Kahakaha au: Vertigo Peripheral

Anter

• He aha nā ʻano o ka vertigo peripheral?
• ʻO ka vertigo paroxysmal kūlana kiʻekiʻe (BPPV)
• Labyrinthitis
• ʻO neuronitis Vestibular
• Maʻi ʻo Meniere
• Pehea e ʻike ʻia ai ka vertigo peripheral?
• He aha nā koho lapaʻau no ka vertigo peripheral?
• Nā lāʻau a me ka lāʻau
• Ka mālama ʻana i ka nalo ʻana o ka lohe
• Nā hoʻoikaika kino
• Hoʻoikaika kino
• Pehea e hiki ai iaʻu ke pale aku i nā hoʻouka ʻana o ka vertigo peripheral?

He aha ka vertigo peripheral?

ʻO Vertigo ka dizziness i hōʻike pinepine ʻia e like me ke ʻano o ka wili. Hiki paha ke manaʻo e like me ka maʻi neʻe a i ʻole ke hilinaʻi nei ʻoe i kekahi ʻaoʻao. ʻO nā ʻōuli ʻē aʻe e pili pū ana me ka vertigo me:

• lilo o ka lohe pepeiao i ka pepeiao hoʻokahi
• ke kani nei i kou mau pepeiao
• pilikia i ka nānā ʻana i kou mau maka
• lilo o ke kaulike

ʻElua ʻano ʻokoʻa o ka vertigo: vertigo peripheral a me ka vertigo waena. Wahi a ka American Institute of Balance, ʻoi aku ka paʻakikī o ka vertigo peripheral ma mua o ka vertigo waena.

ʻO ka vertigo peripheral ka hopena o kahi pilikia me kou pepeiao o loko, ka mea e kaohi i ke kaulike. Kū ka vertigo waena i nā pilikia i loko o kou lolo a i ʻole ka lolo. Aia kekahi mau ʻano like ʻole o ka vertigo peripheral.

He aha nā ʻano o ka vertigo peripheral?

ʻO ka vertigo paroxysmal kūlana kiʻekiʻe (BPPV)

Manaʻo ʻia ʻo BPPV ke ʻano maʻamau o ka vertigo peripheral. Mālama kēia ʻano i nā kumu o ka vertigo pōkole a me ka pinepine. Hoʻoneʻe kekahi neʻe poʻo poʻo i ka BPPV. Manaʻo ʻia ma muli o nā ʻāpana liʻiliʻi o nā ʻōpala anatomical e haki ana mai nā aʻa pepeiao o loko a hoʻoulu i nā lauoho liʻiliʻi e kau ana i kāu pepeiao o loko. Huikau kēia i kou lolo, e hoʻopuka nei i ke ʻano o ka ʻōpua.

Labyrinthitis

Hoʻokumu ʻo Labyrinthitis i ka pīhoihoi a i ʻole kahi manaʻo ke neʻe nei ʻoe inā ʻaʻole ʻoe. Hoʻokumu kahi maʻi pepeiao o loko i kēia ʻano vertigo. A ʻo kahi hopena, hana pinepine ia me nā ʻōuli ʻē aʻe e like me ke kuni a me ka ʻeha o ka pepeiao. Aia ka maʻi i loko o ka labyrinth, kahi hanana i loko o kou pepeiao o loko e kāohi i ke kaulike a me ka hoʻolohe. ʻO kahi maʻi viral, e like me ke anuanu a me ka maʻi flu, kumu pinepine i kēia maʻi. ʻO kahi maʻi pepeiao bacterial kekahi manawa ke kumu.

ʻO neuronitis Vestibular

Kapa ʻia ʻo neuronitis Vestibular i neuritis vestibular. Loaʻa koke kēia ʻano vertigo a hoʻomaka paha i ke kū ʻole, ʻeha o ka pepeiao, nausea, a me ka luaʻi. ʻO ka neuronitis Vestibular ka hopena o kahi maʻi i pāhola ʻia i ke aʻalolo vestibular, ka mea e kaohi i ke kaulike. Hahai maʻamau kēia ʻano i ka maʻi viral, e like me ke anuanu a me ka maʻi flu.

Maʻi ʻo Meniere

Hoʻokumu ka maʻi o Meniere i ka vertigo hiki wawe i hiki i 24 mau hola. Hoʻokū pinepine ka vertigo i mea e hoʻonāukiuki ai ka luaʻi. ʻO ka maʻi o Meniere ke kumu o ka hoʻolohe ʻana, ke kani ʻana i loko o kou mau pepeiao, a me ka manaʻo o ka piha o kāu mau pepeiao.

Pehea e ʻike ʻia ai ka vertigo peripheral?

Nui nā ala e hiki ai i kāu kauka ke hoʻoholo inā loaʻa iā ʻoe ka vertigo peripheral. E nānā paha kāu kauka i kou mau pepeiao e nānā i nā hōʻailona o ka maʻi, a ʻike hoʻi inā hiki iā ʻoe ke hele i kahi laina pololei e hoʻāʻo ai i kāu kaulike.

