Kab lus no yuav saib cov tsos mob thiab kev kho mob ntawm lub cev vertigo.
Ntau qhov tshwm sim ntawm cov kab mob no xav tau kev faib tawm meej. Qhov no yog vim qhov tseeb tias tib neeg nkag siab kiv taub hau raws li kev xav sib txawv, feem ntau yog cov ntsiab lus, thiab tsis yog nyob rau hauv txhua rooj plaub muaj cov lus piav qhia. Raws li kev faib tawm feem ntau, ob hom kab mob tau txawv: systemic (vestibular, tseeb) thiab non-systemic (uas yog, tsis yog vestibular). Kab lus no yuav tsom mus rau kev kiv taub hau thiab nws cov yam ntxwv.
Definition
kiv taub hau tuaj yeem raug hu ua systemic yog tias nws nrog kev sib hloov ntawm lub ntiaj teb ib puag ncig ib puag ncig tus neeg lossis qhov kev xav ntawm kev sib hloov ntawm lub cev nws tus kheej raws li ib qho axis (sagittal dav hlau, clockwise, thiab lwm yam). Nyob rau tib lub sij hawm, systemic, tseeb kiv taub hau feem ntau manifests nws tus kheej nyob rau hauvdaim ntawv ntawm cov kev xav tsis zoo uas tshwm sim los ntawm qhov rov ua dua ntawm cov qauv ntawm cov txheej txheem autonomic, uas yog xeev siab, tawm hws, ntuav, qee zaum muaj kev cuam tshuam ntawm kev sib koom tes ntawm kev txav, kev ntshai thiab kev ntxhov siab. Feem ntau muaj qhov nce hauv qhov systemic vestibular vertigo nrog kev hloov pauv ntawm qhov chaw ntawm lub taub hau lossis lub cev.
Zoo thiab ua rau, cov tsos mob
kiv taub hau nws tus kheej tsis yog kab mob. Qhov no yog ib qho tsos mob uas qhia tias muaj qee yam tsis ua haujlwm hauv lub cev. Yuav kom nkag siab tias yam pathology ua rau nws tshwm sim, koj kuj yuav tsum tau ua tib zoo saib xyuas cov cim qhia.
Muaj ntau yam uas ua rau muaj qhov tshwm sim ntawm kev kiv taub hau. Ntawm lawv sawv tawm:
- Menière tus kab mob. Qhov no pathology yog tshwm sim los ntawm ib tug txo nyob rau hauv lub suab ntawm cov hlab ntsha txuas lub auditory thiab vestibular apparatus. Cov tsos mob hauv qab no kuj yog tus yam ntxwv ntawm nws: poob ntawm kev taw qhia spatial; tsis hnov lus; suab nrov hauv pob ntseg; qhov tsos ntawm ntuav thiab xeev siab; tsis pom kev; nystagmus (rhythmic involuntary txav ntawm lub qhov muag). Nrog rau tus kab mob no, lub taub hau yuav tig mus rau ob peb teev. Ntawm nws cov txiaj ntsig yog kev tsis txaus ntseeg ntawm qhov sib npaug, ua tiav lossis ib nrab tsis hnov lus. Cov tsos mob ntawm lub cev vertigo yuav tsum tsis txhob ignored.
- Labyrinthite. Cov txheej txheem ntawm qhov mob no tshwm sim hauv thaj tsam ntawm pob ntseg sab hauv, tshwm sim vim qhov nkag mus ntawm tus kab mob los yog kab mob. Cov kab mob no nyob rau theem siab ua rau tsis hnov lus tsis zoo.
- Neuronitis ntawm vestibular paj ntaub xaus. Kab mob nontawm tsis paub keeb kwm tshwm rau tsis muaj laj thawj. Ntxiv nrog rau tam sim ntawd thiab ntev kiv taub hau, muaj bouts ntawm xeev siab, qee zaum ntuav; tinnitus thiab congestion; nystagmus; ceeb ntshai; tsis muaj peev xwm tswj tau qhov sib npaug. Kev tawm tsam ntawm vertigo yog qhov hnyav thiab hnyav, tus neeg mob tsis tuaj yeem tawm ntawm txaj rau ob peb hnub. Nws rov tshwm sim txawm lub hli thiab xyoo tom qab. Feem ntau, nws cov thawj coj yog cov kab mob pathologies ntawm kev ua pa. Dab tsi ntxiv provokes systemic vestibular vertigo?
