Lefu la Ménière

Lefu la Ménière ke lefu la tsebe le kahare le amang botsitso le kutlo.

Tsebe ea hao e ka hare e na le methapo e tletseng mokelikeli e bitsoang labyrinths. Li-tubes tsena, hammoho le methapo ea lehata, li u thusa ho tseba boemo ba 'mele oa hau le ho u thusa ho boloka botsitso.

Lebaka le tobileng la lefu la Ménière ha le tsejoe. E kanna ea etsahala ha khatello ea mokelikeli karolong e 'ngoe ea tsebe e ka hare e phahama haholo.

Maemong a mang, lefu la Ménière le kanna la amana le:

• Kotsi ea hlooho
• Tšoaetso ea tsebe e bohareng kapa e ka hare

Mabaka a mang a kotsi a kenyelletsa:

• Tšebeliso ea joala
• Maloetse
• Nalane ea lelapa
• Boloetse ba morao-rao bo batang kapa ba vaerase
• Ho tsuba
• Khatello ea maikutlo
• Ts'ebeliso ea meriana e itseng

Lefu la Ménière ke boloetse bo tloaelehileng.

Litlhaselo tsa lefu la Ménière hangata li qala ntle le tlhokomeliso. Li ka etsahala letsatsi le letsatsi kapa ka seoelo hang ka selemo. Boima ba tlhaselo ka 'ngoe bo ka fapana. Litlhaselo tse ling li kanna tsa ba matla 'me tsa sitisa mesebetsi ea bophelo ea letsatsi le letsatsi.

Lefu la Ménière hangata le na le matšoao a mane a mantlha:

• Ho lahleheloa ke kutlo hoa fetoha
• Khatello litsebeng
• Ho lla kapa ho puruma tsebeng e amehileng, e bitsoang tinnitus
• Vertigo, kapa molikoalikoane

Vertigo e matla ke letšoao le bakang mathata a mangata. Ka vertigo, o utloa eka o ntse o bilika kapa oa tsamaea, kapa lefatše le o potoloha.

• Ho nyekeloa, ho hlatsa le ho fufuleloa hangata ho etsahala.
• Matšoao a mpefala ka motsamao oa tšohanyetso.
• Hangata, o tla hloka ho paqama le ho kwala mahlo.
• U kanna oa ikutloa u le hlooho ea hlooho ea hlooho ea hlooho ea hlooho ea motho kae kapa kae ho tloha metsotso e 20 ho isa ho lihora tse 24.

Ho lahleheloa ke kutlo hangata ho ba tsebeng e le 'ngoe feela, empa ho ka ama litsebe ka bobeli.

• Ho utloa ho lula ho ntlafala lipakeng tsa litlhaselo, empa ho mpefala ha nako e ntse e tsamaea.
• Kutlo ya makga a tlase e lahleha pele.
• Hape u kanna oa ba le ho puruma kapa ho lla tsebeng (tinnitus), hammoho le khatello ea tsebe ea hau

Matšoao a mang a kenyelletsa:

• Letšollo
• Ho tšoaroa ke hlooho
• Bohloko kapa ho se utloise bohloko ka mpeng
• Ho nyekeloa le ho hlatsa
• Ho sisinyeha ho sa laoleheng ha mahlo (letšoao le bitsoang nystagmus)

Ka linako tse ling ho nyekeloa ke pelo, ho hlatsa le letshollo ho matla hoo u hlokang ho amoheloa sepetlele ho fumana maro a IV kapa ho hlokahala hore u phomole hae.

Tlhahlobo ea tsamaiso ea boko le methapo e ka bonts'a mathata ka kutlo, ho leka-lekana kapa ho sisinyeha ha mahlo.

Teko ea kutlo e tla bonts'a tahlehelo ea kutlo e etsahalang ka lefu la Ménière. Ho utloa ho ka ba haufi le tloaelo kamora tlhaselo.

Teko ea ts'ebetso ea `` caloric '' e lekola mahlo a hau ka ho futhumatsa le ho pholisa tsebe e kahare ka metsi. Liphetho tsa liteko tse seng maemong a tloaelehileng e ka ba sesupo sa lefu la Ménière.

Liteko tsena li kanna tsa etsoa ho hlahloba lisosa tse ling tsa vertigo:

• Electrocochleography (ECOG)
• Electronystagmography (ENG) kapa videonystagmography (VNG)
• Hlooho ea MRI ea hlooho

Ha ho na pheko e tsebahalang ea lefu la Ménière. Leha ho le joalo, phetoho ea bophelo le kalafo tse ling li ka thusa ho kokobetsa matšoao.

Mofani oa hao oa tlhokomelo ea bophelo a ka fana ka maikutlo a mekhoa ea ho fokotsa palo ea mokelikeli 'meleng oa hau. Hangata hona ho ka thusa ho laola matšoao.

