Vestibulopathy - ndichiyani ... vestibulopathy: kufotokoza, zimayambitsa ndi zizindikiro za chithandizo

Thupi la munthu amakhala pamalo ake danga mothandizidwa ndi ntchito vestibular. Cholinga chachikulu cha dongosolo ndi luso kukhalabe olimba, ndi kusanthula kayendedwe ndi malo a thupi. Development wa vestibular kukanika amatchedwa "vestibulopathy". Kodi ndi zomwe ndi zizindikiro zazikulu, nthendayo m'nkhani.

mfundo zikuluzikulu za matendawa

Ochepa a odwala ndinadzifunsa kuti: "vestibulopathy - ndichiyani?" Chifukwa choti matendawa chili ponseponse. A mawu ofanana amatanthauza zovuta matenda a zida za vestibular, yodziwika ndi sungathe kugwira ntchito yake yomaliza ndi kukhala malo a thupi laumunthu mu mlengalenga.

Vestibulopathy, zizindikiro ndi chithandizo tikambirana ina, angathe ngati kulakwila osiyana thupi, monga mmodzi wa syndromes matenda osiyana psycho-vegetative. Lachiwiri case, mankhwala ndi matenda a matenda kukhala kovuta, chifukwa chimakhudzana nsalu mu akukhudzidwira chithunzi matenda pamodzi ndi somatic zina, autonomic, ndi mawonetseredwe m'maganizo affective.

Matenda a ntchito vestibular kumachitika ali aang'ono. chikhalidwe ichi pathological imatengedwa ngati kulephera ntchito ya zida za otolith. Monga mwana, ichi anawonetseredwa mu mawonekedwe a matenda apaulendo pa pachimake, mu ndichikepe, mabasi ndi magalimoto.

M'kupita kwa nthawi, zizindikiro za matenda wayamba amafanana bongo wabwino. Ndiko kuti, chithunzi matenda akufotokozera kuukira pamaso anayamba kumachita chimene chimachititsa izo.

zinthu Etiological matenda

Zotsatirazi mitundu ya zimayambitsa vestibular kukanika:

• matenda khutu mkati;
• organic ubongo;
• njira pathological a msana khomo lachiberekero;
• zoopsa choipa;
• kutupa;
• chikhalidwe opatsirana a matenda;
• obwera ndi ukalamba kusintha.

Mwa matenda lamayimbidwe chowunikira zomwe zingachititse chitukuko vestibulopathy, kusiyanitsa labyrinthitis, m'mnyewa wamtima ndikuyenda, matenda Meniere a.

M'mnyewa wamtima kukhotakhota zambiri amapezeka motsutsa likhale kusintha obwera ndi ukalamba. Odwala amadandaula lakuthwa kumva imfa ndi maonekedwe a matenda vestibular.

matenda Meniere a amakhala ndi kumva imfa, nseru, kusanza, chizungulire, kumverera kwa chidzalo, ndipo tinnitus. Matenda, amagwirizana ndi njira pathological khutu lamkati.

Labyrinthitis ndi bakiteriya kapena tizilombo m'chilengedwe. Kutupa isanafalikire mu kukhotakhota membranous wa khutu lamkati. Komanso, vestibulopathy ingayambe ndi kuledzera ndi poizoni kapena mankhwala osokoneza bongo.

zizindikiro Common

mtundu uliwonse wa matenda ndi ofanana ndi yeniyeni kuwonetseredwa. Matendawa ali ndi makhalidwe ndi zizindikiro zotsatirazi wamba:

1. Chizungulire mwina yochepa kapena okhazikika. Wodwala aliyense - awo, munthu maganizo a chizungulire. Ena amadandaula kumverera cholephera kukonza pamaso, ena - kuti zinthu zonse zokhudza mbali imodzi.
2. ululu mutu angasonyeze kusinthasintha mphamvu ndi mphamvu.
3. Zooneka kuwonongeka - odwala ndi mabwalo mdima kapena kukwera ndege maso ake, yafupika masomphenya.
4. Kuphwanya ndi muyezo - Odwala kuzandima, ukhoza kugwera, iwo alibe lingaliro la bata.
5. Nystagmus - pali kayendedwe ka eyeballs wokhala khalidwe rhythmical. maso akhoza kusuntha kwina kulikonse.
6. Nseru, kusanza.

