Kodi mumamvanso chizungulire nthawi zonse? Kungakhale vuto la vestibular!

Kodi nthawi zina mumamva chizungulire kapena kuzungulira pampando wanu? Anthu ena amamvanso nseru ndi kusanza. Ngati izi zimachitika kawirikawiri, musaganize kuti ndi zachilendo. Zitha kukhala chifukwa cha vuto la dongosolo la thupi lanu lolinganiza bwino, lotchedwa vestibular system. Lero, tikambirana za matenda a vestibular.

Kodi Matenda a Vestibular ndi Chiyani?

Mwachidule, matenda a vestibular ndi mavuto a vestibular system, yomwe imalamulira bwino thupi lanu. Dongosololi limaphatikizapo zigawo za khutu lanu lamkati ndi zigawo za ubongo wanu. Izi ndi zomwe zimakuthandizani kuti thupi lanu likhale bwino.

Taganizirani izi, dongosololi ndi lomwe limakuthandizani kukhala ndi thanzi labwino mukamayenda, kutembenuza mutu wanu, ndikudumpha. Chifukwa chake, ngati pali vuto ndi dongosolo la vestibular lomwe lili mkati mwa khutu lanu, kapena ndi ziwalo za dongosolo lanu lapakati la mitsempha (CNS) zomwe zimatenga chidziwitsochi ku ubongo ndikuchisanthula, mutha kukhala ndi mavuto ndi thanzi lanu (kusagwira bwino ntchito kwa vestibular). Nthawi zambiri, mavuto a vestibular ngati awa ndi omwe amayambitsa chizungulire ndi vertigo.

Kodi mitundu ikuluikulu ya vutoli ndi iti?

Madokotala amagawa matenda a vestibular awa kutengera komwe vuto lili mu dongosolo lanu la vestibular.

• Matenda a Peripheral Vestibular (PVD): Izi ndi matenda omwe amakhudza khutu lanu lamkati kapena mitsempha ya vestibular, yomwe imanyamula zizindikiro zoyenderana ku ubongo. Taganizirani ngati vuto la ziwalo zazing'ono zomwe zimamva mkati mwa khutu lanu.
• Matenda a Vestibular a Pakati (CVD): Awa ndi matenda omwe amakhudza ziwalo za ubongo wanu zomwe zimagwira ntchito yolinganiza zizindikiro kuchokera ku dongosolo la vestibular la m'mphepete mwa ubongo. Izi zikutanthauza kuti ubongo sungathe kutanthauzira bwino uthenga wochokera m'makutu.

Kodi matenda ofala kwambiri a vestibular ndi ati?

Zina mwa izi zimawoneka kawirikawiri:

• Benign Paroxysmal Positional Vertigo (BPPV): Uwu ndi mtundu wa chizungulire chomwe anthu ambiri amakumana nacho akangotembenuza mutu wawo mwadzidzidzi.
• Matenda a Ménière: Pa vutoli, pamodzi ndi chizungulire, kumva kutayika komanso kulira m'makutu kungachitike.
• Vestibular neuritis: Apa ndi pamene mitsempha ya vestibular imatupa.
• Labyrinthitis: Uku ndi kutupa kwa labyrinth ya mkati mwa khutu, komwe kungakhudze kumva.

Kodi pali mitundu ina ya matenda a vestibular?

Inde, pali zina zambiri. Izi ndi zovuta pang'ono, koma ndibwino kudziwa:

• Acoustic neuroma
• Matenda a m'khutu a autoimmune
• Ma aqueducts okulirapo a vestibular (EVA)
• Matenda a Mal de débarquement (MdDS) – Izi zimamveka ngati dziko lapansi likugwedezeka ngakhale mutatsika m'chombo.
• Matenda a Otosclerosis
• Perilymphatic fistula (PLF)
• Chizungulire chosalekeza cha poyima ndi kuwona (PPPD)
• Presbyvesbulopathy (PVP) - kuthetsa mavuto omwe amabwera ndi ukalamba.
• Ma hydrops a endolymphatic achiwiri
• Matenda a Superior semicircular canal dehiscence syndrome
• Chizungulire cha mitsempha yamagazi
• Kulephera kwa vertebrobasilar
• Vestibular ataxia
• Mutu wa mutu wa Vestibular - chizungulire chomwe chimabwera ndi mutu wa mutu.
• Kuchepa kwa ntchito ya vestibular
• Vestibular paroxysmia

Tsopano mwina mukuganiza kuti, "Amayi, ndi matenda ati awa?" Musadandaule, si aliyense amene amadwala zonsezi. Katswiri yekha ndi amene angazindikire matendawa molondola.

Kodi zizindikiro za matenda a vestibular ndi ziti?

Pali zizindikiro ziwiri zomwe zimawoneka kwambiri mu vutoli:

• Chizungulire: Izi zikutanthauza kumva chizungulire, mutu wopepuka, kapena "wopusa."
• Chizungulire: Apa ndi pamene mukumva ngati mukuzungulira, kapena ngati chipinda chomwe muli chikuzungulirani. Zili ngati kukwera ndi kutsika pa swing.

Kuwonjezera pa zizindikiro zazikuluzi, zizindikiro zina zingawonekerenso kutengera vuto lanu. Izi zikuphatikizapo:

• Kuvuta kuimirira kapena kukhala molunjika.
• Kuvuta kuyenda pang'onopang'ono (ngati kuyenda mopanda kukhazikika).
• Kutaya kumva kapena kulira m'makutu (izi zimatchedwa tinnitus ).
• Kusuntha kosalamulirika kwa maso (izi zimatchedwa nystagmus) .
• Maso osawoneka bwino.
• Kusanza ndi kusanza.
• Kuvutika kuganizira kwambiri chinthu china.

Tangoganizirani, Nilanthi Akka wochokera kumudzi kwathu amamva chizungulire kwa mphindi imodzi m'mawa uliwonse akamadzuka pabedi. Amaganiza kuti izi zimachitika chifukwa chosagona tulo. Koma pambuyo pake, atapita kwa dokotala, adapeza kuti ndi vuto lotchedwa BPPV (Benign Paroxysmal Positional Vertigo) . Chifukwa chake ngati muli ndi zizindikiro izi, pitani kwa dokotala.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a vestibular?

Pali zifukwa zingapo zomwe zimapangitsa kuti vestibular system isagwire bwino ntchito.

• Ukalamba: Pamene mukukalamba, kapangidwe ka mkati mwa khutu lanu komwe kamatumiza zizindikiro zoyenerera ku ubongo kangathe kufooka pang'onopang'ono.
• Kuvulala mutu: Kumenyedwa mutu kungawononge khutu lamkati kapena mbali zina za ubongo zokhudzana ndi dongosolo la vestibular.
• Kukumana ndi poizoni: Kuopsa kwa khungu ndi kuwonongeka kwa khutu lamkati chifukwa cha mankhwala enaake omwe mumamwa. Ichi ndi chifukwa chachikulu cha kusagwira bwino ntchito kwa vestibular. Khutu lamkati likhozanso kuwonongeka ndi mankhwala omwe ali m'chilengedwe (monga lead).
• Kutupa: Kutupa kumatha kuwononga ziwalo ndi mitsempha yamkati mwa khutu yomwe imakhudzidwa bwino. Nthawi zina kutupa kumeneku kungayambitsidwe ndi kachilombo ka mavairasi kapena mabakiteriya.
• Mavuto a Endolymph: Madzi omwe ali mkati mwa khutu lanu otchedwa endolymph amasuntha mutu wanu ukamasuntha. Kusunthaku kumayendetsa mitsempha yomwe imatumiza uthenga wokhudza malo anu ku ubongo wanu. Ngati pali vuto ndi madzi awa, angayambitse mavuto ndi vestibular system, zomwe zimayambitsa zolakwika pakutumiza chizindikiro.
• Ziphuphu: Ziphuphu zina (kuphatikizapo zotupa) muubongo kapena khutu zimatha kukhudza mitsempha yomwe imakuthandizani kukhalabe ndi thanzi labwino.
• Matenda a Autoimmune: Izi zimachitika kawirikawiri, koma m'matenda ena a autoimmune, chitetezo chamthupi chanu chimatha kuukira khutu lanu lamkati.
• Matenda a mitsempha: Matenda omwe amakhudza mitsempha yanu ndi dongosolo la mitsempha (CNS) angayambitse kusokonezeka kwa kayendedwe ka thupi lanu. Stroke ndi chifukwa chofala cha kusagwira bwino ntchito kwa vestibular yapakati. Ingayambitsidwenso ndi matenda omwe amawononga chitetezo chozungulira mitsempha (monga matenda ochotsa myelin ).

