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Litaba

Liteko tsa tekano ke eng?

Liteko tsa litekanyo ke sehlopha sa liteko tse lekang mathata a ho leka-lekana. Bothata ba ho leka-lekana ke boemo bo etsang hore u ikutloe u sa tsitsa maotong a hao le ho ba le botsoa. Botsoa ke lentsoe le akaretsang bakeng sa matšoao a fapaneng a ho se leka-lekane. Botsoa bo ka kenyelletsa li-vertigo, maikutlo a hore uena kapa tikoloho ea hau o potoloha, le hlooho e bobebe, maikutlo a hore o tla akheha. Mathata a ho leka-lekana a ka ba bonolo, kapa a ba matla hoo o ka bang le bothata ba ho tsamaea, ho hloa litepisi, kapa ho etsa mesebetsi e meng e tloaelehileng.

Lits'ebetso tse fapaneng 'meleng oa hau li hloka ho sebetsa' moho hore o be le botsitso. Sisteme ea bohlokoahali e bitsoa vestibular system. Sistimi ena e ka tsebeng ea hau e kahare mme e kenyelletsa methapo le likarolo tse ikhethang tse u thusang ho boloka botsitso. Pono ea hau le maikutlo a hau a ho ama le tsona li bohlokoa bakeng sa botsitso bo botle. Mathata ka efe kapa efe ea litsamaiso tsena a ka lebisa bothateng ba botsitso.

Mathata a ho leka-lekana a ka ba teng ka nako efe kapa efe, empa a atile haholo ho batho ba baholo. Ke le leng la mabaka a mantlha ao batho ba baholo ba atisang ho oela khafetsa ho feta bacha.


Mabitso a mang: ho etsa liteko tsa vestibular, liteko tsa vestibular

Li sebelisetsoa eng?

Ho sebelisoa liteko tsa Balance ho fumana hore na u na le bothata ka botsitso ba hau, 'me haeba ho joalo, e bakoa ke eng. Ho na le lisosa tse ngata tsa mathata a ho leka-lekana. Li kenyeletsa:

  • Benign paroxysmal positional vertigo (BPPV). Tsebe ea hao e ka hare e na le likristale tsa calcium, tse thusang ho laola botsitso. BPPV e etsahala ha likristale tsena li tlosoa maemong. E ka etsa hore u utloe eka phapusi e ea ohla kapa tikoloho ea hau ea tsamaea. BPPV ke sesosa se tloaelehileng sa li-vertigo ho batho ba baholo.
  • Lefu la Meniere. Boloetse bona bo baka ho tsekela, maqhubu a ho se utloe le li-tinnitus (ho lla litsebeng).
  • Vestibular neuritis. Sena se bolela ho ruruha kahare ho tsebe e kahare. Hangata e bakoa ke vaerase. Matšoao a kenyelletsa ho nyekeloa ke pelo le vertigo.
  • Migraine. Migraine ke mofuta oa ho hlohlona, ​​hlooho e bohloko haholo. E fapane le mefuta e meng ea hlooho e opang. E ka baka ho nyekeloa ke pelo le ho tsekela.
  • Kotsi ea hlooho. U ka fumana li-vertigo kapa matšoao a mang a ho leka-lekana kamora ho tsoa hlooho.
  • Phello ea lehlakore la bongaka. Botsoa bo ka ba le litlamorao tsa meriana e itseng.

Hang ha u tseba sesosa sa bothata ba hau ba ho leka-lekana, u ka nka mehato ea ho thusa ho sebetsana le boemo ba hau kapa ho bo phekola.


Hobaneng ha ke hloka tlhahlobo ea tekano?

U kanna ua hloka tlhahlobo ea tekano haeba u na le matšoao a lefu la botsitso. Matšoao a kenyelletsa:

  • Botsoa
  • U ikutloa eka u ntse u sisinyeha kapa u ohla, leha u eme u eme feela (vertigo)
  • Ho lahleheloa ke botsitso ha u ntse u tsamaea
  • Ho thekesela ha u ntse u tsamaea
  • Ho lla litsebeng (tinnitus)
  • Ho ikutloa eka u tla akheha (hlooho e bobebe) le / kapa maikutlo a phaphametseng
  • Pono e lerootho kapa pono e habeli
  • Pherekano

Ho etsahalang nakong ea tlhahlobo ea tekano?

Ho lekanya litekanyo ho ka etsoa ke mofani oa mantlha oa tlhokomelo ea bophelo kapa setsebi sa mathata a tsebe. Tsena li kenyelletsa:

  • Ngaka ea litsebi, mofani oa tlhokomelo ea bophelo ea ikhethang ho hlahloba, ho phekola le ho laola tahlehelo ea kutlo.
  • Ngaka ea otolaryngologist (ENT), ngaka e sebetsanang le ho phekola mafu le maemo a litsebe, nko le 'metso.

