Vertigo-inosanganisirwa kusagadzikana

Vertigo iko kwekunzwa kwekufamba kana kutenderera uko kunowanzo rondedzerwa sedzungu.

Vertigo haina kufanana nekuve nemusoro wakareruka. Vanhu vane vertigo vanonzwa sekunge vari kunyatso kutenderera kana kufamba, kana kuti nyika iri kutenderera yakatenderedza.

Kune maviri marudzi e vertigo, peripheral uye yepakati vertigo.

Peripheral vertigo inokonzerwa nedambudziko muchikamu chezeve yemukati inodzora mwero. Idzi nzvimbo dzinodaidzwa kuti vestibular labyrinth, kana semicircular migero. Dambudziko rinogona zvakare kusanganisira vestibular nerve. Iyi ndiyo tsinga iri pakati penzeve yemukati nehunde tsinde.

Peripheral vertigo inogona kukonzerwa ne:

• Benign positional vertigo (benign paroxysmal positional vertigo, inozivikanwawo seBPPV)
• Mimwe mishonga, yakadai seaminoglycoside antibiotics, cisplatin, diuretics, kana salicylates, izvo zvine chepfu kune zvemukati nzeve zvivakwa.
• Kukuvadza (sekukuvara kwemusoro)
• Kuzvimba kweiyo vestibular nerve (neuronitis)
• Kushatirwa uye kuzvimba kwemukati nzeve (labyrinthitis)
• Chirwere cheMeniere
• Kushushikana pane vestibular nerve, kazhinji kubva kune isina-cancer kenza yakadai seye meningioma kana schwannoma

Central vertigo inokonzerwa nedambudziko muuropi, kazhinji muhuremu hwehuropi kana chikamu chekumashure chehuropi (cerebellum).

Central vertigo inogona kukonzerwa ne:

• Ropa remudziyo chirwere
• Mimwe mishonga, yakadai seanticonvulsants, aspirin, uye doro
• Multiple sclerosis
• Kufenda (kashoma)
• Kurohwa
• Tumors (cancerous kana noncancerous)
• Vestibular migraine, rudzi rwemusoro wemusoro

Chiratidzo chikuru ndechekunzwa kuti iwe kana imba iri kufamba kana kutenderera. Iko kutenderera kwekunzwa kunogona kukonzera kusvotwa uye kurutsa.

Zvichienderana nechakakonzera, zvimwe zviratidzo zvinogona kusanganisira:

• Dambudziko rekutarisa maziso
• Dzungu
• Kunzwa kurasikirwa mune imwe nzeve
• Kurasikirwa kwekuyera (kunogona kukonzera kudonha)
• Kurira munzeve
• Nausea uye kurutsa, zvinotungamira mukurasikirwa nemvura yemumuviri

Kana iwe uine vertigo nekuda kwematambudziko muuropi (central vertigo), unogona kunge uine zvimwe zviratidzo, zvinosanganisira:

• Zvakaoma kumedza
• Kuona kaviri
• Matambudziko ekufamba kwemaziso
• Kuora mitezo kumeso
• Kutaura kwakadzikira
• Kushaya simba kwemitezo

Kuongororwa nemupi wezvehutano anogona kuratidza:

• Matambudziko ekufamba nekuda kwekurasikirwa kwechiyero
• Matambudziko eziso kufamba kana kusazvifambisa kwemaziso (nystagmus)
• Kunzwa kurasikirwa
• Kusava nekubatana uye kuenzanisa
• Kushaya simba

Miedzo inogona kuitwa inosanganisira:

• Kuongororwa kweropa
• Brain stem yekuongorora yakaburitsa zvingangoita zvidzidzo
• Caloric kukurudzira
• Electroencephalogram (EEG)
• Electronystagmography
• Musoro CT
• Lumbar kubaya
• MRI scan yemusoro uye MRA scan yemidziyo yeropa yeuropi
• Kufamba (gait) kuyedzwa

Iye mupi anogona kuita imwe misoro yekufambisa pamusoro pako, senge iyo yekumusoro-yekukanda bvunzo. Aya bvunzo anobatsira kutaurira musiyano uripakati neperiipheral vertigo.

Chikonzero chechero chirwere chehuropi chinokonzera vertigo chinofanira kuzivikanwa nekurapwa pazvinogoneka.

Kubatsira kugadzirisa zviratidzo zvebenign positional vertigo, mupi anogona kuita iwe Epley maneuver pauri. Izvi zvinosanganisira kuisa musoro wako munzvimbo dzakasiyana kuti ubatsire kugadzirisa nhengo yemwero.

Iwe unogona kupihwa mishonga yekurapa zviratidzo zveperiperi vertigo, senge kushungurudza uye kurutsa.

Kurapa kwepanyama kunogona kubatsira kugadzirisa matambudziko ekuenzanisa. Iwe unozodzidziswa kurovedzwa kudzorera pfungwa yako yekuyera. Maekisesaizi anogona zvakare kusimbisa mhasuru dzako kubatsira kudzivirira kudonha.

Kuchengetedza kuwedzera kwezviratidzo panguva yechikamu che vertigo, edza zvinotevera:

• Nyarara. Gara kana kurara pasi apo zviratidzo zvinoitika.
• Zvishoma nezvishoma tangazve chiitiko.
• Dzivisa kamwe kamwe chinzvimbo chinzvimbo.
• Usaedze kuverenga kana zviratidzo zvikaitika.
• Dzivisa mwenje unopenya.

Iwe ungangoda rubatsiro kufamba kana zviratidzo zvikaitika. Dzivisa zviitiko zvine njodzi sekutyaira, kushandisa michina inorema, uye kukwira kusvika vhiki rimwe mushure mekunge zviratidzo zvanyangarika.

Kumwe kurapwa kunoenderana nechikonzero cheiyo vertigo. Kuvhiya, kusanganisira microvascular decompression, inogona kukurudzirwa mune zvimwe zviitiko.

Vertigo inogona kukanganisa kutyaira, basa, uye mararamiro. Inogona zvakare kukonzera kudonha, uko kunogona kutungamira mukukuvara kwakawanda, kusanganisira kutsemuka kwechiuno.

Fonera musangano kuti uwane musangano nemupi wako kana uine vertigo isingaendi kana kukanganisa mabasa ako ezuva nezuva. Kana usati wambove ne vertigo kana uine vertigo ine zvimwe zviratidzo (senge kuona kaviri, kutaura kwakashata, kana kurasikirwa kwekubatana), fona 911.

Peripheral vertigo; Central vertigo; Dzungu; Benign positional vertigo; Benign paroxysmal positional vertigo

• Membrane yeTympanic
• Cerebellum - basa
• Nzeve anatomy

Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Kliniki yekudzidzira nhungamiro: benign paroxysmal positional vertigo (kugadzirisa). Otolaryngol Musoro Neck Kuvhiya. 2017; 156 (3_suppl): S1-S47. PMID: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.

Chang AK. Dzungu uye vertigo. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits.

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.

Kerber KA, Baloh RW. Neuro-otology: kuongororwa uye manejimendi eurouro-otoligical kusagadzikana. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits.