Cabanga nje lapho udidekile, futhi ngokuzumayo umhlaba wonke uqala ukukuzungeza... njengokungathi umhlaba umane uzungeza. Awukwazi ukuphuma embhedeni, uzizwa unesizungu lapho usukuma, uzizwa unesicanucanu, uhlanza. Wake waba nesipiliyoni esinjengalesi? Lesi simo esethusa abantu abaningi ngokuzumayo sibizwa ngokuthi i-Vestibular Neuritis, esizokhuluma ngaso namuhla. Lokhu kungase kuzwakale kungathi sína, kodwa uma ukukuqonda kahle, kuyisimo esingaphathwa.
Kalula nje, iyini i-Vestibular Neuritis?
Ukuze siqonde lokhu, ake siqale sifunde ngomlingo omncane owenzeka ngaphakathi ezindlebeni zethu. Kukhona inzwa ebaluleke kakhulu endlebeni yethu yangaphakathi. Ibizwa ngokuthi i-vestibulocochlear nerve . Le nzwa inemisebenzi emibili eyinhloko: owokuqala ukuthwala lokho esikuzwayo siye ebuchosheni, kanti omunye ukulawula ibhalansi yomzimba wethu. Uma sinikina amakhanda ethu, sihamba, noma sigijima, le nzwa ithumela ulwazi ebuchosheni mayelana nesimo sethu.
I-Vestibular Neuritis yisimo lapho ingxenye yale nerve elawula ibhalansi ivuvukala noma yonakale ngenxa yokutheleleka ngegciwane. Cabanga ukuthi indlela yakho eya ehhovisi ivele idideke. Ngemuva kwalokho awukwazi ukufika ehhovisi ngokushesha, akunjalo? Ngokufanayo, lapho le nerve ivuvukala, izimpawu mayelana "nokulinganisela" kusukela endlebeni yangaphakathi kuya ebuchosheni ziyadideka. Ngenxa yokuthi ubuchopho abutholi ulwazi olufanele, bucabanga ukuthi siyajikeleza. Yingakho sizizwa sengathi umhlaba wonke uyajikeleza.
Into ebalulekile ukuthi i-Vestibular Neuritis ngokuvamile ayithinti ukuzwa. Uma uzwa isiyezi kanye nokulahlekelwa ukuzwa, kungaba esinye isimo, njenge-Labyrinthitis. Sizoxoxa ngalokho kamuva.
Ziyini izimpawu zalesi simo?
Izimpawu ze-vestibular neuritis zivame ukuza ngezigaba ezimbili: isigaba esiphuthumayo esivele ngokuzumayo, kanye nesigaba esingamahlalakhona esihlala isikhathi esithile.
| Isigaba sezimpawu | Izici ezilindelekile |
|---|---|
| Isigaba Esibukhali (Ngokuvamile kuthatha izinsuku ezimbalwa) |
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| Isigaba Esingapheli (Kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa) |
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Lezi zimpawu azibonakali ngendlela efanayo kuwo wonke umuntu. Abanye abantu bangase babe nezimpawu ezinzima kuphela bese belulama. Abanye bangase babe nezimpawu ezincane izinyanga.
Kungani lokhu kwenzeka? Iyini imbangela?
Ngokuvamile, imbangela eyinhloko ye-vestibular neuritis ukutheleleka ngegciwane . Leli gciwane lingathinta ngqo indlebe yangaphakathi, noma kungaba umphumela wegciwane eliye lavela kwenye indawo emzimbeni.
Kalula nje, ngisho negciwane elifana nomkhuhlane noma umkhuhlane esiwutholayo sonke lingabangela lokhu.
Izinhlobo zamagciwane ezandisa ingozi yalokhu:
- Umkhuhlane (Umkhuhlane)
- I-Covid-19 (i-COVID-19)
- Igciwane le-Herpes simplex (igciwane le-Herpes simplex uhlobo 1 - igciwane elibangela izilonda zomkhuhlane)
- I-Hepatitis
- Isimungumungwane
- Ama-mumps
Okubalulekile, i-Vestibular Neuritis ayithelelani kusuka komunye umuntu iye komunye. Kodwa-ke, igciwane eliyibangela (isib. igciwane lomkhuhlane) lingathelelana.
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezishiwo ngenhla, into yokuqala okufanele uyenze ukubona udokotela . Cishe uzobona udokotela.Uzothunyelwa kudokotela ohlinzayo wezindlebe, ikhala kanye nomphimbo (ENT Surgeon).
Udokotela uzoqala ngokukubuza ngezimpawu zakho. Bese, qiniseka ukuthi awunazo ezinye izimo zezokwelapha ezingathi sína ezingase zibangele lezi zimpawu. Ukuzungeza okungazelelwe kanye nokulahlekelwa yibhalansi nakho kungaba uphawu lwento efana nesifo sohlangothi , isimila sobuchopho, noma ukulimala ekhanda.
Ngakho-ke, ukuze kunqunywe ukuthi lezi zinto azikho, udokotela angase acele ukuhlolwa okufana nalokhu:
- Ukuskena kwe-MRI: I-MRI, eyenziwa kusetshenziswa i-contrast agent, ingasibona kahle isimo sobuchopho kanye nezinzwa.
- Ukuhlolwa kokuzwa: Ukuzwa kuyahlolwa, njengoba ukuzwa kuvame ukuba kuhle ku-vestibular neuritis.
- Ukuhlolwa okukhethekile kokulinganisela (ibhethri lokuhlola i-Vestibular): Lokhu kuhlolwa kusiza ekunqumeni ukuthi ibhalansi yakho iphazamiseke kangakanani nokuthi umonakalo wezinzwa uphi.
Yiziphi izindlela zokwelapha lokhu?