- Kev raug mob rau lub tympanic membrane uas tshwm sim thaum tus neeg mob nkag mus rau qhov tob tob lossis thaum muaj zog dhau thaum lub suab nrov lossis hnoos. Hauv qhov no, fistula tsim hauv pob ntseg. Ntxiv nrog rau kiv taub hau, tsis hnov lus tau sau tseg.
- Cholesteatoma (cov kab mob qog ntawm pob ntseg sab hauv). Nws ua txhaum txoj kev ncaj ncees ntawm qhov chaw ntawm lub pob ntseg, fistulas tshwm.
- Intoxication ntawm cov hlab ntsha vestibular. Nws tshwm sim vim yog kev tsim txom ntawm ntau yam tshuaj, tshuaj lom lossis tshuaj narcotic. Nyob rau tib lub sijhawm, nws tau nrog cov tsos mob ntawm kev qaug cawv, yav tom ntej, kev hloov pauv ntawm kev hnov lus tau pom.
- Stroke. Yog hais tias nws yog tam sim no, lub paj hlwb qia yog puas, vim hais tias cov nram qab no tau sau tseg: deterioration nyob rau hauv lub functionality ntawm hais lus; articulation mob; nqos reflex defects; ob lub zeem muag (diplopia). Tom qab mob stroke, kev hais lus ua haujlwm feem ntau dhau qhov rov zoo.
- Stenosis ntawm cov hlab ntsha uas khiav hauv qab clavicle kuj provokes systemic kiv taub hautus cwj pwm. Tus kab mob no yog nrog los ntawm loog ntawm tes; ntiv tes txias ntawm tes; ua txhaum ntawm optical functions; tawv nqaij daj ntseg; txo qis hauv siab; qeeb lub plawv dhia. Nrog rau cov kab mob zoo li no, koj tuaj yeem poob qhov rhiab ntawm koj txhais tes mus tas li.
- qaug dab peg. Lawv nrog tinnitus, tsis nco qab, loog ntawm ob txhais ceg thiab caj npab, nystagmus, muaj zog salivation thiab tejzaum nws ua npuas ncauj, hallucinations. Xws li qaug dab peg yog luv luv, tab sis feem ntau ua rau qhov tshwm sim tsis zoo nyob rau hauv daim ntawv ntawm kev puas hlwb thiab kev raug mob vim lub caij nplooj zeeg. Yuav ua li cas lwm yam pathologies nrog los ntawm cov tsos mob ntawm kiv taub hau?
- Hematomas thiab lwm yam mob ntawm pob txha taub hau.
- Kab mob thiab kev raug mob ntawm lub ncauj tsev menyuam qaum, uas yog, osteochondrosis. Qhov mob yog localized nyob rau hauv cov cheeb tsam cuam tshuam. Nrog kev raug mob ntawm lub taub hau, muaj rupture ntawm lub pob ntseg, ntshav los ntawm pob ntseg, ntuav, kev sib koom tes tsis zoo, xeev siab, nystagmus nyob rau hauv txoj hauj lwm kab rov tav. Ua rau kiv taub hau yuav tsum tau txiav txim los ntawm kws kho mob.
- Basilar migraine. Nws tshwm sim los ntawm qhov mob ntawm ib nrab ntawm lub taub hau, kiv taub hau, tsis pom kev, rhiab heev, qee zaum tus neeg mob faints.
Short attack
kiv taub hau yog feem ntau sau tseg hauv daim ntawv ntawm kev tawm tsam luv luv. Nrog rau qhov tsis tu ncua ntawm lub cev kiv taub hau, peb tuaj yeem tham txog qhov tshwm sim ntawm cov cuab yeej vestibular ntawm cov tshuaj lom lossis ua txhaum ntawm kev ncaj ncees ntawm lub labyrinth ntawm fibers ntawm lub vestibular system.
