Imajin we yu de na lɔs, ɛn wantɛm wantɛm di wan ol wɔl bigin fɔ spin rawnd yu... lɛk se di wɔl jɔs de spin. Yu nɔ kin ebul fɔ kɔmɔt na bed, yu kin fil diziz we yu tinap, yu kin fil nɔs, yu kin vɔmit. Yu dɔn ɛva gɛt ɛkspiriɛns lɛk dis? Dis sik wae kin mek bɔrku pipul frayd wantɛm wantɛm, dɛn kɔl am Vestibular Neuritis, wae wi go tɔk bɔt tide. Dis kin tan lɛk se i siriɔs smɔl, bɔt if yu ɔndastand am fayn, na kɔndishɔn we yu kin ebul fɔ kɔntrol.
Fɔ tɔk am simpul wan, wetin na Vestibular Neuritis?
Fɔ ɔndastand dis, lɛ wi lan fɔs bɔt smɔl majik we kin apin insay wi yes. Wan rili impɔtant nerve de na wi insay yes. Dɛn kɔl am di vestibulocochlear nerve . Dis nerve gɛt tu men wok dɛn: wan na fɔ kɛr wetin wi de yɛri go na di bren, ɛn di ɔda wan na fɔ kɔntrol wi bɔdi in balans . We wi de shek wi ed, waka, ɔ rɔn, dis nɛv kin sɛn infɔmeshɔn to di bren bɔt di say we wi de.
Vestibular Neuritis na wan kכndyushכn we di pat pan dis nεv we de kכntrol bεlε de inflamed כ damej bikoz fכ wan vayral infεkshכn. Imajin se di we aw yu de go na di ɔfis go mek yu kɔnfyus wantɛm wantɛm. Dɔn yu nɔ go ebul fɔ rich na di ɔfis wantɛm wantɛm, nɔto so? semweso, we dis nεv inflam, di signal dεm bכt "balans" frכm di insay yes to di bren kin kכnfyus. Bikɔs di bren nɔ de gɛt di rayt infɔmeshɔn, i de tink se wi de spin. Na dat mek wi fil lɛk se di wan ol wɔl de spin.
Di impɔtant tin na dat, Vestibular Neuritis nɔ kin afɛkt di we aw pɔsin de yɛri. If yu gɛt diziz wit yu nɔ de yɛri fayn, i kin bi ɔda sik, lɛk Labyrinthitis. Wi go tɔk bɔt dat leta.
Wetin na di sayn dɛm fɔ dis sik?
di simptom dεm fכ vestibular nyuraytis kin kam insay tu tεm: wan akyu fεz we kin kam wan wan, εn wan krεse fכs we kin las fכ sכm tεm.
| Stej we di simptom dɛn gɛt | Di tin dɛn we dɛn de ɛkspɛkt |
|---|---|
| Akyu Faz (Bɔku tɛm i kin las fɔ sɔm dez) |
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| Kronik Faz we de apin (Frɔm sɔm wiks to sɔm mɔnt) |
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Dɛn sayn ya nɔ kin apin di sem we fɔ ɔlman. Sɔm pipul dɛn kin jɔs gɛt siriɔs sik ɛn afta dat dɛn kin wɛl. Ɔda pipul dɛn kin gɛt smɔl smɔl sayn dɛn fɔ sɔm mɔnt.
Wetin mek dis de apin? Wetin na di rizin?
Bɔku tɛm, di men tin we kin mek pɔsin gɛt vestibular nyuraytis na wan vayral infɛkshɔn . Dis vayrɔs kin afɛkt di insay yes dairekt wan, ɔ i kin bi sayd ɛfɛkt fɔ wan vayrɔs we dɔn divɛlɔp ɔdasay na di bɔdi.
Fɔ tɔk am simpul wan, ivin wan vayrɔs lɛk di kɔmɔn kol ɔ flu we wi ɔl kin gɛt kin mek dis sik.
Di kayn vayrɔs dɛm wae de mek yu gɛt dis sik:
- Flu (Influɛnsa) .
