Ingabe ngezinye izikhathi uzizwa unesiyezi noma ujikeleza esihlalweni sakho? Abanye abantu baphinde babe nesicanucanu nokuhlanza. Uma lokhu kwenzeka njalo, ungakuthathi njengento evamile. Kungaba ngenxa yenkinga ohlelweni lokulinganisela lomzimba wakho, olubizwa ngokuthi uhlelo lwe-vestibular. Namuhla, sizokhuluma ngezinkinga ze-vestibular.

Ziyini Izinkinga Ze-Vestibular?

Kalula nje, izinkinga ze-vestibular ziyizinkinga ohlelweni lwe-vestibular, olulawula ibhalansi yomzimba wakho. Lolu hlelo luhlanganisa izingxenye zendlebe yakho yangaphakathi kanye nezingxenye zobuchopho bakho. Yilezi ezikusiza ukuthi ugcine umzimba wakho ulinganisele.

Cabanga ngakho, lolu hlelo yilona olukusiza ukuthi ugcine ibhalansi yakho lapho uhamba, uphendula ikhanda lakho, bese ugxuma. Ngakho-ke, uma kunenkinga ngohlelo lwe-vestibular endlebeni yakho yangaphakathi, noma ngezingxenye zohlelo lwakho lwezinzwa oluphakathi (i-CNS) ezithatha lolu lwazi ziye ebuchosheni futhi ziluhlaziye, ungaba nezinkinga ngokulinganisela kwakho (ukungasebenzi kahle kwe-vestibular). Ngokuvamile, izinkinga ze-vestibular ezinjengalezi yizo ezibangela isiyezi kanye ne-vertigo.

Yiziphi izinhlobo eziyinhloko zalesi simo?

Odokotela bahlukanisa lezi zinkinga ze-vestibular ngokusekelwe ekutheni inkinga ikuphi ohlelweni lwakho lwe-vestibular.

• Izinkinga Ze-Peripheral Vestibular (PVD): Lezi yizimo ezithinta indlebe yakho yangaphakathi noma i-vestibular nerve, ethwala izimpawu zokulinganisela ebuchosheni. Cabanga ngakho njengenkinga ngezingxenye ezincane zezinzwa ezingaphakathi kwendlebe yakho.
• Izinkinga Ze-Central Vestibular (CVD): Lezi yizimo ezithinta izingxenye zobuchopho bakho ezicubungula izimpawu zokulinganisela ezivela ohlelweni lwe-peripheral vestibular. Lokhu kusho ukuthi ubuchopho abukwazi ukuhumusha kahle ulwazi oluvela ezindlebeni.

Yiziphi izifo ezivame kakhulu ze-vestibular?

Ezinye zalezi zivame ukubonakala:

• I-Benign Paroxysmal Positional Vertigo (BPPV): Lolu uhlobo lwesiyezi abantu abaningi abaluzwayo lapho bephendula ikhanda labo ngokuzumayo.
• Isifo sikaMénière: Kulesi simo, kanye nesiyezi, ukulahlekelwa ukuzwa kanye nokukhala ezindlebeni kungase kwenzeke.
• I-Vestibular neuritis: Lokhu kwenzeka lapho i-vestibular nerve ivuvukala.
• I-Labyrinthitis: Lokhu ukuvuvukala kwe-labyrinth yendlebe yangaphakathi, okungathinta ukuzwa.

Ingabe zikhona ezinye izinhlobo zezifo ze-vestibular?

