Kodi mukuvutika ndi chizungulire chosatha? Tiyeni tikambirane za PPPD (Chizungulire Chosatha Chakumutu)!

Kodi nthawi zina mumamva chizungulire popanda chifukwa, mumataya mphamvu mukakhala pansi kapena mutayima, ndipo mumamva ngati mukuyandama pa bwato? N'zovuta kwambiri kukhala ndi chizungulirechi kwa masiku ambiri, sichoncho? Mwinanso mungamve chisoni kwambiri komanso mantha ndi izi. Lero tikambirana za mtundu uwu wa chizungulire cha nthawi yayitali, zomwe zikutanthauza kuti chimakhala kwa miyezi itatu kapena kuposerapo. Madokotala amatcha izi PPPD (Persistent Postural-Perceptual Dizziness) . Ngakhale dzinali lingawoneke lalitali pang'ono, tiyeni tipitirizebe kulimvetsa.

Kodi PPPD (Persistent Postural-Perceptual Dizziness) ndi chiyani? Mwachidule...

Tikhoza kupeza tanthauzo la PPPD kuchokera m'mawu okha.

• Kusalekeza: Izi zikutanthauza kuti ndi kosalekeza, kosatha . Mwakhala mukumva chizungulire kwa miyezi itatu, masiku ambiri.
• Chizungulirechi chimakhala choyipa kwambiri mukakhala pansi, mukakhala pansi, kapena mutakhala moyimirira.
• Kuzindikira: Izi zikugwirizana ndi momwe timaonera zinthu, kutanthauza kuti, momwe timaonera zinthu . Mumamva ngati inu kapena malo ozungulira simuli bwino. Zimamveka ngati nthaka ikugwedezeka, kapena inunso mukugwedezeka.
• Chizungulire: Ichi ndi chizungulire . Koma sizili ngati "Vertigo" kumene zinthu zikuzungulirani. Mu PPPD, mumamva ngati mukugwedezeka, ngati muli m'boti, kapena ngati simukukhazikika .

Mwachidule, PPPD ndi mtundu wa chizungulire chomwe chimayamba pambuyo pa chochitika, chimakhala kwa nthawi yayitali, chimawonjezeka mukamayimirira, ndikupangitsa inu kapena malo ozungulira kumva ngati kuti mukugwedezeka.

Matupi athu ali ndi dongosolo lovuta lomwe limalamulira kukhazikika kwathu. Limakhudza maso athu, minofu, dongosolo la vestibular lomwe lili mkati mwa khutu lathu, ndi ubongo . Zonsezi zimagwira ntchito limodzi, kugwira ntchito limodzi, kuti tipewe kugwa. Izi zimachitika mwachibadwa, popanda ife kuzindikira.

Koma mwa munthu amene ali ndi PPPD, pali kusokonekera kapena kusalumikizana pakati pa ziwalo za dongosololi. Izi zikutanthauza kuti, pali vuto ndi momwe zizindikiro zochokera m'maso, thupi, ndi khutu lamkati zimapita ku ubongo ndipo zimagwirizanitsidwa pamodzi. Chofunika ndichakuti palibe matenda kapena kuwonongeka kwa ziwalo za dongosololi (monga maso, makutu, ndi ubongo) . Koma sizigwirizana. Ndicho chifukwa chake mumadzimva kuti simukukhazikika komanso mukuzunguzika.

Kodi vuto la PPPD limeneli ndi lofala bwanji?

PPPD mwina ndi vuto lofala kwambiri lomwe tsopano limadziwika kuti ndi chifukwa cha chizungulire kwa nthawi yayitali. Komabe, ndi matenda atsopano.Mu 2017 kokha, akatswiri azachipatala adagwirizana kuti afotokoze zomwe zimayambitsa vutoli. Chifukwa chake kafukufuku wambiri akuchitika, ndipo pali zambiri zoti aphunzire. Kale, mwina sizinali zotheka kuzindikira molondola anthu omwe ali ndi zizindikirozi.

Kodi zizindikiro za PPPD ndi ziti?

Munthu amene ali ndi PPPD nthawi zambiri amamva chizungulire . Izi zikutanthauza kuti angamve chizungulire masiku opitilira asanu ndi awiri pa sabata. Nthawi zina chizungulirechi chimatenga maola ambiri, ndipo chimatha kukulirakulira tsiku likamapita . Kapena chingabwere ndi kutha popanda kusintha kulikonse.

