Matenda a Ménière

Matenda a Ménière ndi vuto lamkati lamakutu lomwe limakhudza magwiridwe antchito komanso kumva.

Khutu lanu lamkati lili ndimachubu zodzaza ndi madzi zotchedwa labyrinths. Timachubu timeneti, pamodzi ndi minyewa ya chigaza, zimakuthandizani kudziwa momwe thupi lanu lilili komanso kukuthandizani kuti mukhale olimba.

Zomwe zimayambitsa matenda a Ménière sizikudziwika. Zitha kuchitika pamene kupanikizika kwa madzimadzi mu gawo la khutu lamkati kukwera kwambiri.

Nthawi zina, matenda a Ménière amatha kukhala okhudzana ndi:

• Kuvulala pamutu
• Matenda apakati kapena amkati amkati

Zina mwaziwopsezo ndizo:

• Kumwa mowa
• Nthendayi
• Mbiri ya banja
• Matenda aposachedwa ozizira kapena ma virus
• Kusuta
• Kupsinjika
• Kugwiritsa ntchito mankhwala ena

Matenda a Ménière ndi matenda wamba.

Kuukira kwa matenda a Ménière nthawi zambiri kumayamba popanda chenjezo. Zitha kuchitika tsiku lililonse kapena kangapo kamodzi pachaka. Kukula kwa chiopsezo chilichonse kumasiyana. Kuukira kwina kumatha kukhala koopsa ndikusokoneza zochitika zatsiku ndi tsiku.

Matenda a Ménière nthawi zambiri amakhala ndi zizindikilo zinayi zazikulu:

• Kutaya kwakumva kumasintha
• Kupsyinjika khutu
• Kulira kapena kubangula mu khutu lomwe lakhudzidwa, lotchedwa tinnitus
• Vertigo, kapena chizungulire

Vertigo wolimba ndi chizindikiro chomwe chimayambitsa mavuto ambiri. Ndi vertigo, mumamva ngati mukuzungulira kapena kusuntha, kapena kuti dziko likuzungulira mozungulira.

• Nseru, kusanza, ndi thukuta nthawi zambiri zimachitika.
• Zizindikiro zimaipiraipira poyenda mwadzidzidzi.
• Nthawi zambiri, umafunika kugona pansi ndikutseka maso ako.
• Mutha kukhala ndi chizungulire komanso kusakhazikika paliponse kuyambira mphindi 20 mpaka maola 24.

Kutaya kwakumva nthawi zambiri kumangokhala khutu limodzi, koma kumatha kukhudza makutu onse awiri.

• Kumva kumayamba kusintha pakati pa ziwopsezo, koma kumawonjezeka pakapita nthawi.
• Kumva pafupipafupi kumatayika koyamba.
• Mwinanso mutha kubangula kapena kulira khutu (tinnitus), komanso kukakamizidwa khutu lanu

Zizindikiro zina ndizo:

• Kutsekula m'mimba
• Kupweteka mutu
• Zowawa kapena zovuta m'mimba
• Nseru ndi kusanza
• Kusuntha kwamaso kosalamulirika (chizindikiro chotchedwa nystagmus)

Nthawi zina kunyansidwa, kusanza, ndi kutsekula m'mimba kumakhala kovuta kwambiri kotero kuti muyenera kuloledwa kupita kuchipatala kuti mukalandire madzi amtundu wa IV kapena muyenera kupumula kunyumba.

Kuyezetsa magazi ndi ubongo kumatha kuwonetsa mavuto pakumva, kuyeza, kapena kuyenda kwamaso.

Kuyesedwa kwakumva kudzawonetsa kutayika kwakumva komwe kumachitika ndi matenda a Ménière. Kumva kumatha kukhala kwachilendo pambuyo poukiridwa.

Kuyesa kokometsera kwa caloric kumawunika momwe maso anu amaganizira potenthetsa ndi kuziziritsa khutu lamkati ndi madzi. Zotsatira zoyesera zomwe sizili pamtundu woyenera zitha kukhala chizindikiro cha matenda a Ménière.

Mayeserowa amathanso kuchitidwa kuti muwone zifukwa zina za vertigo:

• Electrocochleography (ECOG)
• Electronystagmography (ENG) kapena videonystagmography (VNG)
• Sinthani mutu wa MRI

Palibe mankhwala odziwika a Ménière. Komabe, kusintha kwa moyo ndi mankhwala ena kutha kuthana ndi vuto.

Wothandizira zaumoyo wanu akhoza kukuuzani njira zochepetsera kuchuluka kwa madzimadzi mthupi lanu. Izi nthawi zambiri zimathandiza kuchepetsa zizindikilo.

