Kei te pōuri tonu koe i ngā wā katoa? Tērā pea he mate vestibular!

Ka pōuri koe i ētahi wā, ka takahurihuri rānei i roto i tō nohoanga? Ka pāngia hoki ētahi e te whakapairuaki me te ruaki. Ki te mea he maha tonu te tupu o tēnei, kaua e whakakorea he mea noa. Tērā pea nā te raruraru o te pūnaha taurite o tō tinana, e kiia nei ko te pūnaha vestibular. I tēnei rā, ka kōrero tātou mō ngā mate vestibular.

He aha ngā mate vestibular?

He whakarāpopototanga noa iho, ko ngā mate vestibular he raruraru o te pūnaha vestibular, e whakahaere ana i te taurite o tō tinana. Kei roto i tēnei pūnaha ngā wāhanga o tō taringa o roto me ngā wāhanga o tō roro. Koinei ngā mea e āwhina ana i a koe ki te pupuri i te taurite o tō tinana.

Whakaarohia, koinei te pūnaha e āwhina ana i a koe ki te pupuri i tō taurite i a koe e hikoi ana, e tahuri ana tō mahunga, e pekepeke ana hoki. Nō reira, ki te mea he raruraru kei te pūnaha vestibular i roto i tō taringa o roto, kei ngā wāhanga rānei o tō pūnaha io matua (CNS) e kawe ana i ēnei mōhiohio ki te roro ka tātarihia, ka raru pea koe ki tō taurite (he ngoikore o te vestibular). He maha ngā wā, ko ngā raruraru vestibular pēnei i ēnei te mea e puta ai te whanoke me te vertigo.

He aha ngā momo matua o tēnei āhuatanga?

Ka whakarōpūhia e ngā tākuta ēnei mate vestibular i runga i te wāhi kei roto i tō pūnaha vestibular te raruraru.

• Ngā Mate Pūnaha Urutā ā-Rohe (PVD): He āhuatanga ēnei e pā ana ki tō taringa o roto, ki te io pūnaha urutā rānei, e kawe ana i ngā tohu taurite ki te roro. Whakaarohia he raruraru ki ngā wāhanga iti o roto o tō taringa.
• Ngā Mate Pūnaha Urutā Waenga (CVD): Koinei ngā āhuatanga e pā ana ki ngā wāhanga o tō roro e tukatuka ana i ngā tohu taurite mai i te pūnaha pūnaha urutā taha. Ko te tikanga tēnei kāore e taea e te roro te whakamārama tika i ngā mōhiohio e puta mai ana i ngā taringa.

He aha ngā mate vestibular e tino kitea ana?

Ko ētahi o ēnei e kitea whānuitia ana:

• Te Vertigo Tūnga Pai o te Pōturi (BPPV): Koinei te momo pōuri e pāngia ana e te nuinga o te tangata ina tahuri whakarere ana ō rātou mahunga.
• Te mate a Ménière: I roto i tēnei āhuatanga, me te whanoke, ka ngaro pea te rongo me te tangi o ngā taringa.
• Te neuritis vestibular: Koinei te wā ka mumura ai te io vestibular.
• Te mate hopuhopu: He mumura tēnei o te arai o te taringa o roto, ka pā kino ki te whakarongo.

He momo mate vestibular anō kei reira?

Āe, he maha atu anō. He ahua uaua ēnei, engari he mea pai kia mōhio koe:

• Neuroma oro
• Mate taringa ā-roto autoimun
• Ngā awa wai vestibular kua whakanuia (EVA)
• Te mate urutā (MdDS) – He āhua pēnei i te mea kei te rūrū te whenua ahakoa kua heke koe i te kaipuke.
• Te otosclerosis
• Te fistula perilymphatic (PLF)
• Te whanoke tū-ā-tinana tonu (PPPD)
• Presbyvestibulopathy (PVP) – ngā raruraru taurite e puta ake ana i te kaumātuatanga.
• Ngā hydrops endolymphatic tuarua
• Te mate whakaheke o te awa haurua porowhita teitei
• Te pōuri o ngā uaua toto
• Te korenga o te Vertebrobasilar
• Te ataxia vestibular
• Ngā migraines vestibular – te whanoke e haere tahi ana me ngā migraines.
• Te ngoikore o te mahi vestibular
• Te paroxysmia vestibular

Tērā pea kei te whakaaro koe, "E Māmā, he aha tēnei mate?" Kaua e manukanuka, kāore e pāngia te katoa e ēnei mate. Ko te tohunga anake ka taea te tautuhi tika i ēnei mate.

He aha ngā tohu o te mate vestibular?

