Kudzungaira: Zvikonzero, Zviratidzo uye Maitiro Ekutarisira
Chii chinonzi Vertigo uye Inotsanangurwa Sei?
Vertigo, kusagadzikana kwechiyero kunomuka apo munhu anonzwa sekunge iye kana zvakatikomberedza zviri kutenderera. Kana munhu achifungidzirwa kuva nevertigo, danho rekutanga nderekuti atsanangure zvakadzama manzwiro ake ekutenderera kwemusoro uye kusagadzikana. Mushure mekuverenga uku, bvunzo dzakasiyana dzinoitwa kuti dziongorore kushanda kwehurongwa hwepakati hwepfungwa uye nzeve yemukati. Kana kuchifungidzirwa kuti dambudziko riri mukuyerera kweropa kunoenda kubongo, nzira dzepamusoro dzekuona dzakaita se doppler ultrasonography, computerized tomography (CT) angiography, magnetic resonance (MR) angiography kana dzimwe dzinogona kushandiswa. Mushure mekunge chikonzero chanyatsojeka, kurapwa kunorongwa zvichienderana nechikonzero chakadzika.
Ndezvipi Zvikonzero Zvikuru zveVertigo?
Vertigo inowanzokonzerwa nezvirwere zvenzeve yemukati uye hurongwa hwepakati hwepfungwa. Pakati pazvo, inonyanya kuwanikwa benign paroxysmal positional vertigo (BPPV). MuBPPV, kutenderera kwemusoro kunotanga kamwe kamwe uye kunowanzopera nekukurumidza. Zviitiko izvi zvinotora masekondi mashoma kusvika pamaminitsi mashoma uye zvinokurudzirwa nemamiriro akaita sekutenderera mubhedha kana kufamba musoro kamwe kamwe. Inowanzowanikwa kune vanhu vakura uye ine mamiriro akanaka. Kazhinji haina kudiwa kurapwa kwakanyanya uye inowanzopera yega nekufamba kwenguva.
Vertigo inogona kuvhiringidzwa nemamiriro epfungwa (semuenzaniso kushungurudzika kana kushushikana). Zvisinei, zvinhu zvepfungwa hazvikonzeri vertigo zvakananga; kune vanhu vane chichemo chekutenderera kwemusoro, kazhinji chinangwa ndechekutsvaga chikonzero chemuviri kwete chepfungwa.
Zvimwe zvikonzero zvevertigo ndezvi:
Labyrinthitis uye vestibular neuritis: Kuzvimba kwenzeve yemukati, kazhinji kunokonzerwa neutachiona hweviral. Mavirus akasiyana akaita sefuruwenza, measles, mumps, herpes uye EBV anogona kukonzera. Mumamiriro aya, kutenderera kwemusoro kunowanzoperekedzwa nekurasikirwa nekunzwa.
Chirwere cheMeniere: Kazhinji, vertigo inoperekedzwa nekupuruzira kwenzeve uye kurasikirwa nekunzwa kunowedzera. Chirwere ichi chinouya nezviitiko uye dzimwe nguva zviratidzo zvinoderera. Kunyangwe chikonzero chacho chisina kujeka, zvinhu zverudzi, utachiona hweviral, kukuvara kwemusoro uye allergies zvinogona kuva zvine chekuita nazvo.
Acoustic neuroma: Tumour yakanaka inobata tsinga dzenzeve yemukati. Pamusoro pekutenderera kwemusoro, kupuruzira kwenzeve uye kurasikirwa nekunzwa kunogona kuitika.
Matambudziko e cerebrovascular: Kuvharika kwemidzi yeropa mubongo (stroke) kana kubuda kweropa mubongo kunogonawo kukonzera vertigo.
Multiple sclerosis (MS): Chirwere chinobata hurongwa hwepakati hwepfungwa uye chinogona kukonzera zviratidzo zvakasiyana.
Zvimwe zvikonzero: Kukuvara kwemusoro, kukuvara kwemutsipa, chirwere cheshuga, kuderera kweropa remuviri, mhedzisiro yemimwe mishonga uye dzimwe nguva kushushikana zvinogona kubatsira mukubuda kwevertigo.
Ndezvipi Zviratidzo Zvinoenda neVertigo?
