Raruraru Toenga

Ko ngā raru pūmau ka taea e koe te whakaaro māuiui, me te mea kei te huri te ruma, koretake rānei, ngāwari te ngaro. Āta kē atu pea koe ki te huri te ruma, ki te hinga rānei. Ka taea e ēnei āhuatanga te puta ahakoa kei te takoto koe, kei te noho, kei te tū rānei.

He maha ngā pūnaha tinana—kei roto ko ō uaua, wheua, hononga, kanohi, te tūmau pūmau i roto i te taringa o roto, ngā io, ngā ngākau me ngā oko toto—me mahi noa kia mau ai tō pūmau. Ki te kore ēnei pūnaha e mahi pai, ka taea e koe te wheako i ngā raru pūmau.

He maha ngā āhuatanga hauora ka taea te whakaeke i ngā raru pūmau. Heoi, ko te nuinga o ngā raru pūmau e puta mai ana i ngā take i roto i tō tūmau pūmau i roto i te taringa o roto (pūnaha vestibular).

Ngā tohu me ngā pūāhua o ngā raruraru pūmau kei roto i:

• Te āhua o te nekehanga, te hurihuri rānei (vertigo)
• Te āhua o te ngoikore, te mārama rānei o te mahunga (presyncope)
• Te ngaro o te pūmau, te kore rānei e tu rangatira
• Te hinga, te āhua rānei ka hinga koe
• Te āhua o te ngaru, te wiri rānei
• Ngā huringa tirohanga, pēnei i te mārematanga
• Te whakapohehe

Kaore he uauatanga

Ka taea te whakaeke i ngā raru o te taurite e ngā āhuatanga rerekē. Ko te take o ngā raru taurite te nuinga o te wā e hono ana ki te tohu motuhake, te tohu rānei.

Ka taea te hono atu te Vertigo ki ngā āhuatanga maha, tae atu ki:

• Te vertigo tūturu paroxysmal positional (BPPV). Ka puta te BPPV ina neke atu ngā konganuku kārati i roto i tō taringa o roto—e āwhina ana i te whakahaere i tō taurite—i ō rātou tūnga noa, ka neke ki ētahi atu wāhi i roto i te taringa o roto. Ko te BPPV te take tino nui o te vertigo i ngā tāngata pakeke. Ka rongo pea koe i te āhuatanga o te hurihuri ina hurihuri koe i te moenga, ina huri rānei tō ūtū ki te titiro ake.
• Te neuritis vestibular. Ka pā pea tenei mate mumura, pea he huaketo te take, ki ngā ngongo i te wāhanga taurite o tō taringa o roto. Ko ngā tohu te nuinga o te wā he kino, he mau tonu, ā, kei roto i ēnei ngā ruaki me te uaua ki te haere. Ka roa pea ngā tohu i ngā rā maha ka pai haere māmā atu kahore he rongoā. Koinei te mate tino nui tuarua ki te BPPV i ngā tāngata pakeke.
• Te wiri postural-perceptual mau tonu. Ka puta pinepine tenei mate me ētahi atu momo vertigo. Kei roto i ngā tohu te kore taurite, te āhuatanga rānei o te nekehanga i roto i tō ūtū. Ka kaha ake ngā tohu ina tirotiro koe i ngā mea e neke ana, ina pānui koe, ina rānei koe i roto i te taiao whakaata uaua penei i te teihana hokohoko. Koinei te mate tino nui tuatoru i ngā tāngata pakeke.
• Te mate a Meniere. I tua atu i te vertigo ohorere me te kino, ka taea e te mate a Meniere te whakaeke i te ngaronga whakarongo e rereke ana, me te ngunguru, te ringa rānei, te āhuatanga rānei o te kī i roto i tō taringa. Kāhore i te tino mōhiotia te take o te mate a Meniere. He onge te mate a Meniere, ā, ka tipu te nuinga i ngā tāngata kei waenganui i ngā tau 20 me te 40.
• Te migraine. Ka puta pea te wiri me te ngawari ki te nekehanga (migraine vestibular) nā te migraine. He take noa te migraine mō te wiri.
• Te neuroma acoustic. Ka tipu tenei mate pūngāwerewere (benign), te pūngāwerewere e tupu ana i runga i te ngongo e pā ana ki tō whakarongo me tō taurite. Ka rongo pea koe i te wiri, te ngaro rānei o te taurite, engari ko ngā tohu tino nui ko te ngaronga whakarongo me te ringa i roto i tō taringa. He āhuatanga onge te neuroma acoustic.
• Te mate a Ramsay Hunt. E mohiotia ana hoki ko te herpes zoster oticus, ka puta tenei āhuatanga ina pā te mate rite ki te shingles ki ngā ngongo kanohi, whakarongo me te vestibular tata ki tētahi o ō taringa. Ka rongo pea koe i te vertigo, te mamae o te taringa, te ngoikore o te kanohi me te ngaronga whakarongo.
• Te whara o te ūtū. Ka rongo pea koe i te vertigo nā te concussion, te whara o te ūtū rānei.
• Te mate nekehanga. Ka rongo pea koe i te wiri i ngā kaipuke, i ngā waka, i ngā rererangi rānei, i ngā hī i ngā whare takaro. He noa te mate nekehanga i ngā tāngata he migraine.

