Vestibulopathy - kuyini ... vestibulopathy: incazelo, izimbangela kanye nezici ukwelashwa

Umzimba womuntu igcina isikhundla salo isikhala ngosizo umsebenzi vestibular. Injongo eyinhloko yale uhlelo yikhono ukugcina ukulinganisela, ngokuhlaziya ukunyakaza futhi isikhundla komzimba. Ukuthuthukiswa nezinkinga vestibular ibizwa ngokuthi "vestibulopathy". Kuyini futhi yiziphi izimpawu eziyinhloko, lesi sifo ngazo esihlokweni.

imiqondo Basic ngalesi sifo

Bambalwa iziguli ngazibuza: "vestibulopathy - kuyini?", Ngenxa yokuthi lesi sifo isakazeke kakhulu kangaka. Igama efanayo kubhekisela esenzakalweni esiyisimangaliso eziyinkimbinkimbi kuphazamiseka we-apharathasi vestibular, libhekene ukungakwazi ukwenza imisebenzi yakhe yokugcina futhi silondoloze ukuma komzimba womuntu emkhathini.

Vestibulopathy, izimpawu kanye nokwelashwa iluphi okuzoxoxwa ngalo kamuva, ingaqala ngenxa yokwephula ehlukile emzimbeni, futhi njengoba omunye syndromes ezahlukene psycho-vegetative iziyaluyalu. Esimeni sesibili, ukwelashwa kanye sitholakele isifo Sekunzima kakhulu, ngoba eduze kuxhumene jikelele isithombe emitholampilo kanye nezinye ukuphathwa kwabathintwayo, autonomic, futhi kubonakaliswa ngokomzwelo-ngokomzwelo.

Ukuphazamiseka umsebenzi vestibular kungenzeka zisencane. Lesi simo sokugembula kubhekwa njengendlela ukwehluleka umsebenzi apharathasi otolith. Ngiseyingane, lokhu kubonakala ngesimo isicanucanu ku jika, e ikheshi, ezokuthutha zomphakathi.

Ngokuhamba kwesikhathi, izimpawu kuphazamiseka isiqala ukufana ikhaliphe moya. Okungukuthi, isithombe emtholampilo eba kuhlasela inhlokomo ngaphambi kokuba aqale esebenza isici ukuthi sibangelwa yini.

izici Etiological yesifo

Lezi zinhlobo ezilandelayo izimbangela nezinkinga vestibular:

• zengaphakathi lendlebe iziyaluyalu;
• ukulimala kobuchopho organic;
• izinqubo sokugembula yomgogodla wesibeletho;
• ukulimala kuhlasimulise;
• ukuvuvukala;
• ubunjalo ezithathelwanayo lesi sifo;
• izinguquko ezihlobene nokukhula.

Phakathi acoustic analyzer izifo ukuthi kungabangela ukuthuthukiswa vestibulopathy, ukuhlukanisa labyrinthitis, Maze esivimba amanzi, nesifo i-Meniere sika.

uxhaxha myocardial ngokuvamile kwenzeka ngokumelene okwenza izinguquko ezihlobene nokukhula. Iziguli esekhala ebukhali ubuthulu futhi ukubukeka iziyaluyalu vestibular.

nesifo i-Meniere sika libhekene ukulahlekelwa kukuzwa, isicanucanu, ukuhlanza, isiyezi, umuzwa ukuphelela, futhi tinnitus. Lesi sifo lihlotshaniswa izinqubo sokugembula ezingaphakathi endlebeni.

Labyrinthitis kuyinto webhaktheriya noma viral ngokwemvelo. Ukuvuvukala zendawo uxhaxha membranous ka zengaphakathi lendlebe. Ngaphezu kwalokho, vestibulopathy kungahle kubangelwe ukudakwa ngu ezinobuthi noma izidakamizwa.

izimpawu ezivamile

Zonke izinhlobo lesi sifo yilabo ukubonakaliswa ezivamile futhi eziqondile. Lesi sifo libhekene zimpawu ezilandelayo ezivame:

1. Isiyezi kungenzeka okwesikhashana noma unomphela. Isiguli ngasinye - zabo, indlela esiqonda ngazinye isiyezi. Ezinye esekhala umuzwa ukungakwazi silungise emehlweni, abanye - ukuthi zonke izinto ilingise luhamba luye ohlangothini olulodwa.
2. ubuhlungu bekhanda engaveza amandla futhi okushiyashiyanayo ngamandla.
3. Visual ukungakhuli - iziguli tindilinga amnyama noma ngendiza phambi kwamehlo akhe, umbono encishisiwe.
4. Ukwephulwa ngu ibhalansi - Iziguli angayendayenda, ungawela, abanayo umuzwa ukuzinza.
5. Nystagmus - kukhona ukuhamba zamehlo kokuba uhlamvu rhythmical. Amehlo Ungahambisa ukuphendukela kunoma iluphi uhlangothi.
6. Ukucanuzela kwenhliziyo, ukuhlanza.

