MS nthawi zina, koma osati nthawi zonse, omwe amachititsa kuti odwala a MS alimbane
Vertigo ndi chizindikiro chachiwawa cha multiple sclerosis . Ganiziraninso nthawi yomwe mudali mwana ndipo munayendayenda kuzungulira, ndikuyimira. Ndizovuta kwambiri-koma tsopano ndinu wamkulu, simuli pabwalo la masewera, ndipo simungathe kuimitsa. Ndikumverera kovuta, kosamvetsetseka kwa kusakhazikika kapena matenda, kutipangitsa ife omwe takhala osakhazikika pang'onopang'ono kumverera kwambiri.
Mwachidule
Vertigo ndi chizindikiro chodziwika bwino cha multiple sclerosis (MS), chomwe chimapezeka pafupifupi 20 peresenti ya anthu omwe ali ndi MS nthawi zina. Mwamwayi, si chizindikiro chokhalitsa kwa anthu ambiri ndipo sichikhoza kuwonetsa zilonda zatsopano kapena kutupa (monga vertigo ikhoza kukhala ndi zifukwa zosakhala za MS). Komabe, zikhoza kukhala kuchokera ku zilonda zatsopano za ubongo kapena zilonda zam'mbuyo zomwe zikukula.
Zimayambitsa
Vertigo ikhoza kuyambitsidwa ndi MS zilonda mu cerebellum . Zingakhalenso chifukwa cha kuwonongeka kwa mitsempha yomwe imayendetsa ntchito zowoneka bwino za khutu (mitsempha yotchedwa acoustic cranial mitsempha, CN VIII) mu ubongo umayambira .
Komabe, zikuwoneka kuti chifukwa chofala kwambiri mwa anthu omwe ali ndi MS ndi chinthu choyipa chokhazikika poyera (BPPV), m'malo mochotseratu (kuwonongedwa kwa myelin ). Izi zikutanthauza kuti chifukwa chakuti muli ndi MS sizitanthauza kuti chiwongoladzanja ndi zotsatira zenizeni za ndondomeko ya matenda a MS.
Benign Paroxysmal Positioning Vertigo (BPPV)
BPPV imamva ngati kutuluka kwa mutu, makamaka pamene ukugudubuka pabedi, kutuluka pabedi, kapena kubwezera mutu kuti uyang'ane mmwamba. Zimamva ngati inu (kapena malo anu) mukuzembera kapena kukupuntha pamene simunali. Nthawi zambiri amatha mphindi zingapo chabe.
BPPV imayambitsidwa ndi zinyalala zomwe zasonkhanitsa mbali inayake (miyeso yamtsinje) ya khutu lamkati, lomwe liri gawo la chovala chovala.
Zowonongeka, zomwe zimatchedwa otoconia kapena canaliths, kwenikweni ndi zazikulu zamakono za calcium carbonate zomwe tonsefe tiri nazo. Kawirikawiri amamangiriridwa ndi tsitsi laling'ono lomwe lili mkati mwa khutu lanu lomwe limayang'ana kayendedwe koma limatha kutayika ndi kuyandama.
Munthu yemwe ali ndi BPPV amasunthira mutu wake, makristasiwa amasintha ndikukweza tsitsi laling'onozi, kutumiza zizindikiro zabodza ku ubongo. Chiwongolero chimachitika chifukwa cha chisokonezo chomwe chimayambitsidwa ndi zizindikiro izi ndi machitidwe ena omwe amachititsa kuti chidziwitso chikhale chovomerezeka . Popeza anthu ambiri omwe ali ndi MS kale ali ndi vuto lokhala ndi khalidwe, izi zingawachititse kumva BPPV kwambiri. Mwa kuyankhula kwina, malo awo oti awonongeke angakhale otsika.
Mankhwala
Mankhwalawa amathanso kuwonjezereka ndi mankhwala ena omwe amawatsatiridwa ndi zizindikiro za MS, monga tricyclic antidepressants (Elavil) chifukwa cha ululu wa m'mimba kapena Baclofen kuti asatengere. Matenda a magazi, shuga yotsika magazi, kapena matenda a mtima angakhalenso chifukwa cha vertigo. Kotero, kuona dokotala wanu wachisamaliro kuti muwone bwinobwino ndi lingaliro labwino. Komanso, vertigo ikhoza kuyambitsidwa ndi matenda, monga chimfine.
Zizindikiro
Vertigo, yomwe imayambitsidwa ndi MS ndipo mwinamwake, ndikumverera kokopa-kaya zimamveka ngati mukuzungulira kapena malo anu akuzungulira.
Ikhoza kumverera ngati:
- Nthaka mwadzidzidzi ikuthamangira mmwamba.
- Chipinda (kapena malo) chikuyendabe mosalekeza.
- Chipinda chokha chimangokhala chikuzungulira mbali ya njira, kubwereranso mwachibadwa, ndi kusinthasintha mbali yina.
Kungakhale kumverera kwakukulu kwa kuyenda ndipo kungayambitse kusuta kapena kusanza. Pazovuta kwambiri, vertigo ingayambitse kuimirira kapena kuyenda kovuta komanso kumayambitsa kugwa. Kawirikawiri imapitirizabe kwa nthawi yaitali, koma ikhoza kutenga milungu kapena miyezi kuti isachoke. Komabe, anthu ena amakumana ndi vutoli.
Kuchiza
Ngati muli ndi MS ndipo muli ndi vutolo, ndi bwino kuona otolaryngologist, dzina lopangira khutu, mphuno, ndi kakhosi (ENT).
Ndipotu, ngati mukukhala ndi malo ogwiritsidwa ntchito ndi katswiri woteroyo, mungawoneke ndi katswiri wamagetsi kapena katswiri wa m'maganizo (akatswiri mu nkhani zonse zamkati ndi khutu la m'mimba) pazochitika zilizonse zokhudzana ndi MS.
Izi ndizofunikira chifukwa zina zomwe zimayambitsa vutolo (monga BPPV) zimatha kuchiritsidwa popanda mankhwala (osagwira ntchito mopweteka, monga momwe zilili ndi BPPV) ndipo mungathe kuletsa zosafunika za MRI ndi mankhwala omwe ali ndi mavuto monga kutopa.
Ngati ndondomeko yanu ikuchokera ku MS, kukonzanso zovala kumathandiza. Ngati mankhwala amtundu wa MS ali ovuta kwambiri, makamaka ngati akukuchititsani kuti musamadziwetseretsa madzi kapena kumwa mankhwala pamlomo, madzi osakaniza komanso dose ya corticosteroids akhoza kuchepetsa zizindikiro zanu.
Mawu Ochokera
Ngakhale kuti ndi chizindikiro chovuta komanso cholemetsa, amadziwa kuti mankhwala amtunduwu amatha kuchiritsidwa. Ndili ndi matenda oyenerera komanso njira yothandizira kwambiri yomwe nthawi zambiri imaphatikizapo mankhwala ndi njira zina zothetsera vutoli, mukhoza kubwerera kudzasangalala ndi moyo wanu.
> Zosowa
> National MS Society. Vertigo.
> Randall T. Schapiro. Kusamalira Zizindikiro za Multiple Sclerosis (Mkonzi wachisanu). New York: Demos Publishing. 2007.