Ingaba nawe uziva unesiyezi ngalo lonke ixesha? Isenokuba yingxaki ye-vestibular!

Ngaba ngamanye amaxesha uziva unesiyezi okanye ujikeleza esihlalweni sakho? Abanye abantu banesicaphucaphu kwaye bahlanza. Ukuba oku kwenzeka rhoqo, musa ukuyithatha njengento eqhelekileyo. Kusenokuba ngenxa yengxaki kwinkqubo yokulinganisela yomzimba wakho, ebizwa ngokuba yi-vestibular system. Namhlanje, siza kuthetha ngeengxaki ze-vestibular.

Zithini izifo zeVestibular?

Ngamafutshane, iingxaki ze-vestibular ziingxaki zenkqubo ye-vestibular, elawula ukulinganisela komzimba wakho. Le nkqubo ibandakanya iindawo zendlebe yakho yangaphakathi kunye neendawo zobuchopho bakho. Ezi zezona zinto zikunceda ukugcina umzimba wakho ulungelelene.

Cinga ngayo, le nkqubo yiyo ekuncedayo ukuba ugcine ibhalansi yakho xa uhamba, ujika intloko yakho, kwaye utsiba. Ngoko ke, ukuba kukho ingxaki ngenkqubo ye-vestibular endlebeni yakho yangaphakathi, okanye kwiindawo zenkqubo yakho ye-nervous system (CNS) ezithatha olu lwazi ziye ebuchotsheni kwaye ziluhlalutye, unokuba neengxaki ngebhalansi yakho (ukungasebenzi kakuhle kwe-vestibular). Rhoqo, iingxaki ze-vestibular ezinje zezi zibangela isiyezi kunye ne-vertigo.

Ziziphi iintlobo eziphambili zale meko?

Oogqirha bahlula ezi ngxaki ze-vestibular ngokusekwe kwindawo apho ingxaki ikhona kwinkqubo yakho ye-vestibular.

• Iingxaki zeVestibular zePeripheral (PVD): Ezi ziimeko ezichaphazela indlebe yakho yangaphakathi okanye imithambo-luvo yevestibular, ethwala imiqondiso yokulinganisela engqondweni. Yicinge njengengxaki yeendawo ezincinci zeemvakalelo ezingaphakathi kwendlebe yakho.
• Iingxaki zeCentral Vestibular (CVD): Ezi ziimeko ezichaphazela iindawo zengqondo yakho ezisebenza ngemiqondiso yokulinganisela evela kwinkqubo ye-peripheral vestibular. Oku kuthetha ukuba ingqondo ayikwazi ukutolika kakuhle ulwazi oluvela ezindlebeni.

Ziziphi izifo ze-vestibular eziqhelekileyo?

Ezinye zezi ziqhele ukubonwa:

• I-Benign Paroxysmal Positional Vertigo (BPPV): Olu luhlobo lwesiyezi esifunyanwa ngabantu abaninzi xa bejika intloko ngequbuliso.
• Isifo sikaMénière: Kule meko, kunye nesiyezi, ukulahlekelwa kukuva kunye nokukhala kweendlebe kunokwenzeka.
• I-Vestibular neuritis: Oku kuxa umthambo we-vestibular uvuvukala.
• I-Labyrinthitis: Oku kukudumba kwe-labyrinth yendlebe yangaphakathi, okunokuchaphazela ukuva.

Ngaba kukho ezinye iintlobo zeengxaki ze-vestibular?

Ewe, zininzi nezinye. Ezi zinzima kancinci, kodwa kulungile ukuzazi:

