Ðe wò hã nèsena le ɖokuiwò me be yeƒe ta le ƒoƒom ɣesiaɣia? Ate ŋu anye vestibular dɔléle!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ta gbãna alo nèle tsatsam le wò zikpui dzia? Ame aɖewo hã ƒe lãme gbãna eye woɖea aɖuɖɔ. Ne esia dzɔna enuenu la, mègagbee be enye nusi sɔ o. Ate ŋu atso kuxi aɖe si le wò ŋutilã ƒe dadasɔ ƒe ɖoɖo si woyɔna be vestibular system ŋu gbɔ. Egbea, míaƒo nu tso vestibular disorders ŋu.

Nukae nye Vestibular Disorders?

Kpuie ko la, vestibular disorders nye kuxi siwo le vestibular system, si kpɔa wò ŋutilã ƒe dadasɔ dzi. Nuɖoanyi sia lɔ wò to ememetɔ ƒe akpa aɖewo kple wò ahɔhɔ̃ ƒe akpa aɖewo ɖe eme. Esiawoe kpena ɖe ŋuwò be wò ŋutilã nada asɔ.

Bu eŋu kpɔ, ɖoɖo siae kpena ɖe ŋuwò be nàda asɔ ne èle zɔzɔm, trɔ ta, eye nèle ti kpom. Eyata ne kuxi aɖe le wò to ememetɔ ƒe vestibular system ŋu, alo wò central nervous system (CNS) ƒe akpa siwo tsɔa nyatakaka siawo yia ahɔhɔ̃a gbɔ hedzroa wo me la, àte ŋu akpɔ kuxiwo le wò dadasɔ me (vestibular dysfunction). Zi geɖe la, vestibular kuxiwo abe esiawo ene ye hea taɖuame kple vertigo vɛ.

Nukawoe nye nɔnɔme sia ƒomevi veviwo?

Ðɔktawo daa vestibular dɔléle siawo ɖe hatsotsowo me le afisi kuxia le le wò vestibular system me nu.

• Peripheral Vestibular Disorders (PVD): Esiawo nye nɔnɔme siwo gblẽa nu le wò to ememetɔ alo vestibular nerve, si tsɔa dzesi siwo da sɔ yia ahɔhɔ̃a gbɔ la dzi. Bu eŋu abe kuxi si le seselelãme ƒe akpa suesuesue siwo le wò to me ŋu ene.
• Central Vestibular Disorders (CVD): Esiawo nye nɔnɔme siwo gblẽa nu le wò ahɔhɔ̃ ƒe akpa siwo wɔa dɔ tso dadasɔ ƒe dzesi siwo tso peripheral vestibular system gbɔ ŋu. Esia fia be ahɔhɔ̃a mete ŋu ɖea nyatakaka siwo tso to me gɔme nyuie o.

Nukawoe nye vestibular dɔléle siwo bɔ wu?

Wokpɔa esiawo dometɔ aɖewo zi geɖe:

• Benign Paroxysmal Positional Vertigo (BPPV): Esiae nye taɖuame si ƒomevi ame akpa gãtɔ kpɔna ne wotrɔ ta zi ɖeka.
• Ménière ƒe dɔléle: Le nɔnɔme sia me la, tsɔ kpe ɖe taɖuame ŋu la, tosese kple towo ƒe ɖiɖi ate ŋu adzɔ.
• Vestibular neuritis: Esiae nye esime vestibular nerve la va xɔa dzo.
• Labyrinthitis: Esia nye to ememetɔ ƒe labyrinth ƒe dɔdzẽ, si ate ŋu agblẽ nu le tosese ŋu.

Ðe vestibular dɔléle ƒomevi bubuwo lia?

