Izinkinga ezihlobene ne-Vertigo
IVertigo ukuzwa kokunyakaza noma ukuphotha okuvame ukuchazwa njengesiyezi.
IVertigo ayifani nokuba nekhanda elikhanyayo. Abantu abane-vertigo bazizwa sengathi bayaphotha noma bahamba empeleni, noma ukuthi umhlaba ujikeleza kubo.
Kunezinhlobo ezimbili ze-vertigo, i-peripheral ne-vertigo emaphakathi.
I-peripheral vertigo ingenxa yenkinga engxenyeni yendlebe yangaphakathi elawula ibhalansi. Lezi zindawo zibizwa ngokuthi i-vestibular labyrinth, noma imisele engangesikwele. Inkinga ingabandakanya nemizwa ye-vestibular. Le yinzwa ephakathi kwendlebe yangaphakathi nesiqu sobuchopho.
I-vertigo yomngcele ingabangelwa:
- I-Benign positional vertigo (i-benign paroxysmal positional vertigo, eyaziwa nangokuthi i-BPPV)
- Imithi ethile, njengama-antibiotic e-aminoglycoside, i-cisplatin, i-diuretics, noma i-salicylates, enobuthi ezinhlakeni zezindlebe zangaphakathi
- Ukulimala (njengokulimala ekhanda)
- Ukuvuvukala kwemizwa ye-vestibular (neuronitis)
- Ukucasula nokuvuvukala kwendlebe yangaphakathi (labyrinthitis)
- Isifo seMeniere
- Ingcindezi emthanjeni we-vestibular, imvamisa kusuka kwisimila esingenomdlavuza njenge-meningioma noma i-schwannoma
I-vertigo emaphakathi ingenxa yenkinga ebuchosheni, imvamisa ku-brain stem noma engxenyeni engemuva yobuchopho (cerebellum).
I-vertigo emaphakathi ingabangelwa:
- Isifo semithambo yegazi
- Izidakamizwa ezithile, njenge-anticonvulsants, i-aspirin, notshwala
- I-Multiple sclerosis
- Ukuquleka (kuyaqabukela)
- Unhlangothi
- Izimila (ezinomdlavuza noma ezingezona umdlavuza)
- I-Vestibular migraine, uhlobo lwekhanda le-migraine
Uphawu oluyinhloko ukuzwa ukuthi wena noma igumbi liyahamba noma liyajikeleza. Ukuzwa kokuphotha kungadala isicanucanu nokuhlanza.
Ngokuya ngesizathu, ezinye izimpawu zingafaka:
- Inkinga yokugxila amehlo
- Isiyezi
- Ukuzwa ukulahlekelwa endlebeni eyodwa
- Ukulahlekelwa ibhalansi (kungadala ukuwa)
- Kukhala ezindlebeni
- Ukucanuzela kwenhliziyo nokuhlanza, okuholela ekulahlekelweni uketshezi lomzimba
Uma une-vertigo ngenxa yezinkinga zobuchopho (i-vertigo emaphakathi), ungahle ube nezinye izimpawu, kufaka phakathi:
- Kunzima ukugwinya
- Umbono ophindwe kabili
- Izinkinga zokuhamba kwamehlo
- Ukukhubazeka ebusweni
- Inkulumo eshisiwe
- Ubuthakathaka bezitho
Ukuhlolwa ngumhlinzeki wezokunakekelwa kwempilo kungakhombisa:
- Izinkinga zokuhamba ngenxa yokulahlekelwa ibhalansi
- Izinkinga zokuhamba kwamehlo noma ukunyakaza kwamehlo okungazibandakanyi (nystagmus)
- Ukulahlekelwa ukuzwa
- Ukuntuleka kokuxhumanisa nokulinganisela
- Ubuthakathaka
Ukuhlolwa okungenziwa kufaka phakathi:
- Ukuhlolwa kwegazi
- Ukuzwa kwe-Brain stem kuvuse izifundo ezingaba khona
- Ukugqugquzela kwekhalori
- I-Electroencephalogram (EEG)
- I-Electronystagmography
- Inhloko CT
- Ukubhoboza i-lumbar
- Ukuskena kwe-MRI kwekhanda kanye nokuskena kwe-MRA kwemithambo yegazi yobuchopho
- Ukuhlola ukuhamba (gait)
Umhlinzeki angenza ukunyakaza okuthile kwekhanda kuwe, njengokuhlolwa kwe-head-thrust. Lezi zivivinyo zisiza ukutshela umehluko phakathi kwe-vertigo ephakathi nendawo.
