Kodi mukumva chizungulire? Kodi mukumva phokoso m'makutu mwanu? Tiyeni tikambirane za matenda a Meniere

Kodi nthawi zina mumamva ngati dziko lonse likuzungulira? Nthawi yomweyo, kodi mumamva phokoso lomveka bwino kuchokera mkati mwa khutu lanu, ndipo khutu lanu limamva lolemera pang'ono? Ngati mwakumanapo ndi izi, mwina muli ndi vuto lomwe anthu ambiri sakudziwa, koma lomwe lingayambitse kusasangalala kwambiri. Lero tikulankhula za Matenda a Meniere. Musadandaule, tiyeni timvetse zonse zokhudza izi mosavuta.

Kodi matenda a Meniere ndi chiyani kwenikweni?

Mwachidule, matenda a Meniere ndi matenda osowa omwe amakhudza khutu lathu lamkati . Angayambitse zizindikiro zitatu zazikulu:

• Chizungulire : Izi si zongozungulira chabe. Ndi kumverera kuti chilichonse chozungulira iwe chikuzungulira mwamphamvu, ngakhale kuti ukuima chilili.
• Kulira kosalekeza, phokoso, kapena phokoso lina lililonse m'khutu.
• Kutaya kumva : Kutaya kumva kungachitike pang'onopang'ono. Nthawi zina izi zimatha kukhala zokhalitsa.

Nthawi zambiri, vutoli limakhudza khutu limodzi lokha. Ndi vuto lomwe limayamba pang'onopang'ono, zomwe zikutanthauza kuti zizindikiro zimatha kukulirakulira pakapita nthawi.

Chabwino, n’chifukwa chiyani izi zikuchitika kwa ife?

Chifukwa chachikulu cha izi ndi kuchulukana kwa madzi apadera otchedwa endolymph m'khutu lathu lamkati. Tangoganizirani, mkati mwa khutu lathu lamkati muli ziwalo zofewa kwambiri zomwe zimalamulira bwino thupi ndikujambula phokoso.

1. Cochlea : Iyi ndi gawo lodzaza ndi madzi la cochlea, lopangidwa ngati chipolopolo cha nkhono. Mafunde a phokoso akalowa, madzi awa amanjenjemera ndikutumiza zizindikiro ku ubongo, zomwe ndi momwe timamvera phokoso. Choncho madzi awa akamasonkhana, njira imeneyo imatha kusokonezeka ndipo kumva kumatha kusokonekera.

2. Kutsekeka kwa Vestibular :Ichi ndi gawo lalikulu la thupi lathu lomwe limalamulira bwino zinthu. Monga momwe zimakhalira ndi accelerometer pafoni yathu, gawoli limatumiza zizindikiro ku ubongo zokhudza malo athu ndi kayendedwe kathu. Choncho pamene kuthamanga kwa madzi kumeneko kukukwera, zizindikiro zimenezo zimasokonezeka, zomwe zimayambitsa chizungulire.

Ngakhale kuti sizikudziwika bwino chifukwa chake madzi amenewa amasonkhana, madokotala amakhulupirira kuti pali zifukwa zingapo:

• Matenda a ziwengo kapena matenda a autoimmune: Awa ndi matenda omwe chitetezo cha mthupi lathu chimaukira maselo athu (monga nyamakazi ya nyamakazi, lupus erythematosus ya m'thupi)
• Matenda opatsirana ndi mavairasi
• Zinthu zokhudzana ndi majini
• Kuchepa kwa mitsempha yamagazi: Mofanana ndi zomwe zimachitika mutu waching'alang'ala.

Amakhulupirira kuti matenda a Meniere nthawi zambiri amayamba chifukwa cha chimodzi kapena zingapo mwa zinthuzi pamodzi.

Zizindikiro ndi magawo a matenda a Meniere

Zizindikiro za matendawa zimatha kuonekera mwadzidzidzi, kutha patatha masiku angapo, kenako n’kubwereranso. Tiyeni tiwone zizindikirozi momveka bwino patebulo.

Matendawa amatha kuchitika m'magawo atatu akuluakulu.

Gawo loyamba (nthawi yoyambirira)

Panthawi imeneyi, chizungulire chingachitike mwadzidzidzi komanso mosayembekezereka. Panthawiyo, kumva kungachepenso ndipo khutu lingamve lodzaza. Komabe, chizungulire chikatha, kumva kungabwerere mwakale.

Gawo lachiwiri (nthawi yapakati)

Panthawiyi, chizungulire chingapitirire, koma sichingakhale chachikulu kwambiri. Komabe, kumva kumayamba kuchepa kwamuyaya. Kulira kwa mawu kungawonjezekenso.

Gawo lachitatu (nthawi yotsatira)

Pa nthawi imeneyi, chizungulire chingasiye kwathunthu. Komabe, kumva kumachepa kwambiri ndipo kungawonongeke kwamuyaya. Popeza ziwalo zomwe zimalamulira bwino thupi zakhala zikuwonongeka kwamuyaya, zingakhale zovuta kukhala bwino, makamaka poyenda mumdima.

Kodi mwapeza bwanji izi, Dokotala?

Kuzindikira matenda a Meniere kungakhale kovuta chifukwa zizindikirozi zimatha kuwonekanso m'matenda ena. Dokotala wanu adzakufunsani za zizindikiro zanu ndikuyesa mayeso kuti atsimikizire kuti palibe chifukwa china.

