Labyrinthitis ndi mawu ambiri omwe amachititsa kutupa kwa khutu lamkati, makamaka mitsempha yamkati. Ndondomeko ya chovalacho ndi gawo la khutu lamkati lomwe limalandira chidziwitso chokhudza thupi la thupi ndi chiwerengero chake ndikutumizanso uthengawo ku ubongo.
Mphuno yothamanga ndi kutupa kwa mitsempha ya vestibulocochlear.
Mitsempha yowonongeka imapangitsa kufotokoza zambiri za phokoso ndi thupi lanu ku ubongo. Chifukwa chakuti labyrinthitis ndi vestibular neuritis zimakhala ndi zizindikiro zomwezo ndipo zimachitidwa chimodzimodzi, ife tigwiritsa ntchito mawu awiri mofanana pano.
Zimayambitsa
Zomwe zimayambitsa labyrinthitis ndi vestibular neuritis sizidziwika bwino koma zizindikiro zimayambira pambuyo pa matenda kapena zochitika zina zomwe zimayambitsa kutupa. Zinthu zotsatirazi zingayambitse chitukuko cha matendawa:
- Matenda opatsirana pogonana kapena mabakiteriya amatenga matenda opatsirana apumtima kapena matenda opatsirana
- Nthendayi
- Cholesteatoma
- Mankhwala omwe amakwiya kapena poizoni kumutu
Zowopsa
- Kusuta
- Kumwa kwambiri mowa
- Mbiri ya chifuwa
- Kusokonezeka maganizo
- Matenda opatsirana kwambiri
Zizindikiro
Zizindikiro zimathandiza kwambiri pa matenda a labyrinthitis. Madandaulo omwe anthu amakhala nawo ndi awa:
- Zowonongeka kwambiri
- Nausea
- Kuthamanga
- Kukhazikika
- Kuwonongeka kowonetsa
- Kuvuta kuika maganizo
- Ziphuphu (kumalira m'makutu)
- Kumvetsera kumbali imodzi
Ngakhale mutakhala ndi zotsatira za zotsatira zomwe zili pamwambapa, zizindikiro zomwe zimawoneka kuti ndizomwe zidzatuluka mwadzidzidzi zotsitsimula ndi kusanza ndi kusanza.
Zizindikiro zimakhala zovuta kwambiri pa maola 24 ndikuyamba kusintha pang'ono.
Nthawi Yomwe Muwone Dokotala
Ndikofunika kulandira mankhwala nthawi yomweyo pamene muli ndi zizindikiro zatsopano za labyrinthitis chifukwa zina, matenda aakulu kwambiri ali ndi zizindikiro zofanana ndi stroke .
Kudziwa
Palibe mayesero amodzi omwe amagwiritsidwa ntchito kuti apeze labyrinthitis. Dokotala wanu akhoza kuchita mayesero angapo atachita kafukufuku wamakutu mwakuyendera ndi otoscope. Kuwonjezera pa kuyesa makutu anu, dokotala wanu adzaonanso ntchito yanu yothandizira kuti muwone mavuto alionse ndi dongosolo lanu la neurologic limene lingayambitse zizindikiro zanu. Chitsimikizo chachitatu chimene dokotala wanu adzachite chidziwika kuti HIT (Head Impulse Testing) kuti muwone momwe ntchito yanu imathandizira mkati mwa khutu.
Ngati mavuto amvetserani amavomereza, mutha kulandira kalata ya test audiogram kapena electronystagmography (ENG) kuti muthandizirenso kudziwa chomwe chimayambitsa zizindikiro zanu. Ngakhale simukufunika kuti mupeze matenda a labyrinthitis, dokotala wanu akhoza kupempha zojambula ngati MRI kapena CT scan kuti athandizidwe ndi matenda kapena ngati mumakhala ndi mavuto aakulu.
Kusintha kwa Labyrinthitis
Zizindikiro zokhudzana ndi labyrinthitis zingakhale zowawa.
