Okushiwo Okuyingqayizivele Yezidakamizwa Ezihlobene Nezokwelapha
Ukuzivocavoca ungenye yemiphumela emibi kakhulu ehambisana nemithi. Lokhu kuyingxenye ngenxa yinkimbinkimbi yesistimu ye-vestibular (uhlelo lwakho lwe-"dizzy") futhi kulula ukuthi into ethile ingahamba kahle. Esinye isici isibalo esikhulu sezinto abantu abakushoyo lapho bethi bahlaziyekile, njengoba igama elithi "isiyezi" lingabangela izimbangela ezihlukahlukene.
Lapho i-Dizzy isho ukukhanya okunamandla
Ukuba nenhloko elula kusho uhlobo lokuzizwa kwabantu abazizwayo lapho bevuka masinyane futhi bezwa ukuthi bangadlula (lokhu kuthiwa yi-pre-syncope). Lokhu kuzwa kuvela ebuchosheni okwesikhashana ukungatholi oksijini okwanele, okunikezwa ngokugeleza kwegazi.
Ukuze uthole igazi kuze kufike ebuchosheni, ukucindezeleka okuthile okudingekayo kunqobe ukudonsa idonsela phansi. Ngaphandle kokucindezelwa, igazi liwela ebuchosheni, futhi ikhanda noma ukuphelelwa amandla kungaholela.
Yiqiniso, uma ukucindezeleka kwegazi kuphezulu kakhulu, kwandisa ingozi yakho kuzo zonke izinhlobo zezifo ezinjengesihlungu noma isifo senhliziyo. Ngenxa yalesi sizathu, odokotela banikeza izinhlobo eziningi zemithi yokwelapha ukucindezeleka kwegazi ( hypertension ). Le mithi elwa namagciwane ayasebenza ngezindlela ezihlukahlukene. Isibonelo, abanye bakwenza ukuba ugulise kangangokuthi kunomchamo omncane emzimbeni ukugcina ukucindezeleka ( izidakamizwa ) kanye nokunciphisa izindonga ze-artery ukunikeza igazi igumbi eliningi (i-vasodilators).
Abanye abantu banegazi legazi elihluka kunabanye kulo lonke usuku. Ngakho uma odokotela bebona umuntu onjalo lapho ukucindezeleka kwegazi kuphakeme, bangase babeke imishanguzo yegazi. Lapho ukucindezeleka kwegazi ngokwehla ngokweqile, kuzokwehla nakakhulu, futhi mhlawumbe kungabi ngokwanele ukuthola igazi ebuchosheni, okubangelwa ukukhanya okulula.
Yingakho odokotela bavame ukucela iziguli ukuba zirekhode izingcindezi zegazi ekhaya, izikhathi eziningi ngosuku ngezinsuku ezimbalwa, ngaphambi kokumisela imithi yegazi.
Eminye imithi engabangela lolu hlobo lobukhulu obukhanyayo lufaka phakathi i-tricyclic anti-depressants kanye neminye imithi yesifo sikaParkinson .
Uma i-Dizzy isho ukuguqulwa kwezidakamizwa
Abanye abantu bathi bahlaziyekile uma bethi bazinhlanhla. Ngezinye izikhathi lokhu kuqubuzana kungenza kube nzima ukuhamba ngendlela efanele. Imithi efana nezinye antiepileptics ingathinta ukusebenza kwe-cerebellum - ingxenye yengqondo ephethe ukuqondisa ukunyakaza kwethu. Ezinye izigebengu ezingase zibe khona zibandakanya i-benzodiazepines noma i-lithium. I-lithium, ikakhulukazi, inokuthi iyayaziwa ngokuthi iwindi elincane lokwelapha, okusho ukuthi kunomthelela omncane phakathi komthamo okwenzeki ngempela ukuphatha inkinga yomuntu nomthamo obangela imiphumela emisha. Ngenxa yalesi sizathu, abantu be-lithium kufanele babe nezinga legazi elihlolwe njalo ukuqinisekisa ukuthi ukuxilongwa kwegazi lomuthi kungaphakathi komkhawulo ophephile.
