Momwe matenda a Ménière amachiritsidwira

Zamkati

• 1. Kugwiritsa ntchito mankhwala
• 2. Chithandizo chachilengedwe
• 3. Physiotherapy
• 4. Kugwiritsa ntchito mankhwala khutu
• 5. Opaleshoni

Chithandizo cha matenda a Ménière's chikuyenera kuwonetsedwa ndi otorhinolaryngologist ndipo nthawi zambiri chimakhudza kusintha kwa zizolowezi ndi kugwiritsa ntchito mankhwala ena omwe amathandiza kuchepetsa vertigo, monga Dimenidrato, Betaístina kapena Hidrochlorothiazida, mwachitsanzo. Komabe, ngati mankhwalawa alibe mphamvu, pangafunike kuchitidwa opaleshoni.

Matenda a Ménière ndi matenda omwe amachititsa kuti khutu lamkati lisamagwire bwino ntchito ndipo, ngakhale kulibe mankhwala, ndizotheka kugwiritsa ntchito mitundu ingapo yamankhwala kuti akwaniritse zizindikilo ndikuti matendawa asakulire. Dziwani zambiri za Ménière's syndrome.

Chithandizo cha matenda a Ménière chiyenera kutsogozedwa ndi adotolo ndipo chimakhala ndi:

1. Kugwiritsa ntchito mankhwala

Njira zochizira matenda a Ménière ziyenera kuwonetsedwa ndi adotolo, ndikuphatikizanso:

• Antiemetics, monga Meclizine, Dimenhydrate, Promethazine kapena Metoclopramide: amagwiritsidwa ntchito panthawi yamavuto, popeza ndi mankhwala omwe, kuphatikiza pakuchiza nseru, amachepetsa chizungulire choyambitsidwa ndi kuyenda;
• Tranquilizers, monga Lorazepam kapena Diazepam: amagwiritsidwanso ntchito panthawi yamavuto kuti achepetse kumverera kwa chizungulire komanso chizungulire;
• Odzetsa, monga Hydrochlorothiazide: nthawi zambiri amawonetsedwa kuti amachepetsa kuchepa kwa mphamvu yamavuto, chifukwa amagwira ntchito pochepetsa kuchepa kwamadzimadzi m'mitsempha ya khutu, chomwe chimayambitsa matendawa;
• Anti-vertigo, monga Betaistin: amagwiritsidwa ntchito mosalekeza kuwongolera ndi kuchepetsa zizindikiritso za vertigo, nseru, tinnitus komanso kutayika kwakumva.

Kuphatikiza apo, magulu ena azamankhwala, monga ma vasodilator, amathanso kuwonetsedwa kuti apititse patsogolo kufalikira kwam'madera, komanso ma corticosteroids ndi ma immunosuppressants, ngati njira yoyendetsera chitetezo chamthupi m'dera lamakutu.

2. Chithandizo chachilengedwe

Gawo loyamba lothandizira Ménière's syndrome ndikusintha kwa zizolowezi, popeza ndi njira zochepetsera kuchuluka ndi kuchuluka kwa zovuta.

Chifukwa chake, imodzi mwanjira zabwino kwambiri zachilengedwe zothetsera ndikuletsa kuyambika kwa zizindikilo zokhudzana ndi matenda a Ménière ndikudya zakudya zopanda mchere kapena zochepa. Izi ndichifukwa choti thupi limasunga madzi ochepa, kumachepetsa kuchuluka kwa madzimadzi khutu komwe kumatha kuyambitsa chizungulire komanso nseru.

Zakudya za Ménière's syndrome zimakhala ndi:

• Sinthanitsani mchere ndi zitsamba zonunkhira;
• Pewani mankhwala otukuka;
• Pewani kudya zakudya zamchere, monga ham kapena tchizi;
• Sankhani chakudya chowotcha kapena chowotcha, kuti mupewe msuzi wokhala ndi mchere wambiri.

Kuphatikiza apo, akuwonetsedwa kuti amachepetsa kumwa mowa, tiyi kapena khofi ndi nikotini, chifukwa zimakhumudwitsa kapangidwe kake khutu. Kupsinjika kuyeneranso kupeŵedwa, chifukwa kumapangitsa dongosolo lamanjenje kuyambitsa mavuto ndipo kumatha kuyambitsa mavuto atsopano.

Onani zambiri zakudyetsa Ménière's syndrome muvidiyo yotsatirayi:

3. Physiotherapy

Physiotherapy ndiyofunikira kwambiri kwa iwo omwe ali ndi matendawa, ndipo amatchedwa vestibular rehabilitation therapy. Pachithandizochi, physiotherapist imatha kulimbikitsa zolimbitsa thupi zomwe zingathandize kuchepetsa zizungulire komanso kusalingalira bwino, kukonza chidwi chakuyenda, komanso kupereka malangizo pachitetezo cha munthu kuti adzagwiritse ntchito panthawi yamavuto.

4. Kugwiritsa ntchito mankhwala khutu

Kugwiritsa ntchito mankhwala khutu kumawonetsedwa ngati njira zina zamankhwala sizinathandize. Chifukwa chake, mankhwala ena amatha kuperekedwa mwachindunji ku nembanemba ya tympanic kuti achepetse zizindikiritso zamatendawa, omwe ndi omwe ndi:

• Maantibayotiki, monga Gentamicin: ndi maantibayotiki omwe ndi owopsa m'makutu, chifukwa chake, amachepetsa ntchito ya khutu lomwe lakhudzidwa ndikuwongolera bwino, ndikusunthira ntchitoyi khutu lokhalokha;
• Corticosteroids, monga Dexamethasone: ndi corticoid yomwe imachepetsa kutupa kwa khutu, kumachepetsa kukula kwa ziwopsezo.

Chithandizo chamtunduwu chitha kuchitidwa muofesi ya ENT katswiri wodziwa zavuto monga Ménière's syndrome.

5. Opaleshoni

Kuchita opaleshoni kumangowonetsedwa pokhapokha ngati njira zina zamankhwala sizinatithandizire kuchepetsa kuchuluka kwa ziwopsezozo. Zosankha zina ndi izi:

• Kuponderezedwa kwa thumba la endolymphatic, yomwe imachepetsa vertigo pochepetsa kuchepa kwa madzi kapena kuwonjezera kuyamwa kwake;
• Vestibular mitsempha gawo, momwe mitsempha ya vestibular imadulidwira, kuthana ndi zovuta za ma vertigo popanda kusokoneza kumva;
• Chizolowezi, yomwe imathetsa mavuto a vertigo koma imayambitsanso kugontha, chifukwa chake imagwiritsidwa ntchito ngati anthu ali ndi vuto lakumva kale.

Njira yabwino kwambiri imawonetsedwa ndi otorhinolaryngologist, malinga ndi zizindikilo zazikulu zomwe zimaperekedwa ndi munthu aliyense, monga kumva kumva kapena chizungulire.