Munhu ane vertigo anonzwa sekunge ari kutenderera iye kana nyika yakamupoteredza. Kutenderera kwemusoro kunowanzoperekedzwa; nemudumbu kurwadza, kurutsa, kudikitira, kusagadzikana kwechiyero, kufamba kweziso kusingawanzo, dzimwe nguva kurasikirwa nekunzwa uye kupuruzira kwenzeve. Matambudziko ekuona, matambudziko pakufamba kana kushanduka kwepfungwa zvinogonawo kuoneka mune dzimwe nguva. Zviwanikwa izvi zvinogona kusiyana zvichienderana nechirwere chiri pasi pevertigo uye masisitimu anobatwa nacho.
Vertigo Inobuda Mumamiriro Api?
Vertigo inogona kubuda semhedzisiro yezvimwe zvirwere zvinobata hurongwa hwedu hwechiyero. Zvirwere zvenzeve yemukati ndizvo zvikuru. Semuenzaniso:
MuBPPV, kutama kwemakristaro anobatsira mukuchengetedza chiyero kunotungamira mukutenderera kwemusoro.
Mamiriro akaita seMeniere uye vestibular neuritis ndiwo mamwe anonyanya kukonzera vertigo.
Zvirwere zvemidzi yeropa mubongo, kutenderera kwemusoro kunokonzerwa nemigraine, mhedzisiro yemimwe mishonga uye zvirwere zvepfungwa zvinogonawo kuva zvimwe zvikonzero zvevertigo.
Ndezvipi Nzira dzeKugadzirisa uye Kurapa Vertigo?
Kurapa vertigo kunonyanya kusimbiswa nekuwana chikonzero chayo. Nzira dzinoshandiswa dzinogona kupfupikiswa seizvi:
Muvertigo inobva kunzeve yemukati yakaita seBPPV, maitiro ekufambisa musoro akasarudzwa kumurwere (semuenzaniso Epley maneuver kana Brandt-Daroff exercises) anowanzobatsira.
MuMeniere, kuderedza kushandiswa kwemunyu, mishonga inobatsira kubvisa mvura mumuviri, uye dzimwe nguva kuvhiyiwa zvinogona kudikanwa.
Muvertigo inokonzerwa neutachiona (semuenzaniso labyrinthitis), mishonga inokodzera utachiona (antibiotic kana antiviral) inogona kupihwa.
Muvertigo ine chekuita nemigraine, mishonga yemigraine uye kugadzirisa maitiro ehupenyu zvinokurudzirwa.
Fizikisi raphi uye maekisesaizi ekudzidzira chiyero zvinogona kubatsira mukugadzirisa vertigo. Uyezve, panguva dzevertigo zvinokurudzirwa kudzivirira kofi, doro uye zvigadzirwa zvetobacco uye kutora mvura yakakwana.
Vertigo Inotora Nguva Yakareba Sei?
Kureba kwevertigo kunosiyana zvichienderana nechikonzero chiri pasi uye kurapwa kunoitwa. MuBPPV, kutenderera kwemusoro kunowanzopera nekukurumidza uye kunogona kugadziriswa nekukurumidza nemaitiro akakodzera. Kana chikonzero chiri utachiona kana chirwere cheMeniere, zviratidzo zvinogona kutora nguva yakareba uye dzimwe nguva zvinodzokorora. Kana vertigo yava chirwere chisingaperi, kutsvaga rubatsiro rweunyanzvi kwakakosha zvikuru.
Zvinhu Zvekucherechedza muNeurological Vertigo
Muvertigo inobva kubongo kana hurongwa hwepfungwa, kutenderera kwemusoro kunogona kuperekedzwa nekusagadzikana kwechiyero, kurutsa, matambudziko ekutaura kana ekuona. Mune mamiriro akadaro, kuwanikwa kwechikonzero uye kurapwa nekukurumidza kwakakosha kudzivirira kukuvara kusingaperi.
Ndezvipi Zvinhu Zvinoda Kukurumidza Kuenda Kuna Chiremba?
Vanhu vane vertigo kana vakasangana nechimwe chezviratidzo zvinotevera, vanofanira kukurumidza kuenda kunzvimbo yezvehutano:
Kutangira kamwe kana kurwadziwa kukuru kwemusoro
Kuwona kaviri, kurasikirwa nekuona
Matambudziko pakutaura
Kusava nesimba kana kunzwa muviri usina simba mumaoko kana makumbo
Kuchinja kwepfungwa
Kurasikirwa kwechiyero kamwe uye kuwira pasi
Mazano eHupenyu Panguva yeKurapwa kweVertigo
Kuti ubudirire mukurwisa vertigo;
Kudzivirira kufambisa musoro kamwe uye kushanda munzvimbo dzakakwirira,
Kuchenjerera pakutyaira kana kushandisa michina inorema,
Kutora mvura yakawanda uye kutora nguva yekuzorora,
Kudzivirira kofi, fodya uye doro,
Kufambisa muviri zvishoma nezvishoma uye zvakarongeka zvinobatsira.
