I-MS ngezinye izikhathi, kodwa hhayi ngaso sonke isikhathi, isicala se-vertigo kwiziguli ze-MS
I-Vertigo yisifo esinonya se - multiple sclerosis . Cabanga ngesikhathi usungumntwana futhi ugezeze nxazonke futhi uzungezile, bese umisa. Lokho kungcono kakhulu ukuzwela-kuphela manje omdala, awukho ebaleni lokudlala, futhi awukwazi ukuliyeka. Kuyinto ezwakalayo, engakhululekile umuzwa wokungaqiniseki noma ukugula, okwenza thina esivele singazinzile ezinyaweni zethu sizizwa sisongela kakhulu.
Sibutsetelo
I-Vertigo yisimpawu esivamile esivela ku-multiple sclerosis (MS), esenzeka ngamaphesenti angama-20 abantu abane-MS ngesikhathi esithile. Ngenhlanhla, akusona uphawu oluhlala unomphela kubantu abaningi futhi angeke lubonise nesilonda noma ukuvuvukala okusha (njengoba i-vertigo ingaba nezimbangela ezingezona ze-MS). Kodwa-ke, kungenzeka ukuthi ivela ezilwaneni ezintsha zobuchopho noma izilonda ezindala ezikhula.
Izimbangela
I-Vertigo ingabangelwa ama- MS izilonda ku-cerebellum . Kungaba umphumela wokulimala kwezibilini ezilawula imisebenzi ye-vestibular yendlebe (i-acoustic cranial nererve, i-CN VIII) ebuchosheni .
Kodwa-ke, kubonakala sengathi imbangela evamile kakhulu kubantu abane-MS kukhona okuthiwa i-benign paroxysmal positioning vertigo (BPPV), kunokuba kudingeke ukuthi ukudilizwa kwegazi (ukubhujiswa kwe- myelin ). Lokhu kusho ukuthi ngenxa yokuthi unayo i-MS akusho ukuthi i-vertigo ingumphumela oqondile wenqubo yesifo se-MS.
I-Benign Paroxysmal Positioning Vertigo (BPPV)
I-BPPV izwa sengathi i-vertigo enzima eyenzeka ekuhambeni kwekhanda, ikakhulukazi uma iguqa phezu kombhede, iphuma embhedeni, noma iphoqa ikhanda ukuze ibheke phezulu. Kuzizwa sengathi wena (noma indawo okuzungezile) iyaphenya noma iphoqa uma ungekho. Ngokuvamile ihlala imizuzu embalwa nje.
I-BPPV ibangelwa yi-debris eqoqwe kwingxenye ethize (imigodi yamacilisi) yezindlebe zangaphakathi, okuyingxenye yesistimu ye-vestibular.
Ama-debris, okuthiwa i-otoconia noma ama-canaliths, empeleni amakhekhe amancane e-calcium carbonate esinawo wonke. Ngokuvamile kufakwe izinwele ezincane ezisezindlebeni zakho zangaphakathi ezibona ukunyakaza kodwa zingasuswa futhi zijikeleze.
Uma umuntu ophethe i-BPPV ehambisa ikhanda lakhe, lawa makristalu ashintsha futhi avuse lezi zinwele ezincane, athumele izimpawu zamanga ebuchosheni. I-vertigo yenzeka ngenxa yokudideka okubangelwa lezi zimpawu kanye nezinye izinhlelo ezilawula ukutholakala kwendawo . Njengoba abantu abaningi abane-MS bevele benenkinga ngokuzimela, lokhu kungabenza bazizwe BPPV nakakhulu nakakhulu. Ngamanye amazwi, umngcele wabo wokuthola u-vertigo ungase ube ngaphansi.
Imithi
I-Vertigo ingabuye ibe yimbi kakhulu ngezinye izidakamizwa ezibekiwe ngezimpawu ze-MS, ezifana ne-tricyclic anti-depressants (Elavil) ngenxa yobuhlungu be-neuropathic noma i-Baclofen ukuze i-spasticity. Izinkinga zegazi, ishukela ephansi yegazi, noma isifo senhliziyo kungase ibe imbangela ye-vertigo yakho. Ngakho, ukubona udokotela wakho wokunakekela oyinhloko ukuhlolwa okuphelele kuwumqondo omuhle. Futhi, i-vertigo ingabangelwa izifo, ezifana nomkhuhlane.
Izimpawu
I-Vertigo, eyabangelwa i-MS futhi kungenjalo, kuyisimo sokujijimela-kungakhathaliseki sengathi kuhlotshaniswa noma indawo ejikelezayo iyajikeleza.
Kungaba sengathi:
- Umhlabathi ngokuzumayo ugijimela phezulu.
- Ikamelo (noma indawo) lihamba ngokuqhubekayo.
- Ikamelo libonakala lijikeleza ingxenye yendlela, buyela ejwayelekile, futhi lijikeleze ngendlela ephindaphindiwe.
Kungaba umuzwa onamandla kakhulu wokunyakaza futhi kungabangela ukucabangela noma ukuhlanza. Kubi kakhulu, i-vertigo ingabangela ubunzima ukuma noma ukuhamba ngisho nokuholela ekuweni. Kuvame ukuphikelela isikhathi eside, kepha kungathatha amasonto noma izinyanga ukuba zihambe (okuvame ukwenza kancane kancane). Kodwa-ke, abanye abantu bayakuzwa ngokungahleliwe.
Ukwelapha
Uma unayo i-MS futhi uhlangabezana ne-vertigo, umqondo omuhle ukubona i-otolaryngologist, igama eliyinkimbinkimbi yendlebe, impumulo, nomphimbo we-throat (ENT).
Okuhle ngempela, uma uhlala endaweni enokufinyelela kuchwepheshe onjalo, uzobonwa yi-osteolologist noma i-neurotologist (ochwepheshe ezindabeni zombili zendlebe ne-neurology) kunoma yiziphi izimo ze-vertigo ehlobene ne-MS.
Lokhu kubalulekile ngoba ezinye izimbangela ze-vertigo (njenge-BPPV) zingelashwa ngaphandle kwemithi (ukuphatha okungenabuhlungu, njengokwimeko ye-BPPV) futhi ungavimbela ukuhlola okungadingekile kwe-MRI nezidakamizwa ezinezimo ezinjengokukhathala.
Uma i-vertigo yakho iphuma ku-MS, ukuvuselelwa kwe-vestibular kungaba usizo. Uma i-vertigo yakho ehlobene ne-MS inzima ikakhulukazi, ikakhulukazi uma ikwenza ukuthi ube nesisulu esikhulu kangaka, awukwazi ukugcina amanzi phansi noma ukuthatha imithi ngomlomo, amanzi okugcoba kanye ne-high-dose corticosteroids anganciphisa izimpawu zakho.
Izwi elivela
Ngenkathi ngokuqinisekile uphawu olungathandeki futhi olunzima, wazi ukuthi i-vertigo e-MS ingaphathwa. Ngokuhlonza kahle kanye nokwelashwa okuphelele okuvame ukuhlanganisa imithi kanye nokunye uhlobo lokulinganisela ukwelashwa, ungabuyela ekujabuleleni ukuphila kwakho.
> Imithombo
> National MS Society. I-Vertigo.
> Randall T. Schapiro. Ukuphatha Izimpawu Ze-Multiple Sclerosis (Umhlaka 5). I-New York: I-Demos Publishing. 2007.