Cabanga nje ukube ubudidekile futhi ngokuzumayo uzizwe sengathi umhlaba wonke uyakujikeleza? Noma ukube uzwa umsindo othi "whooshing..." endlebeni yakho lapho kungekho muntu eduze? Lokhu ukungakhululeki abantu abaningi ababhekana nakho ngesimo esibizwa ngokuthi i-Ménière's Disease. Kungaqala ngokuzumayo, kuphele isikhashana, bese kubuya futhi, futhi kuyisimo esicasulayo kakhulu. Ake sixoxe ngakho ngamazwi alula namuhla.
Kalula nje, siyini isifo sikaMénière?
Isifo sikaMénière yisimo esingavamile esithinta indlebe yangaphakathi. Le ngxenye yendlebe ilawula ibhalansi yethu nokuzwa. Ngakho-ke uma unalesi sifo, ungase uzizwe sengathi umhlaba wonke uyajikeleza ngisho noma umile. Sikubiza ngokuthi i-vertigo . Ungase futhi uzwe ukukhala ezindlebeni zakho noma ukulahlekelwa ukuzwa.
Lezi zimpawu zingaqala ngokuzumayo ngaphandle kwesixwayiso . Zinganyamalala isikhashana, bese ziphinde zivele ezinsukwini noma ezinyangeni kamuva. Uma zingelashwa kahle, lezi zimpawu zingaba zimbi kakhulu ngokuhamba kwesikhathi, okuholela ekulahlekelweni kokuzwa unomphela kanye nezinkinga zokulinganisela okuqhubekayo. Kodwa ungakhathazeki, ngokwelashwa okufanele kanye nokusekelwa okuvela kudokotela wakho, ungalawula lesi simo.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Lezi zimpawu zivele ngokuzumayo njengesiqephu. Lokhu kungahlala imizuzu engama-20 noma isikhathi eside esingamahora angama-24. Ngezinye izikhathi ukuhlaselwa okuningana kungavela ngokulandelana. Abanye abantu bangase babe nokuhlaselwa okukodwa bese behlala izinyanga bengenazo izimpawu.
Ake sibone ukuthi yiziphi izimpawu eziyinhloko zalesi sifo.
| Isibonakaliso | Incazelo |
|---|---|
| I-Vertigo | Ukuzizwa sengathi umhlaba wonke uyajikeleza. Kwabanye abantu, lokhu kungaba nzima kangangokuthi abakwazi ukuma bese bewa phansi ngokuzumayo. Lokhu kubizwa nangokuthi "ukuhlaselwa kokuwa." |
| Ukulahlekelwa Yizindlebe | Lokhu kuvame ukuthinta indlebe eyodwa. Ezigabeni zokuqala, imisindo ephansi ivame ukulahleka. Uma ingelashwa, lesi simo singaba sibi kakhulu ngokuhamba kwesikhathi. |
| Ukuzwa umsindo ezindlebeni (i-Tinnitus) | Umuzwa oqhubekayo wokuzwa umsindo endlebeni. Kungaba umsindo "oqhumayo", njengomshini osebenzayo, noma umsindo ofana negobolondo lolwandle elibekwa endlebeni. |
| Ukucindezela ngaphakathi kwendlebe | Ungase uzizwe ucindezelekile noma uzizwa ugcwele endlebeni ethintekile. |
| Ukuhlanza kanye nesicanucanu | Kuvamile ukuba nesiyezi esikhulu kanye nesicanucanu nokuhlanza. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Odokotela abasazi kahle ukuthi yini ebangela isifo sikaMénière, kodwa abaningi bakholelwa ukuthi sibangelwa uketshezi oluningi olubizwa ngokuthi i-endolymph, olutholakala endlebeni yangaphakathi. Uma lolu ketshezi lunqwabelana kakhulu, lungaphazamisa izimpawu zokuzwa nokulinganisela ezihamba zisuka endlebeni ziye ebuchosheni.
Kunezimo eziningana okucatshangwa ukuthi zinegalelo ekuqongeleleni koketshezi lwe-endolymph ngale ndlela:
- Ukungezwani komzimba okuhlukahlukene (Ukungezwani komzimba)
- Ukuvinjelwa kokugeleza koketshezi ngaphakathi endlebeni
- Ukulimala ekhanda
- Izifo ezahlukahlukene
- Ikhanda elibuhlungu
Kodwa-ke, kudingeka ucwaningo olwengeziwe ukuze kuqondwe ngokugcwele ubudlelwano phakathi kwalezi zimo kanye nesifo sikaMénière.
