Izifo zikaMeniere, i-BPPV, nezinye izimbangela
I-vertigo yukuzwa kokunyakaza ngokungabikho kokunyakaza. Lokhu kungenza ube nezibonakaliso ezifana nokugula okuhambayo futhi kungase kuhanjiswe ngokuthi: i-vertigo, i-presyncope (cishe idlula ngaphandle), i-disqualibrium (engazinzile noma engalingani), noma ikhanda elikhanyayo. I-vertigo ivame ukubangelwa ukungalingani nezakhi zendlebe yakho yangaphakathi , okubizwa ngokuthi i-vertigo yomzila, kodwa futhi ingabangelwa ubuchopho bakho (vertigo ephakathi).
I-vertigo yangaphutha ivame ukubangelwa ukungasebenzi kahle kwesakhiwo esisodwa noma ngaphezulu kwendlebe yangaphakathi. Lezi zakhiwo zenza uhlelo lwe-vestibular, olubhekele ibhalansi yakho. Okulandelayo yizimbangela ezivame kakhulu ze-vertigo yangaphakathi.
- i-vertigo engezansi ye-vertigo (BPPV)
- Isifo sikaMeniere
- neuritis vestibular
- i-otosclerosis
- imithi - ama-antibiotics, imithi yegazi, noma imithi yobuhlungu
Izimpawu ze-Vertigo
Imizwa ye-vertigo ingaphazamisa kakhulu ikhono lakho lokuhlanganyela emisebenzini evamile yansuku zonke. Izimpawu ezivame ukuhambisana ne-vertigo zifaka:
- isiyaluyalu
- ukuhlanza
- i-nystagmus (ukusheshisa, ukunyakaza kwamehlo, ngokuvamile kusuka kolunye uhlangothi).
- isiyezi
- izinkinga zokulinganisela noma umuzwa wokuthi umile ngenkathi umhlaba ujikeleza nxazonke
- uzizwe udonsa ngezindlela ezahlukene
- izinkinga ngokuzwa kanye nombono
- ikhanda
Ungathola ukuthi unenkinga enzima echaza umuzwa noma uphawu oluqondile kumhlinzeki wakho wezempilo; lokhu kuvamile.
Udokotela wakho uzokwazi ukusebenzisa amakhono azo wokuhlola ukusiza ukuhlukanisa ukuthi yini ebangela izimpawu zakho. Lapho uvakashele nodokotela wakho, uzimisele ukuxoxa:
- isikhathi seziqephu
- izimbangela zezimpawu zakho
Izimbangela, Ukuvimbela, Nokunakekelwa
Akukho ukulingana okulinganayo-konke ukwelashwa kwe-vertigo.
Ngokuvamile, noma kunjalo, ngoba i-vertigo ihlobene ngokuqondile nokulinganisela kwamanzi emzimbeni wakho wangaphakathi, izinguquko zokudla ezithinta uketshezi komzimba zingasiza. Udokotela wakho cishe uzotusa izinguquko emanzini anosawoti, ushukela, ne-caffeine oyidlayo.
Ukuxilongwa kahle kwembangela ye-vertigo kubalulekile ekukhetheni ukwelashwa okungenzeka ukuthi kuphumelele. Izimbangela ezivamile zihlanganisa okulandelayo.
Ukugula okuhambayo - Uma uthola ukugula okuhambayo , kungenzeka ukuthi uyazi izimo ezikuletha - njengokuhamba ngesikebhe noma ukufunda emotweni ehambayo - futhi uzigweme ngangokunokwenzeka. Uma ungeke ukwazi ukugwema isimo esinjalo, zama ukubuka inkanyezi eshicilelwe ngenkathi uhamba; lokhu kungakusiza ugcine umqondo wokulinganisela futhi uvimbele ezinye izimpawu. Uma uhlela ukuba usesimweni lapho ungalindela khona ukuzwa i-vertigo, njenge-cruise, cela udokotela wakho uma ungakwazi ukugqoka isiqephu se-scopolamine ukusiza ukuvimbela isicanucanu nokuhlanza.