HappenQhov no yog vim muaj kab mob kis, raug mob ntawm tus txha nraub qaum lossis pob txha taub hau. Hom kiv taub hau no yog qhov txaus ntshai, vim nws cov tsos mob tshwm sim los ntawm qee yam kab mob. Yog vim li ntawd nws thiaj li yuav tsum tau kuaj xyuas kom meej thiaj li txiav txim siab qhov ua rau nws txoj kev loj hlob ntawm tus neeg mob.
Qhov txawv ntawm qhov tsis yog qhov system
Muaj qhov systemic thiab tsis-systemic kiv taub hau. Lawv muaj ntau qhov sib txawv. Kev tsis zoo tshwm sim vim muaj kev cuam tshuam ntawm lub cev, suav nrog kev puas siab puas ntsws, kev ntxhov siab, tsis muaj qabzib vim kev tshaib plab lossis kev noj zaub mov nruj, mob hnyav hauv tsheb lossis hauv viav vias, kev nyiam, kev mob nkeeg. Tsis tas li ntawd, kiv taub hau tuaj yeem tshwm sim nyob rau hauv ib tug neeg saib nqes los ntawm qhov siab zoo. Nyob rau tib lub sijhawm, nws hnov xeev siab, tsis muaj zog nyob rau hauv qis extremities. Kev kho mob rau qhov pathology no tsis xav tau. Koj tsuas yog yuav tsum tau tshem ntawm nws qhov khaus, qhov teeb meem yuav ploj ntawm nws tus kheej.
Systemic vertigo feem ntau hu ua vestibular, los yog qhov tseeb, raws li nws tshwm sim tawm tsam keeb kwm ntawm cov kab mob uas tuaj yeem ua rau lub cev tsis ua haujlwm ntawm tib neeg vestibular apparatus.
Kev kuaj mob sib txawv ntawm cov kab mob thiab cov kab mob tsis zoo yog qhov tseem ceeb heev.
Diagnosis
Muaj ntau tshaj yim caum kab mob, ib qho ntawm cov cim qhia uas yog kiv taub hau. Txhawm rau txiav txim siab qhov twg ntawm lawv tau dhau los ua qhov ua rau kiv taub hau, koj yuav tsum tau saib xyuas nws cov yam ntxwv thiab ua tib zoo tshuaj xyuas nrog kws kho mob. Ua li no, koj yuav tsum hu rau tus kws kho mob. Tus kws kho mob tshwj xeeb tom qab ceev fajKev nug, kev tshuaj xyuas thiab kev soj ntsuam keeb kwm yuav ua qhov kuaj mob thiab muab kev taw qhia txog kev nqis tes ua ntxiv.
Tshawb Fawb Ntxiv
Yog tias qhov ua tsis tuaj yeem txiav txim siab, muab cov txheej txheem kuaj mob ntxiv: electrocardiogram; audiometry los ntsuas qhov hnov lus; kuaj ntshav; Ultrasound ntawm cov hlab ntsha loj (Doppler); electroencephalography; kuaj ntawm pob ntseg sab hauv (electrocochleography); X-ray ntawm lub ncauj tsev menyuam nqaj qaum lossis pob txha taub hau.
Ntxiv rau, koj yuav xav tau kev pab los ntawm cov kws kho mob tshwj xeeb: tus kws kho mob otolaryngologist; kws kho mob hlwb; kws kho plawv; neuropathologist; kws kho mob; kws kho qhov muag; neurosurgeon.
Qhov sib txawv ntawm qhov systemic thiab tsis-systemic kiv taub hau yuav raug muab rau hauv tus account.
Kev kho mob
Thaum qhov kev kuaj xyuas raug raug ua tiav thiab tus kws kho mob ua qhov kuaj pom, lawv tau sau ntawv kho kom tsim nyog txhawm rau tshem tawm cov kab mob hauv qab thiab cov tsos mob sib xws.
