Matenda okhudzana ndi Vertigo

Vertigo ndikumverera kwa kuyenda kapena kupota komwe nthawi zambiri kumatchedwa chizungulire.

Vertigo siyofanana ndi kukhala wopepuka. Anthu omwe ali ndi vertigo amamva ngati akupota kapena kusuntha, kapena kuti dziko likuzungulira mozungulira iwo.

Pali mitundu iwiri ya vertigo, zotumphukira komanso zapakati.

Vertigo yotumphukira imabwera chifukwa cha vuto lomwe lili mgulu la khutu lamkati lomwe limayendetsa bwino. Maderawa amatchedwa vestibular labyrinth, kapena ngalande zozungulira mozungulira. Vutolo litha kuphatikizaponso mitsempha ya vestibular. Uwu ndiwo mitsempha pakati pa khutu lamkati ndi tsinde laubongo.

Zowonongeka zimatha kuyambitsidwa ndi:

• Benign positional vertigo (benign paroxysmal positional vertigo, yotchedwanso BPPV)
• Mankhwala ena, monga aminoglycoside antibiotics, cisplatin, diuretics, kapena salicylates, omwe ndi owopsa m'makutu amkati
• Kuvulala (monga kuvulala pamutu)
• Kutupa kwa mitsempha ya vestibular (neuronitis)
• Kukwiya ndi kutupa kwa khutu lamkati (labyrinthitis)
• Matenda a Meniere
• Kupanikizika pamitsempha yama vestibular, nthawi zambiri kuchokera pachotupa chosakhala ndi khansa monga meningioma kapena schwannoma

Vertigo yapakati imachitika chifukwa cha zovuta muubongo, nthawi zambiri zimayambira muubongo kapena kumbuyo kwa ubongo (cerebellum).

Vertigo yapakati ingayambidwe ndi:

• Matenda amtundu wamagazi
• Mankhwala ena, monga ma anticonvulsants, aspirin, ndi mowa
• Multiple sclerosis
• Khunyu (kawirikawiri)
• Sitiroko
• Zotupa (khansa kapena zopanda khansa)
• Vestibular migraine, mtundu wa mutu waching'alang'ala

Chizindikiro chachikulu ndikumverera kuti inu kapena chipinda mukuyenda kapena kupota. Kutengeka komwe kumatha kuyambitsa nseru ndi kusanza.

Kutengera ndi zomwe zimayambitsa, zizindikilo zina zimatha kuphatikiza:

• Vuto lolunjika m'maso
• Chizungulire
• Kutaya kwakumva khutu limodzi
• Kutayika bwino (kungayambitse kugwa)
• Kulira m'makutu
• Nseru ndi kusanza, zomwe zimapangitsa kuti madzi amthupi atayika

Ngati muli ndi vertigo chifukwa cha zovuta zamaubongo (central vertigo), mutha kukhala ndi zizindikilo zina, kuphatikiza:

• Zovuta kumeza
• Masomphenya awiri
• Mavuto oyenda m'maso
• Kuuma ziwalo
• Mawu osalankhula
• Kufooka kwa miyendo

Kuyesedwa ndi wothandizira zaumoyo kumatha kuwonetsa:

• Mavuto oyenda chifukwa chakuchepa
• Mavuto oyenda m'maso kapena kuyenda kwa diso (nystagmus)
• Kutaya kwakumva
• Kuperewera kwa mgwirizano ndi kulingalira
• Kufooka

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi
• Makutu aubongo amatulutsa maphunziro omwe angakhalepo
• Kukondoweza kwa caloric
• Electroencephalogram (EEG)
• Zojambulajambula
• Mutu CT
• Lumbar kuboola
• Kujambula kwa MRI pamutu ndi MRA kuwunika kwa mitsempha yamaubongo
• Kuyenda (gait) kuyesa

Wothandizirayo akhoza kukuyendetsani pamutu, monga kuyesa mutu. Mayeserowa amathandizira kusiyanitsa pakati pa zotumphukira zapakati ndi zotumphukira.

Zomwe zimayambitsa vuto lililonse laubongo zomwe zimayambitsa vertigo ziyenera kuzindikiridwa ndikuchiritsidwa ngati zingatheke.

Pofuna kuthana ndi zizindikiritso za vuto loyipa, wothandizirayo akhoza kukuyendetsani Epley. Izi zimaphatikizapo kuyika mutu wanu m'malo osiyanasiyana kuti muthe kukonzanso ziwalozo.

Mutha kupatsidwa mankhwala kuti athetse vuto la zotumphukira, monga nseru ndi kusanza.

Thandizo lakuthupi lingathandize kuthana ndi mavuto. Mudzaphunzitsidwa masewera olimbitsa thupi kuti mubwezeretse malingaliro anu oyenera. Masewera olimbitsa thupi amathanso kulimbitsa minofu yanu kuti iteteze kugwa.

Pofuna kupewa kukulira kwa zizindikilo munthawi ya vertigo, yesani izi:

• Khalani chete. Khalani kapena kugona pansi pamene zizindikiro zikuchitika.
• Pitirizani kuyambiranso ntchito.
• Pewani kusintha mwadzidzidzi.
• Musayese kuwerenga pamene zizindikiro zimachitika.
• Pewani magetsi owala.

Mungafunike kuthandizidwa poyenda pakakhala zizindikiro. Pewani zochitika zowopsa monga kuyendetsa, kugwiritsa ntchito makina olemera, ndikukwera mpaka sabata limodzi zitatha zizindikiro.

Chithandizo china chimadalira chifukwa cha vertigo. Kuchita maopareshoni, kuphatikiza kupindika kwa ma microvascular, kungatchulidwe nthawi zina.

Vertigo imatha kusokoneza kuyendetsa, ntchito, komanso moyo. Zitha kupanganso kugwa, komwe kumatha kubweretsa kuvulala kambiri, kuphatikiza mchiuno.

Funsani nthawi yokumana ndi omwe amakupatsani ngati muli ndi chizungulire chomwe sichitha kapena kusokoneza zochitika zanu za tsiku ndi tsiku. Ngati simunakhalepo ndi vertigo kapena ngati muli ndi vertigo yokhala ndi zizindikilo zina (monga kuwona kawiri, kusalankhula bwino, kapena kutaya mgwirizano), itanani 911.

Zotumphukira vertigo; Vertigo chapakati; Chizungulire; Benign posintha vertigo; Benign paroxysmal positi vertigo

• Kakhungu ka Tympanic
• Cerebellum - ntchito
• Kutulutsa khutu

Bhattacharyya N, Gubbels SP, Schwartz SR, ndi al. Chitsogozo chazachipatala: benign paroxysmal positional vertigo (zosintha). Otolaryngol Mutu Wam'mutu. 2017; 156 (3_suppl): S1-S47. PMID: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.

Chang AK. Chizungulire ndi vertigo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 16.

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.

Kerber KA, Baloh RW. Neuro-otology: kuzindikira ndi kuwongolera zovuta za neuro-otoligical. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 46.