Yebo, kunezinye eziningi. Lezi ziyinkimbinkimbi kancane, kodwa kuhle ukuzazi:

• I-neuroma ye-acoustic
• Isifo sendlebe yangaphakathi esizivikela ngokuzenzakalelayo
• Imisele yamanzi ekhulisiwe ye-vestibular (i-EVA)
• I-Mal de débarquement syndrome (MdDS) – Lona umuzwa wokuthi umhlaba uyazamazama ngisho nangemva kokwehla emkhunjini.
• I-Otosclerosis
• I-Perilymphatic fistula (PLF)
• Ukuzungeza okuqhubekayo kokuma kwesimo (PPPD)
• I-Presbyvesbulopathy (PVP) – izinkinga zokulinganisela ezenzeka ngokuguga.
• Ama-hydrops e-endolymphatic yesibili
• I-Superior semicircular canal dehiscence syndrome
• I-vertigo yemithambo yegazi
• Ukungakwazi ukusebenza kahle kwe-vertebrobasilar
• I-Vestibular ataxia
• I-Vestibular migraines - isiyezi esihambisana ne-migraines.
• I-hypofunction ye-Vestibular
• I-Vestibular paroxysmia

Manje ungase ucabange, "Mama, yisiphi lesi sifo?" Ungakhathazeki, akuwona wonke umuntu othola konke lokhu. Uchwepheshe kuphela ongakuthola ngokunembile lokhu.

Ziyini izimpawu zesifo se-vestibular?

Kunezimpawu ezimbili ezivame ukubonakala kulesi simo:

• Ukuzizwa unesizungu: Lokhu kusho ukuzizwa unesizungu, unesizungu, noma "uzizwa unesizungu."
• I-Vertigo: Yilapho uzizwa sengathi uyajikeleza, noma igumbi okulo liyajikeleza nxazonke zakho. Kufana nokukhuphuka nokwehla nge-swing.

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izimpawu zingase zivele kuye ngesimo sakho esithile. Zihlanganisa:

• Ubunzima bokuma noma ukuhlala uqonde.
• Ubunzima bokuhamba kancane kancane (njengokungathi uhamba ngokungazinzile).
• Ukulahlekelwa ukuzwa noma ukukhala ezindlebeni (lokhu kubizwa ngokuthi i-tinnitus ).
• Ukunyakaza kwamehlo okungalawuleki nokungajwayelekile (lokhu kubizwa ngokuthi i-nystagmus) .
• Umbono ofiphele.
• Isicanucanu nokuhlanza.
• Ukuthola ubunzima bokugxila kokuthile.

Cabanga nje, uNilanthi Akka wasedolobhaneni lakithi uzizwa enesizungu cishe umzuzu owodwa njalo ekuseni lapho evuka embhedeni. Wayecabanga ukuthi kungenxa yokungalali kahle. Kodwa kamuva, lapho ebona udokotela, wathola ukuthi kwakuyisimo esibizwa ngokuthi i-BPPV (Benign Paroxysmal Positional Vertigo) . Ngakho-ke uma unalezi zimpawu, qiniseka ukuthi ubona udokotela.

Yiziphi izimbangela zezinkinga ze-vestibular?

Kunezizathu eziningana zokuthi kungani uhlelo lwe-vestibular lungase lungasebenzi kahle.

