Ka pōuriuri anō hoki koe, ā, ka rongo koe i te tangi i roto i ō taringa? (Me ako tātou mō te Mate a Ménière)

Whakaarohia mēnā kei te ngaro koe i te mōhio, ā, ka āhua pōturi te āhua o te ao katoa e hurihuri ana i a koe? Mēnā rānei ka rongo koe i te tangi "whooshing..." i roto i tō taringa i te wā kāore he tangata i te taha? Koinei te mamae e pāngia ana e te tini o te tangata me te mate e kiia nei ko te Mate a Ménière. Ka taea te tīmata ohorere, ka ngaro mō tētahi wā, kātahi ka hoki mai anō, ā, he mate tino whakarihariha. Me kōrero tātou mō tēnei i tēnei rā.

He aha te mate a Ménière?

He mate onge te mate a Ménière e pā ana ki te taringa o roto. Mā tēnei wāhanga o te taringa e whakahaere tō tātou taurite me te whakarongo. Nō reira, ki te pāngia koe e tēnei mate, tera pea ka rite koe ki te mea kei te hurihuri te ao katoa ahakoa kei te tū tonu koe. Ka kiia e mātou ko te pōturi . Tērā pea ka pāngia koe e te tangi o ō taringa, e te ngaronga rānei o te whakarongo.

Ka tīmata ohorere ēnei tohumate, kāore he whakatūpato . Ka ngaro pea mō tētahi wā, kātahi ka puta anō i muri i ngā rā, i ngā marama rānei. Ki te kore e rongoatia tika, ka kino haere ēnei tohumate i roto i te wā, ka arahi ki te ngaronga o te rongo tuturu me ngā raruraru taurite tonu. Engari kaua e manukanuka, mā te maimoatanga tika me te tautoko a tō tākuta, ka taea e koe te whakahaere i tēnei āhuatanga.

He aha ngā tohu matua o tēnei mate?

Ka puta ohorere mai ēnei tohu hei wāhanga. E 20 meneti pea te roa, e 24 hāora rānei. I ētahi wā, ka maha ngā whakaekenga ka puta i te wā kotahi. Tērā pea ka pāngia ētahi tāngata e te whakaekenga kotahi, kātahi ka mutu, ka kore he tohu mō ngā marama.

Kia tirohia tātou he aha ngā tohu matua o tēnei mate.

He aha tēnei e tupu ai? He aha ngā take?

Kāore anō kia tino mōhiotia e ngā tākuta te take o te mate a Ménière, engari he tokomaha e whakapono ana nā te nui rawa o te wai e kiia nei ko te endolymph, e kitea ana i roto i te taringa o roto. Ina nui rawa te hanga o tēnei wai, ka taea te whakararuraru i te whakarongo me te taurite o ngā tohu e haere ana mai i te taringa ki te roro.

He maha ngā āhuatanga e whakaarohia ana ka whai wāhi ki te kohikohinga o te wai endolymph i tēnei ara:

• Ngā momo mate pāwera (Allergies)
• Te aukati i te rere o te wai i roto i te taringa
• Ngā whara o te upoko
• Ngā momo mate urutā
• Migraine

Heoi anō, me nui ake ngā rangahau e hiahiatia ana kia tino mārama ai ki te whanaungatanga i waenga i ēnei āhuatanga me te Mate a Ménière.

Ko wai te hunga tino mōrearea ki te pangia e tēnei mate?

Ahakoa ka taea e te tangata katoa te pāngia e te mate a Ménière, he nui ake te mōrearea o ētahi tāngata.

• Tau: Ko te nuinga o te wā ka pā tēnei mate ki te hunga i waenga i te 40 me te 60 tau te pakeke.
• Ira Tangata: E whakaatu ana ētahi rangahau he nui ake te tūponotanga ka pāngia ngā wāhine e tēnei mate.
• Ngā ira: I waenga i te 7% me te 10% o te hunga whai mate nei he mema whānau tō rātou kua pāngia e te mate. Ko te tikanga ka taea te tuku iho i roto i ngā whakatipuranga.
• Ngā mate pūnaha ārai mate:Mena he mate pūnaha ārai mate tōu, pērā i te mate rumatiki, te lupus rānei, he nui ake tō tūponotanga ki te whakawhanake i te mate a Ménière.

He aha ngā hua kino ka puta mai mēnā ka kore e arohia tēnei?

Ka taea e te whanoke nui e puta mai ana i tēnei mate te arahi ki ngā hinganga kino . Nā tēnei ka tino morearea ngā mahi o ia rā pēnei i te piki arawhata me te taraiwa waka. I roto i te wā (i muri i te 8-10 tau), ka taea e tēnei āhuatanga te arahi ki te ngaronga o te rongo tuturu .

Waihoki, ka pā nui tēnei mate ki tō hauora hinengaro. Mā te manukanuka tonu ki ngā mea pēnei i te "Āhea ahau ka pōuri anō?" me te "Ka ngaro katoa taku rongonga?" ka arahi pea ki te manukanuka me te pouri .

Me pēhea te tātaritanga tika a te tākuta i tēnei mate?

