Sɔntɛnde, yu kin fil lɛk se di wan ol wɔl de spin? Na di sem tɛm, yu kin yɛri ‘ringing’ sawnd frɔm insay yu yes, ɛn yu yes kin fil ebi smɔl? If yu dɔn gɛt dis ɛkspiriɛns, yu kin gɛt wan sik wae bɔrku pipul nɔr no bɔt, bɔt wae kin mek yu nɔr fil fayn. Tide wi de tɔk bɔt Meniere in Sik . Nɔ wɔri, lɛ wi ɔndastand ɔltin bɔt dis simpul wan.
Wetin rili na Meniere in Sik?
Fɔ tɔk am simpul wan, di sik we dɛn kɔl Meniere na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt wi insay yes . I kin mek yu gɛt tri men sayn dɛn:
- Vertigo : Dis nɔto jɔs fɔ fil diziz. Vɛrtigo na we yu fil lɛk ɔltin we de rawnd yu de spin bad bad wan, pan ɔl we yu tinap wansay.
- Tinnitus : Na wan nɔys we de kɔntinyu fɔ ring, buz, ɔ ɔda nɔys na di yes.
- Yu nɔ de yɛri fayn : Di we aw yu de yɛri kin apin smɔl smɔl. Sɔntɛnde, dis kin apin sote go.
Bɔrku tɛm, dis sik kin jɔs afɛkt wan yes. Na sik we de go bifo, we min se di sayn dɛm kin kam tranga pasmak as tɛm de go.
Okay, wetin mek dis de apin to wi?
di men rizin fכ dis na we wan spεshal wata we dεn k כl εndolimf de k כ mכt na wi insay yes. Imajin, insay wi insay yes, pat dɛn de we rili sɛnsitiv we de kɔntrol di bɔdi in balans ɛn kech sawnd.
1. Kɔklia : Dis na pat pan di kɔklia we ful-ɔp wit wata, we shep lɛk snɛl in shɔɛl. We sawnd wev dɛn kam insay, dis wata de shek shek ɛn sɛn signal to di bren, ɛn na so wi kin yɛri sawnd. So we dis wata de bɔku, da prɔses de kin ambɔg ɛn nɔ kin yɛri fayn.
2. Vestibular labirint we de na di bɔdi : .Dis na di men pat na wi bɔdi we de kɔntrol di balans. Jɔs lɛk di aksilarɔmita we de na wi fon, dis pat de sɛn signal to di bren bɔt wi pozishɔn ɛn muvmɛnt. So we di wata we de de de go ɔp, dɛn signal dɛn de kin kɔnfyus, ɛn na dat kin mek pɔsin gɛt vertigo.
Pan ɔl we dɛn nɔ no yet klia wan wetin mek dis wata kin gɛda, dɔktɔ dɛn biliv se bɔku rizin dɛn de:
- Alɛji ɔ ɔtoimyun kɔndishɔn: Dɛn sik ya we wi bɔdi in yon difɛns sistɛm de atak wi yon sɛl dɛn (e.g., Rheumatoid arthritis, Systemic lupus erythematosus) .
- Vayral infɛkshɔn dɛn
- Di tin dɛn we de mek pɔsin gɛt jɛnɛtiks
- Di blɔd vesel dɛn we kin smɔl: I tan lɛk wetin kin apin we pɔsin gɛt maygren.
Dɛn biliv se bɔrku tɛm na wan ɔr mɔr pan dɛn tin ya we dɛn put togɛda kin kam wit di sik we dɛn kɔl Meniere.
Di sayn dɛm ɛn di stej dɛm fɔ di Meniere in sik
Di sayn dɛm fɔ dis sik kin apia wantɛm wantɛm, i kin dɔn afta sɔm dez, dɔn i kin kam bak. Lɛ wi luk dɛn sayn ya klia wan na wan tebul.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Diziz we pɔsin kin tɔn wantɛm wantɛm (Vertigo) . | I kin las frɔm 20 minit to 24 awa. Di wan ol rum kin fil lɛk se i de spin, ɛn yu kin gɛt nɔs ɛn vɔmit. Sɔm pipul dɛn kin gɛt "drop attack," usay dɛn kin lɔs dɛn balans wantɛm wantɛm ɛn fɔdɔm na grɔn. |
| I nɔ de yɛri fayn igen | Di we aw pɔsin kin yɛri kin apin smɔl smɔl as tɛm de go. Dis kin wɔs we yu gɛt diziz. |
| Tinnitus we pɔsin kin gɛt | Dis nɔys kin bɔku bifo di diziz de kam ɛn afta dat i kin stɔp. Fɔ sɔm pipul dɛn, dis nɔys kin kɔntinyu. |
| Di yes ful/prɛshɔn | Fɔ fil we yu de fil ebi ɔ prɛs, lɛk se sɔntin ful-ɔp insay di yes. |
Dis sik kin apin insay tri men stej dɛm.
