Yintoni enokubangela ukuba isiqu sakho sibe nesiqubu ngokukhawuleza?

Umxholo

• Oonobangela isiyezi ngesiquphe
• I-Benign paroxysmal positional vertigo (BPPV)
• Isifo sikaMeniere
• I-Labyrinthitis kunye ne-vestibular neuritis
• I-Vestibular migraine
• I-Orthostatic hypotension
• I-TIA okanye ukubetha
• Ngaba akho amanyathelo okuzinyamekela ayanceda?
• Nini ukubona ugqirha
• Umgca wezantsi

Ukupelwa ngesiyezi ngesiquphe kunokuphazamisa. Unokuziva uziva ubusentloko, ukungazinzi, okanye ukujikeleza (i-vertigo). Ukongeza, ngamanye amaxesha unokufumana isicaphucaphu okanye ukugabha.

Kodwa zeziphi iimeko ezinokubangela ngesiquphe, isiyezi esinamandla, ngakumbi xa sikhatshwa sisicaphucaphu okanye ukugabha? Funda ukuze ufumane okungakumbi malunga nezizathu ezinokubangela, unyango olunokwenzeka, kunye nexesha lokufumana ugqirha.

Oonobangela isiyezi ngesiquphe

Zininzi izizathu zokuba ungaziva unesiyezi ngesiquphe. Rhoqo, nangona kunjalo, isiyezi ngesiquphe senzeka ngenxa yeengxaki kwindlebe yakho yangaphakathi.

Indlebe yakho yangaphakathi ibalulekile ekugcineni ibhalansi. Nangona kunjalo, xa ingqondo yakho ifumana imiqondiso evela kwindlebe yakho yangaphakathi engahambelaniyo nengcaciso enikwa yingqondo, inokubangela isiyezi kunye ne-vertigo.

Eminye imiba inokubangela i-dizzy spell ngesiquphe, kubandakanya:

• Imiba yokujikeleza, njengokuhla ngesiquphe koxinzelelo lwegazi okanye ukungonelanga kwegazi kwingqondo yakho, njengokuhlaselwa kweschemic okwethutyana (TIA) okanye ukubetha
• iswekile esezantsi yegazi
• ianemia
• ukuphelelwa ngamanzi emzimbeni
• ukudinwa kobushushu
• unxunguphalo okanye ukuphazamiseka
• iziphumo ebezingalindelekanga zonyango

Ukuba nesiyezi ngokukhawuleza, okuhlala kuhamba nesicaphucaphu kunye nokugabha, luphawu lweempawu ezithile. Apha ngezantsi, siza kuvavanya nganye yezi meko ngokweenkcukacha.

I-Benign paroxysmal positional vertigo (BPPV)

I-BPPV yimeko ebangela ngesiquphe, iimvakalelo ezinzulu zesisu. Imvakalelo ihlala ivakalelwa ngokungathi yonke into ekujikelezile ijikeleza okanye iyashukuma, okanye ukuba intloko yakho ijikeleza ngaphakathi.

Xa isiyezi siba qatha, sihlala sihamba isicaphucaphu nokugabha.

Nge-BPPV, iimpawu zihlala zenzeka xa utshintsha indawo yentloko. Isiqendu seBPPV sihlala sihlala ngaphantsi komzuzu. Nangona isiyezi sihlala ixesha elifutshane, imeko inokuba yingxaki kwimisebenzi yemihla ngemihla.

I-BPPV yenzeka xa iikristali kwindawo ethile yendlebe yakho yangaphakathi ikhutshwa. Rhoqo oyena nobangela weBPPV awaziwa. Xa unobangela unokumiselwa, ihlala isisiphumo:

• ukwenzakala entloko
• ukuphazamiseka kwendlebe kwangaphakathi
• umonakalo ngexesha lotyando lwendlebe
• Ukuma okungaqhelekanga emqolo wakho ixesha elide, njengokulala kwisitulo samazinyo

Xa ezi kristali zikhutshiwe, ziye kwenye indawo yendlebe yakho yangaphakathi apho zingezizo. Ngenxa yokuba iikristali zithambile kumandla omxhuzulane, utshintsho kwindawo yentloko yakho kunokubangela ukuba ube nesiyezi esibonakala ngathi asiveli ndawo.

