Chizungulire

Chizungulire ndi mawu omwe amagwiritsidwa ntchito nthawi zambiri pofotokoza zizindikiro ziwiri zosiyana: mutu wopepuka ndi chizungulire.

Kupepuka pamutu ndikumverera kuti mwina mungakomoke.

Vertigo ndikumverera kuti mukuzungulira kapena kuyenda, kapena kuti dziko likuzungulira mozungulira inu. Matenda okhudzana ndi Vertigo ndi nkhani yofananira.

Zambiri zomwe zimayambitsa chizungulire sizowopsa, ndipo zimangochira zokha kapena zimakhala zosavuta kuchiza.

Mutu wopepuka umachitika pamene ubongo wanu sulandira magazi okwanira. Izi zitha kuchitika ngati:

• Mumayamba kuthamanga mwadzidzidzi.
• Thupi lanu lilibe madzi okwanira (osowa madzi m'thupi) chifukwa cha kusanza, kutsegula m'mimba, malungo, ndi zina.
• Mumadzuka msanga mutakhala kapena kugona (izi ndizofala kwambiri kwa anthu okalamba).

Mutu wopepuka ungathenso kupezeka ngati muli ndi chimfine, shuga wotsika magazi, chimfine, kapena chifuwa.

Mavuto ena akulu omwe angapangitse kuti akhale opepuka ndi awa:

• Mavuto amtima, monga matenda amtima kapena kugunda kwamtima kosazolowereka
• Sitiroko
• Kuthira magazi m'thupi
• Kugwedezeka (kutsika kwambiri kwa kuthamanga kwa magazi)

Ngati ena mwazovuta zazikuluzi alipo, nthawi zambiri mumakhala ndi zizindikilo monga kupweteka pachifuwa, kumverera kwa mtima wothamanga, kusowa chonena, kusintha masomphenya, kapena zizindikilo zina.

Vertigo itha kukhala chifukwa cha:

• Benign positional vertigo, kumverera kozungulira komwe kumachitika mukamayendetsa mutu wanu
• Labyrinthitis, matenda opatsirana a khutu lamkati omwe nthawi zambiri amatsatira chimfine kapena chimfine
• Matenda a Meniere, vuto lamakutu lamkati

Zina mwazomwe zimayambitsa kupepuka kapena ma vertigo atha kukhala:

• Kugwiritsa ntchito mankhwala ena
• Sitiroko
• Multiple sclerosis
• Kugwidwa
• Chotupa chaubongo
• Kutuluka magazi muubongo

Ngati mumakonda kukhala opepuka mutayimirira:

• Pewani kusintha kwadzidzidzi momwe mungakhalire.
• Nyamukani pamalo atagona pang'onopang'ono, ndikukhala pansi kwakanthawi kochepa musanayime.
• Mukayimirira, onetsetsani kuti muli ndi china choti mugwiritsitse.

Ngati muli ndi vertigo, malangizo otsatirawa angakuthandizeni kupewa zizindikilo zanu kuti ziwonjezeke:

• Khalani chete ndi kupumula pamene zizindikiro zikuchitika.
• Pewani kusuntha mwadzidzidzi kapena kusintha kwa malo.
• Onjezani pang'onopang'ono ntchito.
• Mungafunike ndodo kapena thandizo lina poyenda mukakhala kuti mulibe mphamvu panthawi yamagetsi.
• Pewani magetsi owala, TV, komanso kuwerenga mukamazunzidwa chifukwa cha ziwopsezo chifukwa zimatha kukulitsa zizindikilo.

Pewani zochitika monga kuyendetsa, kugwiritsa ntchito makina olemera, ndikukwera mpaka sabata limodzi mutatha zizindikiro zanu. Kuthana ndi chizungulire mwadzidzidzi panthawiyi kungakhale koopsa.

Imbani nambala yadzidzidzi yakomweko (monga 911) kapena pitani kuchipinda chadzidzidzi ngati muli ndi chizungulire ndipo muli:

• Kuvulala pamutu
• Malungo opitirira 101 ° F (38.3 ° C), mutu, kapena khosi lolimba kwambiri
• Kugwidwa
• Kuvuta kusunga madzi
• Kupweteka pachifuwa
• Kugunda kwa mtima kosasinthasintha (mtima ukudumpha kumenya)
• Kupuma pang'ono
• Kufooka
• Kulephera kusuntha mkono kapena mwendo
• Sinthani masomphenya kapena malankhulidwe
• Kukomoka ndi kukhala tcheru kwanthawi yoposa mphindi zochepa

Itanani foni yanu kuti mudzakumane nanu ngati muli ndi:

• Chizungulire kwa nthawi yoyamba
• Zizindikiro zatsopano kapena zowonjezereka
• Chizungulire mutatha kumwa mankhwala
• Kutaya kwakumva

Wothandizira anu amayesa mayeso ndikufunsa mafunso okhudza mbiri yanu yazachipatala, kuphatikizapo:

• Chizungulire chinayamba liti?
• Kodi chizungulire chimachitika mukamasuntha?
• Ndi zizindikiro zina ziti zomwe zimachitika mukamachita chizungulire?
• Kodi mumachita chizungulire nthawi zonse kapena chizungulire chimabwera ndikumangopita?
• Kodi chizungulire chimatha nthawi yayitali bwanji?
• Kodi mudadwala chimfine, chimfine, kapena matenda ena chizungulire chisanayambe?
• Kodi mumakhala ndi nkhawa zambiri kapena nkhawa?

Mayeso omwe angachitike ndi awa:

• Kuwerenga kwa kuthamanga kwa magazi
• Electrocardiogram (ECG)
• Mayesero akumva
• Kuyesa bwino (ENG)
• Kujambula Magnetic Resonance (MRI)

Wopereka wanu atha kukupatsirani mankhwala kuti akuthandizeni kukhala bwino, kuphatikiza:

• Antihistamines
• Zosintha
• Mankhwala oletsa kunyansidwa

Kuchita opaleshoni kungafunike ngati muli ndi matenda a Meniere.

Kumutu kwamisala - chizungulire; Kutaya malire; Vertigo

• Carotid stenosis - X-ray yamitsempha yamanzere
• Carotid stenosis - X-ray yamitsempha yolondola
• Vertigo
• Kulandila bwino

Baloh RW, Jen JC. Kumva ndi kufanana. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 428.

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.

Kerber KA. Chizungulire ndi vertigo. Mu: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, olemba. Andreec ndi Carpenter a Cecil zofunika za mankhwala. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 113.

Muncie HL, Sirmans SM, James E. Chizungulire: njira yowunika ndikuwongolera. Ndi Sing'anga wa Fam. 2017; 95 (3): 154-162. PMID: 28145669 www.ncbi.nlm.nih.gov/pubmed/28145669. (Adasankhidwa)