Izinhlobo iziyaluyalu vestibular

Zihlukaniswa amafomu alandelayo nezinkinga vestibular:

• vestibulopathy Vertebrogenic;
• vestibulopathy acute neuropathy;
• ifomu ukucindezeleka kwangemva kwenhlekelele kuphazamiseka vestibular.

Ukuze uhlobo isifo ngasinye libhekene etiologic yayo izici, kanye nezimpawu jikelele kanye ethize emtholampilo.

ICD vestibulopathy nazo zonke izinhlobo zako kukhona ikhodi N81. Ingabe iqembu zengaphakathi lendlebe izifo (N80-N83).

ifomu vertebrogenic

Lolu hlobo iziyaluyalu vestibular ngqo exhumene izinqubo sokugembula yomgogodla wesibeletho. Izimbangela izimfa ingaba:

• ukhwaliti ubuhlungu emuva;
• kwamathambo;
• ukwehluleka amathambo noma akwazi ukugcina;
• clamping ka nezinzwa;
• microcirculation ngesiphazamiso.

Lesi sifo libhekene neziqubu kaningi isiyezi, okungaba ehlelekile noma ngezikhathi ezithile. Lapho ihamba noma ukuphendulela ikhanda, iziguli esekhala ukungakhululeki, umuzwa ukungazinzi. Isiguli ayikwazi ukugxila ingqondo ngale ndaba, kukhona umuzwa isicanucanu uma uzama nenkanuko edlulele ezibukwayo ku izinto ezihambayo.

Ezinye iziguli ziba emaphakathi vestibulopathy syndrome. He is paroxysmal endalweni bese kuqala oyingozi. Sibekezele neliphithene emkhathini, kukhona inzululwane eqinile futhi cephalalgia. Vestibulopathy nge ukubonakaliswa okufanayo ingozi yezinkinga kungenzeka.

Ifomu neuropathy lesi sifo

Acute vestibulopathy neuropathy - kuyini? Ukuvuvukala emsipheni we Yiqiniso kwangaphakathi we analyzer sokuzwa kubangele ukuthuthukiswa yaleli fomu lesi sifo. Isithombe emitholampilo kuhambisana zimpawu:

• uhlamvu isiyezi paroxysmal;
• ukungalingani;
• eye movement, ezimele izifiso esigulini;
• ukuzwa izinguquko.

izici Etiologic kukhona ayikaziwa. Kusolwa ukuthi lo mshini ukugijima yaleli fomu kungaba amagciwane noma ama-virus. Iziguli eziningi akhononde ukuthuthukiswa izimpawu sibi zokuphefumula izifo ezibangelwa amagciwane emlandweni ngaphambi kokusungulwa kwe ukuhlaselwa kuphazamiseka vestibular.

vestibulopathy neuropathy wabonakaliswa ukukhathazeka, isicanucanu, ukuhlanza, eside isiyezi, umsindo endlebeni eyodwa futhi umuzwa ukugcwala therein okufanayo. Ukuzwa ezingeni uhlala isimo esifanayo.

Inkinga yaleli fomu ingavuthi encephalopathy. ukwelashwa Vestibulopathy okumele siqale ngesikhathi izimpawu zokuqala, ngakho ngempela ayivamile ukubangela eziyingozi.

Ukuthuthukiswa lesi sifo ngenxa yokulimala

vestibulopathy Posttraumatic - kuyini? Lokhu ifomu vestibular iziyaluyalu kubangelwa ukulimala kuhlasimulise iba eardrum odongeni uxhaxha noma nerve izicubu.

izici Etiological yentuthuko:

• okulimala ebuchosheni;
• ukulimala amathambo skull;
• isiyezi psychogenic ngemva ukuhlukumezeka;
• decompression imiphumela.