• I-acoustic neuroma
• Isifo sendlebe yangaphakathi esizikhusela ngokwaso
• Ii-aqueducts ezinkulu ze-vestibular (EVA)
• Isifo seMal de débarquement (MdDS) – Le yimvakalelo yokuba umhlaba uyanyikima nasemva kokuba uhlile enqanaweni.
• I-Otosclerosis
• I-Perilymphatic fistula (PLF)
• Ukudinwa okuqhubekayo kokuma kwendlela yokubona (PPPD)
• I-Presbyvesbulopathy (PVP) – iingxaki zokulinganisela ezenzeka ngokweminyaka.
• Ii-hydrops ze-endolymphatic zesibini
• Isifo se-superior semicircular canal dehiscence syndrome
• I-vertigo yemithambo yegazi
• Ukungoneli kakuhle kwe-vertebrobasilar
• I-Vestibular ataxia
• I-Vestibular migraines - isiyezi esihamba ne-migraines.
• I-hypofunction yeVestibular
• I-Vestibular paroxysmia

Ngoku usenokuba ucinga, "Mama, sesiphi esi sifo?" Ungakhathazeki, ayinguye wonke umntu ozifumana zonke ezi zinto. Yingcali kuphela enokuzixilonga ngokuchanekileyo.

Ziziphi iimpawu zesifo se-vestibular?

Kukho iimpawu ezimbini ezibonakala kakhulu kule meko:

• Ukudinwa: Oku kuthetha ukuziva unesizungu, unesizungu, okanye "unesizungu."
• I-Vertigo: Kulapho uziva ngathi uyajikeleza, okanye igumbi okulo liyajikeleza. Kufana nokunyuka nokuhla kwi-swing.

Ukongeza kwezi mpawu ziphambili, ezinye iimpawu zinokuvela ngokuxhomekeke kwimeko yakho ethile. Ziquka:

• Ubunzima bokuma okanye ukuhlala nkqo.
• Ubunzima bokuhamba kancinci (njengokungathi uhamba ngokungazinzi).
• Ukulahlekelwa kukuva okanye ukukhala kweendlebe (oku kubizwa ngokuba yi-tinnitus ).
• Ukunyakaza kwamehlo okungalawulekiyo nokungaqhelekanga (oku kubizwa ngokuba yi-nystagmus) .
• Umbono ofipheleyo.
• Isicaphucaphu nokuhlanza.
• Ubunzima bokugxila kwinto ethile.

Khawucinge nje, uNilanthi Akka waselalini yethu uziva enesizungu kangangemizuzu yonke kusasa xa evuka ebhedini. Wayecinga ukuba kungenxa yokungalali kakuhle. Kodwa kamva, xa wabona ugqirha, wafumanisa ukuba yimeko ebizwa ngokuba yi -BPPV (Benign Paroxysmal Positional Vertigo) . Ngoko ke ukuba unale mpawu, qiniseka ukuba ubona ugqirha.

Ziziphi izizathu zeengxaki ze-vestibular?

Kukho izizathu ezininzi zokuba kutheni inkqubo ye-vestibular ingasebenzi kakuhle.

• Ukwaluphala: Njengoko ukhula, izakhiwo ezikwindlebe yakho yangaphakathi ezithumela imiqondiso yokulinganisela engqondweni zinokuba buthathaka kancinci kancinci.
• Ukulimala entloko: Ukubethwa entloko kungonakalisa indlebe yangaphakathi okanye iindawo zobuchopho ezinxulumene nenkqubo ye-vestibular.
• Ukuvezwa zityhefu: Ukungcoliswa yi-Ototoxicity kukonakalisa indlebe yangaphakathi okubangelwa ngamayeza athile owasebenzisayo. Le yimbangela enkulu yokungasebenzi kakuhle kwe-vestibular. Indlebe yangaphakathi inokonakaliswa ziikhemikhali ezikwindawo engqongileyo (umzekelo, i-lead).
• Ukudumba: Ukudumba kungonakalisa amalungu omzimba kunye nemithambo-luvo engaphakathi endlebeni ebandakanyeka ekulinganiseni. Ngamanye amaxesha oku kudumba kunokubangelwa lusulelo lwentsholongwane okanye iintsholongwane.
• Iingxaki ze-Endolymph: Ulwelo olukwindlebe yakho yangaphakathi olubizwa ngokuba yi-endolymph luyashukuma njengoko intloko yakho ishukuma. Olu shukumo luvuselela imithambo-luvo ethumela ulwazi malunga nendawo ohlala kuyo engqondweni yakho. Ukuba kukho ingxaki ngolu lwelo, lunokubangela iingxaki kwinkqubo ye-vestibular, nto leyo ebangela iimpazamo ekudlulisweni kwesignali.
• Iithumba: Ezinye iithumba (kuquka iithumba) engqondweni okanye endlebeni zinokuchaphazela imithambo-luvo ekunceda ukuba uhlale ulungelelene.
• Izifo ezizikhusela ngokwazo: Oku kunqabile kancinci, kodwa kwezinye izifo ezizikhusela ngokwazo, inkqubo yakho yokuzikhusela komzimba inokuhlasela indlebe yakho yangaphakathi.
• Iimeko ze-Neurological: Izifo ezichaphazela imithambo-luvo yakho kunye nenkqubo ye-nervous system (CNS) zinokubangela ukuba ibhalansi yakho ichaphazeleke. I-stroke sisizathu esiqhelekileyo sokungasebenzi kakuhle kwe-vestibular ephakathi. Ingabangelwa zizifo ezonakalisa isigqubuthelo sokukhusela esijikeleze imithambo-luvo (ezifana nezifo ezisusa i-myelin ).

