Ini ndinonzwa Dizzy: Peripheral Vertigo

Zvemukati

• Ndeapi marudzi eperipheral vertigo?
• Benign paroxysmal positional vertigo (BPPV)
• Labyrinthitis
• Vestibular neuronitis
• Chirwere cheMeniere
• Peripheral vertigo inoonekwa sei?
• Ndedzipi nzira dzekurapa kune peripheral vertigo?
• Zvinodhaka nemishonga
• Kurapa kurasikirwa kwekunzwa
• Kudzidzira
• Kurapa kwepanyama
• Ndingaite sei kuti ndidzivise kurwiswa kwechipenga vertigo?

Chii chinonzi peripheral vertigo?

Vertigo dzungu iro rinowanzo rondedzerwa sekutenderera kwekunzwa. Inogona zvakare kunzwa sekufamba kwechirwere kana sekunge iwe uchizendamira kune rumwe rutivi. Zvimwe zviratidzo dzimwe nguva zvinosanganiswa ne vertigo zvinosanganisira:

• kurasikirwa kwekunzwa munzeve imwe
• kurira munzeve dzako
• kuoma kutarisa maziso ako
• kurasikirwa nechiyero

Kune maviri mafomu akasiyana e vertigo: peripheral vertigo uye yepakati vertigo. Sekureva kweAmerican Institute of Balance, peripheral vertigo inowanzo kuve yakanyanya kukunda iyo yepakati vertigo.

Peripheral vertigo mhedzisiro yedambudziko nenzeve yako yemukati, iyo inodzora chiyero. Central vertigo inoreva matambudziko ari mukati meuropi kana brainstem. Kune akatiwandei akasiyana mafomu eperiiperi vertigo.

Ndeapi marudzi eperipheral vertigo?

Benign paroxysmal positional vertigo (BPPV)

BPPV inoonekwa seyakajairika fomu yeheriperi vertigo. Rudzi urwu runowanzo kukonzeresa ipfupi, kazhinji bouts ye vertigo. Mamwe mafambiro emusoro anokonzeresa BPPV. Inofungidzirwa kuve nekuda kwezvidimbu zvidiki zveatomical marara anotsemuka kubva mukati memakona nzeve uye achikurudzira vhudzi diki rinotenderera nzeve yako yemukati. Izvi zvinovhiringidza huropi hwako, zvichikonzera kunzwa kwedzungu.

Labyrinthitis

Labyrinthitis inokonzera dzungu kana kunzwa kuti urikufamba iwe usiri. Hutachiona hwemukati hwe nzeve hunokonzera iyi fomu ye vertigo. Nekuda kweizvozvo, zvinowanzoitika pamwe nezvimwe zviratidzo zvakaita sefivha uye nzeve. Hutachiona huri mu labyrinth, chimiro munzeve yako yemukati chinodzora kuenzana uye kunzwa. Chirwere chehutachiona, senge chando kana dzihwa, chinowanzo kukonzera hutachiona. Hutachiona hutachiona hutachiona zvakare dzimwe nguva ndicho chikonzero.

Vestibular neuronitis

Vestibular neuronitis inonziwo vestibular neuritis. Rudzi rwe vertigo runotanga kungoerekana rwaitika uye runogona kukonzera kusagadzikana, kurwadziwa nenzeve, kuda kurutsa, uye kurutsa. Vestibular neuronitis ndiyo mhedzisiro yehutachiona iyo yakapararira kune vestibular nerve, iyo inodzora chiyero. Aya mamiriro anowanzo tevera hutachiona hutachiona, senge dzihwa kana dzihwa.

Chirwere cheMeniere

Chirwere cheMeniere chinokonzeresa vertigo inogona kugara kusvika maawa makumi maviri nemana. Iyo vertigo inowanzo kuve yakaoma zvekuti inokonzera kusvotwa uye kurutsa. Chirwere cheMeniere chinokonzerawo kurasikirwa kwekunzwa, kurira munzeve dzako, uye kunzwa kwekuzara munzeve dzako.

Peripheral vertigo inoonekwa sei?

Pane nzira dzinoverengeka chiremba wako anogona kuona kana uine peripheral vertigo. Chiremba wako anogona kuongorora nzeve dzako kutarisa zviratidzo zvehutachiona, pamwe nekuona kana uchigona kufamba munzira yakatwasuka kuti uyedze chiyero chako.

