Tangoganizani kuti mukugwira ntchito pa chinthu china ndipo mwadzidzidzi dziko lonse likuoneka kuti likuzungulirani. Nthawi yomweyo, mukumva phokoso lachilendo la "goo..." m'khutu mwanu, ndipo mukumva ngati mukutaya kumva m'khutu limodzi kuposa linzake. Kodi izi si zoopsa komanso zosasangalatsa? Uku ndi kusasangalala komwe nthawi zambiri kumabwera ndi Matenda a Ménière. Ngakhale kuti si zachilendo monga momwe mungaganizire, ndikofunikira kwambiri kudziwa za vutoli.
Mwachidule, kodi matenda a Ménière ndi chiyani?
Matenda a Meniere ndi matenda omwe amapezeka mkati mwa khutu lathu. Khutu lathu lamkati limayambitsa kukhazikika kwa thupi lathu komanso kumva. Choncho matendawa akakula, magwiridwe antchito a ziwalo zonsezi amasokonekera.
Chizindikiro chachikulu ndikumva ngati dziko lonse likuzungulira ngakhale mutakhala chete. Mu zamankhwala, timatcha izi vertigo . Komanso, kumva mawu osiyanasiyana m'makutu, ngati kuti wina akunena kuti 'whoo' m'khutu, ndi chizindikiro. Timatcha izi tinnitus . Zizindikirozi zimayamba mwadzidzidzi, popanda chenjezo lililonse, ndipo zimatha pakapita kanthawi. Komabe, zimatha kubweranso pakapita kanthawi.
Ngati simulandira chithandizo, zizindikiro zimatha kukulirakulira pakapita nthawi. Mutha kukhala ndi vuto la kumva kosatha komanso kusamva bwino. Koma musadandaule. Mukagwira ntchito ndi dokotala wanu kuti akupatseni chithandizo choyenera, mutha kuthana ndi vutoli ndikukhala ndi moyo wathanzi.
Kodi zizindikiro zazikulu za matendawa ndi ziti?
Zizindikiro za matenda a Meniere zimaonekera mwadzidzidzi. Timatcha izi kuti "kuukira" kapena "gawo." "Kuukira" kumatha kukhala kwa mphindi 20, kapena maola 24. Anthu ena amakhala ndi "kuukira" kangapo motsatizana. Komanso, anthu ena amatha miyezi kapena zaka popanda zizindikiro zilizonse.
Tiyeni tikambirane momveka bwino za zinthu zazikuluzikuluzi mu tebulo ili m'munsimu.
| Chizindikiro | Kungofotokoza chabe |
|---|---|
| Chizungulire chachikulu (Vertigo) | Ichi ndi chizindikiro choopsa kwambiri. Ngakhale mutaima, zimamveka ngati chipinda chonse chikuzungulirani. Kwa anthu ena, chizungulire ichi chimakhala choopsa kwambiri kotero kuti sangathe kuima ndipo mwadzidzidzi amagwa pansi. Izi zimatchedwanso "kugwa kwa dontho." |
| Kuvutika kumva ndi kutaya kumva | Kawirikawiri zimakhudza khutu limodzi lokha. Poyamba, anthu ambiri amataya mphamvu zawo zomva mawu otsika. Ngati sanachiritsidwe, vuto la kumva limeneli limatha kukhala losatha pakapita nthawi. |
| Kulira kwa tinnitus | Pali phokoso losalekeza lomwe limachokera mkati mwa khutu lomwe lakhudzidwa. Likhoza kukhala phokoso la makina akugwira ntchito, mphepo yamkuntho, kapena phokoso la "goo..." lomwe mumamva mukagwira chipolopolo cha m'nyanja ku khutu lanu. |
| Kupanikizika kwa Khutu | Kumva kukhuta kapena kupanikizika mkati mwa khutu. Kungamveke ngati chinachake chatsekedwa mkati mwa khutu. |
Kuwonjezera pa zizindikiro zazikuluzi, anthu ena amathanso kuvutika ndi nseru ndi kusanza .
N’chifukwa chiyani timadwala matendawa?
Ndipotu, madokotala sanapezebe chomwe chimayambitsa matenda a Meniere. Komabe, pali lingaliro limodzi lalikulu lomwe anthu ambiri amakhulupirira.
