Neman Culprit Bayan Dizzy Spells Yana buƙatar Bincike Doctor
Mutane suna nufin abubuwa daban-daban idan sun ce suna da m. Vertigo shine mawuyacin damuwa da ke haɗuwa da zagaye a cikin zagaye da sauri, ko kuma idan duniya tana yadawa a kusa da ku.
Vertigo zai iya zama mai matukar damuwa kuma wani lokaci yakan haifar da tashin hankali ko jingina. Zai iya zama wuya a fita daga gado, da yawa ƙasa da tafiya a kusa da aikata ayyukan da muke bukata muyi a kowace rana.
Duk da yake mafi yawan abubuwan da ke haifar da vertigo ba barazana ba ne, wasu suna da matukar tsanani, kamar bugun jini a bayan kwakwalwa kusa da cerebellum. A gefe guda, ana iya sauƙi nau'in nau'i na vertigo da sauƙi tare da sauƙi mai sauƙi kamar kai tsaye.
Abubuwa masu yawa
Yawancin lokaci, mutanen da suke fuskantar tsauraran hali ko rashin hankali zasu kasance daya daga cikin abubuwan da ke tattare da su.
Benign Paroxysmal Matsayi Vertigo (BPPV)
Shin canzawa a matsayin matsayi ne na vertigo? Idan haka ne, dalili na iya kasancewa na vertical paroxysmal positional (BPPV), daya daga cikin shafukan da ke tattare da vertigo. Wannan cuta ta haifar da karamin karamin da ake kira otolith wanda yakan kasance daga hanyar lalacewa a tsakiyar tsakiyar kunnen kunne (maɗaura da kuma saccule). A cikin BPPV, wani otolith ya karya kyauta kuma ya shiga ɗaya daga cikin hanyoyi guda uku wanda yawanci ya nuna cewa jiki yana juyawa cikin sarari. Cikakkar yana canza canjin canji a cikin tashar da ke sa jiki ya yi imani cewa yana juya, koda lokacin da yake tsaye.
Wannan rikici yana haifar da tsauraran matakai.
Tsarukan BPPV yana tsammanin zai faru a cikin ɗan gajeren lokaci kuma an kawo shi ta hanyar juyawa, saboda juyawa kai zai iya haifar da otolith don motsawa a cikin tashar, haifar da sakonni mara kyau ga kwakwalwa. Labari mai dadi shine cewa za a iya amfani da jerin nau'i na musamman (wanda ake kira " Epley maneuver" ) don sake sauya otolith daga cikin hanyoyin da ba zai iya haifar da rashin jin daɗi ba.
Maganar da ta ƙare fiye da minti daya ko haka akai-akai saboda BPPV. Gwanon lokaci mai tsauri yana iya zama matsala a cikin kunnuwan ciki, irin su cututtuka ta jiki ko Meniere , ko kuma tsakiyar tsakiya, yana nufin matsala tare da kwakwalwa kamar yadda za'a iya samu a cikin bugun jini ko ƙananan migraines.
Mutuwar Meniere
Kwanin ciki yana dauke da jakar da ke cikin ruwa mai zurfi. A cikin wannan jaka yana da karin ruwa amma na daban. Anyi zaton cutar ta Meniere ta haifar da rashin daidaituwa tsakanin sararin samaniya a cikin jaka da ruwa a waje da jaka, tare da ruwa mai yawa da ke gina ciki. Wannan an san shi azaman endolymphatic hydrops.
Yawancin cutar yakan kasance a tsakanin shekarun shekaru 30 da 50 kuma yana haifar da hare-haren vertigo, sauraron ji, da kuma sauti a kunne. Ya bambanta da BPPV, hare-haren zai iya wuce minti 20 zuwa sa'o'i da yawa a lokaci guda. Kamar yadda sauran siffofin vertigo, watakila nystagmus zai kasance. Harin zai iya bambanta daga ko'ina a tsakanin sau da yawa a mako zuwa kasa da sau daya a shekara. Bayan shekaru 5 zuwa 15, ƙwaƙwalwar ya zama ƙasa mai tsanani amma ya fi tsayi, kuma ƙwaƙwalwar sauraro zai iya zama dindindin, ko da yake cikakke tsararre a kunne mai saurin yana da wuya.
Ciwon lafiya zai iya bincikar cututtuka ta hanyar likita ba tare da ƙarin gwaje-gwaje ba, amma ana amfani da sauti a wasu lokuta amfani. Ba a samu magani ba don dakatar da canje-canje a cikin kunne, amma magunguna zasu iya taimakawa tare da bayyanar cututtuka idan sun faru.
