Siphathwa kanjani isifo sikaMénière

-Delile

• 1. Ukusetshenziswa kwemithi
• 2. Ukwelashwa kwemvelo
• 3. I-Physiotherapy
• 4. Ukusetshenziswa kwemithi endlebeni
• 5. Ukuhlinzwa

Ukwelashwa kwe-Ménière's syndrome kufanele kuboniswe yi-otorhinolaryngologist futhi imvamisa kufaka phakathi izinguquko emikhubeni nasekusetshenzisweni kweminye imithi esiza ukunciphisa i-vertigo, njengeDimenidrato, Betaístina noma iHidrochlorothiazida, ngokwesibonelo. Kodwa-ke, ezimweni lapho la makhambi engenawo umthelela ofanele, kungadingeka ukuthi ubhekele ukuhlinzwa.

I-Ménière's syndrome yisifo esidala ukungasebenzi kahle kwendlebe yangaphakathi futhi, yize lungekho ikhambi, kungenzeka ukuthi ubheke ezinhlotsheni ezahlukahlukene zokwelapha ukwenza ngcono izimpawu nokuvikela ukuthi lesi sifo singabi sibi kakhulu. Funda kabanzi nge-Ménière's syndrome.

Ukwelashwa kwesifo sikaMénière kufanele kuqondiswe udokotela futhi kuqukethe:

1. Ukusetshenziswa kwemithi

Amakhambi asetshenziswa kakhulu ukwelapha iMénière's syndrome kufanele akhonjiswe ngudokotela, futhi afake:

• I-Antiemetics, efana neMeclizine, Dimenhydrate, Promethazine noma iMetoclopramide: zisetshenziswa ngesikhathi senhlekelele, njengoba ziyizidakamizwa okuthi, ngaphezu kokwelapha isicanucanu, zinciphise i-vertigo ebangelwa ukunyakaza;
• Ama-tranquilizers, afana neLorazepam noma iDiazepam: zisetshenziswa futhi ngesikhathi sezinhlekelele ukunciphisa umuzwa wesiyezi kanye ne-vertigo;
• Izidakamizwa, ezifana ne-Hydrochlorothiazide: zivame ukukhonjiswa ukunciphisa imvamisa nokuqina kokuhlaselwa kwe-vertigo, njengoba zisebenza ngokunciphisa ukuqoqwa koketshezi ngaphakathi kwemisele yezindlebe, okuyimbangela engaba khona yalesi sifo;
• I-anti-vertigo, efana neBetaistin: isetshenziswa ngokuqhubekayo ukulawula nokunciphisa izimpawu ze-vertigo, isicanucanu, i-tinnitus nokulahleka kokuzwa.

Ngaphezu kwalokho, ezinye izigaba zezidakamizwa, ezinjenge-vasodilators, nazo zingakhonjiswa ukuthi zithuthukise ukusakazwa kwendawo, kanye ne-corticosteroids kanye ne-immunosuppressants, njengendlela yokulawula ukusebenza kwamasosha omzimba esifundeni sendlebe.

2. Ukwelashwa kwemvelo

Isinyathelo sokuqala ekwelapheni i-Ménière's syndrome kungukushintsha kwemikhuba, njengoba kuyizindlela zokwehlisa inani nokuqina kwezinkinga.

Ngakho-ke, enye yezindlela ezingcono kakhulu zemvelo zokudambisa nokuvimbela ukuqala kwezimpawu ezihambisana ne-Ménière's syndrome ukudla ukudla okunosawoti omncane noma ongenalo nhlobo. Lokhu kungenxa yokuthi umzimba ugcina amanzi amancane, kunciphisa inani loketshezi endlebeni elingadala isiyezi kanye nesicanucanu.

Ukudla kwesifo seMénière's syndrome kuqukethe:

• Miselela usawoti ngamakhambi anamakha;
• Gwema imikhiqizo enezimboni;
• Gwema ukudla ukudla okunosawoti, njenge-ham noma ushizi;
• Khetha ukudla okwosiwe noma okugazingiwe, ukugwema amasoso ngosawoti omningi.

Ngaphezu kwalokho, kukhonjiswa ukunciphisa ukusetshenziswa kotshwala, i-caffeine ne-nicotine, njengoba kuyizinto ezicasulayo ezakhiweni zendlebe. Ukucindezeleka kufanele futhi kugwenywe, ngoba kuvusa kabi uhlelo lwezinzwa futhi kungadala izingqinamba ezintsha.

Bheka imininingwane eyengeziwe mayelana nokondla iMénière's syndrome kuvidiyo elandelayo:

3. I-Physiotherapy

I-Physiotherapy ibaluleke kakhulu kulabo abaphethwe yilesi sifo, futhi ibizwa nge-vestibular rehabilitation therapy. Kulokhu kwelashwa, i-physiotherapist ingancoma ukuvivinya umzimba okungasiza ekwehliseni izimpawu zesiyezi nokungalingani, kuthuthukise ukuzwela ekuhambeni, kanye nokwenza izincomo zokuphepha ukuze umuntu azisebenzise ngezikhathi zobunzima.

4. Ukusetshenziswa kwemithi endlebeni

Ukusetshenziswa kwemithi endlebeni kukhonjiswa lapho ezinye izindlela zokwelashwa zingasebenzi. Ngakho-ke, eminye imishanguzo ingafakwa ngqo kulwelwesi lwe-tympanic ukunciphisa izimpawu ze-vertigo, okuyiyona eyinhloko:

• Imithi elwa namagciwane, efana neGentamicin: iyi-antibiotic enobuthi endlebeni futhi, ngakho-ke, inciphisa ukusebenza kwendlebe ethintekile ekulawuleni ibhalansi, idlulisela lo msebenzi endlebeni enempilo kuphela;
• ICorticosteroids, njengeDexamethasone: iyi-corticoid eyehlisa ukuvuvukala kwendlebe, inciphise amandla okuhlaselwa.

Lolu hlobo lwezokwelapha lungenziwa kuphela ehhovisi likachwepheshe we-ENT onguchwepheshe ekwelapheni izinkinga ezinjengeMénière's syndrome.

5. Ukuhlinzwa

Ukuhlinzwa kukhonjiswa kuphela ezimweni lapho ezinye izindlela zokwelashwa zingenamthelela ekwehliseni imvamisa noma umfutho wokuhlaselwa. Ezinye izinketho zifaka:

• Ukwehla kwesikhwama se-endolymphatic, ekhulula i-vertigo ngokunciphisa ukukhiqizwa koketshezi noma ukukhulisa ukumuncwa kwayo;
• Isigaba sezinzwa ze-Vestibular, lapho kunqunywa khona i-vestibular nerve, ixazulula izinkinga ze-vertigo ngaphandle kokuphazamisa ukuzwa;
• I-Labyrinthectomy, exazulula izinkinga ze-vertigo kepha futhi ibangele ukungezwa, ngakho-ke isetshenziswa kuphela ezimweni lapho sekuvele kukhona ukulahleka kokuzwa.

Indlela engcono kakhulu ikhonjiswa yi-otorhinolaryngologist, ngokusho kwezimpawu eziyinhloko ezethulwa ngumuntu ngamunye, njengokulahlekelwa ukuzwa noma isiyezi.