoj hauv kev.

Mob hlwb - yuav ua li cas los txo qhov mob?

Cov neeg uas raug kev txom nyem los ntawm hemicrania feem ntau yog pab los ntawm cov kev kho mob yooj yim. Yuav ua li cas nrog migraine tsis muaj noj tshuaj:

1. So kom txaus nyob rau hauv ib chav tsaus nti thiab nyob ntsiag to.
2. Pw tau ob peb xuab moos.
3. Poob koj lub taub hau hauv qhov dej kub los yog da dej, nyiab loj mus rau 1-2 zaus.
4. Nqa ib da dej sib txawv.
5. Ntub khaub ncaws ntub dej sov los yog dej txias.
6. Kawm kawm ua pa kom txaus ua kom lub cev muaj zog.
7. Haus dej kas fes.

Muaj lwm txoj hauv kev kho qhov mob ntawm lub cev mob, txhua tus neeg xaiv lawv ib tus zuj zus, raws li qhov kev xav ntawm lub cev. Kev pab tshwj xeeb tshaj yog cov tswv yim teev tseg, thaum muaj migraine thaum cev xeeb tub, dua li kom txo tau qhov mob ntawm lub neej tom ntej, nws yog qhov nyuaj xaiv, vim hais tias thaum lub sij hawm lub sij hawm ntawm gestation, feem ntau ntawm cov tshuaj tshwj xeeb yog contraindicated. Txhawm rau txo cov tsos mob ntawm hemicrania, ib tug poj niam yuav tsum khov kho nws lub siab lub ntsws thiab so kom txog thaum kawg ntawm qhov kev tawm tsam, tsis txhob ci lub teeb, nrov nrov, thiab ntse tsw.

Migraine - kev kho mob: ntsiav tshuaj

Conservative therapy ntawm pathology muaj nyob rau hauv kev noj mob tshuaj. Lawv xaiv yuav tsum tau ua los ntawm tus kws kho mob tom qab nws tau tsim muaj qhov txhawj xeeb uas muaj peev xwm ua rau mob hlwb - cov tsos mob thiab kev kho mob ntawm tus kab mob yog sib cuam tshuam nrog cov xwm txheej uas ua rau nws. Muaj 7 pawg ntawm cov tshuaj tsim nyog rau kev kho mob ntawm cov kab mob piav qhia. Mob hlwb - cov tshuaj:

1. Antipyretics, analgesics, non-steroidal anti-inflammatory tshuaj nrog caffeine nyob rau hauv cov composition. Cov no muaj xws li Paracetamol, Solpadein, Ibuprofen, Naproxen, Diclofenac, Ketoprofen thiab lwm tus.
2. Triptans. Cov tshuaj no thaiv cov vascular ntsws thiab tshem tawm cov tsos mob ntxiv ntawm migraine - Naratriptan, Eletriptan, Sumatriptan, Zolmitriptan thiab analogues.
3. Npaj rau ergot. Qhov kev kho no tsuas yog sau los ntawm ib tug kws kho mob tshwj xeeb, alkaloids los ntawm cov nroj tsuag raw khoom tuaj yeem cuam tshuam tsis zoo, muaj ntau yam contraindications - Cofetamine, Digigergot, Dihydroergotamine thiab cov lus ua ke.
4. Antidepressants. Qhov kev xaiv ntawm txoj kev kho yog tsim rau kev mob hlwb xiam oob qhab los tswj kev xav tom qab - Amitriptyline, Saroten, Doxepin, Ludomil thiab lwm tus.
5. Beta-blockers. Cov tshuaj ua kom lub suab ntawm cov neeg mob arterioles thiab txhim kho cov ntshav mus rau lub hlwb - Anaprilin, Metoprolol, Egilok, Atenolol, Corvitol, Methocard thiab analogues.
6. Anticonvulsants. Cov tshuaj no ua rau kom tsis muaj mob, tiv thaiv qhov teeb meem ntawm migraine - valproic acid, Topiramate, Epiramate, Topilet thiab cov lus ua.
7. Calcium channel blockers. Cov tshuaj no muaj cov nyhuv rau vasodilator - Bepridil, Verapamil, Flunarizin, Nicardipine, Gallopamil thiab lwm tus.

