Izinhlobo zohlobo lwezondlo zingahluka ngokungafani nezimbangela
Ukuzivocavoca kuyinkinga evamile kakhulu. Ngokuvamile kunalokho, kubangelwa isimo noma ukugula okuphathwa kalula noma ukuxazulula ngokwakho. Ngezinye izikhathi, isizungu singaba isibonakaliso sokuthi into ebalulekile noma ngisho nokubeka impilo engozini. Ngokukhomba uhlobo lokuzivocavoca umuntu ohlangabezana nalo, odokotela bangakwazi ukukhomba ukuthi yini imbangela engakafiki ngaphambi kokuthi ibe yinkinga enkulu.
Izinhlobo zosizi
Ukuzivocavoca yisikhathi esingasetshenziselwa ukuchaza izinzwa eziningana ezihlukene, okunye okuxhunyaniswe nezinhlelo ezahlukene zesitho noma izifo. Ngokuchaza lezi zinzwa, unganikeza udokotela wakho indlela yokunikeza ukuxilongwa futhi aqale uphenyo.
Ukuzondwa kungachazwa ngezindlela ezilandelayo:
- I-Presyncope "izwa izinwele ezilula." Lona ukuzwa okungase kube nakho uma uvuka ngokushesha kakhulu. Kwezinye izimo, ungase uphaphatheke, uzizwe u-clammy, noma uphinde uphume (okubizwa ngokuthi yi- syncope ). I-Presyncope iyenzeka njengomphumela wokuvinjelwa kwegazi ebuchosheni. Kungase kubangelwe into elula njengokungaphuzi amanzi okwanele noma njengesifo esiyingozi njengenhliziyo.
I-disequilibrium izwa "ukulinganiswa okukude." Lona ukuzwa kokungakwazi ukugcina ibhalansi, ngokuvamile ukugijima ngakolunye uhlangothi kolunye. Uma kubonakala kungazelelwe, kungase kubangelwe into elula njengokutheleleka kwezindlebe noma njengento ejulile njengesifo sezinzwa. Uma izimpawu ziqhubeka kancane, kungase kube umphumela we-disordered disorder disorder ezifana nesifo sika-Parkinson noma isifo sohlelo (wonke umzimba) esithinta isimiso sezinzwa.
I-Vertigo yilapho konke "kuvuleka emibuthanweni." Kuyinto efanayo lapho unayo uma ujikeleza masinyane futhi ume ngokuzumayo. I-Vertigo ingabangelwa inkinga yezindlebe zangaphakathi, okubangelwa ku-vertigo yangaphakathi. Uma kungumphumela wenkinga nge-brainstem (elawula ukulinganisela nokulingana) ibizwa ngokuthi i- vertigo ephakathi . Izimbangela zingabandakanya ubuthi, ukuphazamiseka kwemithi (njengokuhluleka kwezinso), multiple sclerosis , kanye nesifo sohlangothi. Umbono ophindwe kabili, ukugubha, ukuphazamiseka, ubuthakathaka, ukuqubuka komzimba, noma ubunzima bokugwinya kungase kuhambisane ne-vertigo.
Ukuzondeka okungaqondile kuningi mayelana "nokuzizwa kubehle." Kulesi simo, igama elithi ugozi lingase lisetshenziselwe ukuchaza uphawu ongeke ulibeke umunwe wakho, njengokukhathala noma ukuphazamiseka. Kungase kubandakanye ukuzwela okungaphandle komzimba okungenzeka ube khona emva kokuqala imithi emisha. Kwezinye izimo, ukuzwa kungase kube yimiqondo yengqondo.
Usizi olukhulu njengesifo sesifo esibi
Abantu abangaba yizigidi ezingu-8 bavakashela odokotela babo unyaka ngamunye ngenxa yokungena okungenalutho. Ezimweni eziningi, imbangela iyoba elula futhi idinga kancane noma akukho ukungenelela kwezokwelapha. Ngezinye izikhathi, isizungu singaba isibonakaliso sokuxwayisa sokuqala kwesimo esinzima noma esongela ukuphila.
Phakathi kwezimo ezibucayi kakhulu ezihlobene nosizi:
- Ukungaqiniseki kwe-vertebrobasilar igama elisetshenziselwa ukunciphisa ukugeleza kwegazi ku-brainstem. Uma lokhu kwenzeka, umuntu angase abone izimpawu ze-vertigo esendaweni ehamba phambili ngaphesheya komzimba. Uma ukunikezwa kwegazi kunciphisa isikhathi esincane, kungabangela ukuhlaselwa kwe-ischemic okwesikhashana (ngezinye izikhathi kubizwa ngokuthi "i-mini-stroke"). Uma ukuvinjelwa sekude, kungabangela ukulimala komzimba nokulimaza okungapheli.