Ka taea te hono atu te māngere ki:

• Te mate ngakau. Ka taea e ngā āhuatanga ngakau koretake (ngā arrhythmia ngakau), ngā oko toto kua whakaitihia, kua ārai rānei, te uaua ngakau kua māngia (hypertrophic cardiomyopathy), te hekenga rānei o te nui o te toto te whakaiti i te rere o te toto, ka whakaeke i te māngere, te āhuatanga rānei o te ngaro.

Ko te ngaro o tō taurite i te wā e haere ana koe, te āhuatanga rānei o te kore taurite, ka puta mai i:

• Ngā raruraru vestibular. Ka taea e ngā āhuatanga koretake i roto i tō taringa o roto te whakaeke i te āhuatanga o te ūtū e rere ana, e taimaha ana rānei, me te kore taurite i te pouri.
• Te kino o ngā ngongo ki ō waewae (peripheral neuropathy). Ka taea e te kino te arahi ki ngā uaua ki te haere.
• Ngā raruraru hononga, uaua, tirohanga rānei. Ka taea e te ngoikore o ngā uaua me ngā hononga kore taurite te whakauru ki tō ngaro o te taurite. Ka taea hoki e ngā uaua ki te tirohanga te arahi ki te kore taurite.
• Ngā rongoā. Ko te ngaro o te taurite, te kore taurite rānei, ka taea te pānga taha o ngā rongoā.
• Ngā āhuatanga neurological motuhake. Kei roto i ēnei te spondylosis pūtake me te mate a Parkinson.

Ka puta pea te āhuatanga o te wiri, te māngere rānei i:

• Ngā raruraru o te taringa o roto. Ka taea e ngā āhuatanga koretake o te pūnaha vestibular te arahi ki te āhuatanga o te rere, te āhuatanga teka rānei o te nekehanga.
• Te manawa tere rawa (hyperventilation). Ka hono pinepine tenei āhuatanga ki ngā mate manukanuka, ā, ka whakaeke pea i te māngere.
• Ngā rongoā. Ka taea te pānga taha o te māngere i ngā rongoā.

Kaore he uauatanga

Kaore he uauatanga

Kaore he uauatanga

Ka taea te whakahaere i te whakamatautau posturography me ngā taputapu e whakamahi ana i te ahua o te tūāpapa tūturu hei whakaatu i tētahi pikitia tirohanga e neke ana me koe i te wā e whakamatautauria ana koe.

Ka āwhina te whakamatautau nohoanga hurihuri ki te tātari i ngā nekehanga o te kanohi i te wā e noho ana koe ki tētahi nohoanga e neke haere ana i roto i te porowhita.

Ka tīmata tō tākuta mā te arotake i tō hītori hauora me te whakahaere i tētahi whakamātautau tinana me te neurological.

