Zicabange usebenza kokuthile bese kuthi kungazelelwe umhlaba wonke ubonakale ujikeleza nxazonke zakho. Ngesikhathi esifanayo, uzwa umsindo ongajwayelekile othi "goo..." endlebeni yakho, bese uzizwa sengathi ulahlekelwa ukuzwa endlebeni eyodwa kakhulu kunenye. Ingabe lokhu akuyona into eyesabekayo futhi engakhululekile? Lokhu ukungakhululeki okuvame ukuza neSifo sikaMénière. Nakuba kungavamile njengoba ungase ucabange, kubaluleke kakhulu ukuqaphela lesi simo.
Kalula nje, siyini isifo sikaMénière?
Isifo sikaMeniere yisimo esenzeka endlebeni yethu yangaphakathi. Indlebe yethu yangaphakathi iyona ebangela kokubili ukulinganisela komzimba wethu kanye nokuzwa. Ngakho-ke lapho lesi sifo siqala, ukusebenza kwalezi zinhlelo zombili kuyaphazamiseka.
Uphawu oluyinhloko umuzwa wokuthi umhlaba wonke uyajikeleza ngisho noma uthule. Kwezokwelapha, lokhu sikubiza ngokuthi i-vertigo . Futhi, ukuzwa imisindo ehlukene ezindlebeni, njengokungathi othile uthi 'whoo' endlebeni, kuyimpawu. Lokhu sikubiza ngokuthi i-tinnitus . Lezi zimpawu ziqala ngokuzumayo, ngaphandle kwesixwayiso , futhi zinyamalale ngemva kwesikhashana. Kodwa-ke, zingaphinde zivele ngemva kwesikhashana.
Uma zingelashwa, izimpawu zingaba zimbi kakhulu ngokuhamba kwesikhathi. Ungase ubhekane nezinkinga zokungezwa kahle nokuhlala uphilile. Kodwa ungakhathazeki. Ngokusebenzisana nodokotela wakho ukuthola ukwelashwa okufanele, ungaphatha lesi simo futhi uphile impilo enempilo.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Izimpawu zesifo sikaMeniere zivela ngokuzumayo. Lokhu sikubiza ngokuthi "ukuhlasela" noma "isiqephu." "Ukuhlasela" kungahlala isikhathi esifushane njengemizuzu engama-20, noma isikhathi eside njengamahora angama-24. Abanye abantu baba "nokuhlasela" okuningana kulandelana. Futhi, abanye abantu bangahlala izinyanga noma iminyaka bengenazo izimpawu.
Ake sixoxe ngokucacile ngalezi zici eziyinhloko kuthebula elingezansi.
| Isibonakaliso | Incazelo nje |
|---|---|
| Isiyezi esinzima (i-Vertigo) | Lesi yisibonakaliso esibi kakhulu. Ngisho noma umile, kuzwakala sengathi lonke igumbi liyakuzungeza. Kwabanye abantu, lesi sizungu sibi kakhulu kangangokuthi abakwazi ukuma bese bewa phansi ngokuzumayo. Lokhu kubizwa nangokuthi "ukuhlaselwa kokuwa." |
| Ubunzima bokuzwa kanye nokulahlekelwa ukuzwa | Ngokuvamile kuthinta indlebe eyodwa kuphela. Ekuqaleni, abantu abaningi balahlekelwa ikhono labo lokuzwa amaphimbo aphansi. Uma kungelashwa, lokhu kulahlekelwa ukuzwa kungaba yinto ehlala njalo ngokuhamba kwesikhathi. |
| I-tinnitus | Kunomsindo oqhubekayo ovela ngaphakathi kwendlebe ethintekile. Kungaba umsindo womshini osebenzayo, umoya opholile, noma umsindo othi "goo..." owuzwayo uma ubamba igobolondo lolwandle endlebeni yakho. |
| Ukucindezela Kwendlebe | Umuzwa wokugcwala noma ukucindezeleka ngaphakathi kwendlebe. Kungase kuzwakale sengathi kukhona okunamathele ngaphakathi kwendlebe. |
Ngaphezu kwalezi zimpawu eziyinhloko, abanye abantu bangase babe nesicanucanu nokuhlanza .
Kungani sithola lesi sifo?
Eqinisweni, odokotela abakayitholi imbangela eqondile yesifo sikaMeniere. Kodwa-ke, kunenkolelo eyodwa eyinhloko abantu abaningi abayikholelwayo.
