Ese urwaye isereri idashira? Reka tuvuge kuri PPPD (Isereri idashira yo mu buryo bw'imitekerereze)!

Ese hari igihe wumva uzumva uzumva nta mpamvu, ugatakaza uburinganire bwawe iyo uhagaze cyangwa wicaye, kandi ukumva umeze nk'uri kureremba mu bwato? Biragoye cyane kwihanganira iki zumva iminsi myinshi, si byo se? Ushobora no kumva ubabaye cyane kandi ufite ubwoba kuri ibi. Uyu munsi tugiye kuvuga kuri ubu bwoko bw'izumva rirambye, bivuze ko rimara amezi atatu cyangwa arenga. Abaganga babyita PPPD (Izinziri zo mu myanya y'inyuma) . Nubwo izina rishobora gusa nkaho ari rirerure, reka tubikomeze byoroshye.

PPPD (Isereri ihoraho mu buryo bwo kumva no kumva) ni iki? Mu magambo make...

Dushobora kumenya icyo PPPD isobanura dukoresheje amagambo ubwayo.

• Guhoraho: Ibi bivuze ko bihoraho, biramba . Umaze nibura amezi atatu, iminsi myinshi, uhura n'iki kibazo.
• Imiterere y'umubiri: Ibi bifitanye isano n'imiterere y'umubiri . Uku kuzungera biba bibi iyo uhagaze, wicaye, cyangwa uhagaze neza.
• Uburyo bwo kwiyumvisha ibintu: Ibi bifitanye isano n'uko tubona ibintu, ni ukuvuga uburyo tubona ibintu . Wumva nk'aho wowe cyangwa ibidukikije byawe mutari mu buryo bukwiye. Wumva nk'aho ubutaka burimo guhinda umushyitsi, cyangwa wowe ubwawe urimo guhinda umushyitsi.
• Kuzungera: Ibi ni ukuzungera . Ariko si nk'"Vertigo" aho ibintu bikuzenguruka. Muri PPPD, wumva umeze nk'urimo kunyeganyega, nk'uri mu bwato, cyangwa udakomeye .

Muri make, PPPD ni ubwoko bw'izunguza butangira nyuma y'ikintu runaka, bugakomeza igihe kirekire, bwiyongera iyo uhagaze, bigatuma wowe cyangwa abaturanyi bawe bumva mutari mu murongo, nk'aho muzunguza.

Imibiri yacu ifite uburyo bugoye bugenzura uburinganire bwacu. Bukubiyemo amaso yacu, imitsi, uburyo bwo kunyura mu matwi yacu y'imbere, n'ubwonko . Ibi bintu byose bikora hamwe, bigakora nk'ikipe, kugira ngo biturinde kugwa. Ibi bibaho mu buryo busanzwe, tutanabizi.

Ariko ku muntu urwaye PPPD, hari ikibazo cyangwa imikoranire idahwitse hagati y’ibice by’iyi sisitemu. Ni ukuvuga ko hari ikibazo ku buryo ibimenyetso biva mu maso, umubiri, n’ugutwi imbere byose bijya mu bwonko kandi bigahuzwa. Icy'ingenzi ni uko nta ndwara cyangwa ibyangiritse ku bice bimwe na bimwe by’iyi sisitemu (nk’amaso, amatwi, n’ubwonko) . Ariko ntibihuzwa. Niyo mpamvu wumva udakomeye kandi umeze nk’uzunguruka.

Iyi ndwara ya PPPD ikunze kugaragara gute?

PPPD ishobora kuba ari yo ndwara ikunze kugaragara cyane ubu ikaba ifatwa nk'intandaro y'izunguza ry'igihe kirekire. Ariko, ni indwara nshya isanzwe.Mu 2017 ni bwo impuguke mu by'ubuvuzi zahuriye hamwe kugira ngo zigaragaze ibipimo ngenderwaho by'iyi ndwara. Bityo rero haracyari ubushakashatsi bwinshi buri gukorwa, kandi hari byinshi byo kwiga. Mu bihe byashize, bishobora kuba bitarashobokaga kumenya neza abantu bafite ibi bimenyetso.

Ni ibihe bimenyetso bya PPPD?

Umuntu urwaye PPPD yumva afite isereri kenshi . Ibi bivuze ko ashobora kumva afite isereri iminsi irenga irindwi mu cyumweru. Hari igihe iyi sereri ishobora kumara amasaha menshi, kandi ikongera ikarushaho kwiyongera uko umunsi ugenda ushira . Cyangwa ishobora kuza ikagenda nta kibazo.

