Wake waba semkhunjini, esikebheni, noma mhlawumbe uhambo olude lwesitimela noma ibhasi wabe usubuyela ezweni, wazizwa sengathi imoto isahamba, sengathi umhlaba uyazamazama, noma uyanyakaza? Ingabe uzizwa ngendlela efanayo uma usukuma noma uya embhedeni? Lokhu akuyona into abantu abaningi ababhekana nayo ngezinye izikhathi, kodwa uma wenza kanjalo, kungaba uphawu lwesimo esingavamile esibizwa ngokuthi i-Mal de Débarquement Syndrome (MdDS) . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba kubaluleke kakhulu ukukuqaphela.
Iyini i-Mal de Débarquement Syndrome (MdDS)?
Kalula nje, i-Mal de Débarquement Syndrome isho "ukugula kokwehla." Yigama lesiFulentshi. "Ukwehla" yilapho sehla emkhunjini noma endizeni. Ngakho-ke, i-MdDS yilapho sizizwa sengathi siyahamba, noma ngabe asihambi . Ungase uzizwe sengathi usesesikebheni noma esitimeleni. Lokhu kungathinta ukuzinza kwakho kanye nokulinganisela .
I-MdDS iyisifo sesistimu ye-vestibular . Uhlelo lwe-vestibular luhlelo olulawula ibhalansi yomzimba wethu. Lutholakala kakhulu endlebeni yethu yangaphakathi nasebuchosheni . Ochwepheshe bakholelwa ukuthi i-MdDS yenzeka lapho sijwayela ukunyakaza okungavamile (njengalapho sisemkhunjini), bese ubuchopho bethu buba nenkinga yokuzivumelanisa kabusha lapho lokho kunyakaza kuyeka. Cabanga ukuthi ubusemkhunjini izinsuku ezimbalwa. Ngemva kwezinsuku ezimbalwa, ujwayela ukunyakazisa komkhumbi, okubizwa ngokuthi "imilenze yolwandle." Kulula-ke ukuhambahamba ngaphakathi komkhumbi. Kodwa ngemva kokubuyela ezweni, abanye abantu balahlekelwa yilo "milenze yolwandle" futhi kuthatha cishe izinsuku ezimbili ukuthi "imilenze yomhlaba" ibuye. Kodwa umuntu one-MdDS usazizwa lowo muzwa wokunyakazisa, wokunyakazisa ngisho nalapho esezweni.
Kodwa akuyona nje uhambo lokuhamba ngomkhumbi oluyenzeka kuwo wonke umuntu. Lungenzeka futhi ngemva kohambo lwendiza, uhambo olude lwebhasi noma lwesitimela, noma ngisho nokulala embhedeni wamanzi. Ngokumangalisayo, lungenzeka futhi ngemva kwesenzakalo esingashukumi (njengokuhlinzwa noma ukubeletha) noma ngaphandle kwesizathu esibonakalayo (i-MdDS ezenzakalelayo) .
Ivame kangakanani i-MdDS?
Eqinisweni, i-Mal de Débarquement Syndrome (MdDS) iyisimo esingavamile kakhulu . Ngokwezinye izifundo, kulinganiselwa ukuthi abantu abangaba ngu-150,000 e-United States kuphela banaso. Lelo akulona inani elikhulu.
Nakuba noma ubani angaba ne-MdDS, kuyaphawuleka ukuthi u-85% wamacala abikiwe ngabesifazane abaneminyaka ephakathi kuka-30 no-60. Kutholakale nokuthi abantu abane-migraines banamathuba amaningi okuthola lesi simo.
Ziyini izimpawu ze-MdDS?
Umuntu one-MdDS uvame ukuba nezimpawu ezifana nalezi:
- Umuzwa wokuhlala uthuthumela, ushukunyiswa, noma wehla wenyuka. Njengokusesikebheni.
- Ukungazinzi, ukungazinzile.
- Izinkinga zokulinganisela. Ungase uzizwe sengathi ulahlekelwa yibhalansi yakho lapho uhamba.
- Ukudideka, ubunzima bokugxilisa ingqondo.
