Ingabe uvele uzizwe unesizungu? Ake sifunde nge-Vestibular Neuritis!

Kuthiwani uma udidekile futhi ngokuzumayo uzizwa unesizungu njengohlanya? Ubungakwazi ngisho nokuma, ubungakwazi ukuthuthumela, ubungakwazi ukuzizwa uhlanza... Lesi yisenzakalo esesabekayo ngempela. Isimo esingabangela isizungu esisheshayo nesinzima yilokho esikhuluma ngakho namuhla, i-Vestibular Neuritis. Ungakhathazeki, sizogcina konke kulula.

Iyini ngempela i-Vestibular Neuritis?

Kalula nje, lokhu ukuvuvukala noma ukuvuvukala kwenzwa exhunywe endlebeni yethu yangaphakathi. Kukhona inzwa ekhethekile kakhulu endlebeni yethu yangaphakathi, ebizwa ngokuthi ``i-Vestibulocochlear nerve``. Umsebenzi oyinhloko walo mthambo ukuthumela ulwazi ebuchosheni mayelana nokulinganisela komzimba wethu kanye nokuma kwekhanda lethu lapho siliphendula .

Cabanga nje, uma uhamba, uphendula ikhanda lakho, noma ugijima, awuwi ngoba le nzwa ithumela ulwazi olunembile ebuchosheni. Manje, ku-'Vestibular Neuritis', lapho le nzwa ivuvukala, izimpawu eziya ebuchosheni ziyaphazamiseka. Kufana nocingo oluphukile. Khona-ke ubuchopho abukwazi ukuqonda ukuthi umzimba umi kanjani noma ukuthi uhamba kanjani. Yilapho-ke siqala khona ukuzwa isiyezi esikhulu (vertigo) , ukujikeleza, kanye nokulahlekelwa ibhalansi.

Nakuba lesi simo singase senzeke kubantu banoma yibuphi ubudala, asivamile kangako ezinganeni ezincane.

Ziyini izimpawu zalokhu? Kuzwakala kanjani?

Lesi simo sivame ukuba nezigaba ezimbili. Okokuqala, kuba nesigaba esinezimpawu ezinzima eziqala ngokuzumayo, bese kuba nesigaba lapho izimpawu ziphela khona kancane.

1. Isigaba Esiphuthumayo (ukuqala ngokuzumayo)

Lesi isikhathi esinzima kakhulu. Lokhu kungahlala izinsuku ezimbalwa, mhlawumbe isonto. Izimpawu zivele ngokuzumayo, kabi kakhulu.

2. Isigaba Esingapheli

Ngemva kokuphela kwesigaba esibucayi, izimpawu zingase ziphele amasonto noma izinyanga ezimbalwa. Phakathi nalesi sikhathi, izimpawu ozizwayo zizohluka kancane.

Ake sihlukanise ngokucacile izimpawu zalezi zigaba ezimbili.

Kungani lokhu kwenzeka? Iyini imbangela?

Odokotela bakholelwa ukuthi imbangela eyinhloko ye-Vestibular Neuritis ukutheleleka ngegciwane . Leli gciwane lingathinta ngqo indlebe yangaphakathi, noma kungaba umphumela wegciwane elithelelekile kwenye indawo emzimbeni.

Njengoba nje lapho sithola umkhuhlane, ikhala nomphimbo wethu kuyavuvukala, amanye amagciwane angabangela imizwa engaphakathi kwendlebe yethu ebangela ukulinganisela ukuthi ivuvuke. Yilokho okwenzekayo lapha.

Yiziphi izinhlobo zamagciwane ezingadala lokhu?

• Umkhuhlane (Umkhuhlane)
• I-Covid-19 (i-COVID-19)
• Igciwane le-Herpes (igciwane le-Herpes simplex - igciwane elibangela izilonda zomkhuhlane)
• I-Hepatitis
• Uvendle
• Isimungumungwane
• Ama-mumps

Ingabe lesi sifo siyathelelana?

Cha. I-Vestibular Neuritis ayithelelani. Lokhu kusho ukuthi awukwazi ukuyithola ngokuba seduze nomuntu onayo. Kodwa-ke, igciwane eliyibangela lingadluliselwa . Isibonelo, uma othile ethola i-Vestibular Neuritis evela egciwaneni lomkhuhlane, lowo muntu angadlulisela igciwane lomkhuhlane komunye umuntu.

Udokotela ukubona kanjani lokhu?

Uma unesiyezi esinzima kanje, into yokuqala okufanele uyenze ukubona udokotela. Ngokuvamile lokhu kuba yi-otolaryngologist (ENT) egxile ezinkingeni zezindlebe, impumulo kanye nomphimbo. Ngezinye izikhathi, kungadingeka ukuthi ubonane nodokotela wezinzwa noma udokotela wezindlebe.

Into yokuqala nebaluleke kakhulu udokotela angayenza ukuqinisekisa ukuthi ezinye izimo zezokwelapha ezimbi azizona imbangela , njengoba lezi zimpawu zingavela nakwezinye izifo ezimbi.

Yiziphi izifo ezisuswa kuqala?