Umgomo oyinhloko wokwelapha i-vestibular neuritis ukulawula izimpawu nokukusiza ukuthi ubuyele esimweni esijwayelekile ngokushesha.
1. Imithi
Ezimweni ezinzima kakhulu, udokotela angase anikeze imithi efana nalokhu:
- Imithi yokuhlanza kanye nesicanucanu: Imithi efana ne-Ondansetron (Zofran®) kanye ne-Metoclopramide (Reglan®). Uma ukuhlanza kukubi kakhulu, kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe usawoti ukuze umise ukuphelelwa amanzi emzimbeni.
- Imithi yokunciphisa isiyezi: Imithi efana neMeclizine (Antivert®) kanye neDiazepam (Valium®) ibizwa ngokuthi ama-vestibular suppressants. Kodwa-ke, ayinconywa ukuthi isetshenziswe izinsuku ezingaphezu kwezintathu , njengoba ukuyithatha isikhathi eside kunalokho kunganciphisa ikhono lobuchopho lokuzivumelanisa ngokwemvelo nalesi simo.
- Imithi enciphisa ukuvuvukala kwemizwa: Imithi ebizwa ngokuthi ama-corticosteroids inciphisa ukuvuvukala kwemizwa futhi isize ukuthi iphole ngokushesha.
- Imithi yokulwa namagciwane: Uma kukhona okusolakala ukuthi lokhu kubangelwa yinto efana negciwane le-herpes, imithi yokulwa namagciwane efana ne-Acyclovir inganikezwa.
2. Ukuzivocavoca okukhethekile (Ukwelashwa Kokuvuselelwa Kwe-Vestibular)
Uma isiyezi nokungalingani kuqhubeka isikhathi esingaphezu kwamasonto ambalwa, udokotela wakho angakuthumela ohlelweni olukhethekile lokuzivocavoca olubizwa ngokuthi i-Vestibular Rehabilitation Therapy (VRT) .
Lokhu kuyinto enhle kakhulu. Kalula nje, "kuqeqesha" ubuchopho bakho ukuthi buphinde bulungise ibhalansi. Kufundisa ubuchopho bakho ukuthi busebenzise kanjani amehlo akho nezinye izingxenye zomzimba wakho ukuze bulondoloze ibhalansi, bujwayele izimpawu ezididayo ezivela emithanjeni yakho.
Uchwepheshe wezokwelapha ngokomzimba uzokusiza ngalokhu. Uzokufundisa uchungechunge lwezivivinyo ezilula eziqondene nawe ngqo.
Uyini umehluko phakathi kwe-Vestibular Neuritis, i-Labyrinthitis kanye ne-BPPV?
Abantu abaningi badidanisa lezi zimo ezintathu, njengoba uphawu oluyinhloko lwazo zonke ezintathu luyisiyezi (vertigo). Kodwa-ke, zihlukile.
| Isimo sesifo | Isizathu esiyinhloko nomehluko |
|---|---|
| I-Vestibular Neuritis | Ukuvuvukala kwengxenye yenzwa ye-vestibular elawula ibhalansi. Ukuzwa akuthinteki. |
| I-Labyrinthitis | Lonke ulwelwesi lwendlebe yangaphakathi luyavuvukala. Lokhu kubangela isiyezi, kanye nokulahlekelwa ukuzwa noma ukukhala ezindlebeni. |
| I-BPPV (i-Benign Paroxysmal Positional Vertigo) | Amabhola amancane e-calcium (i-otoconia) endlebeni yangaphakathi ayaphuma bese ethuthela lapho kungafanele abe khona. Isiyezi senzeka kuphela lapho ikhanda liyiswa ohlangothini oluthile (isib., lapho ligingqika embhedeni) bese lihamba ngemizuzwana embalwa. |
Lesi simo sizohlala isikhathi esingakanani? Ingabe singaphinde sivele?
Kunzima ukunikeza impendulo eqondile kulokhu. Kuyahlukahluka kumuntu nomuntu.
- Kwabanye: Ukululama okuphelele phakathi nesonto noma amabili.
- Kwabanye: Izimpawu ezincane (njengokungalingani okuncane) zingase ziqhubeke izinyanga eziningana.
- Akuvamile kakhulu: Abanye abantu bangase babe nezimpawu iminyaka eminingi.
Izindaba ezinhle ukuthi abantu abangu-95% bakuthola kanye kuphela empilweni yabo. Amathuba okuthi kwenzeke futhi mancane kakhulu.
Kufanele ubonane nini nodokotela?
Uma unezimpawu ezifana nokuzungeza okukhulu okungazelelwe, ukulahlekelwa yibhalansi, noma ukuhlanza, bona udokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. Kubalulekile ukususa lokhu kuqala, njengoba lokhu kungaba izimpawu zesimo esibucayi kakhulu, njengesifo sohlangothi.
Uma izimpawu zakho zingathuthuki ngemva kokwelashwa, ungakhohlwa ukutshela udokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Vestibular Neuritis ukuvuvukala kwenzwa okulawula ibhalansi endlebeni yangaphakathi, okubangelwa ukutheleleka ngegciwane.
- Izimpawu eziyinhloko isiyezi esisheshayo nesinzima (isicanucanu), isicanucanu, kanye nokungakwazi ukuhamba. Ukuzwa ngokuvamile akuthinteki.
- Uma kuvela izimpawu ezinjengalezi, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha ukuze kususwe izimo ezibucayi ezifana nesifo sohlangothi.
- Iningi labantu liyalulama ngokuphelele phakathi namasonto ambalwa ngemithi kanye nokuzivocavoca okukhethekile (i-Vestibular Rehabilitation).
- Lesi simo asithelelani, futhi amathuba okuba naso kaningi empilweni aphansi kakhulu.
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