Chizungulire chomwe chimabwera chifukwa cha PPPD chingamveke ngati bwato likukankhidwa ndi mafunde, kapena ngati mukugwedezeka, mukumva kusakhazikika, ngati kuti simungathe kukhazikika pansi . Ngakhale izi zitha kuchitika popanda chifukwa chenicheni, nthawi zina zimatha kukhala zovuta kwambiri. Mwachitsanzo:

• Mukayimirira, mutakhala molunjika, kapena mukusintha mwadzidzidzi malo anu (monga kutuluka pabedi).
• Mukayenda pansi kapena mukuyenda mgalimoto (galimoto, basi, sitima) .
• Mukawona zinthu zambiri nthawi imodzi . Ganizirani zoyang'ana m'mashelufu a zakudya m'sitolo yayikulu, kapena kuyang'ana malo ochezera pa intaneti pafoni yanu. Mtundu uwu wa kukopa maso ungapangitse chizungulire.

Kuwonjezera pa zizindikiro zazikulu izi, zizindikiro zina zingatsatire PPPD:

• Ubongo wa chifunga: Izi zikutanthauza kuti n'zovuta kuganiza bwino komanso kuganizira bwino.
• Kutaya kukumbukira kwakanthawi: Kuiwala zinthu zazing'ono mwachangu.
• Kuvuta kuyika maganizo pa chinthu chimodzi kapena kupitiriza kuchita ntchito imodzi.

PPPD ingakupangitseni kumva ngati simuli paubwenzi ndi thupi lanu, malo ozungulira inu, ndi anthu ena, ngati kuti muli m'maloto . Mungapewenso kuchita zinthu zocheza ndi anthu ena komanso ntchito za tsiku ndi tsiku poopa kuti chizungulire chanu chingakuwonjezereni. Izi zingakhudze kwambiri moyo wanu.

Kodi zifukwa za PPPD ndi ziti?

PPPD nthawi zambiri imayamba pambuyo pa chochitika "choyambitsa" chomwe chimakhudza kukhazikika kwanu . Izi zikutanthauza kuti mwina mudakumanapo ndi vuto la chizungulire m'mbuyomu, monga kuvulala mutu, ndipo PPPD ikhoza kupitirira ngakhale itachira.

Nazi zina mwa zinthu zomwe zimayambitsa PPPD:

• Chizungulire chadzidzidzi, chachikulu (Acute vertigo).
• Benign Paroxysmal Positional Vertigo (BPPV) ndi vuto lomwe limayambitsa chizungulire mukasuntha mutu wanu.
• Kuvulala mutu (monga kugwedezeka kwa mutu).
• Matenda a m'khutu monga matenda a Ménière.
• Kuukira kwa mantha.
• Matenda a `Stroke` (kupuwala).
• 'Vestibular migraine' ndi chizungulire chomwe chimachitika ndi mutu waching'alang'ala.
• Vestibular neuritis ndi kutupa kwa mitsempha mkati mwa khutu.

Chomwe chimachitika mu PPPD n'chakuti ngakhale chizungulire kapena matenda atapita, ubongo wanu umakumbukira zomwe zinachitika "zotayika bwino" . Popanda kuzindikira, mumayamba kudziwa zinthu zomwe zimakhudza bwino thupi lanu, monga momwe thupi lanu lilili komanso malo ozungulira. Kudziwa zinthu mopitirira muyeso kumeneku kungakupangitseninso kukhala ndi nkhawa nthawi zonse.

Tangoganizani kuti mwaterereka ndi kugwa pamsewu. Pambuyo pake, mudzakhala osamala kwambiri nthawi iliyonse mukayenda pamsewuwo, mukuyang'ana pansi, ndikuganizira za sitepe iliyonse, sichoncho? Mofananamo, mu PPPD, ubongo wanu umayamba kuganiza kwambiri za kulinganiza bwino ndikukhala maso.

M'malo mothandiza, kukhudzidwa kumeneku kumapangitsa ubongo wanu kuti usathe kugwiritsa ntchito bwino chidziwitso cha kumva kuchokera m'maso mwanu, minofu, ndi khutu lanu lamkati, zomwe zimakupangitsani kukhala okhazikika. Akatswiri amati ubongo wanu umadalira kwambiri zomwe mumamva kwambiri (monga zomwe mukuwona, momwe mumagwirira thupi lanu), ndipo umagwiritsa ntchito molakwika zomwe simumamva kwenikweni (monga chidziwitso chokhudza mayendedwe obisika ochokera m'khutu lanu lamkati). Kusagwirizana kumeneko ndiko kumayambitsa zizindikiro zanu.

Izi n’zosokoneza kwambiri, chifukwa monga momwe kusunga bwino thupi kumakhalira mwachibadwa kwa munthu wopanda PPPD, kutengeka maganizo kumeneku kumabweranso mwachibadwa kwa munthu amene ali ndi PPPD.

Ndani ali pachiwopsezo chachikulu chotenga PPPD?

