Kuyesa Kwabwino

Zamkati

• Kodi kuyesa bwino ndi kotani?
• Kodi amagwiritsa ntchito chiyani?
• Chifukwa chiyani ndikufunika kuyesa bwino?
• Kodi chimachitika ndi chiyani poyesa bwino?
• Kodi ndiyenera kuchita chilichonse kuti ndikonzekere mayeso?
• Kodi pali zoopsa zilizonse zowunika mayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Zolemba

Kodi kuyesa bwino ndi kotani?

Kuyesa koyeserera ndi gulu la mayeso omwe amafufuza zovuta zamagetsi. Matenda oyenera ndi omwe amakupangitsani kukhala osakhazikika pamapazi anu ndi chizungulire. Chizungulire ndi mawu wamba azizindikiro zosiyanasiyana zakusalinganika. Chizungulire chimatha kuphatikizira chizungulire, kumverera kuti iwe kapena malo ozungulira akuzungulira, komanso kupepuka, kumverera ngati ukukomoka. Mavuto osanjikiza amatha kukhala ofatsa, kapena owopsa kotero kuti mutha kukhala ndi vuto kuyenda, kukwera masitepe, kapena kuchita zina zachilendo.

Machitidwe osiyanasiyana mthupi lanu amafunika kugwira ntchito limodzi kuti mukhale olimba. Chofunika kwambiri chimatchedwa vestibular system. Njirayi ili mumakutu anu amkati ndipo imaphatikizapo mitsempha yapadera ndi mawonekedwe omwe amakuthandizani kuti musamayende bwino. Masomphenya anu ndi kukhudza kwanu ndizofunikira kuti mukhale olimba. Mavuto ndi iliyonse yamtunduwu imatha kubweretsa vuto.

Matenda osalongosoka amatha kuchitika msinkhu uliwonse, koma amapezeka kwambiri kwa anthu okalamba. Ndi chimodzi mwazifukwa zazikulu zomwe achikulire amakonda kugwa pafupipafupi kuposa achinyamata.

Mayina ena: kuyesa kwa vestibular, kuyesa kwa vestibular

Kodi amagwiritsa ntchito chiyani?

Kuyesa bwino kumagwiritsidwa ntchito kuti mupeze ngati muli ndi vuto ndi kuchepa kwanu, ndipo ngati ndi choncho, chikuyambitsa ndi chiyani. Pali zifukwa zambiri zosokonezeka. Zikuphatikizapo:

• Benign paroxysmal positional vertigo (BPPV). Khutu lanu lamkati lili ndi makhiristo a calcium, omwe amathandiza kuti musamawonongeke. BPPV imachitika makina amtunduwu atasinthidwa. Zitha kukupangitsani kumva kuti chipinda chikuyenda kapena malo omwe mukuzungulira akusuntha. BPPV ndi yomwe imayambitsa matendawa kwa anthu akuluakulu.
• Matenda a Meniere. Matendawa amachititsa chizungulire, kusamva kwakumva, ndi tinnitus (kulira m'makutu).
• Vestibular neuritis. Izi zikutanthauza kutupa mkati khutu lamkati. Nthawi zambiri amayamba ndi kachilombo. Zizindikiro zake zimaphatikizapo kunyansidwa ndi vertigo.
• Migraine. Migraine ndi mtundu wa kupweteka, kupweteka mutu. Ndizosiyana ndi mitundu ina yamutu. Zitha kuyambitsa nseru komanso chizungulire.
• Kuvulala pamutu. Mutha kukhala ndi vertigo kapena zizindikilo zina pambuyo povulala pamutu.
• Zotsatira zamankhwala. Chizungulire chingakhale choyipa cha mankhwala ena.

Mukadziwa chomwe chimayambitsa vuto lanu, mutha kuchitapo kanthu kuti muthane ndi matenda anu.

Chifukwa chiyani ndikufunika kuyesa bwino?

Mungafunike kuyesa bwino ngati muli ndi zizindikilo za matenda osokoneza bongo. Zizindikiro zake ndi izi:

• Chizungulire
• Kumverera ngati mukuyenda kapena kuzungulira, ngakhale mutayima chilili (vertigo)
• Kutayika bwino poyenda
• Kudzandima poyenda
• Kulira m'makutu (tinnitus)
• Mukumva ngati mudzakomoka (kupepuka mutu) ndi / kapena kumverera kuyandama
• Masomphenya kapena masomphenya awiri
• Kusokonezeka

Kodi chimachitika ndi chiyani poyesa bwino?

Kuyesa bwino kumatha kuchitidwa ndi omwe amapereka chithandizo chamankhwala choyambirira kapena katswiri wazovuta zamakutu. Izi zikuphatikiza:

• Katswiri wa zomvetsera, wothandizira zaumoyo yemwe amagwira ntchito yodziwitsa, kuthandizira, ndikuwongolera kutayika kwakumva.
• Otolaryngologist (ENT), dokotala wodziwa kuchiza matenda ndimakutu, mphuno, ndi pakhosi.

Kuzindikira zovuta zamavuto nthawi zambiri kumafunikira mayesero angapo. Mutha kuyesedwa kamodzi kapena zingapo zotsatirazi:

Electronystagmography (ENG) ndi mayeso a videonystagmography (VNG). Mayesowa amalembetsa ndikuyesa mayendedwe anu. Masomphenya anu akuyenera kukuyenderani bwino kuti mukhale oyenera. Pakati pa mayeso:

• Mukhala pampando woyeserera mchipinda chamdima.
• Mudzafunsidwa kuti muyang'ane ndikutsata mawonekedwe owala pazenera.
• Mudzafunsidwa kuti musunthire m'malo osiyanasiyana mukamayang'ana kuwala.
• Kenako madzi ofunda ndi ozizira kapena mpweya zidzaikidwa khutu lililonse.Izi ziyenera kuchititsa kuti maso aziyenda munjira zina. Ngati maso sakuyankha mwanjira izi, zitha kutanthauza kuti pali kuwonongeka kwa mitsempha ya khutu lamkati.