E rua ngā tohu e tino kitea ana i roto i tēnei mate:

• Whati: Ko te tikanga o tēnei he whanoke, he māhunga pōuri, he "pōrangi" rānei.
• Te Ānini: Koinei te wā e rite ana koe ki te hurihuri, ki te hurihuri rānei te rūma e noho nei koe i a koe. He rite ki te piki me te heke i runga i te tūrei.

Haunga ēnei tohu matua, ka puta mai pea ētahi atu tohu i runga i tō āhua motuhake. Kei roto i ēnei:

• Te uaua ki te tū tika, ki te noho tika rānei.
• Te uaua ki te hikoi pūmau (me te mea kei te haere pōturi).
• Te ngaronga o te rongo, te tangi rānei o ngā taringa (e kiia ana tēnei ko te tinnitus ).
• Te nekehanga kore whakahaere, koretake o ngā kanohi (e kiia ana tēnei ko te nystagmus) .
• Te tirohanga pōuri.
• Whakapairuaki me te ruaki.
• He uaua ki te arotahi ki tētahi mea.

Whakaarohia, ka pōuri a Nilanthi Akka o tō mātou kāinga mō te meneti i ia ata ina ara ake ia i te moenga. I mahara ia nā te kore moe. Engari i muri mai, i tana kitenga i te tākuta, ka kitea e ia he mate e kiia nei ko te BPPV (Benign Paroxysmal Positional Vertigo) . Nō reira, ki te pāngia koe e ēnei tohu, me toro atu ki te tākuta.

He aha ngā take o ngā mate vestibular?

He maha ngā take ka raru ai te pūnaha vestibular.

• Te koroheketanga: I a koe e pakeke haere ana, ka ngoikore haere ngā hanganga o roto o tō taringa e tuku ana i ngā tohu taurite ki te roro.
• Ngā whara o te upoko: Ka taea e te whiunga o te upoko te kino i te taringa o roto, i ngā wāhanga rānei o te roro e pā ana ki te pūnaha vestibular.
• Te pānga ki ngā paitini: Ko te ototoxicity he kino ki te taringa o roto i puta mai i ētahi rongoā e tangohia ana e koe. He tino take tēnei o te ngoikore o te pūnaha vestibular. Ka taea hoki te pakaru o te taringa o roto i ngā matū o te taiao (hei tauira, te mata).
• Mumura: Ka taea e te mumura te kino i ngā whekau me ngā io o te taringa o roto e whai wāhi ana ki te taurite. I ētahi wā ka puta tēnei mumura i te mate huaketo, i te mate kitakita rānei.
• Ngā raruraru endolymph: Ka neke te wai i roto i tō taringa o roto, e kiia nei ko te endolymph, i te nekehanga o tō mahunga. Ka whakahohehia e tēnei nekehanga ngā io e tuku kōrero ana mō tō tūranga ki tō roro. Mena he raruraru kei tēnei wai, ka raru pea te pūnaha vestibular, ka puta he hapa i roto i te tuku tohu.
• Ngā pukupuku: Ka pā pea ētahi pukupuku (tae atu ki ngā pukupuku) i roto i te roro, i te taringa rānei ki ngā io e āwhina ana i a koe ki te pupuri i te taurite.
• Ngā mate pūnaha ārai mate: He ahua onge tēnei, engari i roto i ētahi mate pūnaha ārai mate, ka taea e tō ake pūnaha ārai mate te whakaeke i tō taringa o roto.
• Ngā āhuatanga io: Ka pāngia pea tō taurite e ngā mate e pā ana ki ō io me te pūnaha io matua (CNS). Ko te whiu tetahi o ngā tino take o te ngoikore o te pūnaha io matua. Ka taea hoki te puta mai i ngā mate e kino ai te hipoki tiaki e karapoti ana i ngā io (pērā i ngā mate demyelinating ).

He aha ngā mea e whakaoho ana i te pikinga ake o ēnei tohu?

Ko te hunga whai mate vestibular ka pāngia e ngā tohu pēnei i te whanoke me te vertigo, e haere mai ana, e haere atu ana. I ēnei wā, ka taea e ētahi "mea whakaoho" te tīmata, te kino atu rānei i ngā tohu. Ko ēnei mea whakaoho ko:

• Ngā panonitanga o te taiao: Hei tauira, te haere ohorere ki tētahi wāhi "pukumahi" kī tonu i te tangata, ka kite i ngā mea rerekē.
• Te nekehanga ohorere o te māhunga, te huri rānei o te tūnga: Pērā i te takoto i runga i te moenga.
• Ko ētahi kai me ngā inu.
• Te kore moe.
• Te ahotea.

Ka taea e tō tākuta te āwhina i a koe ki te tautuhi i ēnei āhuatanga e kino haere ai ō tohumate.

He aha ngā pānga taha (ngā raruraru) ka pā mai i tēnei?

