Khawuthelekelele ukuba usebenza kwinto ethile, ngequbuliso ihlabathi liphela libonakala lijikeleza kuwe. Kwangaxeshanye, uva isandi esingaqhelekanga esithi "goo..." endlebeni yakho, uze uzive ngathi ulahlekelwa kukuva kwenye indlebe ngaphezu kwenye. Ngaba oku akulona amava othusayo nangathandekiyo? Oku kukungonwabi okuhlala kuza neSifo sikaMénière. Nangona kungaqhelekanga njengoko unokucinga, kubaluleke kakhulu ukuqaphela esi simo.
Ngamafutshane, yintoni isifo sikaMénière?
Isifo sikaMeniere sisifo esenzeka endlebeni yethu yangaphakathi. Indlebe yethu yangaphakathi inoxanduva lokulinganisela imizimba yethu kunye nokuva. Ngoko ke xa esi sifo sikhula, ukusebenza kwezi nkqubo zombini kuyaphazamiseka.
Uphawu oluphambili kukuziva ngathi ihlabathi liphela liyajikeleza nokuba uhleli. Kwizonyango, sibiza oku ngokuba yi-vertigo . Kwakhona, ukuva izandi ezahlukeneyo ezindlebeni, ngokungathi umntu uthi 'whoo' endlebeni, luphawu. Oku sikubiza ngokuba yi-tinnitus . Ezi mpawu ziqala ngequbuliso, ngaphandle kwesilumkiso , kwaye zinyamalale emva kwexesha elithile. Nangona kunjalo, zinokuvela kwakhona emva kwexesha elithile.
Ukuba azinyangwa, iimpawu zinokuba mandundu ngokuhamba kwexesha. Usenokuba neengxaki zokuva ezingapheliyo kunye nokulinganisela . Kodwa ungakhathazeki. Ngokusebenzisana nogqirha wakho ukuze ufumane unyango olufanelekileyo kuwe, unokukwazi ukulawula imeko kwaye uphile ubomi obusempilweni.
Ziziphi iimpawu eziphambili zesi sifo?
Iimpawu zesifo sikaMeniere zivela ngequbuliso. Oku sikubiza ngokuba "luhlaselo" okanye "isiqendu." "Uhlaselo" lunokuhlala ixesha elifutshane njengemizuzu engama-20, okanye ixesha elide njengeeyure ezingama-24. Abanye abantu bane "hlaselo" ezininzi zilandelelana. Kwakhona, abanye abantu banokuhlala iinyanga okanye iminyaka bengenazo iimpawu.
Masithethe ngokucacileyo ngezi mpawu ziphambili kwitheyibhile engezantsi.
| Uphawu | Inkcazo nje |
|---|---|
| Isiyezi esinzima (iVertigo) | Olu lolona phawu lunzima kakhulu. Nangona umile, kuvakala ngathi lonke igumbi liyajikeleza. Kwabanye abantu, le vertigo inzima kangangokuba abakwazi ukuma baze bawele phantsi ngequbuliso. Oku kukwabizwa ngokuba "luhlaselo lokuwa." |
| Ubunzima bokuva kunye nokulahlekelwa kukuva | Idla ngokuchaphazela indlebe enye kuphela. Ekuqaleni, abantu abaninzi balahlekelwa kukukwazi kwabo ukuva isandi esisezantsi. Ukuba asinyangwa, oku kulahlekelwa kukuva kunokuba yinto engapheliyo ngokuhamba kwexesha. |
| I-tinnitus | Kukho isandi esingaguqukiyo esivela ngaphakathi kwendlebe echaphazelekileyo. Isenokuba sisandi somatshini osebenzayo, umoya opholileyo, okanye isandi esithi "goo..." osivayo xa ubambe iqokobhe lolwandle endlebeni yakho. |
| Uxinzelelo lwendlebe | Ukuziva ugcwele okanye uxinzelelo ngaphakathi endlebeni. Kusenokuvakala ngathi kukho into ebambeke ngaphakathi endlebeni. |
Ukongeza kwezi mpawu ziphambili, abanye abantu banokuba nesicaphucaphu nokuhlanza .
Kutheni sifumana esi sifo?
Enyanisweni, oogqirha abakafumani unobangela ochanekileyo wesifo sikaMeniere. Nangona kunjalo, kukho ingcamango enye ephambili abantu abaninzi abayikholelwayo.
