Ebubonisayo vertigo ngokokuma (DPPG)

Ngamnye wethu ubomi bakhe ubuncinane kanye, kodwa Uyagula. Oko kunokuthi kwenzeke ngenxa yezizathu ezahlukeneyo, kungaba ukusuka fatigue yesiqhelo okanye ngexa lokukhulelwa, umzekelo.

Iintlobo kwesi sifo inokuba kakhulu, kwakunye oonobangela le meko. One of them - vertigo ebubonisayo ngokokuma. Abantu abaninzi abazange weva isifo enjalo, kodwa oko akuthethi ubagcine kuyo inkangeleko yale ngezifo. Makhe sibone ukuba uhlobo izifo, yona nto eyoyikekayo kwaye kunokwenzeka ukuba bajongane nayo.

Uhlobo sifo

Ebubonisayo vertigo paroxysmal ngokokuma (DPPG) - yenye yeendidi esi sifo, leyo nibonwe ngokutshintsha ukuma umntla okanye intloko esithubeni. Kukholelwa ukuba isizathu i otolith indlebe ubuhlungu elahliweyo ngaphakathi kwayo kwangaphambili lomsele eziviwayo. Kukho ezinye iimeko zangaphandle engabangela ukwaliwa otoliths evela iindonga, ukuba uqale ukususa ngokukhululekileyo, thinta receptors zibangele nesiyezi kakhulu. Oku kukhokelela nokudideka, imeko efuna unyango.

Igama elithi "nabungozi" egameni esi sifo kubonisa ukuba le ngezifo awusebenzi izifo e-nervous system.

Zithini izizathu esi sifo okhula?

Ngokutsho oogqirha, uphuhliso esi sifo kungabangela ukuqokelelela icalcium kwindlebe engaphakathi. Statolith bahlukane kude inwebu otolith kwaye ushukume ngokukhululekileyo ngexesha intshukumo yomzimba okanye intloko, ngaloo ndlela ebangela nesiyezi.

Lidla kukho iimeko apho ngezifo liqala ukuvela xa osteochondrosis wesibeleko. Kodwa kwiimeko ezininzi, ukuba wayecinga ukuba ingozi ngokokuma vertigo, izizathu kunzima ukumisela. Iingcali kolu didi ziquka ezi zinto zilandelayo:

1. limala.
2. imisebenzi zotyando azenziwanga kakuhle kakhulu.
3. isifo Meniere kaThixo.
4. Ngamana bandiqumbise antibiotics ukuba nesiyezi ezithile, ezifana "gentamicin."
5. Ubukho ukudumba kwi misele indlebe.
6. uqaqanjelwa rhoqo zibangelwa spasm semithambo, acandacanda Kaka-.
7. Abanye esikhundleni ixesha elide esiqingqiweyo se intloko kunokubangela nesiyezi.
8. utshintsho ezinxulumene-Age kwakhona ingabalelwa izizathu.

Amaninzi abhalwe vertigo elihle ngokokuma kwabasetyhini abadala ngaphezu kweminyaka engama-50. Abantwana eselula kunye kwegazi ngokoqobo lungenzeki.

symptomatology kwesifo

Pathology kunokuzibonakalisa ngeendlela ezahlukeneyo, kodwa amaxesha amaninzi iimpawu ebubonisayo vertigo ngokokuma zezi zilandelayo:

1. kuhlaselwa kucala nophuhliso kwindawo ethile yomzimba okanye intloko.
2. Oku kwenzeka xa entanyeni uzimisele okanye ukuvulel 'intloko.
3. Ubude karhulumente awudluli kwimizuzu engama-30.
4. Izigulane ngokuqhelekileyo ngokuchanileyo aphezulu na onokumxelela yeyiphi icala bebona uhlaselo.
5. Soloko ilandelwa lutshintsho lwemithetho isicaphucaphu, ukuba nesiyezi.
6. Ukuhlaselwa kunokuba zombini single ize iphindwe izihlandlo eziliqela ngemini.
7. nesiyezi ayikhangeleki ngaphandle iintshukumo ingqondo.