Ubani osengozini enkulu yokuthola lesi sifo?
Nakuba noma ubani engaba neSifo sikaMénière, abanye abantu basengozini enkulu.
- Ubudala: Lesi sifo sivame ukwenzeka kubantu abaneminyaka ephakathi kuka-40 no-60.
- Ubulili: Ezinye izifundo zibonisa ukuthi abesifazane banamathuba amancane okuthola lesi sifo.
- Izakhi zofuzo: Phakathi kuka-7% no-10% wabantu abanalesi sifo banelungu lomndeni elike laba nalesi sifo. Lokhu kusho ukuthi singadluliselwa ezizukulwaneni ngezizukulwane.
- Izifo ezizenzakalelayo:Uma unesifo sokuzivikela komzimba, njenge-rheumatoid arthritis noma i-lupus, usengozini enkulu yokuthola isifo sikaMénière.
Yimiphi imiphumela emibi engaba khona uma lokhu kunganakwa?
Isiyezi esinzima esibangelwa yilesi sifo singaholela ekuweni okukhulu . Lokhu kwenza ngisho nemisebenzi yansuku zonke efana nokukhwela izitebhisi nokushayela imoto ibe yingozi kakhulu. Ngokuhamba kwesikhathi (ngokuvamile ngemva kweminyaka engu-8-10), lesi simo singaholela ekulahlekelweni kokuzwa unomphela .
Ngokufanayo, lesi sifo singaba nomthelela omkhulu empilweni yakho yengqondo. Ukukhathazeka njalo ngezinto ezinjengokuthi "Ngizophinde ngizizwe nginesizungu futhi?" kanye nokuthi "Ingabe ngizolahlekelwa ukuzwa kwami ngokuphelele?" kungaholela ekukhathazekeni nasekucindezelekeni .
Ungesabi ukukhuluma nodokotela wakho ngokuphatheka kabi ngokomzimba kanye nokucindezeleka kwengqondo okubangelwa yilesi sifo.
Udokotela usithola kanjani lesi sifo ngokunembile?
Lesi simo sivame ukutholakala nguchwepheshe wezindlebe, impumulo, nomphimbo (otolaryngologist - ENT). Uma ubona udokotela wakho, uzokuxilonga futhi akubuze ngezimpawu zakho. Ngemuva kwalokho, bangenza izivivinyo ezithile ukuqinisekisa ukuthi awunazo ezinye izimo ezibangela izimpawu ezifanayo.
- Ukuhlolwa kokuzwa: Hlola ukuthi kukhona yini ukulahlekelwa ukuzwa.
- Ibhethri lokuhlola i-Vestibular: Lihlola ukusebenza kohlelo lokulinganisela endlebeni yangaphakathi kanye nemisipha yeso.
- Ukuskena kwe-Brain MRI: Lokhu kuhlolwa kungenziwa ukuqinisekisa ukuthi akukho simila sobuchopho noma enye inkinga ebangela isiyezi.
Yiziphi izindlela zokwelapha lokhu?
Akukho ukwelashwa kwesifo sikaMénière. Kodwa-ke, kunezindlela eziningi zokwelapha ezisebenzayo ezinganciphisa ubukhali nobude bezimpawu . Udokotela wakho ngokuvamile uzoqala ngezindlela zokwelapha ezilula. Uma lokhu kungasizi, angase ancome ukuhlinzwa.
Izinguquko zendlela yokuphila
Ukwenza izinguquko ezimbalwa ezincane empilweni yakho yansuku zonke kunganciphisa kakhulu lezi zimpawu.
- Ukunciphisa ukusetshenziswa kwe-caffeine notshwala.
- Ukulawula ukucindezeleka nokulala ngokwanele.
- Ukulandela ukudla okungenasawoti omningi.Iseluleko esijwayelekile ukuthi ungadli ngaphezu kwama-milligram angu-1500 kasawoti ngosuku. Lokho cishe yi-¾ ithisipuni. Udokotela wakho angakutshela nokuthi ugweme ukudla okuqukethe i-MSG.
Imithi
Kunezinhlobo eziningana eziyinhloko zemithi enikezwayo yalesi sifo.
