Sinyangwa njani isifo sikaMénière

Umxholo

• 1. Ukusetyenziswa kwamayeza
• 2. Unyango lwendalo
• 3. Umzimba wonyango
• 4. Ukusetyenziswa kwamayeza endlebeni
• 5. Utyando

Unyango lwe-Ménière's syndrome kufuneka luboniswe yi-otorhinolaryngologist kwaye ihlala ibandakanya utshintsho kwimikhwa kunye nokusetyenziswa kwamayeza athile anceda ukunciphisa i-vertigo, enje ngeDimenidrato, iBetaístina okanye iHidrochlorothiazida, umzekelo. Nangona kunjalo, kwimeko apho la mayeza engenampembelelo ifanelekileyo, kunokuba yimfuneko ukubhenela kuqhaqho.

Isifo seMénière sisifo esidala ukungasebenzi kakuhle kwendlebe yangaphakathi kwaye, nangona lungekho unyango, kunokwenzeka ukuba ubhenele kwiindlela ezahlukeneyo zonyango ukuphucula iimpawu kunye nokuthintela isifo ukuba singabi mandundu. Funda ngakumbi malunga neMénière's syndrome.

Unyango lwe-Ménière's syndrome kufuneka lukhokelwe ngugqirha kwaye luqulathe:

1. Ukusetyenziswa kwamayeza

Unyango olusetyenziswa kakhulu kunyango lwe-Ménière's syndrome kufuneka luboniswe ngugqirha, kwaye lubandakanye:

• I-Antiemetics, efana neMeclizine, Dimenhydrate, Promethazine okanye iMetoclopramide: zisetyenziswa ngexesha lobunzima, njengoko ziziyobisi, ukongeza ekunyangeni isicaphucaphu, ukunciphisa i-vertigo ebangelwe kukushukuma;
• Izinto zokuthambisa, ezinje ngeLorazepam okanye iDiazepam: zikwasetyenziswa ngexesha lobunzima ukunciphisa imvakalelo yokuba nesiyezi kunye ne-vertigo;
• I-diuretics, efana neHydrochlorothiazide: zihlala ziboniswa ukunciphisa amaxesha kunye nokuqina kohlaselo lwe-vertigo, njengoko zisebenza ngokunciphisa ukuqokelelana kolwelo ngaphakathi kwimisele yeendlebe, esona sizathu sinokubakho sesifo;
• I-anti-vertigo, njengeBetaistin: isetyenziswa ngokuqhubekekayo ukulawula kunye nokunciphisa iimpawu ze-vertigo, isicaphucaphu, i-tinnitus kunye nokulahleka kwendlebe.

Ukongeza, ezinye iindidi zamachiza, ezinje ngee-vasodilators, zinokuboniswa ukuba ziphucule ukujikeleza kwendawo, kunye ne-corticosteroids kunye ne-immunosuppressants, njengendlela yokulawula ukhuselo lomzimba kwindawo yeendlebe.

2. Unyango lwendalo

Inyathelo lokuqala kunyango lwe-Ménière's syndrome lutshintsho kwimikhwa, njengoko zilindlela zokunciphisa inani kunye nokuqina kweengxaki.

Ke, enye yeendlela ezilungileyo zendalo zokuphelisa kunye nokuthintela ukuqala kweempawu ezinxulumene nesifo seMénière kukutya ukutya okungenayo ityuwa encinci. Kungenxa yokuba umzimba ugcina amanzi amancinci, kunciphisa inani lolwelo endlebeni elinokubangela ukuba nesiyezi kunye nesicaphucaphu.

Ukutya kwesifo seMénière's syndrome kubandakanya:

• Faka endaweni yetyuwa imifuno enamakha amnandi;
• Kuphephe iimveliso zoshishino;
• Kuphephe ukutya ukutya okunetyiwa, njengeham okanye itshizi;
• Khetha ukutya okosiweyo okanye okosiweyo, ukunqanda iisosi ngetyuwa eninzi.

Ukongeza, kubonisiwe ukunciphisa ukusetyenziswa kotywala, icaffeine kunye nenicotine, njengoko zizinto ezicaphukisayo kulwakhiwo lwendlebe. Uxinzelelo kufuneka luphetshwe, njengoko lukhuthaza kakubi inkqubo ye-neva kwaye kunokubangela iingxaki ezintsha.

Jonga ezinye iinkcukacha malunga nokondla iMénière's syndrome kule vidiyo ilandelayo:

3. Umzimba wonyango

I-Physiotherapy ibaluleke kakhulu kwabo bathwaxwa sesi sifo, kwaye ibizwa ngokuba yivestibular rehabilitation therapy. Kolu nyango, ugqirha we-physiotherapist unokucebisa ngemithambo enokunceda ukunciphisa iimpawu zesiyezi kunye nokungalingani, ukuphucula ubuntununtunu bokuhamba, kunye nokwenza izindululo ngokhuseleko lomntu anokuzisebenzisa ngamaxesha obunzima.

4. Ukusetyenziswa kwamayeza endlebeni

Ukusetyenziswa kwamayeza endlebeni kubonisiwe xa ezinye iindlela zonyango bezingasebenzi. Ke, amanye amayeza anokuqhutywa ngokuthe ngqo kwi-membrane ye-tympanic ukunciphisa iimpawu ze-vertigo, ezona ziphambili zezi:

• Amayeza okubulala iintsholongwane, afana neGentamicin: yintsholongwane enetyhefu kwindlebe kwaye, ke, iyanciphisa ukusebenza kwendlebe echaphazelekayo kulawulo lwebhalansi, idlulisela lo msebenzi kwindlebe esempilweni kuphela;
• ICorticosteroids, njengeDexamethasone: yicorticoid eyehlisa ukudumba kwendlebe, kunciphisa ukuqina kohlaselo.

Olu hlobo lonyango lunokwenziwa kuphela eofisini yengcali ye-ENT ekhethekileyo kunyango lweengxaki ezinje ngesifo seMénière.

5. Utyando

Utyando lukwaboniswa kuphela kwiimeko apho ezinye iindlela zonyango zingenampembelelo ekunciphiseni ubungqongqo okanye amandla ohlaselo. Olunye ukhetho lubandakanya:

• Ukuncipha kwengxowa ye-endolymphatic, ekhulula i-vertigo ngokunciphisa imveliso yolwelo okanye ngokwandisa ukufunxeka kwayo;
• Icandelo le-Vestibular nerve, apho kunqunyulwa imithambo-luvo, kusonjululwa iingxaki ze-vertigo ngaphandle kokuphazamisa ukuva;
• ILabyrinthectomy, Esombulula iingxaki ze-vertigo kodwa ikwabangela ukungeva, yiyo ke loo nto isetyenziswa kuphela kwimeko apho kukho ukuphulukana nokuva.

Eyona ndlela ibalaseleyo iboniswa yi-otorhinolaryngologist, ngokweempawu eziphambili ezibonakaliswa ngumntu ngamnye, ezinje ngokulahleka kwendlebe okanye isiyezi.