Yini Engadala Iziphonso Zesiyezi Ngokuzumayo?

-Delile

• Izimbangela zesiyezi esingazelelwe
• I-Benign paroxysmal positional vertigo (BPPV)
• Isifo sikaMeniere
• I-Labyrinthitis ne-vestibular neuritis
• I-Vestibular migraine
• I-Orthostatic hypotension
• I-TIA noma isifo sohlangothi
• Ingabe zikhona izindlela zokuzinakekela ezisizayo?
• Ukubonana nodokotela nini
• Okubalulekile

Ukupela ngesiyezi okungazelelwe kungaphazamisa. Ungase uzwe ukuzwa kwekhanda elikhanyayo, ukungazinzi, noma ukuphotha (i-vertigo). Ngaphezu kwalokho, kwesinye isikhathi ungahlangabezana nesicanucanu noma ukuhlanza.

Kepha yiziphi izimo ezingadala iziphonso ezizumayo, ezinamandla, ikakhulukazi uma zihambisana nesicanucanu noma ukuhlanza? Funda kabanzi ukuthola kabanzi ngezimbangela ezingaba khona, amakhambi angaba khona, nokuthi uzobona nini udokotela.

Izimbangela zesiyezi esingazelelwe

Kunezizathu eziningi zokuthi kungani ungazizwa unesiyezi ngokungazelelwe. Imvamisa, isiyezi esivele ngokuzumayo senzeka ngenxa yezinkinga endlebeni yakho yangaphakathi.

Indlebe yakho yangaphakathi ibalulekile ekugcineni ibhalansi. Kodwa-ke, lapho ubuchopho bakho buthola amasiginali avela endlebeni yakho yangaphakathi engahambisani nolwazi izinzwa zakho ezibikayo, kungaholela ekubeni nesiyezi kanye ne-vertigo.

Ezinye izinto zingadala neziphonso ezizumayo zesizungu, kufaka phakathi:

• izingqinamba zokujikeleza kwegazi, njengokuncipha okungazelelwe kwengcindezi yegazi noma ukugeleza kwegazi okunganele ebuchosheni bakho, njengokuhlaselwa kweschemic okungapheli (TIA) noma isifo sohlangothi
• ushukela wegazi ophansi
• i-anemia
• ukoma komzimba
• ukukhathala kokushisa
• ukukhathazeka noma ukuphazamiseka
• imiphumela emibi yemithi

Ukuba nesiyezi okukhulu okungazelelwe, okuvame ukuhambisana nesicanucanu nokuhlanza ngisho, kuyisimpawu esivelele sezimo ezithile ezithile. Ngezansi, sizohlola ngasinye salezi zimo ngokuningiliziwe.

I-Benign paroxysmal positional vertigo (BPPV)

I-BPPV yisimo esidala isizungu. Ukuzwa kuvame ukuzwakala sengathi konke okuzungezile kuyaphambuka noma kuyazamazama, noma ukuthi ikhanda lakho liyazula ngaphakathi.

Lapho isiyezi sinzima, kuvame ukuhambisana nesicanucanu nokuhlanza.

Nge-BPPV, izimpawu zihlala zenzeka njalo lapho ushintsha isikhundla sekhanda lakho. Isiqephu se-BPPV imvamisa sihlala ngaphansi komzuzu. Noma isiyezi sihlala isikhashana, isimo singaphazamisa imisebenzi yansuku zonke.

I-BPPV yenzeka lapho amakristalu engxenyeni ethile yendlebe yakho yangaphakathi ekhishwa. Imvamisa imbangela ngqo ye-BPPV ayaziwa. Lapho kungasungulwa imbangela, imvamisa kuba umphumela we:

• ukulimala ekhanda
• ukuphazamiseka kwezindlebe kwangaphakathi
• ukulimala ngesikhathi sokuhlinzwa kwezindlebe
• ukuma okungokwemvelo emhlane wakho isikhathi eside, njengokulala esihlalweni sikadokotela wamazinyo

Lapho la makristalu ekhishwa, aya kwenye ingxenye yendlebe yakho yangaphakathi lapho engeyona eyakhona. Ngoba amakristalu ayazwela kumandla adonsela phansi, ushintsho esimweni sekhanda lakho lungadala isizungu esikhulu esibonakala sivele kungazelelwe.

