Kutsvaga Chirongwa Chine Zvinyorwa Zvitsva Zvako Kunoda Dhigirii Kuongorora
Vanhu vanoreva zvinhu zvakasiyana-siyana pavanotaura kuti vanozununguka. Vertigo ndiyo kunzwa kunoshushikana kunobatanidza nekupota-pota kumativi ose mudenderedze, kana sokunge nyika iri kutenderera iwe.
Vertigo inogona kunge isina kunetseka uye dzimwe nguva inogona kukonzera kushungurudza kana kurutsa. Zvinogona kuoma kubuda pamubhedha, kunyanya kutenderera nekuita mabasa atinoda kuti tiite zuva rega rega.
Kunyange zvazvo zvikonzero zvizhinji zve vertigo hazvisi kutyisa upenyu, zvimwe zvakanyanya kuipa, sechirwere shure kweuropi pedyo ne cerebellum. Kune rumwe rutivi, marudzi mazhinji e vertigo anogona kungorapwa nyore nyore nekushandura nyore nyore sekoko musoro.
Zvinowanzokonzera
Kazhinji kazhinji, vanhu vari kurwara vertigo kana chizivo vachave nechimwe chezvikonzero zvinowanzoitika.
Benign Paroxysmal Positional Vertigo (BPPV)
Icho chikonzero chinokonzerwa nechinangwa mumusoro wepamusoro here? Kana zvakadaro, mhaka yacho inogona kuva yakaipa paroxysmal positional vertigo (BPPV), chimwe chezvinhu zvinowanzokonzera vertigo. Ichi chirwere chinokonzerwa nekristari duku inonzi otolith iyo inowanzogara kunze kwekukuvadza mukatikati memutsetse wepakati (mutricle uye saccule). MuBPPV, otolith inosununguka uye inopinda mune imwe mitatu yemigero iyo inowanzoratidza kuti muviri wedu uri kutendeuka munzvimbo. Iko kristaro inokonzera kushanduka kuchinja mumugwagwa unonyengedza muviri kuti utende kuti uri kutendeuka, kunyange kana wakamira.
Kuvhiringidzika kunokonzera kunokonzera vertigo.
Izwi reBPPV rinowanzoitika muzvikamu zvidimbu uye rinounzwa nemusoro kutendeuka, nokuti kuchinja musoro kunogona kuita kuti otolith iende mumugwagwa, zvichiita kuti zviratidzo zvikanganiso kuuropi. Nhau dzakanaka ndeyokuti nyaya dzakasiyana-siyana (dzinonzi Epley maneuver ) dzinogona kushandiswa kuisazve otolith kunze kwemigero iyo inogona kusakonzera kusagadzikana.
Zvinoreva izvo zvinopedzisira zvishoma kudarika miniti kana kupfuura zvakadaro nekuda kweBPPV. Nguva yakareba inonzi vertigo yakaoma ingangodaro inokonzerwa nechinetso chiri munzeve dzomukati, dzakadai sedhephenal vestibulopathy kana kuti Meniere's syndrome , kana kuti kune vertigo, iyo inoreva chinetso neuropiyo yehu brain inogona kuwanika mune chirwere kana vestibular migraines.
Meniere's Disease
Inzeve yomukati ine chikwama chine membranous iyo inofamba mukati mehutete hwakatsetseka hwehuwandu. Mukati iyo sac inowedzera mvura asi yemhando yakasiyana. Chirwere cheMeniere chinofungidzirwa kuti chinokonzerwa nekusawirirana pakati pemvura inoshandiswa mukati me sac uye mvura iri kunze kwegashi, ine mvura yakawandisa yakavaka mukati. Izvi zvinonzi "endolymphatic hydrops".