Isereri iterwa na PPPD ishobora kumva nk'ubwato burimo guterwa n'imiraba, cyangwa se nk'aho uri kunyeganyega, wumva udakomeye, nk'aho udashobora gukomeza ibirenge byawe hasi . Nubwo ibi bishobora kubaho nta mpamvu runaka, bishobora kuba bikomeye kurushaho mu bihe bimwe na bimwe. Urugero:

• Iyo uhagaze, wicaye ugororotse, cyangwa uhinduye imiterere yawe mu buryo butunguranye (urugero nko kuva mu buriri).
• Iyo uri kugenda n'amaguru cyangwa utwaye imodoka (mu modoka, muri bisi, muri gari ya moshi) .
• Iyo ubonye ibintu byinshi icyarimwe . Tekereza kureba ku meza y'ibiribwa muri supermarket, cyangwa kureba imbuga nkoranyambaga kuri terefone yawe. Ubu buryo bwo gukangura amaso bushobora kongera isereri.

Uretse ibi bimenyetso by'ingenzi, hari ibindi bimenyetso bishobora guherekezwa na PPPD:

• Igihu cy'ubwonko: Ibi bivuze ko bigoye gutekereza neza no kwibanda ku kintu.
• Gutakaza kwibuka by'igihe gito: Kwibagirwa utuntu duto vuba.
• Kugorwa no kwibanda ku kintu kimwe: Biragoye kwibanda ku kintu kimwe cyangwa gukomeza gukora igikorwa kimwe.

PPPD ishobora gutuma wumva utari kumwe n'umubiri wawe, ibikukikije, n'abandi bantu, nk'aho uri mu nzozi . Ushobora kandi kwirinda ibikorwa byo gusabana n'abandi n'imirimo ya buri munsi utinya ko byakongera isereri. Ibi bishobora kugira ingaruka zikomeye ku mibereho yawe.

Ni izihe mpamvu zitera PPPD?

Ubusanzwe PPPD itangira nyuma y'ikintu "gitera" bigira ingaruka ku buringanire bwawe . Ibi bivuze ko ushobora kuba warigeze kugira ikibazo cyo kuzungera umutwe mbere, nk'igikomere cyo mu mutwe, kandi PPPD ishobora gukomeza nubwo yamaze gukira.

Dore bimwe mu bintu bishobora gutera PPPD:

• Kuzungera cyane mu buryo butunguranye (vertigo ikabije).
• Indwara yo kubabara mu mwanya umwe (Benign Paroxysmal Positional Vertigo - BPPV) ni indwara itera isereri iyo uzunguje umutwe.
• Ibikomere byo mu mutwe (urugero: gukomereka mu mutwe).
• Indwara zo mu matwi y'imbere nka Ménière's disease.
• Igitero cy'ubwoba.
• Indwara ya `Stroke` (ubumuga).
• 'Vestibular migraine' ni ukuzungerana bikunze kubaho iyo umuntu arwaye migraine.
• Indwara ya Vestibular neuritis ni ukubyimba k'imitsi yo mu gutwi imbere.

Ikiba muri PPPD ni uko nubwo umuntu yatangiraga kugira isereri cyangwa indwara, ubwonko bwe bwibuka "kubura uburinganire" . Utabizi, utangira kumenya ibintu bigira ingaruka ku buringanire bwawe, nko mu mwanya w'umubiri wawe n'ibiwukikije. Uku kubimenya bishobora no gutuma uhora wumva uhangayitse.

Tekereza ko wanyereraga ukagwa mu muhanda. Nyuma y'ibyo, wakwitonda cyane igihe cyose ugenda muri uwo muhanda, ureba hasi, kandi utekereza kuri buri ntambwe, si byo se? Mu buryo nk'ubwo, muri PPPD, ubwonko bwawe butangira gutekereza cyane ku buringanire no kuba maso.

Aho kugira ngo bibe ingirakamaro, iyi ndwara ituma ubwonko bwawe budashobora gutunganya neza amakuru y’ibyumviro ava mu maso yawe, mu mitsi no mu gutwi kwawe, bigatuma uhora uhagaze neza. Impuguke zivuga ko ubwonko bwawe bwishingikiriza cyane ku byumviro wumva cyane (urugero: ibyo ubona, uko ufata umubiri wawe), kandi bugakoresha nabi ibyumviro wumva udakunze kumva (urugero: amakuru yerekeye ingendo zitoroshye ziva mu gutwi kwawe kwa mbere). Uko kudahuza ni ko gutera ibimenyetso byawe.

Ibi birababaje cyane, kuko nk'uko kubungabunga uburinganire bikunze kubaho ku muntu udafite PPPD, ni nako ubu burwayi bushobora no kubaho ku muntu ufite PPPD.

Ni nde uri mu kaga gakomeye ko kwandura PPPD?