Kuyesa kwa Rotary, kotchedwanso kuyesa kwamipando yozungulira. Kuyesaku kumayesanso kuyenda kwa diso lanu. Pakati pa mayesowa:

• Mukhala pampando woyendetsedwa ndi makompyuta, wamagalimoto.
• Mudzavala zikopa zapadera zomwe zingasindikize kuyenda kwa maso anu pomwe mpando umayenda pang'onopang'ono ndikubwerera mozungulira.

Posturography, yomwe imadziwikanso kuti kompyuta yosintha posturography (CDP). Mayesowa amayesa kuthekera kwanu kuti mukhale okhazikika poyimirira. Pakati pa mayesowa:

• Mudzaimirira opanda nsapato papulatifomu, mutavala zingwe zachitetezo.
• Padzakhala chinsalu chakuzungulira.
• Pulatifomu izizungulira kuti izayese kuthekera kwanu kuti muyime pamtunda.

Vestibular idatulutsa mayeso amtundu wa myogenic (VEMP). Kuyesaku kumayesa momwe minofu ina imayankhira ikamveka phokoso. Ikhoza kuwonetsa ngati pali vuto m'makutu anu amkati. Pakati pa mayesowa:

• Mudzakhala pampando.
• Mudzaika mahedifoni.
• Zingwe zama sensa zizilumikizidwa m'khosi mwako, pamphumi, ndi pansi panu. Mapepalawa amalemba kusuntha kwa minofu yanu.
• Kudina ndi / kapena kuphulika kwa matumizidwe adzatumizidwa kumakutu anu.
• Pomwe mawu akusewera, mudzafunsidwa kuti mutukule mutu wanu kapena maso kwakanthawi kochepa.

Dix woyendetsa holo. Mayesowa amayesa momwe diso lanu limachitikira pakusunthika kwadzidzidzi. Pakati pa mayesowa:

• Wothandizira anu amakusunthirani mwachangu kuchoka pansi mpaka kugona pansi kapena / kapena kusuntha mutu wanu m'malo osiyanasiyana.
• Wothandizira anu amayang'ana mayendedwe anu a diso kuti muwone ngati mukuyenda kapena kupota.

Mtundu watsopano wamayeserowu umatchedwa a mayeso amutu wamavidiyo (vHIT). Mukamayesa vHIT, muvala zikopa zomwe zimasindikiza mayendedwe anu pomwe woperekayo amatembenuza mutu wanu m'malo osiyanasiyana.

Muthanso kulandira mayeso amodzi kapena angapo akumva, popeza mavuto ambiri abwinobwino amakhudzana ndi vuto lakumva.

Kodi ndiyenera kuchita chilichonse kuti ndikonzekere mayeso?

Muyenera kuvala zovala zotayirira, zabwino. Kutengera mayeso, mungafunike kusintha zina ndi zina pa zakudya zanu kapena kupewa mankhwala ena tsiku limodzi kapena awiri musanayezedwe. Wothandizira zaumoyo wanu adzakudziwitsani ngati pali malangizo apadera oti mutsatire.

Kodi pali zoopsa zilizonse zowunika mayeso?

Mayeso ena atha kukupangitsani kukhala ozunguzika kapena oseketsa. Koma malingaliro awa nthawi zambiri amatha mkati mwa mphindi zochepa. Mungafune kukonzekera kuti wina azikutengerani kunyumba kwanu, mwina chizungulire chimatha nthawi yayitali.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati zotsatira zanu sizinali zachilendo, omwe amakupatsani mwayi atha kuyitanitsa mayeso ochulukirapo komanso / kapena kukupatsani dongosolo la chithandizo. Kutengera ndi zomwe zimayambitsa vuto lanu, chithandizo chanu chingaphatikizepo:

• Mankhwala kuchiza matenda.
• Mankhwala kuthandiza kuchepetsa chizungulire ndi nseru.
• Ndondomeko yamaudindo. Mukapezeka kuti muli ndi BPPV, omwe amakupatsirani akhoza kuchita mayendedwe angapo amutu ndi pachifuwa. Izi zitha kuthandiza kuyikanso tinthu tomwe timatulutsa khutu lanu lamkati. Njirayi imadziwikanso kuti Epley maneuver, kapena canalith reposition.
• Kusamala kuphunzitsa, yomwe imadziwikanso kuti kukonzanso kwa vestibular. Wopereka chithandizo pakukonzanso bwino atha kupanga pulogalamu ya masewera olimbitsa thupi ndi njira zina zokuthandizani kuti musamayende bwino ndikupewa kugwa. Izi zingaphatikizepo kuphunzira kugwiritsa ntchito ndodo kapena kuyenda.
• Zakudya ndi kusintha kwa moyo. Ngati mutapezeka kuti muli ndi matenda a Meniere kapena mutu waching'alang'ala, kusintha kwamachitidwe ena kumachepetsa zizindikilo zanu. Izi zingaphatikizepo kuchita masewera olimbitsa thupi, kupewa zakudya zina, komanso kusiya kusuta. Funsani wothandizira zaumoyo wanu za kusintha komwe kungakhale koyenera kwa inu.
• Opaleshoni. Ngati mankhwala kapena mankhwala ena sakugwira ntchito, mungafunike kuchitidwa opaleshoni kuti mukonze vuto m'makutu mwanu. Mtundu wa opaleshoni umadalira pazomwe zimayambitsa vuto lanu.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Zolemba

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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.