Nang pawhin i lu a buai reng em? Vestibular disorder a ni thei!

A châng chuan i ṭhutnaah i lu a buai emaw, i inher kual emaw ṭhin em? Mi thenkhat chuan luak chhuak leh luak chhuak an nei bawk. Hetiang hi a thleng fo a nih chuan thil pangngai angin hnawl suh. I taksa balance system, vestibular system an tih, a harsatna vang pawh a ni thei. Vawiin hian vestibular disorders chungchang kan sawi dawn a ni.

Vestibular Disorders hi eng nge ni?

A awlsam zawngin sawi ila, vestibular disorders hi i taksa balance control tu vestibular system-a harsatna a ni. He system hian i beng chhung lam thenkhat leh i thluak hmun thenkhat a huam a ni. Hengte hian i taksa a balance reng theih nan a pui thin.

Ngaihtuah teh, he system hi i kal lai te, i lu i herh lai te, i zuang chhuah dawna i balance neih theihna tura puitu a ni. Chuvangin, i beng chhungril lama vestibular system-ah harsatna a awm a nih chuan, emaw, i central nervous system (CNS) hmun thenkhat, he thu hi thluaka hruai a, zirchiangtuah emaw, i balance-ah harsatna (vestibular dysfunction) i nei thei a ni. Vawi tam tak chu hetiang vestibular problem hi luak chhuak leh vertigo thlentu a ni.

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

Doctor-te chuan heng vestibular disorder te hi i vestibular system-a harsatna awm dan azirin an thliar hrang thin.

• Peripheral Vestibular Disorders (PVD): Hengte hi i beng chhung lam emaw, thluaka balance signal phurtu vestibular nerve emaw a nghawng thei a ni. I beng chhunga hriatna peng te te te buaina angin ngaihtuah rawh.
• Central Vestibular Disorders (CVD): Hengte hi i thluak hmun hrang hrang, peripheral vestibular system atanga balance signal lo lutte process tu te a ni. Chumi awmzia chu thluak hian beng atanga thu lo chhuak chu uluk takin a hrilhfiah thei lo tihna a ni.

Vestibular disorder awm tam ber chu engte nge ni?

Chung zinga ṭhenkhat chu hmuh tur a awm fo:

• Benign Paroxysmal Positional Vertigo (BPPV): Hei hi mi tam zawkin an lu an hawi thut a, an lu an hawi thut a, an luak chhuak thin.
• Ménière natna: Hetiang dinhmunah hian luak chhuak rualin hriatna hloh leh beng ri a awm thei.
• Vestibular neuritis: Hei hi vestibular nerve a inflamed lai a ni.
• Labyrinthitis: Hei hi beng chhung lam labyrinth a inflammation a ni a, chu chuan hriatna a tichhe thei a ni.

Vestibular disorder chi dang a awm em?

Ni e, a tam zawk. Hengte hi a buaithlak deuh a, mahse hriat a tha:

• Acoustic neuroma a awm thin
• Autoimmune beng chhung lam natna
• Vestibular aqueduct lian zawk (EVA) .
• Mal débarquement syndrome (MdDS) – Hei hi lawng atanga i chhuk hnuah pawh leilung a nghing ang maia hriatna a ni.
• Otosclerosis natna (Otosclerosis) a ni
• Perilymphatic fistula (PLF) natna hi a awm thei lo.
• Postural-perceptual dizziness (PPPD) a awm reng thin.
• Presbyvestibulopathy (PVP) – kum upat ruala balance lama harsatna lo awm thin.
• Secondary endolymphatic hydrops te chu a awm a
• A rilru a buai em em a, a rilru a hah em em bawk a. Superior semicircular canal dehiscence syndrome
• Vascular vertigo a awm thin
• Vertebrobasilar a tlakchhamna (vertebrobasilar) a awm
• Vestibular ataxia a awm thin
• Vestibular migraines – migraine nena inzawm luak chhuak.
• Vestibular hypofunction a awm lo
• Vestibular paroxysmia awm a ni

Tunah chuan, "Nu, hei hi eng natna nge ni?" Lungngai suh, heng zawng zawng hi mi zawng zawngin kan hmu vek lo. Hengte hi specialist chauhvin dik takin a hmu thei a ni.

Vestibular disorder natna lan chhuah dan chu engte nge ni?