• Ukuguga: Njengoba ukhula, izakhiwo ezisendlebeni yakho yangaphakathi ezithumela izimpawu zokulinganisela ebuchosheni zingancipha kancane kancane.
• Ukulimala ekhanda: Ukushaywa ekhanda kungalimaza indlebe yangaphakathi noma izingxenye zobuchopho ezihlobene nohlelo lwe-vestibular.
• Ukuchayeka ebuthi: Ukuchayeka endlebeni yangaphakathi kuwukulimala kwendlebe yangaphakathi okubangelwa imithi ethile oyithathayo. Lokhu kuyimbangela enkulu yokungasebenzi kahle kwe-vestibular. Indlebe yangaphakathi ingonakalisa namakhemikhali asendaweni ezungezile (isibonelo, i-lead).
• Ukuvuvukala: Ukuvuvukala kungalimaza izitho zomzimba kanye nemizwa endlebeni yangaphakathi ehilelekile ekulinganiseni. Ngezinye izikhathi lokhu kuvuvukala kungabangelwa ukutheleleka ngegciwane noma amagciwane.
• Izinkinga ze-Endolymph: Uketshezi olusendlebeni yakho yangaphakathi olubizwa ngokuthi i-endolymph luyanyakaza njengoba ikhanda lakho linyakaza. Lokhu kunyakaza kuvuselela imizwa ethumela ulwazi mayelana nendawo yakho ebuchosheni bakho. Uma kunenkinga ngalolu ketshezi, kungabangela izinkinga ohlelweni lwe-vestibular, okubangela amaphutha ekudlulisweni kwesignali.
• Izimila: Ezinye izimila (kufaka phakathi izimila) ebuchosheni noma endlebeni zingathinta imizwa ekusiza ukuthi ugcine ibhalansi.
• Izifo ezihlasela umzimba: Lokhu kuyinto engavamile, kodwa kwezinye izifo ezihlasela umzimba, amasosha omzimba wakho angahlasela indlebe yakho yangaphakathi.
• Izimo ze-neurological: Izifo ezithinta imizwa yakho kanye nesistimu yezinzwa ephakathi (CNS) zingabangela ukuthi ibhalansi yakho ithinteke. Isifo sohlangothi siyimbangela evamile yokungasebenzi kahle kwe-vestibular ephakathi. Singabangelwa futhi yizifo ezonakalisa isembozo sokuvikela esizungeze imizwa (njengezifo ezisusa i-myelin ).

Yiziphi izinto ezibangela lezi zimpawu?

Abantu abanezinkinga ezithile ze-vestibular babhekana nezimpawu, njengesiyezi kanye ne-vertigo, ezifika zidlule. Kulezi zimo, "izimbangela" ezithile zingaqala noma zibe zimbi kakhulu izimpawu. Lezi zimbangela zifaka:

• Izinguquko endaweni: Isibonelo, ngokuzumayo uya endaweni "ematasa" egcwele abantu futhi ubona izinto ezahlukene.
• Ukunyakaza kwekhanda okungazelelwe noma izinguquko esimweni: Njengalapho ulele embhedeni.
• Ukudla neziphuzo ezithile.
• Ukungalali kahle.
• Ukucindezeleka.

Udokotela wakho angakusiza ukuthi ubone ukuthi yiziphi izinto ezinjengalezi ezingase zenze izimpawu zakho zibe zimbi kakhulu.

Yimiphi imiphumela emibi engaba khona (izinkinga) zalokhu?

Ukungasebenzi kahle kwe-vestibular akugcini nje ngokuthinta ibhalansi yakho. Uma kungelashwa, kungaholela nakwezinye izinkinga.

• Ukuwa: Izinkinga zokulinganisela zingaholela ekuweni okuyingozi. Ngokusho kwe-World Health Organization (WHO), phakathi kuka-20% no-30% wabantu abadala e-United States bahlushwa ukulimala ekhanda, ukuxhuzula, noma ukuphuka kwezinqe ngenxa yokuwa. Abantu abangaphezu kweminyaka engu-60 basengozini enkulu yalokhu kuwa okusongela ukuphila. Cabanga ukuthi kungaba njani uma ungazizwa unesizungu futhi uwe ngokuzumayo ngenkathi uhamba ehholo.
• Ukulahlekelwa ukuzwa isikhathi eside: Ezinye izifo ze-vestibular zihlotshaniswa nokulahlekelwa ukuzwa isikhathi eside. Lokhu kungavinjelwa uma lesi simo sitholakala futhi selashwa kusenesikhathi.
• Izimo zempilo yengqondo: Izimpawu zokungasebenzi kahle kwe-vestibular zingenza kube nzima ukwenza imisebenzi yansuku zonke, njengokushayela noma ukuhamba ngezinyawo. Abantu bangase futhi bagweme ukuxhumana nabantu ngenxa yokwesaba isiyezi noma i-vertigo. Le miphumela ingaholela ezimweni zempilo yengqondo njengokukhathazeka nokucindezeleka .

Ngakho-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha kanye nokwelashwa ngokushesha ngaphandle kokwandisa ingozi yezinkinga zempilo ezengeziwe.

