Ingabe uvame ukuzizwa unesiyezi futhi unekhanda elibuhlungu? Lokhu kungaba yi-vestibular migraine!

Ingabe ngezinye izikhathi uzizwa sengathi uyajikeleza, umzimba wakho uyajikeleza, futhi konke okukuzungezile kujikeleza njengengubo ejikelezayo? Kufana nalapho usesigingqini noma esikebheni. Ungase futhi uzwe ikhanda elibuhlungu, ubunzima bokubheka ukukhanya, noma ukukhala ezindlebeni zakho uma uzwa imisindo emikhulu. Uma ubhekene nalezi zimpawu, khona-ke isihloko sanamuhla sizoba sibaluleke kakhulu kuwe. Ake sixoxe ngesimo esithile esibizwa ngokuthi i-vestibular migraine .

Kuyini i-Vestibular Migraine? Kalula nje...

I-Vestibular migraine, kafushane nje, yisimo esithinta uhlelo lwethu lwezinzwa . Into eyinhloko eyenzekayo ukuthi uzizwe unesizungu (vertigo) . Lesi sizungu singakwenza uzizwe sengathi awuphilile kahle , ngisho noma umi. Ezinye izifundo zikhombisile ukuthi i-vestibular migraine iyimbangela yesibili ehamba phambili yesizungu kubantu.

Iyaziwa nangamanye amagama, njenge-'migraine-associated vertigo (MAV)', 'migraine-related vestibulopathy', kanye ne-'migraineous vertigo'. Kodwa-ke, asiwadingi wonke la magama enkulumweni yansuku zonke. Iningi labantu liyazi nge-vestibular migraine.

Odokotela nabacwaningi basazama ukuthola ukuthi lokhu kuyingxenye ye-migraine noma isimo esihlukile. Kodwa-ke, into eyodwa icacile. Lesi simo sinomthelela omkhulu empilweni yabantu yansuku zonke , okusho ukuthi kunciphisa izinga lempilo yabo. Yingakho odokotela bencoma izinguquko zendlela yokuphila, futhi uma kudingeka, imithi njengokwelashwa.

Ingabe lesi yisimo esivamile ngempela?

I-Vestibular migraine yisimo esivamile esithinta abantu abaningi. Kodwa-ke, i-vestibular migraine ayivamile kangako. Ucwaningo olwenziwe e-United States luthole ukuthi cishe u-2.7% wabantu banezimpawu ze-vestibular migraine. Kutholakale nokuthi iphesenti elikhulu labantu abafuna ukwelashwa kwezinkinga zokuzungeza kanye nokulinganisela bane-vestibular migraine. Ngakho-ke, uma unalezi zimpawu, khumbula ukuthi awuwedwa.

Ziyini izimpawu ze-vestibular migraine?

Izimpawu eziyinhloko nezibonakala kakhulu yilezo ezihlobene ne-vertigo . Lezi zimpawu zifaka:

• Kuvela izinkinga ngokulinganisela . Ungase uzizwe unesiyezi lapho umi noma uhamba.
• Ukuzizwa unesizungu .
• Ukuzizwa unesizungu noma untanta (unesizungu) .

Lesi sizungu singafika siphele ngemizuzu embalwa, noma singahlala izinsuku eziningi. Cabanga nje, kuthiwani uma ubulungiselela ukuya emsebenzini bese kungazelelwe konke okukuzungezile kuqala ukujikeleza? Noma, kuthiwani uma ubuphakathi komhlangano obalulekile bese uqala ukuzizwa unesizungu futhi uhlanza? Lokhu kungaba kubi kakhulu, okwenza kube nzima ukwenza imisebenzi yakho yansuku zonke.

Uma sikhuluma iqiniso, lokhu kungaba umuzwa onzima, njengokuguliswa umkhumbi olwandle. Abanye abantu bangakwazi ngisho nokuvuka embhedeni.

Ngaphezu kwalesi sizungu, kungase kube nezinye izimpawu:

• Kungase kube nesicanucanu nokuhlanza .
• Ukuzwela umsindo, ukukhanya, kanye namaphunga athile kunganda. Lokhu kusho ukuthi ngisho nemisindo engavamile ukukukhathaza ingase izwakale sengathi inamathele ezindlebeni zakho, amehlo akho angase abe luhlaza kakhulu ukuba angabuka ukukhanya, kanti amaphunga athile (iphunga elimnandi, amaphunga okudla) angase akwenze ikhanda lakho libuhlungu.
• Kungase kube nekhanda elibuhlungu . Lokhu kungaba nzima njengekhanda elibuhlungu elivamile, noma kungaba mnene. Ngezinye izikhathi, kungaba nesiyezi kuphela bese ikhanda elibuhlungu liphela.

