Kei te pōuri koe? Kei te rongo koe i ngā haruru i roto i ō taringa? Me kōrero tātou mō te Mate Meniere

I ētahi wā, e āhua hurihuri ana te ao katoa? I taua wā anō, ka rongo koe i tētahi tangi 'tangi' mai i roto i tō taringa, ā, ka ahua taumaha tō taringa? Mena kua pā tēnei ki a koe, tera pea he āhuatanga kei a koe kāore i te mōhiotia e te tini o te tangata, engari ka nui te mamae ka pā mai. I tēnei rā ka kōrero tātou mō te Mate o Meniere. Kaua e manukanuka, kia mārama tātou ki ngā mea katoa mō tēnei mea.

He aha tonu te mate a Meniere?

Ki te kī māmā noa, he mate onge te mate a Meniere e pā ana ki tō tātou taringa o roto . E toru ngā tohu matua ka puta:

• Ānini : Ehara i te mea he kare hurihuri noa iho tēnei. He kare e hurihuri kaha ana ngā mea katoa e karapoti ana i a koe, ahakoa kei te tū tonu koe.
• Tinnitus : He tangi, he haruru, he haruru rānei e mau tonu ana i roto i te taringa.
• Te ngaronga o te rongo : Ka puta mārire te ngaronga o te rongo . I ētahi wā ka pumau tonu tēnei.

I te nuinga o te wā, kotahi anake te taringa e pāngia ana e tēnei mate. He mate e haere whakamua ana, arā, ka kaha haere pea ngā tohu i roto i te wā.

Āe, he aha tēnei e pā ana ki a tātou?

Ko te take matua mō tēnei ko te kohikohinga o tētahi wai motuhake e kiia nei ko te endolymph i roto i tō tātou taringa o roto. Whakaarohia, kei roto i tō tātou taringa o roto he wāhanga tino tairongo e whakahaere ana i te taurite o te tinana me te hopu i te oro.

1. Te Kokolea : He wāhanga tēnei o te kokolea kī tonu i te wai, he rite te āhua ki te anga o te ngata. Ina tae mai ngā ngaru oro, ka wiri tēnei wai ka tuku tohu ki te roro, koinei te huarahi e rongo ai tātou i te oro. Nō reira, ina nui haere tēnei wai, ka taea te whakararuraru i taua tukanga, ā, ka ngoikore te whakarongo.

2. Te arai o te puku :Koinei te wāhanga matua o tō tātou tinana e whakahaere ana i te taurite. Pērā i te ine tere i roto i tā tātou waea, ka tukuna e tēnei wāhanga ngā tohu ki te roro mō tō tātou tūranga me tō tātou nekehanga. Nō reira, ina piki te pēhanga wai i reira, ka pōhēhē aua tohu, ā, koinei te take o te pororaru.

Ahakoa kāore anō kia tino mōhiotia he aha i kohia ai tēnei wai, e whakapono ana ngā tākuta he maha ngā take:

• Ngā mate pāwera , ngā āhuatanga ārai mate rānei: Koinei ngā mate e whakaekea ai e te pūnaha parepare o te tinana ō tātou ake pūtau (hei tauira, te mate rumatiki, te mate lupus erythematosus)
• Ngā mate huaketo
• Ngā āhuatanga ira
• Te whaiti o ngā oko toto: He rite ki te mea ka tupu i te wā o te migraine.

E whakaponohia ana ko te mate a Meniere te take o te kotahi, neke atu rānei o ēnei āhuatanga kua honoa.

Ngā tohu me ngā wāhanga o te mate a Meniere

Tērā pea ka puta ohorere mai ngā tohu o tēnei mate, ka ngaro atu i muri i ētahi rā, kātahi ka puta anō. Me titiro mārama tātou ki ēnei tohu i roto i tētahi ripanga.

E toru ngā wāhanga matua o tēnei mate.

Te wāhanga tuatahi (te wā tōmua)

I tēnei wā, ka puta ohorere pea te whanoke. I taua wā, ka heke pea te rongo, ā, ka kī te taringa. Heoi, ina ngaro te whanoke, ka hoki anō te rongo ki te āhua noa.

Te wāhanga tuarua (wā waenga)

I tēnei wā, ka haere tonu pea te whanoke, engari ka iti ake te kaha. Heoi anō, ka tīmata te hekenga o te rongo mō ake tonu atu ki tētahi taumata. Ka piki ake pea te tinnitus.

Te wāhanga tuatoru (wā o muri mai)

I tēnei wā, ka tata mutu katoa pea te whanoke. Heoi, ka tino heke pea te rongo, ā, ka pakaru tonu pea. Nā te mea kua pakaru tonu ngā okana e whakahaere ana i te taurite o te tinana, he uaua pea te pupuri i te taurite, inā koa i te wā e hikoi ana i te pōuri.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

He uaua pea te tātaritanga i te mate a Meniere nā te mea ka kitea anō ēnei tohu i roto i ētahi atu āhuatanga. Ka pātai atu tō tākuta ki a koe mō ō tohu, ā, ka whakahaerehia ētahi whakamātautau hei whakarite kāore he take kē atu.

