Tangoganizani mukutuluka pabedi m'mawa, kapena kutembenuka pabedi, ndipo mwadzidzidzi mukumva ngati chipinda chonse chikuzungulirani ... ngati kuti mwataya mphamvu zanu ndipo simukulamulira. Ichi ndi chochitika chomwe anthu ambiri adakumana nacho kamodzi m'miyoyo yawo. Chizungulire chadzidzidzi ichi chimadziwika ndi madokotala kuti 'Vertigo'. Ngakhale kuti chingakhale chochitika choopsa, nthawi zambiri sichimachitika chifukwa cha chilichonse chachikulu. Tiyeni tikambirane za icho mwachidule lero.
Mwachidule, kodi 'Vertigo' ndi chiyani?
Vertigo si matenda enieni, koma chizindikiro. Izi zikutanthauza kuti, imachitika chifukwa cha vuto lina la thanzi m'thupi lathu. Mwachidule, Vertigo ndi kumva kuti inu kapena malo okuzungulirani akusuntha kapena kuzungulira, ngakhale mutakhala chete. Izi zimachitika chifukwa cha kulephera kwa dongosolo lomwe limayang'anira bwino thanzi la thupi lathu.
Ndi zizindikiro zina ziti zomwe zimabwera ndi Vertigo?
Vertigo si chizungulire chokha, komanso ingakhale limodzi ndi zizindikiro zina zingapo.
| Chizindikiro | Kufotokozera |
|---|---|
| Kusanza ndi kusanza | Kumva chizungulire ndi kumva ngati m'mimba mwako mukutembenuka ndi kusanza. |
| Mavuto a kusasinthasintha | Kumva ngati simungathe kukhala olimba mtima mukuyenda kapena kuyimirira, ndipo mukukokedwa kumbali imodzi ndikugwa. |
| Kulephera kumva | Kutaya kumva m'khutu limodzi kapena onse awiri. |
| Kulira kwa tinnitus | Phokoso losalekeza kapena lomveka m'makutu. |
| Kumva ngati khutu lanu ladzaza | Kumva kupanikizika, kulemera, kapena kudzaza mkati mwa khutu. |
| Mutu ndi Matenda Oyenda | Mutu ndi kusapeza bwino monga momwe zimakhalira munthu akakwera galimoto. |
| Nystagmus | Kusuntha kwa maso mwachangu komanso kosalamulirika kuchokera mbali imodzi kupita mbali ina. |
Pali mitundu iwiri ikuluikulu ya vertigo:
Vertigo ingagawidwe m'magulu awiri akuluakulu kutengera komwe imachitika.
Vuto la Chizungulire cha M'khutu: Vuto Lomwe Lili M'khutu
Uwu ndi mtundu wofala kwambiri . Umayambitsidwa ndi vuto la khutu lamkati kapena mitsempha ya vestibular, yomwe imathandiza kulamulira bwino thupi lathu. Zina mwa zinthu zazikulu zomwe zili m'gululi ndi izi:
- Benign Paroxysmal Positional Vertigo (BPPV): Ichi ndiye chifukwa chofala kwambiri cha vertigo. Tikachotsa ma calcium crystals (canaliths) m'makutu mwathu, chizungulire chimachitika, makamaka tikatembenuka kapena kupotoza mitu yathu mwadzidzidzi.
- Matenda a Labyrinthitis ndi Vestibular Neuritis: Matenda kapena kutupa kwa khutu lamkati.
- Matenda a Ménière: Matenda omwe amayamba chifukwa cha kuchuluka kwa madzi m'khutu lamkati.
Chizungulire Chapakati: Vuto Lokhudzana ndi Ubongo
Mtundu uwu siwofala kwambiri, koma ukhoza kukhala woopsa kwambiri . Umayambitsidwa ndi vuto lomwe limakhudza gawo lina la ubongo. Mwachitsanzo, mtundu uwu wa chizungulire ungayambitsidwe ndi zinthu monga sitiroko, matenda a muubongo, kuvulala mutu kwambiri, kapena zotupa. Zizindikiro nthawi zambiri zimakhala zowopsa kwambiri.
Kodi zifukwa zina za vertigo ndi ziti?
Kuwonjezera pa zifukwa zazikulu zomwe zatchulidwa pamwambapa, pali zinthu zina zingapo zomwe zingayambitse Vertigo.
Chofunika kwambiri ndikudziwa chomwe chimayambitsa vertigo yanu, chomwe ndi chinthu chomwe muyenera kuwonana ndi dokotala.
