I-Labyrinthitis iyigama elibanzi kwisimo esinqabileyo esibangela ukuvuvukala kwendlebe yangaphakathi, ngakumbi i-vestibular system. Inkqubo ye-vestibula iyinxalenye yendlebe yangaphakathi efumana ulwazi malunga nesimo somzimba kunye nokulinganisela kwayo kwaye ibuyisela olo lwazi kwingqondo.
I-vestibular neuritis ukuvuvukala kwe-vestibulocochlear nererve.
I-vestibulocochlear nerve inexanduva lokudlulisa ulwazi malunga nesandi kunye nesimo somzimba wakho kwingqondo. Ngenxa yokuba i-labyrinthitis kunye ne-vestibular neuritis zinempawu ezifanayo kwaye ziphathwa ngendlela efanayo, siya kusebenzisa le mibini emibini apha.
Izizathu
Izimbangela ze-labyrinthitis ne-vestibular neuritis aziqondakali kakuhle kodwa iimpawu ziqala ngokuqala emva kokusuleleka okanye ezinye iimeko ezibangelwa ukuvuvukala. Le miqathango ilandelayo ingakhokelela ekuphuhlisweni kwesi sifo:
- Izifo ezinentsholongwane okanye iintsholongwane ziquka izifo eziphezulu zokuphefumula okanye izifo zentloko
- Utywala
- Cholesteatoma
- Amachiza anomsindo okanye inetyhefu kwindlebe
Izinto zobungozi
- Ukutshaya
- Ukusetyenziswa ngokweqile kotywala
- Kwimbali yokunyamezela
- Ukuxinezeleka
- Usulelo oluphezulu lokuphefumula
Iimpawu
Iimpawu zidlala indima ebalulekileyo ekuxilongweni kwe-labyrinthitis. Izikhalazo eziqhelekileyo abantu abazenzayo:
- I- vertigo enamandla
- I sizathu
- Ukuvutha
- Ukukhubazeka
- Ukukhubazeka kokubonakalayo
- Unzima ukugxila
- I-Tinnitus (ukukhala ngeendlebe)
- Ukulahlekelwa kwindlebe eyodwa
Ngelixa unako ukufumana nayiphi na imiphumo ecaleni echazwe ngasentla, iinkalo eziqhelekileyo eziphawulweyo ziya kuvela ngokukhawuleza kwe-vertigo ehamba kunye neentlanzi kunye nokuhlanza.
Iimpawu zisoloko zibi kakhulu kwiiyure ezingama-24 kwaye emva koko ziphuculwe.
Nini ukubona iDokotela
Kubalulekile ukufumana unyango ngokukhawuleza xa unempawu ezintsha ze-labyrinthitis ngenxa yezinye izifo ezibi kakhulu zinempawu ezifanayo kuquka ukubetha .
Ukuxilongwa
Akukho vavanyo olulodwa olusetyenziswa ukuxilonga i-labyrinthitis. Ugqirha wakho uya kwenza iimvavanyo eziliqela emva kokuvavanya ukuhlolwa kweendlebe ekutyelele i-otoscope. Ngaphandle kokuvavanya iindlebe zakho, ugqirha wakho uya kuphinda ahlole umsebenzi wakho wamagulane ukuze ahlole nayiphi na ingxaki nge-neurologic system engabangela iimpawu zakho. Isisitshixo sesithathu esichengeni ugqirha uya kwenzayo saziwa ngokuba yi-HIT (Intshutshiso yokuHlola kweNtloko) ukujonga umsebenzi weengqungquthela zakho zamanxeba entle yangaphakathi.
Ukuba iingxaki zokuvalelwa ziphawulwa, uya kufumana umyalelo wokuvavanya i-audiogram okanye i- electronystagmography (ENG) ukuzama ukunceda ngokubanzi ukufumanisa imbangela yeempawu zakho. Nangona kungasadingeki ukuba uhlolisise i-labyrinthitis, ugqirha wakho unokucela iimvavanyo zokujonga izinto ezifana ne- MRI okanye i- CT ukusinceda ukulawula ukuphazamiseka okanye ukufumanisa iingxaki zenkqubela ukuba unemingcipheko ebalulekileyo.
Isigqibo seLabyrinthitis
Iimpawu ezinxulumene ne-labyrinthitis zinokukhathaza.