Ehara i te mea ko tō taurite anake te pānga o te ngoikore o te pūnaha io. Ki te kore e rongoatia, ka ara ake pea ētahi atu raruraru.

• Te hinganga: Ka taea e ngā raruraru taurite te arahi ki ngā hinganga morearea. E ai ki te World Health Organization (WHO), kei waenganui i te 20% me te 30% o ngā kaumātua i te United States e pāngia ana e ngā whara o te mahunga, e ngā whara o te roro, e ngā whati hope rānei i te hinganga. Ko te hunga neke atu i te 60 tau te pakeke he nui ake te mōrearea ki ēnei hinganga morearea. Whakaarohia te āhua mēnā ka pōuri koe, ka hinga i a koe e hikoi ana i te ara.
• Te ngaronga o te whakarongo mō te wā roa: Ko ētahi mate vestibular e pā ana ki te ngaronga o te whakarongo mō te wā roa. He maha ngā wā ka taea te ārai i tēnei āhuatanga mēnā ka tautuhia, ka rongoatia wawetia hoki te mate.
• Ngā āhuatanga hauora hinengaro: Ka uaua pea te mahi i ngā mahi o ia rā nā ngā tohu o te ngoikore o te pūnaha io, pērā i te taraiwa, te hikoi rānei. Tērā pea ka karohia e te tangata ngā taunekeneke pāpori i te wehi kei pōuri, kei pororaru rānei. Ka taea e ēnei pānga te arahi ki ngā āhuatanga hauora hinengaro pērā i te manukanuka me te pouri .

Nō reira, he mea tino nui kia rapu tohutohu hauora me te maimoatanga i te wā tonu, me te kore e whakapiki i te mōrearea o ngā raruraru hauora anō.

Me pēhea te tautuhi i ngā mate vestibular?

Mā tō tākuta e tātari te mate mā te whakamātautau tinana me te whakamātautau io. Ka pātai atu hoki rātou mō ō tohumate. Ko te mārama ki ō tohumate te mea nui hei whakatau mēnā kei roto i te taringa o roto, kei te pūnaha io matua rānei (CNS) te raruraru.

He aha te momo tohunga me toro atu ahau?

He maha ngā tākuta ka taea te tātaritanga me te rongoā i ngā mate vestibular:

• Ngā tohunga otolaryngology (ENT).
• Ngā tohunga whakarongo vestibular.
• Ngā tohunga roro.
• Ngā kaiwhakaora tinana.

He aha ngā momo whakamātautau e mahia ana hei tautuhi i tēnei?

Ka taea te whakahaere i ngā whakamātautau penei:

• Ngā whakamātautau vestibular: Ka taea e ēnei te tirotiro i te mahi a ngā whekau vestibular i roto i tō taringa o roto. I te nuinga o te wā, ka tirohia e ēnei whakamātautau te mahi tahi a ō kanohi me tō taringa o roto hei āwhina i a koe ki te pupuri i te taurite.
• Ngā whakamātautau whakarongo: Ka tirohia e ēnei ngā tohu pēnei i te ngaronga o te whakarongo, te tangi rānei o ngā taringa (tinnitus), e pā ana pea ki tētahi mate vestibular.
• Ngā whakamātautau whakaahua:Me whai matawai MRI (whakaahua aukume) CT rānei koe (matawai tomography rorohiko) hei tirotiro mēnā he raruraru hanganga kei roto i tō taringa o roto, i tō roro rānei.
• Ngā whakamātautau toto: Ka taea e ēnei te tirotiro mō ngā mate e raru ai te taringa o roto.

Me pēhea te rongoā i ngā mate vestibular?

Ka whakawhirinaki te maimoatanga ka whiwhi koe ki tō āhua. Ka taea te rongoā i ngā mate vestibular mā te:

• Ngā Huringa Āhua Noho: Mā ngā huringa āhua noho ngāwari ka āwhina i te whakahaere i ētahi mate vestibular. Hei tauira, mēnā he raruraru te kohikohinga wai i roto i ō taringa, mā te whakaiti i te kai i ngā kai tote (ka taea te pupuri wai) ka āwhina pea. He mea nui anō hoki kia ako ki te tautuhi me te whakahaere i ngā mea ka puta ai te pororaru.
• Ngā Rongoā: Me rongoā pea koe hei rongoā i te pūtake o tō mate, hei whakahaere rānei i ō tohumate. Hei tauira, me rongoā paturopi pea koe hei rongoā i ngā mate kitakita, i ngā rongoā diuretic rānei hei whakaiti i te nui o te wai i roto i ō taringa. Me rongoā ārai whakapairuaki, rongoā antihistamine rānei hei whakahaere i ngā tohumate pēnei i te mate nekeneke.
• Te tikanga whakahou i te tūnga o te taringa: Mena kei a koe te BPPV (Benign Paroxysmal Positional Vertigo) , ka taea e tēnei maimoatanga, me te mahi tahi me te kaiwhakaora tinana, te āwhina i te whakahou i ngā wahi iti o ngā taringa kua tangohia i roto i tō taringa o roto.
• Whakaoraora vestibular: Kei roto i te whakaoraora vestibular ngā wā whakakori tinana hei āwhina i te whakahaere i te whanoke me te pororaru.
• Pokanga: He maha ngā wā ka mahia te pokanga taringa o roto hei huarahi whakamutunga hei rongoā i ngā mate vestibular. Heoi, me whakahaere pea ngā tohumate pororaru kino mēnā kāore ētahi atu maimoatanga i āwhina.