Kufuneka kuqatshelwe ukuba kule meko akukho yintloko ebuhlungu, iintlungu ezindlebeni okanye ukulahleka ukuva.

iintlobo zezifo

Njengoko inkqubo sifo kwenzeka zombini indlebe, lasekunene-lesandla kunye elisekhohlo ukwahlula nesiyezi. mechanism isifo nayo ezahlukeneyo, ngoko kukho ezi ntlobo zilandelayo kuwo:

• Kupulolitiaz. Kule fomu ye receptors otolith kabi indlebe usoloko mkhulu kwaye ayinakutshintshwa ukuya kwenye eludongeni umjelo.
• Kanalolitiaz - otoliths ukuhamba ngokukhululekileyo yaye kwimpembelelo asiphumelelanga lasentloko bamqumbise uhlaselo.

Ukuba une vertigo ingozi ngokokuma, unyango kuya kuxhomekeka imilo kunye nobungakanani ngokubonakaliswa sifo.

uxilongo zokugula

Ukuba usoloko unexhala malunga vertigo luthintithayo awukwazi uchaze naziphi na izizathu, kufuneka ubone yincutshe. Ugqirha uyakukubuza zonke iimpawu, xa waqalisa bonke kubonakaliswa.

Ngomhla inxalenye isigulane kufuneka ukucacisa ukuba Uxhokonxwa ukuhlaselwa kwaye zihlala ixesha elide kangakanani. Ugqirha uya kuhlola, yaye iquka iindlela ezahlukeneyo zokuxilonga:

• Isampula Dix-Hallpike. Izigulane bacelwa ukuba utshintshe indawo intloko ibhuthi, kwaye ugqirha ujongile reaction yakhe.
• Kwezinye amathandabuzo olwenziwe MRI.
• Itomography ngekhompyutha yomqolo wesibeleko.

ugqirha wakho ujonge ukuba thethwano ukuya otolaryngologist, luvo kunye vestibulologu.

imigaqo yonyango

Ukuba kukho paroxysmal ingozi ngokokuma vertigo, unyango kufuneka kuzo zonke iimeko. Amaxesha amaninzi ukuhlaselwa ngokwabo kwaye ushiye umntu ngcono ukuba kumphazamisa. Kodwa kwakhona ngqiqweni ukuba nethemba, kuba unako ukubuya ngamandla nangakumbi kunye nokuphindaphinda rhoqo.

Kwimeko enjalo unyango ayinako ukuthintelwa, kuyimfuneko ukuba uye kwagqirha. Iingcali asetyenziswe kunyango kwiindawo ezininzi, ezifana:

1. Drug-free unyango.
2. Drug therapy.
3. Surgery.

Lo mbuzo kwimeko nganye kugqitywa ngamnye.

Iindlela zonyango ngaphandle amayeza

Ungazama ukumelana nesi sifo yaye ngaphandle iziyobisi. Kukho ukwamkelwa nice Epley, nto leyo into owenze inguquko yobume intloko ngolandelelwano ethile. exit Otolith umsele omise ukuya zisembundwini wawo. Ukuba akukho uphuculo, ukugxagxiseka kwakhona ejongene emva imithambo ezinjalo.

iziphumo ezintle afunyanwa xa kukho vertigo ngokokuma paroxysmal nabungozi, imithambo vestibular. Elaziwa kakhulu kukuba indlela Brandt-Daroffa, nantso into oyiyo;

1. Kusasa nje emva uvuka ukuba ahlale phezu ebhedini emva nkqo.
2. Emva koko uye kulo naliphi na icala, uze ulahle umva intloko yakhe phezulu kancinci.
3. Kwesi sikhundla, ukuba ahlale imizuzwana 45 okanye de de emva nesiyezi, ukuba kwavela.
4. Emva koko phinda kwelinye icala.
5. Ukusebenzisa ngokwaneleyo ukwenza izihlandlo ezi-5 kwicala ngalinye.
6. Ukuba ngexesha kwenzeka ukuba nesiyezi, ngoko yonke imisebenzi kufuneka kwenziwe ngokuhlwa.

Yibani ezilindele oogqirha kunye nendlela Semont Lempert kushenxa, kodwa bazama ezisetyenziswa phantsi ugqirha kweliso. Uqheliso lomsebenzi lwenziwa ngesantya ngokwanelisayo phezulu. Ngoko ke, ngokufuthi ekhatshwa nesiyezi yaye isicaphucaphu. Zeengcali esweni imeko yomguli kunye ukutshintsha umthwalo.

