Kodi chingayambitse chizungulire mwadzidzidzi?

Zamkati

• Zomwe zimayambitsa chizungulire mwadzidzidzi
• Benign paroxysmal positional vertigo (BPPV)
• Matenda a Meniere
• Labyrinthitis ndi vestibular neuritis
• Vestibular migraine
• Matenda a Orthostatic
• TIA kapena stroke
• Kodi pali njira zodzisamalirira zomwe zimathandiza?
• Nthawi yoti muwonane ndi dokotala
• Mfundo yofunika

Chizungulire chadzidzidzi chimatha kukhala chosokoneza. Mutha kumva kumutu kwa kupepuka, kusakhazikika, kapena kupota (vertigo). Kuphatikiza apo, nthawi zina mumatha kusanza kapena kusanza.

Koma ndi zikhalidwe ziti zomwe zimatha kuyambitsa dzidzidzi modzidzimutsa, makamaka akakhala ndi nseru kapena kusanza? Werengani kuti mudziwe zambiri pazomwe zingayambitse, njira zothetsera, komanso nthawi yokaonana ndi dokotala.

Zomwe zimayambitsa chizungulire mwadzidzidzi

Pali zifukwa zambiri zomwe mungamve chizungulire mwadzidzidzi. Nthawi zambiri, chizungulire chadzidzidzi chimachitika chifukwa cha mavuto amkhutu wamkati.

Khutu lanu lamkati ndilofunika kuti musamawonongeke. Komabe, ubongo wanu ukalandira zikwangwani kuchokera khutu lanu lamkati zomwe sizikugwirizana ndi zomwe malingaliro anu akunena, zimatha kubweretsa chizungulire komanso chizungulire.

Zina zimayambitsanso chizungulire mwadzidzidzi, kuphatikizapo:

• nkhani zoyenda, monga madontho mwadzidzidzi kuthamanga kwa magazi kapena kusakwanira kwa magazi kulowa muubongo wanu, monga kusakhalitsa kwa ischemic attack (TIA) kapena stroke
• shuga wotsika magazi
• kuchepa kwa magazi m'thupi
• kusowa kwa madzi m'thupi
• kutentha kwa kutentha
• nkhawa kapena mantha
• zotsatira zoyipa zamankhwala

Chizungulire mwadzidzidzi, chomwe nthawi zambiri chimatsagana ndi mseru komanso kusanza, ndicho chizindikiro chazinthu zina. Pansipa, tiwunika chilichonse mwazimenezi.

Benign paroxysmal positional vertigo (BPPV)

BPPV ndi vuto lomwe limayambitsa chizungulire mwadzidzidzi. Zomverera nthawi zambiri zimamveka ngati chilichonse chakuzungulirani chikuzungulira kapena chikugwedezeka, kapena kuti mutu wanu ukuzungulira mkati.

Chizungulire chikakhala chachikulu, nthawi zambiri chimatsagana ndi nseru ndi kusanza.

Ndi BPPV, zizindikilo nthawi zambiri zimachitika mukasintha mutu wanu. Gawo la BPPV nthawi zambiri limakhala lochepera mphindi. Ngakhale chizungulire sichikhala kwakanthawi, vutoli limatha kusokoneza zochitika zatsiku ndi tsiku.

BPPV imachitika pamene makhiristo mbali ina ya khutu lanu lamkati amachotsedwa. Nthawi zambiri chomwe chimayambitsa BPPV sichidziwika. Pomwe chifukwa chitha kukhazikitsidwa, nthawi zambiri chimakhala chifukwa cha:

• kuvulaza mutu
• Matenda amkati amkati
• kuwonongeka pa opaleshoni yamakutu
• kuyika kwachilendo kumbuyo kwako kwa nthawi yayitali, ngati kugona pampando wa dokotala wa mano

Makandulo amenewa atachotsedwa, amasunthira mbali ina ya khutu lanu lamkati komwe siili. Chifukwa makhiristo amakhudzidwa ndi mphamvu yokoka, kusintha pamutu panu kumatha kuyambitsa chizungulire chachikulu chomwe chikuwoneka kuti sichikupezeka.

