Ese ukunze kumva umeze nk'ufite umutwe ugororotse? Ibi bishobora kuba ari indwara yo mu mutwe ifata imitsi!

Ese hari igihe wumva umeze nk'uzunguruka, umubiri wawe uzunguruka, kandi ibintu byose bikukikije bizunguruka nk'igitambaro cyo hejuru kizunguruka? Ni nk'igihe uri ku gitambaro cyangwa mu bwato. Ushobora kandi kugira umutwe ukubita cyane, kugorwa no kureba urumuri, cyangwa gucuranga mu matwi yawe iyo wumvise urusaku rwinshi. Niba ufite ibi bimenyetso, icyo kiganiro cy'uyu munsi kizaba ingenzi cyane kuri wewe. Reka tuvuge ku ndwara yihariye yitwa vestibular migraine .

Migraine ya Vestibular ni iki? Mu magambo make...

Mu magambo make, migraine yo mu mutwe ni indwara igira ingaruka ku mitsi yacu . Ikintu cy'ingenzi kibaho ni uko wumva umeze nk'ufite isereri (vertigo) . Iyi sereri ishobora gutuma wumva umeze nk'aho utari mu murongo , ndetse no mu gihe uhagaze. Ubushakashatsi bumwe bwagaragaje ko migraine yo mu mutwe ari yo mpamvu ya kabiri itera isereri mu bantu.

Izwi kandi n'andi mazina, nka `migraine-associated vertigo (MAV)`, `migraine-related vestibulopathy`, na `migraine-related vertigo`. Ariko, ntabwo dukeneye aya mazina yose mu mvugo ya buri munsi. Abantu benshi bazi migraine ya vestibular.

Abaganga n'abashakashatsi baracyagerageza kumenya neza niba iyi ari indwara ya migraine cyangwa indi ndwara itandukanye. Ariko, hari ikintu kimwe kigaragara. Iyi ndwara igira ingaruka zikomeye ku buzima bwa buri munsi bw'abantu , bivuze ko igabanya ubuzima bwabo. Niyo mpamvu abaganga basaba guhindura imibereho yabo, ndetse nibiba ngombwa, imiti nk'uburyo bwo kuvura.

Ese koko iki ni ikintu gisanzwe?

Indwara ya Vestibular migraine ni indwara ikunze kwibasira abantu benshi. Ariko, vestibular migraine ntabwo ikunze kugaragara cyane. Ubushakashatsi bwakorewe muri Leta Zunze Ubumwe za Amerika bwagaragaje ko hafi 2.7% by'abaturage bafite ibimenyetso bya vestibular migraine. Byagaragaye kandi ko umubare munini w'abantu bashaka kuvurwa isereri n'ibibazo byo kuringaniza imiterere y'umubiri bafite vestibular migraine. Niba rero ufite ibi bimenyetso, ibuka ko utari wenyine.

Ni ibihe bimenyetso by'indwara ya vestibular migraine?

Ibimenyetso by'ingenzi kandi bigaragara cyane ni ibifitanye isano n'ikizunguzungu . Ibi birimo:

• Ibibazo byo kuringaniza bibaho. Ushobora kumva uzunguze iyo uhagaze cyangwa ugenda.
• Kumva mfite isereri .
• Kumva ufite umutwe ukeye cyangwa ureremba (ufite umutwe ukeye) .

Uku kuzungera bishobora kuza bigashira mu minota mike, cyangwa bikamara iminsi. Tekereza, byagenda bite uramutse witeguye kujya ku kazi maze ibintu byose bigukikije bigatangira kuzunguruka? Cyangwa se, byagenda bite uramutse uri mu nama ikomeye ugatangira kumva uzungera no kuruka? Ibi bishobora kuba bibi cyane, bigatuma bidashoboka gukora imirimo yawe ya buri munsi.

Mu by’ukuri, ibi bishobora kuba ihungabana rikomeye, nk’ihungabana ryo mu mazi mu bwato. Hari n’abantu bashobora kunanirwa kuva mu buriri.

Uretse iki kibazo cyo kuzungera, hari n'ibindi bimenyetso bishobora kugaragara:

• Kurwara isesemi no kuruka bishobora kubaho.
• Ubushobozi bwo kumva urusaku, urumuri, n'impumuro zimwe na zimwe bushobora kwiyongera. Ibi bivuze ko n'amajwi asanzwe atakubangamiye ashobora kumva asa n'aho afatiwe mu matwi yawe, amaso yawe ashobora kuba ubururu cyane ku buryo utabasha kureba urumuri, kandi impumuro zimwe na zimwe (impumuro nziza, impumuro y'ibiryo) zishobora gutuma umutwe wawe ubabara.
• Kuribwa umutwe bishobora kubaho. Ibi bishobora kuba bikomeye nk'indwara isanzwe ya migraine, cyangwa bikaba bitameze neza cyane. Hari igihe umuntu ashobora kugira isereri gusa maze umutwe ugashira.