• Lipilisi tsa metsi (diuretics) li ka thusa ho theola khatello ea mokelikeli tsebeng e kahare
• Lijo tse nang le letsoai le tlase le tsona li ka thusa

Ho thusa ho fokotsa matšoao le ho lula u bolokehile:

• Qoba ho sisinyeha ka tšohanyetso, ho ka mpefatsang matšoao. U kanna oa hloka thuso ha u hlaseloa.
• Qoba mabone a khanyang, TV le ho bala nakong ea litlhaselo. Li ka mpefatsa matšoao.
• Se ke oa khanna, sebelisa mechini e boima, kapa oa hloa ho fihlela beke e le 'ngoe ka mor'a hore matšoao a hau a nyamele. Ho tsuba ka tšohanyetso nakong ea mesebetsi ena ho ka ba kotsi.
• Khutsa 'me u phomole ha u e-na le matšoao.
• Butle-butle eketsa ts'ebetso ea hau kamora litlhaselo.

Matšoao a lefu la Ménière a ka baka khatello ea maikutlo. Etsa khetho ea bophelo bo botle ho u thusa ho sebetsana ka katleho le:

• Ja lijo tse leka-lekaneng le tse nepahetseng. Se ke oa ja ho tlōla.
• Ikoetlise khafetsa, ha ho khonahala.
• Robala ka ho lekaneng.
• Fokotsa k'hafeine le joala.

Thusa ho fokotsa khatello ea maikutlo ka ho sebelisa mekhoa ea boikhathollo, joalo ka:

• Litšoantšo tse tataisoang
• Ho thuisa
• Phomolo ea mesifa e tsoelang pele
• Tai chi
• Yoga

Botsa mofani oa hau ka mehato e meng ea boipheliso.

Mofani oa hau a ka laela:

• Meriana ea li-antinausea e kokobetsang ho nyekeloa ke pelo le ho hlatsa
• Diazepam (Valium) kapa meriana ea bokuli ba ho sisinyeha, joalo ka meclizine (Antivert, Bonine, Dramamine) ho kokobetsa molikoalikoane le vertigo

Mefuta e meng ea kalafo e ka thusang e kenyelletsa:

• Thuso ea kutlo ho ntlafatsa kutlo litsebeng tse amehileng.
• Phekolo e leka-lekaneng, e kenyelletsang boikoetliso ba hlooho, leihlo le 'mele boo u ka bo etsang lapeng ho thusa ho koetlisa boko ba hau ho hlola botsoa.
• Phekolo ea khatello ea maikutlo e sebelisa sesebelisoa se romellang khatello e nyane ka kotopo ea tsebe ho ea tsebe e bohareng. Likhahla li reretsoe ho fokotsa bongata ba mokelikeli bohareng ba tsebe, e leng ho fokotsang botsoa.

U kanna ua hloka ho buuoa ka tsebe haeba matšoao a hau a le matla 'me a sa arabele kalafo tse ling.

• Ho buoa ho fokotsa methapo ea liaparo ho thusa ho laola li-vertigo. Ha e senye kutlo.
• Ho etsa opereishene ea ho theola sebopeho sa tsebe e kahare e bitsoang endolymphatic sac. Ho utloa ho ka angoa ke ts'ebetso ena.
• Ho enta li-steroid kapa lithibela-mafu tse bitsoang gentamicin ka kotloloho tsebeng e bohareng ho ka thusa ho laola vertigo.
• Ho tlosa karolo ea tsebe e ka hare (labyrinthectomy) ho thusa ho phekola vertigo. Sena se baka tahlehelo e felletseng ea kutlo.

Lisebelisoa tsena li ka fana ka tlhaiso-leseling e batsi ka lefu la Ménière:

• American Academy of Otolaryngology-Head le Neck Surgery - www.enthealth.org/conditions/menieres-disease/
• Setsi sa Naha sa Bokooa le Mathata a Mang a Puisano - www.nidcd.nih.gov/health/menieres-disease
• Mokhatlo oa Mathata a Vestibular - vestibular.org/menieres-disease

Hangata lefu la Ménière le ka laoloa ka kalafo. Kapa, ​​boemo bo ka ntlafala ka bo bona. Maemong a mang, lefu la Ménière le ka ba le sa foleng (la nako e telele) kapa le holofatsa.

Bitsa mofani oa hau haeba u e-na le matšoao a lefu la Ménière, kapa haeba matšoao a mpefala. Tsena li kenyelletsa ho se utloe litsebeng, ho lla litsebeng, kapa ho tsekela.

U ke ke ua thibela lefu la Ménière. Ho phekola matšoao a mathoasong hang-hang ho ka thusa ho thibela boemo ho mpefala. Ho phekola tšoaetso ea tsebe le mathata a mang a amanang le ona ho ka ba molemo.

Li-hydrops; Ho lahleheloa ke kutlo; Li-hydrops tsa Endolymphatic; Ho tsekela - lefu la Ménière; Vertigo - lefu la Ménière; Ho lahleheloa ke kutlo - lefu la Ménière; Phekolo ea khatello ea maikutlo - Lefu la Ménière

• Anatomy ea tsebe
• Lera la Tympanic

Boomsaad ZE, Telian SA, Patil PG. Kalafo ea vertigo e sa khoneheng. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 105.

Crane BT, LB e Nyane. Mathata a pherekano a vestibular. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 165.