Ukwelashwa kuvame ukufaka udokotela wakho eqondisa ikhanda lakho ezinkomba ezithile ukuze ubeke kabusha amakristalu alahliwe. Lokhu kubizwa ngokuthi yi-canalith repositioning, noma i-Epley maneuver. Ukuhlinzwa kungadingeka lapho lokhu kungasebenzi. Kwesinye isikhathi, i-BPPV ingahle ihambe yodwa.

Isifo sikaMeniere

Isifo sikaMeniere sithinta nendlebe yangaphakathi. Imvamisa kuthinta indlebe eyodwa kuphela. Abantu abanalesi simo bangathola i-vertigo enzima, engaholela ekuzweleni kwesicanucanu. Ezinye izimpawu zesifo sikaMeniere zifaka:

• ukuzwa okungekho kahle
• umuzwa wokugcwala endlebeni
• ukukhala ezindlebeni (tinnitus)
• ukulahlekelwa ukuzwa
• ukulahlekelwa ibhalansi

Izimpawu zesifo sikaMeniere zingavela ngokuzuma noma ngemuva kwesiqephu esifushane sezinye izimpawu njengokuzwa okungazwakali noma ukukhala ezindlebeni zakho. Kwesinye isikhathi, iziqephu zingahlukaniswa, kepha kwesinye isikhathi zingenzeka zisondelene.

Isifo sikaMeniere senzeka lapho uketshezi luhlangana endlebeni yakho yangaphakathi. Okubangela lokhu kwakha uketshezi akwaziwa, yize kusolwa ukutheleleka, ufuzo, kanye nokuziphendulela komzimba.

Izinketho zokwelashwa kwesifo sikaMeniere zifaka:

• imishanguzo yokwelapha izimpawu zesiyezi kanye nesicanucanu
• ukuvinjelwa kasawoti noma i-diuretics ukusiza ukunciphisa inani loketshezi umzimba wakho eligcina
• imijovo ene-steroids noma i-antibiotic gentamicin yokunciphisa isiyezi kanye ne-vertigo
• ukwelashwa kwengcindezi, lapho idivayisi encane iletha khona izingcindezi zengcindezi ukuvimbela isiyezi
• ukuhlinzwa, lapho ezinye izindlela zokwelapha zingasebenzi

I-Labyrinthitis ne-vestibular neuritis

Lezi zimo ezimbili zihlobene kakhulu. Kokubili kuhlobene nokuvuvukala endlebeni yakho yangaphakathi.

• I-Labyrinthitis yenzeka lapho isakhiwo esibizwa nge-labyrinth endlebeni yakho yangaphakathi sivuvuka.
• I-vestibular neuritis ibandakanya ukuvuvukala kwemizwa ye-vestibulocochlear endlebeni yakho yangaphakathi.

Ngalezi zimo zombili, isiyezi kanye ne-vertigo zingafika ngokuzumayo. Lokhu kungaholela ekucanuzelweni yinhliziyo, ukuhlanza, nezinkinga ngebhalansi. Abantu abane-labyrinthitis nabo bangathola ukukhala ezindlebeni nasekulahlekelweni kokuzwa.

Akukaziwa ukuthi yini ebangela i-labyrinthitis ne-vestibular neuritis. Kodwa-ke, kukholakala ukuthi ukutheleleka ngegciwane kungabandakanyeka.

Ukwelashwa kuvame ukufaka imishanguzo engakhulula izimpawu ezifana nesiyezi kanye nesicanucanu. Uma izinkinga zokulinganisela ziqhubeka, ukwelashwa kungafaka uhlobo lwezokwelapha olubizwa ngokuthi ukuvuselelwa kwe-vestibular. Lokhu kwelashwa kusebenzisa izivivinyo ezahlukahlukene ukukusiza ukuthi uvumelane nezinguquko kubhalansi.

I-Vestibular migraine

Abantu abane-vestibular migraine baba nesizungu noma i-vertigo ngokuhlangana nokuhlaselwa kwe-migraine. Ezinye izimpawu zingafaka isicanucanu nokuzwela ukukhanya noma umsindo. Kwezinye izimo, ikhanda lingase lingabi khona.

