Ngizizwa Nginesiyezi: I-Peripheral Vertigo

-Delile

• Yiziphi izinhlobo ze-vertigo yomngcele?
• I-Benign paroxysmal positional vertigo (BPPV)
• I-Labyrinthitis
• I-Vestibular neuronitis
• Isifo sikaMeniere
• Itholakala kanjani i-vertigo yasesiphakathini?
• Yiziphi izinketho zokwelashwa ze-peripheral vertigo?
• Izidakamizwa nemithi
• Ukwelapha ukulahleka kokuzwa
• Ukuzivocavoca umzimba
• Ukwelashwa ngokomzimba
• Ngingakuvimbela kanjani ukuhlaselwa kwe-vertigo yesiphetho?

Yini i-peripheral vertigo?

IVertigo yisiyezi esivame ukuchazwa njengokuzwa kokuphotha. Kungazwakala futhi njengokugula kokunyakaza noma sengathi uncike ohlangothini olulodwa. Ezinye izimpawu kwesinye isikhathi ezihlotshaniswa ne-vertigo zifaka:

• ukulahlekelwa ukuzwa endlebeni eyodwa
• kukhala ezindlebeni zakho
• ubunzima bokugxila amehlo akho
• ukulahlekelwa ibhalansi

Kunezinhlobo ezimbili ezihlukile ze-vertigo: i-vertigo yomngcele ne-vertigo emaphakathi. Ngokusho kwe-American Institute of Balance, i-vertigo yomngcele ivame ukuba nzima kakhulu kune-vertigo emaphakathi.

I-peripheral vertigo ingumphumela wenkinga ngendlebe yakho yangaphakathi, elawula ibhalansi. I-vertigo emaphakathi ibhekisa ezinkingeni ezingaphakathi kobuchopho bakho noma i-brainstem yakho. Kunezinhlobo ezahlukahlukene ze-vertigo yomngcele.

Yiziphi izinhlobo ze-vertigo yomngcele?

I-Benign paroxysmal positional vertigo (BPPV)

I-BPPV ibhekwa njengeyona ndlela ejwayelekile kakhulu ye-vertigo yomngcele. Lolu hlobo luvame ukudala izikhathi ezincane, ezivamile ze-vertigo. Ukunyakaza okuthile kwekhanda kubangela i-BPPV. Kucatshangwa ukuthi kungenxa yezingcezu ezincane zemfucumfucu ye-anatomical eqhekeka emiseleni yezindlebe yangaphakathi futhi ivuselele izinwele ezincane ezihambisana nendlebe yakho yangaphakathi. Lokhu kudida ubuchopho bakho, kuveze umuzwa wesiyezi.

I-Labyrinthitis

I-Labyrinthitis idala isiyezi noma umuzwa wokuthi unyakaza lapho ungekho. Ukutheleleka kwendlebe kwangaphakathi kubangela leli fomu le-vertigo. Ngenxa yalokhu, kuvame ukuvela kanye nezinye izimpawu ezinjengomkhuhlane nezindlebe. Ukutheleleka kuku-labyrinth, isakhiwo endlebeni yakho yangaphakathi elawula ukulinganisela nokuzwa. Ukugula okunegciwane, okufana nomkhuhlane noma umkhuhlane, kuvame ukudala lokhu kutheleleka. Ukutheleleka endlebeni kwegciwane kwesinye isikhathi kuyimbangela.

I-Vestibular neuronitis

I-vestibular neuronitis ibizwa nangokuthi i-vestibular neuritis. Lolu hlobo lwe-vertigo luqala ngokuzumayo futhi lungadala ukungazinzi, ubuhlungu bendlebe, isicanucanu nokuhlanza. I-Vestibular neuronitis ingumphumela wokutheleleka okusabalele emsipheni we-vestibular, olawula ibhalansi. Lesi simo ngokuvamile silandela ukutheleleka ngegciwane, njengomkhuhlane noma umkhuhlane.

Isifo sikaMeniere

Isifo sikaMeniere sibanga i-vertigo engazelelwe engahlala amahora angafinyelela kwangu-24. I-vertigo ivame ukuba yimbi kangangokuba ibangela isicanucanu nokuhlanza. Isifo sikaMeniere sibanga nokungezwa, ukukhala ezindlebeni zakho, kanye nomuzwa wokugcwala ezindlebeni zakho.

Itholakala kanjani i-vertigo yasesiphakathini?

Kunezindlela eziningana udokotela wakho anganquma ngazo uma une-vertigo yomngcele. Udokotela wakho angahlola izindlebe zakho ukuze abheke izimpawu zokutheleleka, futhi abone ukuthi ungahamba yini ulayini oqondile ukuze uvivinye ibhalansi yakho.