Nantsi into ubuchule Semont:

1. Isigulana kufuneka ahlale phantsi kwaye sehlise imilenze phantsi.
2. Intloko lijikeleziswa nge degrees 45 ngendlela esempilweni.
3. Bebambene ngezandla walala kuloo ndawo.
4. Gcina indawo de ukuyekwa okupheleleyo ukuhlaselwa nesiyezi.
5. Kunjalo lwenziwa kwelinye icala.
6. Ukuba kuyimfuneko, zonke izenzo ziphindwa.

Lempert zenzeke:

• Isigulane uhlala ecaleni esofeni abuye izidanga zakhe entloko 45 ukuya kwicala abachaphazelekayo.
• Ugqirha ubamba intloko yomntu kulo msebenzi.

• Isigulane ubuxoki emqolo intloko yakhe esijikelezayo kwicala elahlukileyo.
• Emva koko uvule kwicala esempilweni.
• Jikelezisa kwaye kufuneka ibe umzimba ukusuka kwindawo ekuthanda.
• Shona phantsi kwempumlo.
• Lonke utshintsho omzimba sikhatshwa njengokujikeleza entloko.

Ngokuqhelekileyo, le mithambo ukunika iziphumo ezilungileyo, kwaye izigulane ezininzi azifuni unyango lwezempilo xa ebubonisayo vertigo paroxysmal ngokokuma na isidanga wobulali.

Unyango ngamachiza izifo

Inkoliso amagqirha bakholelwa ukuba ukusetyenziswa kweziyobisi kule ngezifo engaphenduli iziphumo okulungileyo, ukubeka ecaleni ngokupheleleyo vertigo. Kodwa ngamanye amaxesha, kuba ukuphuculwa ziingcali nomonde nangoku ukumisela amayeza.

Ukuba une "ebubonisayo vertigo paroxysmal ngokokuma," unyango Drug anganika mpembelelo ilandelayo:

• Kunciphisa isicaphucaphu.
• karhulumente Ukuphuculwa ngokweemvakalelo.
• Blood kwegazi ingqondo iphuculwe.

Ukuba zawahlasela phindwa rhoqo kwaye ngamandla amakhulu, isigulane Kucetyiswa alale okwethutyana.

ukungenelela kuhlinzwa

Kwiimeko ezininzi kakhulu, xa unyango lonyango akaphumeleli kunye imithambo vestibular, lo vertigo elihle ngokokuma kuyimfuneko ukuphelisa iindlela yotyando. Kukho iindlela ezimbini ukusebenza:

1. Ukuvaleka wax ukuthintela intshukumo fluid.
2. Wonqanyulwa, ungabikho embilwini indlebe luvo.

ungenelelo Surgical, nangona kungonakalisa iindlebe zakho, kodwa inika ingxaki. Ligqityiwe okwangoku yaye oprobyvat amayeza nge laser.

Ngubani na ingozi vertigo paroxysmal ngokokuma, oonobangela anokuba na, oko ongayi kuba nako ukuphiliswa ziziyobisi ezithile. Therapy wabelwa ngabanye kwimeko nganye.

Prevention zokugula

Kukho izifo ezimbalwa eyayiza kuba akukho manyathelo ezithile zokuthintela. Kodwa vertigo elihle ngokokuma nje ezinjalo, kunye nenkxalabo. Indlela yokukhusela wena kwesi sifo engaziwa, kodwa kusenokwenzeka ukuba izigulane amanye amacebiso:

• Kuphephe ukonzakala entloko xa urhano nakancinane ngokungxamisekileyo kufuneka ukutyelela ugqirha.
• Gcina iindlebe zakho nokusindisa abantu engozini.
• Uqeqesho vestibular izixhobo nazo lokuposa.

• Ukuphathwa ngendlela ngexesha zonke ezimbi ezingapheliyo. Oku kuya kunceda ekunciphiseni ubungozi Uyagula okanye ukwenzeka kwayo.

Nakuphi na ukutenxa kule impilo jikelele kufuneka kuyaqapheleka. ukufikelela ngexesha kwagqirha ukuze siphephe iingxaki. Kwathi kanti, nkqu nesiyezi yesiqhelo esinxulunyaniswa kunye neengxaki ezinzulu.