Nā maʻi pili i ka Vertigo

ʻO Vertigo kahi ʻano o ka neʻe a i ʻole ka wili ʻana i hōʻike pinepine ʻia e like me ka dizziness.

ʻAʻole like ʻo Vertigo me ka hoʻomālamalama ʻia. Manaʻo ka poʻe me ka vertigo me he mea lā ke wili nei a neʻe paha lākou, a i ʻole ke wili nei ka honua iā lākou.

Aia he mau ʻano vertigo, peripheral a me vertigo waena.

ʻO ka vertigo peripheral ma muli o kahi pilikia i ka ʻāpana o ka pepeiao o loko e kāohi ana i ke kaulike. Kapa ʻia kēia mau wahi i ka labibyr vestibular, a i ʻole nā ​​kahawai semicircular. Pili pū paha ka pilikia i ke aʻalolo vestibular. ʻO kēia ke aʻalolo ma waena o ka pepeiao o loko a me ke kumu o ka lolo.

Hoʻokumu ʻia ʻo vertigo peripheral e:

• ʻO ka vertigo kūlana kiʻekiʻe (benign paroxysmal positional vertigo, i ʻike ʻia ʻo BPPV)
• ʻO kekahi mau lāʻau, e like me aminoglycoside antibiotics, cisplatin, diuretics, a i ʻole salicylates, nā mea ʻawaʻawa i nā hale pepeiao o loko.
• ʻEha (e like me ke poʻo ʻeha)
• ʻO ka hoʻohaunaele o ke aʻalolo vestibular (neuronitis)
• Ka huhū a me ka pehu ʻana o ka pepeiao o loko (labyrinthitis)
• Maʻi Meniere
• Kaomi ma ke aʻalolo vestibular, maʻamau mai kahi tumo noncancerous e like me ka meningioma a i ʻole schwannoma

ʻO ka vertigo waena ma muli o kahi pilikia i ka lolo, ʻo ka maʻamau ma ka ʻaoʻao o ka lolo a i ʻole ka ʻaoʻao hope o ka lolo (cerebellum).

Hoʻokumu ʻia paha ka vertigo waena e:

• Maʻi maʻi koko
• ʻO kekahi mau lāʻau, e like me anticonvulsants, aspirin, a me ka waiʻona
• Sclerosis lehulehu
• Ka hopu (kākaʻikahi)
• Hahau
• Tumors (cancerous a noncancerous)
• ʻO ka migraine vestibular, kahi ʻano o ka maʻi migraine

ʻO ka hōʻailona nui kahi manaʻo e neʻe a wili paha ʻoe a i ʻole ka lumi. Hoʻokumu paha ka ʻona wili i ka nausea a me ka luaʻi.

Kaukaʻi ʻia i ke kumu, hiki i nā ʻōuli ʻē aʻe ke hoʻopili pū me:

• Pilikia i ka nānā ʻana i nā maka
• Puʻupuʻu
• Lohe pepeiao i ka pepeiao hoʻokahi
• Ka nele o ke kaulike (hiki ke hāʻule)
• Ke kani nei i nā pepeiao
• ʻO Nusea a me ka luaʻi, e lilo ana i nā wai o ke kino

Inā loaʻa ʻoe i ka vertigo ma muli o nā pilikia i ka lolo (vertigo waena), loaʻa paha iā ʻoe nā ʻōuli ʻē aʻe, e like me:

• Pilikia i ka ale ʻana
• Hōʻike pālua
• Nā pilikia neʻe maka
• Paralysis helehelena
• ʻLelo lohi
• Nāwaliwali o nā lālā

Hōʻike ka loiloi e ka mea mālama ola:

• Hele pilikia me ka nalowale o ke kaulike
• Nā pilikia neʻe o ka maka a i ʻole ka neʻe maka ʻole ʻana (nystagmus)
• Lohe hoʻolohe
• Ka nele o ka hoʻonohonoho ʻana a me ke kaulike
• Nawaliwali

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā hoʻāʻo koko
• Ua hoʻowalewale ʻia ka loiloi lāʻau kūpona i nā noi kūpono
• Hoʻoulu manaʻo Caloric
• Electroencephalogram (EEG)
• Pahu uila
• Poʻo CT
• Pahu lumbar
• MRI scan o ke poʻo a me ka scan MRA o nā kīʻaha koko o ka lolo
• Hoʻāʻo hele wāwae (gait)

Hiki i ka mea hoʻolako ke hana i kekahi neʻe ʻana o ke poʻo iā ʻoe, e like me ka hoʻāʻo poʻo-poʻo. Kōkua kēia mau hoʻāʻo i ka ʻokoʻa ma waena o ka vertigo waena a me ka peripheral.

ʻO ke kumu o nā maʻi lolo e hana ana i ka vertigo e hoʻomaopopo a mālama ʻia inā hiki.

I mea e kōkua ai i ka hoʻonā ʻana i nā ʻōuli o ke kūlana kiʻekiʻe, hiki i ka mea hāʻawi ke hana i ka maneuver Epley ma luna ou. Hoʻopili kēia i ke kau ʻana i kou poʻo i nā kūlana ʻokoʻa e kōkua i ka hoʻonohonoho ʻana i ka mea kaulike.

Kau ʻia ʻoe i nā lāʻau e mālama ai i nā ʻōuli o ka vertigo peripheral, e like me ka nausea a me ka luaʻi.

Hiki i ke olakino kino ke kōkua i ka hoʻomaikaʻi ʻana i nā pilikia kaulike. E aʻo ʻia ʻoe i nā hoʻoikaika kino e hoʻihoʻi i kou ʻano o ke kaulike. Hiki i nā hoʻoikaika kino ke hoʻoikaika i kou mau mākala e pale i ka hāʻule.

I mea e pale ʻole ai i nā ʻōuli i ka wā o ka vertigo, e hoʻāʻo i kēia:

• E noho mālie. Noho a moe i ke kū ʻana nā hōʻailona.
• Hoʻomau hou i ka hana.
• Hōʻalo i nā loli kū koke.
• Mai hoʻāʻo e heluhelu ke hiki mai nā ʻōuli.
• Hōʻalo i nā kukui ʻōlinolino.

Pono ʻoe e kōkua i ka hele wāwae ke kū nā ʻōuli. Hōʻalo i nā hana weliweli e like me ka hoʻokele, ka hana ʻana i nā mīkini kaumaha, a me ka piʻi ʻana a 1 pule ma hope o ka nalowale ʻana o nā hōʻailona.

Pili nā mālama ʻē aʻe i ke kumu o ka vertigo. ʻO ke kaha ʻana, e komo pū ana me ka decompression microvascular, e ʻōlelo ʻia paha i kekahi mau hihia.

Hiki iā Vertigo ke keʻakeʻa i ka hoʻokele, ka hana, a me ka nohona. Hiki iā ia ke kumu i ka hāʻule, kahi e hiki ai i nā ʻeha he nui, e like me nā haki o ka pūhaka.

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe ka vertigo ʻaʻole e hele a hihia ʻole i kāu hana i kēlā me kēia lā. Inā ʻaʻole ʻoe i loaʻa i ka vertigo a i ʻole inā loaʻa iā ʻoe ka vertigo me nā ʻōuli ʻē aʻe (e like me ka hihiʻo ʻike lua, ka ʻōlelo slurred, a i ʻole ka nalo ʻana o ka hoʻonohonoho ʻana)

Vertigo peripheral; Vertigo waena; Puʻupuʻu; ʻO ka vertigo kūlana kiʻekiʻe; ʻO ka vertigo kūlana paroxysmal kūlana

• Membrane Tympanic
• Cerebellum - hana
• Anatomy pepeiao

ʻO Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Kuhi alakaʻi ʻōkuhi: benign paroxysmal positional vertigo (update). Otolaryngol poʻo poʻo ʻoki. 2017; 156 (3_suppl): S1-S47. PMID: 28248609 www.pubmed.ncbi.nlm.nih.gov/28248609.

Chang AK. Ka pākī a me ka vertigo. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 16.

ʻO Crane BT, Minor LB. Nā maʻi maʻi vestibular peripheral. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 165.

Kerber KA, Baloh RW. Neuro-otology: ʻike a me ka mālama ʻana i nā maʻi neuro-otoligical. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 46.