Ko te tikanga, ka tātaritatia tēnei mate e te tohunga taringa, ihu, me te korokoro (otolaryngologist - ENT). Ina kite koe i tō tākuta, ka tirotirohia koe e ia, ka pātai atu mō ō tohumate. Kātahi ka whakahaerehia pea ētahi whakamātautau hei whakarite kāore he mate kē atu āu e puta ai ngā tohumate rite.

• Whakamātautau whakarongo: Tirohia mēnā he ngoikore tō whakarongo.
• Pūhiko whakamātautau vestibular: Ka whakamātautau i te mahi a te pūnaha taurite i roto i te taringa o roto me ngā uaua o te kanohi.
• Matawai MRI roro: Ka taea te mahi i tēnei whakamātautau hei whakarite kāore he pukupuku roro, he raruraru rānei e puta ai te whanoke.

He aha ngā maimoatanga mō tēnei?

Kāore he rongoā mō te mate a Ménière. Heoi, he maha ngā maimoatanga whai hua hei whakaiti i te kaha me te roa o ngā tohu . Ka tīmata tō tākuta i ngā maimoatanga māmā noa iho. Ki te kore ēnei e āwhina, ka tūtohu pea rātou kia pokanga.

Ngā huringa āhua noho

Mā te hanga i ētahi huringa iti ki tō oranga o ia rā ka tino whakaiti i ēnei tohu.

• Te whakaiti i te inu kawheine me te waipiro.
• Te whakahaere i te ahotea me te moe nui.
• Whai muri i te kai iti-tote.Ko te tohutohu whānui kia kaua e neke atu i te 1500 mirikaramu tote e kainga ana i ia rā. Tata ki te ¾ tīpune tēnā. Tērā pea ka kī atu tō tākuta kia karohia e koe ngā kai kei roto he MSG.

Ngā rongoā

He maha ngā momo rongoā matua e hoatu ana mō tēnei mate.

• Ngā rongoā whakaheke toto me te betahistine: Ka whakaitihia e ngā rongoā whakaheke toto te nui o te wai i roto i te tinana. Ka whakapai ake te rongoā betahistine i te rere o te toto i roto i te taringa o roto, ā, ka whakaitihia te pēhanga wai.
• Ngā rongoā mō te whanoke me te whakapairuaki: Ka taea e ēnei rongoā te āwhina ki te whakahaere i te whanoke me te whakaiti i te whakapairuaki. Hei tauira, ka taea te hoatu rongoā pēnei i te diazepam me te meclizine.

Ki te kore e taea e ēnei rongoā te whakahaere i te āhua, ka tohua pea e tō tākuta he rongoā hei werohanga .

• Werohanga steroid intratympanic: Mā te werohanga i tētahi rongoā steroid mā roto i te eardrum ka taea te whakahaere i ngā tohu.
• Gentamicin: He rongoā paturopi tēnei. Ka mahi mā te kino i te kiko o roto o te taringa e puta ai ngā tohu. Heoi, he mōrearea kei roto i tēnei maimoatanga, arā, ka nui ake te ngaronga o te rongo.

Ētahi atu maimoatanga me ngā taputapu

• Whakaora tinana: He rite tēnei ki te whakaora tinana. Ka ako koe i ngā mahi whakakori tinana hei whakapai ake i tō taurite me te whakahaere i te whanoke.
• Ngā taputapu whakarongo: I roto i te wā, ka hiahia pea koe ki te whakamahi i tētahi taputapu whakarongo.
• Te whakaurunga o te taringa whakarongo: Tērā pea ka hiahiatia tēnei taputapu mēnā he tino ngoikore te whakarongo, ā, kāore he āwhina o ngā taputapu whakarongo.
• Te Whakaora Hinengaro Whanoke (CBT): Ka āwhina tēnei tikanga maimoatanga ki te whakatau angitu i te ahotea, te manukanuka, me te pouri i puta mai i tēnei mate.

Pokanga

I ngā wā tino kino, ina kore e taea te whakahaere i ngā tohu e ētahi atu maimoatanga, me mahi pokanga pea hei whakamama i te pēhanga wai i roto i te taringa.

• Te tikanga putea endolymphatic: Ka whakatuwheratia te wāhanga rite ki te putea o roto o te taringa e kohia ai te wai, ā, ka tangohia te wai nui.
• Te wāhanga io vestibular: Mā te tapahi i te io e kawe ana i ngā tohu taurite ki te roro ka mutu te whanoke.
• Te tango i te taringa i roto i te pokanga: Ka tangohia katoatia te wāhanga o te taringa e whakahaere ana i te taurite. Heoi, i muri i tēnei pokanga, ka turi katoa te taringa. Nō reira, ka mahia anake tēnei mō te hunga kua ngaro kē te rongo i roto i taua taringa.

Ka ora rawatia rānei tēnei mate?

Ka noho kore tohu te mate a Ménière mō ngā marama, tae noa ki ngā tau, kātahi ka hoki anō. Ko te tikanga o tēnei ahakoa kāore e taea te whakaora katoa,Mā te maimoatanga pai me ngā huringa momo noho, ka taea te whakahaere angitu, ā, ka taea e koe te noho i tētahi oranga noa. Ko te mea nui ko te tango i te rongoā i tohua e tō tākuta i te wā tonu ka tīmata koe ki te puta mai i ngā tohu. Kātahi ka taea e koe te tere te whakaora.