Oko kukuthi, ulwelo olubizwa ngokuba yi-endolymph endlebeni yethu yangaphakathi luqokelelana kakhulu. Cinga ngayo, indlebe yethu yangaphakathi ifana nenkqubo yetyhubhu encinci. Ulwelo lwe-"endolymph" olungaphakathi kweli thubhu lunceda ukuthumela imiqondiso engqondweni elawula ulungelelwano lwethu kunye nokuva. Ukuba ngesizathu esithile olu lwelo luqokelelana kakhulu, uxinzelelo olungaphakathi kwelo thubhu luyanda, kwaye loo nkqubo yemiqondiso iyaphazamiseka ngokupheleleyo. Kulapho kuvela khona iimpawu ezifana nesiyezi kunye nokukhala ezindlebeni.
Kukho izizathu ezahlukeneyo zokuba ulwelo lwe-"endolymph" lunokuqokelelwa ngale ndlela:
- Ii-Allergy: Ezinye ii-allergies zinokubangela ukuba ulwelo luqokeleleke endlebeni engaphakathi.
- Ukuvaleka kwendlebe yangaphakathi: Ukuvaleka kwendlela apho ulwelo luhamba khona.
- Ukulimala entloko: Le meko inokwenzeka emva kokwenzakala okukhulu entloko.
- Iintsholongwane: Iintsholongwane okanye iintsholongwane.
- Intloko ebuhlungu ye-Migraine:Ezinye izifundo zifumanise unxibelelwano phakathi kwe-migraines nesifo sikaMeniere.
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Nangona nabani na enokuba nesifo sikaMeniere, abanye abantu basengozini enkulu kancinci.
- Ubudala: Esi sifo sibonakala kakhulu kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala .
- Isini: Ngokwezinye izifundo, abafazi basengozini enkulu kancinci kunamadoda.
- Ufuzo: Phakathi kwe-7% kunye ne-10% yabantu abanesifo banelungu losapho elinesifo, oko kuthetha ukuba kunokubakho impembelelo ethile yemfuza.
- Izifo ezizikhusela ngokwazo: Ezi zizifo apho amajoni omzimba wethu ahlasela khona iiseli zomzimba wethu. Umzekelo, abantu abanezifo ezifana ne-rheumatoid arthritis kunye ne-lupus basengozini enkulu yokufumana isifo sikaMeniere.
Ziziphi iingxaki ezinokubakho zesi sifo?
I-vertigo enzima ebangelwa sisifo sikaMeniere inokuba yingozi kakhulu.
Khawucinge ukuba ingaba yingozi kangakanani na ukuba ngequbuliso uzive unesizungu xa uqhuba okanye ukhwela ileli. Ngoko ke, abantu abanesi sifo kufuneka balumke kakhulu kwimisebenzi yabo yemihla ngemihla.
Ngokuhamba kwexesha (ngesiqhelo emva kweminyaka eyi-8-10), esi sifo sinokukhokelela ekulahlekelweni kokuva okungapheliyo .
Ukongeza kwezi ziphumo zomzimba, isifo sikaMeniere sinokuba nefuthe elikhulu kwimpilo yakho yengqondo . Ukuhlala ucinga ngezinto ezifana nokuthi "Ndiza kuphinda ndizive ndinesizunguzi kwakhona?" kunye nokuthi "Ngaba ndiza kulahlekelwa kukuva ngokupheleleyo?" kunokukhokelela ekuxhalabeni nasekudakumbeni . Ke ngoko, kubalulekile ukuthetha ngokukhululekileyo nogqirha wakho malunga nokungakhululeki komzimba, kunye noxinzelelo lwengqondo oluvayo.
Gqirha, uyixilonga njani le nto?
Ukuba unale mpawu, kuya kufuneka ubone ugqirha we-ENT (indlebe, impumlo, nomqala). Uza kukuhlola aze akubuze ngeempawu zakho. Banokwenza novavanyo oluthile ukuze bafumanise ezinye iimeko ezineempawu ezifanayo nesifo sikaMeniere.
- Uvavanyo lokuva: Jonga inqanaba lokuva kwakho.
- Ibhetri yovavanyo lweVestibular: Uvavanyo oluninzi olujonga indlela esebenza ngayo inkqubo yakho yokulinganisela indlebe yangaphakathi kunye nemisipha yamehlo.
