Vestibulopathy - chii ... vestibulopathy: tsananguro, zvinokonzera uye unhu kurapwa

Muviri womunhu anochengetedza panzvimbo yacho nzvimbo uchibatsirwa vestibular ushande. Chinangwa chikuru chemusha ino kukwanisa kuchengeta nechiyero, nokuongorora rwokufamba nzvimbo muviri. Kugadzirwa vestibular dysfunction anonzi "vestibulopathy". Chii uye ndedzipi pfungwa zviratidzo, hosha ichaongororwa munyaya.

Basic pfungwa pamusoro chirwere

Shoma varwere ndakazvibvunza: "vestibulopathy - chii?", Nekuti chirwere zvachakapararira kwazvo. A yakafanana izwi rinoreva kuzvivako zviri zvinetso zviri vestibular midziyo, dzinoratidzwa nekusagona aite mabasa ake okupedzisira uye kuramba nzvimbo dzomuviri womunhu ari muchadenga.

Vestibulopathy, zviratidzo uye kurapwa iyo ichakurukurwa Papera, anogona kuva somunhu yoga kutyora muviri, uye sezvo rimwe syndromes akasiyana psycho-vegetative zvirwere. In chechipiri mhosva, kurapwa uye chirwere chirwere kuva kwakaoma, nokuti rakada rakarukwa kupinda zvinonakisa kunotoda mufananidzo pamwe nemamwe somatic, autonomic, uye mupfungwa-kuvhiringidzika kuratidzwa.

Kukanganisika vestibular nerevane kunogona kuitika pazera duku. Ichi chirwere pathological runoonekwa sechinhu kukundikana basa otolith midziyo. Paaiva mwana, uyu kunoratidzwa muchimiro inofamba chirwere iri mberi, ari erevheta, mabhazi.

Nokufamba kwenguva, zviratidzo zvirwere iri kutanga kufanana vakaumbwa hunenge. Kureva chiremba mufananidzo hwapedyo kurwisa asati atanga kuita chinhu chinokonzera izvozvo.

Etiological zvinhu zvirwere

Zvinotevera mhando zvinokonzera vestibular dysfunction:

• yomukati nzeve zvirwere;
• Organic uropi;
• pathological pezvakaitwa of remuromo muzongoza;
• randakambosangana naro zvinokuvadza;
• bundu;
• ari kutapuriranwa hunhu chirwere;
• zera-ukama kuchinja.

Pakati acoustic analyzer zvirwere zvinogona kukonzera vestibulopathy kukura, kusiyanisa labyrinthitis, myocardial inovhiringidza, chirwere Meniere vake.

Myocardial labyrinth rinowanzoberekera pamusoro colour wezera-ukama kuchinja. Varwere chokunyunyuta pamusoro unopinza kusanzwa uye chitarisiko vestibular zvirwere.

chirwere Meniere inozivikanwa nokunzwa kurasikirwa, kuda kurutsa, kurutsa, dzungu, kunzwa kuzara, uye tinnitus. chirwere ichi Rinobatanidzwa ne pathological pezvakaitwa munzeve.

Labyrinthitis iri kwemabhakitiriya kana nemavhairasi zvakasikwa. Kuzvimba vemunyika mune membranous labyrinth womukati nzeve. Uyezve, vestibulopathy anogona kukonzerwa kudhaka nokuda zvine chepfu kana zvinodhaka.

Common zviratidzo

All marudzi chirwere hazvizivani uye yakananga kuratidzwa. The chirwere kunoratidzwa zvinotevera nevakawanda zviratidzo:

1. Dzungu kungava pfupi kana zvachose. Mumwe murwere - yavo, nomumwe omumwe dzungu. Vamwe vanotsutsumwa pamusoro manzwiro kutadza kugadzirisa kuona, vamwe - kuti zvinhu zvose dzitendererane imwe negwara.
2. Headache marwadzo anogona kuratidza kusiyanisa simba uye zvikuru.
3. Kutadza kuona zvakanaka - varwere vane rima yeChina kana achibhururuka pamberi pameso ake, akaderedza chiratidzo.
4. Kutyorwa kubudikidza pachiyero - Varwere vanodzedzereka, anogona kuwira, vasina pfungwa dzigadzikane.
5. Nystagmus - pane kwebasa eyeballs ane rhythmical hunhu. Meso anogona kufamba chero divi.
6. Kuda kurutsa, kurutsa.