Chithandizochi chimaphatikizapo dokotala wanu akuyendetsa mutu wanu m'njira zina kuti mukhazikitsenso makhiristo omwe achotsedwa. Izi zimatchedwa canalith repositioning, kapena Epley maneuver. Kuchita opaleshoni kungakhale kofunikira ngati izi sizothandiza. Nthawi zina, BPPV imatha kutuluka yokha.

Matenda a Meniere

Matenda a Meniere amakhudzanso khutu lamkati. Zimangokhudza khutu limodzi. Anthu omwe ali ndi vutoli amatha kumva kupweteka kwambiri, komwe kumatha kudzetsa nseru. Zizindikiro zina za matenda a Meniere ndi awa:

• kumva kumva
• kumva kwodzaza khutu
• kulira m'makutu (tinnitus)
• kutaya kumva
• kutaya bwino

Zizindikiro za matenda a Meniere zimatha kubwera modzidzimutsa kapena pambuyo poti nthawi yayitali yazizindikiro zina monga kumva kwamva kapena kulira m'makutu mwanu. Nthawi zina, magawo amatha kugawanika, koma nthawi zina amatha kuchitika limodzi.

Matenda a Meniere amachitika pamene madzi amadzimadzi amadzaza khutu lanu lamkati. Zomwe zimapangitsa kuti madzi amadzimadziwa sakudziwika, ngakhale matenda, ma genetics, komanso momwe zimachitikira mthupi lanu zikukayikiridwa.

Njira zochiritsira matenda a Meniere ndi monga:

• mankhwala othandizira kuthana ndi chizungulire komanso nseru
• Kuletsa mchere kapena diuretics kuti muchepetse kuchuluka kwa madzimadzi omwe thupi lanu limasunga
• jakisoni wokhala ndi ma steroids kapena maantibayotiki gentamicin kuti athetse chizungulire komanso chizungulire
• chithandizo chamankhwala, pomwe kachigawo kakang'ono kamene kamatulutsa kukakamizidwa kuti ateteze chizungulire
• opaleshoni, pamene mankhwala ena sagwira ntchito

Labyrinthitis ndi vestibular neuritis

Zinthu ziwirizi ndizofanana. Zonsezi zimakhudzana ndi kutupa khutu lanu lamkati.

• Labyrinthitis imachitika pomwe chinthu chomwe chimatchedwa labyrinth mkati mwanu khutu chimatupa.
• Vestibular neuritis imaphatikizapo kutupa kwa mitsempha ya vestibulocochlear m'makutu anu amkati.

Ndi zonsezi, chizungulire komanso chizungulire chitha kubwera mwadzidzidzi. Izi zingayambitse kunyoza, kusanza, ndi mavuto moyenera. Anthu omwe ali ndi labyrinthitis amathanso kumva kulira m'makutu ndikumva kumva.

Sizikudziwika chomwe chimayambitsa labyrinthitis ndi vestibular neuritis. Komabe, amakhulupirira kuti matenda opatsirana akhoza kukhala okhudzidwa.

Chithandizo nthawi zambiri chimaphatikizapo mankhwala omwe amatha kuthana ndi zizungulire komanso chizungulire. Ngati mavuto osalekeza akupitilira, chithandizo chitha kuphatikizira mtundu wa mankhwala otchedwa vestibular rehabilitation. Mankhwalawa amagwiritsa ntchito zolimbitsa thupi zingapo kukuthandizani kusintha kusintha koyenera.

Vestibular migraine

Anthu omwe ali ndi vestibular migraine amakhala ndi chizungulire kapena chizungulire mogwirizana ndi migraine. Zizindikiro zina zimatha kuphatikizira kunyoza ndikumverera kwa kuwala kapena mawu. Nthawi zina, mutu sungakhalepo.

Kutalika kwa izi kumatha kusiyanasiyana kulikonse kuyambira mphindi zingapo mpaka masiku angapo. Monga mitundu ina ya mutu waching'alang'ala, zizindikiro zimayamba chifukwa cha kupsinjika, kusapumula, kapena zakudya zina.