- Ama-Diuretics kanye ne-betahistine: Ama-Diuretics anciphisa inani loketshezi oluningi emzimbeni. Umuthi i-betahistine uthuthukisa ukujikeleza kwegazi endlebeni yangaphakathi futhi unciphisa umfutho woketshezi.
- Imithi yokudambisa isiyezi kanye nokucasuka: Le mithi ingasiza ekulawuleni isiyezi futhi inciphise isicanucanu. Isibonelo, imithi efana ne-diazepam kanye ne-meclizine inganikezwa.
Uma le mithi ingalawuli lesi simo, udokotela wakho angase akunike imithi enikezwa njengomjovo .
- Umjovo we-steroid we-intratympanic: Ukujova umuthi we-steroid nge-eardrum kungalawula izimpawu.
- I-Gentamicin: Lena i-antibiotic. Isebenza ngokulimaza izicubu zendlebe zangaphakathi ezibangela izimpawu. Kodwa-ke, kunengozi ngalokhu kwelashwa, okuwukuthi kungabangela ukulahlekelwa ukuzwa okwengeziwe.
Ezinye izindlela zokwelapha namadivayisi
- Ukuvuselelwa kwe-Vestibular: Lokhu kufana nokwelashwa ngokomzimba. Kukufundisa ukuzivocavoca ukusiza ukuthuthukisa ibhalansi yakho nokulawula isiyezi sakho.
- Izinsiza-kuzwa: Ngokuhamba kwesikhathi, kungadingeka usebenzise izinsiza-kuzwa.
- Ukufakelwa kwe-Cochlear: Le divayisi ingadingeka uma ukuzwa kuphazamiseka kakhulu futhi izinsiza zokuzwa zingasizi.
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Le ndlela yokwelapha isiza ekubhekaneni ngempumelelo nokucindezeleka, ukukhathazeka, kanye nokucindezeleka okubangelwa yilesi sifo.
Ukuhlinzwa
Ezimweni ezimbi kakhulu, lapho izimpawu zingalawulwa ngezinye izindlela zokwelapha, kungase kudingeke ukuhlinzwa ukuze kuncishiswe umfutho woketshezi ngaphakathi kwendlebe.
- Inqubo yesikhwama se-Endolymphatic: Ingxenye efana nesikhwama sendlebe yangaphakathi lapho uketshezi luqoqana khona iyavulwa bese kususwa uketshezi oluningi.
- Ingxenye yemizwa ye-Vestibular: Ukusika imizwa ethwala izimpawu zokulinganisela ebuchosheni kuvimbela isiyezi.
- Ukususwa kwendlebe: Ingxenye yendlebe elawula ibhalansi isuswa ngokuphelele. Kodwa-ke, ngemva kwalokhu kuhlinzwa, indlebe izobe isingezwa nhlobo. Ngakho-ke, lokhu kwenziwa kuphela kubantu asebelahlekelwe ukuzwa kuleyo ndlebe.
Ingabe lesi sifo sizophulukiswa ngokuphelele?
Isifo sikaMénière singahlala singenazimpawu izinyanga, ngisho neminyaka, bese siphinde sibuye. Lokhu kusho ukuthi nakuba singelapheki ngokuphelele,Ngokwelashwa okuhle kanye nokushintsha kwendlela yokuphila, kungaphathwa ngempumelelo enkulu futhi ungaphila impilo evamile. Into ebaluleke kakhulu ukuthatha imithi oyinikezwe udokotela wakho ngokushesha nje lapho uqala ukuba nezimpawu. Ngemuva kwalokho ungathola impumuzo ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaMénière yisimo sendlebe yangaphakathi esibangela izimpawu ezifana nokuzumeka okungazelelwe, ukulahlekelwa ukuzwa, kanye nokukhala ezindlebeni.
- Nakuba imbangela eqondile yalokhu ingaziwa, kukholelwa ukuthi imbangela eyinhloko ukunqwabelana koketshezi ngaphakathi endlebeni.
- Uma unalezi zimpawu, bonana nodokotela ngokushesha, ikakhulukazi uchwepheshe wezindlebe, impumulo nomphimbo.
- Nakuba kungelapheki ngokuphelele, izimpawu zingalawulwa kahle ngokushintsha indlela yokuphila, imithi, kanye nezinye izindlela zokwelapha.
- Ungakushayi indiva ukucindezeleka kwengqondo okubangelwa yilesi sifo. Khuluma nodokotela wakho ngakho ngokukhululekile.
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