Kafukufuku wina wasonyeza kuti akazi ali ndi mwayi wochuluka wopeza PPPD kuposa amuna . Komanso, anthu omwe ali ndi vuto lomwe limakhalapo kale lomwe limakhudza bwino thanzi (matenda a vestibular) kapena matenda amisala monga nkhawa kapena kuvutika maganizo amakhala ndi mwayi waukulu wopeza PPPD atatha kukumana ndi chimodzi mwa zinthu zomwe zatchulidwazi.

Khalidwe lanu lingathandizenso. Kafukufuku wasonyeza kuti PPPD imapezeka kwambiri mwa anthu omwe ali ndi mtima wosakhazikika, omwe amakhala ndi mtima wosakhazikika .

Kodi PPPD imapezedwa bwanji?

Kuzindikira PPPD nthawi zina kungakhale kovuta chifukwa palibe matenda m'mbali iliyonse ya dongosolo lanu loyezera. Chifukwa chake, mayeso oyezera bwino, monga mayeso a vestibular, angabwerenso bwino .

Choncho, dokotala wanu adzakudziwitsani kuti muli ndi PPPD kutengera zizindikiro zisanu zokhudzana ndi zizindikiro zanu . Mudzapezeka ndi PPPD ngati mukwaniritsa izi:

1. Wakhala ukumva chizungulire kapena kusakhazikika kwa masiku ambiri kwa miyezi itatu (popanda kumva ngati ukuzungulira).

2. Zizindikiro zimatha kuwonjezeka popanda chifukwa chenicheni, koma chizungulire chingakhale choipitsitsa mukayimirira, mukuyenda, kapena mukuyang'ana zinthu zambiri .

3. Yambani kupota.Mwakhala ndi vuto loyambitsa (chochitika chakanthawi kapena matenda a nthawi yayitali).

4. Zizindikiro zanu zakhudza moyo wanu watsiku ndi tsiku komanso ubwino wa moyo wanu .

5. Muyenera kuonetsetsa kuti zizindikiro zanu sizikuyambitsidwa ndi matenda ena aliwonse (mungafunike kuyesedwa kuti mupeze matenda ena).

Kodi mankhwala a PPPD ndi ati?

Pakadali pano palibe mankhwala a PPPD. Komabe, pali njira zingapo zomwe zingakuthandizeni kuchepetsa chizungulire chanu. Dokotala wanu angakulangizeni chimodzi kapena zingapo mwa izi.

Njira zazikulu zochizira ndi izi:

• Chithandizo cha Vestibular Rehabilitation Therapy (VRT): Ichi ndi chithandizo chapadera cha thupi. Chimakuthandizani kumvetsetsa momwe hypersensitivity ya thupi lanu (hyperfocus) ikuyambitsa chizungulire chanu. Mukamvetsetsa zomwe zikuchitika, mutha kuphunzira njira zothanirana ndi zizindikiro zanu. Zimaphatikizapo kuchita masewera olimbitsa thupi apadera.
• Chithandizo cha kulankhula: Mankhwala monga Cognitive Behavioral Therapy (CBT) angathandize kwambiri kuthetsa nkhawa zomwe zingakulitse zizindikiro za PPPD. Angakuthandizeninso kupanga njira zoti mukhale ndi ubale wabwino ndi anthu komanso kudzidalira ngati mwayamba kudzipatula pagulu chifukwa cha chizungulire chanu.
• Mankhwala: Dokotala wanu angakupatseni mankhwala otchedwa SSRIs (Selective Serotonin Reuptake Inhibitors) kapena, ngati sagwira ntchito, SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Awa ndi mankhwala omwe amaperekedwa makamaka kwa anthu ovutika maganizo ndi nkhawa. Ngakhale kuti kafukufuku akupitirirabe pa momwe mankhwalawa amagwirira ntchito pa PPPD, akuganiziridwa kuti amathandiza kuchepetsa nkhawa ndi kusagwirizana ndi mankhwala komwe kumakhudzana ndi PPPD.

Ndi dokotala wamtundu wanji amene amachiritsa PPPD?

Ngati muli ndi zizindikiro za PPPD, choyamba pitani kwa dokotala wa banja lanu (PCP) . Iye akhoza kukutumizani kwa katswiri ngati pakufunika kutero. Akatswiri omwe amazindikira ndi kuchiza PPPD ndi awa:

• Akatswiri a matenda a maso (ENTs)
• Madokotala a maso - Madokotala a ENT omwe ndi akatswiri pa matenda amkati mwa khutu
• Akatswiri a za ubongo
• Akatswiri a zamaganizo kapena Akatswiri a zamaganizo
• Othandizira pa masewera olimbitsa thupi a Vestibular

Kodi PPPD imatha kuchiritsidwa kwathunthu?