Kana chiremba wako achifungidzira BPPV, vanogona kuita Dix-Hallpike maneuver. Pakati peiyi bvunzo, chiremba wako anokufambisa nekukurumidza kubva panzvimbo yekugara kuenda kunzvimbo yekurara-pasi, nemusoro wako uri iwo wakaderera nzvimbo yemuviri wako. Iwe unenge uchitarisana nachiremba wako, uye iwe uchafanirwa kuramba uine maziso ako akavhurika kuitira kuti chiremba wako akwanise kutarisa kufamba kweziso rako. Iyi manejimendi inounza zviratidzo zve vertigo mune vanhu vane BPPV.

Chiremba wako anogona zvakare kuraira kuyera uye kunzwa bvunzo. Zvichienderana nezviratidzo zvako, chiremba wako anogona zvakare kuraira zvidzidzo zvekufungidzira (seMRI scan) yehuropi hwako nemutsipa kutonga zvimwe zvikonzero zve vertigo.

Ndedzipi nzira dzekurapa kune peripheral vertigo?

Zvinodhaka nemishonga

Mimwe mishonga inoshandiswa kurapa peripheral vertigo, inosanganisira:

• mishonga inorwisa mabhakitiriya (kurapa utachiona)
• antihistamines - semuenzaniso, meclizine (Antivert)
• prochlorperazine - kuregedza kusvotwa
• benzodiazepines - mishonga yekuzvidya mwoyo iyo inogona zvakare kugadzirisa zviratidzo zvemuviri zve vertigo

Vanhu vane chirwere cheMeniere vanowanzotora mushonga unonzi betahistine (Betaserc, Serc), uyo unogona kubatsira kudzikisa kumanikidzwa kunokonzerwa nefluidhi iri munzeve yemukati uye kubvisa zviratidzo zvechirwere.

Kurapa kurasikirwa kwekunzwa

Vanhu vane chirwere cheMeniere vangangoda kurapwa kwekurira munzeve uye kurasikirwa kwekunzwa. Kurapa kunogona kusanganisira mishonga uye zvekunzwa zvinobatsira.

Kudzidzira

Kana iwe ukatambira kuongororwa kweBPPV, chiremba wako anogona kukudzidzisa iwe Epley maneuver uye Brandt-Daroff maitiro. Zvese izvi zvinosanganisira kufambisa musoro wako zvakateedzana matatu kana mana mafambiro akatungamirwa.

Chiremba wako anowanzo kuita manejimendi yeEpley, sezvo inoda kuwedzera kukurumidza kufamba uye kutendeuka kwemusoro wako. Hazvikurudzirwe kune vanhu vane mitsipa kana musana matambudziko.

Iwe unogona kuita Brandt-Daroff kurovedza kumba. Aya ndiwo maitiro anonyanya kushandiswa kurapa vertigo. Zvinotendwa kuti vanogona kubatsira kufambisa marara ari kukonzera iyo vertigo.

Kuita maitiro eBrandt-Daroff:

1. Gara kumucheto kwemubhedha wako (padyo nepakati) makumbo akarembera padivi.
2. Rara pasi kurudyi rwako woisa musoro wako padenga. Bata chinzvimbo ichi kwemasekondi makumi matatu. Kana iwe uchinzwa dzungu, bata chigaro ichi kusvikira chapfuura.
3. Dzokera kunzvimbo yakatwasuka uye utarise wakananga kumberi kwemasekondi makumi matatu.
4. Dzokorora nhanho mbiri, ino nguva kuruboshwe kwako.
5. Gara wakamira uye tarisa wakananga kumberi kwemasekondi makumi matatu.
6. Ita mamwe maseti kanokwana katatu kana kana pazuva.

Kurapa kwepanyama

Vestibular rehabilitation therapy ndeimwe nzira yekurapa yeiperiiperi vertigo. Zvinosanganisira kushanda pamwe nemurapi wepanyama kuti uvandudze muyero nekubatsira huropi hwako kudzidza kugadzirisa matambudziko emukati enzeve.

Kuvhiya kunogona kubata akaomarara, anoramba aripo kesi dze vertigo kana dzimwe nzira dzokurapa dzisina kubudirira. Kuvhiya uku kunosanganisira kubvisa chikamu kana nzeve yako yese yemukati.

Ndingaite sei kuti ndidzivise kurwiswa kwechipenga vertigo?

Iwe kazhinji haugone kudzivirira kwekutanga vertigo, asi mamwe maitiro anogona kubatsira kudzivirira kumwe kurwisa kwe vertigo. Iwe unofanirwa kudzivirira:

• mwenje inopenya
• kukurumidza musoro kufamba
• kukotama
• kutarisa kumusoro

Mimwe miitiro inobatsira inobatsira kumira zvishoma nezvishoma uye kurara nemusoro wako wakasimudzwa.