Ingabe uzizwa sengathi umhlaba wonke uyakujikeleza uma uwedwa? Noma uzwa umsindo wokukhala ezindlebeni zakho lapho kungekho muntu eduze? Ingabe uzizwa sengathi izindlebe zakho zigcwele futhi ukuzwa kwakho kunciphile? Ungakhohlwa ukuthi lezi yizinto ezivamile nje. Lesi kungaba yisimo esingavamile esenzeka ezindlebeni zethu. Namuhla sikhuluma ngesifo
sikaMeniere, esibangela ukungakhululeki kubantu abaningi.
Iyini ngempela isifo sikaMeniere?
Kalula nje, isifo sikaMeniere yisimo esenzeka
endlebeni engaphakathi . Abantu abaningi bacabanga ukuthi isiyezi sibangelwa inkinga ebuchosheni. Kodwa-ke, kulesi sifo, inkinga ingaphakathi kwendlebe. Lokhu kubangela izimpawu ezintathu eziyinhloko: 1.
I-Vertigo : Lokhu akuyona nje umuzwa wokujikeleza. I-Vertigo umuzwa wokuthi igumbi lonke, umhlaba wonke, liyajikeleza nxazonke zakho ngisho noma usendaweni eyodwa. 2.
I-Tinnitus : Umsindo oqhubekayo wokukhala noma wokubhonga endlebeni, ngisho noma kungekho msindo ozungezile. 3.
Ukulahlekelwa Yizindlebe : Ngokuhamba kwesikhathi, ukuzwa kuncipha kancane kancane. Lesi sifo sivame ukuthinta indlebe eyodwa kuphela. Nakuba izimpawu zingase zifike futhi zihambe ekuqaleni, ngokuhamba kwesikhathi, ukulahlekelwa ukuzwa kungaba unomphela.
Kungani sithola lesi sifo?
Ngaphakathi kwezindlebe zethu kunesimiso esiyinkimbinkimbi kakhulu esilawula ibhalansi yemizimba yethu futhi sisisize sizwe. Ngaphakathi kwalesi simiso kukhona uketshezi olubizwa ngokuthi "i-Endolymph". Cabanga ngakho njengebhaluni elincane ngaphakathi kwendlebe. Uma ngesizathu esithile lolu ketshezi lukhula, okusho ukuthi ibhaluni ligcwalisa kakhulu, ingcindezi engaphakathi kwendlebe iyanda. Yilapho kuvela khona izimpawu zesifo sikaMeniere. Lokhu kucindezela koketshezi kuthinta kakhulu izingxenye ezimbili:
- I-Cochlea : Le ngxenye emise okwesikhwekhwe isisiza ukuzwa imisindo. Lapho umfutho woketshezi ukhuphuka, umsebenzi wayo uyaphazamiseka, okunciphisa ukuzwa.
- I-Vestibular Labyrinth: Lokhu kufana ne-accelerometer kumaselula ethu. Le ngxenye isisiza ukugcina imizimba yethu ilinganisela kungakhathaliseki ukuthi sima kanjani, sihamba kanjani, noma sigijima kanjani. Lapho umfutho woketshezi ukhuphuka, izimpawu ezivela kulolu hlelo ziya ebuchosheni ziyaphambuka, okubangela isiyezi esikhulu (vertigo).
Imbangela eqondile yalokhu kwanda okungazelelwe koketshezi ayikakaziwa. Kodwa-ke, kunezinto ezimbalwa odokotela abazikholelwayo:
Ubani osengozini enkulu yokuthola lesi sifo?
Nakuba noma ubani engaba nesifo sikaMeniere, abanye abantu basengozini enkulu. Ake sibheke ukuthi bangobani.
| Isici sengozi | Incazelo |
|---|
| Izifo zesimiso somzimba sokuzivikela | Ingozi iphakeme uma unezifo ezifana ne-rheumatoid arthritis noma i-lupus. |
| Umlando womndeni | Uma othile emndenini wakho enalesi sifo, kunethuba elincane lokuthi nawe uzosithola. |
| Ubudala | Lesi sifo sivame ukubonakala kubantu abaneminyaka ephakathi kuka-40 no-60. |
| Ubulili | Abesifazane basengozini enkulu kancane yokuthola lesi sifo. |
Izimpawu nezigaba zesifo
Izimpawu zesifo sikaMeniere zingavela ngokuzumayo. Lokhu sikubiza ngokuthi
"ukuhlaselwa." Ukuhlaselwa okukodwa kungahlala imizuzu engama-20 kuya emahoreni angama-24. Phakathi kokuhlaselwa, ungaphila ngokujwayelekile ngaphandle kokungakhululeki.
Ngezinye izikhathi isiyezi siba sibi kakhulu kangangokuthi awukwazi ukuma bese uwela phansi ngokuzumayo. Lokhu sikubiza ngokuthi "ukuhlaselwa kokuwa."Kusho ukuthi. Lokhu kungaba yingozi, ngakho-ke kufanele uqaphele kakhulu.
Ngenxa yokuthi lesi sifo siya siba sibi kancane kancane ngokuhamba kwesikhathi, odokotela basihlukanisa ngezigaba ezintathu eziyinhloko.
Izigaba ezintathu zalesi sifo
- Isigaba Sokuqala: Phakathi nalesi sigaba, ukuhlaselwa yi-vertigo kwenzeka ngezikhathi ezingalindelekile. Ngesikhathi sokuhlaselwa, indlebe izizwa isinda, ukuzwa kuyancipha, futhi kuba nokukhala ezindlebeni. Lezi zimpawu ziyanyamalala lapho ukuhlaselwa sekuphelile.