Kuki indwara ya vestibular migraine ibaho? Ni izihe mpamvu?

Impuguke ziracyakora ubushakashatsi ku mpamvu nyayo cyangwa impamvu zibitera. Ni ukuvuga ko bigoye kuvuga neza "iyi ni yo mpamvu". Ariko, basanze hari ibintu byinshi bishobora gutera iyi ndwara. Ibyo ni ibi bikurikira:

• Kuba ufite amateka yo kurwara migraine . Cyane cyane niba warigeze kugira ibimenyetso bya migraine kuva mu bwana, ushobora kurwara migraine yo mu nda mu gihe cy'izabukuru.
• Stress . Iyi ndwara ishobora kubaho iyo uri mu muhangayiko mwinshi. Tekereza, byagenda bite uramutse ufite iyi stress igihe wari uremerewe n'akazi ko mu biro n'ibibazo byo mu rugo?
• Kubura ibitotsi, umunaniro ukabije . Ibi bishobora no kubaho iyo ukora akazi kenshi udasinzira neza cyangwa ngo uruhuke neza ku mubiri wawe.
• Kudahuza kwa Serotonin . Serotonin ni ingenzi mu bwonko bwacu. Iyo irenze urugero cyangwa nke cyane na byo bishobora kugira ingaruka ku byiyumvo.
• Impinduka mu misemburo . Iyi ndwara ishobora guterwa n'impinduka mu misemburo, cyane cyane mu gihe cyo gucura ku bagore, cyangwa mu gihe cy'imihango.
• Impinduka mu gitutu cya barometric . Ibi bivuze ko ibi bishobora kubaho kuri bamwe mu bantu bafite impinduka mu gihe cy'ikirere.
• Hari ibiryo n'ibinyobwa bimwe na bimwe . Ibi bishobora gutandukana bitewe n'umuntu ku wundi. Kuri bamwe, ibi bishobora guterwa n'ibintu nka foromaje, shokora, inyama zatunganyijwe, ibiryo birimo MSG (monosodium glutamate), ikawa, na divayi.

Ni gute umuganga asuzuma neza indwara ya vestibular migraine?

Niba ufite ibi bimenyetso, ikintu cya mbere ugomba gukora ni ukubonana na muganga wujuje ibisabwa . Muganga abanza kukubaza ibimenyetso byawe. Umaze igihe kingana iki urwaye iki cyorezo no kubura uburinganire? Ni ryari ubyumva cyane? Ibi ni ibibazo ukunze kubazwa.

Impamvu y'ibi ni uko hari izindi ndwara zishobora gutera isereri. Urugero, isereri nayo ni ikimenyetso gikomeye cy'indwara nka Ménière's disease na BPPV (Benign Paroxysmal Positional Vertigo) . Bityo rero, ikintu cya mbere muganga wawe azakora ni ukumenya neza ko nta zindi ndwara ufite. Icyo gihe ni bwo bazakeka ko ushobora kuba ufite migraine ya vestibular.

Mubisanzwe, umuganga azasanga ufite migraine yo mu mutwe iyo yujuje ibi bikurikira:

• Niba ugize isereri itunguranye ijyana no kuruka cyangwa isesemi .
• Hagomba kuba hari nibura ibihe bitanu by'ihungabana . Nanone, ibindi bimenyetso bya migraine (kubabara umutwe, kumva urumuri/amajwi) bigomba kugaragara nibura muri kimwe cya kabiri cy'ibyo bihe.
• Kuzungera bishobora kumara iminota itanu kugeza ku masaha 72 (iminsi 3) .
• Niba isereri ikomeye cyane ku buryo igira ingaruka ku mirimo yawe ya buri munsi cyangwa ikakubuza kujya ku kazi .
• Niba ufite migraine aura . Ni ukuvuga ibimenyetso nko kubona urumuri imbere y'amaso yawe, kubona imirongo, no kugorwa no kuvuga mbere yuko migraine itangira.