Kodi ndi zinthu ziti zomwe zimayambitsa zizindikiro izi?

Anthu omwe ali ndi matenda ena a vestibular amakhala ndi zizindikiro, monga chizungulire ndi chizungulire, zomwe zimabwera ndikupita. Pazochitika izi, "zina" zimatha kuyambitsa kapena kukulitsa zizindikiro. Izi zikuphatikizapo:

• Kusintha kwa malo: Mwachitsanzo, mwadzidzidzi kupita kumalo "otanganidwa" odzaza ndi anthu ndikuona zinthu zosiyanasiyana.
• Kusuntha mutu mwadzidzidzi kapena kusintha malo: Monga kugona pabedi.
• Zakudya ndi zakumwa zina.
• Kusowa tulo.
• Kupsinjika maganizo.

Dokotala wanu angakuthandizeni kuzindikira zinthu ngati izi zomwe zingakupangitseni kukhala ndi zizindikiro zoyipa.

Kodi zotsatirapo zake (zovuta) ndi ziti?

Kulephera kugwira ntchito bwino kwa mitsempha sikungokhudza thanzi lanu lokha, koma ngati sikuthandizidwa, kungayambitsenso mavuto ena.

• Kugwa: Mavuto okhudzana ndi kukhazikika kwa thupi angayambitse kugwa koopsa. Malinga ndi bungwe la World Health Organization (WHO), pakati pa 20% ndi 30% ya akuluakulu ku United States amavulala mutu, kugwedezeka kwa mutu, kapena kusweka kwa chiuno chifukwa cha kugwa. Anthu azaka zopitilira 60 ali pachiwopsezo chachikulu cha kugwa kumeneku komwe kungawononge moyo. Tangoganizirani momwe zingakhalire ngati mwadzidzidzi mutamva chizungulire ndikugwa mukuyenda pansi pa holo.
• Kutaya kumva kwa nthawi yayitali: Matenda ena a vestibular amagwirizanitsidwa ndi kutaya kumva kwa nthawi yayitali. Izi nthawi zambiri zimatha kupewedwa ngati vutoli litapezeka ndi kuchiritsidwa msanga.
• Matenda amisala: Zizindikiro za kusagwira bwino ntchito kwa mitsempha ya m'mapazi zimatha kupangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku, monga kuyendetsa galimoto kapena kuyenda. Anthu amathanso kupewa kucheza ndi anthu chifukwa choopa chizungulire kapena chizungulire. Zotsatirazi zingayambitse matenda amisala monga nkhawa ndi kuvutika maganizo .

Choncho, ndikofunikira kwambiri kufunafuna upangiri ndi chithandizo chamankhwala mwachangu popanda kuwonjezera chiopsezo cha mavuto ena azaumoyo.

Kodi matenda a vestibular amawapeza bwanji?

