Ukuphazamiseka okunxulumene neVertigo

I-Vertigo luvakalelo lokuhamba okanye ukujikeleza okusoloko kuchazwa njengesiyezi.

I-Vertigo ayifani nokuba nentloko elula. Abantu abane-vertigo baziva ngokungathi bayashenxa okanye bayashukuma, okanye ukuba umhlaba ujikeleza kubo.

Kukho iintlobo ezimbini ze-vertigo, iipheripheral kunye ne-vertigo ephakathi.

I-peripheral vertigo ngenxa yengxaki kwinxalenye yendlebe yangaphakathi elawula ibhalansi. Ezi ndawo zibizwa ngokuba yi-vestibular labyrinth, okanye i-semicircular canals. Ingxaki inokubandakanya i-vestibular nerve. Le yimithambo-luvo phakathi kwendlebe yangaphakathi kunye nesiqu sobuchopho.

Umda we-vertigo unokubangelwa ngu:

• I-Benign positional vertigo (i-vertigo enobungozi be-paroxysmal poso, ekwabizwa ngokuba yi-BPPV)
• Amanye amayeza, afana ne-aminoglycoside antibiotics, i-cisplatin, i-diuretics, okanye i-salicylates, eziyityhefu kulwakhiwo lwendlebe lwangaphakathi
• Ukulimala (njengokulimala kwentloko)
• Ukudumba kwe-vestibular nerve (neuronitis)
• Ukucaphuka kunye nokudumba kwendlebe yangaphakathi (labyrinthitis)
• Isifo seMeniere
• Uxinzelelo kwi-vestibular nerve, ihlala isuka kwithumba elingafakwanga ngumhlaza njenge-meningioma okanye i-schwannoma

I-vertigo esembindini ibangelwa yingxaki kwingqondo, ihlala ibambekile kwingqondo okanye kwinxalenye engasemva yengqondo (cerebellum).

I-vertigo esembindini inokubangelwa ngu:

• Isifo semithambo yegazi
• Ezinye iziyobisi, ezinje nge-anticonvulsants, aspirin, kunye notywala
• Isifo sokugubhuka
• Ukuxhuzula (kunqabile)
• Ukubetha
• Izidumba (ezinomhlaza okanye ezingenamhlaza)
• I-Vestibular migraine, uhlobo lwentloko ye-migraine

Uphawu oluphambili kukuziva ukuba wena okanye igumbi lihamba okanye lijikeleza. Imvakalelo yokujikeleza inokubangela isicaphucaphu kunye nokugabha.

Kuxhomekeka kwisizathu, ezinye iimpawu zinokubandakanya:

• Ingxaki yokujonga amehlo
• Ukuba nesiyezi
• Ukuva ilahleko kwindlebe enye
• Ukuphulukana nokulingana (kunokubangela ukuwa)
• Iyakhala ezindlebeni
• Isihlunu nokuhlanza, okukhokelela ekuphulukaneni nolwelo lomzimba

Ukuba une-vertigo ngenxa yeengxaki kwingqondo (i-vertigo esembindini), unokuba nezinye iimpawu, kubandakanya:

• Kunzima ukugwinya
• Umbono kabini
• Iingxaki zokuhamba kwamehlo
• Ukukhubazeka ebusweni
• Intetho egudileyo
• Ukuba buthathaka kwamalungu

Uviwo ngumboneleli wezempilo lunokubonisa:

• Iingxaki zokuhamba ngenxa yokuphulukana nebhalansi
• Iingxaki zokuhamba kwamehlo okanye ukuhamba kwamehlo okungazibandakanyi (nystagmus)
• Ukuphulukana nokuva
• Ukungabikho kolungelelwaniso kunye nokulingana
• Ubuthathaka