- Ukukhathazeka nokwesaba okuvamile.
- Ukucindezeleka.
- Inkungu yobuchopho, ubunzima bokucabanga kahle.
Lezi zimpawu zibonakala kakhulu uma umile, njengalapho umile noma ulele embhedeni . Ngokungafani nezinye izifo ze-vestibular, i-MdDS ayivamisile ukubangela ukukhala ezindlebeni (i-tinnitus), ukuhlanza, ukulahlekelwa ukuzwa, noma ukuzwa ukujikeleza . Lokhu kuyasiza futhi ekuxilongeni lesi simo.
Yiziphi izinto ezibangela i-MdDS?
Njengoba sesixoxile ngaphambili, imbangela evamile nevamile ye-MdDS ukuhamba olwandle noma eminye imisebenzi ehlobene namanzi . Isibonelo, abantu abasezikebheni zokuvakasha kufanele bajwayele ukuzulazula nokugingqika komkhumbi njalo. Ngemva kwesikhashana, baba "nezinyawo zolwandle" futhi bangahambahamba emkhunjini ngaphandle kokushayisa izindonga. Uma sebesezweni, abantu abaningi babuyela esimweni esijwayelekile phakathi nezinsuku ezimbalwa. Kodwa kubantu abane-MdDS, umuzwa wokuzulazula nokugingqika uyaqhubeka ngisho nangemva kokwehla emkhunjini. Ake sithi uNimali wabuya ekhaya evela ohambweni lokuvakasha izinsuku ezimbalwa. Kodwa lapho efika ekhaya, wayesazizwa sengathi usemkhunjini, sengathi umhlaba uyazamazama. Ngisho nokuhlala esihlalweni noma ukulala embhedeni akuzange kusize. Yilokho okushiwo yi-MdDS.
Lokhu okulandelayo kuye kwabonakala njengezimbangela ezingavamile :
- Ukuhamba ngendiza.
- Ukuhamba ngezinyawo ibanga elide (ngemoto noma ngesitimela).
- Ukusetshenziswa kwama-lifti.
- Ukuhamba emachwebeni.
- Ukulala emibhedeni yamanzi.
- Ukusetshenziswa kwezibuko ze-Virtual Reality (VR).
Ngezinye izikhathi, iziqephu ze-MdDS ezizenzakalelayo zingavela ngaphandle kokunyakaza . Lokhu kungabangelwa yizigameko ezithile zokuphila ezicindezelayo . Isibonelo:
- Ukubeletha.
- Ukuhlinzwa.
- Ukulimala ekhanda .
I-MdDS ihlolwa kanjani?
Uma udokotela womndeni wakho (PCP) esola ukuthi une-MdDS, angakudlulisela kuchwepheshe wezindlebe, impumulo, nomphimbo (otolaryngologist) noma kudokotela wezinzwa.Uzothunyelwa kudokotela ukuze ahlolwe kabanzi. Lokhu kuvame ukwenzeka uma ubunezimpawu okungenani inyanga yonke.
Eqinisweni, akukho ukuhlolwa okukodwa okungaxilonga i-MdDS ngokuphelele . Ngakho odokotela bazofuna ukuqeda ezinye izimo ezinezimpawu ezifanayo (njenge-vestibular migraines). Bangase ba-ode ukuhlolwa okufana nalokhu:
- Ukuhlolwa kwegazi.
- Ukuhlolwa kokuzwa.
- Ukuhlolwa kwebhalansi.
- Ukuhlolwa kwezithombe ezifana ne-CT scans (Computed Tomography scans) noma i-MRI (Magnetic Resonance Imaging).
Ngo-2020, i-Bárány Society , inhlangano yamazwe ngamazwe, yashicilela uhlelo lwezindlela zokuxilonga ze-MdDS ngaphansi kwe-International Classification of Vestibular Disorders (ICVD). Leli qoqo lolwazi lizosiza odokotela emhlabeni wonke ukusebenzisa amazinga neziqondiso ezifanayo zokuxilonga i-MdDS.
Ngingasiqeda kanjani lesi simo se-MdDS?