- Isigaba Esiphakathi: Ukuhlaselwa yi-vertigo kungase kunciphe kancane, kodwa akukubi kangako. Ukulahlekelwa ukuzwa kungase kuqale ukuba yinto ehlala njalo. Ukukhala ezindlebeni kungase kuqhubeke.
- Isigaba Sokugcina: Ngalesi sikhathi, ukuhlaselwa yi-vertigo kungenzeka ukuthi sekuphele cishe ngokuphelele. Kodwa-ke, ukuzwa kungase kunciphe kakhulu, noma kulahleke ngokuphelele. Izinkinga zokulinganisela ziyaqhubeka, okwenza kube nzima ukuhamba, ikakhulukazi ebumnyameni.
Udokotela ukuxilonga kanjani ngokunembile lokhu?
Uma unalezi zimpawu,
kufanele nakanjani ubonane nodokotela. Ngoba kunezinye izifo ezinezimpawu ezifanayo. Udokotela uzokubuza imibuzo, akuhlole, futhi enze izivivinyo ezithile ukuqinisekisa ukuthi lesi yisifo sikaMeniere.
- I-Audiometry: Ukuhlolwa okukala ukuthi ungezwa kahle kangakanani nokuthi izindlebe zakho zisabela kanjani kumaza omsindo ahlukene.
- Ukuhlolwa kwe-Vestibular: Lokhu kuhlola ukuthi uhlelo lwakho lokulinganisela lwendlebe lusebenza kahle kangakanani. Kunezivivinyo ezithile zalokhu, njenge-`(VNG)` kanye ne-`(Rotary chair testing)`.
- Ezinye izivivinyo: Kungenziwa i-MRI noma i-CT scan ukuze kutholakale ezinye izimbangela, njengesimila sobuchopho.
Yiziphi izindlela zokwelapha lokhu?
Akukho ukwelashwa kwesifo sikaMeniere okwamanje. Kodwa-ke, kunezindlela eziningi zokwelapha ezisebenzayo ezingakusiza ukulawula izimpawu zakho futhi uphile impilo evamile. 1.
Izinguquko endleleni yokuphila:- Ukulawula usawoti: Lena yinto ebaluleke kakhulu. Ukunciphisa inani likasawoti elifakwa ekudleni kwakho kungasiza ekunciphiseni ingcindezi yoketshezi olungaphakathi endlebeni yakho. Gwema izinto ezifana nokudla okusemathinini, amasoso, namabhisikidi anosawoti.
- I-caffeine notshwala: Lokhu kungandisa izimpawu, ngakho-ke kungcono ukuzinciphisa ngangokunokwenzeka.
2.
Izinhlobo zemithi:- Imithi yokudabuka kanye nokucasuka (`(Betahistine)`, `(Prochlorperazine)`).
- Imithi enciphisa inani loketshezi emzimbeni nasezindlebeni (i-Diuretics).
- Umuthi (`(Diazepam)`) onikezwa ukunciphisa ukucindezeleka kwengqondo ngesikhathi sokuhlaselwa yisiyezi.
3.
Ezinye izindlela zokwelapha:- Ukwelashwa Kokuvuselelwa Kwe-Vestibular: Lokhu ukwelashwa ngokomzimba okukusiza ukuthi uphile nesiyezi futhi ubuyisele ibhalansi yomzimba wakho.
- Ukujova endlebeni: Kubantu abane-vertigo enzima engenakukwazi ukulawulwa ngezinye izindlela zokwelapha, udokotela angase afake ama-steroid noma i-gentamicin endlebeni.
- Ukuhlinzwa: Ukuhlinzwa kwenziwa kuphela ezimweni ezinzima kakhulu, lapho kungekho okunye ukwelashwa okuphumelelayo. "I-Labyrinthectomy" ingenye yokuhlinzwa okunjalo.
Okubalulekile: Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe. Ngakho-ke, ungasebenzisi imithi ngokusekelwe kulokho okubonile ku-inthanethi noma okuzwile kothile. Hlala ucela iseluleko kudokotela wakho.
Ingabe lokhu kuthinta ukushayela nokundiza?
Yebo. Uma unesifo sikaMeniere,
kufanele nakanjani wazise i-Motor Vehicle Licensing Agency (RMV) yangakini kanye nenkampani yakho yomshuwalense. Ukushayela ngenkathi ubhekene nokuhlaselwa okungazelelwe kwe-vertigo kuyingozi kuwe nakwabanye. Kuwukuhlakanipha ukugwema ukushayela kuze kube yilapho izimpawu zakho sezilawulwa kahle. Ngokuvamile akuyona inkinga enkulu ezindizeni. Kodwa-ke, kubalulekile ukwazisa inkampani yezindiza kusenesikhathi, uhlale unamanzi emzimbeni ngesikhathi sohambo, futhi ugweme utshwala.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaMeniere yisifo sendlebe yangaphakathi esibangela kakhulu isiyezi, ukukhala ezindlebeni (i-tinnitus), kanye nokulahlekelwa ukuzwa.
- Lesi akusona isifo esisongela impilo, kodwa singaba nomthelela omkhulu ezingeni lempilo.
- Nakuba lesi sifo singelapheki ngokuphelele, kunezindlela eziningi zokwelapha ezisebenzayo ezingasiza ekulawuleni izimpawu nasekuphileni impilo evamile.
- Ukunciphisa usawoti ekudleni nokwenza izinguquko endleleni yokuphila kuyingxenye ebaluleke kakhulu yokwelashwa.
- Uma unezimpawu ezinjengalezi, ungesabi noma ungazinaki, kodwa bonana nodokotela ngokushesha ukuze uthole ukuxilongwa okufanele nokwelashwa.
Isifo sikaMeniere, i-vertigo, i-tinnitus, ukulahlekelwa ukuzwa, izinkinga zendlebe yangaphakathi
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