Ngaba ngequbuliso unesizungu? Masifunde ngeVestibular Neuritis!

Kuthekani ukuba ubungaziva udidekile uze ngequbuliso uzive unesizungu njengendoda ephambeneyo? Ubungakwazi ukuma, ubunokuziva ungcangcazela, ubunokuziva uhlanza... Eli liva eloyikekayo ngokwenene. Imeko enokubangela isizunguzungu esiqatha nesingalindelekanga yile nto sithetha ngayo namhlanje, iVestibular Neuritis. Ungakhathazeki, siza kugcina yonke into ilula.

Yintoni kanye kanye iVestibular Neuritis?

Ngamafutshane, oku kukudumba okanye ukudumba komthambo odibene nendlebe yethu yangaphakathi. Kukho umthambo okhethekileyo kakhulu endlebeni yethu yangaphakathi, obizwa ngokuba yi-"Vestibulocochlear nerve." Umsebenzi ophambili wale mthambo kukuthumela ulwazi engqondweni malunga nokulinganisela komzimba wethu kunye nendawo yentloko yethu xa siyijika .

Khawuthelekelele, xa uhamba, ujika intloko yakho, okanye ubaleka, awuwi kuba le mithambo ithumela ulwazi oluchanekileyo engqondweni. Ngoku, kwi-'Vestibular Neuritis', xa le mithambo ivuvukala, imiqondiso eya engqondweni iyaphazamiseka. Kufana nomgca wefowuni ophukileyo. Emva koko ingqondo ayikwazi ukuqonda indlela umzimba omi ngayo okanye indlela ohamba ngayo. Kulapho siqala khona ukuziva isiyezi esinzima (vertigo) , ukujikeleza, kunye nokulahlekelwa yibhalansi.

Nangona le meko inokwenzeka nakubantu banoma yiphi na iminyaka, ayixhaphakanga kangako kubantwana abancinci.

Zithini iimpawu zoku? Kuvakala njani?

Le meko idla ngokuza ngamanqanaba amabini. Okokuqala, kukho isigaba esineempawu ezinzima eziqala ngequbuliso, kuze kubekho isigaba apho iimpawu ziphela khona kancinci.

1. Isigaba Esibukhali (ukuqala ngequbuliso)

Eli lelona xesha linzima. Oku kungathatha iintsuku ezimbalwa, mhlawumbi iveki. Iimpawu zibonakala ngequbuliso, kakubi kakhulu.

2. Isigaba Esingapheliyo

Emva kokuba i-acute phase iphelile, iimpawu zinokuphela kangangeeveki okanye iinyanga ezimbalwa. Ngeli xesha, iimpawu ozifumanayo ziya kwahluka kancinci.

Masizibone ngokucacileyo iimpawu zala manqanaba mabini.

Kutheni oku kusenzeka? Yintoni unobangela?

Oogqirha bakholelwa ukuba imbangela ephambili yeVestibular Neuritis lusulelo olubangelwa yintsholongwane . Le ntsholongwane inokuchaphazela ngqo indlebe yangaphakathi, okanye ingaba yimpembelelo esecaleni yosulelo olubangelwa yintsholongwane kwenye indawo emzimbeni.

Njengokuba xa sifumana umkhuhlane, impumlo nomqala ziyadumba, ezinye iintsholongwane zinokubangela ukuba imithambo-luvo engaphakathi endlebeni yethu enoxanduva lokulinganisela idumbe. Yiloo nto eyenzekayo apha.

Zeziphi iintlobo zeentsholongwane ezinokubangela oku?

• Umkhuhlane (Umkhuhlane)
• I-Covid-19 (i-COVID-19)
• Intsholongwane yeHerpes (intsholongwane yeHerpes simplex - intsholongwane ebangela izilonda zomkhuhlane)
• I-Hepatitis
• Ipoliyo
• I-Mascus
• Iingqukuva

Ingaba esi sifo siyasulela?

Hayi. I-Vestibular Neuritis ayosuleli. Oku kuthetha ukuba awunakuyifumana ngokuba kufutshane nomntu onayo. Nangona kunjalo, intsholongwane eyibangelayo inokudluliselwa . Umzekelo, ukuba umntu ufumana i-Vestibular Neuritis kwintsholongwane yomkhuhlane, loo mntu unokudlulisela intsholongwane yomkhuhlane komnye umntu.

Ugqirha uyibona njani le nto?

Ukuba unesiyezi esinzima ngolu hlobo, into yokuqala ekufuneka uyenze kukubona ugqirha. Lo uhlala engumntu ochwephesha kwi-otolaryngologist (ENT) ogxile kwiingxaki zendlebe, impumlo nomqala. Ngamanye amaxesha, unokufuna ukubona ugqirha wezifo zengqondo okanye ingcali ye-audiologist.

Into yokuqala neyona ibalulekileyo ugqirha aza kuyenza kukuqinisekisa ukuba ezinye iimeko zempilo ezinzulu azingonobangela , njengoko ezi mpawu zinokuvela nakwezinye izifo ezinzulu.

Zeziphi izifo ezisuswa kuqala?