PPPD siitha konse , ndipo zingatenge nthawi kuti mupeze chithandizo choyenera chowongolera vertigo yanu.

Komabe, nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi PPPD amatha kuthana ndi vutoli bwino pogwiritsa ntchito mankhwala ndi mankhwala.Akatswiri akufufuzabe momwe chithandizo cha munthu payekha komanso kuphatikiza kwa mankhwala kungathandizire anthu omwe ali ndi PPPD.

Kodi ndimadzisamalira bwanji ngati munthu amene ali ndi PPPD?

Ngati muli ndi PPPD, kudzisamalira nokha kumatanthauza kukhala woleza mtima ndi inu nokha pamene mukuyesera kupeza chithandizo chomwe chingakuthandizeni . Popeza vutoli ndi latsopano, kafukufuku wa mankhwala ogwira mtima kwambiri akadali kumayambiriro. Mungafunike kuyesa mankhwala osiyanasiyana ndi mankhwala musanapeze omwe akukuthandizani.

Komanso, khalani okoma mtima kwa inu nokha pamene mukuphunzira kukhala ndi matendawa. Anthu ambiri omwe ali ndi PPPD amanena kuti n'zovuta kufotokoza zomwe akukumana nazo kwa ena. Ena anganene zinthu monga, "Sakumvetsa," kapena "Zonse zili m'mutu mwanu."

Koma si choncho. PPPD ndi vuto lenileni lomwe limasokoneza kukhazikika kwa thupi lanu. Ndi vuto lomwe mudzavutika kulithetsa. Koma pali madokotala omwe ali okonzeka kukuthandizani.

Kodi mungayendetse galimoto ngati muli ndi PPPD?

Funsani dokotala wanu ngati kuli bwino kuyendetsa galimoto ngati muli ndi PPPD. Anthu ena omwe ali ndi vutoli amakhala ndi chizungulire chachikulu akamayendetsa galimoto. Angamve ngati galimoto ikugwa. Kulephera kuyendetsa bwino kumeneku kungapangitse kuti zikhale zovuta kuyendetsa bwino. Anthu ena amatha kuyendetsa galimoto, koma pa liwiro lopitirira malire a liwiro lomwe laikidwa.

Vuto lanu limadalira momwe chizungulire chanu chilili chachikulu komanso ngati mwapeza chithandizo chomwe chingakuthandizeni kuthana nacho. Musachite zinthu zoopsa.

Kodi PPPD ndi nkhawa chabe?

PPPD ndi nkhawa ndi matenda awiri osiyana . Komabe, ngati muli kale ndi vuto la nkhawa kenako n’kukumana ndi vuto linalake, mungakhale pachiwopsezo chachikulu chotenga PPPD. Komanso, kukhala ndi PPPD popanda chithandizo kungapangitse kuti nkhawa ikhale yoipa kwambiri.

Ndicho chifukwa chake mankhwala ochizira nkhawa (monga CBT, mankhwala) nthawi zambiri amakhala mbali ya dongosolo la chithandizo cha PPPD.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi chifukwa chachikulu cha PPPD yanga ndi chiyani?
• Kodi ndi zinthu ziti zomwe ndiyenera kupewa kuti ndipewe kuipiraipira kwa chizungulire?
• Ndi zinthu ziti zomwe sizili bwino kwa ine ndi matenda anga (monga kuyendetsa galimoto, kugwira ntchito pamalo okwera)?
• Ndi mankhwala ati omwe mumalimbikitsa kwa ine?
• Kodi ndi mfundo ziti zomwe zimatithandiza kudziwa kuti chithandizo chikuyenda bwino?
• Kodi pali zotsatirapo zilizonse pa mankhwala awa?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngati nthawi zonse mukumva chizungulire popanda chifukwa chomveka, pitani kwa dokotala nthawi yomweyo.Zingatenge nthawi kuti mudziwe ngati PPPD ndiye chifukwa cha mavuto anu okhala bwino. Koma mukafuna thandizo mwachangu, mupezanso njira yothandizira yomwe ingakuthandizeni kubwerera m'mbuyo mwachangu .

Matenda a PPPD akhoza kukhala vuto la moyo wanu wonse, koma sikuyenera kuchepetsa moyo wanu. Ndi upangiri woyenera wachipatala ndi chithandizo, mutha kuphunzira kuthana nalo ndikukhala ndi moyo wabwino. Simuli nokha, ndipo pali madokotala ndi akatswiri okuthandizani paulendowu.

` PPPD, Chizungulire, Kulinganiza, Dongosolo la Vestibular, Nkhawa, Chithandizo, Vertigo