Mitundu ya matenda vestibular

Kusiyana pakati pa mitundu zotsatirazi vestibular kukanika:

• Vertebrogenic vestibulopathy;
• vestibulopathy pachimake zotumphukira;
• chokumbukira zoopsa mawonekedwe a matenda vestibular.

Pakuti aliyense mawonekedwe a matenda amakhala ndi etiologic zinthu zake, komanso ambiri mosabisa zizindikiro matenda.

ICD vestibulopathy ndi mawonetseredwe yake yonse ndi malamulo N81. Ndi gulu la matenda mkati khutu (N80-N83).

mawonekedwe vertebrogenic

Mtundu wa matenda vestibular n'zogwirizana ndi njira pathological a msana khomo lachiberekero. Zimayambitsa ming'alu amenewa:

• otsika kupweteka kwa msana;
• kufooka kwa mafupa;
• kulephera kwa vertebrae kapena zimbale;
• clamping ya mitsempha;
• microcirculation chisokonezo.

Matendawa ali ndi makhalidwe oipa ayi kawirikawiri chizungulire, zimenezi mwadongosolo kapena apo ndi apo. Pamene kusuntha kapena kutembenuzira mutu, odwala akudandaula cha ululu, kumverera ya mavuto. Wodwala sangaone maganizo pa phunziro, pali kumverera kwa nseru pamene inu muyesera fixation zithunzi pa zinthu kuti ikuyenda.

Odwala ena kukhala chapakati vestibulopathy syndrome. Iye paroxysmal mu chikhalidwe ndi pachimake isanayambike. Wodwala zimasochera mu mlengalenga, pali vertigo amphamvu ndi cephalalgia. Vestibulopathy ndi mawonetseredwe zofanana za kuopsa mavuto zotheka.

Mawonekedwe zotumphukira wa matenda

Pachimake zotumphukira vestibulopathy - ndichiyani? Kutupa kwa mitsempha ya Inde mkati mwa chowunikira Makutu chifukwa chitukuko cha mawonekedwe matenda. Chithunzi matenda limodzi ndi zizindikiro:

• chizungulire paroxysmal khalidwe;
• vutoli;
• diso kayendedwe popanda zofuna za mtima;
• kumva kusintha ayi.

zinthu Etiologic akadali osadziwika. Amaganiza kuti kuthamanga limagwirira fomu iyi akhoza kukhala ndi mabakiteriya kapena mavairasi. odwala ambiri amadandaula za chitukuko cha zizindikiro za matenda pachimake kupuma tizilombo mu mbiri pamaso pa Kubwera kwa matenda matenda vestibular.

Zotumphukira vestibulopathy akuwonetseredwa nkhawa, nseru, kusanza, chizungulire yaitali, phokoso mu khutu limodzi ndi kumverera kwa chidzalo m'menemo chimodzimodzi. Kumva mlingo amakhalabe boma chomwecho.

Vuto fomu iyi akhale encephalopathy. Vestibulopathy mankhwala amene ayenera kuyamba pa zizindikiro woyamba, choncho ndithu kawirikawiri amayambitsa mavuto aakulu.

Kukula kwa matendawa chifukwa kuvulala

Posttraumatic vestibulopathy - ndichiyani? Izi mawonekedwe vestibular matenda chifukwa cha kuvulala zoopsa amakhala likalowa m'makutu mpanda wa kukhotakhota kapena mitsempha minofu.

zinthu Etiological chitukuko:

• ubongo choipa;
• kuwonongeka kwa mafupa a Chigaza ya;
• psychogenic chizungulire pambuyo zoopsa;
• decompression zotsatira.

Chizungulire motalika kokwanira limodzi ndi kunyansidwa ndi kusanza, nystagmus, kusakhazikika kwa anayambitsa. Zizindikiro kutha masabata ochepa.

kuyezetsa matenda

Vestibulopathy amene zizindikiro kungasonyeze matenda a zida vestibular matenda kapena matenda, mwachilungamo mosavuta matenda. Komabe, kupeza zifukwa zingatenge nthawi yaitali.