Ndiko kuti, madzi otchedwa endolymph omwe ali mkati mwa khutu lathu lamkati amasonkhana kwambiri. Taganizirani izi, khutu lathu lamkati lili ngati dongosolo laling'ono la chubu. Madzi a ``endolymph`` omwe ali mkati mwa chubu ichi amathandiza kutumiza zizindikiro ku ubongo zomwe zimalamulira bwino momwe timamvera komanso momwe timamvera. Ngati pazifukwa zina madzi awa asonkhana kwambiri, kuthamanga kwa magazi mkati mwa chubucho kumawonjezeka, ndipo dongosolo la zizindikiro limasokonekera kwathunthu. Pamenepo ndi pomwe zizindikiro monga chizungulire ndi kulira m'makutu zimawonekera.
Pali zifukwa zingapo zomwe madzi a ``endolymph`` amatha kudziunjikira motere:
- Matenda a ziwengo: Matenda ena a ziwengo angayambitse madzimadzi kulowa mkati mwa khutu.
- Kutsekeka kwa khutu lamkati: Kutsekeka kwa njira zomwe madzi amatuluka.
- Kuvulala mutu: Vutoli lingachitike munthu akavulala mutu kwambiri.
- Matenda: Matenda a mavairasi kapena mabakiteriya.
- Mutu wa mutu wa migraine:Kafukufuku wina wapeza kuti pali kugwirizana pakati pa mutu waching'alang'ala ndi matenda a Meniere.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Ngakhale kuti aliyense akhoza kudwala matenda a Meniere, anthu ena ali pachiwopsezo chachikulu.
- Zaka: Matendawa amapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 60 .
- Jenda: Malinga ndi kafukufuku wina, akazi ali pachiwopsezo chachikulu kuposa amuna.
- Cholowa: Pakati pa 7% ndi 10% ya anthu omwe ali ndi matendawa ali ndi wachibale wawo yemwe ali ndi matendawa, zomwe zikutanthauza kuti pakhoza kukhala chifukwa cha majini.
- Matenda a Autoimmune: Awa ndi matenda omwe chitetezo chamthupi lathu chimaukira maselo a thupi lathu. Mwachitsanzo, anthu omwe ali ndi matenda monga rheumatoid arthritis ndi lupus ali pachiwopsezo chachikulu chotenga matenda a Meniere.
Kodi ndi mavuto otani omwe angayambitse matendawa?
Chizungulire chachikulu chomwe chimayamba chifukwa cha matenda a Meniere chingakhale choopsa kwambiri.
Tangoganizirani mtundu wa ngozi yomwe ingakhalepo ngati mwadzidzidzi mukumva chizungulire mukuyendetsa galimoto kapena kukwera makwerero. Chifukwa chake, anthu omwe ali ndi matendawa ayenera kusamala kwambiri pa zochita zawo za tsiku ndi tsiku.
Pakapita nthawi (nthawi zambiri patatha zaka 8-10), matendawa angayambitse kutayika kwa kumva kosatha .
Kuwonjezera pa zotsatirapo izi zakuthupi, matenda a Meniere angathandizenso kwambiri thanzi lanu la maganizo . Kuganizira nthawi zonse zinthu monga "Kodi ndidzakhala ndi chizungulire kachiwiri liti?" ndi "Kodi ndidzatha kumva kwathunthu?" kungayambitse nkhawa ndi kuvutika maganizo . Chifukwa chake, ndikofunikira kulankhula momasuka ndi dokotala wanu za kusasangalala kumeneku, komanso kupsinjika maganizo komwe mukumva.
Dokotala, mumazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, muyenera kuwonana ndi dokotala wa khutu, mphuno, ndi pakhosi (ENT). Iye adzakuyang'anirani ndikufunsani za zizindikiro zanu. Angakuyezeninso kuti apeze matenda ena omwe ali ndi zizindikiro zofanana ndi matenda a Meniere.
- Kuyesa kumva: Yang'anani mulingo wa kumva kwanu.
- Batire yoyesera ya Vestibular: Mayeso angapo omwe amafufuza momwe dongosolo lanu lamkati mwa khutu ndi minofu ya maso ikugwirira ntchito.
- Kujambula kwa MRI ya ubongo:Yang'anani ngati muli ndi chotupa muubongo kapena vuto lina lomwe lingayambitse chizungulire.
