Ngaba uziva unesizungu? Ngaba uyaziva iingxolo ezindlebeni zakho? Masithethe ngeSifo sikaMeniere

Ngaba ngamanye amaxesha uziva ngathi ihlabathi liphela liyajikeleza? Kwangaxeshanye, ngaba uyasiva isandi 'esikhalayo' ngaphakathi endlebeni yakho, kwaye indlebe yakho ivakala ngathi inzima kancinci? Ukuba ukhe waba nale meko, usenokuba nemeko abantu abaninzi abangayaziyo, kodwa enokubangela ukungonwabi okukhulu. Namhlanje sithetha ngeSifo sikaMeniere. Ungakhathazeki, masiqonde yonke into ngale nto ngokulula.

Yintoni kanye kanye iMeniere's Disease?

Ngamafutshane, isifo sikaMeniere sisifo esingaqhelekanga esichaphazela indlebe yethu yangaphakathi . Sinokubangela iimpawu ezintathu eziphambili:

• I-Vertigo : Le ayisiyonto nje yokujikajika. Yimvakalelo yokuba yonke into ekungqongileyo ijikeleza ngamandla, nangona umile ungashukumi.
• Ingxolo engapheliyo : Ingxolo engapheliyo, ukubhuza, okanye enye ingxolo endlebeni.
• Ukulahlekelwa kukuva : Ukulahlekelwa kukuva kuyenzeka kancinci kancinci. Ngamanye amaxesha oku kunokuba yinto engapheliyo.

Ixesha elininzi, le meko ichaphazela indlebe enye kuphela. Yimeko eqhubekayo, nto leyo ethetha ukuba iimpawu zinokuba nzima ngakumbi ngokuhamba kwexesha.

Kulungile, kutheni oku kusenzeka kuthi?

Eyona sizathu siphambili soku kukuqokelelana kolwelo olukhethekileyo olubizwa ngokuba yi-endolymph endlebeni yethu yangaphakathi. Khawuthelekelele, ngaphakathi endlebeni yethu yangaphakathi kukho iindawo ezibuthathaka kakhulu ezilawula ulungelelwaniso lomzimba kwaye zibambe isandi.

1. I-Cochlea : Le yinxalenye ye-cochlea egcwele ulwelo, efana neqokobhe le-snail. Xa amaza esandi engena, olu lwelo luyangcangcazela luze luthumele imiqondiso engqondweni, yindlela esiva ngayo isandi. Ngoko ke xa olu lwelo luqokelelana, loo nkqubo inokuphazamiseka kwaye ukuva kunokuphazamiseka.

2. I-Vestibular labyrinth :Le yinxalenye ephambili yomzimba wethu elawula ibhalansi. Njenge-accelerometer ekwifowuni yethu, le nxalenye ithumela imiqondiso engqondweni malunga nendawo esikuyo kunye nokuhamba kwethu. Ngoko ke xa uxinzelelo lolwelo apho lusanda, ezo mpawu ziyabhideka, nto leyo ebangela i-vertigo.

Nangona kungaziwa ukuba kutheni olu lwelo luqokelelana, oogqirha bakholelwa ukuba kukho izizathu ezahlukeneyo:

• Iingxaki ze-allergy okanye izifo zokuzikhusela komzimba: Ezi zizifo apho inkqubo yokuzikhusela yomzimba wethu ihlasela iiseli zethu (umz., isifo samathambo esibizwa ngokuba yi-Rheumatoid arthritis, i-Systemic lupus erythematosus)
• Usulelo lwentsholongwane
• Izinto ezibangela ufuzo
• Ukuncitshiswa kwemithambo yegazi: Kufana noko kwenzekayo xa umntu ephathwa yi-migraine.

Kukholelwa ukuba isifo sikaMeniere sidla ngokubangelwa yenye okanye ngaphezulu kwezi zinto zidibene.

Iimpawu kunye nezigaba zesifo sikaMeniere

Iimpawu zesi sifo zinokuvela ngequbuliso, ziphele emva kweentsuku ezimbalwa, zize ziphinde zivele. Makhe sijonge ezi mpawu ngokucacileyo kwitheyibhile.

Esi sifo sinokuvela kwizigaba ezintathu eziphambili.

Isigaba sokuqala (ixesha lokuqala)

Ngeli xesha, isiyezi singenzeka ngokungalindelekanga nangesiquphe. Ngelo xesha, ukuva kunokuncipha kwaye indlebe isenokuziva igcwele. Nangona kunjalo, xa isiyezi siphelile, ukuva kunokubuyela esiqhelweni.

Isigaba sesibini (ixesha eliphakathi)

Ngeli xesha, isiyezi sinokuqhubeka, kodwa sisenokungabi nzima kangako. Nangona kunjalo, ukuva kuya kuqala ukuncipha ngokusisigxina ukuya kuthi ga kwinqanaba elithile. I-tinnitus nayo inokwanda.

Inqanaba lesithathu (ixesha elizayo)

Kule nqanaba, isiyezi sinokuphela phantse ngokupheleleyo. Nangona kunjalo, ukuva kuyancipha kakhulu kwaye kunokonakala ngonaphakade. Ekubeni amalungu alawula ibhalansi emzimbeni onakele ngonaphakade, kunokuba nzima ukugcina ibhalansi, ingakumbi xa uhamba ebumnyameni.

Uyifumana njani le nto, Gqirha?

Ukufumanisa isifo sikaMeniere kunokuba nzima kancinci kuba ezi mpawu zinokubonakala nakwezinye iimeko. Ugqirha wakho uza kukubuza ngeempawu zakho aze enze uvavanyo ukuqinisekisa ukuba akukho zizathu zimbi.

