Kuzungulirazungulira: Zomwe zimakhala ngati kukumana ndi vertigo

Gulu

Kodi mukukumbukira ndili mwana, nditaimirira pankhokwe yakutsogolo manja anu atatambasula, ndikuzungulira mozungulira ndikumazungulirazungulira mpaka kugwa pansi? Zinali zosangalatsa kumva. Kukhala ndimamvedwe amenewo monga munthu wamkulu — mutakhala phee — sikosangalatsa kwenikweni.

Mmawa wina mwezi watha, ndidakhala pabedi ndikumva ngati ndili pa Tilt-a-Whirl. Sikunali kusokonezeka pang'ono komwe nthawi zina kumabwera ndikukhala mwadzidzidzi. Zinkawoneka ngati ndadya botolo la vinyo. Nditaimirira kuti ndipite kubafa, ndimayenera kugwiritsitsa pamakoma ndi mipando yoyandikira kuti ndiyende.

Ndikakwanitsa kukhala chete kapena kugona pamalo amodzi kwakanthawi, kupota kumatha. Koma nditangosuntha thupi langa - kapenanso mutu wanga —chipindacho chidasandukanso chosangalatsa. Kuphatikiza apo, monga aliyense amene amakhala nthawi yayitali pokwerera paki yosangalatsa angatsimikizire, kuzungulira komwe kumachitika pafupipafupi kumandipangitsa kumva kuti ndikunyansidwa.

Polephera kuwona dokotala wanga kuti akandiwunike chifukwa chazomwe ndimakhala kunyumba, ndidasanthula pa intaneti ndikupeza kuti ndili ndi zomwe zimawoneka ngati zachizungu.

Kodi vertigo ndi chiyani?

Vertigo si matenda mwa iwo wokha, koma chizindikiro. Vertigo ndikumverera kozungulira kapena kutengeka, akutero Gary Linkov, MD, woyambitsa komanso wamkulu wa zamankhwala City Nkhope Plastics ndi mkulu wa opaleshoni ya otolaryngology / mutu ndi khosi ku Brooklyn Veterans Hospital ku New York.

Dr. Linkov akuwonetsa kuti magawo a vertigo amatha kukhala masekondi, mphindi, maola, kapena masiku, ndipo amayamba chifukwa cha china chaching'ono ngati matenda am'makutu amkati kukhala owopsa ngati multiple sclerosis.

Mwamwayi, milandu yambiri yamagetsi imakhala yopanda vuto lililonse. Nthawi zambiri zimayamba chifukwa chokwiyitsa khutu lamkati, akuti William Buxton , MD, katswiri wa zamagulu ndi wamkulu wa mankhwala a neuromuscular and neurodiagnostic and of kupewa kugwa kwa Pacific Neuroscience Institute ku Providence Saint John's Health Center ku Santa Monica, California. Ngati vertigo imangobwera chifukwa cha vuto lakumutu, anthu sayenera kukhala ndi zizindikilo zina kupatula [zotheka] kumva.

Dr. Buxton akuwonetsa kufunikira kokhala tcheru nthawi yayitali, ndikupeza matenda oyenera. Iyenera kusiyanitsidwa ndi mitundu ina ya chizungulire, monga kumverera wopepuka (nthawi zambiri amayamba chifukwa cha mavuto amtima kapena a mtima, omwe atha kukhala owopsa) kapena obvunduka (omwe angayambitsidwe ndi mavuto osiyanasiyana kuchokera kuubongo kupita ku mitsempha ndi minofu m'miyendo , kuyambira pang'ono mpaka zovuta), akutero. Ananenanso kuti odwala omwe amakumana ndi zovuta zina monga kusawona kawiri, kuvutika kumeza, kapena kutaya mwadzidzidzi makamaka ngati zizindikirazi zayambika, ayenera kupita kuchipatala mwachangu chifukwa kuphatikiza kumeneku kumatha kuyambitsa matenda opha ziwalo kapena vuto lina lalikulu muubongo.

Mwachifundo, chizindikiritso changa chimangowoneka ngati kutengeka kwa mayendedwe, ndipo magawo anga sanadutse mphindi imodzi iliyonse. Tsoka ilo, magawo anga a vertigo amabwera pafupipafupi. Magawo ambiri amabwera ndikupita, atero Dr. Linkov. Itha kuthetsanso ndikubwereranso patapita zaka.

Nchiyani chimayambitsa kuukira kwa ma vertigo? Kodi vertigo imathandizidwa bwanji?

