Momwe matendawa amapezera ndi kuchiritsidwa
Matenda a Meniere ndi chifukwa cha chizungulire , chomwe chimakhala chizungulire chachikulu chomwe chimayambitsa kudzimva kukhala wosasamala. Ndi matenda a mkati mwa khutu ndi mitsempha ya mitsempha yomwe siimvetsetsa bwino ndipo nthawi zambiri imakhudza khutu limodzi. Matenda a Meniere amatchedwanso idiopathic endolymphatic hydrops .
Nthano imodzi ndi yakuti matenda a Meniere amayamba pamene madzi amchere mkati mwa khutu amatchedwa endolymph ndi perilymph - sali oyenera.
Zolinga zina zimaphatikizapo matenda a tizilombo monga chowopsa kapena chitetezo cha mthupi.
Zizindikiro
Zizindikiro za matenda a Meniere zimasiyanasiyana pakati pa munthu ndi munthu. Anthu ena akhoza kukhumudwa kwambiri ndi matendawa pamene ena amawona zizindikiro kamodzi kapena kawiri pachaka. Zizindikiro za matenda a Meniere ndi awa:
- vutolo
- tinnitus
- kusinthasintha kwa kumva kumva
- ululu kapena kukakamizidwa m'makutu
- kunyoza ndi kusanza
- thukuta
- mutu
- ululu wamimba ndi kutsekula m'mimba
Kuphatikiza pa zizindikirozi, chiopsezo cha kugwa ndi kuvulala kumeneku ndi kwakukulu ndi matendawa. Zizindikiro zimakhala ndi mafunde omwe amatha maola awiri kapena anayi ndikutsatira nthawi yomwe munthuyo akumva atatopa ndipo akuyenera kugona. Pakati pa "kuukira" munthu sangakhale ndi zizindikiro kwa nthawi.
Kudziwa
Kuzindikira matenda a Meniere kungakhale kovuta chifukwa chizungulire ndi chizindikiro chomwe chimayambanso ndi zinthu zina zambiri, kuphatikizapo matenda okhudza ubongo monga stroke.
MRI imagwiritsidwanso ntchito pofuna kuthetsa zotupa kapena kukula kwina.
Mayeso otchedwa caloric ayesetseratu amachititsa kuti muzitha kuyendetsa makutu ndi madzi kapena mpweya. Izi zimabweretsa kayendedwe ka maso kamodzi kotchedwa nystagmus. Malingana ndi kayendedwe ka kayendetsedwe ka maso kawirikawiri, dokotala nthawi zina angamasulire vutoli.
Mayesero osiyanasiyana akumva amagwiritsidwa ntchito kuti apeze matenda a Meniere. Ndikofunika kudziwa ngati vuto lakumva limayambitsidwa ndi vuto la khutu la mkati kapena ngati kulibe mphamvu kwa mitsempha. Kuti tichite izi, ntchito ya ubongo imatha kulembedwa kuti isonyeze ntchito mu mitsempha. Electrocochleography ndi mayeso omwe angathe kulembetsa ntchito ya khutu lamkati.
Kuchiza
Mankhwala
Pakadali pano palibe mankhwala a Meniere, choncho mankhwala amachiza pochepetsa zizindikiro. Kusintha kwa mchere wochepetsetsa komanso kupeĊµa caffeine ndi mowa kungakhale kopindulitsa kuteteza kuchepetsa madzi ndi kuchepetsa khutu la mkati.
Kuchotsa mankhwala ena monga mapiritsi a mkulu wa magazi ndi mankhwala opatsirana amatha kuthandiza nthawi zina. Komabe, kuthamanga kwa magazi kumapangitsa kuti zizindikiro zikhalepo. Kuchepetsa kupanikizika kumawoneka kuchepetsa kuopsa kwa zizindikiro.
Njira imodzi yomwe ikupezekanso kwa anthu omwe alephera kuchipatala imayambitsa gentamicin, antibiotic, mwachindunji pakati pa khutu la pakati. Mankhwala ena omwe amachititsa modzidzimutsa ndi meclizine (Antivert) ndi lorazepam (Ativan). Palinso dexamethasone (Decadron) ndi zozizwitsa, mankhwala osokoneza bongo.
Mankhwala ena osokoneza bongo omwe angagwiritsidwe ntchito ndi monga compazine ndi ondansetron.
Mankhwala ena angagwiritsidwe ntchito popewera masoka kapena kuchepetsa maulendo awo. Izi zimaphatikizapo dyazide (Triamterine / HCTZ), klonapin, ndi diazepam (Valium).