Chirwere ichi chinowanzouya pakati pezera remakore makumi matatu nemazana makumi mashanu nemakumi mashanu uye chinokonzera kurwiswa kwe vertigo, kurasikirwa kwekunzwa, uye kuchema munzeve. Kusiyana neBPPV, kurwisa kunogona kupedza maminitsi makumi maviri kusvika maawa akawanda panguva. Sezvo nedzimwe mhando dze vertigo, nystagmus ichave iripo. Kurwiswa kunogona kusiyana kubva kune dzimwe nguva pavhiki pane kamwechete kamwechete pagore. Mushure megore remakore mashanu kusvika kune gumi nemashanu, chizara chinova chakanyanya kudarika asi chinogara chiripo, uye kurasikirwa kwekunzwa kunogona kuva nekusingaperi, kunyange kutadza kwakakwana munzeve yakagadzikana hakusi nyore.
Meniere chirwere chinogona kuongororwa nachiremba pasina mimwe miedzo yakawedzerwa, asi mazwiometry dzimwe nguva anobatsira. Hapana kurapwa kwakawanikwa kuvhara kuchinja kunofambira mberi mukati mekunze, asi mishonga inogona kubatsira nezviratidzo painoitika.
Vestibular Neuritis
Iyi dambudziko inofamba nemamwe mazita akawanda, kusanganisira vestibular neuronitis, labyrinthitis , neuro labyrinthitis, uye yakaoma peripheral vestibulopathy. Chirwere chacho chinowanzogadzirisa zvachose pane zvayo asi chinokonzera kusanzwisisika kwazvo vertigo panguva ino. Chirwere ichi chinofungidzirwa kuti chikonzero nekuda kwekuputika kwehutachiona hunoputirwa nehutachiona - kunyange, pane zvokwadi bedzi humwe uchapupu husingagoni kutsigira iyi dzidziso.
Kuongororwa kwe vestibular neuritis kunowanzoitwa nachiremba achikuongorora uye kukubvunza mibvunzo, kunyange kuongororwa kunogona kuitwa kuti usabvisa zvimwe zvinokonzera, sitiroko. Vertigo kubva ku vestibular neuritis kazhinji inogadzirisa mukati memazuva mashomanana, asi dzimwe nguva pane kusava nekusawirirana kwezvishoma kunogara kwemwedzi. Hazvisi pachena kuti chero kurapwa kumwe kunobatsira, kunyange zvazvo vanachiremba vakawanda vachizopa pfupi pfupi ye steroid prednisone zvichienderana nemashoko mashoma anotsigira tsika.
Vestibular Paroxysmia
Dzimwe nguva vertigo zvinorwisa zvinongopedza mashomanana mashoma panguva imwe asi zvinogona kuitika kakawanda pazuva. Vamwe vanachiremba vanotenda kuti izvi zvingave zvichibva pamubhedha weropa kusungirirwa pamusana wechisere weganial , unotungamirira kumanzwiro e vertigo.
Vamwe vanachiremba vakatsoropodza kusasha kwemashoko akanaka ekutsigira iyi dzidziso. Somuenzaniso, kusvika ku30 muzana yevanhu vane utano vanewo mitsipa yeropa inosangana ne vestibulocochlear neropa, maererano neshoko riri mu Journal of Vestibular Research .
Vamwe vakaratidza kuti kurapwa kunogona kushandiswa kubvisa kusuruvara kwakaiswa mumutsara nemidziyo yeropa, asi vamwe vakawana kuti chirwere chakanyanya che carbamazepine (anti anti-seizure medication) chingabatsira zvakare. Zvichipa uchapupu husingazivikanwi hwemudziyo weropa semhosva, kushandiswa kwemishonga ndiyo yakanakisisa kurapwa kwokutanga.
Vestibular Migraine
Kunyange zvazvo zvikonzero zvinotangira vertigo zvinotungamirira kune zvinonzi veriphogia vertigo, zvinoreva kuti vertigo inokonzerwa nechimwe chinhu chiri kunze kweuropi neuropi, zvinogonawo kuwana vertigo kubva kune zvinetso zviri mukati meuropi pachake, iyo inonzi "pakati" vertigo. Chimwe chezvinhu zvinokonzera zvikonzero zvepakati iyi vertigo ndezvokudzivirira migraine .
