Ngaba nawe uhlala uziva unesiyezi kwaye unentloko ebuhlungu? Oku kusenokuba yi-vestibular migraine!

Ngaba ngamanye amaxesha uziva ngathi uyajikeleza, umzimba wakho uyajikeleza, kwaye yonke into ekungqongileyo ijikeleza njengengubo ejikelezayo? Kufana naxa ukwisikhephe okanye ukhwele inqanawa. Usenokuba nentloko ebuhlungu, ubunzima bokujonga ukukhanya, okanye ukukhala ezindlebeni zakho xa usiva ingxolo enkulu. Ukuba unezi mpawu, ke isihloko sanamhlanje siya kuba sibaluleke kakhulu kuwe. Masithethe ngemeko ethile ebizwa ngokuba yi -vestibular migraine .

Yintoni iVestibular Migraine? Ngamafutshane...

I-Vestibular migraine, ngokufutshane, yimeko echaphazela inkqubo yethu yemithambo-luvo . Eyona nto iphambili eyenzekayo kukuba uzive unesizungu (vertigo) . Esi sizungu sinokukwenza uzive ngathi awulungelelananga , nokuba umi. Ezinye izifundo zibonise ukuba i-vestibular migraine yeyona nto yesibini ebangela isizungu ebantwini.

Ikwaziwa nangamanye amagama, anjenge-'migraine-associated vertigo (MAV)`, `migraine-related vestibulopathy`, kunye ne-'migraineous vertigo`. Nangona kunjalo, asiwadingi onke la magama kwintetho yemihla ngemihla. Uninzi lwabantu luyazi nge-vestibular migraine.

Oogqirha nabaphandi basazama ukufumanisa ukuba ingaba oku kuyinxalenye ye-migraine okanye yimeko eyahlukileyo. Nangona kunjalo, kukho into enye ecacileyo. Le meko inempembelelo enkulu kubomi bemihla ngemihla babantu , nto leyo ethetha ukuba inciphisa umgangatho wobomi babo. Yiyo loo nto oogqirha becebisa utshintsho kwindlela abaphila ngayo, kwaye ukuba kuyimfuneko, amayeza njengonyango.

Ngaba le yimeko eqhelekileyo ngokwenene?

I-Vestibular migraine yimeko eqhelekileyo echaphazela abantu abaninzi. Nangona kunjalo, i-vestibular migraine ayiqhelekanga kangako. Uphononongo olwenziwe eMelika lufumanise ukuba malunga ne-2.7% yabemi baneempawu ze-vestibular migraine. Kukwafunyaniswe ukuba ipesenti enkulu yabantu abafuna unyango lweengxaki zesiyezi kunye nokulinganisela bane-vestibular migraine. Ngoko ke, ukuba unale mpawu, khumbula ukuba awuwedwa.

Ziziphi iimpawu ze-vestibular migraine?

Iimpawu eziphambili nezibonakalayo zezo zinxulumene nevertigo . Ezi ziquka:

• Kukho iingxaki ngokulinganisela . Usenokuziva unesiyezi xa umi okanye uhamba.
• Ndiziva ndinesizungu .
• Ukuziva ngathi ukhaphukhaphu okanye udada (ukhaphukhaphu) .

Esi sizunguzungu sinokufika siphele kwimizuzu embalwa, okanye singathatha iintsuku. Khawucinge nje, kuthekani ukuba ubulungiselela ukuya emsebenzini kwaye ngequbuliso yonke into ekujikelezileyo iqale ukujikeleza? Okanye, kuthekani ukuba ubuphakathi kwintlanganiso ebalulekileyo kwaye uqale ukuziva unesizungu kwaye uhlanza? Oku kunokuba kubi kakhulu, okwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla.

Ukuchaneka, oku kungaba yimvakalelo enzima, njengokuguliswa lulwandle enqanaweni. Abanye abantu basenokungakwazi nokuvuka ebhedini.

Ukongeza kwesi sizungu, ezinye iimpawu zinokwenzeka:

• Kunokubakho isicaphucaphu nokuhlanza .
• Uvakalelo kwingxolo, ukukhanya, kunye nevumba elithile lunokwanda. Oku kuthetha ukuba nezandi ezingakukhathaziyo zingavakala ngathi zinamathele ezindlebeni zakho, amehlo akho anokuba luhlaza kakhulu ukuba ungajonga ukukhanya, kwaye ivumba elithile (ivumba elimnandi, ivumba lokutya) linokwenza intloko yakho ibe buhlungu.
• Intloko ebuhlungu isenokuba khona. Oku kunokuba nzima njengentloko ebuhlungu eqhelekileyo, okanye kungaba buhlungu kakhulu. Ngamanye amaxesha, kuphela isiyezi esinokubakho kwaye intloko ebuhlungu isenokuphela.