Inā kānalua kāu kauka iā BPPV, hana paha lākou i kahi maneuver Dix-Hallpike. I loko o kēia hoʻokolohua, e hoʻoneʻe koke kāu kauka iā ʻoe mai kahi noho a kahi kūlana moe, me kou poʻo ke poʻo haʻahaʻa o kou kino. E kū ʻoe i kāu kauka, a pono ʻoe e hāmama i kou mau maka i hiki i kāu kauka ke nānā i kāu neʻe ʻana o ka maka. Lawe kēia maneuver i nā ʻōuli o ka vertigo i kēlā me kēia kanaka me BPPV.

E kauoha paha kāu kauka i ke kaulike a me nā hoʻolohe hoʻolohe. Kaukaʻi ʻia i kāu mau ʻōuli, hiki i ke kauka ke kauoha aku i nā noi kiʻi (e like me ka scan MRI) o kou lolo a me kou ʻāʻī e kāpae i nā kumu ʻē aʻe o ka vertigo.

He aha nā koho lapaʻau no ka vertigo peripheral?

Nā lāʻau a me ka lāʻau

Hoʻohana ʻia kekahi mau lāʻau e mālama i ka vertigo peripheral, me:

• antibiotics (e mālama i nā maʻi)
• antihistamines - no ka laʻana, meclizine (Antivert)
• prochlorperazine - e hoʻokuʻu i ka nausea
• benzodiazepines - nā lāʻau lapaʻau hopohopo e hiki ke hōʻoluʻolu i nā ʻōuli kino o ka vertigo

Lawe pinepine ka poʻe me ka maʻi ʻo Meniere i kahi lāʻau i kapa ʻia betahistine (Betaserc, Serc), hiki ke kōkua i ka hōʻemi ʻana i ke kaomi i hoʻokumu ʻia e ka wai i loko o ka pepeiao o loko a hoʻokuʻu i nā hōʻailona o ka maʻi.

Ka mālama ʻana i ka nalo ʻana o ka lohe

Pono paha nā kānaka me ka maʻi o Meniere i ka lāʻau no ke kani ʻana o nā pepeiao a me ka nalo ʻana o ka lohe. Pākuʻi ʻia paha ka lāʻau lapaʻau a me nā kōkua hoʻolohe ʻana.

Nā hoʻoikaika kino

Inā loaʻa iā ʻoe kahi hōʻailona o BPPV, hiki i kāu kauka ke aʻo iā ʻoe i ka hana Epley manuahi a me Brandt-Daroff. Pili nā mea ʻelua i ka neʻe ʻana i kou poʻo i kahi neʻe o ʻekolu a ʻehā mau neʻe alakaʻi.

E hana maʻamau kāu kauka i ka maneuver Epley, no ka mea e koi ana i ka neʻe wikiwiki a me ka huli ʻana o kou poʻo. ʻAʻole ia e paipai ʻia no ka poʻe me ka ʻāʻī a i ʻole nā ​​pilikia hoʻi.

Hiki iā ʻoe ke hana i nā hoʻoikaika kino Brandt-Daroff ma ka home. ʻO kēia nā hana i maʻa mau e mālama i ka vertigo. Manaʻo ʻia hiki iā lākou ke kōkua i ka neʻe ʻana i nā ʻōpala e kumu nei i ka vertigo.

E hana i nā hana ʻo Brandt-Daroff:

1. Noho ma ka lihi o kou wahi moe (kokoke i ka waena) me kou mau wāwae e kau ana ma ka ʻaoʻao.
2. Moe i kou ʻaoʻao ʻākau a huli i kou poʻo i ke kaupaku. E paʻa i kēia kūlana ma kahi o 30 kekona. Inā huhū ʻoe, e paʻa i kēia kūlana a hala ʻo ia.
3. E hoʻi i kahi kū i luna a nānā pono i mua no 30 kekona.
4. E hana hou i ka ʻanuʻu ʻelua, i kēia manawa ma kou ʻaoʻao hema.
5. Noho kū pololei a nānā pololei i mua no 30 kekona.
6. Hana i nā hoʻonohonoho hou ma kahi o ʻekolu a ʻehā mau manawa i kēlā me kēia lā.

Hoʻoikaika kino

ʻO Vestibular rehabilitation therapy kahi koho lapaʻau hou aʻe no ka vertigo peripheral. Pili ia i ka hana ʻana me ka mea hoʻoponopono kino e hoʻomaikaʻi i ke kaulike ma ke kōkua ʻana i kou lolo e aʻo e uku i nā pilikia o ka pepeiao i loko.

Hiki i ke ʻoki kino ke mālama i nā hihia ʻoi loa, hoʻomau o ka vertigo inā kūleʻa ʻole nā ​​ʻano hana ʻē aʻe. Pili kēia ʻoki i ka hemo ʻana i kahi ʻāpana o kāu pepeiao o loko.

Pehea e hiki ai iaʻu ke pale aku i nā hoʻouka ʻana o ka vertigo peripheral?

ʻAʻole hiki iā ʻoe ke pale i ka vertigo mua, akā hiki i kekahi mau ʻano ke kōkua i ke pale ʻana i kahi hoʻouka vertigo hou. Pono ʻoe e hōʻalo:

• kukui uila
• neʻe poʻo poʻo wikiwiki
• piʻo ʻana
• ke nānā nei i luna

Kū mālie nā hana kōkua ʻē aʻe a hiamoe me kou poʻo i hāpai ʻia.