Kune vamwe vanhu, maekisesaizi akagadzirirwa uye zvirongwa zvefizikisi raphi zvinoenderana nemamiriro echirwere zvinogonawo kukurudzirwa.
Mibvunzo Inonyanya Kubvunzwa
Vertigo inogona kuvhiringidzwa nezvimwe zvirwere here?
Hongu, migraine, kushushikana, uye zvimwe zvirwere zvemoyo nemidzi yeropa zvinogonawo kukonzera kutenderera kwemusoro. Zvakakosha kuti vertigo inzwikwe seyakasiyana uye inotariswa pamwe nezvimwe zviratidzo.
Vertigo inogona kupora yega here?
Zvinoenderana nechikonzero, mamwe marudzi akaita seBPPV anogona kupora ega. Asi kana vertigo ikatora nguva refu, ikadzokorora kana kuva yakanyanya, zvakakosha kuenda kuna chiremba.
Zvinogoneka here kuti vertigo ipore zvachose?
Kana chikonzero chakadzika charapwa kana kudzorwa, zviratidzo zvevertigo zvinogona kunyatsopera. Asi mune zvimwe zvirwere zvisingaperi zvinogona kudzokorora nguva nenguva.
Chii chinoitwa kana nzeve yemukati yazvimba?
Kurapa nemishonga yakakodzera kunotanga pakurairwa nachiremba uye kutarisira kuzorora. Zvichienderana nekukura kwezviratidzo, zvinogona kudikanwa kuenda kuchipatara.
Vertigo inogona kukonzerwa nepfungwa here?
Kushushikana uye kunetseka kunogona kukurudzira manzwiro ekutenderera kwemusoro kune vamwe vanhu. Asi "vertigo chaiyo" inowanzokonzerwa nedambudziko remuviri rinobata hurongwa hwechiyero kana hurongwa hwepfungwa.
Vertigo inogonawo kuwanikwa kuvana here?
Hongu, utachiona hwenzeve yemukati uye mamwe marudzi emigraine anogonawo kukonzera vertigo kuvana.
Chii chinoitwa kana vertigo yaperekedzwa nekurasa kunzwa?
Mamiriro aya anoratidza dambudziko renzeve yemukati kana tsinga dzekunzwa uye anofanira kuongororwa. Zvakakosha kukurumidza kuenda kuna chiremba wenzeve, mhino nemuromo kana nyanzvi yezvepfungwa.
Vertigo inotora nguva yakareba sei?
Kureba kwechichemo kunosiyana nechikonzero; kunogona kuva masekondi mashoma kusvika kumavhiki akati wandei.
Kune maekisesaizi andingaite pamba here?
Hongu, mamwe maekisesaizi akareruka ekuyananisa uye ekumira musoro (Epley neBrandt-Daroff maneuvers nezvimwewo) anogona kuitwa pamba pakurairwa nachiremba.
Ndezvipi zviratidzo zvinoda kutarisirwa zvakanyanya?
Kutangira pakurwadziwa kukuru kwemusoro, kukanganisika pakutaura kana kuona, kana kurasikirwa nepfungwa zvinoda kuongororwa nekukurumidza.
Kurapa kwevertigo kunosvika rinhi pakushandisa oparesheni?
Kunyange zvazvo zvichiitika zvishoma, kune mamwe marudzi evertigo asingapinduri kumishonga kana maekisesaizi uye anokanganisa zvakanyanya mhando yehupenyu, oparesheni inogona kufungwa.
Munhu ane BPPV anofanira kucherechedza chii?
Anofanira kudzivirira kufambisa musoro kamwe kamwe uye kuita zvinhu zvine ngozi, kutora zororo zvakakwana uye asakanganwe kuita maekisesaizi akarairwa nachiremba.
Zvinyorwa
Sangano reHutano Pasi Pose (WHO) – Zvirwere zveVestibular uye Kudzungaira
American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) – Mirayiridzo Yekurapa Vertigo
American Academy of Neurology (AAN) – Kuongorora uye Kurapa Kudzungaira
Mayo Clinic – Vertigo: Zviratidzo uye Zvikonzero
The Lancet Neurology – Kuenzanisa kwekuongorora kwekudzungaira uye vertigo
Ruzivo urwu runofanira kuongororwa pasi pekutungamirwa kwevashandi vezvehutano. Kana uine kupokana kana kuti kudzungaira kunotora nguva refu, unofanira kubvunza chiremba.