Ubushakashatsi bumwe bwagaragaje ko abagore bafite amahirwe angana n'inshuro enye yo kurwara PPPD kurusha abagabo . Nanone, abantu bafite indwara yari isanzweho igira ingaruka ku buringanire (indwara yo mu mutwe) cyangwa indwara yo mu mutwe nko guhangayika cyangwa kwiheba bashobora kurwara PPPD nyuma yo guhura n'imwe mu mpamvu zavuzwe haruguru.

Imiterere yawe ishobora no kugira uruhare. Ubushakashatsi bwagaragaje ko PPPD ikunze kugaragara cyane mu bantu bakunda kwisanzura, kandi bakunda kwisanzura cyane .

Ni gute PPPD ipimwa?

Gusuzuma PPPD rimwe na rimwe bishobora kugorana kuko nta ndwara iri mu bice bimwe na bimwe by'umubiri wawe. Kubwibyo, ibizamini bisanzwe byo kuringaniza, nk'ibizamini bya vestibular, bishobora kugaruka uko bisanzwe .

Kubwibyo, umuganga wawe azagupima PPPD akurikije ibipimo bitanu bijyanye n'ibimenyetso byawe . Urasuzumwa PPPD niba wujuje ibi bikurikira:

1. Umaze iminsi myinshi wumva umeze nk'uzunguza cyangwa udakomeye mu gihe cy'amezi atatu nibura (nta kintu kigutera kuzunguruka).

2. Ibimenyetso bishobora kwiyongera nta mpamvu runaka, ariko isereri ishobora kwiyongera iyo uhagaze, ugenda, cyangwa ureba ibintu byinshi .

3. Tangira kuzunguruka.Wagize ikibazo cyaguteye (ikibazo cy'igihe gito cyangwa indwara y'igihe kirekire).

4. Ibimenyetso byawe byagize ingaruka mbi ku buzima bwawe bwa buri munsi no ku mibereho yawe .

5. Ugomba kugenzura neza ko ibimenyetso byawe bidaterwa n'indi ndwara iyo ari yo yose (ushobora gukenera gupimwa kugira ngo umenye ko hari izindi ndwara).

Ni ubuhe buryo bwo kuvura PPPD?

Kugeza ubu nta muti uhari wa PPPD. Ariko, hari uburyo butandukanye bwo kuvura bushobora kugufasha guhangana n'izunguzungu. Muganga wawe ashobora kukugira inama imwe cyangwa nyinshi muri izi.

Uburyo bw'ingenzi bwo kuvura ni ubu:

• Ubuvuzi bwo kuvura indwara zo mu matwi (VRT): Ubu ni uburyo bwihariye bwo kuvura indwara zo mu matwi. Bugufasha gusobanukirwa uburyo umubiri wawe uterwa no kumva umeze nabi cyane (hyperfocus). Iyo umaze gusobanukirwa ibiri kuba, ushobora kwiga ingamba zo gucunga ibimenyetso byawe. Bikubiyemo gukora imyitozo ngororamubiri yihariye yo kuringaniza.
• Uburyo bwo kuvura abantu mu buryo bw'ibitekerezo: Uburyo bwo kuvura abantu mu buryo bw'ubwenge (CBT) bushobora gufasha cyane mu guhangana n'imihangayiko ishobora kongera ibimenyetso bya PPPD. Bushobora kandi kugufasha gushyiraho ingamba zo kongera gusabana no kwigirira icyizere niba waracitse intege kubera ubwivumbure.
• Imiti: Muganga wawe ashobora kuguha ubwoko bw'imiti yitwa SSRIs (Selective Serotonin Reuptake Inhibitors) cyangwa, niba idakora, SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). Iyi ni imiti yagenewe by'umwihariko indwara yo kwiheba no guhangayika. Nubwo ubushakashatsi bugikomeje ku buryo iyi miti ikora kuri PPPD, bikekwa ko ifasha kugabanya guhangayika no kumva umuntu arwaye indwara ya PPPD.

Ni ubwoko ki bw'umuganga uvura PPPD?

Niba ufite ibimenyetso bya PPPD, banza urebe muganga w’umuryango wawe (PCP) . Arashobora kukwohereza kwa muganga w’inzobere mu gihe bibaye ngombwa. Inzobere zisuzuma kandi zikavura PPPD zirimo:

• Abaganga b'indwara z'amaso (ENTs)
• Abaganga b'amaso - abaganga b'indwara zo mu matwi bihariye mu kuvura indwara z'imbere mu matwi
• Abaganga b'indwara z'imitsi
• Abahanga mu by'imitekerereze cyangwa abaganga b'indwara zo mu mutwe
• Abavuzi b'umubiri ba Vestibular

Ese PPPD irakira burundu?

