Uzizwa unesizungu? Uyawuzwa umsindo ezindlebeni zakho? Ake sixoxe ngesifo sikaMeniere

Ingabe ngezinye izikhathi uzizwa sengathi umhlaba wonke uyajikeleza? Ngesikhathi esifanayo, ingabe uzwa umsindo 'wokukhala' ngaphakathi endlebeni yakho, futhi indlebe yakho izwa sengathi isinda kancane? Uma uke waba nalokhu, ungase ube nesimo abantu abaningi abangasazi, kodwa esingadala ukungakhululeki okukhulu. Namuhla sikhuluma ngeSifo sikaMeniere. Ungakhathazeki, ake siqonde konke ngalokhu kalula.

Iyini ngempela i-Meniere's Disease?

Kalula nje, isifo sikaMeniere siyisifo esingavamile esithinta indlebe yethu yangaphakathi . Singabangela izimpawu ezintathu eziyinhloko:

• I-Vertigo : Lokhu akuyona nje into ejikelezayo. Kuwumuzwa wokuthi konke okuzungezile kujikeleza ngamandla, noma ngabe umile.
• I-Tinnitus : Ukukhala okuqhubekayo, ukubhuza, noma omunye umsindo endlebeni.
• Ukulahlekelwa ukuzwa : Ukulahlekelwa ukuzwa kungenzeka kancane kancane. Ngezinye izikhathi lokhu kungaba yinto ehlala njalo.

Esikhathini esiningi, lesi simo sithinta indlebe eyodwa kuphela. Kuyisimo esiqhubekayo, okusho ukuthi izimpawu zingase zibe zimbi kakhulu ngokuhamba kwesikhathi.

Kulungile, kungani lokhu kwenzeka kithi?

Isizathu esiyinhloko salokhu ukuqongelela koketshezi olukhethekile olubizwa ngokuthi i-endolymph endlebeni yethu yangaphakathi. Cabanga nje, ngaphakathi kwendlebe yethu yangaphakathi kunezingxenye ezizwela kakhulu ezilawula ibhalansi yomzimba futhi zibambe umsindo.

1. I-Cochlea : Lena yingxenye egcwele uketshezi ye-cochlea, ebunjwe njengegobolondo le-snail. Uma amaza omsindo engena, lolu ketshezi luyavevezela futhi luthumele izimpawu ebuchosheni, okuyiyona ndlela esizwa ngayo umsindo. Ngakho-ke lapho lolu ketshezi luqoqana, leyo nqubo ingaphazamiseka futhi ukuzwa kungaphazamiseka.

2. I -Vestibular labyrinth :Lena yingxenye eyinhloko yomzimba wethu elawula ibhalansi. Njenge-accelerometer efonini yethu, le ngxenye ithumela izimpawu ebuchosheni mayelana nendawo yethu kanye nokunyakaza. Ngakho-ke lapho umfutho woketshezi lapho ukhuphuka, lezo zimpawu ziyadideka, okuyikho okubangela i-vertigo.

Nakuba kungaziwa kahle ukuthi kungani lolu ketshezi luqoqana, odokotela bakholelwa ukuthi kunezizathu eziningana:

• Ukusabela kokungezwani komzimba noma izimo zokuzivikela komzimba: Lezi yizifo lapho uhlelo lokuzivikela lomzimba wethu luhlasela khona amangqamuzana ethu (isib., i-Rheumatoid arthritis, i-Systemic lupus erythematosus)
• Ukutheleleka ngegciwane
• Izici zofuzo
• Ukuncishiswa kwemithambo yegazi: Kufana nalokho okwenzeka ngesikhathi se-migraine.

Kukholelwa ukuthi isifo sikaMeniere sivame ukubangelwa yisinye noma ngaphezulu salezi zici zihlangene.

Izimpawu nezigaba zesifo sikaMeniere

Izimpawu zalesi sifo zingase zivele ngokuzumayo, zinyamalale ngemva kwezinsuku ezimbalwa, bese ziphinde zivele. Ake sibheke lezi zimpawu ngokucacile etafuleni.

Lesi sifo singavela ngezigaba ezintathu eziyinhloko.

Isigaba sokuqala (isikhathi sokuqala)

Phakathi nalesi sikhathi, isiyezi singase sivele ngokungalindelekile nangokuzumayo. Ngaleso sikhathi, ukuzwa kungase kunciphe futhi indlebe ingase izwakale igcwele. Kodwa-ke, uma isiyezi sesiphelile, ukuzwa kungase kubuyele esimweni esijwayelekile.

Isigaba sesibili (isikhathi esiphakathi)

Phakathi nalesi sikhathi, isiyezi singaqhubeka, kodwa singase singabi sibi kakhulu. Kodwa-ke, ukuzwa kuzoqala ukwehla unomphela ngezinga elithile. I-tinnitus nayo inganda.

Isigaba sesithathu (isikhathi sakamuva)

Kulesi sigaba, isiyezi singase siphele ngokuphelele. Kodwa-ke, ukuzwa kungase kunciphe kakhulu futhi kungalimaza unomphela. Njengoba izitho ezilawula ibhalansi emzimbeni zonakele unomphela, kungaba nzima ukugcina ibhalansi, ikakhulukazi uma uhamba ebumnyameni.

Ukuthola kanjani lokhu, Dokotela?

Ukuthola isifo sikaMeniere kungaba nzima ngoba lezi zimpawu zingabonakala nakwezinye izimo. Udokotela wakho uzokubuza ngezimpawu zakho futhi enze izivivinyo ezithile ukuqinisekisa ukuthi azikho ezinye izimbangela.