Kungani kuvela i-vestibular migraine? Ziyini izimbangela?

Ochwepheshe basacwaninga imbangela noma izimbangela eziqondile zalokhu. Okusho ukuthi, kunzima ukusho ngqo ukuthi "lena imbangela." Kodwa-ke, bathole izici eziningana eziyingozi ezingaba nomthelela kulesi simo. Lezi yizi:

• Ukuba nomlando we-migraine . Ikakhulukazi uma ube nezimpawu ze-migraine kusukela ebuntwaneni, kungenzeka kakhulu ukuthi ube ne-vestibular migraine kamuva ekuphileni.
• Ukucindezeleka . Lesi simo singase senzeke uma ucindezelekile kakhulu. Cabanga nje, kuthiwani uma unesizungu lapho ucindezelwe umsebenzi ehhovisi nezinkinga ekhaya?
• Ukungalali kahle, ukukhathala ngokweqile . Lokhu kungenzeka nalapho usebenza ngokuqhubekayo ngaphandle kokulala kahle noma ukuphumula okufanele komzimba wakho.
• Ukungalingani kwe-Serotonin . I-Serotonin iyikhemikhali ebalulekile ebuchosheni bethu. Ukuba khona kwayo okuningi noma okuncane kakhulu kungathinta isimo sengqondo.
• Izinguquko zama-hormone . Lesi simo singabangelwa izinguquko zama-hormone, ikakhulukazi ngesikhathi sokunqamuka kokuya esikhathini kwabesifazane, noma ngesikhathi sokuya esikhathini.
• Izinguquko ekucindezelweni kwe-barometric . Lokhu kusho ukuthi lokhu kungenzeka kwabanye abantu abanezinguquko esimweni sezulu.
• Ukudla okuthile kanye noketshezi . Lokhu kungahluka kumuntu nomuntu. Kwabanye, lokhu kungabangelwa izinto ezifana noshizi, ushokoledi, inyama ecutshunguliwe, ukudla okune-MSG (i-monosodium glutamate), ikhofi, newayini.

Udokotela uhlonza kanjani ngokunembile i-vestibular migraine?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela ofanelekayo . Udokotela uzoqala ngokukubuza ngezimpawu zakho. Unesikhathi esingakanani unalesi sizungu nokulahlekelwa yibhalansi? Uzizwa nini kakhulu? Lena yimibuzo obuzwa yona kakhulu.

Isizathu salokhu ukuthi kunezinye izimo zezokwelapha ezingabangela isiyezi. Isibonelo, isiyezi siwuphawu olukhulu lwezimo ezifana nesifo sikaMénière kanye ne-BPPV (Benign Paroxysmal Positional Vertigo) . Ngakho-ke, into yokuqala udokotela wakho azokwenza ukuqinisekisa ukuthi awunazo ezinye zalezi zimo. Kulapho-ke kuphela lapho bezosola khona ukuthi ungase ube ne-vestibular migraine.

Ngokuvamile, udokotela uzophetha ngokuthi une-vestibular migraine uma kuhlangatshezwana nezimo ezilandelayo:

• Uma uzwa isiyezi ngokuzumayo esihambisana nokuhlanza noma isicanucanu .
• Kumelwe kube neziqephu ezinhlanu ze-vertigo . Futhi, ezinye izimpawu ze-migraine (ikhanda elibuhlungu, ukuzwela ukukhanya/umsindo) kumele zibe khona okungenani kwengxenye yalezo ziqephu.
• Isiyezi singahlala kusukela kumaminithi amahlanu kuya emahoreni angu-72 (izinsuku ezi-3) .
• Uma isiyezi sinzima kangangokuthi sithinta imisebenzi yakho yansuku zonke noma sikuvimbele ukuya emsebenzini .
• Uma une -migraine aura . Okusho ukuthi, izimpawu ezifana nokubona ukukhanya phambi kwamehlo akho, ukubona imivimbo, kanye nobunzima bokukhuluma ngaphambi kokuba i-migraine iqale.