Vestibular Neuritis
Wannan cuta ta ƙunshe da wasu sunaye, ciki har da neuronitis, da labyrinthitis , neuro labyrinthitis, da ƙananan halayen jikin mutum. Rashin ƙwayar yakan magance shi gaba daya a kan kansa amma yana sa a tsaye vertigo a yanzu. An yi la'akari da cutar ne saboda kumburi da ciwon daji wanda cutar ta haifar da shi - ko da yake, akwai ainihin shaida don tallafawa wannan ka'idar.
Sanarwar asibiti na likitoci na al'ada kullum ana yin shi ne daga likita wanda yana gwada ku kuma yana tambayar ku tambayoyi, kodayake ana gwada gwadawa don cire wasu dalilai, irin su fashewa. Vertigo daga ƙwayar vestibular yawanci yakan magance cikin 'yan kwanaki, amma wani lokaci akwai rashin daidaituwa mai tsabta wanda zai kasance na watanni. Ba a bayyana cewa duk wani magani na da amfani ba, ko da yake likitocin da yawa zasu rubuta wani ɗan gajeren ɓangaren maganin steroid wanda ya danganci bayanan da ya dace da aikin.
Paroxysmia na Vestibular
Wasu lokuta wasu hare-haren vertigo kawai na ƙarshe a ɗan gajeren lokaci a lokaci amma zasu iya faruwa sau da yawa a rana. Wasu likitoci sun yi imanin cewa wannan zai iya kasancewa ne saboda wani jirgi na jini wanda yake kan tarin na jiki na takwas , wanda zai haifar da jin dadi.
Wasu likitoci sun soki rashin fahimtar bayanai don tallafawa wannan ka'ida. Alal misali, har zuwa kashi 30 na mutanen lafiya suna da tasoshin jini wanda ke tuntuɓar jijiya na vestibulocochlear, a cewar wani labarin a cikin Journal of Vestibular Research .
Wadansu sun nuna cewa za'a iya amfani da tiyata don cire matsa lamba da aka sanya a kan jijiyoyin jinin jini, amma wasu sun gano cewa kashin kasuwa na carbamazepine (maganin maganin maganin rigakafi) zai iya taimakawa. Ba da hujjoji marasa tabbas ga jirgin ruwa kamar mai laifi, yin amfani da magani shine mafi kyawun maganin farko.
Migraine mai ƙaura
Yayinda lamurran da suka gabata na vertigo ya kai ga abin da ake kira tsaka-tsakin vertical, ma'ana cewa yanayin abu ne wanda yake haifar da wani abu a waje da kwakwalwa da kwakwalwa, kuma yana iya yiwuwa a cire vertigo daga matsaloli a cikin kwakwalwa kanta, wadda ake kira "tsakiyar" vertigo. Ɗaya daga cikin mawuyacin ƙaddarar wannan tsakiyar vertigo shi ne migraine mai zaman kansa .
Anyi tunanin yawancin magungunan cutar don ci gaba da ciwon kai, amma ƙwayar migraines ba za su iya haifar da kusan dukkanin bayyanar da ke faruwa ba, ciki har da rauni, tingling, numbness, da dizziness. Amma akwai ciwon kai, wanda ake bukata don a gane ainihin ƙwayar ƙaura. Sauran bayyanar cututtuka na migraine, ko kuma na farko na vertigo tare da ƙwayar cuta na ƙaura ta al'ada , zai iya taimaka wajen yin ganewar asali.
Vertebrobasilar Transient Ischemic Attack (TIA)
Kwajin kwakwalwa yana karɓar yawancin jininsa ta hanyar abin da ake kira matsakaicin baya. Hakanan maganganu guda biyu suna haɗuwa don samar da maganin ƙananan ƙwayar cuta, wanda ya aika rassan da ya aika jini mai yalwa zuwa kwakwalwar kwakwalwa da baya na kwakwalwa.
Idan sutura a cikin kwakwalwa an katange shi na dan lokaci, kwakwalwa zai iya fara yunwa. Idan jinin jini ya rushe, bayyanar cututtuka na cigaba, kuma an kira taron ne kai hare-hare mai sauƙi . Idan jinin jini ya wanzu, to wannan zai haifar da bugun jini tare da raunin da ya dace.
Saboda kwakwalwar kwakwalwa ta ƙunshi cibiyoyin jikinmu don ma'auni, ciki har da ladaran duk bayanin da aka aika zuwa kwakwalwa daga kunnuwan ciki, vertigo alama ce ta yau da kullum ta kwashe. Ƙari game da, duk da haka, wasu muhimman ayyuka ne na kwakwalwar kwakwalwa, irin su numfashi, motsi, da sauransu. Saboda wannan dalili, bayyanar cututtuka na damuwa game da TIA vertebrobasilar an yi la'akari da yiwuwar manyan matsalolin da zasu zo.