• Mapiritsi amadzi (okodzetsa) amatha kuthandizira kuthana ndi madzimadzi khutu lamkati
• Chakudya chamchere wochepa chingathandizenso

Kuthandiza kuchepetsa zizindikiro ndikukhala otetezeka:

• Pewani kusuntha mwadzidzidzi, komwe kumatha kukulitsa zizindikilo. Mungafunike kuthandizidwa poyenda mukamenyedwa.
• Pewani magetsi owala, TV, ndi kuwerenga mukamayesedwa. Amatha kukulitsa zizindikilo.
• Osayendetsa, gwiritsani ntchito makina olemera, kapena kukwera mpaka sabata limodzi zitatha zizindikiro zanu. Kuthana ndi chizungulire mwadzidzidzi panthawiyi kungakhale koopsa.
• Khalani chete ndikupumula mukakhala ndi zizindikiro.
• Pang'ono ndi pang'ono onjezerani zomwe mwachita mukadzaukiridwa.

Zizindikiro za matenda a Ménière zimatha kubweretsa nkhawa. Pangani zosankha zabwino pamoyo wanu zokuthandizani kuthana ndi izi:

• Idyani chakudya choyenera, chopatsa thanzi. Osadya mopitirira muyeso.
• Chitani masewera olimbitsa thupi nthawi zonse, ngati zingatheke.
• Muzigona mokwanira.
• Malire a caffeine ndi mowa.

Thandizani kuchepetsa nkhawa pogwiritsa ntchito njira zopumulira, monga:

• Zithunzi zotsogozedwa
• Kusinkhasinkha
• Kupuma pang'onopang'ono kwa minofu
• Tai chi
• Yoga

Funsani omwe akukuthandizani za njira zina zodziyang'anira.

Wothandizira anu akhoza kukupatsani:

• Mankhwala a antinausea kuti athetse mseru komanso kusanza
• Diazepam (Valium) kapena mankhwala oyenda, monga meclizine (Antivert, Bonine, Dramamine) kuti athetse chizungulire komanso chizungulire

Mankhwala ena omwe angakhale othandiza ndi awa:

• Chothandizira kumva kuti amve bwino khutu lomwe lakhudzidwa.
• Kuchiza moyenera, komwe kumaphatikizapo kuchita mutu, diso, komanso zolimbitsa thupi zomwe mungachite kunyumba kuti muthandize ubongo wanu kuthana ndi chizungulire.
• Kupanikizika kwambiri pogwiritsa ntchito chida chomwe chimatumiza zingwe zazing'ono kupyola ngalande yamakutu mpaka khutu lapakati. Mitengoyi cholinga chake ndi kuchepetsa kuchuluka kwa madzimadzi pakati pakhutu, zomwe zimachepetsa chizungulire.

Mungafunike kuchitidwa khutu ngati matenda anu akukula kwambiri ndipo samayankha mankhwala ena.

• Kuchita maopaleshoni kuti muchepetse mitsempha ya vestibular kumathandiza kuwongolera vertigo. Siziwononga kumva.
• Opaleshoni kuti decompress kapangidwe mkati khutu lotchedwa endolymphatic sac. Kumva kumatha kukhudzidwa ndi njirayi.
• Kubaya jekeseni wa mankhwala oletsa jekeseni kapena maantibayotiki otchedwa gentamicin molunjika pakatikati pakatikati kungathandize kuchepetsa vutoli.
• Kuchotsa gawo la khutu lamkati (labyrinthectomy) kumathandiza kuthana ndi vertigo. Izi zimayambitsa kutaya kwathunthu kwakumva.

Izi zitha kukupatsirani zambiri za matenda a Ménière:

• American Academy of Otolaryngology-Head and Neck Opaleshoni - www.enthealth.org/conditions/menieres-disease/
• National Institute of Deafness and Other Communication Disorders - www.nidcd.nih.gov/health/menieres-disease
• Vestibular Disorders Association - vestibular.org/menieres-disease

Matenda a Ménière amatha kuwongoleredwa ndi chithandizo. Kapena, vutoli likhoza kukhala lokha lokha. Nthawi zina, matenda a Ménière amatha kukhala osachiritsika (a nthawi yayitali) kapena olumala.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za matenda a Ménière, kapena ngati zizindikiro zikuipiraipira. Izi zikuphatikizapo kumva, kulira m'makutu, kapena chizungulire.

Simungapewe matenda a Ménière. Kuchiza zizindikiro zoyambirira nthawi yomweyo kungathandize kuti vutoli lisawonjezeke. Kuchiza matenda am'makutu ndi zovuta zina zitha kukhala zothandiza.

Hydrops; Kutaya kwakumva; Ma hydropu a Endolymphatic; Chizungulire - Matenda a Ménière; Vertigo - Matenda a Ménière; Kutaya kwakumva - Matenda a Ménière; Kupanikizika kwambiri - matenda a Ménière

• Kutulutsa khutu
• Kakhungu ka Tympanic

Boomsaad ZE, Telian SA, Patil PG. Chithandizo cha matenda osokoneza bongo. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 105.

Crane BT, Wamng'ono LB. Matenda ozungulira a vestibular. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 165.