Tin, i lu a buai nghal a, i beng bulah ri ri i hre bawk em? (Ménière natna chungchang hi i zir dawn nia)

I hloh a, rang takin khawvel pum puiin a rawn inher kual ang maia i inhriat chuan han ngaihtuah teh? A nih loh leh midang an awm loh laiin i beng bulah "whooshing..." ri i hriat chuan? Hei hi Ménière’s Disease an tih natna avanga mi tam takin an tawn thin harsatna chu a ni. A intan nghal thei a, rei vak lo a bo thei a, a lo kir leh thei bawk a, chu chu a ti thinrim hle. Vawiin hian thumal awlsam takin sawi ila.

A awlsam zawngin, Ménière natna hi eng nge ni?

Ménière’s Disease hi natna hlauhawm tak a ni a, beng chhung lam a nghawng a ni. He beng peng hian kan balance leh hriatna a control a. Chuvangin he natna hi i neih hian i ding reng lai pawhin khawvel pum hi a inher ang maiin i hria mai thei. Vertigo kan ti a ni . I beng a ri emaw, hriatna hloh emaw i nei thei bawk.

Heng symptoms te hi vaukhânna tel lovin a intan nghal thei a ni . Hun engemaw chen an bo thei a, ni engemaw zat hnuah an rawn lang leh thei bawk. Enkawl dik loh chuan hun kal zelah heng chhinchhiahnate hi a zual thei a, chu chuan hriatna lama harsatna awm reng leh balance lama harsatna awm reng a thlen thei a ni . Mahse lungngai suh, i doctor hnen atanga enkawlna leh puihna dik tak i dawn chuan he natna hi i thunun thei a ni.

He natna lan chhuah dan berte chu engte nge ni?

Heng symptoms te hi episode angin a lo lang nghal vek a ni. Hei hi minute 20 aia rei lo emaw, darkar 24 chhung emaw pawh a ni thei. A châng chuan attack eng emaw zat a zawnin a thleng thei bawk. Mi thenkhat chuan attack vawi khat an nei a, chutah chuan thla tam tak chhung chu symptom nei lovin an kal thei bawk.

He natna lan chhuah dan berte chu eng nge ni tih i lo en ang u.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Doctor-te chuan Ménière natna hi eng nge a thlen tih chiang takin an la hre lo a , mahse mi tam tak chuan beng chhungril lama awm , endolymph an tih tui tam lutuk vang niin an ngai. He tui hi a tam lutuk chuan beng atanga thluak thlenga kal signal hriatna leh balance te a tibuai thei a ni.

Hetiang hian endolymph fluid a pungkhawm chhan nia ngaih condition engemaw zat a awm a:

• Allergy chi hrang hrang (Allergies) .
• Beng chhunga tui luang chhuak tur tihkhawtlai
• Lu hliam
• Infection chi hrang hrang
• Migraine natna (Migraine) a awm

Mahse, heng natna leh Ménière’s Disease inzawmna hi chiang taka hriat chian nan zirchianna tam zawk neih a ngai a ni.

He natna vei theihna hlauhawm ber chu tute nge ni?

Mi tu pawhin Ménière’s Disease hi vei thei mahse, mi thenkhat chu an hlauhawm zawk.

• Kum: He natna hi kum 40 leh 60 inkar ah a awm tlangpui.
• Gender: Zirchianna thenkhatah chuan hmeichhiate hian he natna hi an vei tam deuh niin an sawi.
• Genes: He natna vei zinga 7% atanga 10% inkar hian chhungte zingah he natna vei tawh an nei a. Chumi awmzia chu thlah kal zelah a kal zel theih tihna a ni.
• Autoimmune natna: 1.1.Autoimmune natna, rheumatoid arthritis emaw lupus emaw i neih chuan Ménière’s Disease vei theihna a sang zawk.

Hei hi ngaihthah a nih chuan eng nge a rah chhuah rapthlak tak tak awm thei?

He natna avanga luak chhuak nasa tak hian tlu na tak a thlen thei a ni . Hei hian nitin hnathawh, stairs chhoh leh car khalh te pawh a ti hlauhawm hle. Hun kal zelah (a tlangpuiin kum 8-10 hnuah) he natna hian hriatna hloh reng reng a thlen thei .

Chutiang bawkin he natna hian i rilru hriselnaah nghawng lian tak a nei thei a ni. "Engtikah nge ka luak leh ang?" leh "Ka hriatna ka hloh vek dawn em ni?" lungkhamna leh lungngaihna a thlen thei .