Kutheni i-vestibular migraine isenzeka? Zithini izizathu?

Iingcali zisaphanda unobangela okanye izizathu ezichanekileyo zoku. Oko kukuthi, kunzima ukutsho ngqo ukuba "ngulo unobangela". Nangona kunjalo, zifumene izinto ezininzi ezinokubangela le meko. Nazi:

• Ukuba nembali ye-migraine . Ingakumbi ukuba ubuneempawu ze-migraine ukususela ebuntwaneni, kunokwenzeka ukuba ube ne-vestibular migraine kamva ebomini.
• Uxinzelelo . Le meko inokwenzeka xa uphantsi koxinzelelo olukhulu. Khawucinge nje, kuthekani ukuba ubunesizungu xa uxinezelekile ngumsebenzi eofisini kwaye uneengxaki ekhaya?
• Ukungalali kakuhle, ukudinwa kakhulu . Oku kunokwenzeka naxa usebenza ngokuqhubekayo ngaphandle kokulala ngokwaneleyo okanye ukuphumla kakuhle emzimbeni wakho.
• Ukungalingani kweSerotonin . ISerotonin yikhemikhali ebalulekileyo engqondweni yethu. Ukuba ininzi okanye incinci kakhulu inokuchaphazela imeko yeemvakalelo.
• Utshintsho lweehomoni . Le meko inokubangelwa lutshintsho lweehomoni, ingakumbi ngexesha lokuya exesheni kwabasetyhini, okanye ngexesha lokuya exesheni.
• Utshintsho kuxinzelelo lwe-barometric . Oku kuthetha ukuba oku kunokwenzeka kwabanye abantu xa imozulu itshintsha.
• Ukutya okuthile kunye nolwelo . Oku kunokwahluka kumntu nomntu. Kwabanye, oku kunokubangelwa zizinto ezifana netshizi, itshokholethi, inyama ecutshungulweyo, ukutya okune-MSG (i-monosodium glutamate), ikofu, kunye newayini.

Ugqirha ufumanisa njani ngokuchanekileyo i-vestibular migraine?

Ukuba unale mpawu, into yokuqala ekufuneka uyenze kukubona ugqirha ofanelekileyo . Ugqirha uza kuqala akubuze ngeempawu zakho. Unexesha elingakanani unesiyezi kunye nokulahlekelwa yibhalansi? Uziva nini kakhulu? Le yimibuzo obuzwa kakhulu.

Isizathu soku kukuba kukho ezinye iimeko zonyango ezinokubangela isiyezi. Umzekelo, isiyezi sikwaluphawu oluphambili lweemeko ezifana nesifo sikaMénière kunye ne-BPPV (Benign Paroxysmal Positional Vertigo) . Ngoko ke, into yokuqala ugqirha wakho aza kuyenza kukuqinisekisa ukuba awunazo ezinye zezi meko. Kuphela emva koko baya kukrokrela ukuba unokuba ne-vestibular migraine.

Ngokwesiqhelo, ugqirha uya kugqiba ekubeni une-vestibular migraine ukuba ezi meko zilandelayo ziyafezekiswa:

• Ukuba uziva unesiyezi ngequbuliso esihamba nokuhlanza okanye isicaphucaphu .
• Kufuneka kubekho ubuncinane iziqendu ezihlanu ze-vertigo . Kwakhona, ezinye iimpawu ze-migraine (intloko ebuhlungu, ukuva ukukhanya/isandi) kufuneka zibekho ubuncinane kwisiqingatha sazo.
• Ukuba nesiyezi kunokuthatha imizuzu emihlanu ukuya kwiiyure ezingama-72 (iintsuku ezi-3) .
• Ukuba isiyezi sibi kakhulu kangangokuba sichaphazela imisebenzi yakho yemihla ngemihla okanye sikuthintela ukuya emsebenzini .
• Ukuba une -migraine aura , oko kukuthi, iimpawu ezifana nokubona izibane phambi kwamehlo akho, ukubona imicu, kunye nobunzima bokuthetha ngaphambi kokuba i-migraine iqale.

Ukuba ugqirha wakho ukrokrela ukuba le yi-vestibular migraine, angenza iimvavanyo ezininzi, ezifana nezi:

• Uvavanyo lwe-neurological : Oku kuya kujonga izinto ezifana nokusabela kwakho engqondweni, amandla, kunye nendlela ohamba ngayo.
• I-Videonystagmography okanye i-Electronystagmography : Ezi ziimvavanyo ezikhethekileyo ezijonga iintshukumo zamehlo kunye nomsebenzi wenkqubo yokulinganisela endlebeni yakho yangaphakathi.
• Uvavanyo lokufota : Izinto ezifana ne -CT scans okanye i-MRI scans yobuchopho zingenziwa ukuqinisekisa ukuba akukho ngxaki zimbi engqondweni.
• Uvavanyo lokulahlekelwa kukuva : Jonga iingxaki zokuva.