Dizzy eside ngokwanele ephelezelwa isicanucanu nokuhlanza, nystagmus, ukungazinzi ngokwezomnotho we ezinyakazayo. Izimpawu zinyamalale emasontweni ambalwa azayo.

ukuhlolwa zokuxilonga

Vestibulopathy kabani izimpawu zingase zibe inkomba yokuthi iziyaluyalu apharathasi vestibular yesifo noma syndrome, kwatholakala ukuthi nginesifo sasivumela kalula. Nokho, ukuthola izizathu kungathatha isikhathi eside.

It kuqala nesineke ucwaningo wezinzwa. Lezi ukuhlola zihlanganisa ophthalmoscopy, ukuhlolwa komsebenzi siqu futhi emsipheni sokuzwa. Ungene umsebenzi kwamanye amaqembu, ekupholiseni izinzwa, kuhlanganise uphawu Babinski.

Paltsenosovaya isampula, futhi isivivinyo emadolweni isithende ngoba diadohokinez uvumele ukuhlola isimo yokusebenza ye cerebellum.

Esabelwa futhi magnetic resonance imaging yomgogodla wesibeletho ukuze kutholakale ukuthuthukiswa kungenzeka amafomu vertebral lesi sifo. Udokotela ehlola isimo amathambo, amathambo, imisipha futhi uhlelo ngokuhlanganyela.

Kuyinto ayimpoqo ukuthi ENT ngokuxhumana uhambo isimo eardrum. Endabeni kuhlasimulise udokotela ukulimala ENT ihlola ngalo ingaphakathi tympanic.

izimiso yokwelapha

Vestibulopathy ukwelashwa okufanele kube esibanzi, has umphumela omuhle ngasekuqaleni kabi usizo olukhethekile. Okokuqala yokwelapha lingaze. Kuhlanganisa ukusetshenziswa amaqembu elandelayo izidakamizwa:

1. Izidakamizwa anticholinergic isinyathelo zivimbela umsebenzi izakhiwo vestibular. Lawa amalungiselelo esekelwe platifillina futhi scopolamine. Ngokuvamile bajwayele ukuvimbela nokuquleka.
2. Antihistamine - "Dramina", "Bonin", "Diphenhydramine" - udabula kusivimbeli gazi ebuchosheni.
3. Benzodiazepines ziyasebenza ngoba isiyezi, ezivimba umsebenzi apharathasi vestibular ( "i" "Lorafen", "Lorazepam").
4. Izidakamizwa nesenzo antiemetic, "pipolfen," meterazina "," Reglan "," metoclopramide "" Motilium ".

I izinkathi ukuthethelelwa lingasetshenziswa izakhi zokukhwabanisa, ukubhucungwa, ukutshopa, ukwelashwa umnyundu, ukwelashwa kazibuthe, nezinye izindlela kungenzeka.

nokuvuselelwa vestibular

Lena iqoqo eziklanyelwe izinyathelo ezihlose ngesikhathi kwelulama we operation evamile apharathasi vestibular. I Okwavelela esimisweni ubhekwa yokuzijwayeza nokuqeqeshwa Gait.

Ethwele umzimba vestibular Kuvumeleke kuphela ezimweni lapho kungekho ukuqhubeka kwesifo. It is kuboniswe for iziguli esitebeleni. I ngaphambili ebambe umzimba Gymnastic, ngcono uyoba yini umphumela.

Isimiso umzimba vestibular siwukuba aziphathe umzimba lapho esifubeni, ekhanda futhi iso ukuguquguquka sezinzwa. Okokuqala, isiguli uzizwa kabi lapho ungenzi, kodwa usuyijwayele ngokushesha.

Isiguli ifunda ukuhamba ngamehlo ami ivaliwe, bemi ngonyawo olulodwa, aphonse emuva ikhanda lakhe emuva yanjalo ivula novala amehlo akhe, emi uvale emehlo kwenye kwedolo.

izinyathelo

Kutfutfukiswa ukuhlaselwa inzululwane ingavinjelwa ngokunamathela izinyathelo ezithile izifo. Kufanele ukudla ngendlela efanele, umsebenzi, izindlela enye umsebenzi kanye nokuphumula. kudingeka Futhi isikhathi kanjani lesi sifo, elingasebenza njengesibuko negalelo ekuthuthukiseni vestibulopathy. Lesi sifo zobuchopho, isimiso sezinzwa, emgogodleni, izifo ENT.

Vestibulopathy kabani izimpawu kanye nokwelashwa wena manje eyaziwa, ezingelapheka futhi ukwelashwa kusenesikhathi izimbangela zezifo kanye nokwelashwa bathole usizo lwezempilo.