He aha tāu e tumanako ai ina noho tahi koe me tēnei mate?

Kei te āhua o te mate vestibular tō āhua. I ētahi wā, ka memeha haere ngā raruraru vestibular. Hei tauira, ko ngā raruraru vestibular e pā ana ki ngā mate ka pai ake ina ngaro te huaketo, te huakita rānei. Heoi, he mea nui kia whiwhi maimoatanga wawe tonu hei ārai i te kino roa ki te taringa o roto.

Ko ētahi atu mate vestibular me whakahaere mō te wā katoa. Ka puta mai, ka ngaro atu pea ngā tohu i te kore e tūmanakohia, i te urupare rānei ki ngā mea e mōhiotia ana e koe. Mena koinei te āhua mōu, me mahi tahi koe me tō tākuta (me te tīma tiaki rānei) ki te whakahaere i tō āhua.

Ka taea te ārai i ngā mate vestibular?

Kei te pūtake o te mate vestibular te āhua, engari he uaua te ārai i ngā mate vestibular i te nuinga o te wā.

Engari kei reira ētahi mea ka taea e koe te mahi hei tiaki i a koe anō. Hei tauira, ka taea e koe te whiwhi maimoatanga wawe hei ārai i ngā kino roa mai i ngā take pēnei i ngā mate urutā. Mena kei te noho koe me tētahi mate roa, ka taea e koe te mahi i ngā mahi hei whakaiti i tō tupono ki te hinga.

Me pēhea taku tiaki i ahau anō?

He maha ngā wā, ka whakamahia he huinga o ngā huringa āhua noho, ngā rongoā, me te whakaora i te pūnaha vestibular hei rongoā, hei whakahaere rānei i ngā mate vestibular. Engari ka kitea e te nuinga o te tangata he mahere maimoatanga e pai ana mō rātou. I tēnei wā, ka taea e koe te tiaki i a koe anō mā te:

• Kia mau tonu tō rongoā ki a koe.
• Ki te mea kei te tīmata te puta o ngā tohu, me whai wā okioki, me te okioki.
• Āta karohia ngā mahi mōrearea mēnā kāore koe i te tino mōhio he haumaru.
• Ki te kai paipa koe, karohia (kāore rānei). Ka taea e te kai paipa te whakararu i ngā tohu.
• Whakaitihia te kawheine me te waipiro. Koinei ngā mea e whakaoho ana i ngā tohu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai i ngā pātai penei:

• He aha ahau i pāngia ai e tēnei mate vestibular?
• He aha ngā whakamātautau me mahi hei tātaritanga i tōku mate?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Me pēhea taku whakahaere i ngā mea whakaoho?
• He aha ngā huringa ka taea e au te mahi hei whakaiti i te mōrearea o te hinga?

Hei whakamutunga, ko te mea tino nui (Karere hei tango i te kāinga)

He tokomaha o tātou kāore e mōhio ki te hiranga o te taurite ki ō tātou oranga o ia rā tae noa ki te wā e pā mai ai he raruraru. Ina rongo ohorere tātou me te mea kei te hurihuri te rūma, ka mōhio tātou ki tōna uara. I ētahi wā ka ngaro atu tēnei kare ā-roto i muri i tētahi wā. Engari ki te mea he mate vestibular tōu, he mea nui kia kite i te tākuta me te whiwhi maimoatanga i mua i te hurihanga o tēnei pōuriuri hei mea morearea pērā i te hinganga. Ka taea e tō tākuta te āwhina i a koe ki te kimi i te huinga maimoatanga tika hei whakatika i tō raruraru taurite, hei whakahaere i ō tohumate, me te āwhina i a koe ki te kimi i te huinga maimoatanga tika māu. Kaua e manukanuka, ko te nuinga o ēnei āhuatanga ka taea te whakahaere pai.

Ngā mate pūkahukahu, whanoke, pororaru, taurite, taringa o roto, mate Meniere, BPPV