Isifo seMénière

Isifo seMénière sisifo sendlebe esingaphakathi esichaphazela ukulingana kunye nokuva.

Indlebe yakho yangaphakathi inemibhobho egcwele ulwelo ebizwa ngokuba yi-labyrinths. Ezi tyhubhu, kunye ne-nerve kwikhakhayi lakho, zikunceda uyazi indawo yomzimba wakho kwaye uncede ukugcina ulungelelwano.

Isizathu ngqo sesifo seMénière asaziwa. Inokwenzeka xa uxinzelelo lolwelo kwinxalenye yendlebe yangaphakathi luba phezulu kakhulu.

Ngamanye amaxesha, isifo seMénière sinokudibana ne:

• Ukwenzakala entloko
• Usulelo lwendlebe oluphakathi okanye lwangaphakathi

Ezinye izinto ezinobungozi zibandakanya:

• Ukusetyenziswa kotywala
• Umzimba
• Imbali yosapho
• Ingqele ebandayo okanye isifo sentsholongwane
• Ukutshaya
• Uxinzelelo
• Ukusetyenziswa kwamayeza athile

Isifo seMénière sisifo esiqhelekileyo.

Ukuhlaselwa kwesifo seMénière kuhlala kuqala ngaphandle kwesilumkiso. Zinokwenzeka mihla le okanye zinqabile kube kanye ngonyaka. Ubunzima bohlaselo ngalunye bunokwahluka. Olunye uhlaselo lunokuba nzima kwaye luphazamise imisebenzi yokuphila yemihla ngemihla.

Isifo seMénière sihlala sineempawu ezine eziphambili:

• Ukuva ilahleko kuyatshintsha
• Uxinzelelo endlebeni
• Ukukhala okanye ukugquma kwindlebe echaphazelekayo, ebizwa ngokuba yi-tinnitus
• Vertigo, okanye isiyezi

I-vertigo eqinileyo luphawu oludala iingxaki ezininzi. Nge-vertigo, uziva ngathi ujikeleza okanye ushukuma, okanye ukuba umhlaba ujikeleza kuwe.

• Isicaphucaphu, ukugabha nokubila kuhlala kwenzeka.
• Iimpawu ziba nzima ngokuhamba ngokukhawuleza.
• Rhoqo, kuya kufuneka ulale phantsi kwaye uvale amehlo akho.
• Unokuziva unesiyezi kwaye ungabikho-balance, naphi na ukusuka kwimizuzu engama-20 ukuya kwiiyure ezingama-24.

Ukuphulukana nokuva kuhlala kwindlebe enye kuphela, kodwa kunokuchaphazela zombini iindlebe.

• Ukuva kuthambekele ekuphuculeni phakathi kohlaselo, kodwa kuya kusiba mandundu ngokuhamba kwexesha.
• Ukuva rhoqo.
• Unokuba nokubhonga okanye ukukhala kwindlebe (tinnitus), kunye noxinzelelo lwendlebe yakho

Ezinye iimpawu zibandakanya:

• Urhudo
• Intloko ebuhlungu
• Intlungu okanye ukungahambi kakuhle esiswini
• Isicaphucaphu nokugabha
• Ukuhamba kwamehlo okungalawulekiyo (uphawu olubizwa ngokuba yi-nystagmus)

Ngamanye amaxesha isicaphucaphu, ukugabha kunye norhudo ziba nzima ngokwaneleyo kangangokuba kufuneka ungeniswe esibhedlele ukuze ufumane ulwelo lwe-IV okanye kufuneka uphumle ekhaya.

Uvavanyo lwengqondo kunye neenkqubo zovalo kunokubonisa iingxaki ngokuva, ukulinganisela, okanye ukuhamba kwamehlo.

Uvavanyo lokuva luya kubonisa ukulahleka kokuva okwenzeka ngesifo seMénière. Ukuva kunokuba kufutshane nesiqhelo emva kohlaselo.

Uvavanyo lokukhuthaza ikhalori lujonga ukukhanya kwamehlo ngokufudumeza nokupholisa indlebe yangaphakathi ngamanzi. Iziphumo zovavanyo ezingekho kuluhlu oluqhelekileyo zinokuba luphawu lwesifo seMénière.

Olu vavanyo lunokwenziwa kwakhona ukujonga ezinye izizathu ze-vertigo:

• Electrocochleography (ECOG)
• I-Electronystagmography (ENG) okanye i-videonystagmography (VNG)
• Iskena seNtloko seMRI

Akukho lunyango lonyango lweMénière. Nangona kunjalo, utshintsho kwindlela yokuphila kunye nolunye unyango lunokunceda ekunciphiseni iimpawu.

Umboneleli wakho wezempilo unokucebisa ngeendlela zokunciphisa inani lamanzi emzimbeni wakho. Oku kunokunceda ukulawula iimpawu.

