Tijaabi calaamadaha xanuunka dhanjafka iyo vertigo
Imbax safar si aad u jeceshahay jardiinada ama madadaalo, ka buuxi saaxiibo, nacnac nacnac, iyo qorrax diiran. Waxay u egtahay mid qurux badan ilaa aad ka gashid wadada istiraatiijiga ah ee ciriiriga ah iyo in aad la kulanto wareer. Tani waxay noqon kartaa sida ay u dareemayso qaar ka mid ah kuwa ku xanuunsada hurgunka vestibular, nooc ka mid ah madax xanuunka keena madax-wareerid episodic ah, badanaa oo aan lahayn madax-xanuun, dadka qaba taariikhda hijrada.
Horudhac
Hoos u dhaca macaan ee Vestibular ayaa saameeya illaa 1% dadweynaha. Bukaannada vertigo ee leh khibradda migreebka ee kala duwan ayaa ka duwan kan vertigo midkood la kulmi karo inta lagu jiro xanuunka muruqa , markaa vertigo sida caadiga ah ma soconayo 5-60 daqiiqo sida aura oo aan caadi ahaan horay u qabin madaxa xanuunka. Dhowaan, Guddiga Noocyada Ciladaha Vestibular ee Bulshada Bárány iyo Guddiga Kala-saaridda Migreebka ee Ururka Caalamiga ah ee Madaxa Madaxa ee Caalamiga ah (IHS) ayaa abuuray shuruudo ay dhakhaatiirtu u adeegsan karaan in ay baaraan is-goysyada vestibular.
Shaxda Shaxda
Marka la eego shuruudaha kala soocidda ee daabacaadda labaad ee Qeybinta Caalamiga ah ee Dhibaatada Headachus (ICHD-II), astaamaha xuubka jilicsan waxaa ka mid ah:
- A taariikhda ama taariikhda hore ee madax xanuunka dhanjafka leh ama aan lahayn aura
- Ugu yaraan 5 dhacdo oo calaamado vestibular ah oo leh xoogaa dhexdhexaad ah ama daran oo soconaya 5 daqiiqo illaa 72 saacadood
- Ugu yaraan 50 boqolkiiba qaybaha waxay leeyihiin hal ama wax ka badan sifooyinkaas
- Aura sawir
- sawir-maskaxeed iyo phonophobia
- madax-xanuunka leh ugu yaraan laba waxyaabood oo soo socda: madax-xannuun madaxa ah, isku-buufin, xoog leh dhexdhexaad ah ama daran, oo sii xumeynaya dhaqdhaqaaq jireed caadi ah
- Astaamaha looma fasirayo xaalad caafimaad oo kale
Maxay yihiin Calaamadaha Vestibular?
Calaamadaha Vestibular, sida ay sheegayso Bulshada Bárány ee Calaamadaha Calaamadaha Vestibular waxaa ka mid ah:
- vertigo aan caadi aheyn (marka qofku dareemayo inuu u guurayo ama in ku dhawaad hareerahooda ay u socdaan ama socdaan)
- vertigo-ku-meeleyn (vertigo waxaa lagu soo rogay isbeddelka booska madax)
- vertigo-arag ah (vertigo oo ay sababtay kicin ballaaran oo muuqaal ah)
- madax-wareer-madax-dhiig-baxa ama madax-wareer leh lallabbo
Calaamadaha vestibular waa "dhexdhexaad" haddii ay farageliyaan dhaqdhaqaaqyada maalin kasta iyo "daran" haddii ay mamnuucayaan waxqabadyo maalinle ah.
Ciladeynta
Ciladaha loo yaqaan 'vigibular vestibular' waxaa lagu sameeyaa dhakhtarka neerfaha ama madaxa takhasuska madaxa. Ma jiraan baaritaano gaar ah, laakiin halkii baaritaanku waa mid caafimaad, taas oo macnaheedu yahay in bukaanku sameeyo bukaanku tilmaamaya astaamaha dhakhtarka. Si kastaba ha ahaatee, dhakhtarkaagu wuxuu u maleynayaa inaad sawir maskaxda ku hayso sawir maskaxda ah ( MRI ) iyo / ama magnetic-mediated angiography ( MRA ) si loo hubiyo in xaalad caafimaad oo kale oo culus uusan soconaynin sida: istaroogga ama vertebrobasilar transient ischaemic weerarka (TIA). Waxaa sidoo kale laga yaabaa in aad mariso qalabka dhegeysiga ama baaritaanka maqalka si aad uga baxdo cudurka Meniere . Xaalado caafimaad oo kale oo la mid ah migrenkiller vestibular waa madax-wareerka la xidhiidha ama weerarada argagaxa, vertigo ku dhaco isxukun , ama nooc kale oo madax xanuunka dhanjafka loo yaqaan ' jigraine' .
Daaweynta
Daaweynta xayawaanka jilibka ah waxay la mid tahay daaweynta uur-jiifka ee daaweynta degdegta ah iyo ka-hortagga labadaba waa la tixgeliyaa, marka lagu daro ka-hortagga ka-hortagga Ergotamine ama triptans waa ikhtiyaari macquul ah daaweynta degdega ah, taas oo la mid ah isticmaalka muruqyada jilicsan. Haddii uu qofku uurjiifka ku xiran yahay si joogto ah iyo / ama gaar ahaan naafo, marka loo eego daawo ka hortag ah sida beta blocker ama anteenistaha kaniisada kalsiyum, sida verapamil, waxay noqon kartaa waxtar. Marmarka qaarkood, xakameyaal vestibular, oo loo yaqaan "anti-vertigo", ayaa loo isticmaalay. Tusaalooyinka xakamaynta vestibular waxaa ka mid ah: antiemetics sida promethazine, benzodiazepines sida lorazepam, ama antihistamines sida meclizine.
Dayactirka Vestibular sidoo kale waa wax loo baahan yahay in lagu tixgeliyo bukaanka qaba jeexjeexka jilicsan. Nooca daaweynta jirka ah, bukaanku waxay bartaan sida loo wanaajiyo dareenkooda dheelitirka waxayna hoos u dhigaan dareenkooda dawakhaad, marka xayawaanka jilicsani dhaco.
Khadka hoose
Haddii aad qabtid cudurka vertigo-episodic leh ama la'aantiis, markaad eegto calaamadahaaga bixiyahaaga daryeel caafimaad. Dhakhtarkaagu wuxuu ka hortagi doonaa sababaha kale ee dawakhaadda ka hor inta aan la ogaanin xanuunka dhanjafka ee jilibka. Laakiin, haddii tani ay tahay cudurka, maahan keligaa, waxaana jira fursado daaweyn oo badan.
> Ilo:
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Madow DF & Robertson CE. Migrejiyo jeexan. In: UpToDate, Basow DS (Ed), UpToDate, Waltham, MA, 2013.
Madax xanuunka Guddiga Iskuduwida Ururka Caalamiga ee Madaxa Madaxa ee Caalamiga ah. "Qeybinta Caalamiga ah ee Cudurka Madaxa-Baxsan: Koobka 3aad (version beta)". Cephalalgia 2013; 33 (9): 629-808.
Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J, et al. Xaji xanuunka Vestibular: shuruudaha ogaanshaha. J Vestib Res . 2012; 22 (4): 167-72.