Migraines inowanzofungidzirwa kuti inokurudzira misoro, asi inypical migraines inogona kukonzera chero chero chipi zvacho chinenge chichiita zvirwere zvepfungwa, kusanganisira kushaya simba, kuneta, kupera, uye chirwere. Asi musoro, kunyange zvakadaro, unonyatsotarisirwa kuti uwane hutachiona hweva vestibular migraine. Zvimwe zviratidzo zvemigraine, kana kuti kutanga kwe vertigo neinoyevedza migraine zvinokonzera , zvinogona kubatsira mukugadzirisa.
Vertebrobasilar Minimum Ischemic Attack (TIA)
Nhengo dzehutano dzinowana huwandu hwehupenyu hwayo kuburikidza neicho chinonzi posterior kupararira. Maviri euttebral arrium akaungana pamwechete kuti agadzire arteriary basilar, iyo inotuma mapazi anotumira ropa rinopa muviri kuuropi inowedzera uye kumashure kweuropi.
Kana arteriyuta iri muuropi ichinge yakadzivirirwa neropa remakumbo, masero europi anogona kutanga kushaya nzara. Kana ropa rinopera, zviratidzo zvinowedzera, uye chiitiko chacho chinonzi kushandiswa kwechikafu chinokanganisa . Kana ropa rinosara, zvino rinotungamirira kumarwadzo ane kukanganisa kusingagumi.
Nokuti hutano hwehutano hune nhengo dzemuviri wedu wekuenzanisa, kusanganisira relays for information yose yakatumirwa kuuropi kubva munzeve dzomukati, vertigo chiratidzo chakakurumbira chekufamba kwemashure. Kunyanya pamusoro, zvakadaro, mamwe mabasa anokosha europi, zvakadai sokufema, kufamba, nezvimwe. Nokuda kwechikonzero ichi, zviratidzo zvekutarisira vertebrobasilar TIA dzinofungidzirwa senyevero yezvinetso zvinotyisa zvinouya.
Nenzira yakanaka, hazvishamisi kuti vertebrobasilar TIA inongokonzera vertigo uye hapana chimwezve. Icho chinokonzerwa nehutachiona chikamu chiduku chinenge chakakura sechigunwe chako uye chakazara nemisungo inokosha. Kana kukanganisa kwaitwa kune imwe chikamu che brain brain, vamwe vangangodaro vachinetseka, zvichiita kune zvimwe zviratidzo zvehutano. Nokuda kwechikonzero ichi, vanachiremba vanoshuva kuwana zviratidzo zve "central" vertigo, zvinoreva vertigo iyo inobva muuropi yehutano panzvimbo pane ipapo mutsara wevastirare kana kuti nzeve yomukati.
Zvinokonzera njodzi ye vertebrobasilar TIA inenge yakafanana kune yevamwe maitiro e-ischemic vascular disease, yakadai sitiroko. Kuti uwane mamwe mashoko pamusoro pekugadzirisa kana vertigo yako yakakomba, verenga pamusoro apo kana chirwere chesimba chiri chakakomba .
Kazhinji Zvinokonzera
Dzimwe nguva chinokonzera vertigo chako chaicho chinhu chisingawanzoitiki. Kunyange zvazvo zvikonzero izvi zvisingawanzoitika zve vertigo zvichiitika zvishoma, zvakakosha kuti uzive izvi zvimwe zvirwere kuitira kuti zviratidzo zvako zvisakanganise pane chimwe chinhu chinowanikwa.
Ngatitarisei zvikonzero izvi zvisingaiti zve vertigo.
Kuzvigadzirisa mukati meInzeve Matambudziko
Dzimwe nguva, maitiro ezvirwere zvemuviri anokanganisa chikamu chemuviri wedu wehutachiona hunopinda. Apo izvi zvinoitika - apo muviri unozvirwisa pachawo - unotumidzwa sehosha ye autoimmune. Kana izvi zvikaitika munzeve yomukati, zvinogona kukonzera kurasikirwa kwekunzwa pamwe chete uye vertigo.
Munenge chikamu chechina chevanhu vakadaro vachave nezvimwe zvirwere zvinotapukira semuviri zvakadai se systemic lupus erythematosus , polyarteritis nodosa, kana Wegener granulomatosis. Inenge hafu yevanhu ava vachabvuma kurticosteroids .
