Ibibazo Byo Kubura Umubano

Ibibazo byo kubura umutekano bishobora gutuma wumva udashyize, nk'aho icyumba kigenda cyizunguruka, udakomeye, cyangwa utuje. Ushobora kumva nk'aho icyumba kigenda cyizunguruka cyangwa ugiye kugwa. Iyi myumvire ishobora kubaho uko uba uri kuryama, wicaye cyangwa uhagaze.

Sisitemu nyinshi z'umubiri - zirimo imikaya yawe, amagufa, ingingo, amaso, urwego rw'umutekano mu gutwi ryo imbere, imiyoboro y'imbere, umutima n'imijyana y'amaraso - zigomba gukora neza kugira ngo ugire umutekano usesuye. Iyo izi sisitemu zitakora neza, ushobora kugira ibibazo byo kubura umutekano.

Indwara nyinshi zishobora gutera ibibazo byo kubura umutekano. Ariko, ibibazo byinshi byo kubura umutekano biterwa n'ibibazo biri mu rwego rw'umutekano mu gutwi ryo imbere (sisitemu ya vestibular).

Ibiranga n'ibimenyetso by'ibibazo byo kubura umutekano mu mubiri birimo:

• Kumva umubiri uhindagurika cyangwa ukizunguruka (vertigo)
• Kumva ugiye gucika intege cyangwa utuje (presyncope)
• Kubura umutekano cyangwa kudakomera
• Kugwa cyangwa kumva ko ushobora kugwa
• Kumva nk'aho uri kumanuka cyangwa ugiye gucika intege
• Impinduka z'ububone, nko kubura neza
• Gusinzira

Ibibazo byo kubura umubano bishobora guterwa n'ibibazo bitandukanye. Impamvu yo kubura umubano ikunze kuba ifitanye isano n'ikimenyetso cyihariye cyangwa ikibazo.

Urujijo rushobora kuba rufitanye isano n'ibibazo byinshi, birimo:

• Urujijo rw'umwanya ruzenguruka (BPPV). BPPV ibaho iyo amabuye y'umucanga ari mu gutwi ryawe ryo imbere—afasha kugenzura umubano wawe—akurwa mu myanya yabo isanzwe maze akajya ahandi mu gutwi ryo imbere. BPPV ni yo mpamvu isanzwe y'urujo mu bakuru. Ushobora kumva umeze nk'uzenguruka iyo uhinduye umwanya mu buriri cyangwa ukamanika umutwe inyuma kugira ngo urebe hejuru.
• Vestibular neuritis. Iyi ndwara y'uburwayi, ishobora guterwa na virusi, ishobora kugira ingaruka ku mitsi iri mu gice cyo kubura umubano mu gutwi ryawe ryo imbere. Ibimenyetso bikunze kuba bikomeye kandi biramba, kandi birimo isereri n'ubugorane bwo kugenda. Ibimenyetso bishobora kumara iminsi myinshi kandi bigakira buhoro buhoro bitavuwe. Iyi ni indwara isanzwe ya kabiri nyuma ya BPPV mu bakuru.
• Ubujiji buhoraho bw'umwanya. Iyi ndwara ibaho kenshi hamwe n'ubundi bwoko bw'urujo. Ibimenyetso birimo kudakomera cyangwa kumva hari ikintu gikora mu mutwe wawe. Ibimenyetso bikunze kuba bibi iyo urebye ibintu byimuka, iyo usomye cyangwa uri ahantu hagaragara cyane nk'isoko. Iyi ni indwara ya gatatu isanzwe mu bakuru.
• Indwara ya Meniere. Uretse urujijo rutunguranye kandi rukomeye, indwara ya Meniere ishobora gutera igihombo cy'umva cyihinduka kandi kigufi, guhuha, guhuha cyangwa kumva hari ikintu cyuzuye mu gutwi ryawe. Impamvu y'indwara ya Meniere ntizwi neza. Indwara ya Meniere ni nke kandi ikunze kuba mu bantu bari hagati y'imyaka 20 na 40.
• Migraine. Ubujiji no kumva utabona neza (migraine ya vestibular) bishobora kubaho kubera migraine. Migraine ni yo mpamvu isanzwe y'ubujiji.
• Acoustic neuroma. Uyu muhumeko utari kanseri (utari mubisha), ukura buhoro buhoro, uterwa ku mitsu igira ingaruka ku kumva kwawe no kubura umubano. Ushobora kumva ubujiji cyangwa kubura umubano, ariko ibimenyetso bisanzwe ni igihombo cy'umva no guhuha mu gutwi. Acoustic neuroma ni indwara nke.
• Ramsay Hunt syndrome. Izwi kandi nka herpes zoster oticus, iyi ndwara ibaho iyo ubwandu bwa shingles bugira ingaruka ku mitsi yo mu maso, yumva no kubura umubano hafi y'urutwi rumwe. Ushobora kumva urujijo, ububabare bw'amatwi, intege nke zo mu maso n'igihombo cy'umva.
• Imvune y'umutwe. Ushobora kumva urujijo kubera concussion cyangwa izindi mvune z'umutwe.
• Uburwayi bw'imigendekere. Ushobora kumva ubujiji mu bwato, imodoka n'indege, cyangwa ku bikoresho byo kwidagadura. Uburwayi bw'imigendekere ni bwinshi mu bantu bafite migraine.

