Mhando dzezerezi dzinogona kusiyanisa zvakanyanya sezvikonzero
Utsi hune dambudziko rakajairika. Kazhinji pane zvisiri izvo, zvinokonzerwa nemamiriro ezvinhu kana chirwere chinorapwa nyore kana kuti chinogadzirisa pachako. Dzimwe nguva, zvakadaro, chizivi chinogona kuva chiratidzo chokuti chimwe chinhu chakakomba kana kuti chinotyisa. Nokutsanangura rudzi rweutano munhu ari kuitika, vanachiremba vanowanzotarisa chinokonzera chikonzero chisati chava chinetso chikuru.
Mhando dzeDzizinesi
Utsi hune shoko rinogona kushandiswa kurondedzera manzwiro akasiyana-siyana, rimwe nerimwe raanobatanidzwa kune zvakasiyana-siyana masangano kana zvirwere. Nokurondedzera manzwiro aya, unogona kupa chiremba wako nzira yekupa kuongororwa uye kutanga uongorori.
Utsi hunogona kurondedzerwa nenzira dzinotevera:
- Presyncope "kunzwa manzwiro." Ichi ndicho chishuwo chaungaona kana ukasimhanya zvakakurumidza. Mune zvimwe zviitiko, iwe unogona kuvhara, kunzwa uchinetseka, kana kutopfuura (iyo inonzi inonzi syncope ). Presyncope inoitika semugumisiro wekudziviswa kweropa kuuropi. Inogona kukonzerwa nechimwe chinhu chakajeka sekusava kunwa mvura yakakwana kana zvakanyanya sechirwere chemwoyo.
Disequilibrium inonzwa "kurega kuripo." Uyu ndiwo manzwiro ekusava kukwanisa kuramba akaenzana, kazhinji achitsvaga kune rumwe rutivi rweumwe. Kana ikaratidza kamwe kamwe, inogona kukonzerwa nechimwe chinhu sechisinganzwisisiki sehutachiona hwehutano kana zvakanyanya sechirwere chepfungwa. Kana zviratidzo zvinopfuurira zvishoma nezvishoma, zvinogona kuva chikonzero chechirwere chinokonzera chirwere chinokonzera chirwere chePasinson kana muviri (body-body) hutachiona hwehutachiona hwehutachiona.
Vertigo ndiyo apo zvinhu zvose "zvinotenderera mumitutu." Ndiyo manzwiro mamwechete aunayo kana iwe wakanga uchitenderera nekukurumidza uye pakarepo unomira. Vertigo inogona kukonzerwa nenharo yomukati yomukati, zvichikonzera mhirizhonga ye vertigo. Kana ichi chiri chikonzero chechinetso ne brain brain (iyo inotarisa kuenzanisa uye kuenzanisa) inonzi central vertigo . Zvinokonzera zvinogona kusanganisira marwadzo, zvinetso zvemagetsi (zvakadai semafemwa kukanganisa), multiple sclerosis , uye chirwere. Chiono chechipiri, kutinhira, kupera, kushaya simba, kumira kwemaziso, kana kunetseka kumedza kunogonawo kuendesa vertigo.
Izvo zvisina kufanana uchecheche pane zvakawanda nezve "kunzwa kunonakidza." Muchiitiko ichi, izwi rinoreva dambudziko rinogona kushandiswa kurondedzera chiratidzo chisingagoni kuisa munwe wako, zvakadai sokuneta kana kuora mwoyo. Inogona kusanganisira "kunze kwemuviri" kunzwa iwe unogona kunge uine mushure mokutanga mushonga mutsva. Mune zvimwe zviitiko, manzwiro angave ari masimba epfungwa.
Chizivi kana sechiratidzo chekutambudzika kukuru
Munenge mamiriyoni 8 vanhu vanoshanyira vanachiremba gore negore nekuda kwekusaziva kusununguka. Muzviitiko zvakawanda, mhaka yacho ichave isina nyore uye inoda zvishomanana kana kusabatsira mune zvekurapa. Pane dzimwe nguva, chizivo chinogona kushanda sechiratidzo chekutanga chekukurumidza kwehupenyu hwakaoma kana hunotyisa.
Pakati pemamiriro ezvinhu akaoma akabatanidzwa nechezuru:
- Vertebrobasilar insufficiency ishoko rinoshandiswa kuderedza kuerera kweropa kusvika ku brain brain. Kana izvi zvichiitika, munhu angave ane zviratidzo zvepakati peti vertigo iyo inofamba mberi kwepamusoro. Kana ropa richideredzwa kwenguva shomanana, rinogona kukonzera kushungurudza kwenguva duku kweaschemic (dzimwe nguva kunonzi "mini-stroke"). Kana chiremera chacho chiri kure, chinogona kutungamirira kune chirwere chepfungwa uye kusingaperi kwehuropi.
- Brainstem zvirwere zvinogona kutungamirira kune vertigo. Chimwe chezvikonzero zvinowanzovhiringidza ndeyeviral labyrinthitis, rudzi rwehutachiona hunotungamirira mukuputika mukati mekunze. Zvimwe, zvirwere zvakakomba zvakanyanya zvinosanganisira Cryptococcus (chirwere chinotapukira kazhinji chinowanzoonekwa kuvanhu vane HIV yakakura) kana mabhakitiriya anowanikwa akadai seTiberculosis kana Listeria . Mavirusi akadai seye herpes zoster anogonawo kukonzera chirwere nekurwisa mitsipa iri muchitarisiko chako iri pedyo nenzeve yako.
- Chirwere chepfungwa chinowanzobatanidzwa nechezzinesi nekuda kwekushaya kukwana kweropa kuuropi. Kufambisa zvirwere zvepfungwa zvinoderedza kukwanisa kwemwoyo kupompa ropa zvakanyatsopesana nekukwevera kwemhepo. Ichi ndicho chikonzero kusimuka nokukurumidza kunogona kukonzera presyncope kune vamwe vanhu. Cardiac arrhythmias (kusagadzikana kwepfungwa dzisina kukodzera) kunowanzoita chinhu chimwe chete.
- Zvinokonzera endocrine hazvishamisi asi zvinozivikanwa kuti secrete mahomoni anokwanisa kuita kuti unzwe uchinetseka. Imwe muenzaniso ndeye insulinoma, chirwere chinoshandisa hormone imwechete inoshandiswa nevanhu vane chirwere cheshuga kuti vateerere shuga yeropa. Kana zvizhinji zvakasunungurwa, shuga yeropa romunhu inogona kuva yakaderera zvikuru kuti iite dambudziko, kushaya simba, uye kuora mwoyo. Imwe mhando, inonzi pheochromocytoma , inovanza mahomoni anowedzera kuwedzerwa kweropa uye inogona kukonzera kusava nemhepo.
- Guillain-Barré chirwere chekudzivirira muviri umo muviri wemuviri wechirwere unorwisa hutachiona hwehutachiona hwemhepo . Guillain-Barré inogona kukonzerwa nebhakitiriya yakaoma kana kuti hutachiona hwehutachiona. Zviratidzo zvinowanzotanga seusina simba uye kumira mumakumbo nemakumbo izvo zvishoma nezvishoma zvinopararira kumunhu wepamusoro. Kusagadzikana kwakajairika sezvo chirwere chinopfuurira. Kuoma muviri kunogona kuitika dzimwe nguva.
- Wernicke's encephalopathy (WE) inokonzerwa nekushaikwa kwe thiamine (vitamini B1). Vanhu vane WE vanogona kuva nezvinetso kutamisa maziso avo uye kuramba vakasimba pavanenge vachifamba. Uyezve, vanogona kukudziridza zvinetso zvekuyeuka izvo zvingave zvisingagadziriswi kunze kwekunge vagoverwa mavitamini nekukurumidza. Zvizhinji zviratidzo zvichakurumidza kukurumidza kana kushaya simba kwe thiamine kunorapwa kare.
Shoko Rinobva
Paunoona chiremba nezvezviratidzo zvechezzinesi, ivai sechinhu chakanaka sezvinobvira kana uchitaura zvauri kuona. Iva nechokwadi chekuzivisa ruzivo pamusoro pemishonga ipi zvayo nemishonga yaunogona kutora, yakatemwa kana kuti zvimwe, kana chero shanduko iwe unogona kunge wakaita pakudya kwako, mararamiro ako, kunwa doro, kana purogiramu yemabasa. Kunyanya kunyanya iwe uri pamusoro pezviratidzo zvauri kutarisana nazvo, kunyanya kuongororwa kunogona kuitwa.
Sources:
> Ropper, A .; Samuels, M .; uye Klein, J. Adams uye Victor's Principles of Neurology (10th Edition). New York: McGraw-Hill, 2014; ISBN-10: 007179474.
> Rubin, D. uye Cheshire, W. Kuongorora 'Uchecheti' muNeurology Office. Seminari muNeurology . 2011; 31 (1): 029-041.