• Istroke: Esi sesona siyingozi kakhulu. Siyenzeka xa umthambo wegazi ohambisa igazi engqondweni uvalekile okanye uqhuma.
• Ukwenzakala entloko.
• Ithumba lobuchopho.
• Intloko ebuhlungu ye-migraine.

Ukuqinisekisa ukuba ezi zinto azikho, ugqirha wakho unokukucela ukuba wenze into efana ne-MRI (Magnetic Resonance Imaging).

Emva kokucima ezo zinto, kwenziwa ezinye iimvavanyo ezininzi ukuqinisekisa i-'Vestibular Neuritis'.

• Uvavanyo lokuva.
• Uvavanyo olukhethekileyo oluvavanya ibhalansi (ibhetri yovavanyo lweVestibular).

Zithini iindlela zonyango zoku?

Injongo ephambili yokunyanga i-vestibular neuritis kukulawula iimpawu zakho nokukunceda uphile ngokukhawuleza.

Kukho iindlela ezimbini eziphambili zonyango loku:

1. Amayeza

2. Unyango lokubuyisela i-Vestibular kwisimo sayo sangaphambili

Iindidi zamayeza anikiweyo

• Amayeza okunyanga isicaphucaphu nokuhlanza: Amayeza anje nge-``Ondansetron (Zofran®)`` ayanikwa ngenxa yoku. Ukuba ukuhlanza kukhulu kakhulu, kunokufuneka ulaliswe esibhedlele kwaye unikwe ityuwa ukuthintela ukuphelelwa ngamanzi emzimbeni.
• Amayeza okunciphisa isiyezi: Amayeza afana ne-`Meclizine` kunye ne-`Diazepam (Valium®)` ayanikwa. Nangona kunjalo, oogqirha bathi akulunganga ukuwasebenzisa ngaphezulu kweentsuku ezintathu zilandelelana . Kuba ukuba uyaqhubeka nokuwasebenzisa, kusenokuba sekwephuzile ukuba ingqondo iqhelane nale meko intsha.
• Amayeza anciphisa ukudumba: Amayeza abizwa ngokuba yi-'Corticosteroids' anikwa ukunciphisa ukudumba kwimithambo-luvo.
• Amayeza okulwa neentsholongwane: Ukuba kukho ukurhaneleka kokuba oku kubangelwa yintsholongwane ye-herpes, unokunikwa amayeza okulwa neentsholongwane afana ne-Acyclovir.

Unyango lokubuyisela iVestibular

Abanye abantu baba nesiyezi kunye nokulahlekelwa yibhalansi kangangeeveki ezimbalwa. Kulapho ke imithambo yonyango lomzimba iba yinto ebaluleke kakhulu khona.

Oku kuquka ukuqeqesha ingqondo yakho ukuba ilungele le meko intsha kwaye ibuyisele ibhalansi. Ingcali ye-physiotherapist eqeqeshwe ngokukodwa iya kuhlola ukusebenza kwamehlo akho, iindlebe, kunye nemilenze kwaye yenze uthotho lwemithambo efanelekileyo kuwe. Ukwenza le mithambo ngokuchanekileyo kuya kukunceda uphile ngokukhawuleza.

Kuza kuthatha ixesha elingakanani ukuba le meko iphile?

Akukho xesha lichanekileyo loku. Kuyahluka kakhulu kumntu nomntu. Abanye abantu bayaphila ngokupheleleyo kwisithuba seveki. Abanye banokuba neempawu kangangeenyanga, kwaye kwiimeko ezingaqhelekanga, kwaneminyaka. Kuxhomekeke kubungakanani bomonakalo wemithambo-luvo kunye nendlela umzimba wakho osabela ngayo kuwo.

Eyona nto ingcono kukuba uninzi lwabantu luyaphola ngokupheleleyo kwiiveki ezimbalwa. Ukuba iimpawu zakho aziphucuki okanye aziqhubeki, thetha nogqirha wakho ngezinye iindlela zonyango.

Umahluko phakathi kweVestibular Neuritis kunye neemeko ezifanayo

Kukho ezinye iimeko ezimbini ezineempawu ezifanayo. Masifunde kancinci ngomahluko phakathi kwazo.

• I-Vestibular Neuritis vs. Labyrinthitis: Ezi zimbini zifana kakhulu. Kwi-'Vestibular Neuritis', yimithambo-luvo kuphela enxulumene nokulinganisela evuvukileyo. Nangona kunjalo, kwi-'Labyrinthitis', zombini iindawo ezinxulumene nokulinganisela kunye nenxalenye enxulumene nokuva ziyavuvukele. Ke ngoko, umntu one-'Labyrinthitis' unokufumana ukulahleka kokuva okanye ukukhala ezindlebeni (tinnitus) kunye nesiyezi.
• I-Vestibular Neuritis vs. BPPV: I-BPPV (i-Benign Paroxysmal Positional Vertigo) nayo yimeko eqhelekileyo ebangela isiyezi. Nangona kunjalo, ayibangelwa yimithambo-luvo. I-BPPV ibangelwa ziikristale ezincinci ze-calcium ezikwindlebe yethu yangaphakathi eziphumayo zize zifudukele kwenye indawo. Kule meko, isiyezi senzeka ngakumbi xa sijika intloko yethu siye kwelinye icala okanye xa siqengqeleka ebhedini .