Uma i-Dizzy isho i-Vertigo
I-Vertigo ingumqondo wamanga wokuhamba, njengabaningi bethu ababenakho ngemva kokuhamba emgwaqweni wokuzijabulisa we-merry-go-round-dizzying.
I-Vertigo ingabangela inkinga ngezindlebe zethu zangaphakathi, inzwa phakathi kwezindlebe zangaphakathi ne-brainstem, noma ubuchopho ngokwayo. Imithi efana ne- antihistamines , i-benzodiazepines, noma i- anticholinergics ingakwazi ukucindezela isistimu ye-vestibular futhi ingenza kanjalo ngendlela edala isizungu noma ukungalingani. I-antibiotics eyaziwa ngokuthi i-aminoglycosides, efana ne-gentamicin noma i-tobramycin, ingaba nomthelela onobuthi entendeni yangaphakathi, eholele ekugcineni kwe-vertigo. Ezinye izidakamizwa ezingaba yingozi kwi-vestibular system zifaka i-quinine, ezinye ze-chemotherapies, i- salicylates njenge-aspirin, ne- dioptic loop efana ne-furosemide.
Lapho i-Dizzy isho okunye ukucabanga
Igama elithi isizungu lingaqondakali kangangokuthi abantu bayolisebenzisa ukukhombisa cishe noma yiluphi uphawu, kufaka phakathi ukukhipha, ubuthakathaka, ukudideka, nokuningi. Ngenxa yalesi sizathu, kunzima ukuhlonza zonke izidakamizwa ezihlukahlukene ezingabangela zonke lezi zimpawu. Kufanelekile ukuphawula noma ngabe ushukela ophansi wegazi ungabangela lezi zimpawu ezihlobene nesifo sodizi. Ngakho imishanguzo yezinga elingaphansi kwegazi lika-glucose, njengemithi yesifo sikashukela, kufanele iphindwe futhi phakathi kwezigameko ezingase zibe khona lapho umuntu enesizungu.
Ngaphansi
Lapho ucabangela ukuthi u-dizziness ungenxa yemithi, cabanga ukuthi ngabe inkinga yaqala ngokushesha ngemuva kokuba umuthi omusha unqunywe noma umthamo wezidakamizwa wanda. Ngezinye izikhathi, izidakamizwa zithatha isikhathi ukulimaza uhlelo lwe-vestibular, njengoba kunjalo nangama-aminoglycosides - ngakho-ke kungase kube khona ngaphambi kokuba uphawu lwesisu seluthole.
Ngaphezu kwalokho, isizungu esilandelayo njalo ukuthatha imithi ngokuqinisekile siyasolisa, kodwa isizungu soloko singase sibangelwe izidakamizwa. Isibonelo, uma ukuhlushwa kwesidakamizwa egazini kuhlale kungavamile phakathi kwamanani, kungenzeka kube khona ukushintshashintsha kwemiphumela emibi.
Ngokuvamile, kungcono ukukhumbula imiphumela emibi yemithi yokwelapha nokuxoxisana nokuphathwa kahle kwalezo zidakamizwa nomhlinzeki wakho wezempilo.
Imithombo:
Cianfrone, G., et al. (2011). Izidakamizwa zezokwelapha ezenza i-ototoxicity, izimpawu ze-vestibular kanye ne-tinnitus: umhlahlandlela ohlosiwe futhi obuyekeziwe. Ukubuyekezwa kweYurophu ngeSayensi yezokwelapha neyeMithi, 15 (6): 601Y636.
Lempert, T. (2012). Ukuhlaselwa okungajwayelekile okudinga isizungu. I-Continuum , 18 (5) 1086-1101.
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .