Imajin se yu de wok pan sɔntin ɛn wantɛm wantɛm i tan lɛk se di wan ol wɔl de spin rawnd yu. Na di sem tɛm, yu kin yɛri wan strenj "goo..." sawnd na yu yes, ɛn yu kin fil lɛk se yu de lɔs fɔ yɛri na wan yes pas di ɔda wan. Yu nɔ tink se dis kin rili mek pɔsin fred ɛn i nɔ kin fil fayn? Dis na de diskɔmfɔt wae kin kam wit Ménière’s Disease. Pan ɔl we i nɔ kin bɔku lɛk aw yu kin tink, i rili impɔtant fɔ no bɔt dis sik.
Fɔ tɔk am simpul wan, wetin na Mɛniɛri in Sik?
Meniere’s disease na wan sik wae kin apun na wi insay yes. Wi insay yes na in de mek wi bɔdi balans ɛn yɛri. So we dis sik bigin, di wok we dɛn tu sistɛm ya de du kin ambɔg.
De men sayn na wae yu de fil se di ol wold de spin ivin wae yu stil de. Insay mɛrɛsin, wi kin kɔl dis vertigo . Dɔn bak, fɔ yɛri difrɛn sawnd dɛn na di yes, lɛk se pɔsin de se ‘whoo’ na di yes, na sayn. Wi kin kɔl dis tinnitus . Dɛn sayn ya kin bigin wantɛm wantɛm, ɛn dɛn nɔ kin wɔn dɛn , ɛn dɛn kin dɔn afta sɔm tɛm. Bɔt, dɛn kin apia bak afta sɔm tɛm.
If dɛn nɔ trit am, di sayn dɛn kin wɔs as tɛm de go. Yu kin ivin gɛt prɔblɛm wit yu yɛri ɛn balans prɔblɛm fɔ ɔltɛm . Bɔt nɔ wɔri. If yu woke wit yu dɔktɔ fɔ fɛn di rayt tritmɛnt fɔ yu, yu go ebul fɔ kɔntrol di sik ɛn liv fayn layf.
Wetin na di men sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ Meniere in sik kin kam wantɛm wantɛm. Wi kin kɔl dis "atak" ɔ "ɛpisod." "Atak" kin las sכt lεk 20 minit, כ lכng lεk 24 awa. Sɔm pipul dɛn kin gɛt sɔm "atak" dɛn we de afta dɛnsɛf. Dɔn bak, sɔm pipul dɛn kin go fɔ sɔm mɔnt ɔr ia wae dɛn nɔr kin gɛt ɛni sayn.
Lɛ wi tɔk mɔ klia wan bɔt dɛn men tin ya na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Na jɔs wan diskripshɔn |
|---|---|
| Diziz bad bad wan (Vertigo) . | Dis na di sayn we de sho se i rili bad. Pan ɔl we yu tinap, i kin tan lɛk se di wan ol rum de spin rawnd yu. Fɔ sɔm pipul dɛm, dis vertigo kin so bad dat dɛn nɔ kin ebul fɔ tinap ɛn fɔdɔm na grɔn wantɛm wantɛm. Dɛn kin kɔl dis bak "drɔp atak." |
| I nɔ kin izi fɔ yɛri ɛn i nɔ kin yɛri fayn | Bɔku tɛm, na wan yes nɔmɔ i kin afɛkt. Fɔs, bɔku pipul dɛn nɔ kin ebul fɔ yɛri di we aw dɛn de yɛri di vɔys we smɔl. If dɛn nɔ trit am, dis we aw pɔsin de yɛri kin bi fɔ ɔltɛm as tɛm de go. |
| Tinnitus we pɔsin kin gɛt | Wan sawnd de ɔltɛm we de kɔmɔt insay di yes we di sik dɔn afɛkt. I kin bi di sawnd we mashin de wok, briz we de blo smɔl, ɔ di "goo..." sawnd we yu kin yɛri we yu ol sishɛl na yu yes. |
| Prɛshɔn na di Iya | Filin fɔ ful ɔr prɛs insay di yes. I kin tan lɛk se sɔntin dɔn stɔp insay di yes. |
Apat frɔm dɛn men sayn ya, sɔm pipul dɛn kin gɛt nɔys ɛn vɔmit bak .
Wetin mek wi kin gɛt dis sik?
Infakt, dɔktɔ dɛn nɔ dɔn fɛn yet di rayt tin we mek pɔsin gɛt di sik we dɛn kɔl Meniere. Bɔt wan men tin de we bɔku pipul dɛn biliv.
dat min se di wata we dεn k כl εndolimf na wi insay yes de kכmכt tumɔs. Tink bɔt am, wi insay yes tan lɛk smɔl tiub sistɛm. di ``endolymph`` fluid we de insay dis tכb de εp fכ sεnd signal to di bren we de kכntro wi bεlε εn yεri. If fɔ sɔm rizin dis wata kin gɛda tumɔs, di prɛshɔn we de insay da tiub de go ɔp, ɛn da signal sistɛm de kin ambɔg kpatakpata. Na da tɛm de sayn dɛm lɛk diziz ɛn ring na yu yes kin apia.
difrεn rizin dεm de we mek di ``εndolymph`` fכluid kin kכmכt dis we:
- Alɛji: Sɔm alɛji kin mek wata gɛda na di insay yes.
- Inner ear obstruction: Na wan we de blok na di say dɛm we wata de pas.
- Hɛd injury: Dis sik kin apin afta yu gɛt siriɔs injury na yu ed.
- Infεkshכn: Vayral כ baktri infεkshכn.
- Maygren ed we de at:Sɔm stɔdi dɔn sho se maygren gɛt sɔntin fɔ du wit di sik we dɛn kɔl Meniere.
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt di sik we dɛn kɔl Meniere, sɔm pipul dɛn kin gɛt dis sik smɔl.
- Ej: Dɛn kin si dis sik mɔr pan pipul dɛm wae ol bitwin 40 ɛn 60 ia .
- Jɛnda: Sɔm stɔdi dɔn sho se uman dɛn kin gɛt prɔblɛm smɔl pas man dɛn.
- Heredity: Bitwin 7% ɛn 10% pan pipul dɛm wae gɛt dis sik gɛt famili mɛmba wae gɛt dis sik, dat min se sɔm kayn jɛnɛtik inflɔwɛns kin de.
- Autoimyun sik dεm: Dis na sik dεm we wi bכdi in imyun sistεm de atak wi כwn bכdi in sεl dεm. Fɔ ɛgzampul, pipul dɛm wae gɛt sik dɛm lɛk rεumatoid arthritis ɛn lupus kin gɛt bɔrku risk fɔ gɛt Meniere’s disease.
Wetin na de prɔblɛm wae kin kam wit dis sik?
Siriv vertigo wae de kam wit Meniere in sik kin rili denja.
Imajin us kayn denja i go bi if yu ed de tɔn wantɛm wantɛm we yu de drayv ɔ klaym lada. So, pipul dɛm wae gɛt dis sik fɔ tek tɛm bad bad wan pan dɛn tin ya ɛvride.
As tɛm de go (bɔku tɛm afta 8-10 ia), dis sik kin mek yu nɔ de yɛri fayn fɔ ɔltɛm .
Apat frɔm dɛn tin ya we kin apin to yu bɔdi, di sik we Meniere kin gɛt kin rili afɛkt yu maynd wɛlbɔdi bak . Kɔntinyu fɔ tink bɔt tin dɛn lɛk "Wetin a go fil diziz bak?" ɛn "A go lɔs mi yɛri kpatakpata?" kin mek pɔsin wɔri ɛn pwɛl at . So, e fayn fɔ tɔk to yu dɔktɔ opin wan bɔt dɛn tin ya we de mek yu nɔ fil fayn na yu bɔdi, ɛn bak di strɛs we yu de fil na yu maynd.
Dɔktɔ, aw yu kin no dis?
If yu gɛt dɛn sik ya, yu fɔ go to dɔktɔ fɔ yu yes, nos, ɛn trot (ENT). I go chɛk yu ɛn aks yu bɔt di sayn dɛn we yu gɛt. Dɛn kin du sɔm tɛst dɛn bak fɔ no ɔda tin dɛn we gɛt di sem kayn sayn to di sik we dɛn kɔl Meniere.
- Tɛst fɔ yɛri: Chɛk yu yɛri lɛvɛl.
- Vestibular test battery: Bɔku tɛst dɛn we de chɛk aw yu insay ia balans sistɛm ɛn yu yay mɔsul dɛn de wok.
- Bren MRI skan:Chek fɔ si if yu gɛt bren tumbu ɔ ɔda prɔblɛm we kin mek yu ed tɔn.
Wetin na di tritmɛnt dɛn? Wetin wi kin du bɔt dis?