Hetiang dinhmunah hian symptom pahnih hmuh tam ber a awm a, chungte chu:

• Luak chhuak: Hei hian luak chhuak, lu hah, emaw "woozy" emaw tihna a ni.
• Vertigo: Hei hi i inher ang maia i inhriat lai emaw, i awmna room chu i inher ang maia i inhriat lai emaw a ni. Swing-a chho leh chhuk ang mai a ni.

Heng symptom lian ber berte bakah hian i dinhmun bik a zirin symptom dang pawh a lang thei bawk. Chung zingah chuan:

• Ding emaw, ṭhut emaw harsatna.
• Dik taka kal harsa (dik lo ang maia kal).
• Hriatna hloh emaw, beng chhunga ri emaw (hei hi tinnitus an ti a ni ).
• Mit control loh, mumal lo taka che (hei hi nystagmus an ti) .
• Mit hmuh a fiah lo.
• Nausea leh luak chhuak.
• Thil pakhata ngaihtuahna sen harsat.

Ngaihtuah teh, kan khua atanga lo kal Nilanthi Akka hian zing tin khum atanga a thawh chuan minute khat vel chu a lu a buai thin. Mut tlakchham vang niin a ngai a. Mahse a hnuah doctor a hmuh chuan BPPV (Benign Paroxysmal Positional Vertigo) tih natna a ni tih a hrechhuak ta a ni. Chuvangin heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.

Vestibular disorders awm chhante chu engte nge ni?

Vestibular system a tihchhiat theih chhan hrang hrang a awm.

• Tar: I tar chhoh zel chuan i beng chhungril lama thluaka balance signal thawntu structure te chu a chak lo zauh zauh thei a ni.
• Lu hliam: Lu-a vuak hian beng chhung lam emaw, vestibular system nena inzawm thluak hmun thenkhat emaw a tichhe thei a ni.
• Toxins nena inzawmna: Ototoxicity chu damdawi thenkhat i ei avanga beng chhung lam chhiatna a ni. Hei hi vestibular dysfunction thlentu lian tak a ni. Beng chhung lam pawh hi a chhehvela chemical (entir nan, lead) vangin a tichhe thei bawk.
• Inflammation: Inflammation hian beng chhunga taksa peng leh nerve balance-a inrawlh te a tichhe thei a ni. A chang chuan he inflammation hi virus emaw bacteria emaw infection vang a ni thei bawk.
• Endolymph problems: I beng chhunga tui awm endolymph an tih chu i lu a che vel angin a che thin. Hetianga i chetna hian i thluak lama i dinhmun chungchang thu thawntu nerve te chu a tichak a ni. He fluid-ah hian harsatna a awm chuan vestibular system-ah harsatna a thlen thei a, signal transmission-ah error a awm thei a ni.
• Tumors: Thluak emaw beng chhunga tumor thenkhat (tumor pawh tel) hian balance vawng reng tura puitu nerve te a nghawng thei a ni.
• Autoimmune natna: Hei hi a tlem deuh a, mahse autoimmune natna thenkhatah chuan nangmah ngeiin i immune system hian i beng chhung lam a bei thei a ni.
• Neurological conditions: I nerve leh central nervous system (CNS) tichhe thei natna te hian i balance a tichhe thei a ni. Stroke hi central vestibular dysfunction thlentu a ni tlangpui. Nerve chhehvela venhimna khuhna tichhe thei natna ( demyelinating diseases ang chi) vang pawh a ni thei bawk.

Heng symptoms tipungtu trigger te hi engte nge ni?

Vestibular disorder thenkhat nei te chuan symptoms, luak chhuak leh vertigo te an nei a, chu chu a lo thleng leh chhuak thin. Hetiang hunah hian "trigger" thenkhat chuan symptoms a ti tan thei a, a ti na zual thei bawk. Heng triggers te hi:

• Environment inthlak danglamna: Entirnan, mi tam tak awmna hmun "busy" takah kal nghal a, thil chi hrang hrang hmuh.
• Lu inher emaw, a awmna hmun inthlak emaw: Khumah mut lai ang chi.
• Ei leh in thenkhat.
• Mut tlakchhamna.
• Rimtawng.

I doctor chuan heng ang thilte hian i natna lan chhuahna tizual theitu chu a hriat theih nan a pui thei che a ni.

Hei hian eng side effect (complication) nge a neih theih?