I-Benign Paroxysmal Positional Vertigo - i- BPPV yinkinga eyenza i-calcium deposits iqhubekele emanzini amancane wezindlebe zomzimba, okwenza i-vertigo uma uhamba. Ukwelashwa kwalesi sifo kuhilela i- canalith yokubeka kabusha njenge- Epley maneuver . I-Canalith repositioning ihilela uchungechunge lwezikhundla ezihamba phambili ezizosiza ekuthutheleleni imifucumfucu emigodini yamanzi kanye nakwezinye izindawo zendlebe yakho, lapho izimpawu zingekho khona futhi idiphozi izophulwa.
Le nqubo kumele yenziwe ngumchwepheshe.
Izifo zikaMeniere - Lokhu kuyimbangela enzima kakhulu ye-vertigo yokuphatha, ngoba nje imbangela ayisaziwa. Yini eyaziwa yilokho, esesifo soMeniere, uketshezi oluphakathi kwendlebe yakho yangaphakathi akulona ibhalansi, okuholela ezithombeni ze-vertigo.
Akukho ukwelashwa kwesifo sikaMeniere. Kodwa-ke, ukwelashwa okufanelekile ukusiza ukubuyisela ukulinganisela okwenziwe amanzi, njengokuguqula ekudleni okusawoti ophansi nokusebenzisa i-diuretic (amaphilisi amanzi), kungasiza ukulawula izimpawu. Imithi engasiza ukuvimbela noma ukunciphisa izimpawu ze-vertigo ihlanganisa:
- I-Meclizine
- Benzodiazepines
- I-scopolamine patch
- Ama-antibiotics
Izinqubo zokuhlinza ukuphatha isifo sikaMeniere zifaka:
- Ukungena kwe-antibiotic gentamicin noma i-steroids
- Ukususwa kwezingxenye zendlebe yangaphakathi, ngokusekelwe ezimpawu
- Ukusika izinzwa ze-vestibular ukuze ulwazi olusuka ezindlebeni zangaphakathi ngokulinganisela komzimba lungatholakali ebuchosheni (le nqubo ayilimazi ukuzwa)
Ngokuya ngobukhulu be-vertigo yakho kanye nokwelashwa owutholayo, udokotela wakho angase ancoma ukuvuselelwa kwe-vestibular (uhlelo olusekelwe ekuzivocavocavoca ukunciphisa ukuzondla nokuthuthukisa ibhalansi) kuwe. Lolu hlelo lukufundisa ukuba usebenze ngomqondo ohlukile wokulinganisela njengendlela yokukhokhela izinkinga ezibangelwa isifo sikaMeniere.
Izwi elivela
- Bheka udokotela uma une-vertigo ephindaphindiwe noma engaqondakali.
- Izinhlobo ezivame kakhulu ze-vertigo ye-peripheral, njenge-sick motion kanye ne-benti paroxysmal postigo positional (BPPV), akuyona impilo esongelayo.
- Izimo eziningi ze-vertigo zingezesikhashana, kodwa zingaba zingapheli.
- Amaqembu okusekela atholakalayo ukukusiza ukuba ubhekane nama-vertigo kanye nokushintshanisa amasu wokubhekana nabanye nabanye ngesimo sakho.
Yebo, ukuhlala nge-vertigo kungaba nzima. Kodwa kunezinto ongayenza ukuze unciphise imiphumela yaso embi. Ukuqonda isimo sakho se-vertigo futhi usebenze nodokotela ophatha i-vertigo kungakusiza ugcine impilo yakho "ibhalansi".
> Imithombo:
> Indlela yokwenza kabusha i-Canalith - yokwelashwa kwe-BPPV. Iwebhusayithi ye-Vestibular Disorders Association. http://vestibular.org/understanding-vestibular-disorders/treatment/canalith-repositioning-procedure-bppv. Kufinyelelwe kuJulayi 23, 2017
> Izifo zikaMeniere. Merck iwebhusayithi. http://www.merckmanuals.com/home/ear-nose-and-throat-disorders/symptoms-of-ear-disorders/dizziness-and-vertigo. Kufinyelelwe kuJulayi 23, 2017
> Muncie, HL, Sirmans, SM & James, E. (2017). Isizungu: Indlela Yokuhlola Nokuphathwa. Am Fam Physician. 95 (3): 154-162.
> Izimpawu ezingenzeka ze-Vestibular Disorders. I-Vestibular Disorders Association. https://vestibular.org/understanding-vestibular-disorder/symptoms. Kufinyelelwe kuJulayi 23, 2017