- Iskeni ye-MRI yobuchopho:Jonga ukuba kukho umhlaza wobuchopho okanye enye ingxaki enokubangela isiyezi.
Zithini iindlela zonyango? Senza ntoni ngale nto?
Akukho nyango lwesifo sikaMeniere. Nangona kunjalo, kukho unyango oluninzi olunokunceda ukulawula iimpawu kunye nokunciphisa ubukhali kunye nobude bohlaselo . Ugqirha wakho uza kuzama unyango olulula kuqala. Ukuba alusebenzi, banokucinga ngotyando.
Utshintsho kwindlela yokuphila
Ngamanye amaxesha, ukutshintsha nje imikhwa yethu yemihla ngemihla kunokuzisa isiqabu esikhulu.
- Nciphisa ukutya ityuwa: Oogqirha bacebisa ukuba kungabi ngaphezu kwe-1,500 milligrams yetyuwa ngosuku. Oko kumalunga ne-¾ yethisipuni. Kukwangumbono olungileyo ukunciphisa ukutya okune-MSG (i-Monosodium glutamate).
- Ukunciphisa i-caffeine kunye notywala.
- Ukulawula uxinzelelo kunye nokulala ngokwaneleyo.
Amayeza
Ugqirha wakho unokukunika amayeza ahlukeneyo okulawula iimpawu zakho.
| Uhlobo lweziyobisi | Ukusebenza kakuhle |
|---|---|
| Iipilisi zamanzi (i-Diuretics) kunye ne-Betahistine | Ezi zinciphisa ulwelo olongezelelweyo emzimbeni nasendlebeni engaphakathi, zinciphisa uxinzelelo. |
| Amayeza okunyanga isiyezi kunye nokucaphuka | Ezi zinokunceda ekulawuleni isiyezi xa sisenzeka. Imizekelo: i-diazepam, i-meclizine. |
| Iinaliti ezifakwa nge-eardrum | Ukuba iipilisi eziqhelekileyo azisebenzi, ugqirha wakho unokukufaka i-steroid okanye i-gentamicin nge-eardrum. Nangona kunjalo, kukho umngcipheko wokwenzakala ngakumbi kokuva ngenaliti ye-gentamicin. |
Ezinye iindlela zonyango
- Ukuvuselelwa kwemithambo yegazi:Oku kufana nonyango lomzimba. Kukufundisa umthambo othile ukunceda ukuphucula ibhalansi yakho kunye nokulawula isiyezi sakho.
- Izixhobo zokuva: Ukuba ukuva kwakho kuphazamisekile kakhulu, kunokufuneka usebenzise isixhobo sokuva.
- Ukufakelwa kweCochlear: Olu tyando lunokwenziwa kubantu abaphulukene nokuva phantse ngokupheleleyo kwaye abangakwaziyo ukusebenzisa izixhobo zokuncedisa ukuva.
- Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT): Olu hlobo lonyango lunceda ekulweni ngempumelelo noxinzelelo, ixhala, kunye nokudakumba okubangelwa sesi sifo.
Utyando
Utyando lujongwa kwiimeko ezinzima kakhulu apho kungekho nyango lunokulawula iimpawu. Oku kuquka ukunciphisa uxinzelelo lolwelo endlebeni engaphakathi okanye ukunqumla umthambo obandakanyeka ekulinganiseni. Olu lunyango olunqabileyo kakhulu.
Umyalezo Wokuya Ekhaya
- Isifo sikaMeniere sisifo esingaphakathi endlebeni esingenakunyangwa ngokupheleleyo, kodwa sinokulawulwa kakuhle .
- Iimpawu eziphambili kukuba nesiyezi esiqatha ngequbuliso (vertigo), ukukhala kweendlebe (tinnitus), kunye nokulahlekelwa kukuva .
- Ukuba unale mpawu, ungoyiki kwaye ubone ingcali yendlebe, impumlo, nomqala (ENT) ngokukhawuleza.
- Utshintsho kwindlela yokuphila (njengokunciphisa ukutya ityuwa), amayeza, kunye nolunye unyango lunokulawula iimpawu ngempumelelo.
- Thetha ngokukhululekileyo nogqirha wakho malunga nokungonwabi komzimba kunye noxinzelelo lwengqondo olubangelwa sesi sifo. Ungafumana uncedo nakweso sifo.
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