Ziziphi iindlela zonyango lwe-vestibular migraine?

Iindaba ezimnandi zezokuba kukho unyango lwe-vestibular migraine. Oogqirha banokucebisa oku kulandelayo:

• Amayeza
• Utshintsho kwindlela yokuphila
• Unyango lokubuyisela iVestibular

Makhe sijonge nganye kwezi nkcukacha zincinci.

Amayeza

Ugqirha wakho angakunika iintlobo ezimbini zamayeza: Elinye liyeza lemihla ngemihla okanye leveki ukunciphisa okanye ukuthintela ukwenzeka kwe-vestibular migraines . Elinye liyeza lokulawula iimpawu xa zivela .

Amayeza amaninzi anokunceda ukuthintela i-vestibular migraines:

• Ii-Tricyclic antidepressants : Ezi zinceda ukulawula iintloko ezibuhlungu xa zinikwa ngeedosi eziphantsi.
• Izithinteli zemijelo yecalcium
• Amayeza okuthintela ukuxhuzula
• Ii-Beta-blockers : Ezi luhlobo lwamayeza anikwa noxinzelelo lwegazi oluphezulu.

Amayeza okunciphisa iimpawu:

• Ii-NSAID painkillers (amayeza angengo-steroidal anti-inflammatory) : Umzekelo, i-Ibuprofen.
• Amayeza okunyanga isicaphucaphu : Yehlisa isiyezi kunye nokucaphuka.
• Amayeza okulwa nesifo sengqondo : La ngamanye amaxesha asetyenziswa ukulawula isicaphucaphu esinzima kunye nokuhlanza.

Kubalulekile: Musa ukuthatha naliphi na iyeza elikhankanyiweyo apha ngasentla ngaphandle kokubonisana nogqirha. Ugqirha wakho uza kukunika amayeza afanelekileyo kwimeko yakho kunye nedosi efanelekileyo.

Utshintsho kwindlela yokuphila

Ukongeza kumayeza, ukwenza utshintsho oluthile kwindlela ophila ngayo kunokunceda ekulawuleni le meko. Ugqirha wakho uza kukuxelela izinto ezifana nezi:

• Phumla ngakumbi kwaye ulale ngcono kunesiqhelo . Zama ukulala kakuhle ubuncinane iiyure ezisi-7-8 ngosuku.
• Yitya ukutya kunye nezidlo ezikhawulezayo ngexesha elifanelekileyo . Musa ukulamba.
• Ziphephe ezinye iintlobo zokutya neziselo . Njengoko besitshilo ngaphambili, abanye abantu banokufumana ukwanda kwezi mpawu ezivela kwizinto ezifana netshizi, itshokholethi, ikofu, iwayini, ukutya okune-MSG, kunye nokutya okugciniweyo. Ugqirha wakho uza kukuxelela ukuba zeziphi iintlobo zokutya ezingalunganga kuwe. Hlala kude nazo kangangoko unako.
• Yenza umthambo . Kulungile ukuhamba kancinci yonke imihla, wenze umthambo onokukwenza uzive uphilile. Nangona kunjalo, kufuneka ulumke xa unesiyezi.
• Fumana iindlela zokunciphisa uxinzelelo . Izinto ezifana nokucamngca, i-yoga, kunye nokwenza into ekwenza wonwabe (umdlalo) zinokunceda ekunciphiseni uxinzelelo.

Unyango lokubuyisela iVestibular Rehabilitation (VRT)

Olu luhlobo olukhethekileyo lonyango lwe-physiotherapy. Lusebenza ngokuphucula ulungelelwaniso phakathi kwengqondo yakho, amehlo kunye nendlebe yangaphakathi, lunceda ekunciphiseni isiyezi kunye neengxaki zokulinganisela . Kukho imithambo ethile yokwenza oku. Ugqirha wakho angakuthumela kolu hlobo lonyango.

Yintoni endinokuyilindela ukuba ndine-vestibular migraine?

Oku kunokwahluka ngokwenene kumntu nomntu . Abanye abantu kuya kufuneka baqhubeke bethatha amayeza ukulawula imeko. Abanye banokufumana isiqabu esikhulu ngokutshintsha indlela yokuphila efana nokutya, ukuzilolonga, kunye nokuphumla. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho kwaye ufumane isicwangciso sonyango esikusebenzelayo .