Tshuaj yog siv los txo cov mob ntawm vestibular vertigo. Qhov zoo tshaj plaws yog cov tshuaj hauv qab no:
- Neuroleptics ("Promethazine", "Promazine"). Pab txhawb rau kev tshem tawm ntawm kev tawm tsam kiv taub hau hauv tus neeg mob.
- Antihistamines ("Meclozin", "Clemastin") txhim kho tus neeg mob tag nrho.
- Txuag tuaj yeem rov qab los nrog Betahistine Hydrochloride.
- Tshuaj ua haujlwm ntawm cov hlab ntsha (Nicergoline, Flunarizine).
- Nootropics (Nootropil, Piracetam).
- Tranquilizers (piv txwv li, "Diazepam"), ua tsaug uas koj tuaj yeem tshem tawmceeb ntshai thiab ntxhov siab vim.
- Metoclopramide, Eufillin yuav pab ntuav thiab xeev siab.
Kev kiv taub hau feem ntau tshwm sim ntawm keeb kwm ntawm cov kab mob ntawm lub cev musculoskeletal, pom lossis vestibular apparatus.
Thaum thawj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob uas paub txog. Yog tso tseg tsis muaj neeg saib, yuav ua rau muaj mob hnyav.
Kev kho mob vertigo kuj tseem txwv rau kev tiv thaiv. Kev kho mob raws sij hawm ntawm cov kab mob tseem ceeb uas ua rau nws, ntxiv dag zog rau lub cev tiv thaiv kab mob, khoom noj khoom haus kom zoo, kev noj qab haus huv thiab kev ua neej zoo yuav pab tiv thaiv vestibular kiv taub hau.
Kev kiv taub hau nrog ncauj tsev menyuam osteochondrosis
Osteochondrosis yog ib qho ntawm feem ntau thiab ntau qhov chaw ntawm kiv taub hau. Nrog xws li ib tug pathology, cov ntaub so ntswg cartilaginous ntawm lub ncauj tsev menyuam intervertebral discs ntawm tus txha caj qaum yog puas vim tsis xws luag nyob rau hauv lawv trophism los yog khoom noj khoom haus. Raws li qhov tshwm sim ntawm metabolic cuam tshuam, cov txheej txheem dystrophic tau tsim nyob rau hauv cov pob txha mos, uas ua rau txo qis hauv nws qhov ntim thiab kev puas tsuaj; vim li ntawd, cov leeg txha caj qaum poob ib qho tseem ceeb ntawm nws qhov kev poob qis. Kev thauj khoom ntawm lub vertebrae ntawm caj dab nce, uas ua rau lawv raug mob thiab kev puas tsuaj ntxiv. Spikes los yog pob txha outgrowths nyob rau hauv lub vertebrae, lub zog thiab txav mus los ntawm lub vertebrae yog heev txo, raws li zoo raws li lawv qhov siab, vim li ntawd, lawv maj mam muab kev koom tes nyob rau hauv lub vertebrae.cov txheej txheem ntawm o neurons thiab cov txheej txheem ntawm tus txha caj qaum, tawm los ntawm cov hlab ntsha ntawm sab intervertebral nyob rau hauv daim ntawv ntawm lub cev muaj zog thiab sensory paj fibers raws li ib feem ntawm cov paj hlwb. Thaum tsis muaj kev kuaj mob thiab kev kho mob, osteochondrosis tshwm sim thiab ua rau muaj teeb meem loj hauv daim ntawv ntawm kev ua txhaum ntawm lub paj hlwb, thiab tom qab ntawd kiv taub hau dhau los ua ib qho ntawm cov tsos mob.