Ukuze utholakale unesifo sikaMeniere, kufanele ube nalokhu okulandelayo:

• Njengoba ngibe ne -vertigo okungenani kabili.
• Ukulahlekelwa ukuzwa kuqinisekiswa ukuhlolwa kokuzwa .
• Ukuzwa ukukhala ezindlebeni (i-tinnitus) noma ukuba nomuzwa wokugcwala ezindlebeni .

Ezinye zezivivinyo eziyinhloko ezenziwe ngale njongo yilezi:

• Ukuhlolwa kokuzwa (i-Audiometry): Ukuhlolwa okuhlola ukuthi uzwa kahle kangakanani emazingeni ahlukene omsindo.
• Ukuhlolwa kwebhalansi (ukuhlolwa kwe-Vestibular):
• Ukuhlolwa kwe-VNG/ENG: Ukunyakaza kwamehlo akho kulinganiswa egumbini elimnyama.
• Ukuhlolwa kwesihlalo esijikelezayo: Ujikeleziswa esihlalweni esilawulwa yikhompyutha futhi ukunyakaza kwamehlo akho kuyahlolwa.
• Ezinye izivivinyo ezikhethekile ezifana nalezi (`VEMP`, `CDP`, `vHIT`) zihlola ukuthi izingxenye zendlebe yangaphakathi ezilawula ibhalansi zisebenza kahle kangakanani.
• Ezinye izivivinyo: Kungenziwa ne-MRI noma i-CT scan ukuqinisekisa ukuthi ayikho enye imbangela, njengesimila sobuchopho.

Yiziphi izindlela zokwelapha lokhu?

Udokotela wakho uzoqala ngokwelashwa okulula okunemiphumela emibi embalwa.

1.Izinguquko zendlela yokuphila:

• Ukudla okungenasawoti omningi: Ukunciphisa usawoti (i-sodium) kubaluleke kakhulu ukunciphisa ukugcinwa koketshezi emzimbeni. Gwema ukudla okusemathinini, amasoso, nokudla okunosawoti omningi.
• Ukugwema ukudla okuthile: Izinto ezifana ne-caffeine (ikhofi, itiye), ushokoledi, notshwala zingadala izimpawu zibe zimbi kakhulu.

2. Izinhlobo zemithi:

• Imithi yokudabuka: Imithi efana ne-``(Betahistine)`` ingasetshenziswa ukulawula i-vertigo.
• Umuthi wokucanuzela: Lawula ukuhlanza kanye nokucanuzela.
• Imithi yokwehlisa uketshezi (“amaphilisi amanzi”): Imithi enikezwa ukunciphisa inani loketshezi oluningi emzimbeni nasezindlebeni.
• Imithi yokulwa nokukhathazeka: Imithi efana ne-`(Diazepam)` inganikezwa isikhathi esifushane uma kwenzeka isizungu esingazelelwe.

3. Ezinye izindlela zokwelapha:

• Ukwelashwa kokuvuselelwa kwe-Vestibular: Lokhu kufana ne -physiotherapy . Luchungechunge lwezivivinyo eziqeqesha kabusha ubuchopho ukuze bulondoloze ibhalansi.
• Umjovo wendlebe ephakathi: Uma izimpawu zingenakulawuleka, udokotela angase afake i-steroid noma i-antibiotic ebizwa ngokuthi ``Gentamicin'' endlebeni ephakathi.

4. Ukuhlinzwa:

Ukuhlinzwa kunconywa kuphela kulabo abanezimpawu ezinzima kakhulu ezingenakukwazi ukulawulwa ngezinye izindlela zokwelapha. Kunezinqubo ezahlukene zokuhlinzwa, njenge-`(Labyrinthectomy)` kanye ne-`(Endolymphatic sac decompression)`. Udokotela wakho uzokuchazela lokhu.

Ungasiphatha kanjani lesi simo ekhaya?

Kubaluleke kakhulu ukungesabi uma uzizwa unesizungu.

• Uma uzizwa unesiyezi:
• Hlala phansi noma ulale phansi ngokushesha. Ungenzi ukunyakaza okungazelelwe.
• Gwema izibani ezikhanyayo, umsindo omkhulu, nokubuka ithelevishini.
• Bheka into eyodwa, engashukumi.
• Ukuphumula: Ungase uzizwe ukhathele ngemva kokuphathwa yikhanda. Phumula ngokwanele bese uqala kabusha umsebenzi ngokushesha okukhulu.
• Thola izinto ezibangela lokhu: Thola ukuthi yiziphi izinto ezenza izimpawu zakho zibe zimbi kakhulu. Isibonelo:
• Ukuma ngokuzumayo, uphendule ikhanda lakho ngokushesha.
• Ukugoba phansi (uma ucosha okuthile phansi, goba amadolo akho).
• Ukucindezeleka, ukusebenza ngokweqile.
• Ezinye izitsha.

Ake sifunde futhi ngokushayela nokundiza.

Uma unesifo sikaMeniere, kufanele uqaphele kakhulu ngokushayela.

• Uma uzwa isiyezi esingazelelwe (isiyezi) noma “ukuhlaselwa ukuwa,” gwema ukushayela ngokuphelele. Lokhu kubaluleke kakhulu ekuphepheni kwakho nokwabanye.
• Kungase kudingeke ngokomthetho ukuthi wazise i-ejensi yakho ekhipha ilayisense yokushayela kanye nenkampani yomshuwalense ngalokhu.
• Ngokuvamile akuyona inkinga enkulu ezindizeni. Kodwa-ke, phuza amanzi amaningi futhi ugweme utshwala endizeni.

Isifo sikaMeniere, i-vertigo, i-tinnitus, ukulahlekelwa ukuzwa, indlebe yangaphakathi, ibhalansi