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi
• Ukuphicothwa kwesiqu sobuchopho kukhuphe izifundo ezinokubakho
• Ukukhuthaza ikhalori
• I-Electroencephalogram (i-EEG)
• Electronystagmography
• Intloko ye-CT
• Ukugqobhoza iLumbar
• Ukuvavanywa kwentloko ye-MRI kunye nokuvavanywa kweMRA kwimithambo yegazi yengqondo
• Ukuhamba (uvavanyo) lokuvavanya

Umboneleli unokwenza iintshukumo ezithile zentloko kuwe, ezinje ngovavanyo lwentloko. Ezi mvavanyo zinceda ukuxelela umahluko phakathi kwe-vertigo esembindini nakwipheripheral.

Unobangela wayo nayiphi na ingxaki yengqondo ebangela i-vertigo kufuneka ichongwe kwaye inyangwe xa kunokwenzeka.

Ukunceda ukusombulula iimpawu ze-vertigo ezinobungozi, umboneleli unokwenza u-Epley maneuver kuwe. Oku kubandakanya ukubeka intloko yakho kwizikhundla ezahlukeneyo ukunceda ukuseta kwakhona ilungu lomlinganiso.

Unokumiselwa amayeza ukunyanga iimpawu ze-vertigo yendlela, njenge-nausea kunye nokuhlanza.

Unyango lomzimba lunokunceda ukuphucula iingxaki zokulinganisela. Uya kufundiswa imithambo yokubuyisela imo yakho yokulinganisela. Ukuzivocavoca kunokuqinisa izihlunu zakho ukunceda ukuthintela ukuwa.

Ukuthintela ukwanda kweempawu ngexesha le-vertigo, zama oku kulandelayo:

• Yithi cwaka. Hlala okanye ulale xa iimpawu zivela.
• Qhubeka nomsebenzi ngokuthe ngcembe.
• Thintela utshintsho olukhawulezileyo lwendawo.
• Sukuzama ukufunda xa iimpawu zisenzeka.
• Gwema izibane ezikhanyayo.

Unokufuna uncedo xa uhamba xa iimpawu zivela. Gwema izinto ezinobungozi njengokuqhuba, ukusebenzisa oomatshini abanzima, kunye nokunyuka ukuya kwiveki e-1 emva kokuba iimpawu ziphelile.

Olunye unyango luxhomekeke kwisizathu se-vertigo. Ugqirha, kubandakanya ukucinywa kwe-microvascular decompression, kunokucetyiswa kwezinye iimeko.

I-Vertigo inokuphazamisa ukuqhuba, umsebenzi, kunye nendlela yokuphila. Inokubangela nokuwa, oku kunokukhokelela kukonzakala okuninzi, kubandakanya ukwaphuka kwethambo.

Fowunela ukuqeshwa kunye nomboneleli wakho ukuba une-vertigo engahambiyo okanye ephazamisa imisebenzi yakho yemihla ngemihla. Ukuba awuzange ube ne-vertigo okanye ukuba unayo i-vertigo kunye nezinye iimpawu (ezifana nombono ophindwe kabini, intetho edibeneyo, okanye ukulahleka kokulungelelanisa), biza u-911.

I-vertigo yendlela; I-vertigo ephakathi; Isiyezi; I-vertigo yesimo seBenign; I-Benign paroxysmal positional vertigo

• Inwebu yetympanic
• I-cerebellum - umsebenzi
• I-anatomy yendlebe

UBhattacharyya N, uGubbels SP, uSchwartz SR, et al. Isikhokelo sokuziqhelanisa neklinikhi: i-benign paroxysmal positional vertigo (uhlaziyo). Intloko ye-Otolaryngol Surg. Ngo-2017; 156 (3_suppl): S1-S47. IINKCUKACHA: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.

Utshintsho AK. Isiyezi kunye ne-vertigo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 16.

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.

IKerber KA, iBaloh RW. I-Neuro-otology: ukuxilongwa kunye nolawulo lweengxaki ze-neuro-otoligical. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 46.