Ẽ, bubu geɖewo gali. Esiawo sesẽ vie, gake enyo be woanya:

• Gbeɖiɖi ƒe ahɔhɔ̃mekawo ƒe dɔléle
• To ememe dɔléle si tsoa dɔlélenutsiŋutete gbɔ
• Tsimɔ siwo keke ɖe enu (EVA) .
• Mal débarquement syndrome (MdDS) – Esia nye seselelãme abe anyigba le ʋuʋum ene ne èɖi le meli me gɔ̃ hã.
• Towo ƒe ʋuʋu
• Ʋuka me ʋu ƒe sisi (PLF) .
• Taɖuame si nɔa anyi ɖaa le nɔnɔme-nukpɔkpɔ me (PPPD) .
• Presbyvestibulopathy (PVP) – dadasɔ ƒe kuxi siwo dzɔna ne ame tsi.
• Endolymphatic hydrops evelia
• Superior semicircular canal dehiscence ƒe dɔléle
• Ʋukawo ƒe ʋuʋu
• Vertebrobasilar ƒe dɔmawɔmawɔ nyuie
• Vestibular ataxia ƒe dɔléle
• Vestibular migraines – taɖuame si kpena ɖe taɖuame ŋu.
• Vestibular ƒe dɔmawɔmawɔ nyuie
• Vestibular paroxysmia ƒe dɔléle

Fifia ɖewohĩ èle eŋu bum be, "Dada, dɔléle kae nye esia?" Mègatsi dzi o, menye amesiamee xɔa nusiawo katã o. Eŋutinunyala bibi aɖe koe ate ŋu anya nusiawo nyuie.

Nukawoe nye vestibular disorder ƒe dzesiwo?

Dzesi eve li siwo wokpɔna zi geɖe le nɔnɔme sia me:

• Taɖuame: Esia fia be nàse le ɖokuiwò me be taɖuame, tagbɔ le ƒoƒom, alo "woozy."
• Vertigo: Esia nye ne èse le ɖokuiwò me be yele tsatsam, alo abe xɔ si me nèle la le tsatsam le ye ŋu ene. Ele abe yiyi kple anyime le ʋuʋudedi dzi ene.

Tsɔ kpe ɖe dzesi vevi siawo ŋu la, dzesi bubuwo hã ate ŋu adze le wò nɔnɔme tɔxɛa nu. Wo dometɔ aɖewoe nye:

• Tsitretsitsi alo anyinɔƒe dzɔdzɔe sesẽ.
• Azɔlizɔzɔ madzudzɔmadzudzɔe sesẽ (abe ɖe wòle zɔzɔm madzudzɔmadzudzɔe ene).
• Tosese ƒe dɔmawɔmawɔ nyuie alo towo ƒe ɖiɖi (woyɔa esia be tomeʋuʋu ).
• Ŋkuwo ƒe ʋuʋu si dzi womeɖu o, si mesɔ o (woyɔa esia be nystagmus) .
• Nukpɔkpɔ si me mekɔ o.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Esesẽna na wò be wò susu nanɔ nane ŋu.

Bu eŋu kpɔ, Nilanthi Akka si tso míaƒe kɔƒea me tsia ta abe aɖabaƒoƒo ɖeka ene ŋdi sia ŋdi ne efɔ tso aba dzi. Esusu be alɔ̃madɔmadɔ gbɔe wòtso. Gake emegbe esi wòyi ɖɔkta gbɔ la, ekpɔe be enye dɔléle aɖe si woyɔna be BPPV (Benign Paroxysmal Positional Vertigo) . Eyata ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ godoo.

Nukawoe hea vestibular dɔlélewo vɛ?

Susu geɖe ate ŋu anɔ anyi siwo tae vestibular system la ate ŋu awɔ dɔ nyuie o.

• Tsitsi: Ne èle tsitsim la, nusiwo le wò to ememetɔ me siwo ɖoa dadasɔ ƒe dzesiwo ɖe ahɔhɔ̃a ate ŋu agbɔdzɔ vivivi.
• Ta ƒe abixɔxɔ: Ne woƒo ta la, ate ŋu agblẽ nu le to ememetɔ alo ahɔhɔ̃a ƒe akpa siwo do ƒome kple vestibular system ŋu.
• Aɖinuwo ƒe amedzidzedze: Tototoxicity nye nusiwo gblẽna le to ememetɔ ŋu si atike aɖewo siwo nènona hena vɛ. Esia nye nu vevi aɖe si gbɔ vestibular ƒe dɔmawɔmawɔ nyuie tsona. Atike siwo le nutoa me (le kpɔɖeŋu me, lifi) ate ŋu agblẽ nu le to ememetɔ hã ŋu.
• Dzoxɔxɔ: Dzoxɔxɔ ate ŋu agblẽ nu le to ememetɔ ƒe ŋutinuwo kple lãmeka siwo kpɔa gome le dadasɔ me. Ɣeaɖewoɣi la, dɔlékui alo dɔlékui aɖe ate ŋu atso dɔdzẽ sia gbɔ.
• Endolymph kuxiwo: Tsi si le wò to ememetɔ si woyɔna be endolymph la ʋãna ne wò ta le ʋuʋum. Ʋuʋu sia nana lãmeka siwo ɖoa wò nɔnɔme ŋuti nyatakakawo ɖe wò ahɔhɔ̃ me la wɔa dɔ. Ne kuxi aɖe le tsi sia ŋu la, ate ŋu ahe kuxiwo vɛ le vestibular system ŋu, si ana vodadawo nadzɔ le dzesiwo ƒe kaka me.
• Dɔdzẽ: Dɔdzẽ aɖewo (siwo dome dɔdzẽ hã le) le ahɔhɔ̃ alo to me ate ŋu akpɔ ŋusẽ ɖe lãmeka siwo kpena ɖe ŋuwò be nàda asɔ la dzi.
• Dɔlélenutsiŋutete ƒe dɔlélewo: Esia mebɔ vie o, gake le dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ me la, wò ŋutɔ wò dɔlélenutsiŋutete ate ŋu adze wò to ememetɔ dzi.
• Ahɔhɔ̃mekawo ƒe nɔnɔmewo: Dɔléle siwo gblẽa nu le wò lãmekawo kple lãmekawo ƒe dɔwɔwɔ ŋu (CNS) ate ŋu ana wò dadasɔ nagblẽ. Ʋusɔgbɔdɔ nye nusi gbɔ titina vestibular ƒe dɔmawɔmawɔ nyuie tsona zi geɖe. Ate ŋu atso dɔléle siwo gblẽa nu le ametakpɔnu si ƒo xlã lãmekawo ŋu hã gbɔ (abe dɔléle siwo ɖea lãmekawo ɖa ene ).

Nukawoe nana dzesi siawo dzina ɖe edzi?

Ame siwo ŋu vestibular disorders aɖewo le la kpɔa dzesiwo abe taɖuame kple taɖuame ene, siwo vaa wo gbɔ eye wodzona. Le nɔnɔme siawo me la, "nu siwo ʋãa ame" aɖewo ate ŋu adze dzesiawo gɔme alo agblẽ wo ɖe edzi. Nu siawo siwo hea dɔlélea vɛ dometɔ aɖewoe nye:

• Tɔtrɔ siwo va le nutoa me: Le kpɔɖeŋu me, kasia yiyi teƒe si "vovo mele o" si yɔ fũ kple amewo eye woakpɔ nu vovovowo.
• Ta ƒe ʋuʋu kpata alo eƒe nɔnɔme ƒe tɔtrɔ: Abe ne mlɔ aba dzi ene.
• Nuɖuɖu kple nunono aɖewo.
• Alɔ̃madɔmadɔ.
• Nuteɖeamedzi.

Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàde dzesi nusiwo le abe esiawo ene siwo ate ŋu ana wò dzesiwo gagblẽ ɖe edzi.

Nukae nye esia ƒe nugbegblẽ (kuxiwo) siwo ate ŋu ado tso eme?

Menye ɖeko vestibular ƒe dɔmawɔmawɔ nyuie kpɔa ŋusẽ ɖe wò dadasɔ dzi ko o. Ne womekpɔ egbɔ o la, ate ŋu ahe kuxi bubuwo hã vɛ.

• Anyidzedze: Dadasɔ ƒe kuxiwo ate ŋu ana ame nadze anyi si me afɔku le. Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) gblɔ be ame tsitsi siwo le United States ƒe 20% va ɖo 30% xɔa abi le ta, ʋuʋu, alo akɔta gbãna le anyidzedze ta. Ame siwo xɔ wu ƒe 60 la le afɔku gã aɖe me be woadze anyi siawo siwo ate ŋu ade woƒe agbe afɔku me. Bu ale si wòanɔ ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom zi ɖeka eye nèdze anyi esime nèle zɔzɔm le akpataa me ɖa.
• Tosese ɣeyiɣi didi: Vestibular dɔléle aɖewo do ƒome kple tosese ɣeyiɣi didi. Zi geɖe la, woate ŋu axe mɔ ɖe esia nu ne wokpɔ dɔlélea dze sii hedae kaba.
• Susu ƒe lãmesẽ ƒe nɔnɔmewo: Vestibular dysfunction ƒe dzesiwo ate ŋu ana wòasesẽ be woawɔ gbesiagbedɔwo abe ʋukuku alo azɔlizɔzɔ ene. Amewo ate ŋu aƒo asa na hadomenuwɔnawo hã le vɔvɔ̃ na taɖuame alo taɖuame ta. Nusiwo dona tso eme siawo ate ŋu ahe susu ƒe lãmesẽnyawo abe dzimaɖitsitsi kple blanuiléle ene vɛ .

Eyata ele vevie ŋutɔ be woadi atikewɔlawo ƒe aɖaŋuɖoɖo kple atikewɔwɔ kaba evɔ womadzi lãmesẽkuxi bubuwo ƒe afɔkua ɖe edzi o.

Aleke wokpɔa vestibular dɔlélewoe?

Wò ɖɔkta akpɔ dɔlélea to ŋutilã dodokpɔ kple ahɔhɔ̃mekawo dodokpɔ me. Woabia nya tso wò dzesiwo hã ŋu. Wò dzesiwo gɔmesese nye nu vevi aɖe si ana nànya ne to ememetɔ alo lãmekawo ƒe dɔwɔwɔ (CNS) mee kuxia le.

Eŋutinunyala bibi ka ƒomevie wòle be makpɔ?

Ðɔkta geɖe li siwo ate ŋu anya vestibular dɔlélewo ahada wo:

• Tome kple tomeŋutinunyalawo (ENTs).
• Vestibular toŋutinunyalawo.
• Ahɔhɔ̃ŋutinunyalawo.
• Lãmesẽdɔwɔlawo.

Dodokpɔ ka ƒomevie wowɔna tsɔ dea dzesi esia?

Ate ŋu adzɔ be woawɔ dodokpɔwo abe esia ene:

• Vestibular dodokpɔwo: Esiawo ate ŋu akpɔ alesi vestibular ŋutinu siwo le wò to ememetɔ me le dɔ wɔme. Zi geɖe la, dodokpɔ siawo léa ŋku ɖe alesi wò ŋkuwo kple to ememetɔ wɔa dɔ ɖekae be wòakpe ɖe ŋuwò nàda asɔe ŋu.
• To dodokpɔ: Esiawo léa ŋku ɖe dzesiwo abe to ƒe tosese alo to ƒe ɖiɖi (tinnitus) ene ŋu, si ate ŋu atso vestibular disorder gbɔ.
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:Ðewohĩ ahiã be nàwɔ MRI (magnetic resonance imaging) alo CT scan (computed tomography scan) atsɔ akpɔe ɖa be xɔtuɖoɖo ƒe kuxi aɖewo le wò to ememetɔ alo ahɔhɔ̃a ŋu hã.
• Ʋudodokpɔ: Esiawo ate ŋu akpɔe ɖa be dɔlékui siwo ate ŋu anɔ to ememetɔ ƒe kuxiwo hem vɛ hã.

Aleke wodaa vestibular dɔlélewoe?

Atike si nàxɔ la anɔ te ɖe wò nɔnɔme tɔxɛa dzi. Woate ŋu ada vestibular dɔlélewo to:

• Agbenɔnɔ ƒe tɔtrɔ: Agbenɔnɔ ƒe tɔtrɔ bɔbɔe ate ŋu akpe ɖe ame ŋu wòakpɔ vestibular dɔléle aɖewo gbɔ. Le kpɔɖeŋu me, ne tsi ƒe ƒoƒo ɖe wò to me nye kuxi la, nuɖuɖu siwo me dze le (siwo ate ŋu ana tsi nalé wò) dzi ɖeɖe kpɔtɔ ate ŋu akpe ɖe ŋuwò. Ele vevie hã be nàsrɔ̃ alesi nàde dzesi nusiwo ate ŋu ahe vertigo vɛ ahakpɔ wo dzi.
• Atikewo: Ðewohĩ àhiã atikewo atsɔ ada nusi gbɔ wò dɔlélea tso alo atsɔ aɖu wò dzesiwo dzi. Le kpɔɖeŋu me, àte ŋu ahiã dɔlékuiwutikewo be woatsɔ ada dɔlékuiwo ƒe dɔlékuiwo, alo aɖuɖɔtoemetikewo be woatsɔ aɖe tsi ƒe ƒoƒo ɖe wò towo me dzi akpɔtɔ. Àte ŋu ahiã atike siwo tsia ʋuʋudedi nu alo atike siwo wua ʋumenugbagbeviɣidɔ be nàtsɔ aɖu dzesiwo abe ʋuʋu ƒe dɔléle ene dzi.
• Canalith repositioning procedure: Ne BPPV (Benign Paroxysmal Positional Vertigo) , le ŋuwò la, atikewɔwɔ sia, si wowɔ ɖeka kple kamededeŋutinunyala, ate ŋu akpe ɖe ŋuwò nàgbugbɔ aɖo canaliths suesuesue siwo le wò to ememetɔ siwo vuvu la ɖe teƒe bubu.
• Vestibular rehabilitation: Vestibular rehabilitation therapy lɔ kamedede siwo kpena ɖe ame ŋu be woaɖu taɖuame kple taɖuame dzi.
• Amekoko: Zi geɖe la, wowɔa to ememetɔ ƒe dɔwɔwɔ abe mɔnu mamlɛtɔ si dzi woato ada vestibular dɔlélewo ene. Gake ate ŋu ahiã be woaɖu vertigo ƒe dzesi sesẽwo dzi ne atikewɔwɔ bubuwo mekpe ɖe eŋu o.

Nukae nàte ŋu akpɔ mɔ na ne èle agbe kple nɔnɔme sia?

Wò nɔnɔmea nɔ te ɖe vestibular disorder tɔxɛ si le ŋuwò dzi. Le go aɖewo me la, vestibular kuxiwo nu yina le wo ɖokui si. Le kpɔɖeŋu me, zi geɖe la, vestibular kuxi siwo do ƒome kple dɔlékuiwo la nyona ɖe edzi ne dɔlékuia alo dɔlékuia nya nu yi ko. Gake ele vevie be woawɔ atike na ame kaba ale si nàte ŋui be wòagagblẽ nu le to ememetɔ ŋu ɣeyiɣi didi o.

Vestibular dɔléle bubuwo hiã be woakpɔ wo gbɔ le woƒe agbemeŋkekewo katã me. Dzesiwo ate ŋu ava eye woadzo le vome, alo le nusiwo hea dɔlélea vɛ siwo nède dzesii la ŋuɖoɖo me. Ne aleae wòle le gowòme la, ahiã be nàwɔ dɔ kple wò ɖɔkta (alo dɔnɔdzikpɔlawo ƒe ƒuƒoƒo) akpɔ wò nɔnɔmea gbɔ.