Uma udokotela wakho esola ukuthi lokhu kuyi-vestibular migraine, angenza izivivinyo eziningana, njenge:

• Ukuhlolwa kwemizwa : Lokhu kuzohlola izinto ezifana nokusabela kwakho, amandla, kanye nendlela ohamba ngayo.
• I-Videonystagmography noma i-Electronystagmography : Lezi izivivinyo ezikhethekile ezihlola ukunyakaza kwamehlo kanye nomsebenzi wohlelo lokulinganisela endlebeni yakho yangaphakathi.
• Ukuhlolwa kwezithombe : Izinto ezifana ne-CT scans noma i-MRI scans yobuchopho zingenziwa ukuqinisekisa ukuthi azikho ezinye izinkinga ebuchosheni.
• Ukuhlolwa kokulahlekelwa ukuzwa : Hlola izinkinga zokuzwa.

Yiziphi izindlela zokwelapha i-vestibular migraine?

Izindaba ezinhle ukuthi kunezindlela zokwelapha i-vestibular migraine. Odokotela bangase batuse okulandelayo:

• Imithi
• Izinguquko zendlela yokuphila
• Ukwelashwa Kokuvuselelwa Kwe-Vestibular

Ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.

Imithi

Udokotela wakho angase akunike izinhlobo ezimbili zemithi. Omunye umuthi wansuku zonke noma wamasonto onke wokunciphisa noma ukuvimbela ukwenzeka kwe-vestibular migraines . Omunye umuthi wokulawula izimpawu lapho zivela .

Imithi eminingana ingasiza ekuvimbeleni i-vestibular migraines:

• Ama-antidepressant e-Tricyclic : Lawa asiza ukulawula i-migraines uma enikezwa ngemithamo ephansi.
• Izithiyo zesiteshi se-calcium
• Imithi yokulwa nokuquleka
• Ama-Beta-blocker : Lawa uhlobo lomuthi olunikezwa nomfutho wegazi ophakeme.

Imithi yokunciphisa izimpawu:

• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) : Isibonelo, i-ibuprofen.
• Imithi yokwelapha ukunyakaza : Yehlisa isiyezi kanye nesicanucanu.
• Imithi yokulwa nesifo sengqondo : Le mithi ngezinye izikhathi isetshenziselwa ukulawula isicanucanu esinzima nokuhlanza.

Okubalulekile: Ungathathi noma yimiphi imithi eshiwo ngenhla ngaphandle kokubonisana nodokotela. Udokotela wakho uzokunikeza imithi efanele isimo sakho kanye nesilinganiso esifanele.

Izinguquko zendlela yokuphila

Ngaphezu kwemithi, ukwenza izinguquko ezithile endleleni yakho yokuphila kungasiza ekulawuleni lesi simo. Udokotela wakho uzokutshela izinto ezifana nalezi:

• Phumula kakhudlwana futhi ulale kangcono kunokujwayelekile . Zama ukulala kahle okungenani amahora angu-7-8 ngosuku.
• Yidla ukudla okulula ngesikhathi . Ungalambi.
• Gwema ukudla neziphuzo ezithile . Njengoba sishilo ngaphambili, abanye abantu bangase babhekane nokwanda kwalokhu ngenxa yezinto ezifana noshizi, ushokoledi, ikhofi, iwayini, ukudla okune-MSG, kanye nokudla okugciniwe. Udokotela wakho uzokutshela ukuthi yikuphi ukudla okungalungile kuwe. Hlala kude nabo ngangokunokwenzeka.
• Zivocavoce . Kuhle ukuhamba kancane nsuku zonke, uzivocavoce okukwenza uzizwe kahle. Kodwa-ke, kudingeka uqaphele uma unesiyezi.
• Thola izindlela zokunciphisa ukucindezeleka . Izinto ezifana nokuzindla, i-yoga, nokwenza okuthile okukwenza ujabule (ukuzijabulisa) kungasiza ekunciphiseni ukucindezeleka.

Ukwelashwa Kokuvuselelwa Kwe-Vestibular (VRT)

Lolu uhlobo olukhethekile lokwelashwa nge-physiotherapy. Lusebenza ngokuthuthukisa ukuhlangana phakathi kobuchopho bakho, amehlo, nendlebe yangaphakathi, okusiza ekunciphiseni isiyezi nezinkinga zokulinganisela . Kunezivivinyo ezithile zalokhu. Udokotela wakho angakuthumela kulolu hlobo lokwelashwa.

Yini engingayilindela uma nginobuhlungu bekhanda obubangelwa yi-vestibular migraine?

Lokhu kungahluka ngempela kumuntu nomuntu . Abanye abantu kuzodingeka baqhubeke nokuphuza imithi yokulawula lesi simo. Abanye bangathola impumuzo enkulu ngokushintsha indlela yokuphila njengokudla, ukuzivocavoca umzimba, nokuphumula. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho bese uthola uhlelo lokwelashwa olukusebenzelayo .