Labyrinthine Kukurukurirana
Mhedziso dzinowanzokonzera misoro, kusuruvara, kurutsa, uye chirwere. Izwi rertigo shure kwekugadzirisa kunogona kubva nekukuvadza kune nhengo dzekuvhara shure mushure mokunge musoro warohwa. Zvichienderana nehupenyu hwekukuvara, pangava neropa mukati mekunze. Kunyange zvazvo izvi zvinowanzoipisisa zvakanyanya mushure memusoro wekukuvadzwa, vertigo inogona kuuya uye inofamba kwenguva yakati gare gare. Dzimwe nguva, shure kwechinetso chinoshanduka mumanikidziro emagetsi pakati pezvinhu zvemukati nzeve (endolymphatic hydrops) inogona kukura, zvichiita kuti Meniere syndrome.
Perilymphatic Fistula
Kushungurudza musoro, kusimudza zvakanyanya, kana kukuvadzwa nekuda kwekuchinja mukumanikidzwa (zvakadai sa scuba diving) dzimwe nguva kunotungamirira kuhutano husina kunaka pakati pezvimwe zve nzeve izvo zvisingatauri kuti zvibatanidzwe. Kushamwaridzana kusinganzwisisiki pakati pezvikamu zviviri zvemuviri izvo zvisingawanzobatanidzwa zvinonzi fistula.
Zviratidzo zve fistula yeperiymphine inowanzotambudzwa nekuchinja kwekunze kana mukati mukati mekumanikidzwa, zvakadai sokunyunyutira, kushungurudza, kukohwa, kana kurira kukuru.
Kuchinja mukukwirira kungawedzerawo zviratidzo, zvakadai sokubhururuka mundege kana kutotasva nefambisi.
Kuongororwa kwe perilymphatic fistula kunogona kunge kwakaoma kunze kwekuti chiitiko chinokurudzira chinotsanangurwa. Mushonga unowanzobatanidza kuzorora nemusoro wakakwirira nekudzivirira marudzi ese ekudzvinyirira. Mune avo vasingagadziri nekurapa kwakadaro, kuvhiwa kunogona kudiwa.
Canal Dehiscence
Chimwe chirevo chakafanana chinokonzerwa nedhiscence, umo kuwirirana pakati pemakamuri maviri hakuna kukwana, asi bone rinogona kuva rakapfuvura kupfuura rinowanzova. Chimwe muenzaniso ndekushiscence yemusana wepamusoro wekunze kwenzeve inokonzera zviratidzo zvakasiyana-siyana sezwi rinokonzera vertigo.
Vanenge hafu zvakare vane autophony, zvinoreva kuti vanonzwa manzwiro emukati sezwi ravo pachawo, kushaya moyo, kana dzimwe nguva kunyange maziso avo maziso pazwi rinotyisa.
Otosclerosis
Otosclerosis ndiyo dzimwe nguva chirwere chinokonzerwa nehutano umo mapfupa anodzokororwa, uye itsva mapfupa inoitwa inowanikwa mukati nepakati mukati nzeve. Izvi zvinowanzotanga pakati pemakumi maviri nemakumi emakore ehupenyu. Mhedzisiro ndeye kurasikirwa kwekuteerera kwekuteerera . Vanenge makumi maviri kubva muzana yevanhu vane chirwere chemaoticclerosis vanewo vertigo kana kusaenzana, izvo zvinokonzerwa nekuparadzwa kwekunze kwenzeve. Vamwe vanogona kukura endolymphatic hydrops neMeniere syndrome. Inzwi rinogona kubatsira pakugadzirisa.
Epileptic Vertigo
Kazhinji, tsvina ye vertigo inogona kunge yakakonzerwa nekugumburwa . Vanhu vazhinji vanozivikanwa neinoti tonic-clonic seizures (grand mal seikurira) asi kune chaizvoizvo marudzi mazhinji akasiyana ezviratidzo zvakasiyana. Kuipa kwemagetsi kwemaitiro kunogona kuitika mune zvikamu zvehuropi izvo zvinoshandisa vestibular system.