Ðe woate ŋu axe mɔ ɖe vestibular dɔlélewo nua?

Enɔ te ɖe nusi gbɔ vestibular dɔlélea tso dzi, gake zi geɖe la, esesẽna be woaxe mɔ ɖe vestibular dɔlélewo nu.

Gake nanewo li nàte ŋu awɔ atsɔ alé be na ɖokuiwò. Le kpɔɖeŋu me, àte ŋu axɔ atike kaba be nàxe mɔ ɖe nusiwo nusiwo gbɔ wòtso abe dɔlékuiwo ene ƒe nugbegblẽ le ame ŋu ɣeyiɣi didi nu. Ne èle agbe kple nɔnɔme si nɔa anyi didi la, àte ŋu aɖe afɔ aɖewo atsɔ aɖe wò anyidzedze ƒe afɔkua dzi akpɔtɔ.

Aleke malé be na ɖokuinye?

Zi geɖe la, wozãa agbenɔnɔ ƒe tɔtrɔ, atikewo, kple vestibular rehabilitation ƒe ƒuƒoƒo tsɔ daa vestibular dɔlélewo alo kpɔa wo gbɔ. Gake ame akpa gãtɔ ate ŋu akpɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wo. Hafi ɣemaɣi naɖo la, àte ŋu akpɔ ɖokuiwò dzi to:

• Na wò atike nanɔ gbɔwò ɣesiaɣi.
• Ne èse le ɖokuiwò me be dzesiwo te dzedze la, xɔ mɔkeke vie nàɖi ɖe eme.
• Ƒo asa na nuwɔna siwo me afɔku le ne mèka ɖe edzi be wole dedie o.
• Ne ènoa atama la, ƒo asa nɛ (alo dzudzɔ). Sigaretnono ate ŋu ana dzesiawo nagagblẽ ɖe edzi.
• Ðe caffeine kple aha sesẽ dzi kpɔtɔ. Esiawo nye nusiwo ʋãa ame zi geɖe siwo nana dzesiawo dzina ɖe edzi.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia nya siawo tɔgbe:

• Nukatae vestibular dɔléle sia va dze dzinye?
• Dodokpɔ kawoe wòle be woawɔ atsɔ anya nye dɔlélea?
• Atikewɔwɔ ka ƒomevie mehiã?
• Aleke mawɔ akpɔ nusiwo aʋãa ame gbɔe?
• Tɔtrɔ kawoe mate ŋu awɔ atsɔ aɖe anyidzedze ƒe afɔkua dzi akpɔtɔ?

Mlɔeba la, nu vevitɔ kekeake (Take-Home Message) .

Mía dometɔ geɖe menya alesi gbegbe dadasɔ le vevie na míaƒe gbesiagbegbenɔnɔ o vaseɖe esime kuxi aɖe va do mo ɖa. Ne míese le mía ɖokui me kasia be xɔa le tsatsam ye míekpɔa asixɔxɔ si le eŋu dzea sii. Ɣeaɖewoɣi la, seselelãme sia nu yina le ɣeyiɣi aɖe megbe. Gake ne vestibular disorder le ŋuwò la, ele vevie be nàkpɔ ɖɔkta ahaxɔ atike hafi vertigo sia nazu nusi me afɔku le abe anyidzedze ene. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ atikewɔmɔnu nyuitɔ siwo woatsɔ aɖɔ wò dadasɔ ƒe kuxia ɖo, akpɔ wò dzesiwo gbɔ, eye wòakpe ɖe ŋuwò nàkpɔ atikewɔmɔnu siwo sɔ na wò. Mègatsi dzi o, woate ŋu akpɔ nɔnɔme siawo ƒe akpa gãtɔ gbɔ nyuie.

`Vestibular dɔlélewo, taɖuame, vertigo, dadasɔ, to ememetɔ, Meniere ƒe dɔléle, BPPV