I-MS ngamanye amaxesha, kodwa akusoloko ikhona, ityala le-vertigo kwizigulane ze-MS
I-Vertigo iyimpawu enobuhlungu yobuninzi be- sclerosis . Cinga emva kokuba uyingumntwana kwaye uphawula ngapha nangapha, wume. Oku kuluvo olukhulu-ngoku nje ngokuba ungumdala, awukho kwindawo yokudlala, kwaye awukwazi ukuwuyeka. Ingqondo ephazamisayo, engenakukhathazeka yokungaqiniseki okanye ukugula, ukwenza ukuba thina esele sincinci kwiinyawo zethu sizive ngakumbi ngakumbi.
Sibanzi
I-Vertigo yimiqondiso eqhelekileyo ye-multiple sclerosis (MS), eyenzeka malunga nama-20 ekhulwini labantu abane-MS ngexesha elithile. Ngethamsanqa, akusona uphawu olusisigxina kubantu abaninzi kwaye akunakho ukubonisa intsholongwane entsha okanye ukuvuvukala (njengokuba i-vertigo ingaba nezizathu ezingezizo ze-MS). Nangona kunjalo, kusenokuba sisuka kwiintsholongwane zengqondo okanye kwizilonda ezindala ezikhula.
Izizathu
I-Vertigo ibangelwa zizilonda ze-MS kwi-cerebellum . Kananjalo kungabangela umonakalo kwiimbilini ezilawula imisebenzi ye-vestibulare yomlomo (i-acoustic cranial nererve, i-CN VIII) ebuchosheni .
Nangona kunjalo, kubonakala ukuba imbangela eqhelekileyo kubantu abane-MS yinto ebizwa ngokuthi yi-benign paroxysmal yokubeka i-vertigo (BPPV), kunokudityaniswa (ukutshabalaliswa kwe- myelin ). Oku kuthetha ukuba ngenxa yokuba unayo i-MS ayithethi ukuba i-vertigo iyiphumo elichanekileyo kwinkqubo yesifo se-MS.
I-Benign Paroxysmal Positioning Vertigo (BPPV)
I-BPPV ivakalelwa njenge-vertigo enamandla eyenzeka ekuqhubeni kwentloko, ingakumbi xa igqitha phezu kombhede, ukuphuma ebhedeni, okanye ukuphosa ikhanda kwakhona ukukhangela. Ivakalelwa ngathi wena (okanye iindawo ezikufutshane) ujikeleza okanye udibanisa xa ungekho. Ngokuqhelekileyo ihlala nje imizuzu emibini.
I-BPPV ibangelwa yimfucuza eqokelelwe kwinxalenye ethile (iinqwelo ezingezantsi zee-ear ear), eyinxalenye yesistimu ye-vestibular.
I-debris, ebizwa ngokuthi i-otoconia okanye i-canaliths, yinyani i-calcium carbonate crystals esinazo zonke. Ngokuqhelekileyo zinamathele kwiincinci ezincinci kwindlebe yakho yangaphakathi ebonisa ukunyakaza kodwa inokukhutshwa kwaye ijikeleze.
Xa umntu ophethe i-BPPV ehambisa intloko yakhe, ezi kristali zitshintsha kwaye zivuselela iinwele ezincinci, zithumela iimpawu zobuxoki engqondweni. I-vertigo iyenzeka ngenxa yokudideka ebangelwa ezi zibonakaliso kunye nezinye iisistimu ezilawula umnikazi wendawo . Ekubeni abantu abaninzi abane-MS sele benenkathazo yokuzifumanisa, oku kunokubenza bazive beBPPV ngakumbi. Ngamanye amazwi, umda wabo wokufumana i-vertigo ingaba sezantsi.
Mayeza
I-Vertigo inokuthi ibe yingozi nakwezinye iziyobisi ezichazwe kwiimpawu ze-MS, ezifana ne-tricyclic antidepressants (Elavil) ngenxa yeentlungu zesifo se-neuropathic okanye i-Baclofen yokuxhamla. Imiba yexinzelelo yegazi, ishukela ephantsi yegazi, okanye isifo se-cardiovascular can also be the cause of your vertigo. Ngoko, ukubona ugqirha wakho wokunyamekela ngokusisigxina ngokupheleleyo kukucinga. Kwakhona, i-vertigo ingabangela izifo, ezifana nomkhuhlane.
Iimpawu
I-Vertigo, ebangelwa yi-MS nakwezinye izinto, yinto yokucima-ingaba uvakalelwa ngathi ujikelezayo okanye ujikelezo lwakho lujikeleze.
Unokuziva ngathi:
- Umhlaba ngokukhawuleza unyuke phezulu.
- Igumbi (okanye indawo ejikelezayo) ihamba ngokuqhubekayo.
- Igumbi libonakala lijikeleze inxalenye yendlela, buyela kwinto eqhelekileyo, kwaye ijikeleze indlela enye.
Ingaba yintliziyo enamandla kakhulu yokunyakaza kwaye ingabangela ukucabangela okanye ukuhlanza. Kwizona zimbi kakhulu, i-vertigo inokubangela ubunzima bokuma okanye ukuhamba kunye nokukhokelela ekuwa. Akunqweneli ukuphikelela ixesha elide, kodwa kunokuthatha iiveki okanye iinyanga ukuba zihambe (oko kudla ngokuthe ngcembe). Abanye abantu, nangona kunjalo, bafumana okungaqhelekiyo.
Unyango
Ukuba unayo i-MS kwaye ufumana i-vertigo, ingcamango enhle ukubona i-otolaryngologist, igama eliqhakazile indlebe, impumlo, kunye nomphetho we-throat (ENT).
Ngokwenene, ukuba uhlala kwindawo enokufikelela kuloo ngcali, uya kubonwa ngumboneleli we-oonelologist (i-neurotologist (iingcali kwizinto zombini zendlebe kunye ne-neurology) nakweyiphi na imeko ye-vertigo ehlobene ne-MS.
Oku kubalulekile kuba ezinye zezimbangela ze-vertigo (ezifana ne-BPPV) zingaphathwa ngaphandle kweyeza (ukuphathwa kakubi, njengokwimeko ye-BPPV) kwaye unokuthintela ukukhangela okungenasidingo kwe-MRI kunye neziyobisi ezinomdla njengokhathala.
Ukuba i-vertigo yakho iphuma kwi-MS, ukulungiswa kwe-vestibular kungabaluleka. Ukuba i-vertigo yakho enxulumene ne-MS inzima kakhulu, ingakumbi xa yenza ukuba unesizathu esinesiqhelo sokunceda ungeke ukwazi ukugcina amanzi phantsi okanye ukuthatha imilomo ngomlomo, ukusetyenziswa kwamanzi kunye ne-high-dose corticosteroids kunokunciphisa iimpawu zakho.
ILizwi
Nangona ngokuqinisekileyo luphawu olungenakukhathazeka nolunzima, uyazi ukuba i-vertigo e-MS inokuphathwa. Ngoxilongo olufanelekileyo kunye nesicwangciso sonyango esibanzi esivame ukuquka unyango kunye nolunye uhlobo lokulinganisela unyango, unokubuyela ekujongeni ubomi bakho.
> Imithombo
> I-MS Society Society. Vertigo.
> Randall T. Schapiro. Ukulawula iiSmptoms of Multiple Sclerosis (5 Ed.). INew York: Ukushicilelwa kweMfuno. 2007.