- Ukutheleleka kwe-Brainstem kungabangela futhi ku-vertigo. Esinye sezimbangela ezivame kakhulu i-labyrinthitis yegciwane, uhlobo lokutheleleka okuholela ekuvuvukeni endlebeni yangaphakathi. Okunye, izifo ezingathí sina kakhulu zihlanganisa i- Cryptococcus (isifo sofuba esibonakalayo kubantu abanesandulela ngculaza) noma amabhaktheriya axhumanayo njengesifo sofuba noma uListeria . Ama-virus afana ne- herpes zoster nawo angabangela isizungu ngokuhlasela imizwa ebusweni bakho eseduze nendlebe yakho.
- Isifo senhliziyo sivame ukuhlotshaniswa nesizungu ngenxa yokunikezwa kwegazi okwanele ebuchosheni. Ukuthuthukisa izifo zenhliziyo kuncishisa ikhono lenhliziyo yokupompa igazi ngendlela efanele ngokudonsa amandla adonsela phansi. Yingakho ukuma ngokushesha kungabangela i-presyncope kwabanye abantu. I-arrhythmias ye-cardiac (izinhliziyo ezingavamile) ngokuvamile ingenza into efanayo.
- Izidumbu ze-endocrine azivamile kodwa ziyaziwa ngama-hormone e-secrete angenza uzizwe unesizungu. Esinye isibonelo i-insulinoma, i-tumor efaka i-hormone efanayo esetshenziswa abantu abanesifo sikashukela ukulawula ushukela wegazi. Uma kukhululiwe kakhulu, ushukela wegazi lomuntu lingase libe liphansi kakhulu ukuze kubangele ukuzondeka, ubuthakathaka, nokuphazanyiswa. Olunye uhlobo, okuthiwa i- pheochromocytoma , luyimfihlo ye-hormone ekhulisa ukucindezeleka kwegazi futhi ingabangela ukungena kwemvelo okungavamile.
- U-Guillain-Barré uyisifo esizimele esisodwa lapho isimiso somzimba samasosha omzimba sihlasela isimiso sezinzwa zomzimba . I-Guillain-Barré ingase ibangelwe yi-bacterial acute or infection. Izimpawu ngokuvamile ziqala njengobuthakathaka futhi zibopha ezinyaweni nasemiilenzeni ekhula kancane kancane emzimbeni ophezulu. Ukungahlali kahle kuvamile njengoba lesi sifo sithuthuka. Ukukhubazeka kungase kwenzeke ngezinye izikhathi.
- I-Wernicke's encephalopathy (WE) ibangelwa ukuntuleka kwe- thiamine (i-vitamin B1). Abantu abane-WE bangaba nezinkinga ezithinta amehlo abo kanye nokugcina ukuqina lapho behamba. Ngaphezu kwalokho, bangakwazi ukuhlakulela izinkinga zememori ezingaba zingenakwenzeka ngaphandle kokuba zinikezwe i-vithamini ngokushesha. Izimpawu eziningi zizophuthuma ngokushesha uma ukuphuluka kwe-thiamine kuthathwa ngokushesha.
Izwi elivela
Uma ubona udokotela mayelana nezimpawu zesimo sosizi, khuluma ngokucacile ngangokunokwenzeka uma uchaza lokho okuhlangenwe nakho. Qinisekisa ukudalula ulwazi mayelana nanoma yimiphi imithi ongayithatha, enqunyiwe noma ngenye indlela, noma yiziphi izinguquko ongase uzikhiphe ekudleni kwakho, indlela yokuphila, ukudla utshwala, noma isimiso somsebenzi. Uma ukhuluma ngokucacile mayelana nezimpawu ozizwayo, kungenziwa ukutholakala kalula.
Imithombo:
> I-Ropper, A .; Ama-Samuels, M .; kanye noKlein, J. Adams kanye nemigomo kaVictor's Neurology (Edition 10). ENew York: McGraw-Hill, 2014; I-ISBN-10: 007179474.
> URubin, D. noCheshire, W. Ukuhlola 'Ukuzivocavoca' ehhovisi le-Neurology. Ama-Seminar ku-Neurology . 2011; 31 (1): 029-041.