Okusho ukuthi, uketshezi olubizwa ngokuthi i-endolymph endlebeni yethu yangaphakathi luqoqana kakhulu. Cabanga ngakho, indlebe yethu yangaphakathi ifana nohlelo lwepayipi elincane. Uketshezi lwe-"endolymph" olungaphakathi kwaleli payipi lusiza ukuthumela izimpawu ebuchosheni ezilawula ibhalansi yethu nokuzwa. Uma ngesizathu esithile lolu ketshezi luqoqana kakhulu, ingcindezi engaphakathi kwalelo payipi iyanda, futhi leso simiso sezimpawu siyaphazamiseka ngokuphelele. Yilapho kuvela khona izimpawu ezifana nokuzungeza kanye nokukhala ezindlebeni.
Kunezizathu eziningana zokuthi kungani uketshezi lwe-"endolymph" lunganqwabelana ngale ndlela:
- Ukungezwani komzimba: Okunye ukungezwani komzimba kungabangela uketshezi ukuthi luqoqeke endlebeni engaphakathi.
- Ukuvaleka kwendlebe yangaphakathi: Ukuvaleka kwezindlela lapho uketshezi lugeleza khona.
- Ukulimala ekhanda: Lesi simo singavela ngemva kokulimala ekhanda okukhulu.
- Ukutheleleka: Ukutheleleka ngegciwane noma amagciwane.
- Ikhanda elibuhlungu le-migraine:Ezinye izifundo zithole ukuxhumana phakathi kwe-migraines nesifo sikaMeniere.
Ubani osengozini enkulu yokuthola lesi sifo?
Nakuba noma ubani engaba nesifo sikaMeniere, abanye abantu basengozini enkulu kancane.
- Ubudala: Lesi sifo sivame ukubonakala kubantu abaneminyaka ephakathi kuka-40 no-60 .
- Ubulili: Ngokwezinye izifundo, abesifazane basengozini enkulu kancane kunabesilisa.
- Ufuzo: Phakathi kuka-7% no-10% wabantu abanalesi sifo banelungu lomndeni elinalesi sifo, okusho ukuthi kungase kube nethonya elithile lezakhi zofuzo.
- Izifo ezizenzakalelayo: Lezi yizifo lapho amasosha omzimba wethu ehlasela khona amangqamuzana omzimba wethu. Isibonelo, abantu abanezifo ezifana ne-rheumatoid arthritis kanye ne-lupus basengozini enkulu yokuthola isifo sikaMeniere.
Yiziphi izinkinga ezingaba khona ngenxa yalesi sifo?
I-vertigo enzima ebangelwa yisifo sikaMeniere ingaba yingozi kakhulu.
Cabanga ukuthi kungaba yingozi enjani uma ungazizwa unesizungu ngokuzumayo ngenkathi ushayela noma ukhwela ileli. Ngakho-ke, abantu abanalesi sifo kufanele baqaphele kakhulu emisebenzini yabo yansuku zonke.
Ngokuhamba kwesikhathi (ngokuvamile ngemva kweminyaka engu-8-10), lesi sifo singaholela ekulahlekelweni kokuzwa unomphela .
Ngaphezu kwale miphumela engokomzimba, isifo sikaMeniere singaba nomthelela omkhulu empilweni yakho yengqondo . Ukucabanga njalo ngezinto ezinjengokuthi "Ngizophinde ngizizwe nginesizungu futhi?" nokuthi "Ingabe ngizolahlekelwa ukuzwa kwami ngokuphelele?" kungaholela ekukhathazekeni nasekucindezelekeni . Ngakho-ke, kubalulekile ukukhuluma ngokukhululekile nodokotela wakho ngalezi zinkinga zomzimba, kanye nokucindezeleka kwengqondo okuzwayo.
Dokotela, ukuxilonga kanjani lokhu?
Uma unalezi zimpawu, kufanele ubonane nodokotela we-ENT (indlebe, impumulo, nomphimbo). Uzokuhlola futhi akubuze ngezimpawu zakho. Bangase futhi benze ezinye izivivinyo ukuze banqume ezinye izimo ezinezimpawu ezifana nesifo sikaMeniere.
- Ukuhlolwa kokuzwa: Hlola izinga lakho lokuzwa.
- Ibhethri lokuhlola i-Vestibular: Ukuhlolwa okuningana okuhlola ukuthi uhlelo lwakho lokulinganisela indlebe yangaphakathi kanye nemisipha yamehlo kusebenza kanjani.