An electroencephalogram (EEG) inogona kushandiswa kusarudza kana zvipembenene zvine dutu muzvisikwa. Vamwe vanhu vangave vane hora yepamusoro pamberi pekugumburwa kwemavara, izvo zvinogona kubatsira kuve nekugona kuongororwa.
Chiari Malformation
A Chiari Ini zvinoratidzira ndeyekusanganisa kusina kukwana (chimwe chinhu chaunoberekwa nacho) umo pasi pecherebellum (chikamu cheropi chinotarisa kuenzanisa nekubatana) chinowedzera kuderera pane zvaiwanzoita. Kazhinji, izvi hazvikonzeri zviratidzo, asi dzimwe nguva zvinotungamirira kumusoro wepamusoro, kusagadzikana kwebasa, uye vertigo. Apo vertigo iripo, inogona kuwedzera kukura nekuputika mutsipa shure (musoro kutungamira kunokonzera vertigo.)
Kunyange zvazvo nystagmus (kutadza kusadzora maziso) inowanzovapo mune chero ipi zvayo ye vertigo, muChiari kusagadzikana, nystagmus inogona kurova mumugwagwa wakadzika pane nzvimbo, iyo isina kujairika. Kuvhiya kunogona kudiwa kana zviratidzo zvakakomba neChiari malformation. Izvo zvakati, vanhu vazhinji vane Chiari kusagadzikana hakudi kuvhiyiwa.
Episodic Ataxia
Episodic ataxia, uye episodic akaxia rudzi rwechipiri , kunyanya, inogona kukonzera zvikamu zvakanyanya zve vertigo neusea uye kurutsira muhuduku kana hupenyu hwevanhu vakuru. Nystagmus inogona kuvapo panguva uye pakati pekurwa. Kurwiswa kunowanzowedzera zvishoma nezvishoma, uye zviratidzo zvinogona kutanga kuitika pakati pezviso zvakare.
Mishonga
Nhamba yakawanda yemishonga inogona kukonzera chirwere, uye zvimwe zvinokonzera vertigo zvakananga. Mishonga inorwisa mabhakitiriya inozivikanwa seaminoglycosides inonyanya kunetseka, uye inogona kutotungamirira kukuvadzwa zvachose. Lithium toxicity inogonawo kukonzera vertigo. Mukuwedzera, Vertigo inogona kuitika pamwe nemishonga yakadai se:
- anticonvulsants (anti-seizure drugs)
- anesthetics
- antidepressants
- kwete-steroidal anti-inflammatory agents ( NSAIDs )
- chirwere cheshuga nemishonga
- zvigadziro uye zvinyararire
Shoko Rinobva
Muzhinji, vertigo haisi chiratidzo chinofanira kuregererwa. Kunyange zvazvo kazhinji isingaiti nekuda kwechimwe chinhu chakaita sitiroko kana kushandiswa kwechikafu chinokanganisa, zvakakosha kuziva zvakajeka kuitira kuti zvinetso zvakanyanya zvisingaiti. Uyezve, vertigo haina kunyanya kushamisika, uye pane nzira uye mishonga inogona kubatsira kana iwe uchida mazano ekurapa akakodzera.
> Sources
- Chimirri S et al. Vertigo / tsvina kana semishonga 'kusangana kwakaipa. J Pharmacol Pharmacother. 2013 Dec; 4 (Suppl 1): chiariS104-9.
- > Fernandez, A., Guerrero, A., Martinez, M. et al Malformations ejuncChiari chinyorwa 1 uye syringomiaa: Kuronga, kuongororwa, uye kurapwa. BMC Musculoskeletal Matambudziko . 2009. 10 (Suppl 1): S1.
- > Jeong SH, Kim HJ, Kim JS. Vestibular neuritis. Semin Neurol . 2013 Jul; 33 (3): 185-94.
- > Lempert T. Recurrent Zvimwe Zvinopesana zveNzara. Continuum (Minneap Minn). 2012 Oct; 18 (5 Neuro-otology): 1086-101.
- > Strupp M et al. Vestibular paroxysmia: Zviratidzo zvekuongorora. J Vestib Res . 2016; 26 (5-6): 409-15.