Mhando vestibular zvirwere

Akasiyanisa zvinotevera siyana vestibular dysfunction:

• Vertebrogenic vestibulopathy;
• vestibulopathy chenjera peripheral;
• post-dzechimwe muchimiro vestibular zvirwere.

Nokuti mumwe chimiro chirwere kunoratidzwa ayo etiologic zvinhu, uyewo vakawanda uye yakananga zvekuchipatara zviratidzo.

ICD vestibulopathy uye zvose zvinozonzi ayo bumbiro remitemo N81. Ko boka munzeve zvirwere (N80-N83).

vertebrogenic chimiro

Izvi kwakadai vestibular zvirwere chokuita zvakananga pathological pezvakaitwa ari remuromo nomuzongoza. The zvinokonzera pakoromoka dzakadaro angava:

• pasi musana kurwadziwa;
• osteoporosis;
• kukundikana vertebrae kana discs;
• clamping yomupfungwa;
• microcirculation nyonganyonga.

The chirwere kunoratidzwa kakawanda tichibatwa dzungu, izvo zvinogona enderana kana neapo. Kana uchifamba kana akatendeuka musoro, varwere chokunyunyuta pamusoro kusanzwa, kunzwa kusagadzikana. Murwere haagoni kufunga pfungwa panhau, pane kunzwa svoto kana ukaedza kuona Kuda kutamba nezvinhu zviri kutamira.

Vamwe varwere vave musimboti vestibulopathy syndrome. Ndiye paroxysmal zvakasikwa uye rikwanise Pazvinotanga. Patient kuvhiringika ari muchadenga, pane simba vertigo uye cephalalgia. Vestibulopathy zvakafanana zvinoratidza ngozi zvichibvira yematambudziko.

The peripheral chimiro chirwere

Chenjera peripheral vestibulopathy - chii? Kuzvimba etsinga womukati kosi yacho auditory analyzer kukonzera kukura chimiro ichi chirwere. The mufananidzo zvekuchipatara achabatsirwa zviratidzo:

• dzungu paroxysmal hunhu;
• kusaenzana;
• ziso kufamba, yakazvimirira zvido murwere;
• kuchinja kunzwa kwete.

Etiologic zvikonzero vachiri kuzivikanwa. Zvinofungirwa kuti basketball mashandiro nzira iyi inogona kuva utachiona kana mavhairasi. Varwere vakawanda vanotsutsumwa pamusoro pokumuka zviratidzo chakasimba kufema kutapukirwa noutachiona munhau kusati kwatombova yokurwiswa vestibular zvirwere.

Peripheral vestibulopathy akaratidza mwoyo, kuda kurutsa, kurutsa, dzungu refu, ruzha mune imwe nzeve uye kunzwa kuzara zvakafanana mariri. Kunzwa pamwero unorambira chete mamiriro.

Kuomesa nzira iyi vave encephalopathy. Vestibulopathy kurapwa izvo zvinofanira kutanga pakutanga zviratidzo, saka zvikuru kashoma kunokonzera zvakakomba matambudziko.

Kukura chirwere nokuda kukuvara

Posttraumatic vestibulopathy - chii? Izvi fomu vestibular zvirwere zvinokonzerwa nezviitiko kukuvara anova eardrum rusvingo labyrinth kana etsinga tishu.

Etiological zvinhu okukura:

• gumo uropi;
• kuvadza mapfupa dehenya;
• psychogenic dzungu pashure kunotevera;
• decompression migumisiro.

