Kodi nthawi zina mumamva ngati mwadzidzidzi mukumva chizungulire, ngati kuti chilichonse chozungulirani chikuzungulira ngati top yozungulira? Kapena mumataya mwadzidzidzi mulingo wanu mukuyenda ndikumva ngati mugwa? Pakhoza kukhala zifukwa zambiri za izi. Komabe, lero tikambirana za mayeso apadera omwe amachitidwa kuti tidziwe ngati pali vuto ndi mitsempha yomwe imayang'anira mulingo muubongo ndi khutu lathu lamkati. Umenewo ndi mayeso a ENG.
Mwachidule, kodi mayeso a ENG awa ndi otani?
Dzina lonse la ENG ndi Electronystagmography. Ngakhale dzinali lingamveke lovuta, zomwe limachita n'zosavuta. Mwachidule, ENG ndi mayeso omwe amafufuza momwe mitsempha ina yofunika kwambiri muubongo wanu (mitsempha ya cranial) imagwirira ntchito yomwe imayang'anira kayendedwe ka maso, kumva, komanso kulinganiza bwino .
Kuyezetsa kumeneku kumafufuza makamaka ngati maso anu akuyenda mofulumira m'njira yosalamulirika. M'mawu azachipatala, timatcha vutoli kuti 'nystagmus' . Pofufuza momwe maso anu amayendera, kuyezetsa kumeneku kumathandiza dokotala wanu kudziwa bwino momwe khutu lanu lamkati limagwirira ntchito komanso ziwalo za ubongo wanu zomwe zimayang'anira bwino.
Kodi mitsempha yofunika kwambiri yomwe imayesedwa ndi ENG ndi iti?
Pafupifupi ntchito iliyonse m'thupi lathu imayendetsedwa ndi mitsempha yochokera muubongo. Pali mitsempha inayi yofunika kwambiri pa maso, makutu, ndi kukhazikika kwathu yomwe tidzayang'ana kwambiri mu mayeso a ENG awa. Tiyeni tiwone zomwe zili ndi zomwe zimawachitikira.
| Dzina la Mitsempha | Zimene zimachita (mwachidule) |
|---|---|
| Mitsempha ya Oculomotor | Minofu ya maso imalumikizidwa ku ubongo ndipo imathandiza kusuntha maso mmwamba, pansi, ndi mkati. |
| Mitsempha ya Trochlear | Mitsempha yayikulu yomwe imathandiza kutembenuza maso pansi ndi mphuno kumbali. |
| Mitsempha ya Abducens | Zimathandiza kutembenuza maso mbali, kutanthauza kuti, kunja kuchokera kumphuno. |
| Mitsempha ya Vestibular | Uwu ndiye mtsempha waukulu womwe umalumikiza ubongo wathu kuchokera mkati mwa khutu lathu ndipo umalamulira bwino thupi ndi kumva. |
Kodi mayeso a ENG amafunika liti?
Pali zifukwa ziwiri zazikulu zomwe dokotala wanu angakulamulireni mayesowa. Choyamba ndi chifukwa cha zizindikiro zanu. China ndi kutsimikizira kuti muli ndi vuto la matenda.
Kodi muli ndi zizindikiro ngati izi?
Ngati mukupitiriza kukhala ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, dokotala wanu angakulangizeni kuti muyesedwe ndi ENG.
- Mavuto a kusasinthasintha: Kumva kusakhazikika kapena chizungulire mukuyenda, nthawi zambiri kugwa.
- Chizungulire ndi mitundu ya chizungulire: Izi sizikutanthauza kuti munthu amangomva ngati akuzungulira. 'Chizungulire' ndi pamene umamva ngati dziko lozungulira iwe likuzungulira mofulumira, ngakhale kuti ukuima chilili.
- Kutaya kumva kosamveka: Ngati mwataya kumva mwadzidzidzi kapena pang'onopang'ono m'khutu limodzi, mayesowa angathandize kudziwa ngati chifukwa chake ndi vuto la mitsempha yamkati mwa khutu.