Ho lemoha mathata a ho leka-lekana hangata ho hloka liteko tse 'maloa. U ka fumana e le 'ngoe kapa tse' maloa tsa liteko tse latelang:


Liteko tsa Electronystagmography (ENG) le videonystagmography (VNG). Liteko tsena li rekota le ho lekanya metsamao ea hau ea mahlo. Sistimi ea hau ea pono e hloka ho sebetsa hantle hore o be le botsitso hantle. Nakong ea tlhahlobo:

  • U tla lula setulong sa tlhatlhobo ka phapusing e lefifi.
  • O tla kopuoa ho sheba le ho latela mekhoa ea leseli skrineng.
  • O tla kopuoa ho kenella maemong a fapaneng ha o ntse o shebile paterone ena e bobebe.
  • Joale metsi kapa moea o futhumetseng le o pholileng o tla beoa tsebeng ka 'ngoe.Sena se lokela ho etsa hore mahlo a tsamaee ka litsela tse ikhethang. Haeba mahlo a sa arabele ka litsela tsena, ho ka bolela hore ho na le tšenyo methapong ea tsebe e ka hare.

Teko ea Rotary, e tsejoang hape e le tlhahlobo ea setulo sa rotary. Teko ena e boetse e metha metsamao ea hau ea mahlo. Nakong ea teko ena:

  • U tla lula setulong se laoloang ke k'homphieutha.
  • U tla apara likhalase tse khethehileng tse tla hatisa metsamao ea hau ea mahlo ha setulo se ntse se ea koana le koana le selikalikoe.

Posturography, eo hape e tsejoang ka hore ke computerised dynamic posturography (CDP). Teko ena e lekanya bokhoni ba hau ba ho boloka botsitso ha o eme. Nakong ea teko ena:

  • U tla ema u sa roala lieta holim 'a sethala, u apere marapo a polokeho.
  • Ho tla ba le skrine sa naha se u potileng.
  • Sethala se tla potoloha ho leka bokhoni ba hau ba ho lula u eme sebakeng se tsamaeang.

Teko ea Vestibular e hlahisitse menyetla ea myogenic potentials (VEMP). Teko ena e lekanya hore na mesifa e itseng e arabela joang ha e arabela molumo. E ka bonts'a haeba ho na le bothata tsebeng ea hau e ka hare. Nakong ea teko ena:

  • U tla lula ka setulo.
  • U tla kenya li-earphone.
  • Lisebelisoa tsa sensor li tla hokelloa molaleng oa hau, phatleng, le tlasa mahlo a hau. Lipepa tsena li tla rekota metsamao ea hau ea mesifa.
  • Ho penya le / kapa ho phatloha ha melumo ho tla romelloa ho li-earphone tsa hau.
  • Ha molumo o ntse o bapala, o tla kopuoa ho phahamisa hlooho kapa mahlo nako e khuts'oane.

Motsamaisi oa li-hallpike. Teko ena e lekanya hore na leihlo la hau le itšoara joang ha u sisinyeha ka tšohanyetso. Nakong ea teko ena:

  • Mofani oa hau o tla u tsamaisa kapele ho tloha ho lula fatše ho robala le / kapa ho tsamaisa hlooho libakeng tse fapaneng.
  • Mofani oa hau o tla lekola metsamao ea hau ea mahlo ho bona hore na o na le mohopolo o fosahetseng oa ho sisinyeha kapa ho ohla.

Mofuta o mocha oa teko ena o bitsoa a teko ea tšusumetso ea hlooho ea video (vHIT). Nakong ea tlhahlobo ea vHIT, o tla roala likolo tse rekotang motsamao oa hau oa mahlo ha mofani oa tsona a sotha hlooho ea hau maemong a fapaneng.

U ka fumana teko e le 'ngoe kapa tse' maloa tsa kutlo, hobane mathata a mangata a botsitso a amana le mathata a kutlo.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo ea tekano?

U lokela ho apara liaparo tse hlephileng, tse mabothobotho. Ho ipapisitse le tlhahlobo, o kanna oa hloka ho etsa liphetoho lijong tsa hau kapa ho qoba meriana e itseng letsatsi kapa a mabeli pele ho tlhahlobo ea hau. Mofani oa hao oa tlhokomelo ea bophelo o tla u tsebisa haeba ho na le litaelo tse khethehileng tseo u lokelang ho li latela.

Na ho na le likotsi tsa ho leka-lekanya liteko?

Liteko tse ling li ka etsa hore u utloe u le hlooho ea hlooho ea hlooho kapa u nyekeloe ke pelo. Empa maikutlo ana a fela hang ka mor'a metsotso e seng mekae. U kanna ua batla ho etsa litokisetso tsa hore motho e mong au khannele hae, haeba sets'oants'o se ka nka nako e teletsana.