Kuti mupeze matenda a Meniere, muyenera kukhala ndi zotsatirazi:

• Atakhala ndi vertigo osachepera kawiri.
• Kutaya kumva kwatsimikiziridwa ndi mayeso a kumva .
• Kumva kulira m'makutu (tinnitus) kapena kumva kukhuta m'makutu .

Mayeso ena akuluakulu omwe amachitika pachifukwa ichi ndi awa:

• Mayeso a kumva (Audiometry): Mayeso omwe amawunika momwe mumamvera bwino pamlingo wosiyanasiyana wa mawu.
• Kuyesa Kuchuluka kwa Mayeso (Mayeso a Vestibular):
• Mayeso a VNG/ENG: Kusuntha kwa maso anu kumayesedwa m'chipinda chamdima.
• Kuyesa mpando wozungulira: Mumazunguliridwa mu mpando wolamulidwa ndi kompyuta ndipo mayendedwe anu a maso amayesedwa.
• Mayeso ena apadera monga awa (`VEMP`, `CDP`, `vHIT`) amawunika momwe ziwalo zamkati mwa khutu zomwe zimawongolera bwino zikugwira ntchito.
• Mayeso ena: MRI kapena CT scan ingachitike kuti zitsimikizire kuti palibe chifukwa china, monga chotupa cha muubongo.

Kodi mankhwala ochizira izi ndi otani?

Dokotala wanu ayamba ndi mankhwala osavuta omwe alibe zotsatirapo zoyipa zambiri.

1.Kusintha kwa moyo:

• Zakudya zopanda mchere wambiri: Kuchepetsa kudya mchere (sodium) n'kofunika kwambiri kuti thupi lisamasunge madzi m'thupi. Pewani zakudya zam'chitini, sosi, ndi zakudya zokhala ndi mchere wambiri.
• Kupewa zakudya zina: Zinthu monga caffeine (khofi, tiyi), chokoleti, ndi mowa zimatha kukulitsa zizindikiro za matendawa.

2. Mitundu ya mankhwala:

• Mankhwala ochizira chizungulire: Mankhwala monga ``(Betahistine)`` angagwiritsidwe ntchito poletsa chizungulire.
• Mankhwala oletsa kusanza: Kuletsa kusanza ndi nseru.
• Mankhwala ochepetsa mphamvu ya madzi m'thupi (“mapiritsi a madzi”): Mankhwala operekedwa kuti achepetse kuchuluka kwa madzi m'thupi ndi m'makutu.
• Mankhwala oletsa nkhawa: Mankhwala monga `(Diazepam)` angaperekedwe kwa nthawi yochepa ngati munthu wayamba kuvutika ndi chizungulire mwadzidzidzi.

3. Njira zina zochizira:

• Chithandizo cha Vestibular rehabilitation: Izi zikufanana ndi physiotherapy . Ndi masewera olimbitsa thupi osiyanasiyana omwe amaphunzitsanso ubongo kuti ukhalebe bwino.
• Jakisoni wapakati pa khutu: Ngati zizindikiro sizingathe kuthetsedwa, dokotala akhoza kubaya jekeseni wa steroid kapena mankhwala opha tizilombo otchedwa ``Gentamicin'' m'khutu lapakati.

4. Opaleshoni:

Opaleshoni imalimbikitsidwa kokha kwa anthu omwe ali ndi zizindikiro zoopsa kwambiri zomwe sizingathetsedwe ndi mankhwala ena. Pali njira zosiyanasiyana zochitira opaleshoni, monga `(Labyrinthectomy)` ndi `(Endolymphatic sac decompression)`. Dokotala wanu adzakufotokozerani izi.

Kodi mungatani kuti muthane ndi vutoli kunyumba?

Ndikofunika kwambiri kuti musachite mantha mukakhala ndi chizungulire.

• Mukayamba kumva chizungulire:
• Khalani pansi nthawi yomweyo. Musachite mayendedwe mwadzidzidzi.
• Pewani magetsi owala, phokoso lalikulu, komanso kuonera TV.
• Yang'anani chinthu chimodzi chokha, chosasuntha.
• Mpumulo: Mutha kumva kutopa mutu ukatha. Pumulani mokwanira ndipo pitirizani ntchito mwamsanga.
• Dziwani zomwe zimayambitsa matendawa: Dziwani zinthu zomwe zimapangitsa kuti zizindikiro zanu zikhale zovuta kwambiri. Mwachitsanzo:
• Kuyimirira mwadzidzidzi, kutembenuza mutu wako mwachangu.
• Kuwerama pansi (ngati mukutola chinthu pansi, pindani mawondo anu).
• Kupsinjika maganizo, kugwira ntchito mopitirira muyeso.
• Zakudya zina.

Tiyeni tiphunzirenso za kuyendetsa galimoto ndi kuwuluka.

Ngati muli ndi matenda a Meniere, muyenera kusamala kwambiri poyendetsa galimoto.

• Ngati mukumva chizungulire mwadzidzidzi (vertigo) kapena "kugwa pansi," pewani kuyendetsa galimoto konse. Izi ndizofunikira kwambiri pa chitetezo chanu ndi cha ena.
• Mwalamulo mungafunike kudziwitsa bungwe lanu lopereka layisensi yoyendetsa galimoto ndi kampani ya inshuwaransi za izi.
• Nthawi zambiri si vuto lalikulu paulendo wa pandege. Komabe, imwani madzi ambiri ndipo pewani kumwa mowa mundege.

Matenda a Meniere, vertigo, tinnitus, kumva kutayika, khutu lamkati, kulinganiza bwino