Ubude balezi zimpawu bungahlukahluka kusuka emizuzwini eminingana kuya ezinsukwini ezimbalwa. Njengezinye izinhlobo ze-migraine, izimpawu zingabangelwa ukucindezeleka, ukungabi nokuphumula, noma okunye ukudla.

Akukaziwa ukuthi yini ebangela i-vestibular migraine, yize izakhi zofuzo zingadlala indima. Ukwengeza, izimo ezifana ne-BPPV nesifo sikaMeniere ziye zahlotshaniswa ne-vestibular migraine.

Ukwelashwa kubandakanya ukusebenzisa i-over-the-counter (OTC) noma imishanguzo kadokotela ukunciphisa izinhlungu ze-migraine nezimpawu zokuba nesiyezi noma isicanucanu. Ukuvuselelwa kwe-Vestibular nakho kungasetshenziswa.

I-Orthostatic hypotension

I-Orthostatic hypotension yisimo lapho umfutho wegazi lakho wehla khona ngokungazelelwe lapho ushintsha izikhundla ngokushesha. Kungenzeka uma usuka ekulaleni phansi kuya ekuhlaleni phansi noma ekusukeni uhlale phezulu ume.

Abanye abantu abanalesi simo abanazimpawu ezibonakalayo. Kodwa-ke, abanye bangathola izimpawu ezifana nesiyezi nokuba nekhanda elincane. Ezinye izimpawu zingafaka isicanucanu, ikhanda elibuhlungu, noma iziqephu eziqulekile.

Ukwehla kwengcindezi yegazi kusho ukugeleza kwegazi okuncane kuya ebuchosheni bakho, emisipheni, nasezitho zomzimba, okungaholela ezimpawu. I-Orthostatic hypotension ixhunyaniswe nezimo zezinzwa, isifo senhliziyo, nemithi ethile.

I-Orthostatic hypotension ingalawulwa ngokushintshwa kwendlela yokuphila. Lokhu kufaka:

• ukushintsha izikhundla kancane
• ukuhlala phansi ngenkathi wenza imisebenzi yansuku zonke
• ukushintsha imithi, uma kungenzeka

I-TIA noma isifo sohlangothi

Imvamisa ibizwa ngokuthi i-ministroke, ukuhlaselwa kweschemic okwedlula (TIA) kufana nokushaywa unhlangothi, kepha izimpawu zihlala kuphela imizuzu embalwa. Kwenzeka lapho kunokuntuleka kwegazi okwesikhashana okuya engxenyeni yobuchopho.

Ngokungafani nesifo sohlangothi, i-TIA imvamisa ayidali umonakalo ongapheli. Kepha kungaba uphawu lokuxwayisa ngesifo sohlangothi esibi kakhulu.

Yize kuyivelakancane, i-TIA ingaba imbangela yesiyezi esingazelelwe. Ngokusho kuka-a, cishe amaphesenti amathathu eziguli zomnyango ophuthumayo ezinesiyezi esingazelelwe zitholwa zine-TIA.

Kwesinye isikhathi, ukuqala kwesiyezi kungazelelwe kuphela uphawu lwe-TIA. Ngezinye izikhathi, kungaba nezinye izimpawu. Lokhu kufaka phakathi:

• ubuthakathaka, ukuba ndikindiki, noma ukuncinza engalweni, emlenzeni, noma ebusweni, imvamisa kungakolunye uhlangothi lomzimba wakho
• ukukhuluma okungaqondakali noma ubunzima bokukhuluma
• izinkinga ngebhalansi
• umbono uyashintsha
• ngokuzumayo, ikhanda elibi kakhulu
• ukudideka, ukudideka

Yize kungavamile kakhulu, isiyezi esingalindelekile naso singabangelwa ukushaywa unhlangothi, ikakhulukazi isifo esivela ebuchosheni. Nge-stroke stem stroke:

• Isizungu sihlala isikhathi eside kunamahora angama-24.
• Isiyezi, i-vertigo, nokungalingani ngokuvamile kwenzeka ndawonye.
• Ubuthakathaka ohlangothini olulodwa lomzimba akuvamile ukuba uphawu.
• Ezimweni ezinzima kakhulu, izimpawu zingafaka ukukhuluma okungahambi kahle, umbono ophindwe kabili, kanye nokwehla kwezinga lokwazi.