Kufanele ngimbone nini udokotela?

Uma uzwa isiyezi njalo, uzizwa ungazinzile, noma uma kuthinta impilo yakho yansuku zonke, kufanele nakanjani ubone udokotela . Lokhu kubaluleke kakhulu uma une-migraines.

Uma ungumuntu owaziyo kakade ukuthi une-Vestibular Migraine, bona udokotela wakho futhi ngesikhathi esinjengalesi:

• Uma isiyezi sikhula kaningi noma uma isiyezi siba sibi kakhulu .
• Uma uzwela kakhulu umsindo ngaphandle.
• Uma ikhanda liba libi kakhulu .

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Ngenxa yokuthi i-vestibular migraine ayiyona into evamile, ungase ube nemibuzo eminingi ngayo. Ungesabi ukubuza udokotela wakho imibuzo efana nale:

• Kungani, Dokotela/Nkosikazi, nginalesi simo?
• Ingabe izimpawu zami zizoba zimbi kakhulu?
• Hlobo luni lokwelashwa olungincomayo?
• Ingabe kuzodingeka ngithathe imithi unomphela?
• Ngaphandle kokulawula ukudla kwami ​​nokuphumula ngokwanele, yini enye engingayenza ukuze ngiphathe izimpawu zami ze-vestibular migraine?

Uma unesifo sekhanda elibuhlungu, cishe uyazi izimpawu: ukuqala kokukhanya okukhanyayo ngokuzumayo, kulandelwe ikhanda elibuhlungu elibuhlungu. Kungenzeka ukuthi usole i-migraine yakho ngokuba nesiyezi kanye nokulahlekelwa ibhalansi. Kodwa-ke, isiyezi esiqhubekayo nesinzima (noma ngabe uphethwe yikhanda noma cha) kungaba uphawu lokuthi unesifo sekhanda elibuhlungu elibuhlungu.

Ngenhlanhla, odokotela banezindlela zokwelapha ezingasiza ekuvimbeleni lesi simo ukuthi singabi khona noma sinciphise izimpawu zaso. Kukhona nezinto ongayenza, njengokulala ngokwanele, ukugwema ukudla okuthile, nokunciphisa ukucindezeleka. Uma une-migraines futhi uhlala uzizwa unesizungu, kufanele nakanjani ubone udokotela. Bangenza izivivinyo ezidingekayo ukuqinisekisa ukuthi une-vestibular migraine. Okubaluleke kakhulu, bangakunikeza ulwazi, imithi, kanye nezinye izindlela zokwelapha ozidingayo ukuvimbela lesi simo noma ukunciphisa izimpawu zaso.

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esixoxe ngakho (Umyalezo Wokuya Ekhaya)

Kulungile, ake sihlanganise konke esikhulume ngakho bese sizikhumbuza izinto ezibaluleke kakhulu okufanele sizikhumbule:

• I-Vestibular migraine yisimo sezinzwa esibonakala ngokuzumayo kokuba nesiyezi, ukulahlekelwa yibhalansi, kanye nezimpawu ze-migraine ngezinye izikhathi (ikhanda elibuhlungu, ukuzwela ukukhanya/umsindo).
• Nakuba lokhu kungavamile kakhulu, kungaba nomthelela omkhulu empilweni yakho .
• Nakuba izimbangela eziqondile zingaziwa, izinto ezifana nokucindezeleka, ukungalali kahle, nokudla okuthile kuye kwabonakala njengezinto eziyingozi.
• Kubaluleke kakhulu ukubonana nodokotela ukuze uthole ukuxilongwa okunembile, njengoba isiyezi singaba nezinye izimbangela.
• Kukhona ukwelashwa! Lesi simo singaphathwa ngemithi, izinguquko zendlela yokuphila (ukulala kahle, ukudla okufanele, ukuvivinya umzimba, ukunciphisa ukucindezeleka), kanye nokwelashwa ngebhalansi (VRT).
• Uma unalezi zimpawu, ungesabi, kodwa qiniseka ukuthi ubona udokotela ukuze akunike iseluleko .

Khumbula, impilo yakho ingumthwalo wakho. Ukuqaphela lezi zimo nokuthola ukwelashwa ngesikhathi kungakusiza ukuthi uphile impilo enempilo nekhululekile.

I- Vestibular Migraine, i-migraine, isiyezi, i-vertigo, ibhalansi, izifo zemizwa, ikhanda elibuhlungu, isicanucanu