Sizikudziwika chomwe chimayambitsa vestibular migraine, ngakhale ma genetics atha kutenga nawo mbali. Kuphatikiza apo, mikhalidwe monga BPPV ndi matenda a Meniere adalumikizidwa ndi vestibular migraine.

Chithandizochi chimaphatikizapo kugwiritsa ntchito owonjezera (OTC) kapena mankhwala akuchipatala kuti muchepetse kupweteka kwa migraine ndi zizindikilo za chizungulire kapena nseru. Kukonzanso kwa vestibular kungagwiritsidwenso ntchito.

Matenda a Orthostatic

Orthostatic hypotension ndi momwe magazi anu amathira mwadzidzidzi mukasintha malo mwachangu. Zitha kuchitika mukamachoka pakugona mpaka kukakhala tsonga kapena kuchoka pansi mpaka kuyimirira.

Anthu ena omwe ali ndi vutoli alibe zizindikiro zowonekera. Komabe, ena atha kukhala ndi zizindikilo monga chizungulire komanso kupepuka. Zizindikiro zina zimatha kukhala ndi nseru, kupweteka mutu, kapena ngakhale kukomoka.

Kutsika kwa kuthamanga kwa magazi kumatanthauza kuchepa kwamagazi omwe amapita kuubongo, minofu, ndi ziwalo zanu, zomwe zimatha kubweretsa zizindikilo. Orthostatic hypotension yolumikizidwa ndi matenda amitsempha, matenda amtima, ndi mankhwala ena.

Orthostatic hypotension imatha kuyang'aniridwa ndi kusintha kwa moyo. Izi zikuphatikiza:

• kusintha malo pang'onopang'ono
• kukhala pansi uku mukuchita ntchito za tsiku ndi tsiku
• kusintha mankhwala, ngati kuli kotheka

TIA kapena stroke

Nthawi zambiri amatchedwa ministerroke, a ischemic attack (TIA) amakhala ngati sitiroko, koma zizindikirazo zimangotenga mphindi zochepa. Zimachitika pakakhala kuchepa kwakanthawi kothamanga kwa magazi kulowa gawo lina laubongo.

Mosiyana ndi sitiroko, TIA nthawi zambiri siyimayambitsa kuwonongeka kwamuyaya. Koma ikhoza kukhala chizindikiro chochenjeza za sitiroko yayikulu kwambiri.

Ngakhale ndizosowa, TIA ikhoza kukhala chizungulire mwadzidzidzi. Malinga ndi a, pafupifupi 3% ya omwe amadzidzimuka mwadzidzidzi omwe ali ndi chizungulire mwadzidzidzi amapezeka ndi TIA.

Nthawi zina, chizungulire chimangochitika modzidzimutsa ndiye chizindikiro chokhacho cha TIA. Nthawi zina, pakhoza kukhala zizindikilo zina. Izi zikuphatikiza:

• kufooka, dzanzi, kapena kumva kulasalasa m'manja, mwendo, kapena pankhope, nthawi zambiri mbali imodzi ya thupi lanu
• kusalankhula kapena kuvutika kuyankhula
• mavuto osamala
• masomphenya amasintha
• mwadzidzidzi, mutu wopweteka kwambiri
• kusokonezeka, kusokonezeka

Ngakhale sizachilendo, chizungulire mwadzidzidzi chimayambitsanso sitiroko, makamaka kupwetekedwa kwa ubongo. Ndikumenyedwa kwa ubongo:

• Chizungulire chimatha nthawi yayitali kuposa maola 24.
• Chizungulire, chizungulire, ndi kusamvana nthawi zambiri zimachitika limodzi.
• Kufooka mbali imodzi ya thupi sikutanthauza chizindikiro.
• Pazovuta kwambiri, zizindikilo zimatha kuphatikizira kuyankhula kosasunthika, masomphenya awiri, komanso kuchepa kwa chidziwitso.

