Isiyezi

Isizungu yigama elijwayele ukusetshenziselwa ukuchaza izimpawu ezi-2 ezihlukene: ikhanda elikhanyayo ne-vertigo.

Inhloko ekhanyayo umuzwa wokuthi ungaquleka.

IVertigo wumuzwa wokuthi uyajikeleza noma uyahamba, noma ukuthi umhlaba ujikeleza eduze kwakho. Izinkinga ezihlobene ne-Vertigo yisihloko esihlobene.

Izimbangela eziningi zesiyezi azimbi kangako, futhi zisheshe zibe ngcono zodwa noma kulula ukuzelapha.

Ubumhlophe obukhanyayo benzeka lapho ubuchopho bakho bungalitholi igazi elanele. Lokhu kungenzeka uma:

• Unokwehla okungazelelwe kwengcindezi yegazi.
• Umzimba wakho awunawo amanzi anele (uphelelwe amanzi emzimbeni) ngenxa yokuhlanza, uhudo, umkhuhlane nezinye izimo.
• Uvuka ngokushesha okukhulu ngemuva kokuhlala noma ukulala phansi (lokhu kuvame kakhulu kubantu asebekhulile).

Ubukhaphukhaphu bungabonakala futhi uma unemfuluwenza, ushukela ophansi wegazi, umkhuhlane noma ukungezwani komzimba nomzimba.

Izimo ezibucayi kakhulu ezingaholela ebunzimeni zihlanganisa:

• Izinkinga zenhliziyo, njengokuhlaselwa yinhliziyo noma ukushaya kwenhliziyo okungavamile
• Unhlangothi
• Ukopha ngaphakathi emzimbeni
• Ukushaqeka (ukwehla ngokweqile kwengcindezi yegazi)

Uma kukhona okunye kwalokhu kuphazamiseka okukhulu okukhona, imvamisa uzoba nezimpawu ezinjengobuhlungu besifuba, umuzwa wenhliziyo yokujaha, ukulahleka kwenkulumo, ukuguquka kombono, noma ezinye izimpawu.

IVertigo kungenzeka ukuthi ingenxa yokuthi:

• I-Benign vertigo positional, umuzwa wokuphotha owenzeka lapho uhambisa ikhanda lakho
• I-Labyrinthitis, ukutheleleka ngegciwane endlebeni yangaphakathi okuvame ukulandela umkhuhlane noma umkhuhlane
• Isifo seMeniere, inkinga ejwayelekile yendlebe yangaphakathi

Ezinye izimbangela zekhanda elikhanyayo noma i-vertigo zingafaka:

• Ukusetshenziswa kwemithi ethile
• Unhlangothi
• I-Multiple sclerosis
• Ukuquleka
• Isigaxa sobuchopho
• Ukopha ebuchosheni

Uma uvame ukuba nekhanda elikhanyayo lapho usukuma:

• Gwema izinguquko ezingazelelwe ekumeni.
• Sukuma lapho ulele khona kancane, bese uhlala phansi isikhashana ngaphambi kokuma.
• Lapho umile, qiniseka ukuthi unokuthile onokubamba kukho.

Uma une-vertigo, lawa macebiso alandelayo angasiza ekuvimbeleni izimpawu zakho ukuthi zibe zimbi kakhulu:

• Hlala uthule futhi uphumule lapho kuvela izimpawu.
• Gwema ukunyakaza okungazelelwe noma izinguquko zesikhundla.
• Khulisa kancane umsebenzi.
• Ungadinga umoba noma olunye usizo lokuhamba lapho ulahlekelwe ibhalansi ngesikhathi sokuhlaselwa kwe-vertigo.
• Gwema izibani ezikhanyayo, i-TV, nokufunda ngesikhathi sokuhlaselwa kwe-vertigo ngoba kungenza izimpawu zibe zimbi kakhulu.

Gwema imisebenzi efana nokushayela, ukusebenzisa imishini esindayo, nokukhuphuka kuze kube yisonto eli-1 ngemuva kokuthi izimpawu zakho zinyamalale. Ukupela ngesiyezi okungazelelwe phakathi nale misebenzi kungaba yingozi.

Shayela inombolo yakho yendawo ephuthumayo (njenge-911) noma uye egumbini lezimo eziphuthumayo uma unesiyezi futhi une:

• Ukulimala ekhanda
• Imfiva engaphezu kuka-101 ° F (38.3 ° C), ikhanda, noma intamo eqinile
• Ukuquleka
• Inkinga yokugcina uketshezi phansi
• Ubuhlungu besifuba
• Ukushaya kwenhliziyo okungajwayelekile (inhliziyo yeqa amabhithi)
• Ukuphelelwa umoya
• Ubuthakathaka
• Ukungakwazi ukuhambisa ingalo noma umlenze
• Shintsha embonweni noma enkulumweni
• Ukuquleka nokulahlekelwa ukuqapha isikhathi esingaphezu kwemizuzu embalwa

Shayela umhlinzeki wakho wezokunakekelwa kwempilo ngesivumelwano uma une:

• Isizungu okokuqala
• Izimpawu ezintsha noma eziya ziba zimbi
• Isizungu ngemuva kokuphuza umuthi
• Ukulahlekelwa ukuzwa

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo ngomlando wakho wezokwelapha nezimpawu, kufaka phakathi:

• Isizungu siqale nini?
• Ingabe isiyezi sakho siyenzeka lapho uthuthela?
• Yiziphi ezinye izimpawu ezenzekayo lapho uzizwa unesiyezi?
• Ngabe uhlala unesiyezi noma isiyezi siyafika sidlule?
• Isizungu sihlala isikhathi esingakanani?
• Ngabe ubugula ngumkhuhlane, umkhuhlane, noma okunye ukugula ngaphambi kokuqala kwesiyezi?
• Ingabe unengcindezi enkulu noma ukukhathazeka?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukufundwa kwengcindezi yegazi
• I-Electrocardiogram (ECG)
• Ukuhlolwa kokuzwa
• Ukuhlolwa kwebhalansi (ENG)
• Ukufanekisa iMagnetic Resonance (MRI)

Umhlinzeki wakho angakunikeza imithi ezokusiza uzizwe ungcono, kufaka phakathi:

• Ama-antihistamine
• Izindlela
• Umuthi wokulwa nesicanucanu

Ukuhlinzwa kungadingeka uma unesifo seMeniere.

Ikhanda elikhanyayo - isiyezi; Ukulahlekelwa ibhalansi; I-Vertigo

• I-Carotid stenosis - i-X-ray yomthambo wesobunxele
• I-Carotid stenosis - i-X-ray yomthambo ofanele
• I-Vertigo
• Ama-Balance receptors

UBaloh RW, uJen JC. Ukuzwa nokulingana. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 428.

U-Chang AK. Isiyezi kanye ne-vertigo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 16.

UKerber KA. Isiyezi kanye ne-vertigo. Ku: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, ama-eds. U-Andreoli no-Carpenter’s Cecil Essentials of Medicine. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 113.

UMuncie HL, uSirmans SM, uJames E. Isizungu: indlela yokuhlola nokuphatha. Ngingudokotela Womndeni. 2017; 95 (3): 154-162. I-PMID: 28145669 www.ncbi.nlm.nih.gov/pubmed/28145669.