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Migraine Ifite Aura

Incamake

Migraine ifite aura (izwi kandi nka migraine isanzwe) ni ububabare bw'umutwe busubira kenshi, buza nyuma cyangwa rimwe na rimwe n'ibimenyetso by'imikorere y'imitekerereze bita aura. Ibi bimenyetso bishobora kuba birimo amatara adasanzwe, ibice by'amaso biba bipfapfuye, n'izindi mpinduka z'ububone bw'amaso cyangwa gukuna mu ntoki cyangwa mu maso.

Uburyo bwo kuvura migraine ifite aura na migraine idafite aura (izwi kandi nka migraine isanzwe) busanzwe bumwe. Ushobora kugerageza gukumira migraine ifite aura ukoresheje imiti imwe n'ingamba zo kwita ku buzima bwite wakoreshaga mu gukumira migraine.

Ibimenyetso

Ibimenyetso byo kubura ubwenge bya migraine birimo ibibazo by'igihe gito byo kubona cyangwa ibindi bibazo bisanzwe bibaho mbere y'ibindi bimenyetso bya migraine — nko kubabara umutwe cyane, isereri, no kugira uburibwe bw'umucyo n'amajwi. Akenshi, kubura ubwenge kwa migraine bibaho mu gihe cy'isaha imwe mbere y'uko ububabare bw'umutwe butangira kandi bigakomeza iminota itageze kuri 60. Rimwe na rimwe, kubura ubwenge kwa migraine bibaho hatabayeho ububabare bw'umutwe, cyane cyane mu bantu bafite imyaka 50 n'irenga.

Igihe cyo kubona umuganga

Jya kwa muganga ako kanya niba ufite ibimenyetso bishya by'uburwayi bwa migraine bufite aura, nko kubura kubona by'igihe gito, ugutinda kuvuga cyangwa kutabona amagambo, n'intege nke z'imitsi ku ruhande rumwe rw'umubiri wawe. Muganga wawe azakenera gupima niba nta zindi ndwara zikomeye, nko guturika kw'imitsi y'ubwonko.

Impamvu

Hari ibimenyetso bigaragaza ko igicucu cy’uburwayi bwa migraine giterwa n’umuraba w’amashanyarazi cyangwa wa chimique utembera mu bwonko. Igice cy’ubwonko aho umuraba w’amashanyarazi cyangwa wa chimique ukwirakwira kigena ubwoko bw’ibimenyetso ushobora guhura na byo.

Uyu muraba w’amashanyarazi cyangwa wa chimique ushobora kuba mu bice bikora ku bimenyetso by’impuhwe, ibigo by’imvugo cyangwa ibigo bigengwa n’imitwaro. Ubwoko bwa aura busanzwe ni aura y’amaso, ibaho iyo umuraba w’umuriro ukwirakwira mu gice cy’ubwonko gishinzwe kubona maze ugatera ibimenyetso by’amaso.

Amashanyarazi n’imiraba ya chimique bishobora kubaho mu mikorere isanzwe y’imitsi kandi ntibibangamira ubwonko.

Ibyinshi mu bintu bimwe na bimwe bitera migraine bishobora kandi gutera migraine ifite aura, birimo umunaniro, amatara akomeye, ibiryo bimwe na bimwe n’imiti, ibitotsi byinshi cyangwa bike, no kweza.

Ingaruka zishobora guteza

Nubwo nta bintu byihariye bigaragara bizamura ibyago by'uburwayi bwa migraine ifatanye n'aura, migraine muri rusange isa nkaho ikunze kugaragara mu bantu bafite amateka y'uburwayi bwa migraine mu muryango. Migraine ikunda kugaragara cyane mu bagore kurusha abagabo.

Ingaruka

Abantu bafite migraine ifatanye n'aura bafite ibyago byiyongereye gato byo kugira umwijima.

Kupima

Muganga wawe ashobora kubona ko ufite migraine ifite aura hashingiwe ku bimenyetso n'ibibazo ufite, amateka yawe y'ubuzima n'umuryango wawe, ndetse no ku isuzuma ngororamubiri.

Iyo aura idakurikiwe n'ububabare bw'umutwe, muganga wawe ashobora kugusaba gukora ibizamini bimwe na bimwe kugira ngo akureho ibibazo bikomeye, nko gutumba kw'amaraso mu bwonko (TIA).

Isuzuma rishobora kuba ririmo:

Muganga wawe ashobora kukwerekeza kwa muganga w'inzobere mu ndwara z'ubwonko (neurologue) kugira ngo akureho ibibazo by'ubwonko bishobora kuba bitera ibimenyetso ufite.

