Do you still have access to your account at https://account.microsoft.com/?
If you do, change the primary alias back to your original alias, remove any suspicious or unrecognized devices, and immediately change your password and enable 2FA.
Also, go to Windows Security and do a full or quick scan on your computer to make sure the hacker doesn't inject anything malicious into your computer.
You may contact Microsoft support directly by opening Get Help search 'account hacked'. If automated suggestions don't solve it, choose Contact Support; you will be offered live chat or call back options.
Best wishes,
Nanta