- Covid-19 (COVID-19) we gɛt fɔ du wit am.
- Hɛpi simpul vayrɔs (Hɛpi simpul vayrɔs tayp 1 - di vayrɔs we de mek pɔsin kol kol)
- Epataytis we gɛt di sik
- Mizɛl
- Mumps we de mek pɔsin gɛt bɔdi
Impɔtant tin na dat, Vestibular Neuritis nɔ kin pas frɔm wan pɔsin to ɔda pɔsin. Bɔt di vayrɔs we de mek i kam (e.g., di flu vayrɔs) kin pas am.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ . I go mɔs bi se yu go du amDɛn go rifer yu to spɛshal pɔsin we de mɛn yu yes, nos ɛn trot (ENT Surgeon).
Di dɔktɔ go aks yu fɔs bɔt yu sik dɛn. Dɔn, mek shɔ se yu nɔ gɛt ɛni ɔda siriɔs mɛrɛsin we go de mek yu gɛt dɛn sik ya. Diziz wantɛm wantɛm ɛn nɔ balans kin bi sayn bak fɔ sɔntin lɛk strok , bren tumbu, ɔ ed injury.
So, fɔ mek dɛn nɔ du dɛn tin ya, di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk dɛn wan ya:
- MRI skan: MRI, we dɛn kin du wit kɔntrast ɛjɛn, kin si klia wan aw di bren ɛn di nerv dɛn de.
- Test fɔ yɛri: Dɛn kin chɛk aw pɔsin de yɛri, bikɔs i kin fayn fɔ yɛri pan vestibular nyuraytis.
- Spɛshal tɛst fɔ balans (Vestibular test battery): Dɛn tɛst ya kin ɛp fɔ no aw yu balans dɔn pwɛl ɛn usay di nerve damej de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di men gol fɔ trit vestibular nyuraytis na fɔ kɔntrol di simptom dɛm ɛn ɛp yu fɔ kam bak to nɔmal kwik kwik wan.
1. Di mɛrɛsin dɛn we dɛn kin yuz
If di sik bad, di dɔktɔ kin gi yu mɛrɛsin lɛk:
- Mɛrɛsin fɔ vɔmit ɛn nɔys: Mɛrɛsin lɛk Ondansetron (Zofran®) ɛn Metoclopramide (Reglan®). If di vɔmit rili bad, yu kin nid fɔ go na ɔspitul ɛn gi yu salin fɔ mek yu nɔ gɛt wata na yu bɔdi igen.
- Mɛrɛsin fɔ ridyus diziz: Dɛn kɔl mɛrɛsin lɛk Meclizine (Antivert®) ɛn Diazepam (Valium®) vestibular suppressants. Bɔt dɛn nɔ kin fayn fɔ yuz dɛn fɔ pas tri dez , bikɔs if yu tek dɛn fɔ lɔng tɛm pas dat, dat kin mek di bren nɔ ebul fɔ ajɔst to dis sik bay insɛf.
- Mεdikeshכn dεm we de ridyus di nerv swel: Mεdikeshכn dεm we dεn kכl kכtikostεroyd de rεdכks di nerv swel εn εp fכ hεl kwik.
- Antivayrɔs mɛrɛsin: If dɛn tink se na sɔntin lɛk di hεpi vayrɔs de mek dis, dɛn kin gi am antivayral mɛrɛsin lɛk Acyclovir.
2. Spɛshal ɛgzampul dɛn (Vɛstibular Rihabiliteshɔn Tɛrapi) .
If yu gɛt diziz ɛn nɔ balans fɔ pas sɔm wiks, yu dɔktɔ kin sɛn yu to wan spɛshal ɛksɛsayz program we dɛn kɔl Vestibular Rehabilitation Therapy (VRT) .
