Ndikumva Chizungulire: Vertigo Yozungulira

Zamkati

• Kodi mitundu yamtundu wazitsulo ndi yotani?
• Benign paroxysmal positional vertigo (BPPV)
• Labyrinthitis
• Vestibular neuronitis
• Matenda a Meniere
• Kodi zotumphukira zam'mimba zimapezeka bwanji?
• Kodi njira zamankhwala zamankhwala zotumphukira ndi ziti?
• Mankhwala osokoneza bongo ndi mankhwala
• Kuchiza kutaya kwamakutu
• Zolimbitsa thupi
• Thandizo lakuthupi
• Kodi ndingapewe bwanji ziwopsezo zotumphukira?

Kodi zotumphukira zotumphukira ndi chiyani?

Vertigo ndi chizungulire chomwe nthawi zambiri chimafotokozedwa ngati kutengeka kozungulira. Zingamvekenso ngati matenda oyenda kapena ngati mukutsamira mbali imodzi. Zizindikiro zina zomwe nthawi zina zimagwirizanitsidwa ndi vertigo ndi izi:

• kutaya kumva pakhutu limodzi
• kulira m'makutu anu
• Zovuta kuyika maso anu
• kutaya bwino

Pali mitundu iwiri yosiyana ya vertigo: zotumphukira zamkati ndi zowoneka chapakati. Malinga ndi American Institute of Balance, zotumphukira zamatenda nthawi zambiri zimakhala zovuta kwambiri kuposa chapakati.

Vertigo yotumphukira ndi chifukwa cha vuto ndi khutu lanu lamkati, lomwe limayang'anira bwino. Central vertigo amatanthauza mavuto omwe ali mkati mwa ubongo kapena ubongo wanu. Pali mitundu ingapo yamagetsi ozungulira.

Kodi mitundu yamtundu wazitsulo ndi yotani?

Benign paroxysmal positional vertigo (BPPV)

BPPV imawerengedwa kuti ndiyo njira yofala kwambiri ya zotumphukira. Mtundu uwu umayambitsa kuyambitsa kwakanthawi kochepa kwa ma vertigo. Kusuntha kwamutu kwina kumayambitsa BPPV. Amaganiziridwa kuti ndi chifukwa cha tizidutswa tating'onoting'ono ta anatomical tomwe timalowa m'ngalande zamkati zamakutu ndikulimbikitsa tsitsi laling'ono lomwe limayendetsa khutu lanu lamkati. Izi zimasokoneza ubongo wanu, ndikupangitsa kumva chizungulire.

Labyrinthitis

Labyrinthitis imayambitsa chizungulire kapena kumverera kuti mukusuntha pomwe simuli. Matenda amkati amkati amayambitsa mawonekedwe amtunduwu. Zotsatira zake, nthawi zambiri zimachitika limodzi ndi zizindikilo zina monga kutentha thupi ndi kupweteka khutu. Matendawa ali mu labyrinth, mawonekedwe amkati mwamakutu anu omwe amayendetsa bwino ndikumva. Matenda a virus, monga chimfine kapena chimfine, nthawi zambiri amayambitsa matendawa. Matenda a khutu la bakiteriya amakhalanso chifukwa chake.

Vestibular neuronitis

Vestibular neuronitis amatchedwanso vestibular neuritis. Mtundu wamtunduwu umayamba mwadzidzidzi ndipo umatha kubweretsa kusakhazikika, kupweteka khutu, nseru, ndi kusanza. Vestibular neuronitis ndi chifukwa cha matenda omwe afalikira ku mitsempha ya vestibular, yomwe imayendetsa bwino. Matendawa nthawi zambiri amatsatira matenda a ma virus, monga chimfine kapena chimfine.

Matenda a Meniere

Matenda a Meniere amachititsa vertigo yadzidzidzi yomwe imatha kukhala mpaka maola 24. Vertigo nthawi zambiri imakhala yolimba kotero kuti imayambitsa nseru ndi kusanza. Matenda a Meniere amayambitsanso kumva, kulira m'makutu anu, ndikudzaza ndikumva kwanu.

Kodi zotumphukira zam'mimba zimapezeka bwanji?

Pali njira zingapo zomwe dokotala angadziwire ngati muli ndi zotumphukira. Dokotala wanu amatha kuyesa makutu anu kuti awone ngati ali ndi matenda, komanso kuti awone ngati mungayende molunjika kuti muyese bwino.