Izifo ze-vestibular zitholakala kanjani?

Udokotela wakho uzohlonza lesi simo ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa. Bazobuza nangezimpawu zakho. Ukuqonda izimpawu zakho kubalulekile ekunqumeni ukuthi inkinga isendlebeni yangaphakathi noma ohlelweni lwezinzwa oluphakathi (i-CNS).

Hlobo luni lochwepheshe okufanele ngilubone?

Kukhona odokotela abaningana abangakwazi ukuxilonga nokwelapha izifo ze-vestibular:

• Odokotela Bezinso (ama-ENT).
• Odokotela be-Vestibular audiologists.
• Odokotela bezinzwa.
• Abelaphi bomzimba.

Hlobo luni lokuhlolwa olwenziwayo ukuze kutholakale lokhu?

Kungenzeka ukwenza izivivinyo ezinjengalezi:

• Ukuhlolwa kwe-Vestibular: Lokhu kungahlola ukuthi izitho ze-vestibular ezisendlebeni yakho yangaphakathi zisebenza kanjani. Ngokuvamile, lokhu kuhlolwa kubheka ukuthi amehlo akho nendlebe yangaphakathi zisebenza kanjani ndawonye ukuze kukusize ugcine ibhalansi.
• Ukuhlolwa kokuzwa: Lokhu kuhlola izimpawu ezifana nokulahlekelwa ukuzwa noma ukukhala ezindlebeni (i-tinnitus), okungase kuhlotshaniswe nesifo se-vestibular.
• Ukuhlolwa kwezithombe:Kungase kudingeke ukuthi wenze i-MRI (magnetic resonance imaging) noma i-CT scan (computed tomography scan) ukuze ubone ukuthi kukhona yini izinkinga zesakhiwo endlebeni yakho yangaphakathi noma ebuchosheni.
• Ukuhlolwa kwegazi: Lokhu kungahlola izifo ezingase zibangele izinkinga zendlebe yangaphakathi.

Izinkinga ze-vestibular ziphathwa kanjani?

Ukwelashwa okutholayo kuzoncika esimweni sakho esithile. Izinkinga ze-Vestibular zingelashwa ngokuthi:

• Izinguquko zendlela yokuphila: Izinguquko ezilula zendlela yokuphila zingasiza ekuphatheni ezinye izifo ze-vestibular. Isibonelo, uma ukunqwabelana koketshezi ezindlebeni zakho kuyinkinga, ukunciphisa ukudla okunosawoti (okungabangela ukugcinwa kwamanzi) kungasiza. Kubalulekile futhi ukufunda ukuhlonza nokuphatha izimbangela ezingabangela isiyezi.
• Imithi: Ungadinga imithi yokwelapha imbangela yesimo sakho noma yokulawula izimpawu zakho. Isibonelo, ungadinga ama-antibiotic ukwelapha izifo ezibangelwa amagciwane, noma ama-diuretics ukunciphisa ukwakheka koketshezi ezindlebeni zakho. Ungadinga imithi yokulwa nesicanucanu noma ama-antihistamine ukulawula izimpawu ezifana nokucasuka.
• Inqubo yokushintsha indawo ye-Canalith: Uma une -BPPV (Benign Paroxysmal Positional Vertigo) , lokhu kwelashwa, ngokubambisana nodokotela wezokwelapha ngokomzimba, kungasiza ekushintsheni indawo yezingxenye ezincane ze-canaliths endlebeni yakho yangaphakathi eseziphumile.
• Ukuvuselelwa kwe-Vestibular: Ukwelashwa kokuvuselelwa kwe-Vestibular kuhlanganisa izikhathi zokuzivocavoca ezisiza ukulawula isiyezi kanye ne-vertigo.
• Ukuhlinzwa: Ukuhlinzwa kwendlebe yangaphakathi kuvame ukwenziwa njengendlela yokugcina yokwelapha izifo ze-vestibular. Kodwa-ke, kungadingeka ukulawula izimpawu ezinzima ze-vertigo uma ezinye izindlela zokwelapha zingazange zisize.