Hei whakatau mena ko ō tohu e puta mai ana i ngā raruraru i roto i te mahi taurite i roto i tō taringa o roto, ka tūmanako tō tākuta ki te tūtohutia ngā whakamātautau. Ā, pea ka uru atu:

• Ngā whakamātautau rongohongo. He maha ngā wā e hono ana ngā raruraru ki te rongohongo ki ngā raruraru taurite.
• Whakamātautau Posturography. Ma te kakahu i tētahi here haumaru, ka ngana koe ki te tu i runga i tētahi papa e neke haere ana. Ka whakaatu tētahi whakamātautau posturography i ngā wāhanga o tō pūnaha taurite e whakawhirinaki ana koe ki te nuinga.
• Electronystagmography me te videonystagmography. Ka tuhi enei whakamātautau e rua i ngā nekehanga o ō kanohi, e mahi ana i roto i te mahi vestibular me te taurite. Ka whakamahi te Electronystagmography i ngā irahiko hei tuhi i ngā nekehanga o te kanohi. Ka whakamahi te Videonystagmography i ngā kamera iti hei tuhi i ngā nekehanga o te kanohi.
• Whakamātautau nohoanga hurihuri. Ka tātarihia ngā nekehanga o ō kanohi i te wā e noho ana koe ki tētahi nohoanga e whakahaerehia ana e te rorohiko e neke haere ana i roto i te porowhita.
• Dix-Hallpike maneuver. Ka hurihia e tō tākuta ōtou ǔ i ngā tūnga rerekē i te wā e matakitaki ana i ngā nekehanga o ō kanohi hei whakatau mena kei a koe he whakaaro teka mō te nekehanga, te hurihuri rānei.
• Whakamātautau kaha myogenic vestibular. Ka ine ngā papa pūoro e piri ana ki tō kaki me tō rae me raro i ō kanohi i ngā huringa iti i roto i ngā whakawhāiti uaua hei whakautu ki ngā oro.
• Ngā whakamātautau whakaahua. Ka taea e ngā whakamātautau MRI me CT te whakatau mena kei reira ngā āhuatanga hauora e pā ana pea e āhei ana te take i ō raruraru taurite.

Ko te rongoā e whakamahere ana i te take o ō raruraru toenga. Ā, pea ka uru atu ki roto i tō rongoā:

• Whakangungu anō i te toenga (whakaora vestibular). Ka hangaia e ngā kaiwhakaora kua whakangungua ki ngā raruraru toenga tētahi kaupapa whakangungu anō i te toenga me ngā whakangungu. Ka taea e te rongoā te āwhina i a koe ki te whakakapi i te kore toenga, ki te whakarite ki te iti o te toenga, me te pupuri i te mahi tinana. Hei aukati i ngā hinga, pea ka tūtohu mai tō kaiwhakaora i tētahi mea hei tautoko i te toenga, pēnei i te tokotoko, me ngā huarahi hei whakaiti i tō tūponotanga ki te hinga i roto i tō kāinga.
• Ngā tikanga whakatūnga. Ki te pēhea koe e BPPV ana, pea ka mahi tētahi kaiwhakaora i tētahi tikanga (whakatikatika i te tūnga o te kauae) e whakakore ana i ngā pūhui mai i roto i tō taringa o roto, ka whakatakoto ki tētahi wāhi ke o tō taringa. Ko te tikanga kei roto te whakarite i te tūnga o tō ǔpoko.
• Rongoā. Ki te pēhea koe e te wiri nui e roa ana ngā haora, ngā rā rānei, pea ka tukuna atu ki a koe ngā rongoā e taea ai te whakahaere i te māuiui me te ruaki.
• Taha rongoā. Ki te pēhea koe e te mate Meniere rānei e te neuroma acoustic rānei, pea ka tūtohu mai tō rōpū rongoā i te taha rongoā. Pea ka tū hei whiringa te radiosurgery stereotactic mō ētahi atu tangata e neuroma acoustic ana. Ka tukuna tēnei tikanga te radiation tika ki tō mate pukupuku, kāo e hiahiatia he tapahi.

Kaore he uauatanga