Niba umuganga wawe akeka ko iyi ari indwara ya vestibular migraine, ashobora gukora ibizamini byinshi, urugero:

• Isuzuma ry'imitsi : Ibi bizasuzuma ibintu nk'imitekerereze yawe, imbaraga zawe, n'uburyo ugenda.
• Videonystagmography cyangwa Electronystagmography : Ibi ni ibizamini byihariye bigenzura imikorere y'amaso n'imikorere y'uburyo bwo kuringaniza imiterere y'imbere mu gutwi kwawe.
• Ibizamini byo gupima : Ibintu nka CT scan cyangwa MRI scan zo mu bwonko bishobora gukorwa kugira ngo hamenyekane neza ko nta bindi bibazo biri mu bwonko.
• Ikizamini cyo gutakaza ubushobozi bwo kumva : Suzuma ibibazo byo kumva.

Ni ubuhe buryo bwo kuvura migraine yo mu nda iterwa n'imitsi?

Inkuru nziza ni uko hari uburyo bwo kuvura migraine yo mu bwoko bwa vestibular. Abaganga bashobora gutanga inama ku bintu nk'ibi:

• Imiti
• Impinduka mu mibereho
• Uburyo bwo kuvura indwara zo mu majosi

Reka turebe buri kimwe muri ibi mu buryo burambuye.

Imiti

Muganga wawe ashobora kuguha ubwoko bubiri bw'imiti. Umwe ni umuti wa buri munsi cyangwa buri cyumweru wo kugabanya cyangwa gukumira indwara ya vestibular migraine . Undi ni umuti wo kugenzura ibimenyetso iyo bibaye .

Imiti myinshi ishobora gufasha mu kwirinda indwara ya vestibular migraine:

• Imiti igabanya ubukana bwa tricyclic : Iyi miti ifasha mu kugabanya migraine iyo itanzwe ku rugero ruto.
• Ibikoresho bifunga imiyoboro ya kalisiyumu
• Imiti igabanya ifatwa ry'ibisebe
• Beta-blockers : Iyi ni ubwoko bw'imiti itangwa kandi ku muvuduko ukabije w'amaraso.

Imiti yo kugabanya ibimenyetso:

• Imiti igabanya ububabare ya NSAID (Imiti igabanya ububabare itari iya steroide) : Urugero, Ibuprofen.
• Imiti ivura indwara yo kugenda : Igabanya isereri n'isesemi.
• Imiti igabanya ububabare bwo mu mutwe : Iyi imwe ikoreshwa mu kugabanya isesemi ikabije no kuruka.

Icy'ingenzi: Ntugafate imiti iyo ari yo yose yavuzwe haruguru utabanje kugisha inama muganga. Muganga wawe azakwandikira umuti ukwiye ujyanye n'uburwayi bwawe n'ingano ikwiye.

Impinduka mu mibereho

Uretse imiti, guhindura bimwe mu mibereho yawe nabyo bishobora gufasha mu kugenzura iyi ndwara. Muganga wawe azakubwira ibintu nk'ibi:

• Kuruhuka no gusinzira neza kurusha uko bisanzwe . Gerageza gusinzira neza nibura amasaha 7-8 ku munsi.
• Rya amafunguro n'utuntu two kurya ku gihe . Ntukagire inzara.
• Irinde ibiryo bimwe na bimwe n'ibinyobwa . Nkuko twabivuze mbere, hari abantu bashobora kugira ibimenyetso byiyongera bivuye ku bintu nka foromaje, shokora, ikawa, divayi, ibiryo birimo MSG, n'ibiribwa bibitswe. Muganga wawe azakubwira ibiryo bibi kuri wewe. Irinde uko bishoboka kose.
• Kora imyitozo ngororamubiri . Ni byiza kugenda n'amaguru buri munsi, gukora imyitozo ngororamubiri ituma wumva umeze neza. Ariko, ugomba kwitonda iyo ufite isereri.
• Shaka uburyo bwo kugabanya stress . Ibintu nko gutekereza cyane, yoga, no gukora ikintu kigushimisha (ikintu ukunda) bishobora kugufasha kugabanya stress.

Ubuvuzi bwo kuvura indwara zo mu mavi (VRT)

Ubu ni ubwoko bwihariye bw'ubuvuzi bwa physiotherapy. Bukora neza mu kunoza imikoranire hagati y'ubwonko bwawe, amaso, n'ugutwi kwawe imbere, bigafasha kugabanya isereri no kuringaniza ibibazo . Hariho imyitozo yihariye kuri ibi. Muganga wawe ashobora kukwohereza muri ubwo bwoko bw'ubuvuzi.

Ni iki nakwitega mu gihe mfite migraine yo mu mutwe?

Ibi bishobora gutandukana bitewe n'umuntu ku giti cye . Hari abantu bazakenera gukomeza gufata imiti kugira ngo bagabanye iyo ndwara. Abandi bashobora kubona ihumure rikomeye binyuze mu guhindura imibereho yabo nko kurya, gukora imyitozo ngororamubiri no kuruhuka. Icy'ingenzi ni ugukurikiza amabwiriza ya muganga wawe no gushaka gahunda y'ubuvuzi ikubereye .