Akukho ikhambi eliqinisekile le-MdDS okwamanje , kodwa izindaba ezinhle ukuthi ivame ukuzixazulula yodwa .
Okwamanje, kunezindlela eziningana zokusiza ukunciphisa izimpawu zakho. Kodwa-ke, lezi zindlela zokwelapha azisebenzi kuwo wonke umuntu. Kungase kudingeke uzame izindlela eziningana ukuthola ukuthi yini ekusebenzelayo.
Nazi ezinye izindlela zokwelapha i-MdDS:
- Imithi.
- Ukwelashwa kokuvuselela ubuchopho.
- Ukuzivocavoca kokwelashwa - ukuvuselelwa kwe-vestibular.
Imithi
Ungase ucabange ukuthi imithi yokugula okushukumayo ingaba yisisombululo. Kodwa empeleni, leyo mithi ayisizi ngempela ngezimpawu ze-MdDS. Kodwa-ke, ngezinye izikhathi imithi yezimo ezinjengokukhathazeka, ukucindezeleka, kanye nokungalali ingasiza ekunciphiseni ukungakhululeki kwakho.
Uma une-MdDS futhi uvame ukuba ne-migraines, udokotela wakho angase akunike imithi ye-migraines. Kwezinye izimo, le mithi iboniswe ukuthi iyasiza futhi ngezimpawu ze-MdDS.
Ukwelashwa kokuvuselela ubuchopho
Lokhu ukwelashwa okusha kakhulu. Kuhilela ukusebenzisa izimpawu zikagesi ukuze kusebenze noma kucime izingxenye ezahlukene zobuchopho bakho. Phakathi nalokhu kwelashwa, udokotela unamathisela ama-electrode akhethekile ekhanda lakho. Lokhu kwelashwa kungasiza ekuqeqesheni kabusha ubuchopho bakho ukuze bunqobe izimpawu ze-MdDS.
Izivivinyo zokwelashwa (izivivinyo zokwelashwa kwe-Mal de débarquement)
KwalokhuLokhu kubizwa nangokuthi i-Vestibular Rehabilitation Therapy (VRT) , kungakusiza ukuthi uphathe izinkinga zokulinganisela ezibangelwa yi-MdDS. Lokhu kufaka phakathi ukwelashwa okuqondile njengokuqeqeshwa kabusha kokulinganisela kanye nokulawula ukunyakaza kwamehlo .
Udokotela wakho angancoma uhlelo oluhambisana nezidingo zakho, kodwa kungadingeka ukuthi uye emihlanganweni eminingana ukuze ubone imiphumela.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Impendulo yalo mbuzo iyahlukahluka kuye ngomuntu nomuntu. Iningi labantu liyalulama zingakapheli amahora angama-24 . Abanye bangathatha isonto noma amabili. Kodwa-ke, abanye abantu bangase babe nezimpawu unyaka noma ngaphezulu. Ngakho-ke ungesabi, yiba nesineke futhi ufune ukwelashwa.
Ingabe i-MdDS ingavinjelwa?
Uma unesizathu esithile salezi zimpawu, ayikho indlela yokuvimbela i-MdDS ngaphandle kokugwema unomphela leso sizathu. Uma une-MdDS njalo, khuluma nodokotela wakho ngemithi engasiza.
I-MdDS ihlala isikhathi esingakanani?
Ezimweni eziningi, i-MdDS iyaphela zingakapheli amahora angama-24 . Ngisho noma kungekho ukwelashwa, abantu abaningi bayalulama zingakapheli nonyaka. Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nezimpawu izinyanga noma ngisho neminyaka.
Ingabe ukugula kokufika kuyaziphelela?
Yebo, ezimweni eziningi, abantu abane-MdDS bangabona izimpawu zabo zithuthuka zingakapheli amahora angama-24.
Kunjani ukuphila ne-MdDS?