Unyango lubandakanya ukuba ugqirha aqhube intloko yakho kwicala elithile ukuze ubeke kwakhona iikristali ezilahliweyo. Oku kubizwa ngokuba yi-canalith repositioning, okanye i-Epley maneuver. Utyando lunokuba yimfuneko xa oku kungasebenzi. Ngamanye amaxesha, i-BPPV inokuhamba yodwa.

Isifo sikaMeniere

Isifo sikaMeniere sichaphazela nendlebe yangaphakathi. Ichaphazela indlebe enye kuphela. Abantu abakule meko banokufumana i-vertigo enzima, enokuthi ikhokelele kwiimvakalelo zesicaphucaphu. Ezinye iimpawu zesifo sikaMeniere zibandakanya:

• ukungeva kakuhle
• imvakalelo yokugcwala endlebeni
• ukukhala ezindlebeni (tinnitus)
• ukungeva kakuhle
• ukulahleka kwemali eseleyo

Iimpawu zesifo sikaMeniere zinokuza ngesiquphe okanye emva kwesiqendu esifutshane sezinye iimpawu ezinje ngokuva okungafunekiyo okanye ukukhala ezindlebeni zakho. Ngamanye amaxesha, iziqendu zinokwahlulwa phakathi, kodwa ngamanye amaxesha zinokwenzeka zisondelelene.

Isifo sikaMeniere senzeka xa ulwelo luqokelelana kwindlebe yakho yangaphakathi. Yintoni ebangela olu lwakhiwo lwamanzi alwaziwa, nangona usulelo, imfuza, kunye nokusabela okuzenzekelayo kurhanelwa.

Ukhetho kunyango lwesifo sikaMeniere lubandakanya:

• amayeza ukunyanga iimpawu zesiyezi kunye isicaphucaphu
• Isithintelo setyuwa okanye i-diuretics ukunceda ukunciphisa inani lolwelo eligcinwa ngumzimba wakho
• Inaliti nge-steroids okanye i-antibiotic gentamicin ukunciphisa isiyezi kunye ne-vertigo
• uxinzelelo kunyango, ngexesha apho isixhobo esincinci sihambisa ukubetha koxinzelelo ukunqanda isiyezi
• utyando, xa ezinye iindlela zonyango zingasebenzi

I-Labyrinthitis kunye ne-vestibular neuritis

Le miqathango mibini inxulumene ngokusondeleyo. Zombini zinento yokwenza nokudumba kwindlebe yakho yangaphakathi.

• I-Labyrinthitis yenzeka xa isakhiwo esibizwa ngokuba yi-labyrinth kwindlebe yakho yangaphakathi sitshiswa.
• I-Vestibular neuritis ibandakanya ukudumba kwethambo le-vestibulocochlear kwindlebe yakho yangaphakathi.

Zombini ezi meko, isiyezi kunye ne-vertigo zinokuza ngesiquphe. Oku kunokukhokelela kwisicaphucaphu, ukugabha, kunye neengxaki ngokulinganisela. Abantu abane-labyrinthitis banokufumana ukukhala ezindlebeni kunye nokulahlekelwa kwindlebe.

Akukaziwa ukuba yintoni ebangela i-labyrinthitis kunye ne-vestibular neuritis. Nangona kunjalo, kukholelwa ukuba usulelo lwentsholongwane lunokubandakanyeka.

Unyango luhlala lubandakanya amayeza anokuthomalalisa iimpawu ezinje ngesiyezi kunye nesicefecefe. Ukuba iingxaki zokulinganisela ziyaqhubeka, unyango lunokubandakanya uhlobo lonyango olubizwa ngokuba yi-vestibular rehabilitation. Olu nyango lusebenzisa imithambo eyahlukeneyo ukukunceda ukuba uhlengahlengise utshintsho olwenziweyo.

I-Vestibular migraine

Abantu abane-vestibular migraine bafumana isiyezi okanye i-vertigo ngokudibana nokuhlaselwa migraine. Ezinye iimpawu zinokubandakanya isicaphucaphu kunye nemvakalelo yokukhanya okanye yesandi. Ngamanye amaxesha, iintloko zisenokungabikho.