Liphetho li bolelang?

Haeba liphetho tsa hau li ne li sa tloaeleha, mofani oa hau a ka odara liteko tse ling hape / kapa au beha leanong la kalafo. Kalafo ea hau e ka kenyelletsa:

  • Moriana ho phekola tšoaetso.
  • Moriana ho thusa ho laola botsoa le ho nyekeloa ke pelo.
  • Tsamaiso ea boemo. Haeba u fumanoe u na le BPPV, mofani oa hau a ka etsa letoto la metsamao e ikhethang ea hlooho le sefuba sa hau. Sena se ka thusa ho beha likaroloana tse ling hape tsebeng ea hao e ka hare e tsoang sebakeng. Tsamaiso ena e tsejoa hape e le mokhoa oa Epley maneuver, kapa ho beha sebaka ka canalith.
  • Ho leka-lekana ho koetlisa kalafo, eo hape e tsejoang e le ntlafatso ea vestibular. Mofani ea ikhethang oa ntlafatso ea tekano a ka theha lenaneo la boikoetliso le mehato e meng ho ntlafatsa botsitso ba hau le ho thibela ho oa. Sena se ka kenyelletsa ho ithuta ho sebelisa molamu kapa ho tsamaea ka maoto.
  • Lijo le phetoho ea bophelo. Haeba u fumanoe u e-na le lefu la Meniere kapa hlooho ea migraine, liphetoho tse itseng tsa bophelo li ka fokotsa matšoao a hau. Tsena li ka kenyelletsa ho eketsa boikoetliso ba 'mele, ho qoba lijo tse itseng, le ho tlohela ho tsuba. Botsa mofani oa tlhokomelo ea bophelo hore na ke liphetoho li fe tse ka u tsoelang molemo.
  • Phekolo. Haeba meriana kapa liphekolo tse ling li sa sebetse, o kanna oa hloka ho buuoa ho lokisa bothata tsebeng ea hau e kahare. Mofuta oa opereishene o tla itšetleha ka sesosa se tobileng sa lefu la hau la botsitso.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Litšupiso

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  2. Audiology le Bophelo bo Utloang [Inthanete]. Goodlettsville (TN): Bophelo bo botle ba kutlo le kutlo; c2019. Teko ea Balance U Sebelisa VNG (Videonystagmography); [e qotsitsoeng ka la 2019 Mphalane 22]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.audiologyandhearing.com/services/balance-testing-using-videonystagmography
  3. Setsi sa Barrow Neurological [Internet]. Phoenix: Setsi sa Barrow Neurological Institute; c2019. Setsi sa Mohammad Ali Parkinson: Teko ea Balance; [e qotsitsoeng ka la 2019 Mphalane 22]. [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.barrowneuro.org/specialty/balance-testing
  4. Familydoctor.org [Inthanete]. Leawood (KS): Sekolo sa Amerika sa Lingaka tsa Malapa; c2019. Benign Paroxysmal Positional Vertigo (BPPV); [e ntlafalitsoeng 2017 Jul 19; e qotsitsoeng ka la 2019 Mphalane 22]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://familydoctor.org/condition/benign-paroxysmal-positional-vertigo
  5. Johns Hopkins Medicine [Inthanete]. Baltimore: Univesithi ea Johns Hopkins; c2019. Vestibular Balance Mathata; [e qotsitsoeng ka la 2019 Mphalane 22]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-balance-disorder
  6. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2019. Mathata a Tekatekano: Ho hlahloba le ho phekola; 2018 Mots'eanong 17 [e qotsitsoeng ka la 2019 Mmesa 22]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/balance-problems/diagnosis-treatment/drc-20350477
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  15. Setsi sa Neurology [Inthanete]. Washington DC: Setsi sa Neurology; Videonystagmography (VNG); [e qotsitsoeng ka la 2019 Mphalane 22]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.neurologycenter.com/services/videonystagmography-vng
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  22. Setsi sa Bongaka sa Vanderbilt University [Internet]. Nashville: Setsi sa Bongaka sa Univesithi ea Vanderbilt; c2019. Lab ea Mathata a Balance: Teko ea Tlhatlhobo; [e qotsitsoeng ka la 2019 Mphalane 22]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.vumc.org/balance-lab/diagnostic-testing
  23. Meriana ea Weill Cornell: Hlooho ea Otolaryngology Hlooho le Ho Buoa ka Nko [Marang-rang]. New York: Meriana ea Weill Cornell; Tekolo ea Electronystagmogrophy (ENG) le & Videonystagmography (VNG); [e qotsitsoeng ka 2020 Phupu 27]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://ent.weill.cornell.edu/patients/clinical-specialties/conditions/electronystagmogrophy-eng-videonystagmography-vng-testing#: ~ (, organ% 20or% 20central% 20vestibular% 20system

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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