Ni ryari ngomba kujya kwa muganga?

Niba uhora uhura n'isereri, ukumva utameze neza, cyangwa se niba bigira ingaruka ku buzima bwawe bwa buri munsi, ugomba kujya kwa muganga . Ibi ni ingenzi cyane cyane niba urwaye migraine.

Niba uri umuntu usanzwe uzi ko urwaye Vestibular Migraine, ongera uganire na muganga wawe mu gihe nk'iki:

• Niba isereri riri kwiyongera inshuro nyinshi cyangwa niba isereri riri kwiyongera .
• Niba ufite ubushobozi bwo kumva urusaku rwinshi hanze.
• Iyo umutwe urushijeho kwiyongera .

Ni ibihe bibazo ngomba kubaza muganga?

Kubera ko indwara ya vestibular migraine atari indwara ikunze kugaragara cyane, ushobora kuba ufite ibibazo byinshi kuri yo. Ntutinye kubaza muganga wawe ibibazo nk'ibi:

• Kuki, Muganga/Madamu, mfite iyi ndwara?
• Ese ibimenyetso byanjye bizarushaho kwiyongera?
• Ni ubuhe bwoko bw'ubuvuzi ungira inama yo kunkorera?
• Ese nzagomba gufata imiti ubuziraherezo?
• Uretse kugenzura indyo yanjye no kuruhuka bihagije, ni iki kindi nakora kugira ngo nshobore kwihanganira ibimenyetso bya migraine byo mu mutwe?

Niba ufite migraine, ushobora kuba uzi ibimenyetso byayo: gushya cyane, bigakurikirwa no kubabara umutwe. Ushobora kuba warashyize migraine yawe mu mutwe nk'intandaro y'ihungabana no kubura uburinganire. Ariko, ihungabana rikomeye kandi rihoraho (hamwe n'umutwe cyangwa ntawo) rishobora kuba ikimenyetso cy'uko ufite migraine yo mu mutwe.

Ku bw'amahirwe, abaganga bafite uburyo bwo kuvura bushobora gufasha gukumira iyi ndwara cyangwa kugabanya ibimenyetso byayo. Hari kandi ibintu ushobora gukora, nko gusinzira bihagije, kwirinda ibiryo bimwe na bimwe, no kugabanya stress. Niba urwaye migraine kandi uhora wumva uzumva, ugomba kujya kwa muganga. Bashobora gukora ibizamini bikenewe kugira ngo bemeze ko ufite migraine yo mu mutwe. Ikirenzeho, bashobora kuguha amakuru, imiti, n'ubundi buryo bwo kuvura ukeneye kugira ngo wirinde iyi ndwara cyangwa kugabanya ibimenyetso byayo.

Ibintu by'ingenzi cyane byo kwibuka mu byo twaganiriyeho (Ubutumwa bwo kujyana mu rugo)

Sawa, reka duhurize hamwe ibyo twaganiriye byose twiyibutse ibintu by'ingenzi tugomba kuzirikana:

• Migraine yo mu mutwe ni indwara yo mu bwonko irangwa no kugira isereri mu buryo butunguranye, gutakaza uburimbane, rimwe na rimwe n'ibimenyetso bya migraine (kubabara umutwe, kumva urumuri/amajwi).
• Nubwo ibi bidakunze kubaho cyane, bishobora kugira ingaruka zikomeye ku buzima bwawe .
• Nubwo impamvu nyazo zitaramenyekana, ibintu nk'imihangayiko, kubura ibitotsi, n'ibiribwa bimwe na bimwe byagaragaye ko ari byo bishobora gutera indwara.
• Ni ngombwa cyane kujya kwa muganga kugira ngo umenye neza indwara, kuko isereri ishobora kugira izindi mpamvu.
• Hari uburyo bwo kuvura! Iyi ndwara ishobora gukemurwa n'imiti, guhindura imibereho (gusinzira neza, indyo ikwiye, imyitozo ngororamubiri, kugabanya stress), ndetse no kuringaniza imikorere y'umubiri (VRT).
• Niba ufite ibi bimenyetso, ntugatinye, ahubwo jya kwa muganga kugira ngo akugire inama .

Wibuke ko ubuzima bwawe ari inshingano zawe. Kumenya izi ndwara no kuvurwa ku gihe bishobora kugufasha kubaho ubuzima bwiza kandi butuje.

` Vestibular Migraine, migraine, isereri, vertigo, kuringaniza, indwara z'imitsi, kuribwa umutwe, isesemi