Gome ili m'munsimu likuwonetsa zifukwa zomwe zimayambitsa Vertigo:
| Chifukwa | Chifukwa |
|---|---|
| Mutu waching'alang'ala | Opaleshoni ya khutu |
| Mankhwala ena (monga maantibayotiki ena) | Kuvulala mutu chifukwa cha ngozi |
| Stroke | Matenda a shuga |
| Kusakhazikika kwa kugunda kwa mtima (Arrhythmia) | Kukhala pabedi kwa nthawi yayitali |
| Kuthamanga kwa magazi kotsika | Matenda a Multiple Sclerosis (MS) |
Kodi dokotala amazindikira bwanji vertigo?
Mukapita kwa dokotala, iye adzakufunsani kaye za zizindikiro zanu mwatsatanetsatane. Izi zikutanthauza nthawi yomwe chizungulire chimayamba, nthawi yomwe chakhala chikuchitika, komanso zizindikiro zina zomwe mukukumana nazo. Kenako, adzakuyesani thupi ndipo, ngati pakufunika, angakupatseni mayeso ena kuti apeze chomwe chimayambitsa vuto lenileni.
- Kuyesa Kuthamanga kwa Mutu: Dokotala wanu adzakufunsani kuti muyang'ane malo amodzi mukutembenuza mutu wanu pang'onopang'ono kuchokera mbali imodzi kupita ku ina. Momwe maso anu amayendera panthawiyi zingathandize kudziwa ngati pali vuto ndi dongosolo lolinganiza bwino mkati mwa khutu lanu.
- Mayeso a Romberg: Mumapemphedwa kuti muime chilili ndi maso anu otsekedwa ndi miyendo yanu pamodzi. Ngati mutataya mphamvu zanu, zingakhale vuto la ubongo wanu kapena msana wanu.
- Mayeso Ojambula: Nthawi zina, makamaka ngati chizungulire chapakati chikukayikiridwa, CT (Computed Tomography) scan kapena MRI (Magnetic Resonance Imaging) ingakulimbikitseni.
Kodi mankhwala a Vertigo ndi ati?
Vertigo imachiritsidwa kutengera chifukwa chake.
Kusintha Maneuvers
Uwu ndiye mankhwala othandiza kwambiri a vertigo yomwe imayamba chifukwa cha BPPV.Pogwiritsa ntchito njira zinazake monga Epley maneuver , dokotala wanu amasuntha mutu ndi thupi lanu mwanjira inayake kuti athandize kusuntha calcium yomwe ili m'malo mwake mkati mwa khutu lanu. Izi zingathandize nthawi yomweyo. Dokotala wanu angakuwonetseninso momwe mungachitire izi kunyumba.
Mankhwala
Mitundu ina ya chizungulire, makamaka yomwe imachitika mwadzidzidzi komanso mwamphamvu, imatha kuchiritsidwa ndi mankhwala. Mankhwala ochizira matenda oyenda (monga meclizine) kapena antihistamines angathandize kuchepetsa zizindikiro. Komabe, musamwe mankhwala aliwonse popanda chilolezo cha dokotala .
Maseŵero olimbitsa thupi apadera (Vestibular Rehabilitation Therapy)
Izi zili ngati chithandizo cha thupi. Zimaphatikizapo masewera olimbitsa thupi apadera omwe amathandiza kuti maso azigwira bwino ntchito komanso kuti maso azigwira bwino ntchito. Masewera olimbitsa thupi amenewa amathandiza ubongo kuti ugwirizane ndi vuto lomwe lili m'khutu.
Opaleshoni
Izi sizikufunika kawirikawiri. Opaleshoni imaganiziridwa pokhapokha ngati pali chifukwa chachikulu, monga chotupa cha muubongo kapena kuvulala kwakukulu kwa khosi.
Kodi pali njira zochepetsera chizungulirechi kunyumba?
Pali zinthu zingapo zomwe mungachite kuti muchepetse ululu wa vertigo:
- Mukayimirira, kutembenuza mutu wanu, kapena kuwerama, chitani mayendedwe pang'onopang'ono kwambiri .
- Mukagona, kwezani mutu wanu ndi mapilo awiri .
- Mukayamba kumva chizungulire, pitani ku chipinda chamdima komanso chopanda phokoso ndipo mugone pansi kwakanthawi .
- Khalani pansi nthawi yomweyo mukangomva chizungulire.
