Khawuthelekelele ukuba ubudidekile uze ngequbuliso uzive ngathi ihlabathi liphela liyakujikeleza? Okanye ukuba uva isandi esithi "whooshing..." endlebeni yakho kungekho mntu ukhoyo? Oku kukungonwabi okubangelwa ngabantu abaninzi xa benesifo esibizwa ngokuba yiMénière's Disease. Singaqala ngequbuliso, siphele okwethutyana, size sibuye kwakhona, kwaye sisifo esicaphukisayo kakhulu. Makhe sithethe ngaso ngokulula namhlanje.
Ngamafutshane, yintoni isifo sikaMénière?
Isifo sikaMénière sisifo esingaqhelekanga esichaphazela indlebe yangaphakathi. Eli candelo lendlebe lilawula ukulinganisela kwethu nokuva kwethu. Ngoko ke xa unesi sifo, ungaziva ngathi ihlabathi liphela liyajikeleza nokuba umi bhuxe. Siyibiza ngokuba yi -vertigo . Usenokuva neengxolo ezindlebeni zakho okanye ukulahlekelwa kukuva.
Ezi mpawu zinokuqala ngequbuliso ngaphandle kwesilumkiso . Zinokuphela okwethutyana, zize ziphinde zivele emva kweentsuku okanye iinyanga. Ukuba azinyangwa kakuhle, ezi mpawu zinokuba mandundu ngokuhamba kwexesha, zikhokelele ekulahlekelweni kokuva okungapheliyo kunye neengxaki zokulinganisela okuqhubekayo. Kodwa ungakhathazeki, ngonyango olufanelekileyo kunye nenkxaso evela kugqirha wakho, ungalawula le meko.
Ziziphi iimpawu eziphambili zesi sifo?
Ezi mpawu zivele ngequbuliso njengesiganeko. Oku kungathatha imizuzu engama-20 okanye iiyure ezingama-24. Ngamanye amaxesha ukuhlaselwa okuliqela kunokwenzeka ngokulandelelana. Abanye abantu banokuba nokuhlaselwa kanye baze baphile iinyanga bengenazo iimpawu.
Makhe sibone ukuba zeziphi iimpawu eziphambili zesi sifo.
| Uphawu | Inkcazo |
|---|---|
| I-Vertigo | Ukuziva ngathi ihlabathi liphela liyakujikeleza. Kwabanye abantu, oku kunokuba nzima kangangokuba abakwazi ukuma baze bawele phantsi ngequbuliso. Oku kukwabizwa ngokuba "luhlaselo lokuwa." |
| Ukulahlekelwa Kukuva | Oku kudla ngokuchaphazela indlebe enye. Kwinqanaba lokuqala, izandi eziphantsi zihlala zilahleka. Ukuba azinyangwa, le meko inokuba mandundu ngokuhamba kwexesha. |
| Ukuva isandi ezindlebeni (i-Tinnitus) | Ukuziva isandi rhoqo endlebeni. Isenokuba sisandi "esikhwazayo", njengomatshini osebenzayo, okanye isandi esifana neqokobhe lolwandle elibekwa endlebeni. |
| Uxinzelelo ngaphakathi kwendlebe | Usenokuziva uxinezelekile okanye uzive ugcwele kwindlebe echaphazelekayo. |
| Ukuhlanza kunye nesicaphucaphu | Kuqhelekile ukuba nesiyezi esinzima kunye nesicaphucaphu kunye nokuhlanza. |
Kutheni oku kusenzeka? Zithini izizathu?
Oogqirha abakayazi kakuhle into ebangela isifo sikaMénière, kodwa uninzi lukholelwa ukuba sibangelwa kukwanda kolwelo olubizwa ngokuba yi-endolymph, olufumaneka kwindlebe engaphakathi. Xa olu lwelo luqokelelana kakhulu, lunokuphazamisa imiqondiso yokuva kunye nokulinganisela ehamba ukusuka endlebeni ukuya ebuchotsheni.
Kukho iimeko ezininzi ekucingelwa ukuba zinegalelo ekuqokeleleni kolwelo lwe-endolymph ngale ndlela:
- Iintlobo ngeentlobo zee-allergies (ii-Allergies)
- Ukuvalwa kokuhamba kolwelo ngaphakathi endlebeni
- Ukulimala entloko
- Iintsholongwane ezahlukeneyo
- Intloko ebuhlungu
Nangona kunjalo, kufuneka uphando oluthe kratya ukuze kuqondwe ngokupheleleyo ulwalamano oluphakathi kwezi meko kunye neSifo sikaMénière.