Choyamba mtima kafukufuku wa matenda okhudza ubongo. diagnostics zikuphatikizapo ophthalmoscopy, ziyenera a ntchito yawo ndiponso mitsempha Makutu. Kufufuzidwa ntchito ya magulu ena a mitsempha, kuphatikizapo chizindikiro Babinski.

Paltsenosovaya chitsanzo, ndi mayeso bondo-chidendene cha diadohokinez kulola kuti asa- udindo opaleshoni ya cerebellum lapansi.

Komanso anatumizidwa kumveka maginito kulingalira za msana khomo lachiberekero kuti kudziwa zotheka chitukuko cha mitundu vertebral matendawa. Adokotala boma la mafupa, vertebrae, minofu ndi dongosolo olowa.

Ndi mokakamizidwa kwa ENT mokambilana ndi ulendo wa boma la likalowa m'makutu a. Pankhani ya zoopsa choipa ENT dokotala amayankha M'mimbamo tympanic.

mfundo mankhwala

Vestibulopathy mankhwala amene ayenera kukhala bwino, ali ndi zotsatira zabwino oyambirira mankhwala thandizo lapadera. Choyamba mankhwala onse symptomatic. Pamafunikanso kugwiritsa ntchito magulu zotsatirazi mankhwala:

1. Mankhwala anticholinergic kanthu ziletsa ntchito ya nyumba ya vestibular. Awa ndi kukonzekera zochokera platifillina ndi scopolamine. Nthawi zambiri iwo ntchito popewa khunyu.
2. Antihistamine - "Dramina", "Bonin", "ndi diphenhydramine" - kudutsa magazi ubongo chotchinga.
3. Benzodiazepines zimathandiza kuti chizungulire, kulepheretsa ntchito ya zida vestibular ( "Ine" "Lorafen", "Lorazepam").
4. Mankhwala ndi kanthu antiemetic, "pipolfen," meterazina "," Reglan "," metoclopramide "" Motilium ".

Nthawi ya chikhululukiro angagwiritsire ntchito mfundo za mpheto, zofikisa, kutema mphini, leech mankhwala mankhwala maginito, ndi njira zina zotheka.

vestibular konzanso

Izi akonzedwa mwapadera kwa njira umalimbana ayambe othamanga cha machitidwe yachibadwa ya zida za vestibular. The zazikulu za pulogalamu ya akuti ndi olimbitsa ndi maphunziro gait.

Kunyamula vestibular Zochita ndi chovomerezeka pokha pokha pamene palibe Kukula kwa matendawa. Iwo anasonyeza odwala khola. The kale atagwira gymnastic Zochita bwino zotsatira zake zidzakhala zotani.

Mfundo zokambirana vestibular ndi kuchita kokoka amene torso, mutu ndi diso imalandira kusatsatira. Choyamba, wodwala akumva tanthauzo la kusamva pamene akuchita, koma azolowere posakhalitsa.

Wodwala amaphunzira kuyenda ndi maso anga anatseka, ataima pa phazi limodzi, kuponyera mmbuyo mutu wake mmbuyo ndi alternately kutsegula ndi kutseka maso ake, ataima ndi maso otsekedwa pa bondo limodzi.

zodzitetezera

Development kuukira vertigo angathe kupewedwa mwa kutsatira miyezo zina zodzitetezera. Muyenera kudya bwino, kuchita masewera olimbitsa thupi, taphunzira modes wa ntchito ndi zina. Kupeza nthawi yoti kuchiza matenda, amene angathe kutumikira monga kutsogolera chitukuko cha vestibulopathy. Matenda a ubongo, mantha dongosolo, msana, matenda ENT.

Vestibulopathy amene zizindikiro ndi chithandizo inu tsopano kudziwika, tiyenera tikonze ndi chithandizo pa kuzindikira mwamsanga zimene zimayambitsa matenda ndi mankhwala kuchipatala.