Migraine - kev kho mob ntawm pej xeem tshuaj tom tsev

Lwm txoj kev tsis pab txhua tus neeg mob neurologist, feem ntau, zaub mov txawv pab kom txo tau qhov mob, tab sis tsis txhob nres nres. Nrog rau kev kho mob zoo li no tsis muaj teeb meem dab tsi rau cov mob migraine, cov tsos mob thiab cov tshuaj tua pej xeem tsis sib thooj. Cov zaub mov txawv thiab pom zoo kom tshem tawm cov mob syndromes hauv cheeb tsam lub taub hau.

Qhov yooj yim pej xeem tawm tswv yim yuav ua li cas tiv nrog migraine:

1. Haus ib khob ntawm freshly squeezed qos kua txiv.
2. Snort ib tug sib tov ntawm camphor thiab ammonia (vaj huam sib luag).
3. Muab rau cov tuam tsev tshiab nplooj ntawm lilac los yog dawb cabbage.
4. Hauv pob ntseg los ntawm sab neeg mob, ntxig rau ib lub paj rwb ntub soaked hauv dos los sis kua txiv kab .
5. Noj ob peb lub ncuav ntawm salted herring.

Herbal tshuaj rau cov tsos mob caj dab

Cov khoom xyaw :

• oregano - 3 tsp.
• peppermint - 3 tsp.
• kiprej - 3 ch. ntawm ib rab diav;
• dej - 320 ml.

Kev npaj, daim ntawv thov

1. Sib tov cov hmoov qhuav qhuav.
2. Ncuav 1 tbsp. diav ntawm sau ntawm boiling dej.
3. Insist txhais tias 1 teev.
4. Txiav qhov kev daws teeb meem.
5. Haus 1 khob ntawm cov tshuaj 3 zaug ib hnub twg.

Decoction ntawm valerian rau kev kho mob ntawm mob taub hau

Cov khoom xyaw :

• boiled dej - 1 iav;
• crushed keeb kwm ntawm valerian - 1 tbsp. diav.

Kev npaj, daim ntawv thov

1. Ncuav zaub raw cov zaub mov nrog dej sov.
2. Boil cov khoom ntawm ib chav da dej rau 15 feeb.
3. Infuse kua rau 1 teev.
4. Txiav cov tshuaj.
5. Haus ib tug daws ntawm 1 tbsp. diav peb zaug ib hnub twg.

Mint tshuaj yej los ntawm migraine cov tsos mob

Cov khoom xyaw :

• dej kub - 1,25 tsom iav;
• sliced ​​Mint nplooj - 0.5 tbsp. dais;
• zib mu - 1 tsp.

Kev npaj, daim ntawv thov

1. Ncuav mint 1 khob dej.
2. Tuav cov tshuaj rau ib da dej rau 10 feeb, do nws tas li.
3. Insist tshuaj yej 15 feeb.
4. Lim, ntxiv zib mu.
5. Ntxiv cov dej rhaub kom ntim ntawm cov tshuaj yog 240 ml.
6. Haus 80 ml ntawm yeeb tshuaj 3 zaug ib hnub rau ib nrab ib teev ua ntej noj mov.
7. Kev kho mob mus ntxiv kom txog thaum kawg ntawm kev tawm tsam.

Mob hlwb - kev tiv thaiv

Kev tiv thaiv ntawm pathology muaj nyob rau hauv kev pom tag nrho cov xwm txheej provoking cov tsos mob ntawm tus kab mob, lawv tshem tawm.

Cov tswv yim nram no yuav pab tiv thaiv ob qho tib si classical gimecrania thiab migraine nrog aura - yuav ua li cas kom tsis txhob muaj kev sib tua:

1. Nco ntsoov tso tus cwj pwm phem.
2. Khaws tawm cawv los ntawm kev noj haus.
3. Teem caij rau lub sijhawm ntawm kev vam meej thiab kev pw tsaug zog.
4. Tsis txhob muaj kev txawj ntse thiab lub cev dhau kev ua haujlwm, kev ntxhov siab.
5. Noj qab haus huv thiab noj tsis tu ncua.
6. Haus dej kom ntau rau hauv ib hnub.
7. Muab lub txiaj ntsim hormonal kom ruaj khov.
8. Txhawm rau muab sij hawm rau lub cev ua si, kis las.
9. Noj cov tshuaj uas kws kho los ntawm ib tus kws kho mob neurologist.
10. Pib kho sai tam sim ntawd yog tias lub sijhawm lossis lub aura tshwm sim.