Yini ongayilindela uma uphila nalesi simo?

Isimo sakho sincike enkingeni ethile ye-vestibular onayo. Kwezinye izimo, izinkinga ze-vestibular ziyaphela zodwa. Isibonelo, izinkinga ze-vestibular ezihlobene nokutheleleka zivame ukuba ngcono uma igciwane noma amagciwane esehambile. Kodwa-ke, kubalulekile ukuthola ukwelashwa ngokushesha ngangokunokwenzeka ukuze uvimbele umonakalo wesikhathi eside endlebeni yangaphakathi.

Ezinye izifo ze-vestibular zidinga ukuphathwa impilo yonke. Izimpawu zingafika zihambe ngokungalindelekile, noma ngenxa yezimbangela ozibonayo. Uma kunjalo kuwe, kuzodingeka usebenzisane nodokotela wakho (noma ithimba lokunakekela) ukuze uphathe isimo sakho.

Ingabe izifo ze-vestibular zingavinjelwa?

Kuncike embangela yesifo se-vestibular, kodwa izifo ze-vestibular ngokuvamile kunzima ukuzivimbela.

Kodwa kunezinto ongazenza ukuze uzinakekele. Isibonelo, ungathola ukwelashwa kusenesikhathi ukuze uvimbele umonakalo wesikhathi eside ovela ezimbangini ezifana nokutheleleka. Uma uphila nesifo esihlala isikhathi eside, ungathatha izinyathelo zokunciphisa ingozi yakho yokuwa.

Ngizinakekela kanjani?

Ngokuvamile, inhlanganisela yezinguquko zendlela yokuphila, imithi, kanye nokuvuselelwa kwe-vestibular isetshenziswa ukwelapha noma ukuphatha izifo ze-vestibular. Kodwa abantu abaningi bangathola uhlelo lokwelapha olubasebenzelayo. Okwamanje, ungazinakekela ngokuthi:

• Hlala ugcina imithi yakho nawe.
• Uma uzizwa sengathi izimpawu seziqala ukuvela, thatha ikhefu uphumule.
• Gwema imisebenzi eyingozi uma ungaqiniseki ukuthi iphephile.
• Uma ubhema, gwema (noma uyeke). Ukubhema kungenza izimpawu zibe zimbi kakhulu.
• Nciphisa i-caffeine notshwala. Lezi yizinto ezivame ukukhulisa izimpawu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza imibuzo efana nale:

• Kungani ngibe nalesi sifo se-vestibular?
• Yiziphi izivivinyo okufanele zenziwe ukuze kutholakale isimo sami?
• Hlobo luni lokwelashwa engiludingayo?
• Ngingazilawula kanjani izibangeli?
• Yiziphi izinguquko engingazenza ukuze nginciphise ingozi yokuwa?

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Iningi lethu aliqapheli ukuthi ibhalansi ibaluleke kangakanani empilweni yethu yansuku zonke kuze kube yilapho sinenkinga. Yilapho sizizwa sengathi igumbi liyajikeleza khona ngokuzumayo lapho siqaphela khona ukubaluleka kwalo. Ngezinye izikhathi lo muzwa uyaphela ngemva kwesikhashana. Kodwa uma unesifo se-vestibular, kubalulekile ukubona udokotela futhi uthole ukwelashwa ngaphambi kokuba lesi sizungu sibe yinto eyingozi njengokuwa. Udokotela wakho angakusiza ukuthola inhlanganisela efanele yokwelashwa ukuze alungise inkinga yakho yokulinganisela, aphathe izimpawu zakho, futhi akusize uthole inhlanganisela efanele yokwelashwa. Ungakhathazeki, iningi lalezi zimo lingaphathwa kahle.

'Izinkinga zemithambo yegazi, isiyezi, i-vertigo, ibhalansi, indlebe yangaphakathi, isifo sikaMeniere, i-BPPV