  • Isuzuma ry'amaso. Isuzuma ry'amaso rikozwe n'inzobere mu maso (ophthalmologue), rishobora gufasha gukuraho ibibazo by'amaso bishobora kuba bitera ibimenyetso by'ububabare bw'amaso.
  • CT scan y'umutwe. Ubu buryo bwo gukoresha X-ray butanga amashusho y'ubwonko.
  • Magnetic resonance imaging (MRI). Ubu buryo bwo kubona amashusho y'imbere mu mubiri, bufasha kubona amashusho y'ubwonko.
Uburyo bwo kuvura

Ku kibazo cya migraine ifite aura, kimwe no kuri migraine yonyine, kuvura bigamije kugabanya ububabare bwa migraine.

Imiti ikoreshwa mu kugabanya ububabare bwa migraine ikora neza iyo ifashwe mu gihe cyambere cyibimenyetso bya migraine iza - vuba cyane igihe ibimenyetso bya aura ya migraine bitangira. Bitewe n'uburemere bw'ububabare bwa migraine ufite, ubwoko bw'imiti ishobora gukoreshwa mu kuyivura harimo:

Imiti igabanya ububabare. Iyi miti igabanya ububabare iboneka ku isoko cyangwa iyandikwa na muganga irimo aspirine cyangwa ibuprofen (Advil, Motrin IB, n'izindi). Iyo ifashwe kenshi cyane, ishobora gutera ububabare bw'umutwe buterwa no gukoresha imiti kenshi, kandi ishobora gutera uburwayi n'imvura mu mara.

Imiti igabanya ububabare bwa migraine ivangwa na kafeyi, aspirine na acetaminophen (Excedrin Migraine) ishobora gufasha, ariko ubusanzwe ku bubabare buke bwa migraine gusa.

Dihydroergotamine (D.H.E. 45, Migranal). Iboneka nk'umuti usukwa mu mazuru cyangwa inshinge, uyu muti ukora neza iyo ufashe vuba nyuma yo gutangira ibimenyetso bya migraine kuri migraine isanzwe imara amasaha arenga 24. Ingaruka mbi zishobora kuba harimo kwiyongera kw'iseseme n'uburwayi byo mu ndwara ya migraine.

Abantu barwaye indwara y'imitsi y'umutima, umuvuduko w'amaraso uri hejuru, cyangwa indwara y'impyiko cyangwa umwijima bagomba kwirinda dihydroergotamine.

Abarwanya calcitonin gene-related peptide (CGRP). Ubrogepant (Ubrelvy) na rimegepant (Nurtec ODT) ni abarwanya calcitonin gene-related peptide (CGRP) baherutse kwemezwa mu kuvura migraine ikomeye ifite cyangwa idafite aura mu bakuru. Mu bushakashatsi bw'imiti, imiti yo muri uyu muryango yari ikora kurusha placebo mu kugabanya ububabare n'ibindi bimenyetso bya migraine nko kuruka no kumva urumuri n'amajwi nyuma y'amasaha abiri uyifashe.

Ingaruka mbi zisanzwe harimo akanwa karibwa, kuruka no gusinzira cyane. Ubrogepant na rimegepant ntibikwiye gufatwa hamwe n'imiti ikomeye ya CYP3A4 inhibitor.

Imwe muri iyi miti ntitekanye kuyifata mu gihe utwite. Niba utwite cyangwa ugerageza gutwita, ntukoreshe imwe muri iyi miti utabanje kuvugana na muganga wawe.

Imiti ishobora gufasha gukumira migraine ikunda kubaho, ifite cyangwa idafite aura. Muganga wawe ashobora kugutegurira imiti ikurinda migraine niba ufite ububabare bw'umutwe buhoraho, burambye cyangwa bukomeye budakira neza mu kuvura.

Imiti ikurinda migraine igamije kugabanya ukuntu ukunda kubabara umutwe wa migraine ufite cyangwa udafite aura, ubukana bw'ibitero, n'igihe bimara. Amahitamo harimo:

Baza muganga wawe niba iyi miti ikubereye. Imwe muri iyi miti ntitekanye kuyifata mu gihe utwite. Niba utwite cyangwa ugerageza gutwita, ntukoreshe imwe muri iyi miti utabanje kuvugana na muganga wawe.

Igihe ibimenyetso bya migraine ifite aura bitangira, gerageza kujya mu cyumba gitonye, cyijimye. Funga amaso hanyuma uruhuke cyangwa uhore. Shira igitambaro gikonje cyangwa igipfunyika cy'ububabare gifunze mu gipfunyika cyangwa igitambaro ku gahanga kawe.

Ibindi bikorwa bishobora guhumuriza ububabare bwa migraine ifite aura harimo:

  • Imiti igabanya ububabare. Iyi miti igabanya ububabare iboneka ku isoko cyangwa iyandikwa na muganga irimo aspirine cyangwa ibuprofen (Advil, Motrin IB, n'izindi). Iyo ifashwe kenshi cyane, ishobora gutera ububabare bw'umutwe buterwa no gukoresha imiti kenshi, kandi ishobora gutera uburwayi n'imvura mu mara.

