Kodi mwadzidzidzi mukumva chizungulire ndikumva kulira m'makutu mwanu? (Tiyeni tiphunzire za Matenda a Ménière)

Tangoganizirani ngati mutasokonezeka mwadzidzidzi ndipo mwadzidzidzi mukumva ngati dziko lonse likuzungulirani? Kapena ngati mutamva phokoso la "phokoso..." m'khutu mwanu pamene palibe wina aliyense? Uku ndi kusasangalala komwe anthu ambiri amakumana nako ndi matenda otchedwa Ménière's Disease. Amatha kuyamba mwadzidzidzi, kutha kwakanthawi, kenako n’kubwereranso, ndipo ndi vuto losasangalatsa kwambiri. Tiyeni tikambirane za vutoli m'mawu osavuta lero.

Mwachidule, kodi matenda a Ménière ndi chiyani?

Matenda a Ménière ndi matenda osowa omwe amakhudza khutu lamkati. Gawoli la khutu limalamulira bwino momwe timamvera komanso momwe timamvera. Chifukwa chake mukakhala ndi matendawa, mungamve ngati dziko lonse likuzungulira ngakhale mutayimirira. Timatcha vertigo . Muthanso kumva kulira m'makutu mwanu kapena kutaya kumva.

Zizindikirozi zimatha kuyamba mwadzidzidzi popanda chenjezo . Zitha kutha kwa kanthawi, kenako n’kubwereranso patatha masiku kapena miyezi ingapo. Ngati sizikuchiritsidwa bwino, zizindikirozi zimatha kuipiraipira pakapita nthawi, zomwe zimapangitsa kuti munthu asamve bwino komanso kuti asamavutike kumva bwino. Koma musadandaule, ndi chithandizo choyenera komanso chithandizo chochokera kwa dokotala wanu, mutha kuchepetsa vutoli.

Kodi zizindikiro zazikulu za matendawa ndi ziti?

Zizindikirozi zimabwera mwadzidzidzi ngati gawo limodzi. Izi zimatha kutenga mphindi 20 zokha kapena maola 24. Nthawi zina kuukira kangapo kumatha kuchitika motsatizana. Anthu ena amatha kuukira kamodzi kenako n’kukhala miyezi yambiri osasonyeza zizindikiro zilizonse.

Tiyeni tiwone zizindikiro zazikulu za matendawa.

N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi ziti?

Madokotala sakudziwabe chomwe chimayambitsa matenda a Ménière, koma ambiri amakhulupirira kuti amayamba chifukwa cha madzi ochulukirapo otchedwa endolymph, omwe amapezeka mkati mwa khutu. Madzi amenewa akamachulukana kwambiri, amatha kusokoneza kumva ndi kulumikizana kwa zizindikiro zomwe zimayenda kuchokera khutu kupita ku ubongo.

Pali zinthu zingapo zomwe zimaganiziridwa kuti zimathandiza kuti madzi a endolymph asonkhanitsidwe motere:

• Matenda osiyanasiyana a ziwengo (Allergies)
• Kutsekeka kwa madzi m'khutu
• Kuvulala mutu
• Matenda osiyanasiyana
• Mutu waching'alang'ala

Komabe, kafukufuku wowonjezereka akufunika kuti timvetse bwino ubale womwe ulipo pakati pa matenda awa ndi matenda a Ménière.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti aliyense akhoza kudwala matenda a Ménière, anthu ena ali pachiwopsezo chachikulu.

• Zaka: Matendawa amapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 60.
• Jenda: Kafukufuku wina akusonyeza kuti akazi ali ndi mwayi wochuluka wopeza matendawa.
• Majini: Pakati pa 7% ndi 10% ya anthu omwe ali ndi matendawa ali ndi wachibale wawo yemwe adadwala matendawa. Izi zikutanthauza kuti amatha kupatsiridwa m'mibadwo yambiri.
• Matenda a Autoimmune:Ngati muli ndi matenda odziteteza ku matenda a autoimmune, monga nyamakazi kapena lupus, muli pachiwopsezo chachikulu chotenga matenda a Ménière.

Kodi zotsatira zake zoopsa zingakhale zotani ngati izi zinyalanyazidwa?

Chizungulire chachikulu chomwe chimabwera chifukwa cha matendawa chingayambitse kugwa kwambiri . Izi zimapangitsa kuti ntchito za tsiku ndi tsiku monga kukwera masitepe ndi kuyendetsa galimoto zikhale zoopsa kwambiri. Pakapita nthawi (nthawi zambiri patatha zaka 8-10), vutoli lingayambitse kutayika kwa kumva kosatha .

Momwemonso, matendawa akhoza kukhudza kwambiri thanzi lanu la maganizo. Kuda nkhawa nthawi zonse ndi zinthu monga "Kodi ndidzakhala ndi chizungulire liti?" ndi "Kodi ndidzatha kumva kwathunthu?" kungayambitse nkhawa komanso kuvutika maganizo .

Kodi dokotala amazindikira bwanji matendawa molondola?

Matendawa nthawi zambiri amawazindikira ndi katswiri wa khutu, mphuno, ndi pakhosi (otolaryngologist - ENT). Mukapita kwa dokotala wanu, adzakuyesani ndikufunsani za zizindikiro zanu. Kenako, angachite mayeso ena kuti atsimikizire kuti mulibe matenda ena omwe amayambitsa zizindikiro zofanana.