Ngati dokotala akukayikira BPPV, amatha kuyendetsa Dix-Hallpike. Mukamayesa izi, adotolo anu akusunthani mwachangu kuchoka pampando mudzagona pansi, mutu wanu uli wotsika kwambiri m'thupi lanu. Mudzakhala mukuyang'anizana ndi dokotala wanu, ndipo muyenera kuyang'anitsitsa kuti dokotala azitha kuyang'ana momwe mukuyendera. Njirayi imabweretsa zizindikilo za ma vertigo mwa anthu omwe ali ndi BPPV.

Dokotala wanu amathanso kuyitanitsa mayeso oyenera komanso omvera. Kutengera ndi zizindikilo zanu, adotolo amathanso kuyitanitsa maphunziro azithunzi (monga MRI scan) yaubongo ndi khosi kuti athetse zina zomwe zimayambitsa matendawa.

Kodi njira zamankhwala zamankhwala zotumphukira ndi ziti?

Mankhwala osokoneza bongo ndi mankhwala

Mankhwala angapo amagwiritsidwa ntchito pochizira zotumphukira, kuphatikizapo:

• maantibayotiki (kuchiza matenda)
• antihistamines - mwachitsanzo, meclizine (Antivert)
• prochlorperazine - kuti athetse mseru
• benzodiazepines - mankhwala osokoneza bongo omwe amathanso kuthana ndi zizindikiritso za vertigo

Anthu omwe ali ndi matenda a Meniere nthawi zambiri amatenga mankhwala otchedwa betahistine (Betaserc, Serc), omwe angathandize kuchepetsa kupanikizika komwe kumayambitsidwa ndi madzimadzi khutu lamkati ndikuchepetsa zizindikilo za matendawa.

Kuchiza kutaya kwamakutu

Anthu omwe ali ndi matenda a Meniere angafunikire chithandizo kuti amve m'makutu komanso asamve. Chithandizo chake chingaphatikizepo mankhwala ndi zothandizira kumva.

Zolimbitsa thupi

Ngati mwapeza kuti muli ndi BPPV, dokotala wanu akhoza kukuphunzitsani zochitika za Epley ndi Brandt-Daroff. Zonsezi zimaphatikizapo kusuntha mutu wanu mosinthana mosunthika katatu kapena kanayi.

Dokotala wanu nthawi zambiri amachita zoyendetsa Epley, chifukwa zimafunikira kuyendetsa mwachangu ndikutembenuza mutu wanu. Sikoyenera kwa anthu omwe ali ndi vuto la khosi kapena msana.

Mutha kuchita masewera olimbitsa thupi a Brandt-Daroff kunyumba. Awa ndi machitidwe omwe amagwiritsidwa ntchito kwambiri pochizira ma vertigo. Amakhulupirira kuti atha kuthandiza kusuntha zinyalala zomwe zimayambitsa vertigo.

Kuchita masewera olimbitsa thupi a Brandt-Daroff:

1. Khalani m'mphepete mwa kama (pafupi pakati) miyendo yanu itapachikika kumbali.
2. Gona kumanja kwako ndikutembenuzira mutu wako kudenga. Gwiritsani ntchito malowa kwa masekondi osachepera 30. Ngati mukumva chizungulire, gwirani malowa mpaka atadutsa.
3. Bwererani pamalo owongoka ndikuyang'ana kutsogolo kwa masekondi 30.
4. Bwerezani gawo lachiwiri, nthawi ino kumanzere kwanu.
5. Khalani owongoka ndikuyang'ana kutsogolo kwa masekondi 30.
6. Pangani zowonjezera zowonjezera katatu kapena kanayi patsiku.

Thandizo lakuthupi

Mankhwala othandizira kukonzanso mavitamini ndi njira ina yothandizirana ndi ziwalo zotumphukira. Zimaphatikizaponso kugwira ntchito ndi othandizira olimbitsa thupi kuti mukhale olimba pothandiza ubongo wanu kuphunzira kuthana ndi mavuto am'makutu amkati.

Opaleshoni imatha kuthana ndi vuto la vertigo ngati njira zina zamankhwala sizikuyenda bwino. Kuchita opaleshonoku kumafuna kuchotsa gawo limodzi kapena khutu lanu lonse lamkati.

Kodi ndingapewe bwanji ziwopsezo zotumphukira?

Nthawi zambiri simungalepheretse ma vertigo oyambilira, koma machitidwe ena amathandizira kupewa kuukira kwina kwa vertigo. Muyenera kupewa:

• magetsi owala
• kusuntha kwamutu mwachangu
• kugwada
• kuyang'ana mmwamba

Makhalidwe ena othandiza amayimirira pang'onopang'ono ndikugona mutu wanu mutakweza m'mwamba.