Abin farin cikin, yana da wuya cewa TIA vertebrobasilar zai haifar da vertigo kuma babu wani abu. Kwajin kwakwalwa karamin yanki ne kamar yadda babban yatsanka yake da shi kuma yana cike da magungunan jijiyoyi. Idan an lalacewa zuwa wani ɓangare na kwakwalwar kwakwalwa, wasu za su iya shawo kan su, wanda zai haifar da alamun cututtuka. Saboda haka, likitoci suna son samun alamun "tsakiya" vertigo, ma'ana vertigo wanda ya fito daga kwakwalwar kwakwalwa fiye da toshe mai ɗorewa ko kunne na ciki.
Hanyoyin haɗari ga vertebrobasilar TIA sunyi kusan ga wadanda ga sauran siffofin ischemic na jijiyoyin jini, irin su bugun jini. Don ƙarin bayani game da kayyade idan vertigo naka yana da tsanani, karanta game da lokacin damuwa mai tsanani .
Ƙananan dalilai
A wasu lokuta mawuyacin yanayinku shine ainihin abu mai ban mamaki. Kodayake wadannan abubuwan da ba a san su ba ne na sauƙi na faruwa sau da yawa, yana da mahimmanci a lura da waɗannan ƙwayar cutar don kada alamar alamarka ba kuskure ba ne ga wani abu mafi mahimmanci.
Bari mu dubi wadannan matsaloli masu ban mamaki na vertigo.
Mutuwar Inganci na Inganci na Inganci
Wani lokaci, tsarin rigakafi ya ɓata ɓangare na jikinmu don kamuwa da cuta. Lokacin da wannan ya auku - lokacin da jiki ya kai kansa kai tsaye - an kira shi matsala ne na autoimmune. Idan wannan ya faru a cikin kunnuwa na ciki, zai iya haifar da asarar sauraro da kuma vertigo.
Kimanin kashi] aya na cikin wa] annan mutane za su sami wasu cututtuka irin su lupus erythematosus , polyarteritis nodosa, ko Wegener granulomatosis. Game da rabi na wadannan mutane za su amsa corticosteroids .
Labyrinthine Concussion
Gwagwarmaya sukan haifar da ciwon kai, tashin zuciya, zubar da jini, da kuma rashin hankali. Hanya na vertigo bayan tashin hankali zai iya haifar da rauni ga gabobi masu amfani bayan da aka fara kai. Dangane da irin wannan rauni, akwai jini a cikin kunnen ciki. Duk da yake wannan shine mafi yawan muni kai tsaye bayan raunin kai, vertigo zai iya zuwa kuma ya tafi na dan lokaci. Lokaci-lokaci, sassaurarwa na baya-baya a cikin matsin lamba tsakanin matakan kunnuwa na ciki (endolymphatic hydrops) zai iya bunkasa, yana haifar da ciwon Meniere.
Perilymphatic Fistula
Raunin ku, matsananciyar hawan, ko rauni saboda sauye-sauye a cikin matsin lamba (kamar su ruwa da ruwa) zai iya haifar da wani haɗuwar haɗi tsakanin sassa na kunnen wanda ba'a nufin haɗawa ba. Abun haɗari tsakanin yankuna biyu na jiki wanda ba a haɗe ba an kira fistula.
Kwayoyin cututtuka na fistula perilymphatic sukan kara tsanantawa ta hanyar canji a cikin waje ko matsalolin ciki, kamar sneezing, straining, coughing, ko murya mai ƙarfi.
Canje-canje a tsayin daka na iya haifar da bayyanar cututtuka, kamar hawa a cikin jirgin sama ko ma yana hawa doki.
Sakamakon ganewa na fistula na perilymphatic zai iya zama da wahala sai dai idan an bayyana abin da ya faru. Yawancin lokaci yakan hada da haɗuwa tare da kai mai girma da kuma guje wa duk nau'i na ɓarna. A wadanda ba su inganta tare da irin wannan magani ba, tiyata zai zama dole.
Canal Dehiscence
Wani abu mai mahimmanci shi ne dehiscence, wanda haɗin da ke tsakanin dakuna biyu ba cikakke ba ne, amma kashi zai iya zama da bakin ciki fiye da yadda yawancin zai kasance. Misali shi ne dehiscence na canal mafi girma na kunnuwa na ciki wadda ke haifar da bayyanar cututtuka kamar sautin motsa jiki.
Game da rabi kuma suna da autophony, ma'anar su ji sauti na ciki kamar muryar su, zuciya, ko kuma wani lokaci ma da ido na kansu a wani ƙararrawar ƙararrawa.
Otosclerosis
Otosclerosis wani lokaci ne wanda aka haɗu da gadon da kasusuwa suke ciki, kuma sabon ɓangaren kasuwa yana faruwa a kunne da na ciki. Wannan yakan fara ne tsakanin na biyu da na arshe na shekarun rayuwa. Sakamakon haka shi ne asarar rashin jin daɗi a cikin ƙasa . Kimanin kashi 20 cikin dari na mutane tare da otosclerosis kuma suna da vertigo ko rashin daidaituwa, wanda zai haifar da lalacewa na kunne. Wasu na iya ci gaba da cike da haɗari tare da Meniere ciwo. Hanyoyin sauti na iya taimakawa wajen yin ganewar asali.