- Iskeni se-MRI yobuchopho:Hlola isimila sobuchopho noma enye inkinga engabangela isiyezi.
Yiziphi izindlela zokwelapha? Senzani ngalokhu?
Akukho ukwelashwa kwesifo sikaMeniere. Kodwa-ke, kunezindlela eziningi zokwelapha ezingasiza ekulawuleni izimpawu futhi zinciphise ubukhali nobude bokuhlaselwa . Udokotela wakho uzozama izindlela zokwelapha ezilula kuqala. Uma zingasebenzi, angase acabangele ukuhlinzwa.
Izinguquko zendlela yokuphila
Ngezinye izikhathi, ukushintsha nje imikhuba yethu yansuku zonke kungaletha impumuzo enkulu.
- Nciphisa usawoti odliwayo: Odokotela batusa ukuthi usawoti ungadluli kuma-milligram angu-1,500 ngosuku. Lokho kungama-¾ ethisipuni. Kungumqondo omuhle futhi ukunciphisa ukudla okuqukethe i-MSG (i-Monosodium glutamate).
- Ukunciphisa i-caffeine notshwala.
- Ukulawula ukucindezeleka nokulala ngokwanele.
Imithi
Udokotela wakho angase akunike imithi ehlukahlukene yokulawula izimpawu zakho.
| Uhlobo lwesidakamizwa | Ukusebenza kahle |
|---|---|
| Amaphilisi amanzi (i-Diuretics) kanye ne-Betahistine | Lokhu kunciphisa inani loketshezi oluthe xaxa emzimbeni nasendlebeni yangaphakathi, kunciphisa ukucindezeleka. |
| Imithi yokudabuka kanye nokucasuka | Lokhu kungasiza ekulawuleni isiyezi uma kwenzeka. Izibonelo: i-diazepam, i-meclizine. |
| Imijovo enikezwa nge-eardrum | Uma amaphilisi avamile engasebenzi, udokotela wakho angase afake i-steroid noma i-gentamicin nge-eardrum. Kodwa-ke, kunengozi yokulimala okwengeziwe kokuzwa ngomjovo we-gentamicin. |
Ezinye izindlela zokwelapha
- Ukuvuselelwa kwe-Vestibular:Lokhu kufana nokwelashwa ngokomzimba. Kukufundisa ukuzivocavoca okuqondile ukusiza ukuthuthukisa ibhalansi yakho nokulawula isiyezi sakho.
- Izinsiza zokuzwa: Uma ukuzwa kwakho kuphazamiseke kakhulu, kungadingeka usebenzise usizo lokuzwa.
- Ukufakelwa kwe-Cochlear: Lokhu kuhlinzwa kungenziwa kubantu abalahlekelwe ukuzwa cishe ngokuphelele futhi abangakwazi ukusebenzisa izinsiza zokuzwa.
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Le ndlela yokwelapha isiza ekubhekaneni ngempumelelo nokucindezeleka, ukukhathazeka, kanye nokucindezeleka okubangelwa yilesi sifo.
Ukuhlinzwa
Ukuhlinzwa kubhekwa ezimweni ezinzima kakhulu lapho kungekho okunye ukwelashwa okungalawula izimpawu. Lokhu kuhilela ukunciphisa umfutho woketshezi endlebeni yangaphakathi noma ukusika inzwa ehilelekile ekulinganiseni. Lokhu kuyindlela yokwelapha engavamile kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaMeniere yisimo sendlebe yangaphakathi esingelapheki ngokuphelele, kodwa singalawulwa kahle .
- Izimpawu eziyinhloko isiyezi esisheshayo, esinzima (vertigo), ukukhala ezindlebeni (tinnitus), kanye nokulahlekelwa ukuzwa .
- Uma unalezi zimpawu, ungesabi futhi ubone udokotela wezindlebe, impumulo, nomphimbo (ENT) ngokushesha okukhulu.
- Izinguquko zendlela yokuphila (njengokunciphisa usawoti), imithi, kanye nezinye izindlela zokwelapha zingalawula izimpawu ngempumelelo enkulu.
- Khuluma nodokotela wakho ngokukhululekile mayelana nokungakhululeki ngokomzimba kanye nokucindezeleka kwengqondo okubangelwa yilesi sifo. Ungathola usizo nangalokho.
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