I-MdDS ivame ukuba ngcono ngokwayo zingakapheli amahora angama-24. Uma kungenjalo, udokotela wakho kungadingeka enze izivivinyo ukuze anqume ezinye izimo, njenge-vestibular migraine. Lokhu kungathatha isikhathi, futhi kungahilela ukuzama nokwenza amaphutha. Nakuba lokhu kungaba yinto ekhungathekisayo kancane, kubalulekile ukuqonda ukuthi kungathatha isikhathi ukuthola ikhambi elifanele kuwe.
Into ebaluleke kakhulu ukwazi ukuthi awuwedwa. Kukhona nabanye abaye baba nokuhlangenwe nakho okufanayo.
Kufanele ngimbone nini udokotela?
Uma uzizwa sengathi uyanyakaza ngisho noma unganyakazi, kufanele utshele udokotela ngakho . Ikakhulukazi uma izimpawu zakho zihlala isikhathi esingaphezu kwamahora angama-24, qiniseka ukuthi ufuna iseluleko sezokwelapha.
Yimiphi imibuzo okufanele uyibuze udokotela?
Uma une-MdDS, ungase ufune ukubuza udokotela wakho imibuzo efana nalokhu:
- Yiziphi izindlela zokwelapha enginazo?
- Ucabanga ukuthi ukwelashwa kwami kuzothatha isikhathi esingakanani?
- Ngingalindela nini imiphumela?
- Okwamanje, yini engingayenza ukuze nginciphise izimpawu zami?
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
I-Mal de Débarquement Syndrome (MdDS) iyisimo esingavamile. Izimpawu zivame ukuthuthuka zingakapheli amahora angama-24, kodwa kwezinye izimo zingahlala izinyanga noma ngisho neminyaka. Kungaba nzima ukubhekana nemizwa nemizwa oyitholayo, ikakhulukazi uma izimpawu ziqhubeka.
Ukukhuluma nabanye abake babhekana nalokhu kungaba usizo olukhulu enhlalakahleni yakho yengqondo nengokomzwelo. Buza udokotela wakho ngezinsizakalo ezengeziwe zokusekela, futhi uma kukhona noma yiziphi izindlela zokwelapha ezintsha ezingase zikufanele. Ungalokothi ulahle ithemba, ngokusekelwa nokwelashwa okufanele, lesi simo singaphathwa.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyini i-Mal de Débarquement Syndrome (MdDS)?
Ingabe sithola amandla olwandle ngemva kokwehla emkhunjini wokuhamba ngesikebhe, endizeni, noma esitimeleni? Lokho kuvamile. Kodwa ku-MdDS, umuzwa wokuba semkhunjini, ukuzamazama komhlaba, kanye nomuzwa wokuba phansi uyaqhubeka izinsuku, izinyanga, noma ngisho neminyaka ngemva kokwehla emkhunjini.
💬 Ingabe umuntu onalesi sifo uzizwa enesiyezi ngisho noma egibele izimoto?
Cha! Leso yisici esimangalisayo (esihlukile) salesi sifo. Nakuba umuntu one-vertigo evamile engase abe nobuhlungu obukhulu lapho ehamba ngemoto, iziguli ze-MdDS zithola 'ukunyamalala' okuphelele kwe-vertigo lapho zihamba ngemoto, isitimela, noma ibhasi. Ubuhlungu buyanda kuphela uma zihleli noma zimi zinganyakazi.
💬 Ngingawuthatha yini umuthi walokhu bese ngiba ngcono unomphela?
Akukho philisi elilodwa elingakwelapha unomphela lokhu (ngoba akuyona inkinga yendlebe, kodwa inkinga yobuchopho). Esikhathini esiningi, imithi yokucindezeleka (SSRI/Clonazepam) inikeza impumuzo ethile. Kodwa ukwelashwa okuphumelelayo kakhulu okwamanje ukuqhubeka nokwenza uchungechunge lwe-Vestibular Rehabilitation (izivivinyo ezikhethekile eziqeqesha kabusha ubuchopho).
` I-Mal de Débarquement Syndrome, i-MdDS, umuzwa wokushwiba, izinkinga zebhalansi, ukuzwa ukunyakaza, ukugula kwangemva komkhumbi, isistimu ye-vestibular











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