    Imiti igabanya ububabare bwa migraine ivangwa na kafeyi, aspirine na acetaminophen (Excedrin Migraine) ishobora gufasha, ariko ubusanzwe ku bubabare buke bwa migraine gusa.

  • Triptans. Imiti yandikwa na muganga nka sumatriptan (Imitrex, Tosymra) na rizatriptan (Maxalt, Maxalt-MLT) ikoreshwa mu kuvura migraine kuko ibuza inzira z'ububabare mu bwonko. Ifashwe nk'uduti, inshinge cyangwa imiti isukwa mu mazuru, ishobora kugabanya ibimenyetso byinshi bya migraine. Ishobora kuba itemewe ku bantu bafite ibyago byo kugira umutima cyangwa stroke.

  • Dihydroergotamine (D.H.E. 45, Migranal). Iboneka nk'umuti usukwa mu mazuru cyangwa inshinge, uyu muti ukora neza iyo ufashe vuba nyuma yo gutangira ibimenyetso bya migraine kuri migraine isanzwe imara amasaha arenga 24. Ingaruka mbi zishobora kuba harimo kwiyongera kw'iseseme n'uburwayi byo mu ndwara ya migraine.

    Abantu barwaye indwara y'imitsi y'umutima, umuvuduko w'amaraso uri hejuru, cyangwa indwara y'impyiko cyangwa umwijima bagomba kwirinda dihydroergotamine.

  • Lasmiditan (Reyvow). Uyu muti mushya ufashe mu kanwa wemejwe mu kuvura migraine ifite cyangwa idafite aura. Mu bushakashatsi bw'imiti, lasmiditan yagabanije ububabare bw'umutwe cyane. Lasmiditan ishobora kugira ingaruka zo gusinzira no gutera uburwayi, bityo abantu bayifata bagirwa inama yo kudatwara imodoka cyangwa gukoresha imashini byibuze amasaha umunani.

  • Abarwanya calcitonin gene-related peptide (CGRP). Ubrogepant (Ubrelvy) na rimegepant (Nurtec ODT) ni abarwanya calcitonin gene-related peptide (CGRP) baherutse kwemezwa mu kuvura migraine ikomeye ifite cyangwa idafite aura mu bakuru. Mu bushakashatsi bw'imiti, imiti yo muri uyu muryango yari ikora kurusha placebo mu kugabanya ububabare n'ibindi bimenyetso bya migraine nko kuruka no kumva urumuri n'amajwi nyuma y'amasaha abiri uyifashe.

    Ingaruka mbi zisanzwe harimo akanwa karibwa, kuruka no gusinzira cyane. Ubrogepant na rimegepant ntibikwiye gufatwa hamwe n'imiti ikomeye ya CYP3A4 inhibitor.

  • Imiti ya opioid. Ku bantu badashobora gufata indi miti ya migraine, imiti ya narcotic opioid ishobora gufasha. Kubera ko ishobora kubaho kubera ko ishobora kubaho, ikoreshwa gusa niba nta yindi miti ikora.

  • Imiti igabanya iseseme. Ibi birashobora gufasha niba migraine yawe ifite aura ifatanije n'iseseme no kuruka. Imiti igabanya iseseme irimo chlorpromazine, metoclopramide (Reglan) cyangwa prochlorperazine (Compro). Ibi ubusanzwe bifatwa hamwe n'imiti igabanya ububabare.

  • Imiti igabanya umuvuduko w'amaraso. Ibi birimo beta blockers nka propranolol (Inderal, InnoPran XL, n'izindi) na metoprolol tartrate (Lopressor). Calcium channel blockers nka verapamil (Verelan) ishobora gufasha mu gukumira migraine ifite aura.

  • Imiti yo kuvura ihungabana. Antidepressant ya tricyclic (amitriptyline) ishobora gukumira migraine. Kubera ingaruka mbi za amitriptyline, nko gusinzira, izindi antidepressants zishobora kwandikwa aho kuyifata.

  • Imiti yo kuvura indwara zifata ubwonko. Valproate na topiramate (Topamax, Qudexy XR, n'izindi) bishobora gufasha niba ufite migraine nke, ariko bishobora gutera ingaruka mbi nko guhindagurika, guhindura ibiro, kuruka n'ibindi. Iyi miti ntiterwa abagore batwite cyangwa abagerageza gutwita.

  • Injisi za Botox. Injisi za onabotulinumtoxinA (Botox) buri mezi 12 zifasha gukumira migraine mu bamwe mu bakuru.

  • CGRP monoclonal antibodies. Erenumab-aooe (Aimovig), fremanezumab-vfrm (Ajovy), galcanezumab-gnlm (Emgality), na eptinezumab-jjmr (Vyepti) ni imiti mishya yemewe na Food and Drug Administration mu kuvura migraine. Itangwa buri kwezi cyangwa buri gihembwe binyuze mu nshinge. Ingaruka mbi isanzwe ni uko hariho ikibazo aho inshinge yashyizwe.

Aderesi: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.

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