Hei tautuhi i te mate a Meniere, me whai koe i ngā āhuatanga e whai ake nei:

• Kua rua ngā wā kua pāngia koe e te pororaru, neke atu rānei.
• Kua whakaūtia te ngaronga o te rongo mā te whakamātautau rongo .
• Te rongonga i te tangi o ngā taringa (tinnitus) te rongonga rānei i te kī o te waha i roto i ngā taringa .

Ko ētahi o ngā whakamātautau matua i mahia mō tēnei kaupapa ko:

• Ngā whakamātautau whakarongo (Audiometry): He whakamātautau e tirotiro ana i te pai o tō whakarongo i ngā taumata oro rerekē.
• Whakamātautau taurite (whakamātautau vestibular):
• Whakamātautau VNG/ENG: Ka inehia ngā nekehanga o ō kanohi i roto i tētahi rūma pōuri.
• Whakamātautau tūru hurihuri: Ka hurihia koe i roto i tētahi tūru e whakahaerehia ana e te rorohiko, ā, ka whakamatautauria ngā nekehanga o ō kanohi.
• Mā ētahi atu whakamātautau motuhake pēnei i tēnei (`VEMP`, `CDP`, `vHIT`) ka tirohia te pai o te mahi a ngā wāhanga o te taringa o roto e whakahaere ana i te taurite.
• Ētahi atu whakamātautau: Tērā pea ka mahia he matawai MRI , CT rānei hei tirotiro kāore he take kē atu, pērā i te pukupuku roro.

He aha ngā maimoatanga mō tēnei?

Ka tīmata tō tākuta i ngā maimoatanga māmā noa iho, engari he iti ake ngā pānga taha.

1.Ngā huringa āhua noho:

• Kai iti te tote: He mea tino nui te whakaiti i te kai tote (konutai) hei whakaiti i te pupuri wai i roto i te tinana. Āta karohia ngā kai kēne, ngā ranu, me ngā kai he nui te tote.
• Te karo i ētahi kai: Ka taea e ngā mea pēnei i te kawheine (kawhe, tī), te tiakarete, me te waipiro te whakararu i ngā tohu.

2. Ngā momo rongoā:

• Ngā rongoā mō te whanoke: Ka taea te whakamahi i ngā rongoā pēnei i te ``(Betahistine)`` hei whakahaere i te whanoke.
• Rongoā whakapairuaki: Whakahaerehia te ruaki me te whakapairuaki.
• Ngā rongoā whakaheke toto (“pire wai”): Ngā rongoā e hoatu ana hei whakaiti i te nui o te wai tāpiri i roto i te tinana me ngā taringa.
• Ngā rongoā ārai-manukanuka: Ka taea te hoatu i ngā rongoā pēnei i te `(Diazepam)` mō te wā poto mēnā ka pāngia koe e te pororaru ohorere.

3. Ētahi atu tikanga maimoatanga:

• Te whakaora i ngā uaua o te roro: He rite tēnei ki te whakaora tinana . He raupapa mahi hei whakangungu anō i te roro kia mau tonu te taurite.
• Werohanga taringa waenga: Ki te kore e taea te whakahaere i ngā tohumate, ka werohia pea e te tākuta he steroid, he paturopi rānei e kiia nei ko te "Gentamicin" ki roto i te taringa waenga.

4. Pokanga:

Ko te pokanga anake e taunakitia ana mō te hunga he tino kino ngā tohu e kore e taea te whakahaere e ētahi atu maimoatanga. He maha ngā tikanga pokanga, pērā i te `(Labyrinthectomy)` me te `(Endolymphatic sac decompression)`. Mā tō tākuta ēnei e whakamārama ki a koe.

Me pēhea te whakahaere i tēnei āhuatanga ki te kāinga?

He mea tino nui kia kaua e mataku ina pōuri koe.

• Ina pōuri koe:
• Noho, takoto rānei i taua wā tonu. Kaua e nekeneke ohorere.
• Āta karohia ngā rama kanapa, ngā haruru nui, me te mātakitaki pouaka whakaata.
• Me titiro matatau ki tētahi mea kotahi, kāore e nekeneke.
• Okiokinga: Tērā pea ka ngenge koe i muri i te mamae o te upoko. Kia nui te okiokinga, ā, tīmata anō ki te mahi i te wā e taea ai.
• Tāutuhia ngā mea e whakaoho ana i te mate: Kimihia ngā mea e kino ake ai ō tohu. Hei tauira:
• Te tū ohorere, te huri tere i tō mahunga.
• Te piko ki raro (ki te mea kei te hapai koe i tetahi mea i runga i te papa, pikohia ō turi).
• Te ahotea, te mahi nui.
• Ētahi rihi.

Me ako hoki tātou mō te taraiwa me te rere.

Mena kei a koe te mate a Meniere, me tino tupato koe ki te taraiwa.

• Ki te pāngia koe e te whanoke ohorere (vertigo) me te "takataka o te mate", kaua e taraiwa. He mea nui tēnei mō tō haumaru me te haumaru o ētahi atu.
• Tērā pea me whakamōhio e koe tō tari tuku raihana taraiwa me te kamupene inihua mō tēnei mea e te ture.
• Ehara i te mea he raruraru nui i runga i ngā rerenga. Heoi, inuhia he nui te wai, ā, karohia te waipiro i runga i te waka rererangi.

Te mate a Meniere, te pōturi, te tinnitus, te ngaronga o te rongo, te taringa o roto, te taurite