Gwajiyar Vertigo
Ba da daɗewa ba, labaran tsaye na vertigo zai iya zama saboda haɗuwa . Mutane da yawa suna da masaniya da kamala-clonic mai kamala (babbar magunguna) amma akwai hakika iri-iri iri iri daban-daban. Ayyukan lantarki masu mahimmanci zasu iya faruwa a sassa na kwakwalwa da ke aiwatar da tsarin kayan aiki.
Za'a iya amfani da electroencephalogram (EEG) don sanin ko lokuttuka balaga ne a yanayin. Wasu mutane na iya samun ciwon wariyar launin kafin cikewar ɗakin, wanda zai iya taimakawa wajen nuna alamar ganewa.
Chiari Malformation
Cutar ta Chiari I rashin lafiya ne (wani abu da aka haife ku da) wanda ƙashin ƙwayar cerebellum (ɓangaren kwakwalwa wanda yake kula da daidaituwa da daidaituwa) ya kara ƙasa fiye da yadda ya kamata. Yawanci, wannan baya haifar da wani bayyanar cututtuka, amma wani lokaci yakan haifar da ciwon kai, rashin daidaituwa, kuma vertigo. Lokacin da vertigo yake a yanzu, ana iya kara ta hanyar kunnen wuyan wuyansa (shugaban motsi ya jawo vertigo.)
Duk da yake nystagmus (motsawar ido) ba sau da yawa a kowane nau'i na vertigo, a cikin maganin mallaka na Chiari, nystagmus zai iya bugawa a gefen ƙasa maimakon gefen, wanda ba sabon abu ba ne. Za'a iya buƙatar aikin tiyata idan bayyanar cututtuka na da tsanani tare da gyaran mallaka na Chiari. Wancan ya ce, mafi yawan mutanen da ke da cutar mallaka na Chiari basu buƙatar tiyata.
Episodic Ataxia
Bayanan Episodic, da kuma nau'i na episodic type 2 , musamman, na iya haifar da mummunan yanayi na vertigo tare da tashin hankali da zubar da ciki a lokacin yara ko kuma matasan farko. Nystagmus na iya kasancewa a lokacin da tsakanin hare-hare. Sauran hare-haren suna ci gaba da tsananta, kuma bayyanar cututtuka na iya fara faruwa tsakanin hare-haren.
Magunguna
Hanyoyin magunguna masu yawa zasu iya haifar da dizziness, kuma wasu dalilai suna tsaye musamman. Kwayoyin rigakafi da aka sani da aminoglycosides sun kasance matsala, kuma zasu iya haifar da lalacewa. Rashin ciwon Lithium zai iya haifar da vertigo. Bugu da ƙari, Vertigo wani sakamako mai yiwuwa ne tare da magunguna kamar:
- antionvulsants (maganin magunguna)
- anesthetics
- antidepressants
- wadanda basu da magungunan maganin masu tayar da jini ( NSAIDs )
- magunguna masu ciwon sukari
- sedatives da tranquilizers
Kalma Daga
Gaba ɗaya, vertigo ba alama ce da ya kamata a manta ba. Duk da yake yawanci ba saboda wani abu kamar bugun jini ba ko kuma kai hare-hare mai saurin kai, yana da muhimmanci a san cewa tabbas matsaloli mafi tsanani ba su tashi ba. Bugu da ƙari, yanayin sanyi yana da wuya sosai, kuma akwai dabaru da magunguna waɗanda zasu iya taimakawa idan ka nemi shawara mai kyau.
> Sources
- Chimirri S et al. Vertigo / dizziness a matsayin kwayoyi 'mummunan dauki. J Pharmacol Pharmacother. 2013 Dec; 4 (Gida 1): chiariS104-9.
- > Fernandez, A., Guerrero, A., Martinez, M. et al Malformations na craniocervical juncChiari type 1 da syringomyelia: Classification, ganewa, da kuma magani. BMC Cutar Musculoskeletal . 2009. 10 (Sanya 1): S1.
- > Jeong SH, Kim HJ, Kim JS. Ƙananan neuritis. Semin Neurol . 2013 Jul; 33 (3): 185-94.
- > Lempert T. Recurrent Kai tsaye daga cikin Dizziness. Ci gaba (Minneap Minn). 2012 Oktoba; 18 (5 Neuro-oto): 1086-101.
- > Sakamako M et al. Labaran kwayoyi: Vattibular paroxysmia: Ka'idojin bincike. J Vestib Res . 2016; 26 (5-6): 409-15.