Dis na wɔndaful tin. Fɔ tɔk am simpul wan, i de "tren" yu bren fɔ mek i balans bak. I de tich yu bren aw fɔ yuz yu yay ɛn ɔda pat dɛn na yu bɔdi fɔ mek yu balans, ɛn yu go yus to di kɔnfyus signal dɛn we de kɔmɔt na yu nerv dɛn.
Wan pɔsin we tren fɔ mɛn yu bɔdi go ɛp yu fɔ du dis. I go tich yu sɔm simpul ɛgzampul dɛn we gɛt fɔ du wit yu.
Wetin na di difrɛns bitwin Vɛstibular Nyuraytis, Labyrinthitis ɛn BPPV?
Bɔrku pipul kin kɔnfyus dɛn tri tin ya, bikɔs di men sayn fɔ ɔl tri tin ya na fɔ gɛt diziz (vertigo). Bɔt, dɛn difrɛn.
| Di sik stetmɛnt | Men rizin ɛn difrɛns |
|---|---|
| Vestibular Nyuraytis we gɛt di sik | di pat pan di vεstibular nεv we de kכntro di bεlε we de swεla. I nɔ de afɛkt di we aw pɔsin de yɛri. |
| Labyrinthitis we gɛt di sik | Di wan ol labirint na di insay yes de swel. Dis kin mek yu ed de tɔn, wit yu nɔ de yɛri ɔ yu de ring na yu yes. |
| BPPV (Bɛnign Paroxysmal Pozishɔnal Vɛrtigo) . | sכm sכm kalsiכm bכl dεm (otoconia) na di insay yes kin kכmכt εn muf go usay dεn nכ fכ de. di diziz de apin nכmכ we dεn muv di ed to wan sכm sayd (e.g., we dεn de rכl ova na bed) εn i de go insay fכ sεkכnd dεm. |
Aw lɔng dis sik go las? I go ebul fɔ apin bak?
I at fɔ gi wan difinitiv ansa to dis. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- Fɔ sɔm: Dɛn kin wɛl ɔlsay insay wan ɔ tu wik.
- Fɔ ɔda pipul dɛm: Sɔm kayn sik wae nɔr kin de (lɛk wae yu nɔr balans smɔl) kin de fɔ sɔm mɔnt.
- I nɔ kin apin so ɔltɛm: Sɔm pipul dɛn kin gɛt dis sik fɔ lɔng lɔng tɛm.
Di gud nyus na dat 95% pan pipul dɛn kin gɛt am wan tɛm nɔmɔ na dɛn layf. Di chans fɔ mek i apin bak rili smɔl.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt sɔm sayn dɛn lɛk we yu de tɔn bad bad wan wantɛm wantɛm, we yu nɔ de balans, ɔ we yu de vɔmit, go to dɔktɔ ɔ go to di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. I impɔtant fɔ pul dis fɔs, bikɔs dɛn tin ya kin bi sayn fɔ wan sik we rili siriɔs, lɛk we pɔsin gɛt strok.
If yu sik nɔr bɛtɛ afta yu dɔn gɛt tritmɛnt, nɔr fɔgɛt fɔ tɛl yu dɔktɔ bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Vestibular Neuritis na inflameshn na di nerve we de kכntro di bεlε na di insay yes, we de kכz fכ wan vayral infεkshכn.
- Di men sayn dɛm na wae yu de tɔn kwik kwik wan, yu de tɔn bad bad wan (vertigo), yu nɔr de fil fayn, ɛn yu nɔr ebul fɔ waka. Bɔku tɛm, i nɔ kin afɛkt di we aw pɔsin de yɛri.
- If dɛn kayn sik ya kin apin, i impɔtant fɔ go to dɔktɔ kwik kwik wan fɔ mek yu nɔ gɛt siriɔs sik lɛk strok.
- Bɔrku pipul dɛn kin wɛl ɔlsay insay sɔm wiks wit mɛrɛsin ɛn spɛshal ɛksɛsayz (Vestibular Rehabilitation).
- Dis sik nɔr kin pas, ɛn di chans fɔ gɛt am pas wan tɛm insay yu layf kin rili smɔl.
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