Ubude bezi mpawu bunokwahluka naphina ukusuka kwimizuzu eliqela ukuya kwiintsuku ezininzi. Njengezinye iintlobo ze-migraine, iimpawu zingabangela uxinzelelo, ukungabikho kokuphumla, okanye ukutya.

Akukwazi ukuba yintoni ebangela i-vestibular migraine, nangona i-genetics ingadlala indima. Ukongeza, iimeko ezinje nge-BPPV kunye nesifo sikaMeniere zidibene ne-vestibular migraine.

Unyango lubandakanya ukusebenzisa i-over-the-counter (OTC) okanye amayeza kagqirha ukunciphisa iintlungu ze-migraine kunye neempawu zokuba nesiyezi okanye isicaphucaphu. Ukulungiswa kweVestibular nako kunokusetyenziswa.

I-Orthostatic hypotension

I-Orthostatic hypotension yimeko apho uxinzelelo lwegazi ngequbuliso lwehla xa utshintsha indawo ngokukhawuleza. Kungenzeka xa usuka ekulaleni phantsi ukuya ekuhlaleni phantsi okanye ekuhlaleni phantsi ukuya ekumeni.

Abanye abantu abanale meko abanazimpawu zibonakalayo. Nangona kunjalo, abanye banokuba neempawu ezinje ngesiyezi kunye nentloko elula. Ezinye iimpawu zinokubandakanya isicaphucaphu, intloko ebuhlungu, okanye neziqendu zokuphelelwa ngamandla.

Ukuhla koxinzelelo lwegazi kuthetha ukuhla kwegazi elincinci ukuya kwingqondo yakho, izihlunu, kunye namalungu, anokukhokelela kwiimpawu. I-Orthostatic hypotension inxulunyaniswe neemeko zemithambo-luvo, isifo sentliziyo, kunye namayeza athile.

I-Orthostatic hypotension inokulawulwa ngokutshintsha kwendlela yokuphila. Oku kubandakanya:

• Ukutshintsha izikhundla kancinci
• ukuhlala phantsi ngelixa usenza imisebenzi yemihla ngemihla
• ukutshintsha amayeza, ukuba kunokwenzeka

I-TIA okanye ukubetha

Ihlala ibizwa ngokuba yi-ministerroke, uhlaselo lwexeshana lwe-ischemic (TIA) lufana nokubetha, kodwa iimpawu zihlala kuphela imizuzu embalwa. Kwenzeka xa kukho ukunqongophala kwegazi okwethutyana kwinxalenye yengqondo.

Ngokungafaniyo nokubetha, i-TIA ihlala ingabangeli monakalo ongapheliyo. Kodwa kunokuba sisilumkiso sesibetho esibi ngakumbi.

Nangona kunqabile, i-TIA inokuba ngunobangela wokuba nesiyezi ngesiquphe. Ngokuka-a, malunga neepesenti ezintathu zezigulana zesebe likaxakeka ezinesiyezi ngesiquphe zifunyaniswa zine-TIA.

Ngamanye amaxesha, ngesiquphe isiyezi kuphela kophawu lwe-TIA. Ngamanye amaxesha, kunokubakho ezinye iimpawu. Oku kubandakanya:

• ubuthathaka, ukuba ndindisholo, okanye ukubetha engalweni, emlenzeni, okanye ebusweni, zihlala kwelinye icala lomzimba wakho
• intetho engacacanga okanye ubunzima bokuthetha
• iingxaki ngokulinganisela
• utshintsho lombono
• ngequbuliso, intloko ebuhlungu
• ukudideka, ukudideka

Nangona ingaqhelekanga, isiyezi ngesiquphe sinokubangelwa kukufa icala, ngakumbi ukubetha kwengqondo. Ngesifo esibuhlungu sobuchopho:

• Isiyezi sihlala ixesha elide kuneeyure ezingama-24.
• Ukuba nesiyezi, i-vertigo, kunye nokungalingani zihlala zenzeka kunye.
• Ubuthathaka kwelinye icala lomzimba akuqhelekanga uphawu.
• Kwiimeko ezinzima kakhulu, iimpawu zinokubandakanya intetho edibeneyo, umbono ophindwe kabini, kunye nenqanaba lokuncipha lokuqonda.