• Kuyesa kumva: Yang'anani ngati muli ndi vuto lililonse la kumva.
• Batire yoyesera ya Vestibular: Imayesa momwe dongosolo lolinganiza bwino mkati mwa khutu lamkati ndi minofu ya diso limagwirira ntchito.
• Kujambula kwa MRI ya ubongo: Kuyesaku kungachitike kuti zitsimikizire kuti palibe chotupa cha mu ubongo kapena vuto lina lomwe limayambitsa chizungulire.

Kodi mankhwala ochizira izi ndi otani?

Palibe mankhwala a matenda a Ménière. Komabe, pali njira zambiri zothandiza zomwe zingachepetse kuopsa ndi nthawi ya zizindikiro . Dokotala wanu nthawi zambiri amayamba ndi njira zosavuta. Ngati izi sizithandiza, angakulangizeni opaleshoni.

Kusintha kwa moyo

Kusintha pang'ono pang'ono pa moyo wanu watsiku ndi tsiku kungachepetse kwambiri zizindikiro zimenezi.

• Kuchepetsa kumwa caffeine ndi mowa.
• Kuthana ndi nkhawa komanso kugona mokwanira.
• Kutsatira zakudya zopanda mchere wambiri.Malangizo ambiri ndi akuti musadye mchere woposa mamiligalamu 1500 patsiku. Izi ndi pafupifupi supuni imodzi. Dokotala wanu angakuuzeninso kuti mupewe zakudya zomwe zili ndi MSG.

Mankhwala

Pali mitundu ingapo yayikulu ya mankhwala operekedwa pa matendawa.

• Mankhwala Ochepetsa Kutuluka kwa Madzi ndi Betahistine: Mankhwala Ochepetsa Kutuluka kwa Madzi a Madzi amachepetsa kuchuluka kwa madzi ochulukirapo m'thupi. Mankhwalawa a betahistine amathandiza kuti magazi aziyenda bwino mkati mwa khutu ndipo amachepetsa kuthamanga kwa madzi.
• Mankhwala a chizungulire ndi nseru: Mankhwalawa angathandize kuchepetsa chizungulire ndi kuchepetsa nseru. Mwachitsanzo, mankhwala monga diazepam ndi meclizine angaperekedwe.

Ngati mankhwala awa sakulamulira vutoli, dokotala wanu angakulembereni mankhwala operekedwa ngati jakisoni .

• Jakisoni wa steroid wa m'mimba: Kulowetsa mankhwala a steroid kudzera mu khutu la khutu kungathandize kuchepetsa zizindikiro.
• Gentamicin: Iyi ndi mankhwala opha tizilombo toyambitsa matenda. Imagwira ntchito powononga minofu yamkati mwa khutu yomwe imayambitsa zizindikiro. Komabe, pali chiopsezo ndi chithandizochi, chomwe chingayambitse kutayika kwa kumva kwina.

Mankhwala ndi zipangizo zina

• Kubwezeretsa mitsempha ya m'chiuno: Izi zikufanana ndi chithandizo cha thupi. Zimakuphunzitsani masewera olimbitsa thupi kuti akuthandizeni kukhala bwino komanso kulamulira chizungulire chanu.
• Zipangizo zothandizira kumva: Pakapita nthawi, mungafunike kugwiritsa ntchito chipangizo chothandizira kumva.
• Chojambulira cha Cochlear: Chipangizochi chingakhale chofunikira ngati kumva kuli kovuta kwambiri ndipo zothandizira kumva sizingathandize.
• Chithandizo cha Maganizo (CBT): Njira yochizira iyi imathandiza kuthana ndi kupsinjika maganizo, nkhawa, ndi kuvutika maganizo komwe kumachitika chifukwa cha matendawa.

Opaleshoni

Pa milandu yoopsa, pamene zizindikiro sizikulamuliridwa ndi mankhwala ena, opaleshoni ingafunike kuti muchepetse kuthamanga kwa madzi m'khutu.

• Njira yogwiritsira ntchito thumba la Endolymphatic: Gawo lofanana ndi thumba la mkati mwa khutu kumene madzi amasonkhana limatsegulidwa ndipo madzi ochulukirapo amachotsedwa.
• Gawo la mitsempha ya m'mimba: Kudula mitsempha yomwe imanyamula zizindikiro zoyendetsera bwino ubongo kumaletsa chizungulire.
• Kuchotsa khutu m'makutu: Mbali ya khutu yomwe imalamulira bwino imachotsedwa kwathunthu. Komabe, pambuyo pa opaleshoni iyi, khutu lidzakhala losamva konse. Chifukwa chake, izi zimachitika kwa anthu omwe atayika kale kumva konse m'khutumo.

Kodi matendawa adzachiritsidwa kwathunthu?

Matenda a Ménière amatha kukhala opanda zizindikiro kwa miyezi ingapo, ngakhale zaka, kenako n’kubwereranso. Izi zikutanthauza kuti ngakhale kuti sangachiritsidwe kwathunthu,Ndi chithandizo chabwino komanso kusintha moyo wanu, mutha kuthana ndi vutoli bwino kwambiri ndipo mutha kukhala ndi moyo wabwinobwino. Chofunika kwambiri ndikumwa mankhwala omwe dokotala wanu wakupatsani mukangoyamba kuwonetsa zizindikiro. Kenako mutha kupeza mpumulo mwachangu.