PPPD ntishira burundu , kandi bishobora gufata igihe kugira ngo ubone uburyo bwiza bwo kugabanya vertigo yawe.

Ariko, inkuru nziza ni uko abantu benshi barwaye PPPD bashobora kwihanganira iyi ndwara neza bakoresheje uburyo bwo kuyivura no kuyivura.Impuguke ziracyakora ubushakashatsi ku buryo uburyo bwo kuvura ku giti cyazo n'uburyo bwo kuvura buvangavanze byafasha abantu bafite PPPD.

Ni gute nakwiyitaho nk'umuntu ufite PPPD?

Niba ufite PPPD, kwiyitaho bivuze kwihangana mu gihe ugerageza gushaka uburyo bwo kuvura bugufasha . Kubera ko iyi ndwara ari nshya, ubushakashatsi ku buryo bwo kuvura bukora neza buracyari mu ntangiriro. Ushobora kugerageza uburyo butandukanye bwo kuvura n'imiti mbere yuko ubona igufasha.

Nanone, gira ubuntu kuri wowe ubwawe mu gihe wiga kwihanganira iki kibazo. Abantu benshi barwaye PPPD bavuga ko bigoye gusobanurira abandi ibyo bahura na byo. Abandi bashobora kuvuga ibintu nk'ibi ngo "Ntabwo babyumva," cyangwa ngo "Byose biri mu mutwe wawe."

Ariko si ko bimeze. PPPD ni indwara nyayo ibangamira uburyo umubiri wawe umerewe neza. Ni indwara uzagorwa no kuyigenzura. Ariko hari abaganga biteguye kugufasha.

Ese ushobora gutwara imodoka niba ufite PPPD?

Baza muganga wawe niba nta kibazo ufite cyo gutwara imodoka niba ufite PPPD. Hari abantu bafite iyi ndwara bagira isereri ikomeye mu gihe batwaye imodoka. Bashobora kumva nk'aho imodoka igiye kugwa. Uku gutakaza uburinganire bishobora gutuma bigorana gutwara imodoka neza. Hari abantu bashobora gutwara imodoka, ariko gusa ku muvuduko urenze umuvuduko ntarengwa.

Ingorane zawe ziterwa n'ubukana bw'ihungabana ryawe n'uko wabonye uburyo bwo kuvura bugufasha kurigenzura. Ntukigere ufata amahirwe.

Ese PPPD ni uguhangayika gusa?

PPPD n'imihangayiko ni indwara ebyiri zitandukanye . Ariko, niba usanzwe ufite indwara yo guhangayika hanyuma ukagira ikibazo gitera iyi ndwara, ushobora kuba uri mu kaga ko kurwara PPPD. Nanone, kubana na PPPD utavuwe bishobora gutuma habaho ubwiyongere bw'ibitekerezo bibi bigatuma imihangayiko irushaho kwiyongera.

Niyo mpamvu uburyo bwo kuvura imihangayiko (urugero, CBT, imiti) akenshi biba bimwe mu bigize gahunda yo kuvura ya PPPD.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga wawe, ushobora kubaza ibibazo nk'ibi:

• Ni iyihe mpamvu ishoboka cyane ya PPPD yanjye?
• Ni ibihe bintu nkwiye kwirinda kugira ngo wirinde ko isereri irushaho kwiyongera?
• Ni ibihe bintu bidafite umutekano kuri njye mu gihe cy'indwara yanjye (urugero: gutwara imodoka, gukorera ahantu harehare)?
• Ni ubuhe buryo bwo kuvura wangiriye inama?
• Ni ibihe bipimo bigaragaza ko ubuvuzi bugira icyo bugeraho?
• Ese hari ingaruka mbi kuri ubu buryo bwo kuvura?

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Niba uhora wumva uzuzumwe nta mpamvu igaragara, hita ubonana na muganga.Bishobora gufata igihe kugira ngo umenye niba PPPD ari yo nyirabayazana w'ibibazo byo kuringaniza imikorere yawe. Ariko uko ushakisha ubufasha vuba, ni ko ubona gahunda y'ubuvuzi izagufasha kugaruka mu nzira nziza .

PPPD ishobora kuba indwara y'ubuzima bwawe bwose, ariko ntabwo igomba kugabanya ubuzima bwawe. Uramutse uhawe inama n'ubuvuzi bukwiye, ushobora kwiga kuyifata neza no kubaho neza. Ntabwo uri wenyine, kandi hari abaganga n'abavuzi bo kugufasha muri uru rugendo.

PPPD , Kuzunguza, Kuringaniza, Uduce tw'amagufwa, Guhangayika, Kuvurwa, Vertigo