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

Hetiang dinhmun hi beng, hnar leh rilru lam specialist (otolaryngologist - ENT)-in a hriat chian tlangpui. Doctor i hmuh hunah a enfiah ang che a, i symptoms te a zawt ang che. Tichuan, chutiang bawka natna lan chhuahna tur natna dang i neih loh nan test thenkhat an ti mai thei bawk.

• Hearing test: Hriatna lama harsatna i neih leh neih loh enfiah thin ang che.
• Vestibular test battery: Beng chhung lam leh mit ruh chhunga balance system hnathawh dan a test thin.
• Brain MRI scan: He test hi thluaka tumor emaw, luak chhuak thei harsatna dang emaw a awm loh nan tih theih a ni.

Hei hi eng enkawlna nge ni?

Ménière natna hi damdawi a awm lo. Mahse, natna lan chhuahna nasat leh rei zawng tihziaawm thei damdawi \ha tak tak tam tak a awm a ni . I doctor chuan enkawlna awlsam tak hmangin a tan tlangpui ang. Hengte hian a puih loh chuan operation neih an rawt mai thei.

Nunphung a inthlak danglam thin

I nitin nunah inthlak danglamna tenau tlemte siam hian heng natna lanchhuahnate hi nasa takin a tihziaawm thei a ni.

• Caffeine leh zu in tlem.
• Stress enkawl leh mut tlem.
• Salt tlem ei leh in zawm.Thurawn tlangpui chu ni khatah chi milligram 1500 aia tam ei loh tur a ni. Chu chu 3⁄4 teaspoon vel a ni. I doctor chuan MSG awmna ei tur ei loh turin a hrilh thei bawk che.

Damdawi chi hrang hrang

He natna hi damdawi chi hrang hrang pek a ni.

• Diuretics leh betahistine: Diuretics hian taksaa tui tam lutuk hi a ti tlem a. Damdawi betahistine hian beng chhungril thisen kal dan a tichak a, fluid pressure a tihniam bawk.
• Luak leh luak chhuak damdawi: Heng damdawi te hian luak chhuak thunun thei a, luak chhuak tihziaawmna tur a ni. Entirnan, damdawi diazepam leh meclizine te hi pek theih a ni.

Heng damdawi te hian natna hi a thunun loh chuan i doctor chuan injection anga pek tur damdawi a pe thei ang .

• Intratympanic steroid injection: Eardrum hmanga steroid damdawi inject hian symptoms a control thei.
• Gentamicin: Hei hi antibiotic a ni. A natna lan chhuahna thlentu beng chhung lam tissue a tichhia a, hna a thawk a ni. Mahse, he enkawlna hian hlauhawmna a nei a, chu chu hriatna hloh belhchhahna a thlen thei a ni.

Enkawlna leh hmanraw dang

• Vestibular rehabilitation: Hei hi physical therapy nen a inang hle. I balance tihchangtlun nan leh i luak chhuak control turin exercise a zirtir che a ni.
• Hearing aids: Hun a kal zel a, hearing aid i hman a ngai mai thei.
• Cochlear implant: He hmanrua hi hriatna lama harsatna nasa tak a awm a, hriatna hmanrua a \angkai loh chuan a tul mai thei.
• Cognitive Behavioral Therapy (CBT): He enkawl dan hian he natna avanga lungkhamna, lungkhamna leh lungngaihna te hlawhtling taka hmachhawn turin a pui a ni.

Inzai

A nasat chuan, enkawlna dang hmanga symptoms control loh chuan beng chhunga tui pressure tihziaawmna turin operation neih a ngai mai thei.

• Endolymphatic sac procedure: Beng chhungril sac ang chi, tui awmkhawmna hmun chu hawn a ni a, tui tam lutuk chu paih chhuah a ni.
• Vestibular nerve section: Thluak lama balance signal phurtu nerve cut hian luak chhuak a titawp thin.
• Labyrinthectomy: Beng chhunga balance control tu chu a chhuak vek a. Amaherawhchu, he surgery hnu hian beng chu a bengchheng vek tawh ang. Chuvangin, chu beng chhunga hriatna zawng zawng hloh tawhte tan chauh tih a ni.

He natna hi a dam kim vek dawn em ni?

Ménière’s Disease hi thla tam tak, kum tam tak chhung pawh chhinchhiahna nei lovin a awm thei a, a lo lang leh thei bawk. Chumi awmzia chu a dam kim thei lo nain, .Enkawlna tha leh nunphung thlak danglam chuan hlawhtling takin enkawl theih a ni a, nun pangngai i hmang thei bawk. A pawimawh ber chu i doctor-in damdawi a pek chu i symptoms i neih tan veleh ei nghal mai tur a ni. Tichuan hahdamna i hmu thuai thei ang.