Mamiriro acho akaita sei uye akabatwa
Chirwere cheMeniere chinokonzera vertigo , iyo ichisimba chizivi chinokonzera manzwiro ekusava. Icho chirwere chendangariro dzomukati uye lymphatic system iyo isinganzwisisi zvachose uye kazhinji inobata nzeve imwe chete. Chirwere cheMeniere chinonziwo idiopathic endolymphatic hydrops .
Imwe nyanzvi ndeyekuti chirwere cheMeniere chinokonzerwa apo mvura inonaya mukati memuteve - inonzi endolymph uye perilymph - haina kuenzana.
Zvimwe zvinyorwa zvinosanganisira utachiona hwehutachiona semhosva kana kuti maitiro ezvirwere zvekudzivirira zvirwere.
Zviratidzo
Zviratidzo zvechirwere chaMeniere zvinokanganisa mukutsvaga kubva kune munhu kumunhu. Vamwe vanhu vanogona kukanganiswa zvachose nechirwere apo vamwe vanoona zviratidzo kamwe chete kana kaviri pagore. Zviratidzo zvechirwere cheMeniere zvinosanganisira:
- vertigo
- tinnitus
- kuchinja kwekunzwa kurasikirwa
- kurwadziwa kana kushungurudzwa munzeve
- kushungurudza uye kurutsa
- sweating
- headaches
- kurwadziwa mumimba uye chirwere
Mukuwedzera kune zviratidzo izvi, dambudziko rekuwira nekukuvadzwa kunotevera kune chirwere ichi. Zviratidzo zvine chimiro chekuuya mumafungu anogara kubva maawa maviri kusvikira mana uye kuteverwa nenguva iyo munhu anonzwa akaneta uye achida kurara. Pakati pe "kurwisa" mumwe munhu angave asina zviratidzo zvekanguva.
Kuziva
Kuongorora zvirwere zveMeniere zvinogona kuva zvakaoma sezvo ucheche hunoratidza chiratidzo chinoputirana nemamwe mimwe mitemo, kusanganisira zvirwere zvinotyisa zvirwere zvepfungwa zvakadai sitiroko.
MRI inowanzoshandiswa kugadzirisa kunze kwemakumbo kana zvimwe kukura zvisingawanzoitiki.
Chiyero chinonzi caloric kuedza chinogadzirisa kuenzanisa nekuputira nzeve nemvura kana mumhepo. Izvi zvinoguma nekufambisa kwekukurumidza kunonzi nystagmus. Maererano nemuenzaniso wekufema kwekukurumidzira, chiremba anogona dzimwe nguva kududzira dambudziko rekutsinhana.
Miedzo yakasiyana-siyana yekunzwa inoshandiswa kuongorora chirwere chaMeniere. Zvakakosha kuziva kana kurasikirwa kwekunzwa kunokonzerwa nechinetso chiri munzeve dzomukati kana kuti kusagadzikana kwemutsara wekunzwa. Kuti uite izvi, basa reuropi rinokonzerwa rinogona kunyorwa kuratidza basa munzeve dzekunzwa. Electrocochleography is test that can record the activity of the inner ear.
Mishonga
Mishonga
Parizvino hapana mushonga wechirwere chaMeniere, saka kurapwa kunoenderana nekuderedza zviratidzo. Kuchinja kunzvimbo yakaderera yemunyu nekudzivirira caffeine uye doro kunogona kubatsira pakuchengetedza mararamiro ako mukutarisa uye kuderedza mukati mukati nzeve yako.
Kubvisa mamwe mishonga yakadai sepamusoro yepiritsi yepiritsi nemishonga inorapwa zvisingabatsira. Zvisinei, kuwedzerwa kweropa zvakanyanya kunogona kuunza zviratidzo. Kushungurudzika kwepfungwa kunoratidzika kuderedza kuoma kwezviratidzo.
Imwe nzira iyo iri kuwana mukurumbira kwevanhu vakakundikana kurapwa kwechiremba injecting gentamicin, mishonga inorwisa mabhakitiriya, zvakananga pakati pekunzwa nzvimbo. Mimwe mishonga inoshandiswa kurwisa nekukurumidza inosanganisira meclizine (Antivert) uye lorazepam (Ativan). Kunewo dexamethasone (Decadron) uye zvinokonzera, mishonga inorwisa-nausea.
Mimwe mishonga inopesana nenyasi inogona kushandiswa inosanganisira compazine uye ondansetron.
Mamwe mishonga inogona kushandiswa kudzivirira kutambudzwa kana kuderedza kuderedza nguva. Izvi zvinosanganisira dyazide (Triamterine / HCTZ), klonapin, uye diazepam (Valium).