Dokotala wanu adzazindikira vutoli mwa kuchita mayeso a thupi ndi mayeso a mitsempha. Adzakufunsaninso za zizindikiro zanu. Kumvetsa zizindikiro zanu ndikofunikira kwambiri kuti mudziwe ngati vutoli lili mkati mwa khutu kapena pakati pa mitsempha (CNS).

Ndiyenera kuwona katswiri wamtundu wanji?

Pali madokotala angapo omwe amatha kuzindikira ndi kuchiza matenda a vestibular:

• Madokotala a matenda a maso (ENTs).
• Akatswiri a ma vestibular auditors.
• Akatswiri a za ubongo.
• Akatswiri a zamaganizo.

Ndi mayeso amtundu wanji omwe amachitidwa kuti adziwe izi?

Ndizotheka kuchita mayeso monga awa:

• Mayeso a Vestibular: Izi zimatha kuwona momwe ziwalo za vestibular zomwe zili mkati mwa khutu lanu zikugwira ntchito. Nthawi zambiri, mayesowa amawunika momwe maso anu ndi khutu lanu lamkati zimagwirira ntchito limodzi kuti zikuthandizeni kukhalabe ndi thanzi labwino.
• Mayeso a kumva: Izi zimayesa zizindikiro monga kutaya kumva kapena kulira m'makutu (tinnitus), zomwe zingakhale zokhudzana ndi vuto la vestibular.
• Mayeso ojambula zithunzi:Mungafunike kuchitidwa MRI (magnetic resonance imaging) kapena CT scan (computed tomography scan) kuti muwone ngati pali vuto lililonse la kapangidwe ka thupi m'khutu lanu lamkati kapena muubongo.
• Kuyezetsa magazi: Izi zitha kuwona matenda omwe angayambitse mavuto amkati mwa khutu.

Kodi matenda a vestibular amachiritsidwa bwanji?

Chithandizo chomwe mudzalandire chidzadalira vuto lanu. Matenda a mitsempha ya m'mimba amatha kuchiritsidwa ndi:

• Kusintha kwa moyo: Kusintha kosavuta kwa moyo kungathandize kuthana ndi matenda ena a vestibular. Mwachitsanzo, ngati madzi akudzaza m'makutu mwanu ndi vuto, kuchepetsa kudya zakudya zamchere (zomwe zingayambitse kusunga madzi) kungathandize. Ndikofunikanso kuphunzira kuzindikira ndikuwongolera zomwe zimayambitsa chizungulire.
• Mankhwala: Mungafunike mankhwala ochizira chomwe chayambitsa vuto lanu kapena oletsa zizindikiro zanu. Mwachitsanzo, mungafunike mankhwala opha tizilombo toyambitsa matenda, kapena mankhwala ochepetsa madzi m'makutu kuti muchepetse kuchulukana kwa madzi m'makutu mwanu. Mungafunike mankhwala oletsa nseru kapena mankhwala opha tizilombo toyambitsa matenda kuti muchepetse zizindikiro monga kutopa.
• Njira yosinthira malo a Canalith: Ngati muli ndi BPPV (Benign Paroxysmal Positional Vertigo) , chithandizochi, mogwirizana ndi katswiri wa zamaganizo, chingathandize kusintha malo ang'onoang'ono a canaliths m'khutu lanu lamkati lomwe latuluka.
• Kubwezeretsa mitsempha ya m'mapazi: Chithandizo cha kubwezeretsa mitsempha ya m'mapazi chimaphatikizapo masewera olimbitsa thupi omwe amathandiza kuchepetsa chizungulire ndi chizungulire.
• Opaleshoni: Opaleshoni ya mkati mwa khutu nthawi zambiri imachitika ngati njira yomaliza yochiritsira matenda a vestibular. Komabe, zingakhale zofunikira kuwongolera zizindikiro zazikulu za vertigo ngati mankhwala ena sanathandize.

Kodi mungayembekezere chiyani mukakhala ndi vutoli?