Ngati muli ndi zizindikiro zilizonse za TIA kapena sitiroko, ndikofunikira kuti mupite kuchipatala mwachangu. Dokotala wanu adzazindikira ngati mwakhala ndi TIA kapena stroke, kapena ngati zizindikiro zanu zili ndi chifukwa china.

Kodi pali njira zodzisamalirira zomwe zimathandiza?

Ngati mwayamba chizungulire kapena chizungulire, ganizirani izi:

• Khalani pansi chizungulire chikayamba.
• Yesetsani kupewa kuyenda kapena kuyimirira mpaka chizungulire chikudutsa.
• Ngati mukuyenera kuyenda, sungani pang'onopang'ono ndikugwiritsa ntchito chida chothandizira ngati ndodo, kapena gwiritsitsani mipando yothandizira.
• Chizungulire chanu chikadutsa, onetsetsani kuti mwadzuka pang'onopang'ono.
• Ganizirani kumwa mankhwala a OTC monga dimenhydrinate (Dramamine) kuti muchepetse mseru wanu.
• Pewani caffeine, fodya, kapena mowa, zomwe zingawonjezere zizindikiro zanu.

Nthawi yoti muwonane ndi dokotala

Pangani nthawi yokaonana ndi dokotala wanu kapena wothandizira zaumoyo ngati muli ndi chizungulire mwadzidzidzi chomwe:

• zimachitika pafupipafupi
• ndiwopsa
• kumatenga nthawi yaitali
• sangathe kufotokozedwa ndi matenda ena kapena mankhwala

Pofuna kuthandizira kuzindikira zomwe zimayambitsa chizungulire, dokotala wanu amafunsa za mbiri yanu yazachipatala ndikuwunika. Ayesanso mayeso osiyanasiyana. Izi zingaphatikizepo:

• kuyeza bwino komanso kusuntha, komwe kungathandize kudziwa ngati mayendedwe ena ake amatsogolera kuzizindikiro
• kuyesa kuyenda kwamaso kuti mupeze mayendedwe achilendo amaso omwe amakhudzana ndi khutu lamkati
• mayeso akumva kuti muwone ngati muli ndi vuto lakumva
• kuyerekezera kuyerekezera ngati ma MRIs kapena ma CT kuti apange chithunzi chatsatanetsatane cha ubongo wanu

Funani chithandizo chamankhwala mwadzidzidzi ngati mukumva chizungulire mwadzidzidzi chomwe chimachitika ndi izi:

• kumva kufooka, kufooka, kapena kumva kulasalasa
• mutu wopweteka kwambiri
• kusalankhula kapena kuvuta kuyankhula
• kupweteka pachifuwa
• kugunda kwamtima mwachangu
• kuvuta kupuma
• kusanza pafupipafupi
• kusintha kwakumva kwanu, monga kulira m'makutu anu kapena kutaya kumva
• kusawona bwino kapena masomphenya awiri
• chisokonezo
• kukomoka

Ngati mulibe wothandizira kale, chida chathu cha Healthline FindCare chingakuthandizeni kulumikizana ndi asing'anga mdera lanu.

Mfundo yofunika

Anthu ambiri amakhala ndi chizungulire pazifukwa zosiyanasiyana. Komabe, nthawi zina, chizungulire chimawoneka kuti sichikupezeka komanso chimakhala champhamvu. Pazochitikazi, mungakhalenso ndi zizindikiro monga kunyoza kapena kusanza.

Zambiri zomwe zimayambitsa chizungulire chamtunduwu zimakhudzana ndi mavuto am'makutu amkati. Zitsanzo zimaphatikizapo BPPV, matenda a Meniere, ndi vestibular neuritis.

Onani dokotala wanu ngati muli ndi chizungulire kapena chizungulire chomwe nthawi zambiri chimakhala chovuta, chovuta, kapena chosamveka. Zizindikiro zina monga kupweteka mutu, dzanzi, kapena chisokonezo zitha kuwonetsa vuto lina, monga sitiroko, ndipo zimafunikira chithandizo chadzidzidzi.