No mɛrɛsin nɔ de fɔ mɛn di sik we dɛn kɔl Meniere. Bɔt bɔku tritmɛnt dɛn de we kin ɛp fɔ kɔntrol di sik dɛn ɛn ridyus di kayn we aw pɔsin kin atak am ɛn aw i kin tek lɔng tɛm . Yu dɔktɔ go tray fɔ yuz simpul tritmɛnt dɛn fɔs. If dɛn nɔ wok, dɛn kin tink bɔt fɔ du ɔpreshɔn.
Di we aw pipul dɛn de liv dɛn layf kin chenj
Sɔntɛnde, we wi jɔs chenj di tin dɛn we wi de du ɛvride, dat kin mek wi fil fayn.
- Ridyus sɔl we yu de it: Dɔktɔ dɛn se yu nɔ fɔ it pas 1,500 miligram sɔl ɛvride. Dat na lɛk 3⁄4 pan wan ti spɔnj. I fayn bak fɔ ridyus di it dɛn we yu de it we gɛt MSG (Monosodium glutamate).
- Fɔ ridyus di kafinɛ ɛn rɔm.
- Fɔ kɔntrol strɛs ɛn fɔ slip fayn.
Di mɛrɛsin dɛn we dɛn kin yuz
Yu dɔktɔ kin gi yu difrɛn mɛrɛsin fɔ kɔntrol yu sik dɛn.
| Di kayn drɔg we dɛn kin yuz | Di we aw pɔsin de wok |
|---|---|
| Wata pils (Diuretics) ɛn Betahistine | dis dεm de ridyus di εkstra wata we de na di bכdi εn insay yes, we de ridyus di prεshכn. |
| Mɛrɛsin fɔ diziz ɛn nɔys | Dɛn tin ya kin ɛp fɔ kɔntrol diziz we i apin. Ɛgzampul dɛn: dayazepam, mɛklizin. |
| Injɛkshɔn dɛn we dɛn kin gi tru di ia drɔm | If di pils we yu kin tek ɔltɛm nɔ wok, yu dɔktɔ kin injɛkt wan stɛroyd ɔ jɛntamisin tru di ia drɔm. Bɔt, risk de fɔ mek yu yɛri mɔ pwɛl wit di jɛntamisin injɛkshɔn. |
Ɔda tritmɛnt dɛn
- Vɛstibular rihabiliteshɔn: .Dis tan lɛk tritmɛnt we dɛn kin gi yu bɔdi. I de tich yu patikyula ɛgzampul dɛn fɔ ɛp yu fɔ balans ɛn kɔntrol yu diziz.
- Ɛp fɔ yɛri: If yu nɔ de yɛri bad bad wan, yu kin nid fɔ yuz ɛp fɔ yɛri.
- Kɔklia implant: Dɛn kin du dis ɔpreshɔn pan pipul dɛn we dɔn lɛf smɔl fɔ yɛri ɛn we nɔ ebul fɔ yuz tin fɔ ɛp fɔ yɛri.
- Cognitive Behavioral Therapy (CBT): Dis tritmɛnt we dɛn kin du kin ɛp fɔ mek dɛn ebul fɔ sɔlv di prɔblɛm dɛn we dis sik kin mek pɔsin gɛt strɛs, wɔri, ɛn pwɛl at.
Ɔpreshɔn
Dɛn kin tink bɔt ɔpreshɔn pan tin dɛn we rili siriɔs usay nɔ ɔda tritmɛnt nɔ go ebul fɔ kɔntrol di sik dɛn. Dis involv fכ ridyus di prεshכn fכ di wata we de insay di ia כ fכ kכt wan nεv we de involv fכ bεlε. Dis na tritmɛnt dɛn we nɔ kin apin so ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Meniere sik na wan sik wae de insay yu yes wae nɔr kin wɛl ɔl, bɔt dɛn kin kɔntrol am fayn fayn wan .
- Di men sayn dɛm na we yu de tɔn wantɛm wantɛm , yu de tɔn bad bad wan (vɛrtigo), yu yes de ring (tinnitus), ɛn yu nɔ de yɛri fayn .
- If yu gɛt dɛn sik ya, nɔ panik ɛn go to spɛshal dɔktɔ fɔ yu yes, nos, ɛn trot (ENT) kwik kwik wan.
- Di chenj na yu layf (lɛk fɔ ridyus di sɔl we yu de it), mɛrɛsin, ɛn ɔda tritmɛnt dɛn kin rili ebul fɔ kɔntrol di sayn dɛm.
- Tɔk opin wan wit yu dɔktɔ bɔt aw dis sik kin mek yu nɔr fil fayn ɛn yu maynd strɛs . Yu kin gɛt ɛp fɔ dat bak.
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