Imbangela yanoma yikuphi ukuphazamiseka kobuchopho okubangela i-vertigo kufanele ikhonjwe futhi yelashwe lapho kunokwenzeka.
Ukusiza ukuxazulula izimpawu ze-vertigo enobungozi, umhlinzeki angenza indlela ye-Epley kuwe. Lokhu kufaka ukufaka ikhanda lakho ezindaweni ezahlukahlukene ukusiza ukusetha kabusha isitho sebhalansi.
Ungahle unikezwe imithi yokwelapha izimpawu ze-vertigo yesiyaluyalu, njengesiyaluyalu nokuhlanza.
Ukwelashwa ngokomzimba kungasiza ekuthuthukiseni izinkinga zebhalansi. Uzofundiswa ukuzivocavoca ukubuyisela umuzwa wakho wokulinganisela. Ukuzivocavoca nakho kungaqinisa imisipha yakho ukusiza ukuvimbela ukuwa.
Ukuvimbela ukwanda kwezimpawu ngesikhathi sesiqephu se-vertigo, zama okulandelayo:
- Thula. Hlala noma ulale phansi lapho kuvela izimpawu.
- Qhubeka kancane kancane nomsebenzi.
- Gwema izinguquko zesimo ngokungazelelwe.
- Ungazami ukufunda lapho kuvela izimpawu.
- Gwema izibani ezikhanyayo.
Ungadinga usizo lokuhamba lapho kuvela izimpawu. Gwema izinto ezinobungozi njengokushayela, ukusebenzisa imishini esindayo, nokukhuphuka kuze kube yisonto elilodwa emva kokuba izimpawu sezinyamalele.
Okunye ukwelashwa kuncike embangela ye-vertigo. Ukuhlinzwa, kufaka phakathi ukucindezelwa kwe-microvascular, kungaphakanyiswa kwezinye izimo.
IVertigo ingaphazamisa ukushayela, umsebenzi, nendlela yokuphila. Kungadala nokuwa, okungaholela ekulimaleni okuningi, kufaka phakathi ukuphuka kwe-hip.
Shayela i-aphoyintimenti nomhlinzeki wakho uma une-vertigo engapheli noma ephazamisa imisebenzi yakho yansuku zonke. Uma ungakaze ube ne-vertigo noma uma une-vertigo enezinye izimpawu (njengokubona kabili, ukukhuluma okungahambi kahle, noma ukulahleka kokuxhumana), shayela ku-911.
I-vertigo yangaphakathi; I-vertigo emaphakathi; Isiyezi; I-vertigo yesimo se-Benign; I-Benign paroxysmal vertigo positional
- Ulwelwesi lwe-Tympanic
- I-Cerebellum - umsebenzi
- I-anatomy yendlebe
UBhattacharyya N, uGubbels SP, uSchwartz SR, et al. Umhlahlandlela wokusebenza komtholampilo: i-benign paroxysmal positional vertigo (buyekeza). I-Otolaryngol Head Neck Surg. I-2017; 156 (3_suppl): S1-S47. I-PMID: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.
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I-Crane BT, i-LB encane. Iziphazamiso ze-peripheral vestibular. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 165.
IKerber KA, iBaloh RW. I-Neuro-otology: ukuxilongwa nokuphathwa kwezifo ze-neuro-otoligical. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 46.