• Isifo sohlangothi: Lesi yisona esiyingozi kakhulu. Sivela lapho umthambo wegazi ohambisa igazi ebuchosheni uvaleka noma uqhuma.
• Ukulimala ekhanda.
• Isimila sobuchopho.
• Ikhanda elibuhlungu le-migraine.

Ukuze aqinisekise ukuthi lezi zinto azikho, udokotela wakho angase akucele ukuthi wenze okuthile okufana nokuskena kwe-MRI (Magnetic Resonance Imaging).

Ngemva kokususa lezo zinto, kwenziwa ezinye izivivinyo eziningana ukuqinisekisa i-'Vestibular Neuritis'.

• Ukuhlolwa kokuzwa.
• Ukuhlolwa okukhethekile okuhlola ibhalansi (ibhethri lokuhlola le-Vestibular).

Yiziphi izindlela zokwelapha lokhu?

Umgomo oyinhloko wokwelapha i-vestibular neuritis ukulawula izimpawu zakho nokukusiza ukuthi ululame ngokushesha.

Kunezindlela ezimbili zokwelapha eziyinhloko zalokhu:

1. Imithi

2. Ukwelashwa kokuvuselelwa kwe-Vestibular

Izinhlobo zemithi enikeziwe

• Imithi yokucanuzela nokuhlanza: Imithi efana ne-"Ondansetron (Zofran®)" inikezwa lokhu. Uma ukuhlanza kukubi kakhulu, kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe usawoti ukuze uvimbele ukuphelelwa amanzi emzimbeni.
• Imithi yokunciphisa isiyezi: Kunikezwa imithi efana ne-`Meclizine` kanye ne-`Diazepam (Valium®)`. Kodwa-ke, odokotela bathi akukuhle ukuyisebenzisa izinsuku ezingaphezu kwezintathu zilandelana . Ngoba uma uqhubeka nokuyisebenzisa, kungase kube sekwephuze kakhulu ukuthi ubuchopho bukwazi ukujwayela lesi simo esisha.
• Imithi enciphisa ukuvuvukala: Imithi ebizwa ngokuthi `ama-Corticosteroids` inikezwa ukunciphisa ukuvuvukala emthanjeni.
• Imithi yokulwa namagciwane: Uma kukhona okusolakala ukuthi lokhu kubangelwa yigciwane le-herpes, kunganikezwa umuthi wokulwa namagciwane njenge-Acyclovir.

Ukwelashwa Kokuvuselelwa Kwe-Vestibular

Abanye abantu baba nesiyezi kanye nokulahlekelwa yibhalansi isikhathi esingaphezu kwamasonto ambalwa. Yilapho ukuvivinya umzimba kuba khona kubaluleke kakhulu.

Lokhu kuhilela ukuqeqesha ubuchopho bakho ukuze bujwayele lesi simo esisha futhi buphinde bube nebhalansi. Udokotela we-physiotherapist oqeqeshwe ngokukhethekile uzohlola ukusebenza kwamehlo akho, izindlebe, nemilenze bese edala uchungechunge lwezivivinyo ezifanele wena. Ukwenza lezi zivivinyo ngendlela efanele kuzokusiza ukuthi ululame ngokushesha.

Kuzothatha isikhathi esingakanani ukuthi lesi simo siphole?

Akukho sikhathi esiqondile salokhu. Kuhlukahluka kakhulu kumuntu nomuntu. Abanye abantu bayalulama ngokuphelele cishe ngesonto. Abanye bangase babe nezimpawu izinyanga, futhi ezimweni ezingavamile, ngisho neminyaka. Kuya ngokuthi umonakalo wezinzwa ungakanani nokuthi umzimba wakho usabela kanjani kuwo.

Ingxenye engcono kakhulu ukuthi abantu abaningi balulama ngokuphelele phakathi namasonto ambalwa. Uma izimpawu zakho zingathuthuki noma zingapheli, khuluma nodokotela wakho ngezinye izindlela zokwelapha.

Umehluko Phakathi Kwe-Vestibular Neuritis Nezimo Ezifanayo

Kunezinye izimo ezimbili ezinezimpawu ezifanayo. Ake sifunde kancane ngomehluko phakathi kwazo.

• I-Vestibular Neuritis vs. I-Labyrinthitis: Lezi ezimbili zifana kakhulu. Ku-'Vestibular Neuritis', yimizwa ehlobene nokulinganisela kuphela evuvukalayo. Kodwa-ke, ku-'Labyrinthitis', zombili izingxenye eziphathelene nokulinganisela kanye nengxenye ehlobene nokuzwa ziyavuvukala. Ngakho-ke, umuntu one-'Labyrinthitis' angase azwe ukulahlekelwa ukuzwa noma ukukhala ezindlebeni (i-tinnitus) kanye nesiyezi.
• I-Vestibular Neuritis vs. BPPV: I-BPPV (i-Benign Paroxysmal Positional Vertigo) nayo iyisimo esivamile esibangela isiyezi. Kodwa-ke, ayibangelwa yimizwa. I-BPPV ibangelwa amakristalu amancane e-calcium endlebeni yethu yangaphakathi aphumayo bese ethuthela kwenye indawo. Kulesi simo, isiyezi senzeka ikakhulukazi lapho siphendula ikhanda lethu kolunye uhlangothi noma lapho siphenduka embhedeni .