Okokuqala, qiniseka ukuba uzame ukuphumla. Ukuxinezeleka kunokunyusa impawu zakho. Mhlawumbi uya kuqala ulala kwikhefu lokulala kwaye wenze ukuba umgangatho wakho womsebenzi unyuke ngaphezu kwexesha unako.
Iimpawu ze-labyrinthitis zingaqala ukuphazamisa iiveki ezi-1-4 emva kokuba ziqale. I-Labyrinthitis ihlala iphela kwiinyanga ezingama-2-3, nangona kunjalo, ukulahlekelwa kwindlebe kungasigxina . Ezinye izigulana ziqhubeka ziba nesidenge kodwa oku akunqabile kwaye kunokwenzeka ukuba zenzeke kwizigulane ezigugile. Ukukhubazeka kwexesha elifutshane ngenxa yeempawu ze-labyrinthitis kunokubaluleka. Ugqirha ofanelekileyo unokukunceda ukuba uphathe iimpawu.
Amachiza Ophulo
I-Corticosteroids , efana no-Prednisone, eyanciphisa ukuvuvukala kukholwa ukuba ikhawuleze ixesha lokubuyisela i-labyrinthitis. Ezinye iziphumo ziye zafumanisa ukuba unyango lweyeza lokubulala i-valacyclovir aluncedo ekwenzeni i-labyrinthitis; Nangona kunjalo, akukho zifundo ezaneleyo zokuqinisekisa oku. Ezinye iindlela zonyango zijoliswe ekulawuleni iimpawu. Ulwahlulo oluthathu oluphambili lwamachiza lisetyenziselwa ukunciphisa le mpawu:
I-Antihistamines ingasetyenziselwa ukunceda ukukhusela iimpawu zesisu esinxulumene ne-vestibula system engasebenzi kakuhle. Amachiza aqhelekileyo ukuba ahlolwe ngokuqhelekileyo i-meclizine, nangona kunjalo, i-dimenhydrinate kunye ne-Benadryl ingasetyenziswa kwakhona.
I-Antiemetics yinyango eyanceda ukunciphisa isisulu sokuncwina nokuhlanza. Abanye abantu banokuhlanza ngokwaneleyo ukuhlalisa amanzi. Kule meko, kufuneka kufikelelwe esibhedlele ukwenzela ukuba ukulahleka kwamanzi kungathatyathwa endaweni. I- antiemetics elandelayo ingasetyenziselwa ukulawula le mpawu:
- Domperidone
- I-Metoclopramide (Phenergan)
- Ondansetron (Zofran)
- Prochlorperazine
I-Scopolamine iyisisigidi se-anticholinergic esingasetyenziselwa ukunyanga isicupunu. Ilawulwa ngepakethi edlalwa emva kwendlebe.
Ukuvuselelwa kweVestibular
Ukuvuselelwa kwe-Vestibular kunokuba luncedo xa iimpawu zakho ziqhubeka ixesha elide okanye zihlala zingapheliyo. Ukuvuselelwa kwe-Vestibular yindlela yokwelapha ngokwenyama eyenza ukubuyisela ingqondo kunye nomzimba wakho ukuhlawulela ukungalingani kwakho kwe-vestibular.
Njengoko kuthethwa ngaphambili kwiimeko ezininzi ze-labyrinthitis zigqiba ngokupheleleyo ngaphandle kokukhubazeka ngokusisigxina. Kwiimeko ezinqabileyo, ukulahlekelwa kwindlebe okanye ukutywa kwegazi kunokuqhubeka.
Imithombo:
I-American Hearing Research Foundation. I-Vestibular Neuritis neLabyrinthitis. http://american-hearing.org/disorders/vestibular-neuritis-and-labyrinthitis/
Ferri, FF. (2017). I-Labyrinthitis: Umcebisi weCliniki kaFerri 2017. http://www.clinicalkey.com (Ubhaliso olufunekayo).
Health Pubmed. Labyrinthitis. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0027300/
Association Vestibular Disorders. I-Labyrinthitis kunye ne-Vestibular Neuritis. http://www.vestibular.org/vestibular-disorders/specific-disorders/labyrinthitisvest-neuritis.php
Ukuguqula izigulane. I-Vestibular Neuritis. http://www.uptodate.com/patients/content/topic.do?topicKey=~spN6u8nazQQzLN&selectedTitle=1~11&source=search_result Ubhaliso olufunekayo.