I-Labyrinthitis yigama elibanzi lesimo esingavamile esibangela ukuvuvukala kwendlebe yangaphakathi, ikakhulukazi isistimu ye-vestibular. Isistimu ye-vestibular iyinxenye yendlebe yangaphakathi ethola ulwazi mayelana nesimo somzimba nokulinganisa kwayo bese idlulisela lolo lwazi ebuchosheni.
I-neuritis ye-Vestibular ukuvuvukala kwe-vestibulocochlear nerve.
I-vestibulocochlear nerve inesibopho sokudlulisa ulwazi mayelana nesimiso nesimo somzimba wakho ebuchosheni. Ngenxa yokuthi i-labyrinthitis ne-vestibular neuritis inezimpawu ezifanayo futhi zelashwa ngendlela efanayo, sizosebenzisa la magama amabili ngokungafani lapha.
Izimbangela
Izimbangela ze-labyrinthitis ne-vestibular neuritis aziqondakali kahle kodwa izimpawu zivame ukuqala ngemva kokutheleleka noma ezinye izimo ezibangela ukuvuvukala. Lemibandela elandelayo ingase iholele ekuthuthukiseni lesi sifo:
- Ukutheleleka nge- viral noma amabhaktheriya kubandakanya izifo ezingaphezulu zokuphefumula noma izifo zendlebe
- Amagciwane
- Cholesteatoma
- Imithi ephikisayo noma enobuthi kuya endlebeni
Izingozi Zezingozi
- Ukubhema
- Ukuphuza utshwala ngokweqile
- Umlando wesifo somzimba
- Ukucindezeleka
- Ukutheleleka okuphezulu kokuphefumula
Izimpawu
Izimpawu zidlala indima ebalulekile ekuxilongweni kwe-labyrinthitis. Izikhalazo ezivame kakhulu abantu abanakho:
- I- vertigo enamandla kakhulu
- I-nausea
- Ukuvota
- Ukukhubazeka
- Ukukhubazeka okubonakalayo
- Ukubunzima ukugxila
- Tinnitus (ukukhala ezindlebeni)
- Ukulahlekelwa kokulalela okuphakathi komunye
Ngenkathi ungase uhlangabezane nanoma yimiphi imiphumela emibi engezansi, izici ezivame kakhulu eziqapheliwe zizoqala ngokungazelelwe kwe-vertigo ehambisana ne-nausea nokuhlanza.
Izimpawu ngokuvamile zibi kakhulu emahoreni angu-24 bese zithuthuka kancane kancane.
Nini Ukubona Udokotela
Kubalulekile ukuthi uthole usizo lwezokwelapha ngokushesha uma unesifo esincane sokuthi i-labyrinthitis ngoba enye, izifo ezibi kakhulu kunezibonakaliso ezifanayo kuhlanganise nesifo sohlangothi .
Ukuxilongwa
Asikho isilingo esisodwa esisetshenziselwa ukuxilonga i-labyrinthitis. Udokotela wakho uzokwenza izivivinyo eziningana ngemuva kokwenza ukuhlolwa kwezindlebe ngokujulile ekuhambeleni ne-otoscope. Ngaphandle kokuhlola izindlebe zakho, udokotela wakho uzophinde ahlole umsebenzi wakho wezinzwa ukuze ahlole noma yiziphi izinkinga ngesistimu yakho ye-neurologic engabangela izimpawu zakho. Isheke lesithathu eyisisekelo udokotela wakho azokwenza liyaziwa ngokuthi i-HIT (Head Impulse Testing) ukuhlola umsebenzi wamakhansela wakho wezinsizwa endlebeni yangaphakathi.
Uma izinkinga zokuzwa ziqaphelwa, cishe uzothola umyalelo wokuhlolwa kwe-audiogram noma electronystagmography (ENG) ukuze usize ukukhomba ukuthi kungani imbangela yezimpawu zakho. Nakuba kungadingeki ukuthi uhlolwe i-labyrinthitis, udokotela wakho angacela ukuhlolwa kwe-imaging njenge- MRI noma i- CT scan ukuze usize ukulawula isifo noma ukukhomba izinkinga zesakhiwo uma unezici ezibalulekile zokufaka ingozi.
Isixazululo se-Labyrinthitis
Izimpawu ezihlobene ne-labyrinthitis zingadabukisa.
