Chirwere cheMénière

Ménière chirwere chirwere chemukati chezeve chinokanganisa kuenzana uye kunzwa.

Nzeve yako yemukati ine machubhu akazara nemvura anonzi labyrinths. Aya machubhu, pamwe chete nehutano mudehenya rako, zvinokubatsira iwe kuziva mamiriro emuviri wako uye kubatsira kuchengetedza mwero wako.

Chikonzero chaicho chechirwere cheMénière hachizivikanwe. Zvinogona kuitika kana kumanikidzwa kwemvura iri muchikamu che nzeve yemukati kukwira zvakanyanya.

Mune zvimwe zviitiko, chirwere cheMénière chinogona kunge chakabatana ne:

• Kukuvara kwemusoro
• Pakati kana mukati hutachiona hutachiona

Zvimwe zvinhu zvine njodzi zvinosanganisira:

• Doro shandisa
• Allergies
• Nhoroondo yemhuri
• Ichangobva kutonhora kana hutachiona hutachiona
• Kusvuta
• Kushungurudzika
• Kushandiswa kwemimwe mishonga

Ménière chirwere chinowanzoitika kusagadzikana.

Kurwiswa kwechirwere cheMénière kazhinji kunotanga pasina yambiro. Zvinogona kuitika zuva nezuva kana zvisingawanzoitika kamwe chete pagore. Kuomarara kwekurwiswa kwega kwega kunogona kusiyana. Kumwe kurwiswa kunogona kuve kwakanyanya uye kunokanganisa zviitiko zveupenyu hwezuva nezuva.

Ménière chirwere chinowanzo kuve nezviratidzo zvina zvikuru:

• Kunzwa kurasikirwa kunoshanduka
• Kumanikidza munzeve
• Kurira kana kudzvova munzeve yakakanganiswa, inonzi tinnitus
• Vertigo, kana dzungu

Yakasimba vertigo chiratidzo chinokonzera matambudziko mazhinji. Ne vertigo, iwe unonzwa sekunge urikutenderera kana kufamba, kana kuti nyika iri kutenderera yakakukomberedza.

• Kushungurudza, kurutsa, uye kutuka zvinowanzoitika.
• Zviratidzo zvinowedzera kuwedzera nekukurumidza kufamba.
• Kazhinji, iwe uchafanirwa kurara pasi uye kuvhara maziso ako.
• Iwe unogona kunzwa dzungu uye kure-kurema kune chero kupi kubva pamaminetsi makumi maviri kusvika maawa makumi maviri nemana.

Kunzwa kurasikirwa kazhinji kunongova munzeve imwe chete, asi kunogona kukanganisa nzeve mbiri.

• Kunzwa kunogadziridza pakati pekurwiswa, asi kunowedzera kuwedzera nekufamba kwenguva.
• Low frequency kunzwa kunotanga kurasika.
• Iwe zvakare unogona kuve nekutinhira kana kurira munzeve (tinnitus), pamwe nepfungwa yekumanikidza munzeve yako

Zvimwe zviratidzo zvinosanganisira:

• Manyoka
• Kutemwa nemusoro
• Marwadzo kana kusagadzikana mudumbu
• Kusvotwa uye kurutsa
• Kusadzora kufamba kwemaziso (chiratidzo chinonzi nystagmus)

Dzimwe nguva kusvotwa, kurutsa, uye manyoka zvakanyanyisa zvakakwana zvekuti unoda kupinzwa muchipatara kuti ugamuchire zvinwiwa zveIV kana kuti unoda kuzorora kumba.

Uropi uye hunyanzvi bvunzo bvunzo dzinogona kuratidza matambudziko nekunzwa, kuenzanisa, kana kufamba kweziso.

Kuedzwa kwekunzwa kucharatidza kurasikirwa kwekunzwa kunoitika nechirwere cheMénière. Kunzwa kunogona kuve padhuze neyakajairwa mushure mekurwiswa.

Iyo caloric yekusimudzira bvunzo inoongorora maziso ako mafungiro nekupisa uye kutonhora nzeve yemukati nemvura. Mhedzisiro yekuedzwa iyo isiri mune yakajairwa renji inogona kuve chiratidzo cheMénière chirwere.

Iyi bvunzo inogona kuitwawo kuti utarise zvimwe zvikonzero zve vertigo:

• Electrocochleography (ECOG)
• Electronystagmography (ENG) kana videonystagmography (VNG)
• Musoro MRI scan

Iko hakuna kuzivikanwa kurapa kwechirwere cheMénière. Zvisinei, mararamiro ehupenyu uye mamwe marapirwo anogona kubatsira kubvisa zviratidzo.

Anopa hutano hwako anogona kupa nzira dzekudzora huwandu hwemvura mumuviri wako. Izvi zvinogona kazhinji kubatsira kudzora zviratidzo.