Ziziphi izinto ezibangela ezi mpawu?

Abantu abaneengxaki ezithile ze-vestibular bafumana iimpawu, ezinje ngesiyezi kunye ne-vertigo, ezifika zidlule. Kwezi meko, "izinto ezibangela" ezithile zingaqala okanye zibenze zibe mandundu iimpawu. Ezi zinto ziquka:

• Utshintsho kwindawo esingqongileyo: Umzekelo, ngequbuliso ukuya kwindawo "exakekileyo" egcwele abantu ubona izinto ezahlukeneyo.
• Ukutshintsha kwentloko ngequbuliso okanye indlela ohamba ngayo: Njengaxa ulele ebhedini.
• Ukutya kunye neziselo ezithile.
• Ukungalali ngokwaneleyo.
• Uxinzelelo.

Ugqirha wakho unokukunceda ubone ukuba zeziphi izinto ezinje ezinokwenza iimpawu zakho zibe zimbi ngakumbi.

Zithini iziphumo ebezingalindelekanga (iingxaki) ezinokubakho ngenxa yoku?

Ukungasebenzi kakuhle kwemithambo yegazi akuchaphazeli nje kuphela ibhalansi yakho. Ukuba ayinyangwa, inokukhokelela nakwezinye iingxaki.

• Ukuwa: Iingxaki zokulinganisela zinokubangela ukuwa okuyingozi. Ngokutsho kwe-World Health Organisation (WHO), phakathi kwama-20% nama-30% abantu abadala e-United States bafumana ukwenzakala entloko, ukuxhuzula, okanye ukwaphuka kwesinqe ngenxa yokuwa. Abantu abangaphezu kweminyaka engama-60 ubudala basengozini enkulu yokuwa okusongela ubomi. Khawuthelekelele ukuba bekuya kuba njani ukuba ngequbuliso uzive unesizungu uze uwe ngelixa uhamba epasejini.
• Ukulahlekelwa kukuva ixesha elide: Ezinye iingxaki ze-vestibular zinxulunyaniswa nokulahlekelwa kukuva ixesha elide. Oku kunokuthintelwa ukuba imeko ifunyaniswa kwaye inyangwa kwangethuba.
• Iimeko zempilo yengqondo: Iimpawu zokungasebenzi kakuhle kwemithambo yegazi zinokwenza kube nzima ukwenza imisebenzi yemihla ngemihla, njengokuqhuba okanye ukuhamba ngeenyawo. Abantu banokukuphepha ukunxibelelana nabantu ngenxa yokoyika isiyezi okanye i-vertigo. Ezi ziphumo zinokukhokelela kwiimeko zempilo yengqondo ezifana nokuxhalaba kunye nokudakumba .

Kungoko ke, kubaluleke kakhulu ukufuna iingcebiso zonyango kunye nonyango ngokukhawuleza ngaphandle kokwandisa umngcipheko weengxaki zempilo ezingakumbi.