Fɔs stej (di fɔs tɛm) .
Insay dis tɛm, diziz kin apin we yu nɔ bin de ɛkspɛkt ɛn wantɛm wantɛm. Da tɛm de, di we aw pɔsin kin yɛri kin go dɔŋ bak ɛn di yes kin fil ful. Bɔt wans di diziz dɔn dɔn, yu kin yɛri bak to nɔmal.
Sɛkɔn stej (intamɛdiet tɛm) .
Insay dis tɛm, diziz kin kɔntinyu, bɔt i nɔ kin rili bad. Bɔt di we aw pɔsin de yɛri go bigin fɔ go dɔŋ fɔ ɔltɛm te to sɔm mak. Tinnitus kin bɔku bak.
Tɔd stej (leta tɛm) .
Na dis stej, di diziz kin dɔn lɛf smɔl fɔ lɛ i stɔp. Bɔt di we aw pɔsin kin yɛri kin rili ridyus ɛn i kin pwɛl fɔ ɔltɛm. Bikɔs di ɔgan dɛn we de kɔntrol di balans na di bɔdi dɔn pwɛl fɔ ɔltɛm, i kin at fɔ mek wi balans, mɔ we yu de waka na dak.
Aw yu go fɛn dis, Dɔktɔ?
Fɔ no bɔt Meniere in sik kin tranga smɔl bikɔs dɛn kin si dɛn sayn ya bak pan ɔda tin dɛm. Yu dɔktɔ go aks yu bɔt yu sik ɛn rɔn sɔm tɛst fɔ mek shɔ se nɔr ɔda tin nɔr de we kin mek yu gɛt dis sik.
Fɔ mek dɛn no se yu gɛt di sik we dɛn kɔl Meniere, yu fɔ gɛt dɛn tin ya:
- Bikɔs i bin dɔn gɛt vertigo at le tu tɛm.
- Yu nɔ de yɛri we dɛn dɔn kɔnfyus bay we dɛn de du tɛst fɔ yɛri .
- Fɔ yɛri yu yes de ring (tinnitus) ɔ yu de fil se yu yes ful .
Sɔm pan di men tɛst dɛn we dɛn kin du fɔ dis na:
- Test fɔ yɛri (Audiometry): Na tɛst we de chɛk aw yu de yɛri fayn fayn wan pan difrɛn sawnd lɛvɛl dɛn.
- Bεlεns tεst (Vestibular tεst dεm): .
- VNG/ENG test: Dɛn kin mɛzhɔ yu yay muvmɛnt na dak rum.
- Rotary chair testing: Dɛn kin rɔta yu na chia we kɔmpyuta kin kɔntrol ɛn dɛn kin tɛst yu yay muvmɛnt.
- כda spεshal tεst dεm lεk dis (`VEMP`, `CDP`, `vHIT`) de chεk aw di pat dεm na di insay ia we de kכntrol bεlε de wok fayn fayn wan.
- Ɔda tɛst dɛn: Dɛn kin du MRI ɔ CT skan fɔ mek shɔ se no ɔda tin nɔ de we kin mek dɛn du am, lɛk we pɔsin gɛt tumbu na in bren.
Wetin na di tritmɛnt dɛm fɔ dis?
De tin wae impɔtant pas ɔl na dat, no mɛrɛsin nɔr de fɔ dis sik yet. Bɔt bɔku tritmɛnt dɛn de wae kin ɛp yu fɔ kɔntrol yu sik ɛn liv nɔrmal layf.
Yu dɔktɔ go bigin fɔs wit simpul tritmɛnt dɛn we nɔ gɛt bɔku sayd ɛfɛkt.
1. 1. 1. .Di chenj dɛn we pɔsin kin chenj di we aw pɔsin de liv in layf:
- Di it we nɔ gɛt bɔku sɔl: Fɔ ridyus di sɔl (sɔdiɔm) we yu de it rili impɔtant fɔ mek yu nɔ gɛt bɔku wata na di bɔdi. Nɔ it tin dɛn we dɛn kin put insay tin, sos, ɛn it dɛn we gɛt bɔku sɔl.
- Nɔ it sɔm it dɛn: Tin dɛn lɛk kafinɛ (kɔfi, ti), chɔklɛt, ɛn rɔm kin mek di sik wɔs.