Uma unezimpawu ze-TIA noma isifo sohlangothi, kubalulekile ukuthola ukwelashwa ngokushesha. Udokotela wakho uzonquma ukuthi ngabe uke waba ne-TIA noma isifo sohlangothi, noma uma izimpawu zakho zinesizathu esihlukile.

Ingabe zikhona izindlela zokuzinakekela ezisizayo?

Uma uqala ngesiyezi noma i-vertigo ngokungazelelwe, cabanga ukuthatha lezi zinyathelo ezilandelayo:

• Hlala phansi ngokushesha nje lapho isiyezi singena.
• Zama ukugwema ukuhamba noma ukuma kuze kudlule isiyezi.
• Uma kufanele uhambe, hamba kancane bese usebenzisa okokuxhasa okufana nenduku, noma bamba ifenisha yokukuxhasa.
• Uma isiyezi sakho sesidlulile, qiniseka ukuthi uvuka kancane kakhulu.
• Cabanga ukuthatha umuthi we-OTC njenge-dimenhydrinate (Dramamine) ukunciphisa isicanucanu sakho.
• Gwema i-caffeine, ugwayi, noma utshwala, okungadala izimpawu zakho zibe zimbi kakhulu.

Ukubonana nodokotela nini

Yenza i-aphoyintimenti yokubona udokotela wakho noma umhlinzeki wezokunakekelwa kwezempilo uma unesiyezi esingazelelwe esithi:

• kwenzeka kaningi
• inzima
• ihlala isikhathi eside
• ayikwazi ukuchazwa ngesinye isimo sempilo noma umuthi

Ukusiza ukuxilonga imbangela yesiyezi sakho, udokotela wakho uzokubuza ngomlando wakho wezokwelapha bese enza ukuhlolwa komzimba. Bazophinde benze izivivinyo ezahlukahlukene. Lokhu kungafaka:

• ukulinganisela nokuhlolwa kokuhamba, okungasiza ekunqumeni ukuthi ukunyakaza okuthile kuholela ezimpawu
• ukuhlolwa kokunyakaza kwamehlo ukuthola ukunyakaza okungavamile kwamehlo okuhambisana nezimo zendlebe zangaphakathi
• ukuhlolwa kokuzwa ukuhlola ukuthi unakho yini ukulahlekelwa ukuzwa
• ukuhlolwa kwe-imaging njengama-MRIs noma ama-CT scan ukukhiqiza isithombe esinemininingwane sobuchopho bakho

Funa ukunakekelwa kwezimo eziphuthumayo uma uba nesiyezi okungazelelwe esenzeka nganoma yiziphi zalezi zimpawu ezilandelayo:

• imizwa yokuba ndikindiki, ubuthakathaka, noma ukuhayiza
• ikhanda elibi kakhulu
• inkulumo engacacile noma inkinga yokukhuluma
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo
• inkinga yokuphefumula
• ukuhlanza kaningi
• izinguquko ezindlebeni zakho, njengokukhala ezindlebeni zakho noma ukulahleka kokuzwa
• ukufiphala noma ukubona kabili
• ukudideka
• ukuquleka

Uma ungenaye umhlinzeki, ithuluzi lethu le-Healthline FindCare lingakusiza ukuxhuma kodokotela abasendaweni yakho.

Okubalulekile

Abantu abaningi baba nesiyezi ngasizathu simbe. Kodwa-ke, kwezinye izimo, isiyezi singabonakala sivela ngaphandle futhi sibe namandla. Kulezi zimo, ungahle ube nezimpawu ezifana nesicanucanu noma ukuhlanza.

Izimbangela eziningi zalolu hlobo lwesiyezi zihambisana nezinkinga zendlebe yangaphakathi. Izibonelo zifaka i-BPPV, isifo sikaMeniere, kanye ne-vestibular neuritis.

Bona udokotela wakho uma unesiyezi noma i-vertigo ejwayelekile, enzima, noma engachazeki. Ezinye izimpawu ezinjengekhanda elibi kakhulu, ukuba ndikindiki, noma ukudideka kungakhombisa esinye isimo, njengokushaywa unhlangothi, futhi kudinga usizo lwezempilo oluphuthumayo.