ENG imathandizanso kuzindikira matenda amenewa.
Kuyesa kwa ENG kumapereka chidziwitso chofunikira panthawi yozindikira kapena kuchiza matenda ena.
- Acoustic neuroma: Chotupa chosakhala khansa chomwe chimayamba pa mitsempha yomwe imayenda kuchokera khutu kupita ku ubongo.
- BPPV (Benign Paroxysmal Positional Vertigo): Chizungulire chadzidzidzi komanso chachikulu chomwe chimachitika mutu ukatembenuzidwa mbali zina. Labyrinthitis kapena vestibular neuritis: Kutaya mphamvu chifukwa cha matenda kapena kutupa mkati mwa khutu.
- Matenda a Ménière: Matenda omwe amadziwika ndi kupanikizika kwakukulu mkati mwa khutu, komwe kumayambitsa zizindikiro monga chizungulire, kulephera kumva, ndi kulira m'makutu.
- Usher syndrome: Matenda a majini omwe amakhudza kumva ndi kuona.
Ngati muli ndi zizindikiro izi, muyenera kuonana ndi dokotala ndikupeza upangiri. Musangoganiza kuti muli ndi matenda chifukwa cha zomwe zili pa intaneti.
Kodi kusiyana pakati pa ENG ndi VNG ndi kotani?
Dokotala wanu angakulangizeninso VNG (Videonystagmography) m'malo mwa ENG. Ngakhale kuti zotsatira zomwe mukuyembekezera ndi zofanana, pali kusiyana pang'ono pa momwe zimachitikira.
- Mu mayeso a ENG: Kuyenda kwa maso kumayesedwa polumikiza mbale zazing'ono zachitsulo (ma electrode) pakhungu lozungulira maso anu.
- Pa nthawi ya mayeso a VNG: Mudzapatsidwa magalasi apadera omwe amagwiritsa ntchito makamera a infrared kuti ajambule mayendedwe a maso anu.
Mwachidule, ngakhale kuti pali kusiyana pang'ono pakati pa njira ziwirizi, zonse ziwiri zimapatsa dokotala chidziwitso chofunikira chofanana chokhudza momwe mitsempha yanu ndi khutu lanu lamkati limagwirira ntchito.
Kodi mungatenge bwanji mayeso a ENG?
Mungamve mantha pang'ono mukaganizira za mayeso awa. Koma si mayeso opweteka. Tiyeni tiwone zomwe zimachitika mayeso asanachitike, panthawi yake, komanso atatha.
Kodi mumakonzekera bwanji mayeso asanayambe?
Izi nthawi zambiri sizimafuna kukonzekera kwapadera. Komabe, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu.
- Uzani dokotala wanu za mankhwala onse omwe mumamwa. Muyenera kumuuza zonse zomwe mumamwa, kuphatikizapo mavitamini ndi zowonjezera.
- Dokotala wanu angakulangizeni kuti musiye kumwa mankhwala enaake kwakanthawi, makamaka mankhwala ochepetsa ululu kapena mankhwala oletsa ululu, maola 24 mpaka 48 musanayambe mayeso.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Mayeso a ENG nthawi zambiri amachitidwa ndi katswiri wa za mawu. Zingatenge pafupifupi mphindi 90.
1. Kuika ma electrode: Choyamba, ma diski angapo ang'onoang'ono achitsulo otchedwa ma electrode amayikidwa pamwamba, pansi, ndi pafupi ndi ngodya zakunja za maso anu. Lina likhoza kuyikidwa pamphumi panu.
2. Chipinda chamdima: Kenako mudzapangidwa kuti mukhale bwino pampando m'chipinda chamdima.
3. Magawo oyesera: Apa ndi pomwe mayeso amayambira. Amachita zinthu zingapo zosiyanasiyana kuti alembe mayendedwe a maso anu.