Izifo ze-vestibular zichongwa njani?

Ugqirha wakho uza kuyixilonga le meko ngokwenza uvavanyo lomzimba kunye novavanyo lwemithambo-luvo. Baza kukubuza nangeempawu zakho. Ukuqonda iimpawu zakho kubalulekile ekuqinisekiseni ukuba ingxaki ikwindlebe yangaphakathi okanye kwinkqubo yemithambo-luvo ephakathi (CNS).

Nguwuphi uhlobo lwengcali endifanele ndiyibone?

Kukho oogqirha abaninzi abanokuchonga nokunyanga iingxaki ze-vestibular:

• Iingcali ze-Otolaryngologists (ENTs).
• Iingcali ze-Vestibular audiologists.
• Iingcali ze-neurological.
• Iingcali zonyango lomzimba.

Luhlobo luni lovavanyo olwenziwayo ukufumanisa oku?

Kunokwenzeka ukwenza iimvavanyo ezinje:

• Uvavanyo lweVestibular: Olu vavanyo lunokujonga indlela amalungu evestibular akwindlebe yakho yangaphakathi asebenza ngayo. Rhoqo, olu vavanyo lujonga indlela amehlo akho kunye nendlebe yangaphakathi ezisebenzisana ngayo ukukunceda ugcine ibhalansi.
• Uvavanyo lokuva: Olu vavanyo lujonga iimpawu ezifana nokulahlekelwa kukuva okanye ukukhala kweendlebe (i-tinnitus), ezinokunxulunyaniswa nesifo se-vestibular.
• Uvavanyo lomfanekiso:Kusenokufuneka wenze i-MRI (magnetic resonance imaging) okanye i-CT scan (computed tomography scan) ukuze ubone ukuba kukho naziphi na iingxaki zesakhiwo kwindlebe yakho yangaphakathi okanye engqondweni.
• Uvavanyo lwegazi: Olu vavanyo lunokujonga ukuba kukho usulelo olunokubangela iingxaki zendlebe yangaphakathi.

Izifo ze-vestibular ziphathwa njani?

Unyango olufumanayo luya kuxhomekeka kwimeko yakho ethile. Izifo zemithambo yegazi zinokunyangwa ngoku:

• Utshintsho kwindlela yokuphila: Utshintsho olulula kwindlela yokuphila lunokunceda ekulawuleni ezinye iingxaki ze-vestibular. Umzekelo, ukuba ulwelo oluqokelelene ezindlebeni zakho luyingxaki, ukunciphisa ukutya okunetyuwa (okunokubangela ukugcinwa kwamanzi) kunokunceda. Kubalulekile nokufunda ukuchonga nokulawula izinto ezinokubangela i-vertigo.
• Amayeza: Ungadinga amayeza okunyanga unobangela wemeko yakho okanye ukulawula iimpawu zakho. Umzekelo, ungadinga amayeza okubulala iintsholongwane ukunyanga usulelo lweentsholongwane, okanye amayeza okukhupha ulwelo ukunciphisa ukwakheka kolwelo ezindlebeni zakho. Ungadinga amayeza okulwa nesicaphucaphu okanye amayeza okulwa ne-antihistamine ukulawula iimpawu ezifana nesicaphucaphu.
• Inkqubo yokutshintsha indawo yeCanalith: Ukuba une -BPPV (Benign Paroxysmal Positional Vertigo) , olu nyango, kunye nogqirha wezonyango, lunokunceda ekutshintsheni indawo yecanaliths encinci kwindlebe yakho engaphakathi ephumileyo.
• Ukuvuselelwa kweVestibular: Unyango lokuvuselelwa kweVestibular luquka iiseshoni zokuzilolonga ezinceda ukulawula isiyezi kunye nevertigo.
• Utyando: Utyando lwendlebe yangaphakathi ludla ngokwenziwa njengendlela yokugqibela yokunyanga iingxaki ze-vestibular. Nangona kunjalo, kunokufuneka ukulawula iimpawu ze-vertigo ezinzima ukuba ezinye iindlela zonyango azincedanga.