Ukuze kufunyaniswe ukuba unesifo sikaMeniere, kufuneka ube nezi zinto zilandelayo:

• Ukuba nevertigo ubuncinane kabini.
• Ukulahlekelwa kukuva kuqinisekiswa luvavanyo lokuva .
• Ukuva isandi ezindlebeni (i-tinnitus) okanye ukuba nomvakalelo wokugcwala ezindlebeni .

Ezinye zeemvavanyo eziphambili ezenziweyo ngenxa yale njongo zezi:

• Uvavanyo lokuva (Audiometry): Uvavanyo olujonga ukuba uva kakuhle kangakanani na kumanqanaba ahlukeneyo esandi.
• Uvavanyo lwebhalansi (Uvavanyo lweVestibular):
• Uvavanyo lwe-VNG/ENG: Iintshukumo zamehlo akho zilinganiswa kwigumbi elimnyama.
• Uvavanyo lwesitulo esijikelezayo: Ujikeleziswa kwisitulo esilawulwa yikhompyutha kwaye iintshukumo zamehlo akho ziyavavanywa.
• Ezinye iimvavanyo ezikhethekileyo ezifana nale (`VEMP`, `CDP`, `vHIT`) zijonga ukuba iindawo zendlebe yangaphakathi ezilawulayo zisebenza kakuhle kangakanani na.
• Ezinye iimvavanyo: Kungenziwa i-MRI okanye i-CT scan ukuqinisekisa ukuba akukho sizathu simbi, esifana nomhlaza wobuchopho.

Zithini iindlela zonyango zoku?

Ugqirha wakho uza kuqala ngonyango olulula oluneziphumo ebezingalindelekanga ezimbalwa.

1.Utshintsho kwindlela yokuphila:

• Ukutya okungenatyuwa ininzi: Ukunciphisa ukutya ityuwa (i-sodium) kubaluleke kakhulu ukunciphisa ukugcinwa kolwelo emzimbeni. Kuphephe ukutya okusemathinini, iisosi, kunye nokutya okunetyuwa eninzi.
• Ukuphepha ukutya okuthile: Izinto ezifana ne-caffeine (ikofu, iti), itshokolethi, kunye notywala zinokwenza iimpawu zibe zimbi ngakumbi.

2. Iintlobo zamayeza:

• Amayeza okunyanga isiyezi: Amayeza afana ne-``(Betahistine)`` angasetyenziselwa ukulawula i-vertigo.
• Amayeza okugabha: Lawula ukuhlanza kunye nokugabha.
• I-Diuretics ("iipilisi zamanzi"): Amayeza anikwa ukunciphisa ubungakanani bolwelo olungaphezulu emzimbeni nasezindlebeni.
• Amayeza okulwa nokuxhalaba: Amayeza anje nge-`(Diazepam)` anokunikwa ixesha elifutshane xa kukho i-vertigo engalindelekanga.

3. Ezinye iindlela zonyango:

• Unyango lokubuyisela umzimba kwi-Vestibular: Oku kufana nonyango lwe-physiotherapy . Luluhlu lwemithambo eqeqesha ingqondo kwakhona ukuze ihlale ilungelelene.
• Inaliti ephakathi endlebeni: Ukuba iimpawu azinakulawulwa, ugqirha unokuyifaka i-steroid okanye i-antibiotic ebizwa ngokuba yi-"Gentamicin" endlebeni ephakathi.

4. Utyando:

Utyando lucetyiswa kuphela kwabo baneempawu ezinzima kakhulu ezingenakulawulwa zezinye iindlela zonyango. Kukho iindlela ezahlukeneyo zotyando, ezifana ne-`(Labyrinthectomy)` kunye ne-`(Endolymphatic sac decompression)`. Ugqirha wakho uza kukuchazela ezi zinto.

Ungayilawula njani le meko ekhaya?

Kubaluleke kakhulu ukuba ungoyiki xa uziva unesiyezi.

• Xa uziva unesiyezi:
• Hlala phantsi okanye ulale phantsi ngoko nangoko. Musa ukwenza iintshukumo ezikhawulezileyo.
• Ziphephe izibane ezikhanyayo, ingxolo enkulu, nokubukela umabonwakude.
• Jonga into enye, engashukumiyo.
• Phumla: Ungaziva udiniwe emva kokuba uqaqanjelwe yintloko. Phumla ngokwaneleyo kwaye uqalise umsebenzi ngokukhawuleza.
• Chonga izinto ezibangela oku: Fumanisa ukuba zeziphi izinto ezenza iimpawu zakho zibe zimbi ngakumbi. Umzekelo:
• Ukuma ngequbuliso, ujika intloko yakho ngokukhawuleza.
• Ukugoba (ukuba uchola into phantsi, goba amadolo akho).
• Uxinzelelo, ukusebenza kakhulu.
• Ezinye izitya.

Masifunde nangokuqhuba nokuqhuba ngenqwelo moya.

Ukuba unesifo sikaMeniere, kufuneka ulumke kakhulu xa uqhuba.

• Ukuba uziva unesiyezi ngequbuliso (vertigo) okanye "uhlaselo lokuwa," kuphephe ukuqhuba ngokupheleleyo. Oku kubaluleke kakhulu kukhuseleko lwakho nolwabanye.
• Kusenokufuneka ngokomthetho ukuba wazise iarhente yakho ekhupha iilayisensi zokuqhuba kunye nenkampani yomshuwalense ngale nto.
• Akusoloko kuyingxaki enkulu kwiinqwelomoya. Nangona kunjalo, sela amanzi amaninzi kwaye uphephe utywala kwinqwelomoya.

Isifo sikaMeniere, i-vertigo, i-tinnitus, ukulahlekelwa kukuva, indlebe yangaphakathi, ibhalansi