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Nangona nabani na enokuba neSifo sikaMénière, abanye abantu basengozini enkulu.
- Ubudala: Esi sifo sidla ngokubonakala kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala.
- Isini: Ezinye izifundo zibonisa ukuba abafazi banamathuba amancinci okufumana esi sifo.
- Iijini: Phakathi kwe-7% kunye ne-10% yabantu abanesi sifo banelungu losapho elikhe laba nesi sifo. Oku kuthetha ukuba sinokudluliselwa kwizizukulwana ngezizukulwana.
- Izifo ezizikhusela ngokwazo emzimbeni:Ukuba unesifo sokuzikhusela komzimba, esifana ne-rheumatoid arthritis okanye i-lupus, usemngciphekweni omkhulu wokufumana isifo sikaMénière.
Zithini iziphumo ezibi ezinokubakho ukuba oku kungahoywa?
Isiyezi esinzima esibangelwa sesi sifo sinokukhokelela ekuweni kakhulu . Oku kwenza nemisebenzi yemihla ngemihla efana nokunyuka izinyuko nokuqhuba imoto ibe yingozi kakhulu. Ekuhambeni kwexesha (ngesiqhelo emva kweminyaka esi-8-10), le meko inokukhokelela ekulahlekelweni kokuva okungapheliyo .
Ngokufanayo, esi sifo sinokuba nefuthe elikhulu kwimpilo yakho yengqondo. Ukuhlala uxhalabile ngezinto ezifana nokuthi "Ndiza kuphinda ndizive ndinesizunguzi kwakhona?" kunye nokuthi "Ngaba ndiza kulahlekelwa kukuva kwam ngokupheleleyo?" kunokukhokelela ekuxhalabeni nasekudakumbeni .
Ungaze woyike ukuthetha nogqirha wakho malunga nokungonwabi komzimba kunye noxinzelelo lwengqondo olubangelwa sesi sifo.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Esi simo sidla ngokuchongwa yingcali yendlebe, impumlo, nomqala (otolaryngologist - ENT). Xa ubona ugqirha wakho, uya kukuhlola aze akubuze ngeempawu zakho. Emva koko, banokwenza uvavanyo ukuqinisekisa ukuba awunazo ezinye iimeko ezibangela iimpawu ezifanayo.
- Uvavanyo lokuva: Jonga ukuba kukho na ukulahleka kokuva.
- Ibhetri yovavanyo lweVestibular: Ivavanya ukusebenza kwenkqubo yokulinganisela endlebeni yangaphakathi nakwimisipha yeliso.
- I-Brain MRI scan: Olu vavanyo lunokwenziwa ukuqinisekisa ukuba akukho thumba lobuchopho okanye enye ingxaki ebangela isiyezi.
Zithini iindlela zonyango zoku?
Akukho nyango lweSifo sikaMénière. Nangona kunjalo, kukho unyango oluninzi olusebenzayo olunokunciphisa ubukhali kunye nobude beempawu . Ugqirha wakho uhlala eqala ngonyango olulula. Ukuba olu nyango aluncedi, banokucebisa utyando.
Utshintsho kwindlela yokuphila
Ukwenza utshintsho oluncinci kubomi bakho bemihla ngemihla kunokunciphisa kakhulu ezi mpawu.
- Ukunciphisa ukusetyenziswa kwe-caffeine kunye notywala.
- Ukulawula uxinzelelo kunye nokulala ngokwaneleyo.
- Ukulandela ukutya okungenatyuwa ingako.Icebiso eliqhelekileyo kukuba ungatyi ngaphezu kwe-1500 milligrams yetyuwa ngosuku. Oko kumalunga ne-¾ yethisipuni. Ugqirha wakho angakuxelela nokuba ungatyi ukutya okune-MSG.
Amayeza
Kukho iintlobo ezininzi eziphambili zamayeza anikwa esi sifo.