- Madzi kapena mpweya m'makutu: Mosamala kwambiri, madzi ofunda kapena ozizira (kapena mpweya) pang'ono amathiridwa m'makutu mwanu nthawi ndi nthawi. Izi zimalimbikitsa mitsempha yanu ya vestibular, yomwe imayang'anira kukhazikika kwanu. Mungamve chizungulire pang'ono panthawiyi, koma izi ndi zachilendo ndipo zidzatha pakapita mphindi zochepa.
- Kuyang'ana kuwala: Kumakuuzani kuti muyang'ane kuwala komwe kukuyenda popanda kusuntha mutu wanu.
- Kusuntha mutu: Mungapemphedwe kuchita zinthu monga kudzuka mwachangu kuchokera pamalo okhala, kapena kutembenuza mutu wanu mwachangu kuchokera mbali imodzi kupita mbali ina.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mayeso akatha, mutha kupita kunyumba mwachizolowezi ndikuyambiranso zochita zanu zachizolowezi. Chizungulire kapena nseru zomwe mungamve panthawi ya mayeso nthawi zambiri zimatha kwathunthu mkati mwa tsiku lomwelo.
Kodi pali chiopsezo chilichonse pa izi?
Iyi ndi mayeso otetezeka kwambiri komanso osaopsa kwambiri. Choncho musachite mantha ndi zimenezi mopanda chifukwa.
Anthu ambiri sakumana ndi mavuto aakulu. Mutha kumva kupweteka pang'ono pakhosi kapena kumbuyo chifukwa cha kuyenda mofulumira panthawi yoyezetsa.
Kawirikawiri, pali mwayi wochepa woti kuthamanga kwa madzi m'khutu kungayambitse kuwonongeka pang'ono kwa ntchafu yanu ya khutu. Komabe, ngati mudabowokapo kale ntchafu yanu ya khutu, gulu lanu lachipatala lidzadziwa izi ndipo lidzapewa kuyika madzi m'khutu lanu. Choncho palibe chifukwa chodera nkhawa nazo.
Kodi zotsatira za mayeso zikuti chiyani?
Ngati maso anu sakuyenda monga momwe amayembekezera panthawi yoyezetsa, zingasonyeze kuti pali kufooka kapena kuwonongeka kwa mitsempha muubongo (mitsempha ya cranial). Pakhoza kukhala zifukwa zingapo zomwe zimayambitsa mtundu uwu wa kuwonongeka kwa mitsempha.
- Matenda a mitsempha yamagazi
- Kumera kwa khungu pakati pa khutu (Cholesteatoma)
- Mankhwala ena (monga mankhwala ena oletsa malungo, okodzetsa, kapena maantibayotiki)
- Matenda oyenda
- Matenda a sclerosis ambiri
- Matenda monga rubella
- Kuvulala mutu koopsa
Ngati zotsatira za ENG zanu sizili bwino, dokotala wanu angakupatseni mayeso ena (monga MRI scan) kuti adziwe chomwe chikuyambitsa vutoli. Kenako adzadziwa chithandizo chomwe mukufuna kutengera chifukwa chake.
Uthenga Wopita Nawo Kunyumba
- ENG ndi mayeso osapweteka komanso otetezeka omwe amathandiza kudziwa chomwe chimayambitsa zizindikiro zanu, monga chizungulire ndi kulephera kulinganiza bwino.
- Izi makamaka zimayang'ana momwe mitsempha ya muubongo wanu imagwirira ntchito yomwe imalamulira maso anu, makutu, ndi thupi lanu.
- Pa nthawi yoyeserera, ma electrode amayikidwa mozungulira maso, madzi kapena mpweya umalowetsedwa m'makutu, ndipo mayendedwe a maso amawunikidwa posuntha mutu.
- Ndikofunikira kwambiri kudziwitsa dokotala za mankhwala onse omwe mukumwa musanayesedwe.
- Kaya zotsatira za mayeso ziti, musaope kulankhula momasuka ndi dokotala wanu za vutoli ndikusankha njira zotsatirazi zoti muchite.
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