• Mapiritsi emvura (diuretics) anogona kubatsira kudzikisira kushushikana kwemvura munzeve yemukati
• Kudya kwakaderera-munyu kunogona kubatsira

Kubatsira kurerutsa zviratidzo uye kugara wakachengeteka:

• Dzivisa kamwe kamwe kufamba, uko kunogona kukuvadza zviratidzo. Iwe ungangoda rubatsiro kufamba panguva yekurwiswa.
• Dzivisa mwenje inopenya, TV, uye kuverenga panguva yekurwiswa. Vanogona kuita kuti zviratidzo zviwedzere.
• Usatyaire, shandisa michina inorema, kana kukwira kusvika 1 vhiki mushure mekunge zviratidzo zvako zvanyangarika. Kungoerekana wanzwa dzungu panguva dzezviitiko izvi kunogona kuva nenjodzi.
• Ramba wakadzikama uye uzorore kana iwe uine zviratidzo.
• Zvishoma nezvishoma wedzera chiitiko chako mushure mekurwiswa.

Zviratidzo zvechirwere cheMénière zvinogona kukonzera kushushikana. Ita sarudzo dzakanaka dzemararamiro ekukubatsira kutsungirira:

• Idya chikafu chakaringana, chine hutano. Usanyanya kudya.
• Rovedza muviri nguva dzose, kana zvichibvira.
• Wana nguva yakakwana yokurara.
• Deredza caffeine uye doro.

Batsira kurerutsa kushungurudzika nekushandisa nzira dzekuzorora, senge:

• Mifananidzo inotungamirirwa
• Kufungisisa
• Kufambira mberi kwemhasuru kuzorora
• Tai chi
• Yoga

Kumbira mupiki wako nezve mamwe matanho ekuzvichengeta.

Wako mupi anogona kuraira:

• Antinausea mishonga yekudzikisa kusvotwa uye kurutsa
• Diazepam (Valium) kana kufamba kwechirwere mishonga, yakadai se meclizine (Antivert, Bonine, Dramamine) kubvisa dzungu uye vertigo

Mimwe mishonga inogona kubatsira inosanganisira:

• Rubatsiro rwekunzwa rwekuvandudza kunzwa munzeve yakakanganiswa.
• Balance therapy, iyo inosanganisira musoro, ziso, uye muviri maekisesaizi iwe aunogona kuita kumba kubatsira kudzidzisa huropi hwako kukunda dzungu.
• Kunyanya kudzvinyirira kurapa uchishandisa chishandiso chinotumira zvidiki zvinomanikidza kuburikidza netsiva nzeve kune yepakati nzeve. Iwo mapurses akavavarira kudzikisa huwandu hwemvura iri pakati nzeve, inova iyo inoderedza dzungu.

Iwe ungangoda kuvhiyiwa nzeve kana zviratidzo zvako zvakakomba uye usingapindure kune kumwe kurapwa.

• Kuvhiya kutema vestibular nerve kunobatsira kudzora vertigo. Hazvikuvadzi kunzwa.
• Kuvhiya kuti decompress chivakwa munzeve yemukati inonzi endolymphatic sac. Kunzwa kunogona kukanganiswa nemaitiro aya.
• Kubaya jekiseni steroids kana mushonga unorwisa utachiona unonzi gentamicin wakananga munzeve yepakati unogona kubatsira kudzora vertigo.
• Kubvisa chikamu chezeve yemukati (labyrinthectomy) kunobatsira kubata vertigo. Izvi zvinokonzera kurasikirwa kwakakwana kwekunzwa.

Izvi zviwanikwa zvinogona kupa rumwe ruzivo nezve chirwere cheMénière:

• American Academy yeOtolaryngology-Musoro uye Neck Kuvhiya - www.enthealth.org/conditions/menieres-disease/
• National Institute on Matsi uye Mamwe Matambudziko Ekutaurirana - www.nidcd.nih.gov/health/menieres-disease
• Vestibular Disorders Association - vestibular.org/menieres-disease

Chirwere cheMénière chinogona kudzorwa pamwe nekurapwa. Kana, mamiriro acho anogona kuve nani paari. Mune zvimwe zviitiko, chirwere cheMénière chinogona kuve chisingaperi (chenguva refu) kana kuremadza.

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere cheMénière, kana kana zviratidzo zvichitowedzera. Izvi zvinosanganisira kurasikirwa kwekunzwa, kurira munzeve, kana dzungu.

Iwe haugone kudzivirira chirwere cheMénière. Kurapa zviratidzo zvekutanga ipapo kunogona kubatsira kudzivirira mamiriro kubva pakuwedzera. Kurapa hutachiona nzeve uye zvimwe zvinetso zvinoenderana zvinogona kubatsira.

Hydrops; Kunzwa kurasikirwa; Endolymphatic hydrops; Dzungu - Ménière chirwere; Vertigo - Ménière chirwere; Kunzwa kurasikirwa - chirwere cheMénière; Kunyanya kudzvinyirira kurapa - chirwere cheMénière

• Nzeve anatomy
• Membrane yeTympanic

Boomsaad ZE, Telian SA, Patil PG. Kurapa kwema vertigo asingachinjiki. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 105.

Crane BT, Mudiki LB. Peripheral vestibular kusagadzikana. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 165.