Devices, Exercises and Procedures
Imwe mushonga wekutarisa zviratidzo inonzi chidimbu cheMeniett. Kunyange zvazvo chipa pachacho chisingadi kuongororwa, chinoda tympanostomy (ventilation) tube kuitira kuti ishande. Chigadzirwa chacho chinounza mapurisa ekudzvinyirira mukati mezeve yomukati kuburikidza ne tympanostomy tube. Iro kurapa idzva uye vashandi vezvechiremba havasati vanyatsoziva nei chigadzirwa ichi chichishanda, asi tsvakurudzo inoratidza kuregererwa kwechiratidzo kana chigadzirwa ichi chinoshandiswa zuva rega rega.
Kurasikirwa kwemavhetir, kudzidzira kuvandudza mararamiro, hauna kuratidzwa kuti inonyanya kubatsira mukurapa chirwere chaMeniere. Kune dzimwe mimwe mitsara yokuti kufamba kwakanaka , kurapa kweBPPV , kunogona kubvisa zviratidzo zve vertigo inobatanidza nechirwere chaMeniere zvishoma pane kwenguva pfupi.
Zvokuvhiya zvinoshandiswa zvine ngozi uye zvakachengeterwa zvakanyanya uye zvinokonzera vertigo. Zvose zvinoshandiswa pakusarudzwa kwechirwere cheMeniere zvinokakavara. A labyrinthectomy inobvisa labyrinth yenzeve, nhengo yekunzwa ine endolymph, iyo inotumira zviratidzo kuuropi nezvekufamba kwemuviri.
Izvi zvinokonzera kunzwa kurasikirwa uye zvakachengeterwa vanhu vakatoti varasikirwa nekunzwa kwavo munzeve iyoyo. Imwe nzira yekuvhiya iyo inochengetedza kunzwa asi ichiri kutakura ngozi inonzi "vestibular neurectomy". Kuvhiyiwa uku kunosanganisira kuparadzanisa mitsetse iyo inobatanidza kusakosha kwemuviri wechipfu. Mamwe maitiro anosanganisira endolymphatic decompression sac kana kusina kuiswa.
Njodzi Zviitiko uye Kuwanda
Maererano neNational Institute of Deafness & Other Communication Disorders, vanenge 615 000 vanhu vari kuonekwa kuti vane chirwere chaMeneire muUnited States. Vanofungidzira mamwe mazana makumi mashanu nemakumi mana nemakumi mana nemakumi mashanu (500) mhosva dzangobva kuongororwa gore negore Zvinenge 0,2 kubva muzana zvevanhu muUnited States vane chirwere cheMeneire. Zvakakosha kuyeuka kuti nhamba idzi inongororwa chete; dzimwe nyanzvi dzinofunga kuti chirwere chacho chiri pasi-chakataurwa.
Vanhu vazhinji vane chirwere chaMeniere vane nhoroondo ye migraine musoro. Ruzhinji rwevanhu vane chirwere chaMeniere vane makore anopfuura makumi mana, kunyange zvazvo zvichigona kuitika panguva ipi zvayo, uye zvinoratidzika kuti zvinokanganisa varume nemadzimai zvakaenzana. Mamwe mapepa anoratidza chimiro chemajini asi izvi hazvina kuratidzwa.
Kutsungirira
Nzira yakanakisisa yekutarisana nekurwiswa kwe vertigo inoratidzika kunge yakarara pasi patafura kusvikira ichipfuura. Iwe unogona kuedza kutarisa chimwe chinhu chakasimbiswa. Usaedza kudya kana kumwa kana zvinogona kukonzera kushungurudza uye kurutsa.
Kana iwe uchinge uchinge uchinetseka uye uchirutsa kwemaawa anopfuura makumi maviri, taura nachiremba wako kuti urege kukurumidza kupera simba. Mishonga inonzi ichangobva kutaurwa inogona kubatsira neruzhinji uye kushungurudza uye kurutsa. Apo vertigo inopfuura, ona kuti iwe simuka zvishoma.
Inobatsirawo kubatisisa kune chimwe chinhu chakagadzikana chakadai sorusvingo kana terefu. Kuedza kufamba panguva yekurwiswa kunogona kukonzera kugwa nekukuvadza kwakanyanya saka nguva dzose chenjerera.
Sezvimwe zvirwere zvinoparadza uye zvisingaperi, zvirwere zveMeniere zvinogona kukonzera kuora mwoyo. Kana uchinzwa manzwiro aya, tapota taura nechiremba wako. Inogonawo kubatsira kubatsira kutaura uye kubatana nevamwe vanhu vari kutambura nechirwere ichi.
Kunyange zvazvo chirwere chaMeniere chinogona kukanganisa, hachisi chakaipa uye mishonga mitsva iri kubuda iyo inobatsira kudzora chirwere ichi nekuvandudza hupenyu hwehupenyu.
Sources:
American Academy of Speech-Mutauro-Kunzwa. Kuongorora uye Kutungamirirwa kwezvirwere zveMeneire. Yakasvika: June 4, 2011
Medscape. Meniere Disease. Yakasvika: March 29, 2014
National Institute on Deafness & Other Disorders Communication. Zvirwere zveMenaire. Yakasvika: April 14, 2009