Yintoni onokuyilindela xa uphila nale meko?

Imeko yakho ixhomekeke kwingxaki ethile ye-vestibular onayo. Kwezinye iimeko, iingxaki ze-vestibular ziyaphela zodwa. Umzekelo, iingxaki ze-vestibular ezinxulumene nosulelo zihlala ziphucuka xa intsholongwane okanye iibhaktheriya ziphelile. Nangona kunjalo, kubalulekile ukufumana unyango ngokukhawuleza ukuze kuthintelwe umonakalo wexesha elide kwindlebe yangaphakathi.

Ezinye iingxaki ze-vestibular zifuna ukulawulwa ubomi bakho bonke. Iimpawu zinokufika zize ziphele ngokungalindelekanga, okanye ngenxa yezinto ezibangela ukuba uzive. Ukuba kunjalo kuwe, kuya kufuneka usebenzisane nogqirha wakho (okanye iqela lokhathalelo) ukulawula imeko yakho.

Ngaba iingxaki ze-vestibular zingathintelwa?

Kuxhomekeke kwisizathu sengxaki ye-vestibular, kodwa iingxaki ze-vestibular zihlala zinzima ukuzithintela.

Kodwa kukho izinto onokuzenza ukuze uzinyamekele. Umzekelo, ungafumana unyango kwangethuba ukuze uthintele umonakalo wexesha elide obangelwa zizinto ezifana nosulelo. Ukuba uphila nesigulo esihlala ixesha elide, ungathatha amanyathelo okunciphisa umngcipheko wakho wokuwa.

Ndingazinyamekela njani?

Amaxesha amaninzi, indibaniselwano yotshintsho lwendlela yokuphila, amayeza, kunye nokuvuselelwa kwe-vestibular zisetyenziselwa ukunyanga okanye ukulawula iingxaki ze-vestibular. Kodwa uninzi lwabantu lunokufumana isicwangciso sonyango esibasebenzelayo. Okwangoku, ungazinyamekela ngokwenza oku kulandelayo:

• Soloko ugcina amayeza akho kuwe.
• Ukuba uziva ngathi iimpawu ziqala ukubonakala, thatha ikhefu uze uphumle.
• Ziphephe izinto ezinobungozi ukuba awuqinisekanga ukuba zikhuselekile.
• Ukuba uyatshaya, yiphephe loo nto (okanye uyeke). Ukutshaya kunokwenza iimpawu zibe zimbi ngakumbi.
• Nciphisa i-caffeine kunye notywala. Ezi zizinto ezibangela iimpawu ezingaqhelekanga.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza imibuzo efana nale:

• Kutheni ndibe nale ngxaki ye-vestibular?
• Zeziphi iimvavanyo ekufuneka zenziwe ukuze kufunyaniswe imeko yam?
• Luhlobo luni lonyango endiludingayo?
• Ndingazilawula njani izinto ezibangela iingxaki?
• Ziziphi iinguqu endinokuzenza ukunciphisa umngcipheko wokuwa?

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Uninzi lwethu aluqondi ukuba kubaluleke kangakanani ukulinganisela kubomi bethu bemihla ngemihla de sibe nengxaki. Kulapho siziva ngathi igumbi liyajikeleza ngequbuliso apho siqonda khona ixabiso lalo. Ngamanye amaxesha olu luvo luyaphela emva kwexesha elithile. Kodwa ukuba unesifo se-vestibular, kubalulekile ukubona ugqirha kwaye ufumane unyango ngaphambi kokuba le vertigo ibe yinto eyingozi njengokuwa. Ugqirha wakho unokukunceda ufumane indibaniselwano efanelekileyo yonyango ukulungisa ingxaki yakho yokulinganisela, ukulawula iimpawu zakho, kunye nokukunceda ufumane indibaniselwano efanelekileyo yonyango kuwe. Ungakhathazeki, uninzi lwezi meko zinokulawulwa kakuhle.

"Iingxaki zemithambo yegazi, isiyezi, i-vertigo, ibhalansi, indlebe yangaphakathi, isifo sikaMeniere, i-BPPV