- I-Diuretics kunye ne-betahistine: I-Diuretics inciphisa ubungakanani bolwelo olugqithisileyo emzimbeni. Eli yeza i-betahistine liphucula ukujikeleza kwegazi endlebeni engaphakathi kwaye linciphisa uxinzelelo lolwelo.
- Amayeza okunyanga isiyezi kunye nokucaphuka: La mayeza anokunceda ukulawula isiyezi kunye nokunciphisa isicaphucaphu. Umzekelo, amayeza anjenge-diazepam kunye ne-meclizine anokunikwa.
Ukuba la mayeza awayilawuli imeko, ugqirha wakho angakunika amayeza anikwe njengenaliti .
- Inaliti ye-steroid ye-intratympanic: Ukujova iyeza le-steroid nge-eardrum kunokulawula iimpawu.
- IGentamicin: Le yi-antibiotic. Isebenza ngokonakalisa izicubu zendlebe zangaphakathi ezibangela iimpawu. Nangona kunjalo, kukho umngcipheko ngolu nyango, oluthi lunokubangela ukulahleka kokuva okungakumbi.
Ezinye iindlela zonyango kunye nezixhobo
- Ukuvuselelwa kwemithambo: Oku kufana nonyango lomzimba. Kukufundisa imithambo yokunceda ukuphucula ibhalansi yakho kunye nokulawula isiyezi sakho.
- Izixhobo zokuva: Ekuhambeni kwexesha, unokufuna ukusebenzisa isixhobo sokuva.
- I-Cochlear implant: Esi sixhobo sinokuba yimfuneko ukuba ukuva kuphazamisekile kakhulu kwaye izixhobo zokuncedisa ukuva azincedi.
- Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT): Olu hlobo lonyango lunceda ekuhlangabezaneni ngempumelelo noxinzelelo, ixhala, kunye nokudakumba okubangelwa sesi sifo.
Utyando
Kwiimeko ezinzima, xa iimpawu zingalawulwa zezinye iindlela zonyango, utyando lunokufuneka ukuze kuncitshiswe uxinzelelo lolwelo ngaphakathi endlebeni.
- Inkqubo ye-Endolymphatic sac: Inxalenye efana ne-sac yendlebe yangaphakathi apho ulwelo luqokelelana khona iyavulwa kwaye ulwelo olugqithisileyo luyasuswa.
- Icandelo lemithambo-luvo yeVestibular: Ukusika imithambo-luvo ethwala imiqondiso yokulinganisela engqondweni kuthintela isiyezi.
- Utyando lweLabyrinth: Inxalenye yendlebe elawula ibhalansi isuswa ngokupheleleyo. Nangona kunjalo, emva kolu tyando, indlebe iya kuba sisithulu ngokupheleleyo. Ke ngoko, oku kwenziwa kuphela kubantu abasele belahlekelwe kukuva konke kuloo ndlebe.
Ngaba esi sifo siya kunyangwa ngokupheleleyo?
Isifo sikaMénière sinokuhlala singenazimpawu kangangeenyanga, kwaneminyaka, size siphinde sibuye. Oku kuthetha ukuba nangona singenakunyangwa ngokupheleleyo,Ngonyango olufanelekileyo kunye notshintsho kwindlela ophila ngayo, inokulawulwa ngempumelelo kwaye ungaphila ubomi obuqhelekileyo. Eyona nto ibalulekileyo kukuthatha amayeza owanikwe ngugqirha wakho kwangoko nje ukuba uqalise ukuba neempawu. Emva koko ungafumana isiqabu ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Isifo sikaMénière sisifo sendlebe yangaphakathi esibangela iimpawu ezifana nesiyezi ngequbuliso, ukulahlekelwa kukuva, kunye nokukhala kweendlebe.
- Nangona unobangela ochanekileyo woku ungaziwa, kukholelwa ukuba unobangela oyintloko kukuqokelelwa kolwelo ngaphakathi endlebeni.
- Ukuba unale mpawu, bonana nogqirha ngokukhawuleza, ingakumbi ingcali yendlebe, impumlo nomqala.
- Nangona ingenakunyangwa ngokupheleleyo, iimpawu zingalawulwa kakuhle ngokutshintsha indlela yokuphila, amayeza, kunye nolunye unyango.
- Musa ukuyityeshela ingcinezelo yengqondo ebangelwa sesi sifo. Thetha nogqirha wakho ngayo ngokukhululekileyo.
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