Kodi mankhwala ake ndi otani? Kodi timachita chiyani pa izi?
Palibe mankhwala a matenda a Meniere. Komabe, pali njira zambiri zothandizira zomwe zingathandize kuchepetsa zizindikiro ndikuchepetsa kuopsa ndi nthawi ya kuukira . Dokotala wanu adzayesa kaye njira zosavuta. Ngati sizigwira ntchito, angaganizire za opaleshoni.
Kusintha kwa moyo
Nthawi zina, kungosintha zizolowezi zathu za tsiku ndi tsiku kungapangitse kuti tipeze mpumulo waukulu.
- Chepetsani kumwa mchere: Madokotala amalangiza kuti musadye mchere woposa mamiligalamu 1,500 patsiku. Umenewo ndi pafupifupi ¾ ya supuni imodzi. Ndi bwinonso kuchepetsa kudya zakudya zomwe zili ndi MSG (Monosodium glutamate).
- Kuchepetsa kumwa caffeine ndi mowa.
- Kuthana ndi nkhawa komanso kugona mokwanira.
Mankhwala
Dokotala wanu angapereke mankhwala osiyanasiyana kuti athetse zizindikiro zanu.
| Mtundu wa mankhwala | Magwiridwe antchito |
|---|---|
| Mapiritsi a madzi (Diuretics) ndi Betahistine | Izi zimachepetsa kuchuluka kwa madzi owonjezera m'thupi ndi mkati mwa khutu, zomwe zimachepetsa kuthamanga kwa magazi. |
| Mankhwala a chizungulire ndi nseru | Izi zingathandize kuchepetsa chizungulire chikachitika. Zitsanzo: diazepam, meclizine. |
| Majekeseni operekedwa kudzera mu khutu | Ngati mapiritsi wamba sagwira ntchito, dokotala wanu akhoza kubaya jekeseni wa steroid kapena gentamicin kudzera mu khutu. Komabe, pali chiopsezo chowonjezera kuwonongeka kwa makutu ndi jakisoni wa gentamicin. |
Mankhwala ena
- Kubwezeretsa ma vestibular:Izi zili ngati chithandizo cha thupi. Zimakuphunzitsani masewera olimbitsa thupi kuti akuthandizeni kukhala bwino komanso kulamulira chizungulire chanu.
- Zipangizo zothandizira kumva: Ngati kumva kwanu kuli kovuta kwambiri, mungafunike kugwiritsa ntchito chipangizo chothandizira kumva.
- Choyikapo cha Cochlear: Opaleshoni iyi ikhoza kuchitidwa kwa anthu omwe atsala pang'ono kutaya kumva kwawo ndipo sangathe kugwiritsa ntchito zothandizira kumva.
- Chithandizo cha Maganizo (CBT): Njira yochizira iyi imathandiza kuthana ndi kupsinjika maganizo, nkhawa, ndi kuvutika maganizo komwe kumachitika chifukwa cha matendawa.
Opaleshoni
Opaleshoni imaganiziridwa pazochitika zoopsa kwambiri pomwe palibe chithandizo china chomwe chingathetse zizindikiro. Izi zimaphatikizapo kuchepetsa kuthamanga kwa madzi m'khutu lamkati kapena kudula mitsempha yomwe ikukhudzidwa ndi kukhazikika. Izi ndi njira zochizira zosowa kwambiri.
Uthenga Wopita Nawo Kunyumba
- Matenda a Meniere ndi vuto la mkati mwa khutu lomwe silingathe kuchiritsidwa kwathunthu, koma lingathe kulamuliridwa bwino .
- Zizindikiro zazikulu ndi chizungulire chadzidzidzi, choopsa (vertigo), kulira m'makutu (tinnitus), ndi kutaya kumva .
- Ngati muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala wa khutu, mphuno, ndi pakhosi (ENT) mwamsanga.
- Kusintha kwa moyo (monga kuchepetsa kumwa mchere), mankhwala, ndi njira zina zochiritsira zimatha kuletsa bwino zizindikiro.
- Kambiranani momasuka ndi dokotala wanu za kusasangalala kwakuthupi ndi kupsinjika maganizo komwe kumachitika chifukwa cha matendawa. Muthanso kupeza thandizo pa izi.











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