Vestibular dysfunction hian i balance chauh a nghawng lo. Enkawl loh chuan harsatna dang a thlen thei bawk.

• Tlu: Balance lama harsatna a awm chuan tlu hlauhawm tak a thlen thei. World Health Organization (WHO) chhinchhiah danin, United States-a puitling kum upa lam zinga 20% leh 30% inkar chuan tlu avanga lu hliam, concussion, emaw hip fracture emaw an nei a ni. Kum 60 chunglamte chu heng nunna atana hlauhawm taka tlak hi an hlauhawm zawk a ni. Hall chhunga i kal laiin i luak chhuak nghal a, i tlu a nih chuan eng ang nge a nih ang tih han ngaihtuah teh.
• Hun rei tak chhunga hriatna hloh: Vestibular disorder thenkhat hi hun rei tak chhunga hriatna hloh nen a inzawm a ni. Hei hi a natna hi a hmaa hriatchhuah leh enkawl a nih chuan ven theih a ni fo.
• Rilru hriselna dinhmun: Vestibular dysfunction symptoms hian nitin hna, lirthei khalh emaw, kea kal emaw tih a ti harsa thei hle. Mite pawhin luak chhuak emaw, vertigo emaw hlauvin social interaction an pumpelh thei bawk. Heng nghawngte hian rilru lam hriselna dinhmun a thlen thei a , chu chu lungkhamna leh lungngaihna a thlen thei a ni .

Chuvangin, hriselna lama harsatna dang thlen theihna tipung lovin damdawi lam thurawn leh inenkawlna lak vat a pawimawh hle.

Engtin nge vestibular disorders hi an hriat chhuah thin?

I doctor chuan taksa enfiahna leh thluak enfiahna hmangin a natna hi a hre thei ang. I symptoms te pawh an zawt ang. I natna lan chhuah dan hriatthiam hi i beng chhung lam emaw, central nervous system (CNS)-ah emaw a awm em tih hriat theihna atana pawimawh tak a ni.

Eng ang specialist nge ka hmuh ang?

Vestibular disorders hmuhchhuah leh enkawl thei doctor engemaw zat an awm a:

• Otolaryngologist (ENT) te an ni.
• Vestibular audiologist te an ni.
• Neurologist te an ni.
• Taksa lam thiamte.

Hei hi hriat chian nan hian eng ang test nge tih thin?

Hetiang test hi tih theih a ni:

• Vestibular tests: Hengte hian i beng chhunga vestibular organs te hnathawh dan a enfiah thei a ni. A tam zawkah chuan heng test-te hian i mit leh i beng chhung lam hnathawh dun dan a en a, chu chuan balance i neih theih nan a pui thin.
• Hearing test: Hengte hian beng lama hriatna hloh emaw, beng ri (tinnitus) ang chi symptoms te an enfiah thin a, hei hi vestibular disorder nen a inzawm thei a ni.
• Imaging test hrang hrang:I beng chhung lam emaw thluak emaw-ah hian structural problem a awm em tih hriat nan MRI (magnetic resonance imaging) emaw CT scan (computed tomography scan) emaw i neih a ngai mai thei.
• Thisen test: Hengte hian beng chhung lam harsatna thlen thei natna hrik awm leh awm loh a enfiah thei a ni.

Vestibular disorder hi engtin nge enkawl a nih?

I enkawlna tur chu i dinhmun bik a zirin a innghat ang. Vestibular disorder hi hetiang hian enkawl theih a ni:

• Nunphung inthlak danglamna: Nunphung inthlak danglamna awlsam tak hian vestibular disorder thenkhat enkawl nan a pui thei a ni. Entirnan, i beng chhunga tui awm zat hi harsatna a nih chuan, ei tur chi (tui tlakchhamna thlen thei) ei tlem hian a pui thei a ni. Tin, vertigo thlen thei trigger te hriatchhuah leh enkawl dan zir a pawimawh bawk.
• Damdawi: I natna chhan enkawl nan emaw, i natna lan chhuah dan control nan emaw damdawi i mamawh mai thei. Entirnan, bacteria infection enkawlna atan antibiotics i mamawh thei a, i beng chhunga tui awm zat tihtlem nan diuretics i mamawh thei bawk. Motion sickness ang chi symptoms control nan anti-nausea damdawi emaw antihistamine emaw i mamawh mai thei.
• Canalith repositioning procedure: BPPV (Benign Paroxysmal Positional Vertigo) i neih chuan he enkawlna hian physical therapist nen tangkawpin i beng chhungril lama canaliths te te, a chhuak tawh te chu reposition turin a pui thei a ni.
• Vestibular rehabilitation: Vestibular rehabilitation therapy-ah hian exercise session neih a ni a, hei hian luak chhuak leh vertigo control-na a pui a ni.
• Surgery: Vestibular disorder enkawlna atana hmanraw hnuhnung ber atan inner ear surgery hi tih a ni fo thin. Mahse, enkawlna dangin a puih loh chuan vertigo symptom na tak takte chu control a ngai mai thei.