Choyamba, onetsetsani kuti muyese kumasuka. Kupsinjika maganizo kumatha kuwonjezera zizindikiro zanu. Mwinamwake mudzaikidwa pa mpumulo ndikugona kuti ntchito yanu iwonjezeke pafupipafupi.
Zizindikiro za labyrinthitis zingayambe kusokoneza masabata 1-4 atayamba. Labyrinthitis kawirikawiri imachoka kwathunthu mu miyezi 2-3, komabe, kumva kumwalira kungakhale kosatha. Odwala ena angapitirize kukhala ndi chizungulire koma izi sizodziwika ndipo zimakhala zovuta kuchitika okalamba. Kulemala kwanthaŵi yayitali chifukwa cha zizindikiro za labyrinthitis kungakhale kofunika. Dokotala woyenerera angakuthandizeni kuyang'anira zizindikiro.
Mankhwala a Chithandizo
Corticosteroids , monga Prednisone, yomwe imachepetsa kutupa imakhulupirira kuti ikufulumizitsa nthawi yochira ya labyrinthitis. Kafukufuku wina apeza kuti kuchiza mankhwala oletsa tizilombo toyambitsa matenda monga valacyclovir sikuthandiza pochizira labyrinthitis; Komabe, palibe maphunziro okwanira kutsimikizira izi. Njira zina zothandizira zizindikiro. Mankhwala atatu omwe amagwiritsidwa ntchito kwambiri amathandiza kuchepetsa zizindikiro izi:
Antihistamines ingagwiritsidwe ntchito kuthandiza kuthana ndi zizindikiro za chizungulire chokhudzana ndi dongosolo lovala bwino lomwe silikugwira ntchito bwino. Mankhwala omwe amapezeka kawirikawiri amakhala meclizine, komabe, dimenhydrinate ndi Benadryl angagwiritsidwe ntchito.
Antiemetistikiti ndi mankhwala omwe amathandiza kuchepetsa kunyoza ndi kusanza. Anthu ena amatha kusanza kwakukulu kuti athe kutaya madzi. Pachifukwa ichi, amafunika kuchipatala kuti athake m'malo mwake. Mankhwala otsutsawa angagwiritsidwe ntchito pofuna kuthetsa zizindikiro izi:
- Domperidone
- Metoclopramide (Phenergan)
- Ondansetron (Zofran)
- Prochlorperazine
Scopolamine ndi mankhwala osokoneza bongo omwe angagwiritsidwe ntchito pofuna kuthana ndi nthenda. Amagwiritsidwa ntchito patch yomwe nthawi zambiri imaikidwa kumbuyo kwa khutu.
Kukonzekera kwa Madzi
Kukonzekera kwa mavitamini kungakhale kothandiza ngati zizindikiro zanu zikupitirira kwa nthawi yayitali kapena kukhala aakulu. Kukonzekera kwazitsulo ndi mtundu wa mankhwala omwe amathandiza kubwezeretsa malingaliro anu ndi thupi lanu kuti apepetse kusayenerera kwanu kosalekeza.
Monga momwe tafotokozera kale maulendo ambiri a labyrinthitis kwathunthu amakonza popanda chilema chosatha. Nthawi zambiri, kutaya kapena kumva chizungulire kungapitirize.
Zotsatira:
Kukumva kwa American Research Research Foundation. Matenda a Nevitis ndi Labyrinthitis. http://american-hearing.org/disorders/vestibular-neuritis-and-labyrinthitis/
Ferri, FF. (2017). Labyrinthitis: Ferri's Clinical Advisor 2017. http://www.clinicalkey.com (Kulembetsa Kufunikira).
Pubmed Health. Labyrinthitis. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0027300/
Association of Disesters Association. Labyrinthitis ndi Vestibular Neuritis. http://www.vestibular.org/vestibular-disorders/specific-disorders/labyrinthitisvest-neuritis.php
Kusintha kwa Odwala. Matenda a Neutitis. http://www.uptodate.com/patients/content/topic.do?topicKey=~spN6u8nazQQzLN&selectedTitle=1~11&source=search_result Kulembetsa kumafunika.