- Mukanyamula chinthu pansi, pindani mawondo anu ndi kudzigwetsa pansi, m'malo mogwada m'chiuno.
- Ngati mukuopa kugwa, gwiritsani ntchito chothandizira monga ndodo poyenda.
Kodi muyenera kufunsa upangiri wa dokotala liti?
Ngakhale kuti chizungulire nthawi zambiri si choopsa, pali nthawi zina zomwe muyenera kukaonana ndi dokotala. Ngati mumakhala ndi chizungulire pafupipafupi, kapena ngati zizindikiro zake ndi zazikulu, muyenera kukaonana ndi dokotala kuti mudziwe chomwe chikuyambitsa.
| Ngati mukumva chizungulire ndi zizindikiro izi, pitani ku ETU (Emergency Treatment Unit) nthawi yomweyo! | |
|---|---|
| - Mutu waukulu mwadzidzidzi | - Kupweteka pachifuwa |
| - Kuyenda movutikira | - Kugunda kwa mtima mwachangu |
| - Malungo (oposa 38 Celsius / 100.4 Fahrenheit) | - Kusintha kwa masomphenya (kuona kawiri, kuona molakwika) |
| - Kuvuta kulankhula | - Kusanza kapena kufooka kwa mkono kapena mwendo |
| Chofunika: Musayendetse galimoto mukakhala ndi chizungulire. Ngati mulibe munthu woti akutengereni kuchipatala, imbani ambulansi ya 1990 (Suvaseriya) nthawi yomweyo. | |
Uthenga Wopita Nawo Kunyumba
- Vertigo si matenda, koma chizindikiro cha vuto lina la thanzi.
- Mtundu wa chizungulire chofala kwambiri umayamba chifukwa cha mavuto a mkati mwa khutu (peripheral vertigo). Mwa izi, BPPV ndiyo yofala kwambiri.
- Matenda ambiri a chizungulire amatha kuthetsedwa bwino ndi mankhwala osavuta, makamaka njira ya Epley.
- Ngati chizungulire chimachitika pafupipafupi kapena champhamvu, onetsetsani kuti mwawonana ndi dokotala kuti mudziwe chomwe chikuyambitsa.
- Ngati Vertigo ikuchitika ndi zizindikiro zochenjeza monga kupweteka pachifuwa, mutu waukulu, komanso kuvutika kulankhula, pitani ku Dipatimenti Yodzidzimutsa (ETU) nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi/ufa wa Colestipol / Colestid amagwiritsidwa ntchito pa matenda ati?
Iyi ndi mankhwala akale (Bile Acid Sequestrant) omwe amachepetsa 'cholesterol yoyipa (High LDL)'! Ngakhale kuti ankagwiritsidwa ntchito kwambiri kale, madokotala amalimbikitsa izi ngati mankhwala ena kwa iwo omwe sangathe kumwa mapiritsi a cholesterol monga 'Statins (Statins / Atorvastatin)' chifukwa cha 'kupweteka kwa minofu/kulephera kwa thupi' (Statin Intolerance).
💬 Kodi ufa uwu (Colestipol) umasungunula bwanji cholesterol yoyipa popanda kulowa m'magazi?
Iyi si mankhwala omwe amalowa m'magazi (ndichifukwa chake samayambitsa kupweteka kwa minofu)! Chiwindi chimapanga 'bile (Bile Acids)' kuchokera ku cholesterol m'thupi, ndipo bile imapita m'matumbo ndikubwereranso m'chiwindi kudzera m'mchira. Mukatenga mankhwalawa, amapita m'matumbo ndikumanga bile (Resin imamanga bile acids) ndipo imatulutsidwa ndi ndowe! Bile ikapanda kanthu, chiwindi chimakoka cholesterol yoyipa (LDL) m'magazi ndikupanga bile yatsopano.
💬 Ndi zinthu ziti zokhumudwitsa komanso zoopsa kwambiri zomwe muyenera kudziwa zokhudza kumwa mankhwala awa (Colestid)?
Vuto lalikulu ndi izi ndilakuti zimayambitsa 'kudzimbidwa/kukhudzidwa ndi ndowe' kwambiri! Komanso, chifukwa zimamatira m'matumbo, 'mapiritsi ena aliwonse omwe mumamwa (monga Warfarin, penicillin, mapiritsi a chithokomiro)' salowa m'magazi! Chifukwa chake, mankhwala ena ayenera kumwedwa ola limodzi musanamwe kapena maola anayi mutamwa.

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