Hetiang dinhmun nen hian eng nge i beisei theih ang?

I dinhmun hi i vestibular disorder bik i neih danah a innghat a ni. A then phei chuan vestibular problems hi a bo vek thin. Entirnan, infection nena inzawm vestibular problems te hi virus emaw bacteria emaw a bo hnuah a dam tlangpui. Amaherawhchu, beng chhung lam hun rei tak a chhiat loh nan a rang thei ang bera enkawl a pawimawh.

Vestibular disorder dangte chu dam chhung enkawl a ngai a ni. Symptoms hi beisei loh takin a lo thleng thei a, a lo thleng thei bawk a, a nih loh leh i hriat chhuah triggers chhanna atan pawh a ni thei bawk. Hei hi i tan a nih chuan i dinhmun enkawl turin i doctor (or care team) nen thawhhona tha tak i neih a ngai dawn a ni.

Vestibular disorder hi ven theih a ni em?

Vestibular disorder awm chhanah a innghat a, mahse vestibular disorder hi a tlangpuiin ven a harsa hle.

Mahse, mahni inenkawlna tur thil i tih theih a awm. Entirnan, natna hrik ang chi thil avanga hun rei tak chhunga chhiatna lo thleng tur venna atan enkawl hmasak theih a ni. Hun rei tak daih tawhna nen i khawsa a nih chuan tlu hlauhawmna tihziaawmna turin hma i la thei ang.

Engtin nge ka in enkawl ang?

Vawi tam tak chu nunphung inthlak danglamna, damdawi leh vestibular rehabilitation te hi vestibular disorder enkawl emaw, enkawl emaw atan hman a ni. Mahse mi tam zawk chuan an tana tha tur enkawlna ruahmanna an hmu thei a ni. Chutih lai chuan, hetiang hian i in enkawl thei ang:

• I damdawi chu i hnenah dah reng ang che.
• Symptoms a lo lang tan nia i hriat chuan hun engemaw chen chawlh la, chawlh hahdam rawh.
• Thil hlauhawm tak takte hi a him tih i chian loh chuan pumpelh rawh.
• Meizial i zuk chuan pumpelh (or bansan rawh). Meizial zuk hian symptoms a ti na zual thei.
• Caffeine leh zu tih tlem. Hengte hi symptoms tipungtu trigger tlangpui an ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• Engvangin nge he vestibular disorder hi ka neih?
• Ka dinhmun hriat theih nan eng test nge tih tur?
• Eng ang enkawlna nge ka mamawh?
• Engtin nge trigger te hi ka enkawl ang?
• Tlu hlauhawmna tihziaawmna turin eng inthlak danglamna nge ka siam theih ang?

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Mi tam tak chuan harsatna kan neih hma loh chuan kan nitin nunah balance hi a pawimawh zia kan hre lo. Room chu a inher ang maia kan hriat nghal chuan a hlutna kan hrechhuak ta a ni. A chang chuan he rilru put hmang hi rei vak lo hnuah a bo thin. Mahse vestibular disorder i neih chuan he vertigo hi tlu ang chi thil hlauhawm tak a nih hmain doctor pan a, enkawlna lak a pawimawh hle. I doctor chuan i balance harsatna siam\hatna tur damdawi inzawm dik tak zawng turin a pui thei che a, i natna lan chhuah dan tur a enkawl thei che a, i tana enkawlna inzawm dik tak zawng turin a pui thei bawk che a ni. Ngaihtuah buai suh, heng dinhmun tam zawk hi chu uluk taka enkawl theih a ni.

`Vestibular disorder, luak chhuak, vertigo, balance, beng chhung lam, Meniere natna, BPPV