Uma udokotela wakho esola i-BPPV, bangenza i-Dix-Hallpike maneuver. Phakathi nalolu vivinyo, udokotela wakho uzokuhambisa masinyane usuka endaweni yokuhlala uye endaweni elele phansi, nekhanda lakho liyindawo ephansi kakhulu emzimbeni wakho. Uzobe ubhekene nodokotela wakho, futhi kuzodingeka ugcine amehlo akho evulekile ukuze udokotela wakho akwazi ukulandelela ukunyakaza kwamehlo akho. Lo mkhwa uletha izimpawu ze-vertigo kubantu abane-BPPV.

Udokotela wakho angaphinde ahlele ukuhlolwa kokulinganisela nokuzwa. Ngokuya ngezimpawu zakho, udokotela wakho angaphinde ahlele izifundo zokucabanga (njengokuhlolwa kwe-MRI) kobuchopho nentamo yakho ukukhipha ezinye izimbangela ze-vertigo.

Yiziphi izinketho zokwelashwa ze-peripheral vertigo?

Izidakamizwa nemithi

Imithi eminingi isetshenziselwa ukwelapha i-vertigo yomngcele, kufaka phakathi:

• ama-antibiotics (ukwelapha izifo)
• ama-antihistamine - ngokwesibonelo, i-meclizine (Antivert)
• prochlorperazine - ukukhulula isicanucanu
• i-benzodiazepines - imishanguzo yokukhathazeka engaphinde iqede izimpawu zomzimba ze-vertigo

Abantu abanesifo sikaMeniere bavame ukuthatha umuthi obizwa nge-betahistine (Betaserc, Serc), ongasiza ekwehliseni ingcindezi ebangelwa uketshezi endlebeni engaphakathi futhi kudambise izimpawu zesifo.

Ukwelapha ukulahleka kokuzwa

Abantu abanesifo sikaMeniere bangadinga ukwelashwa ngokukhala ezindlebeni nokulahlekelwa ukuzwa. Ukwelashwa kungafaka imithi nezinsiza-kuzwa.

Ukuzivocavoca umzimba

Uma uthola ukuxilongwa kwe-BPPV, udokotela wakho angakufundisa ukuzivocavoca kwe-Epley neBrandt-Daroff. Kokubili kuhilela ukuhambisa ikhanda lakho ochungechungeni lwezinyathelo ezintathu noma ezine eziqondisiwe.

Udokotela wakho uzokwenza ukuqhutshwa kwe-Epley, njengoba kudinga ukunyakaza okusheshayo nokujika kwekhanda lakho. Akunconyelwa abantu abanezinkinga zentamo noma zangemuva.

Ungenza izivivinyo zeBrandt-Daroff ekhaya. Lezi izivivinyo ezisetshenziswa kakhulu ukwelapha i-vertigo. Kukholelwa ukuthi bangasiza ukuhambisa imfucumfucu ebangela i-vertigo.

Ukwenza izivivinyo zeBrandt-Daroff:

1. Hlala onqenqemeni lombhede wakho (eduze nendawo) imilenze yakho ilenga ohlangothini.
2. Lala phansi ngakwesokunene bese uphendulela ikhanda lakho ophahleni. Bamba lesi sikhundla okungenani imizuzwana engama-30. Uma uzizwa unesiyezi, bamba lesi sikhundla size sidlule.
3. Buyela endaweni eqondile bese ubheke ngqo phambili imizuzwana engama-30.
4. Phinda isinyathelo sesibili, kulokhu ngakwesokunxele sakho.
5. Hlala uqonde ubheke phambili phambili imizuzwana engama-30.
6. Yenza amasethi angeziwe okungenani kathathu noma kane ngosuku.

Ukwelashwa ngokomzimba

Ukwelashwa kwe-Vestibular rehabilitation kungenye indlela yokwelashwa ye-vertigo yomngcele. Kubandakanya ukusebenza nomelaphi womzimba ukuthuthukisa ibhalansi ngokusiza ubuchopho bakho ukuthi bufunde ukukhokhela izinkinga zangaphakathi zendlebe.

Ukuhlinzwa kungaphatha izimo ezinzima, eziphikelelayo ze-vertigo uma ezinye izindlela zokwelashwa zingaphumeleli. Lokhu kuhlinzwa kuhilela ukususa ingxenye noma yonke indlebe yakho yangaphakathi.

Ngingakuvimbela kanjani ukuhlaselwa kwe-vertigo yesiphetho?

Imvamisa awukwazi ukuvimba i-vertigo yokuqala, kodwa ezinye izindlela zokuziphatha zingasiza ekuvimbeleni okunye ukuhlaselwa kwe-vertigo. Kufanele ugweme:

• amalambu akhanyayo
• ukunyakaza kwekhanda okusheshayo
• ukugoba
• ebheka phezulu

Ezinye izindlela zokuziphatha eziwusizo zisukuma kancane futhi zilele ikhanda lakho liphakanyisiwe.