Nzwa dzungu refu zvakakwana achiperekedzwa kuda kurutsa uye kurutsa, nystagmus, kusagadzikana pamusoro inofamba. Zviratidzo inonyangarika shomanana.

chirwere yokuedzwa

Vestibulopathy vane zvingaratidza kuva chiratidzo zvinetso zviri vestibular midziyo ane chirwere kana urwere, zvakanaka nyore akaonekwa. Zvisinei, kuwana zvikonzero anogona kutora nguva yakareba.

Kutanga murwere kuongorora wetsinga. Diagnostics izvi zvinosanganisira ophthalmoscopy, tinyatsonzwisisa pachavo basa uye auditory etsinga. Akaongorora basa mamwe mapoka tsinga, kusanganisira chiratidzo Babinski.

Paltsenosovaya yokuenzanisira, uye ibvi-chitsitsinho muedzo diadohokinez kubvumira kuti vaongorore uchishandisa mamiriro ari cerebellum.

Also basa rinobva resonance kuri pamusoro remuromo musana kuti kuona zvinoita kukura vertebral siyana chirwere. Chiremba anoongorora mamiriro mapfupa, vertebrae, tsandanyama uye vadyi hurongwa.

Zviri rokumanikidzirwa kuti pfava zano tichiona mamiriro ari eardrum. Kana dzechimwe kukuvara pfava chiremba anoyera tympanic mhango.

kurapa misimboti

kurapwa Vestibulopathy zvinofanira nzwisisika, ane zvakanaka mugumisiro pakutanga-kurapwa kuti unyanzvi rubatsiro. Chekutanga symptomatic mishonga. Hunosanganisira Kushandiswa zvinotevera mumapoka zvinodhaka:

1. Drugs anticholinergic chiito tunodzivisa basa vestibular hurongwa. Ava gadziriro kwakavakirwa platifillina uye scopolamine. Kakawanda vari kushandiswa kudzivirira pfari.
2. Antihistamines - "Dramina", "Bonin", "Diphenhydramine" - ichipfuura ropa-uropi nokuidzivirira.
3. Benzodiazepines dzinobudirira kuti dzungu, kudzivisa basa vestibular midziyo ( "Ini" "Lorafen", "Lorazepam").
4. Zvinodhaka antiemetic chiito, "pipolfen," meterazina "," Reglan "," metoclopramide "" Motilium ".

The nguva rekukangamwirwa zvingashandiswa zvezvidzidzo kumonyanisa kukwizwa, jekiseni, chikwevaropa kurapa, rinobva kurapa, uye dzimwe nzira zvinobvira.

vestibular vapore

Ichi boka yakarongerwa zviyero zvainanga panguva kunokurumidza kuzoita kunowanzoitika nokushanda vestibular midziyo. The womumhuri chirongwa anoonekwa kuti jimunasitikisi uye kurovedza gait.

Akatakura vestibular muviri zviri bvumidzwa chete muzviitiko apo pasina kuchiita chirwere. It zvinoratidzwa varwere yakatsiga. Kwokutanga vakabata gymnastic muviri, nani uchava mugumisiro.

Nheyo vestibular muviri ndiko chiitwa umo kutsinga dzinouya kusawirirana kuti mutumbi, musoro uye ziso. Chokutanga, murwere anonzwa pfungwa kusanzwa kana kuita, asi vajaire nokukurumidza.

Murwere anodzidza kufamba maziso angu akavharwa, vakamira netsoka rimwe, kukanda musana musoro wake shure uye rave kuzarura uye kutsinzina maziso ake, vakamira nameso akavhara rimwe ibvi.

matanho

Kugadzirwa vertigo kurwiswa zvinogona kudziviswa nokuomerera mamwe matanho chokudzivirira. Unofanira kudya zvakanaka, kurovedza muviri, humwewo modes basa uye zororo. Vanodawo nguva kurapa chirwere, iro rinogona kushanda sechinhu zvakasimbisa kukura vestibulopathy. chirwere ichi uropi, tsinga, musana, zvirwere pfava.

Vestibulopathy vane zviratidzo uye kurapwa iwe zvino kuzivikanwa, zvinogona kugadziriswa uye kurapwa panguva mangwanani vasabatwa zvinokonzera zvirwere uye kurapwa rubatsiro pakurapwa.