Ukuba unayo nayiphi na impawu ye-TIA okanye ukubetha, kubalulekile ukuba ufumane unyango kwangoko. Ugqirha wakho uya kugqiba ukuba unayo i-TIA okanye i-stroke, okanye ukuba iimpawu zakho zinesizathu esahlukileyo.

Ngaba akho amanyathelo okuzinyamekela ayanceda?

Ukuba unesiyezi ngesiquphe okanye isiyezi, cinga ngokuthatha la manyathelo alandelayo:

• Hlala phantsi kwangoko xa isiyezi singena.
• Zama ukunqanda ukuhamba okanye ukuma de utyando ludlule.
• Ukuba kufuneka uhambe, hamba kancinci kwaye usebenzise isixhobo esixhasayo njengenduku, okanye ubambe ifanitshala yenkxaso.
• Nje ukuba isiyezi sakho sidlulile, qiniseka ukuba uvuke kancinci kancinci.
• Cinga ngokuthatha amayeza e-OTC njenge-dimenhydrinate (Dramamine) ukunciphisa isicaphucaphu.
• Gwema i-caffeine, icuba, okanye utywala, ezinokuzonakalisa iimpawu zakho.

Nini ukubona ugqirha

Yenza idinga ukubona ugqirha wakho okanye umboneleli wezempilo ukuba unesiyezi ngequbuliso:

• yenzeka rhoqo
• Inzima
• ihlala ixesha elide
• ayinakucaciswa yenye imeko yezempilo okanye iyeza

Ukunceda ukufumanisa unobangela wokuba nesiyezi, ugqirha wakho uya kubuza malunga nembali yakho yezonyango kwaye enze uvavanyo lomzimba. Kananjalo baya kwenza iimvavanyo ezahlukeneyo. Oku kunokubandakanya:

• ukulinganisela kunye nokuvavanywa kokuhamba, ezinokukunceda ukumisela ukuba iintshukumo ezithile zikhokelela kwiimpawu
• ukuvavanywa kwentshukumo yamehlo ukufumana iintshukumo zamehlo ezingaqhelekanga ezinxulunyaniswa neemeko zangaphakathi zendlebe
• iimvavanyo zokuva ukujonga ukuba unayo nayiphi na indlebe yokuva
• iimvavanyo zokucinga ezifana nee-MRIs okanye i-CT scan ukwenza umfanekiso ocacileyo wengqondo yakho

Funa ukhathalelo lonyango olungxamisekileyo ukuba unesiyezi ngesiquphe esenzeka ngezi mpawu zilandelayo:

• iimvakalelo zokuba ndindisholo, ubuthathaka, okanye ukurhawuzelela
• intloko ebuhlungu
• intetho engacacanga okanye ingxaki yokuthetha
• iintlungu zesifuba
• ukubetha kwentliziyo ngokukhawuleza
• ingxaki yokuphefumla
• ukugabha rhoqo
• utshintsho ezindlebeni zakho, njengokukhala ezindlebeni zakho okanye ukulahleka kwendlebe
• ukungaboni kakuhle okanye umbono ophindwe kabini
• ukudideka
• isiqaqa

Ukuba awunayo umnikezeli, isixhobo sethu seHealthline FindCare sinokukunceda uqhagamshele kumagqirha kwindawo yakho.

Umgca wezantsi

Abantu abaninzi banesiyezi ngenxa yezizathu ezithile. Nangona kunjalo, kwezinye iimeko, isiyezi sinokubonakala ngathi asivelanga ndawo kwaye sinamandla. Kwezi meko, unokufumana iimpawu ezinje ngokugabha okanye ukugabha.

Uninzi lwezizathu zolu hlobo lwesiyezi zinxulunyaniswa neengxaki zangaphakathi kwindlebe. Imizekelo ibandakanya i-BPPV, isifo sikaMeniere, kunye ne-vestibular neuritis.

Jonga ugqirha wakho ukuba unesiyezi okanye i-vertigo edla rhoqo, enzima, okanye engachazwanga. Ezinye iimpawu ezinjengeentloko ezibuhlungu, ukuba ndindisholo, okanye ukudideka kunokubonisa enye imeko, enjengokubetha, kwaye kufuna unyango lwengxamiseko.