Zida, Zochita ndi Ndondomeko
Njira imodzi yochizira matenda imatchedwa chipangizo cha Meniett. Ngakhale chipangizo chomwecho sichiyenera kuikidwa opaleshoni, chimafuna tippanostomy (ventilation) tube kuti igwire ntchito. Chipangizocho chimatulutsa makutu a mkati mwa khutu la mkati mwa tympanostomy tube. Mankhwalawa ndi atsopano ndipo akatswiri azachipatala sakudziwa chifukwa chake chipangizochi chimagwirira ntchito, koma kafukufuku amasonyeza mpumulo wamagetsi ngati chipangizocho chikugwiritsidwa ntchito tsiku ndi tsiku.
Kukonzekera kwa mavitamini, kuyesera kupanga zolimbitsa thupi, sikunapangidwe kuti ndiwothandiza kwambiri pakulandila matenda a Meniere. Palinso mauthenga ena akuti njira yothandizira BPPV , imatha kuthetsa zizindikiro za matenda omwe amapezeka ndi matenda a Meniere panthawi yake.
Njira zopangira opaleshoni ndizoopsa ndipo zimakhala zovuta komanso zofooketsa. Zonse zamakono zomwe mungachite popanga chithandizo cha matenda a Meniere ndizovuta. Kachilombo kameneka kamachotsa labyrinth of khutu, gulu lopweteka liri ndi endolymph, lomwe limatumiza zizindikiro ku ubongo zokhudzana ndi kuyenda kwa thupi.
Opaleshoni imeneyi imachititsa kumva kumva kutaya ndipo imasungidwa kwa anthu amene ataya kale kumva. Opaleshoni ina imene imateteza kumva koma imakhalabe ndi ngozi imatchedwa neurectomy. Kuchita opaleshoniyi kumaphatikizapo kuchotsa mitsempha yomwe imagwirizanitsidwa ndi chiwalo chamkati chamkati chamkati. Njira zina zimaphatikizirapo kupomphymphatic sac decompression kapena kusungunuka.
Zinthu Zoopsa ndi Kukula
Malingana ndi National Institute of Deafness & Other Communication Disorders, anthu pafupifupi 615,000 amapezeka kuti ali ndi matenda a Meneire ku United States. Iwo amayerekezera kuti pali 45,500 omwe amapezeka kumene chaka chilichonse. Pafupifupi 0.2 peresenti ya anthu ku United States ali ndi matenda a Meneire. Ndikofunika kukumbukira kuti manambalawa ndi ofunika okha; akatswiri ena amakhulupirira kuti matendawa ndi ochepa.
Anthu ambiri okhala ndi matenda a Meniere ali ndi mbiri ya mutu wa mutu wa migraine. Ambiri mwa anthu omwe ali ndi matenda a Meniere ali ndi zaka zoposa 40, ngakhale zikhoza kuchitika pa msinkhu uliwonse, ndipo zikuwoneka kuti zimakhudza amuna ndi akazi mofanana. Malipoti ena amasonyeza kuti chibadwa chimayambira koma izi sizinatsimikizidwe.
Kulimbana
Njira yabwino yolimbirana ndi zovuta zowonongeka zikuwoneka kuti ikugona pansi pamtunda mpaka mutadutsa. Mukhoza kuyang'ana pa chinthu chokhazikika. Musayesetse kudya kapena kumwa ngati zingayambitse kusuta ndi kusanza.
Ngati mumayamba kunyowa ndi kusanza kwa maola oposa 24, funsani dokotala kuti musamawonongeke kwambiri. Mankhwala omwe tatchulidwa pamwambawa angathandize ndi kupweteketsa ndi kusuta ndi kusanza. Pamene vertigo ikudutsa, onetsetsani kuti mukuimirira pang'onopang'ono.
Zimathandizanso kugwiritsitsa pa khola monga khoma kapena sitima. Kuyesera kuyenda panthawi ya chiwonongeko kungachititse kugwa ndi kuvulala koopsa kotero nthawi zonse samalani.
Mofanana ndi matenda alionse olepheretsa ndi odwala, Matenda a Meniere angayambitse matenda. Ngati mukumva izi, chonde lankhulani ndi dokotala wanu. Zingakhale zothandiza kulankhula ndi kuyanjana ndi anthu ena omwe akudwala matendawa.
Ngakhale matenda a Meniere akhoza kufooketsa, sizowononga ndipo mankhwala atsopano akuwonekera omwe amathandiza kuthetsa matendawa ndi kusintha umoyo wa moyo.
Zotsatira:
Kumvetsera kwa American Academy of Speech-Language. Kuwunika ndi Kuyang'anira Matenda a Meneire. Zapezeka: June 4, 2011
Kusaka. Meniere Matenda. Zapezeka: March 29, 2014
National Institute on Deafness & Other Disorders Communication. Matenda a Meneire. Kupezeka: April 14, 2009