• Iipilisi zamanzi (i-diuretics) zinokunceda ukunciphisa uxinzelelo lolwelo kwindlebe yangaphakathi
• Ukutya okunetyuwa encinci kunokunceda

Ukunceda ukunciphisa iimpawu kunye nokuhlala ukhuselekile:

• Gwema ukunyakaza ngokukhawuleza, okunokubangela iimpawu ezimbi. Unokufuna uncedo xa uhamba ngexesha lokuhlaselwa.
• Gwema izibane ezikhanyayo, iTV, kunye nokufunda ngexesha lokuhlaselwa. Banokuzenza mandundu iimpawu.
• Musa ukuqhuba, sebenzisa oomatshini abanzima, okanye unyuke de kube li-1 iveki emva kokuba iimpawu zakho ziphelile. Ukuphefumla ngesiyezi ngesiquphe kwezi zinto kunokuba yingozi.
• Hlala uzolile kwaye uphumle xa uneempawu.
• Yandisa kancinci imisebenzi yakho emva kohlaselo.

Iimpawu zesifo seMénière zinokubangela uxinzelelo. Yenza ukhetho lokuphila ngendlela esempilweni ukukunceda ujongane:

• Yitya ukutya okunezondlo okusempilweni. Musa ukutya kakhulu.
• Zilolonge rhoqo, ukuba kunokwenzeka.
• Lala ngokwaneleyo.
• Nciphisa icaffeine kunye notywala.

Nceda ukunciphisa uxinzelelo ngokusebenzisa iindlela zokuphumla, ezinje:

• Imifanekiso ekhokelwayo
• Ukucamngca
• Ukuhlaziya ukuphumla kwezihlunu
• Tai chi
• Yoga

Buza umboneleli wakho ngamanye amanyathelo okuzinyamekela.

Umboneleli wakho unokumisela:

• Amayeza okubulala isicaphucaphu nokugabha
• I-Diazepam (iValium) okanye amayeza okunyakaza okuhamba, anje nge-meclizine (Antivert, Bonine, Dramamine) ukukhulula isiyezi kunye ne-vertigo

Olunye unyango olunokuba luncedo lubandakanya:

• Uncedo lokuva ukuphucula ukuva kwindlebe echaphazelekayo.
• Ulungelelwaniso lonyango, olubandakanya intloko, iliso, kunye nokuzivocavoca umzimba onokuyenza ekhaya ukunceda ukuqeqesha ingqondo yakho ukuba yoyise isiyezi.
• Ukunyanga okunyanzelekileyo kusetyenziswa isixhobo esithumela iimpompo zoxinzelelo oluncinci kumsele wendlebe kwindlebe ephakathi. Iipulse zijolise ekunciphiseni ubungakanani bolwelo kwindlebe esembindini, ethi yona ithi yehlise isiyezi.

Unokufuna utyando lwendlebe ukuba iimpawu zakho zinzima kwaye awuphenduli kolunye unyango.

• Utyando lokusika i-vestibular nerve kunceda ukulawula i-vertigo. Akuyonakalisi ukuva.
• Utyando lokunciphisa isakhiwo kwindlebe yangaphakathi ebizwa ngokuba yi-endolymphatic sac. Ukuva kungachaphazeleka yile nkqubo.
• Ukujova i-steroids okanye iyeza lokubulala iintsholongwane elibizwa ngokuba yi-gentamicin ngokuthe ngqo kwindlebe ephakathi kunokunceda ukulawula i-vertigo.
• Ukususa inxalenye yendlebe yangaphakathi (i-labyrinthectomy) inceda ukuphatha i-vertigo. Oku kubangela ukulahlekelwa kwindlebe ngokupheleleyo.

Ezi zixhobo zinokubonelela ngolwazi oluthe kratya ngesifo seMénière:

• IAmerican Academy yeOtolaryngology-iNtloko kunye nokuhlinzwa kweNeck - www.enthealth.org/conditions/menieres-disease/
• IZiko leLizwe leZithulu kunye nokunye ukuphazamiseka koNxibelelwano-www.nidcd.nih.gov/health/menieres-disease
• Umbutho wokuPhazamiseka kweVestibular- vestibular.org/menieres-disease

Isifo seMénière sinokulawulwa ngonyango. Okanye, imeko inokuba ngcono iyodwa. Ngamanye amaxesha, isifo seMénière singanyangeki (ixesha elide) okanye sikhubaze.

Tsalela umnikezeli wakho ukuba unempawu zesifo seMénière, okanye ukuba iimpawu ziya zisiba mandundu. Oku kubandakanya ukulahleka kwendlebe, ukukhala ezindlebeni, okanye isiyezi.

Awunakuthintela isifo seMénière. Ukunyanga iimpawu zokuqala kwangoko kunokunceda ukuthintela imeko ukuba ibe mandundu. Ukunyanga usulelo lwendlebe kunye nezinye iingxaki ezinxulumene nazo kunokuba luncedo.

IHydrops; Ukuphulukana nokuva; Ii-hydrops ze-Endolymphatic; Isiyezi - isifo seMénière; Isifo seVertigo - Ménière; Ukuphulukana nokuva - isifo seMénière; Ukunyanga uxinzelelo-isifo seMénière

• I-anatomy yendlebe
• Inwebu yetympanic

I-Boomsaad ZE, iTelian SA, iPatil PG. Unyango lwe-vertigo engenakuchaphazeleka. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 105.

I-Crane BT, encinci yeLB. Iingxaki zepheripheral vestibular. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 165.