2. Di kayn mɛrɛsin dɛn we dɛn kin yuz:
- Mɛrɛsin fɔ diziz: Dɛn kin yuz mɛrɛsin lɛk ``(Betahistine)`` fɔ kɔntrol vertigo.
- Nɔs mɛrɛsin: Kɔntrol di vɔmit ɛn nɔs.
- Diuretics (“water pills”): Na mɛrɛsin dɛn we dɛn kin gi fɔ ridyus di ɛkstra wata we de na di bɔdi ɛn yes.
- Anti-anxiety medications: Dɛn kin gi mɛrɛsin lɛk `(Diazepam)` fɔ shɔt tɛm if yu gɛt vertigo wantɛm wantɛm.
3. Ɔda we dɛn fɔ trit pɔsin:
- Vɛstibular rihabiliteshɔn tɛrapi: Dis tan lɛk fisiotɛrapi . Na sɔm ɛksesaiz dɛn we de tren di bren bak fɔ mek i balans.
- Midul ia injεkshכn: If dεn nכ kin kכntro di simptom dεm, di dכkta kin injεkt wan stεroyd כ wan antibaytik we dεn kכl ``Gentamicin'' insay di midul ia.
4. Ɔpreshɔn:
Na fɔ di wan dɛn nɔmɔ we gɛt siriɔs sik dɛn we ɔda tritmɛnt nɔ go ebul fɔ kɔntrol, dɛn kin se dɛn fɔ du ɔpreshɔn. difrεn כpεrayshכn dεm de, lεk `(Labyrinthectomy)` εn `(Endolymphatic sac decompression)`. Yu dɔktɔ go ɛksplen dɛn tin ya to yu.
Aw fɔ mɛn dis kɔndishɔn na os?
I rili impɔtant fɔ mek yu nɔ panik we yu fil se yu ed de tɔn.
- We yu fil se yu de tɔn diziz:
- Sidɔm ɔ ledɔm wantɛm wantɛm. Nɔ mek muvmɛnt wantɛm wantɛm.
- Nɔ gɛt brayt layt, lawd nɔys, ɛn wach tɛlivishɔn.
- Stare pan wan tin we nɔ de muv.
- Rɛst: Yu kin fil taya afta yu dɔn gɛt diziz. Gɛt bɔku rɛst ɛn bigin fɔ wok bak kwik kwik wan.
- Fɔ no wetin kin mek yu gɛt dis sik: Fɛn ɔda tin dɛn we kin mek yu sik wɔs. Fɔ ɛgzampul:
- Stand op wantɛm wantɛm, tɔn yu ed kwik kwik wan.
- Bɛnd dɔŋ (if yu de pik sɔntin na grɔn, bɛn yu ni dɛn).
- Stret, wok pasmak.
- Sɔm it dɛn.
Lɛ wi lan bak bɔt aw fɔ drayv ɛn aw fɔ flay.
If yu gɛt di sik we dɛn kɔl Meniere, yu fɔ rili tek tɛm we yu de drayv.
- If yu gɛt diziz wantɛm wantɛm (vertigo) ɔ “drɔp atak,” nɔ drayv ɔltogɛda. Dis rili impɔtant fɔ yu ɛn ɔda pipul dɛn sef.
- Sɔntɛm di lɔ se yu fɔ tɛl di ɛjɛnsy we de gi yu drayva laysens ɛn di inshɔrans kɔmni bɔt dis.
- I nɔ kin bi big prɔblɛm na flay. Bɔt, drink bɔku wata ɛn nɔ drink rɔm na di plen.
Mɛsej we dɛn kin kɛr go na os
- Meniere in sik na wan sik wae de afekt di insay yes. Di men sayn dɛm na fɔ diziz wantɛm wantɛm (vertigo), fɔ ring na yu yes (tinnitus), ɛn fɔ yɛri.
- Dis nɔto sik we de mek pɔsin in layf de pan denja, bɔt i kin gɛt bɔku impak pan di kwaliti fɔ layf.
- Tin dɛm lɛk sɔl, kafin, rɔm, ɛn strɛs kin mek di sik wɔs.
- Pan ɔl we no mɛrɛsin nɔ de, bɔku fayn tritmɛnt dɛn de we go ɛp fɔ kɔntrol di sik dɛn ɛn liv nɔmal layf.
- If yu gɛt sayn dɛn lɛk dis, nɔ panik, ɛn fɔ tru fɔ go to yu dɔktɔ fɔ mek i no di kɔrɛkt tin bɔt di sik ɛn fɔ mek i gɛt di rayt we fɔ trit yu.
Meniere in Sik, vertigo, tinnitus, yu nɔ de yɛri fayn, insay yes, balans
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