Okokuqala, qiniseka ukuthi uzama futhi uphumule. Ukucindezeleka kungakwandisa izimpawu zakho. Ngokuqinisekile uzobe ulala embhedeni bese uthola izinga lakho lomsebenzi lenyuka ngokuhamba kwesikhathi njengoba likwazi.
Izimpawu ze-labyrinthitis zingaqala ukwehlisa amaviki angu-1-4 ngemuva kokuqala. I-Labyrinthitis ivame ukuphela ngokuphelele ezinyangeni ezingu-2-3, noma kunjalo, ukulahlekelwa ukuzwa kungase kube njalo. Ezinye iziguli zingase ziqhubeke nokuthola isizungu kodwa lokhu kungavamile futhi kungenzeka ukuthi kwenzeke ezigulini asebekhulile. Ukukhubazeka okwesikhashana okubangelwa izimpawu ze-labyrinthitis kungaba okuphawulekayo. Udokotela oqeqeshiwe angakusiza ukuba uphathe izimpawu.
Imithi yokwelapha
I-Corticosteroids , efana no-Prednisone, eyanciphisa ukuvuvukala bakholelwa ukuthi ivuselela isikhathi sokubuyiselwa kwe-labyrinthitis. Ucwaningo oluthile luye lwathola ukuthi ukwelapha ngemishanguzo ye-antiviral njenge-valacyclovir akusizo ekwelapheni i-labyrinthitis; Nokho, azikho izifundo ezanele zokuqinisekisa lokhu. Ezinye zokwelashwa zibhekiswe ekuboniseni izimpawu. Ukuhlukaniswa kwezidakamizwa ezintathu eziyinhloko kusetshenziselwa ukusiza ukunciphisa lezi zimpawu:
Ama-antihistamine angasetshenziswa ukusiza ukucindezela izimpawu zokuzondeka ezihlobene nesistimu ye-vestibular engasebenzi kahle. Imithi ejwayelekile yokuhlolwa ngokuvamile i-meclizine, noma kunjalo, i-dimenhydrinate ne-Benadryl ingasetshenziswa futhi.
Ama-antiemethrikhi ayimithi esiza ekunciphiseni isisulu sokunambitheka nokuhlanza. Abanye abantu bangase baphelelwe ukuhlanza ngokwanele ukuze bachithe amandla. Kulesi simo, kungadingeka ukuthi kutholakale esibhedlela ukuze kutholakale ukuthi ukulahlekelwa kwamanzi kungena endaweni yangaphakathi. I- antiemetics elandelayo ingasetshenziswa ukuphatha lezi zimpawu:
- I-Domperidone
- I-Metoclopramide (Phenergan)
- I-Ondansetron (i-Zofran)
- Prochlorperazine
I-scopolamine iyisidakamizwa se-anticholinergic esingahle isetshenziselwe ukwelapha isiyaluyalu. Ilawulwa nge-patch evame ukufakwa ngemuva kwendlebe.
Ukuvuselelwa kwe-Vestibular
Ukuvuselelwa kwe-Vestibular kungase kube usizo uma izimpawu zakho ziqhubeka isikhathi eside noma zingapheli. Ukuvuselelwa kwe-Vestibular kuyindlela yokwelashwa ngokomzimba okusebenza ukubuyisela ingqondo nomzimba wakho ukukhokhela ukungalingani kwakho kwe-vestibular.
Njengoba kushiwo ngaphambili amacala amaningi e-labyrinthitis axazulula ngokuphelele ngaphandle kokukhubazeka okungapheli. Ezimweni ezingavamile, ukulahlekelwa ukuzwa noma isiyezi kungase kuqhubeke.
Imithombo:
I-American Hearing Research Foundation. I-Vestibular Neuritis ne-Labyrinthitis. http://american-hearing.org/disorders/vestibular-neuritis-and-labyrinthitis/
UFerri, uFF. (2017). I-Labyrinthitis: U-Ferri's Clinical Advisor 2017. http://www.clinicalkey.com (Okubhaliselwe Kudingeka).
I-Pubmed Health. I-Labyrinthitis. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0027300/
I-Vestibular Disorders Association. I-Labyrinthitis ne-Vestibular Neuritis. http://www.vestibular.org/vestibular-disorders/specific-disorders/labyrinthitisvest-neuritis.php
UptoDate for Iziguli. I-Vestibular Neuritis. http://www.uptodate.com/patients/content/topic.do?topicKey=~spN6u8nazQQzLN&selectedTitle=1~11&source=search_result Ukubhalisa kuyadingeka.