Yuav ua li cas yog tias koj kiv taub hau nrog osteochondrosis ntawm caj dab? Ua ntej tshaj plaws, koj yuav tsum mus ntsib kws kho mob thiab sab laj. Tsuas yog tom qab qhov kev ntsuam xyuas nws muaj peev xwm txiav txim siab txog kev npaj cov phiaj xwm kho mob uas yuav ua tau zoo. Nrog rau lub ncauj tsev menyuam osteochondrosis, kiv taub hau kev kho mob muaj nyob rau hauv txoj kev siv tshuaj thiab physiotherapy. Rau lub hom phiaj kws kho mob, cov tshuaj hauv qab no yog siv:
- Anti-inflammatory non-steroidal tshuaj uas tuaj yeem txo qhov ntim ntawm qhov mob, tshem tawm qhov o thiab compression ntawm tus txha caj qaum thiab cov paj hlwb. Txhawm rau kom muaj txiaj ntsig zoo dua thaum kho, kev teem sijhawm ntawm cov tshuaj txhaj tshuaj tiv thaiv kab mob yog siv. Cov tshuaj tseem ceeb ntawm pawg no suav nrog: Meloxicam, Nurofen, Ibuprofen, Diclofenac.
- Nootropics thiab cerebroprotectors yog cov tshuaj uas txhim kho cov ntshav ncig hauv lub hlwb thiab cov txheej txheem metabolic hauv cov ntaub so ntswg. Cov no suav nrog: Vinpocetine, Cavinton, Cinnarizine, Piracetam.
- Chondroprotectors - tshuajtiv thaiv cov pob txha mos los ntawm kev puas tsuaj. Cov tshuaj no txhim kho cov kev poob siab-absorbing thiab elastic yam ntxwv ntawm cov pob txha mos intervertebral, yog li txo cov compression syndrome.
Nws yuav tsum tau hais tias kev kho mob yuav tsum ua kom nyuaj, tsuas yog qhov no yuav muaj txiaj ntsig zoo. Rau qhov no, ntxiv rau cov tshuaj, physiotherapy yog siv: magnetotherapy thiab ultrasound, kho electrophoresis ntawm lub caj dab. Tsis muaj qhov tseem ceeb me me yog kev kho mob gymnastics.
Kev Tiv Thaiv
Txhawm rau tshem tawm cov kiv taub hau ntau zaus thiab tsis ua haujlwm, koj yuav tsum ua raws li cov lus pom zoo hauv qab no los ntawm cov kws tshaj lij:
- Tsis txhob haus luam yeeb thiab haus cawv.
- Tshem tawm cov ntsev ntawm koj cov zaub mov.
- txo qis qis hauv kev noj caffeine txhua hnub.
- Kev tawm dag zog txhua hnub, tshwj xeeb tshaj yog thaum tsis muaj zog.
- Ua haujlwm hauv nruab nrab, so yog qhov zoo tshaj plaws, tshwj xeeb tshaj yog nyob ze ntawm dej.
- Nyob zoo ib tsoom niam txiv kwv tij neej tsa phooj ywg sawv daws.
- Tsis txhob muaj kev ntxhov siab.
- Tsis txhob txav koj caj dab thiab lub taub hau sai.
- Nrog kev mus ncig ntau zaus thiab mob hnyav hauv kev thauj mus los, koj tuaj yeem siv cov cuab yeej tshwj xeeb.
- Yog tias ua tau, yuav lub txaj orthopedic nrog cov nyhuv anatomical, txij li lub cev so tag nrho thaum pw tsaug zog, so ua tiav ntau dua. Nws yuav tsum tau muab sau tseg tias ua tsaug rau xws li txaj, ua txhaum cai thiabkinking ntawm cov hlab ntsha.
Zoo kawg
Raws li qhov kev txiav txim siab, nws yuav tsum raug sau tseg tias tsis yog nyob rau hauv txhua rooj plaub, kev sib cais ntawm kev kiv taub hau qhia tau hais tias muaj kev hem thawj rau lub neej lossis kev noj qab haus huv. Txawm li cas los xij, nws xav tau kev kuaj xyuas kom zoo thiab kho raws sijhawm, nrog rau kev rov qab tsis siv tshuaj, suav nrog los ntawm vestibular gymnastics. Peb yuav tsum tsis txhob hnov qab txog kev tiv thaiv. Raws li tag nrho cov xwm txheej no, kiv taub hau yuav tsis txaus ntshai.
