Labyrinthitis ishoko rakakura rechiitiko chisingawanzi chinokonzera kuputika kwekunze kwekunze, kunyanya vestibular system. Mucherechedzo wehutori ndiyo chikamu chekunze kwenzeve iyo inogamuchira ruzivo pamusoro pechigaro chemuviri uye chiyero chayo uye inotumirazve ruzivo ichocho muuropi.
Vestibular neuritis kuvhiringidzika kweropa recoti vestibulocochlear.
Iro vestibulocochlear nerve inokonzera kutumira mashoko pamusoro pechiratidzo uye nhengo yemuviri wako kuuropi. Nokuti labyrinthitis uye vestibular neuritis vane zviratidzo zvakafanana uye vanobatwa nenzira imwe chete, isu tichashandisa mazwi maviri pamwe nenzira ino.
Zvinokonzera
Zvinokonzera labyrinthitis uye vestibular neuritis hazvinyatsonzwisisike asi zviratidzo zvinowanzotanga mushure mechirwere kana zvimwe zvinokonzera kupisa. Izvi zvinotevera zvinogona kutungamirira kukurudzirwa kwechirwere ichi:
- Viral kana mabhakitiriya zvirwere zvinosanganisira zvirwere zvokufema zvakanyanya kana zvirwere zvekunzwa
- Allergies
- Cholesteatoma
- Mishonga inogumbura kana inotyisa kune nzeve
Risk Factors
- Kusvuta
- Kunyanyisa kunwa doro
- Nhoroondo yezvipembenene
- Kushungurudzika
- Kumusoro kufema kupemha
Zviratidzo
Zviratidzo zvinotora basa rinokosha mukuongororwa kwe labyrinthitis. Kunyanya kunetseka kwevanhu kune:
- Huru kune vertigo yakaoma
- Nausea
- Kudzora
- Instability
- Kuona kuora mwoyo
- Dambudziko kuisa pfungwa
- Tinnitus (kuchera munzeve)
- Imwe-yakakomba kunzwa kurasikirwa
Paunenge uchinge uchinge uine chero mimwe migumisiro yechirwere yakanyorwa pamusoro apa, zvinowanzoonekwa zvakanyanya zvichaonekwa kuti zvichaitika kamwe kamwe zvese zve vertigo pamwe nekunyunyuta nekurutsa.
Zviratidzo zvinowanzonyanya kupera maawa makumi maviri nemaviri uye zvishoma nezvishoma zvinovandudza.
Nguva Yokuona Chiremba
Zvakakosha kuwana rubatsiro rwekurapa pakarepo kana uine zviratidzo zvitsva zve labyrinthitis nokuti zvimwe, zvirwere zvakakomba zvine zviratidzo zvakafanana zvinosanganisira stroke .
Kuziva
Hapana chiyeuchidzo chimwe chete chinoshandiswa kutsvaga labyrinthitis. Chiremba wako angangoita miedzo yakasiyana-siyana mushure mokunge apedza kuongorora nzeve pakushanya ne otoscope. Kunze kubva kuedza nzeve dzako, chiremba wako achaongororawo maitiro ako epfungwa kuti uongorore matambudziko ose neurouroic system yako inogona kukonzera zviratidzo zvako. Chero chechitatu chekuongorora chekuita chiremba wako achaita inozivikanwa seHIT (Head Impulse Testing) kuti uongorore basa remagetsi ako emagetsi mukati mekunze.
Kana zvinetso zvekunzwa zvicherechedza, iwe ungangodaro unogamuchira urongwa hwekuteerera kana kuti electronystagmography (ENG) kuedza kubatsira kutsvaga kuziva chikonzero chezviratidzo zvako. Kunyange zvazvo isingawanzodikanwa kuti uongorore labyrinthitis, chiremba wako angakukumbira kufungidzira maitiro akadai seMRI kana CT scan kuti ubatsire kubvisa chirwere kana kuti kuziva zvinetso zvemuumbi kana une dambudziko rakawandisa.
Sarudzo yeLabyrinthitis
Zviratidzo zvine chokuita ne labyrinthitis zvinogona kunetsa.
Kutanga kubva, ita kuti uedze uye udzoke. Kunetseka kunogona kuwedzera zviratidzo zvako. Iwe pachako uchatanga kuiswa pamubhedha wozorora wozoita kuti basa rako riwedzerwe nekuwedzerwa kwekugona.
Zviratidzo zve labyrinthitis inogona kutanga kupedza masabata mana mushure mokutanga. Labyrinthitis kazhinji inopera zvachose mumwedzi 2-3, zvisinei, kunzwa kurasikirwa kunogona kusingaperi. Vamwe varwere vangaramba vachiita chirwere chepakati asi izvi hazviwanzoitiki uye zvinowanzoitika kune vakwegura vakwegura. Kuremara kwenguva pfupi kunokonzerwa nezviratidzo zve labyrinthitis kunogona kuve kwakakosha. Mumwe chiremba anokwanisa anogona kukubatsira kuchengeta zviratidzo.
Mishonga yekurapa
Corticosteroids , yakadai saPrednisone, iyo inoderedza kuputika inofungidzirwa kuti inokurumidza nguva yekudzorera ye labyrinthitis. Zvimwe zvidzidzo zvakaona kuti kurapa nemishonga yemishonga yakadai sevalacyclovir haibatsiri mukurapwa kwe labyrinthitis; zvisinei, pane zvikwereti zvakakwana zvekusimbisa izvi. Zvimwe zvirwere zvinotarisirwa pakugadzirisa zviratidzo. Zvikamu zvitatu zvakakosha zvemishonga zvinoshandiswa kubatsira kuderedza zviratidzo izvi:
Antihistamine inogona kushandiswa kubatsira kubvisa zviratidzo zvezununguka zvine chokuita ne vestibular system isiri kushanda zvakanaka. Mishonga inowanzojairika kuedzwa inowanzotorwa meclizine, zvisinei, dimenhydrinate uye Benadryl inogona kushandiswa zvakare.
Antiemetics mishonga inobatsira kunyaradza kushungurudza uye kurutsa. Vamwe vanhu vangava nekurwadziwa kwakakwana kunopera simba. Muchiitiko ichi, chirwere chinotarisirwa chinogona kudiwa kuitira kuti kurasikirwa kwechirwere kunogona kuchinjwa mukati. Izvozvo zvinotevera antiemetics zvinogona kushandiswa kugadzirisa zviratidzo izvi:
- Domperidone
- Metoclopramide (Phenergan)
- Ondansetron (Zofran)
- Prochlorperazine
Scopolamine is anticholinergic drug inogonawo kushandiswa kurapa tsvina. Inoshandiswa kuburikidza nechigamba chinowanzoiswa shure kwekunzwa.
Vestibular Rehabilitation
Kuvandudzwa kwevestibular kunogona kubatsira kana zviratidzo zvako zvinopfuurira kwenguva refu kana kuti zvisingagumi. Kuvandudzwa kwevhetirar is a form of therapy that works to retrain your mind and body to compensate for your invalid vestibule.
Sezvambotaurwa kare maitiro akawanda e labyrinthitis zvachose kugadzirisa pasina kusagadzikana kusingaperi. Muzviitiko zvisingaiti, kunzwa kurasikirwa kana chirwere chinogona kuramba kuchidaro.
Sources:
American Hearing Research Foundation. Vestibular Neuritis uye Labyrinthitis. http://american-hearing.org/disorders/vestibular-neuritis-and-labyrinthitis/
Ferri, FF. (2017). Labyrinthitis: Ferri's Clinical Advisor 2017. http://www.clinicalkey.com (Kubhadhara Kunodiwa).
Pubmed Health. Labyrinthitis. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0027300/
Vestibular Disorders Association. Labyrinthitis uye Vestibular Neuritis. http://www.vestibular.org/vestibular-disorders/specific-disorders/labyrinthitisvest-neuritis.php
UptoDate for Patients. Vestibular Neuritis. http://www.uptodate.com/patients/content/topic.do?topicKey=~spN6u8nazQQzLN&selectedTitle=1~11&source=search_result Kubhadhara kunodiwa.