Ubujiji bushobora kuba bufite isano na:

• Indwara z'umutima. Imiterere idasanzwe y'umutima (arrhythmia y'umutima), imiyoboro y'amaraso yagabanutse cyangwa ifunze, umutima wakomeye (hypertrophic cardiomyopathy), cyangwa kugabanuka kw'amaraso bishobora kugabanya umusaruro w'amaraso bigatera ubujiji cyangwa kumva ugiye kugwa.

Kubura umubano mugihe ugenda, cyangwa kumva udakomera, bishobora guterwa na:

• Ibibazo bya vestibular. Uburwayi mu gutwi ryawe ryo imbere bushobora gutera kumva umutwe uri hejuru cyangwa uremererwa kandi udashikamye mu mwijima.
• Kwangirika kw'imitsi y'amaguru (peripheral neuropathy). Iyo myangirika ishobora gutera ubugorane bwo kugenda.
• Ibibazo by'ingingo, imikaya cyangwa amaso. Intege nke z'imikaya n'ingingo zidashikamye bishobora gutera kubura umubano. Kugira ibibazo by'amaso bishobora gutera kudashikama.
• Imiti. Kubura umubano cyangwa kudashikama bishobora kuba ingaruka z'imiti.
• Indwara zimwe na zimwe z'imitsi. Ibi birimo cervical spondylosis na Parkinson's disease.

Kumva ubujiji cyangwa ubujiji bushobora guterwa na:

• Ibibazo byo mu gutwi ryo imbere. Uburwayi bw'uburyo bwa vestibular bushobora gutera kumva uri hejuru cyangwa ikindi kintu kidakwiye cyo kugenda.
• Guhumeka vuba cyane (hyperventilation). Iyi ndwara ikunze kujyana n'indwara z'umutima kandi ishobora gutera ubujiji.
• Imiti. Ubujiji bushobora kuba ingaruka z'imiti.

Ibizamini byo kureba uko umubiri uhagaze bishobora gukorwa hakoreshejwe ibikoresho bikoresha uburyo bw'ikoranabuhanga rya virtual reality kugira ngo bigaragaze ishusho y'amaso ijyana nawe mu gihe ugeragezwa.

Ikizamini cya rotary chair gisesengura imiterere y'amaso mu gihe wicaye ku ntebe yizunguruka buhoro buhoro.

Muganga wawe azatangira asuzuma amateka yawe y'ubuzima, akakora isuzuma rusange n'isuzuma ry'imikorere y'ubwonko.

Kugira ngo amenye niba ibimenyetso byawe biterwa n'ibibazo mu mikorere yo kubika umubiri mu gutwi ryawe ryo hagati, muganga wawe arashobora kugusaba gukora ibizamini. Bishobora kuba birimo:

• Ibizamini by'umva. Kugira ibibazo byo kumva bikunze guhurirana n'ibibazo byo kubika umubiri.
• Ibizamini byo kureba uko umubiri uhagaze. Wambaye umugozi w'umutekano, ugerageza guhagarara ku kibanza gikomeza kugenda. Ikizamini cyo kureba uko umubiri uhagaze kigaragaza ibice by'uburyo bwawe bwo kubika umubiri wibandaho cyane.
• Electronystagmography na videonystagmography. Aya bizamini yombi yandika imiterere y'amaso yawe, ikina uruhare mu mikorere y'umutima n'uburyo bwo kubika umubiri. Electronystagmography ikoresha electrode kugira ngo yandike imiterere y'amaso. Videonystagmography ikoresha camera ntoya kugira ngo yandike imiterere y'amaso.
• Ikizamini cya rotary chair. Imiterere y'amaso yawe isesengurwa mu gihe wicaye ku ntebe igenzurwa na mudasobwa izunguruka buhoro buhoro.
• Dix-Hallpike maneuver. Muganga wawe azahindura umutwe wawe mu buryo butandukanye mu gihe areba imiterere y'amaso yawe kugira ngo amenye niba ufite ikibazo cyo kumva ko uzunguruka cyangwa uhindagurika.
• Ibizamini bya vestibular evoked myogenic potentials. Ibyuma bishyirwa ku ijosi ryawe no ku gahanga no munsi y'amaso bipima impinduka ntoya mu mikorere y'imitsi mu gusubiza amajwi.
• Ibizamini byo kubona ishusho. MRI na CT scan bishobora kugaragaza niba hari ibibazo by'ubuzima bishobora kuba bitera ibibazo byo kubika umubiri.