Pa vertigo yoyambitsidwa ndi vuto lamakutu lamkati, pali zifukwa ziwiri zazikulu. Chofala kwambiri ndi Benign Paroxysmal Positional Vertigo (BPPV). Tili ndi makhiristo m'makutu mwathu omwe amayenda tikamayenda, kumauza ubongo wathu kuti tikuyenda, atero Dr. Buxton. Makristali nthawi zina samachoka (nthawi zambiri ndi ukalamba kapena pambuyo povulala), zomwe zimapangitsa ubongo wathu kuganiza kuti tikuzungulira pomwe sitili. Izi nthawi zambiri zimayamba chifukwa chogona pansi mutu umodzi utatembenuzidwa mbali ina kapena inayo.

Kuti mupeze BPPV, othandizira azaumoyo amatha kupanga njira zina (monga Kuyesa kwa Dix-Hallpike ). Ngati BPPV ipezeka, pali zina zoyendetsa (monga Kuwongolera kwa Epley ) zomwe zitha kuchitika muofesi ya omwe amakupatsani kuti atulutse makhiristo. Dr. Buxton akuchenjeza za kuyendetsa izi kunyumba osalankhula ndi wothandizira zaumoyo. Pali zochitika zina, monga mtsempha wamavuto kapena mafupa m'makosi, momwe zoyeserera zingafunikire kusinthidwa. Nthawi zina, omwe amakupatsirani mwayi amathanso kuyitanitsa kusanthula kwa CT kapena MRI komanso mayeso otsogola kwambiri kuti awonetsetse kuti palibe matenda ena omwe akuwonetsa ngati vertigo.

Vertigo amathanso kuyambitsidwa ndi matenda mkhutu lamkati lotchedwa vestibular neuronitis. Matendawa nthawi zambiri amakhala ma virus ndipo amathanso kuyambitsa nseru ndi kusanza. Chithandizo chake ndicholinga chothana ndi zizolowezi ndi mankhwala amiseru komanso alireza , wofewetsa wofewetsa womwe umathandiza kuchepetsa kumverera kwa kupota, atero Dr. Buxton. Kukhala ndi hydrated ndikofunikira ndipo nthawi zina kumafunikira madzi amkati.

Pang'ono ndi pang'ono, vertigo imatha kuyambitsidwa ndi Matenda a Meniere, matenda omwe mumakhala madzi ambiri m'khutu lamkati. Pamodzi ndi vertigo, imatha kuyambitsa tinnitus (kulira m'makutu-makamaka phokoso kapena kubangula kuposa mawu okwera kwambiri) ndi kumva kwakumva. Ndi Matenda a Meniere, kuukira kumatha masiku angapo ndipo kumatha kubweretsa kumva kwakanthawi. Kufufuza kwachipatala kumafunikira kuti mupeze matenda a Meniere's Disease. Chithandizo chimayamba ndikuchepetsa mchere, ndipo odwala ambiri amafunika kutenga diuretic.

ZOKHUDZA: Chithandizo cha Vertigo ndi mankhwala

Kodi zimakhala bwanji kukhala ndi vertigo?

Chifukwa ndichizindikiro osati mkhalidwe, zokumana nazo zimatha kusiyanasiyana. Kwa ine, zigawo za vertigo zidachitika ndikuyenda kwamutu kulikonse sabata yoyamba ndipo kutengeka kwake kunali kwakukulu. Kodi ndinatani kuti ndipirire matendawa? Dimenhydrinate , mankhwala a matenda oyenda, adathandizira kuchepetsa kuopsa kwa ziwopsezozo, koma zidandipangitsa ine kugona. Ndinawona kuti kugona pamalo amodzi ndimakhala womasuka kwambiri, koma kukhala moimirira kwakanthawi kudachepetsa magawowa pakapita nthawi.

M'mwezi umodzi kuyambira pomwe ndidayamba kukhala ndi chizungulire, magawo anga pang'onopang'ono amayamba kuchepa komanso kukhala ovuta. Ndimatha kupita nthawi yayitali osamva kutengeka, ndipo ndikamamva, kumakhala kofatsa ndipo kumadutsa mwachangu.

Ngakhale ndilibe yankho lokhazikika pazomwe zidapangitsa chizolowezi changa, ndili wokondwa kuti zikuwoneka kuti zikukhazikika. Ndisiyira kupota kwa ana opanda nkhawa.