Mathata a amanang le Vertigo

Vertigo ke maikutlo a ho sisinyeha kapa ho ohla ao hangata a hlalosoang e le botsoa.

Vertigo ha e tšoane le ho ba hlooho e bobebe. Batho ba nang le li-vertigo ba ikutloa eka ba ntse ba ohla kapa ba tsamaea, kapa hore lefatše le ba potoloha.

Ho na le mefuta e 'meli ea vertigo, pheripheral le vertigo e bohareng.

Pheripheral vertigo e bakoa ke bothata karolong ea tsebe e ka hare e laolang botsitso. Libaka tsena li bitsoa vestibular labyrinth, kapa li-canal tse chitja. Bothata bo ka kenyelletsa methapo ea liaparo. Hona ke methapo pakeng tsa tsebe e ka hare le kutu ea boko.

Vertigo ea pherifera e ka bakoa ke:

• Benign positional vertigo (benign paroxysmal positional vertigo, e tsejoang hape e le BPPV)
• Meriana e meng, joalo ka lithibela-mafu tsa aminoglycoside, cisplatin, diuretics, kapa salicylates, tse chefo ho likarolo tsa tsebe tsa kahare
• Kotsi (joalo ka ho lemala hloohong)
• Ho ruruha ha methapo ea vestibular (neuronitis)
• Ho halefa le ho ruruha ha tsebe e ka hare (labyrinthitis)
• Lefu la Meniere
• Khatello ea methapo ea liaparo, hangata e tsoa hlahala e sa kankere e kang meningioma kapa schwannoma

Vertigo e bohareng e bakoa ke bothata bokong, hangata bokong ba boko kapa karolong e ka morao ea boko (cerebellum).

Vertigo e bohareng e ka bakoa ke:

• Boloetse ba methapo ea mali
• Lithethefatsi tse ling, tse kang li-anticonvulsants, aspirin le joala
• Multiple sclerosis
• Ho oela (ka seoelo)
• Leqeba
• Hlahala (kankere kapa noncancerous)
• Vestibular migraine, mofuta oa hlooho ea hlooho ea migraine

Letšoao le ka sehloohong ke maikutlo a hore uena kapa kamore e tsamaea kapa e ohla. Boikutlo ba ho ohla bo ka baka moferefere le ho hlatsa.

Ho latela lebaka, matšoao a mang a ka kenyelletsa:

• Bothata ba ho tsepamisa mahlo
• Botsoa
• Ho lahleheloa ke kutlo tsebeng e le 'ngoe
• Ho lahleheloa ke botsitso (ho ka baka ho oa)
• Ho lla litsebeng
• Ho nyekeloa ke pelo le ho hlatsa, ho lebisang ho lahleheloeng ke maro a 'mele

Haeba u na le vertigo ka lebaka la mathata bokong (central vertigo), u ka ba le matšoao a mang, ho kenyelletsa:

• Ho thata ho koenya
• Pono e habeli
• Mathata a motsamao oa mahlo
• Ho holofala sefahleho
• Puo e sa hlakang
• Bofokoli ba maoto le matsoho

Ho hlahlojoa ke mofani oa tlhokomelo ea bophelo ho ka bontša:

• Mathata a ho tsamaea ka lebaka la ho lahleheloa ke botsitso
• Mathata a ho sisinyeha ha mahlo kapa ho sisinyeha ha mahlo ka boithaopo (nystagmus)
• Ho lahleheloa ke kutlo
• Ho hloka taolo le botsitso
• Bofokoli

Liteko tse ka etsoang li kenyelletsa:

• Liteko tsa mali
• Kutlo ea kutlo ea boko e hlahisitse lithuto tse ka bang teng
• Khothatso ea caloric
• Electroencephalogram (EEG)
• Boitsebiso ba Electronystagmography
• Hlooho CT
• Lumbar e phunya
• Tlhatlhobo ea hlooho ea MRI le MRA ea methapo ea mali ea boko
• Teko ea ho tsamaea (gait)

Mofani oa thepa a ka u tsamaisa ka mokhoa o itseng, joalo ka tlhahlobo ea hlooho. Liteko tsena li thusa ho tseba phapang lipakeng tsa vertigo e bohareng le e potileng.

Lebaka la bothata bofe kapa bofe ba boko bo bakang vertigo le lokela ho tsejoa le ho phekoloa ha ho khonahala.

Ho thusa ho rarolla matšoao a bolulo ba boemo bo botle, mofani oa thepa a ka u tsamaisa ka Epley. Sena se kenyelletsa ho beha hlooho ea hau maemong a fapaneng ho thusa ho hlophisa setho sa botsitso.

U ka fuoa meriana hore u phekole matšoao a pheripheral vertigo, joalo ka ho nyekeloa ke pelo le ho hlatsa.

Phekolo ea 'mele e ka thusa ho ntlafatsa mathata a teka-tekano. U tla rutoa boikoetliso ho khutlisa mohopolo oa hau oa botsitso. Ho ikoetlisa ho ka matlafatsa mesifa ea hau ho thusa ho thibela ho oa.

Ho thibela ho mpefala ha matšoao nakong ea sekoti, leka ho etsa tse latelang:

• Khutsang. Lula kapa u paqame ha matšoao a hlaha.
• Butle-butle ts'ebetso hape.
• Qoba liphetoho tsa maemo a tšohanyetso.
• Se ke oa leka ho bala ha matšoao a hlaha.
• Qoba mabone a khanyang.

U kanna oa hloka thuso ea ho tsamaea ha matšoao a hlaha. Qoba lintho tse kotsi tse kang ho khanna, ho sebelisa mechini e boima, le ho hloa ho fihlela beke e le 'ngoe ka mor'a hore matšoao a nyamele.

Kalafo e 'ngoe e ipapisitse le sesosa sa vertigo. Phekolo, ho kenyeletsoa khatello ea methapo ea methapo, ho ka buelloa maemong a mang.

Vertigo e ka kena-kenana le ho khanna, mosebetsi le mokhoa oa bophelo. E ka baka hape ho oa, ho ka lebisang likotsing tse ngata, ho kenyelletsa le ho robeha ha letheka.

Bitsa kopano le mofani oa hau haeba u na le li-vertigo tse sa tsamaeeng kapa tse sitisang mesebetsi ea hau ea letsatsi le letsatsi. Haeba ha o so ka o ba le vertigo kapa o na le vertigo e nang le matšoao a mang (joalo ka pono e habeli, puo e sa hlakang, kapa tahlehelo ea khokahano) letsetsa 911.

Ponahalo ea pheriferale; Vertigo e bohareng; Ho tsekela; Ho iponahatsa ha boemo ba Benign; Benign paroxysmal positional vertigo

• Lera la Tympanic
• Cerebellum - mosebetsi
• Anatomy ea tsebe

Bhattacharyya N, Gubbels SP, Schwartz SR, le al. Tataiso ea boits'oaro ba bongaka: ntlafatso ea paroxysmal positional vertigo (ntlafatso). Otolaryngol Head Neck Surg. 2017; 156 (3_suppl): S1-S47. PMID: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.

Chang AK. Botsoa le vertigo. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 16.

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.

Kerber KA, Baloh RW. Neuro-otology: tlhahlobo le taolo ea mathata a neuro-otoligical. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 46.