Matenda anu amadalira vuto la vestibular lomwe muli nalo. Nthawi zina, mavuto a vestibular amatha okha. Mwachitsanzo, mavuto a vestibular okhudzana ndi matenda nthawi zambiri amatha kachilomboka kapena mabakiteriya akatha. Komabe, ndikofunikira kupeza chithandizo mwachangu kuti mupewe kuwonongeka kwa nthawi yayitali kwa khutu lamkati.

Matenda ena a vestibular amafunika kuthandizidwa kwa moyo wonse. Zizindikiro zimatha kubwera ndi kupita mosayembekezereka, kapena chifukwa cha zomwe zimayambitsa zomwe mukuzidziwa. Ngati izi zili choncho kwa inu, muyenera kugwira ntchito ndi dokotala wanu (kapena gulu losamalira) kuti muthane ndi vuto lanu.

Kodi matenda a vestibular angapewedwe?

Zimatengera chomwe chimayambitsa vuto la vestibular, koma matenda a vestibular nthawi zambiri amakhala ovuta kuwapewa.

Koma pali zinthu zomwe mungachite kuti mudzisamalire. Mwachitsanzo, mutha kupeza chithandizo msanga kuti mupewe kuwonongeka kwa nthawi yayitali chifukwa cha matenda monga matenda. Ngati mukukhala ndi matenda okhalitsa, mutha kuchitapo kanthu kuti muchepetse chiopsezo chanu chogwa.

Kodi ndimadzisamalira bwanji?

Kawirikawiri, kusintha kwa moyo, mankhwala, ndi kukonzanso ma vestibular zimagwiritsidwa ntchito pochiza kapena kuthana ndi matenda a vestibular. Koma anthu ambiri angapeze njira yothandizira yomwe imawagwirira ntchito. Pakadali pano, mutha kudzisamalira nokha mwa:

• Nthawi zonse sungani mankhwala anu.
• Ngati mukumva ngati zizindikiro zayamba kuonekera, tengani nthawi yopuma ndikupumula.
• Pewani kuchita zinthu zoopsa ngati simukudziwa kuti ndi zotetezeka.
• Ngati mukusuta, pewani kusuta (kapena siyani). Kusuta kungapangitse kuti zizindikiro za matendawa ziwonjezeke kwambiri.
• Chepetsani caffeine ndi mowa. Izi ndi zinthu zomwe zimayambitsa zizindikiro zomwe zimawonjezera.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa mafunso monga awa:

• N’chifukwa chiyani ndinayamba kudwala matenda a vestibular amenewa?
• Ndi mayeso ati omwe ayenera kuchitidwa kuti adziwe vuto langa?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika?
• Kodi ndimatha bwanji kuthana ndi zoyambitsa?
• Ndi kusintha kotani komwe ndingachite kuti ndichepetse chiopsezo cha kugwa?

Pomaliza, chinthu chofunikira kwambiri (Uthenga Wopita Nawo Kunyumba)

Ambiri aife sitidziwa kufunika kwa kukhala ndi moyo wabwino tsiku ndi tsiku mpaka titakumana ndi vuto. Ndi pamene mwadzidzidzi timamva ngati chipinda chikuzungulira ndipo timazindikira kufunika kwake. Nthawi zina kumva kumeneku kumatha pakapita kanthawi. Koma ngati muli ndi vuto la vestibular, ndikofunikira kuonana ndi dokotala ndikupeza chithandizo chisanafike vuto la chizungulire ngati kugwa. Dokotala wanu angakuthandizeni kupeza njira yoyenera yothandizira kuti akonze vuto lanu la kulinganiza, kusamalira zizindikiro zanu, ndikukuthandizani kupeza njira yoyenera yothandizira. Musadandaule, matenda ambiriwa amatha kuthandizidwa bwino.

'Matenda a mitsempha, chizungulire, vertigo, kusinthasintha, khutu lamkati, matenda a Meniere, BPPV