Ndifanele ndimbone nini ugqirha?

Ukuba usoloko uziva unesiyezi, uzive ungalungelelananga, okanye ukuba oko kuchaphazela ubomi bakho bemihla ngemihla, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Oku kubaluleke kakhulu ukuba uneentloko ezibuhlungu.

Ukuba ungumntu osele esazi ukuba uneVestibular Migraine, bona ugqirha wakho kwakhona ngexesha elifana neli:

• Ukuba isiyezi siyanda rhoqo okanye ukuba isiyezi siqhubeka sisanda .
• Ukuba uvakalelwa kakhulu yingxolo engaphandle.
• Ukuba intloko iba mandundu .

Ndingayibuza yiphi imibuzo ugqirha?

Ngenxa yokuba i-vestibular migraine ayisiyonto ixhaphakileyo, usenokuba nemibuzo emininzi ngayo. Musa ukoyika ukubuza ugqirha wakho imibuzo efana nale:

• Kutheni, Gqirha/Nkosikazi, ndinale meko?
• Ngaba iimpawu zam ziya kuba mandundu?
• Luhlobo luni lonyango olundicebisayo?
• Ngaba kuya kufuneka ndithathe amayeza ngonaphakade?
• Ngaphandle kokulawula ukutya kwam nokuphumla ngokwaneleyo, yintoni enye endinokuyenza ukulawula iimpawu zam ze-vestibular migraine?

Ukuba une-migraine, mhlawumbi uyazi iimpawu: ukuqala ngequbuliso kwezibane ezikhanyayo, kulandele intloko ebuhlungu ebuhlungu. Usenokuba utyhole ii-migraine zakho ngokuba nesiyezi kunye nokulahlekelwa yibhalansi. Nangona kunjalo, isiyezi esingapheliyo nesiqatha (nokuba nentloko ebuhlungu okanye ingenaso) sinokuba luphawu lokuba une-vestibular migraine.

Ngethamsanqa, oogqirha baneendlela zonyango ezinokunceda ukuthintela le meko ukuba ingenzeki okanye ukunciphisa iimpawu zayo. Kukwakho nezinto onokuzenza, ezifana nokulala ngokwaneleyo, ukuphepha ukutya okuthile, kunye nokunciphisa uxinzelelo. Ukuba une-migraines kwaye uhlala uziva unesizungu, ngokuqinisekileyo kufuneka ubone ugqirha. Banokwenza uvavanyo olufunekayo ukuqinisekisa ukuba une-vestibular migraine. Okubaluleke ngakumbi, banokukunika ulwazi, amayeza, kunye nolunye unyango olufunekayo ukuthintela le meko okanye ukunciphisa iimpawu zayo.

Izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esizithethileyo (Umyalezo Wokubuyela Ekhaya)

Kulungile, masidibanise yonke into esithethe ngayo size sizikhumbuze ngezinto ezibalulekileyo ekufuneka sizikhumbule:

• I-Vestibular migraine yimeko ye-neurological ebonakaliswa kukuqala ngesiquphe kokuba nesiyezi, ukulahlekelwa kukulinganisela, kwaye ngamanye amaxesha iimpawu ze-migraine (intloko ebuhlungu, ukuva ukukhanya/isandi).
• Nangona oku kungaqhelekanga kangako, kunokuba nefuthe elikhulu ebomini bakho .
• Nangona izizathu ezichanekileyo zingaziwayo, izinto ezinje ngoxinzelelo, ukungalali kakuhle, kunye nokutya okuthile zichongiwe njengezinto ezibangela umngcipheko.
• Kubaluleke kakhulu ukubonana nogqirha ukuze kufunyanwe ukuxilongwa ngokuchanekileyo, kuba isiyezi sinokuba nezinye izizathu.
• Kukho unyango! Le meko ingalawulwa ngamayeza, utshintsho kwindlela yokuphila (ukulala kakuhle, ukutya okufanelekileyo, ukuzilolonga, ukunciphisa uxinzelelo), kunye nonyango lokulinganisela (VRT).
• Ukuba unale mpawu, ungoyiki, kodwa qiniseka ukuba ubonana nogqirha ukuze akunike icebiso .

Khumbula, impilo yakho luxanduva lwakho. Ukuzazi ezi meko nokufumana unyango ngexesha elifanelekileyo kunokukunceda uphile ubomi obusempilweni nobukhululekileyo.

Intloko ebuhlungu yeVestibular , i-migraine, isiyezi, i-vertigo, ibhalansi, izifo zemithambo-luvo, intloko ebuhlungu, isicaphucaphu