Ukuqina Kwezinto: Izimpawu, Izimbangela, Nokwelashwa

Ukuqina kwezinto yimvamisa yokuzizwa okungalungile kokuthi wena noma izindawo zakho ziphenduka noma zihamba, nakuba konke kuzolile. Kuhlukile ekuqineni okuvamile noma ukuzizwa ukhanya. Kunalokho, ukuqina kwezinto kwenza ukuzizwa okuqondile kokupenduka okungaba ukusuka kokuncane futhi okufushane kuya kokukhulu nokulimaza.

Lesi simo sihlupha izigidi zabantu futhi sivame ukufika nokuhlupheka, izinkinga zokulinganisela, nokukhathazeka. Nakuba ukuqina kwezinto kungazizwa kukhulu uma kwenzeka, izimo eziningi zilawuleka futhi azilimazi impilo yakho yonke.

Ziyini izimpawu zokuqina kwezinto?

Isimpawu esiyinhloko sokuqina kwezinto yisimo sokupenduka, kodwa akunakuza lodwa. Ungase uzizwe sengathi uhamba ngebhayisikili le-carnival elingahlali, ngisho noma uhleli noma ulele uzolile.

Nazi izimpawu ongazihlangabezana nazo kanye naleso simo sokupenduka:

• Ukuhlupheka nokugabha, ikakhulukazi ngesikhathi sezimo ezinzima
• Izinkinga zokulinganisela nokungaqiniseki uma uhamba
• Izinhlungu zekhanda ezingase zibe zimbi ngokunyakaza kwekhhanda
• Ukukhahlela, ikakhulukazi ngesikhathi sezimo zokupenduka okukhulu
• Ukushintsha kokuzwa njengokukhala ezindlebeni noma ukulahleka kokuzwa okwesikhashana
• Ukunyakaza kwamehlo ongakwazi ukulawula, okuthiwa yi-nystagmus
• Ukuzizwa ugcwele noma ucindezeleke endlebeni eyodwa noma kokubili

Lezi zimpawu zingagcina noma kuphi kusuka emaminithini ambalwa kuya emahoreni amaningana noma ngisho nezinsuku. Ubukhulu bavame ukuxhomekeka kulokho okubangela ukuqina kwezinto nokuthi umzimba wakho uyaphendula kanjani kuleso simo sokupenduka.

Ziyini izinhlobo zokuqina kwezinto?

Ukuqina kwezinto kuwela ezinhlotsheni ezimbili eziyinhloko ngokusekelwe lapho inkinga iqala khona emzimbeni wakho. Ukuqonda ukuthi yiluphi uhlobo olukhona kusiza odokotela ukuba bakhethe indlela yokwelapha efanele.

Ukuqina kwezinto okuhlala ngaphandle kwenzeka uma kukhona inkinga ngendlebe yakho yangaphakathi, elawula ukulinganisela kwakho. Lolu uhlobo oluvamile kakhulu futhi luhlanganisa izimo ezinjenge-BPPV (ukukhahlela okuhle okungapheli kwesikhundla), i-labyrinthitis, nesifo se-Meniere. Ukuqina kwezinto okuhlala ngaphandle kuvame ukufika nezinkinga zokuzwa futhi kuzizwa kunzima kakhulu.

Ukuqina kwezinto okuphakathi kwenzeka uma kukhona okuthinta ubuchopho bakho noma ubuchopho. Lolu hlobo alunamvamisa kodwa lungaba nzima kakhulu. Lungase lithuthukiswe yi-migraines, i-multiple sclerosis, noma ezinye izimo zezinzwa. Ukuqina kwezinto okuphakathi ngokuvamile akukuthinti ukukuzwa kwakho kodwa kungase kufike nezinye izimpawu zezinzwa.

Yini ebangela ukuqina kwezinto?

Izimo eziningi zokuqina kwezinto zivela ezinkingeni endlebeni yakho yangaphakathi, lapho izitho ezincane zikusiza ukuba ugcine ukulinganisela. Lezi zinto ezincane zingase zihlupheke ngezifo, ukulimala, noma ukuguga.

Ake siqonde izimbangela ezivamile okufanele uzibhekane nazo:

• BPPV (Ukuqina okuhle okungapheli kwesikhundla): Ama-kristali amancane e-calcium endlebeni yakho yangaphakathi ahlala, ebangela izikhathi ezifushane zokupenduka uma uhambisa ikhanda lakho
• Labyrinthitis: Izifo ze-viral noma i-bacterial ziqinisile izakhiwo ze-inner ear ezibhekene nokulinganisela
• Vestibular neuritis: Ukuqina komthambo we-vestibular, othatha ulwazi lokulinganisela endlebeni yakho uye ebuchosheni bakho
• Isifo se-Meniere: Ukugcwala okukhulu kwamanzi endlebeni yangaphakathi okuthinta kokubili ukukuzwa nokulinganisela
• Imithi: Ama-antibiotic athile, ama-diuretics, nezinye izidakamizwa zingalimaza izakhiwo ze-inner ear
• Ukulimala kwekhhanda: Ukulimala kungase kuhambise ama-kristali e-inner ear noma kulimaze izitho zokulinganisela

Ngokungavamile, ukuqina kwezinto kungase kubonise izimo ezinzima njenge-migraines, ama-acoustic neuromas (izigaxa ezingalimi), noma ngokungavamile, izikhathi zokugqwala ezihlupha ubuchopho. Lezi zimbangela eziphakathi zivame ukufika nezinye izimpawu ngaphezu nje kwesimo sokupenduka.

Nini kufanele ubheke udokotela ngokuqina kwezinto?

Kufanele ufuna ukunakekelwa kwezokwelapha uma ukuqina kwakho kwezinto kunzima, kuhlala isikhathi eside, noma kufika nezimpawu ezinkulu. Nakuba ukuqina kwezinto okuningi kungabi yingozi, ezinye izimo zidinga ukuhlolwa ngokushesha.

Xhumana nodokotela wakho maduze uma uhlangabezana nokuqina kwezinto ngomkhuhlane, izinhlungu zekhanda ezinzima, ukulahleka kokuzwa, noma ubuthakathaka ezandleni noma emilenzeni yakho. Lezi zimpawu zingase zibonise izifo noma ezinye izimo ezidinga ukwelashwa.

Funana ukunakekelwa okusheshayo uma ukuqina kwakho kwezinto kufika nokubona okubili, ubunzima bokukhuluma, izinkinga zokuxhumanisa ezinzima, noma ukungabi namandla ebusweni noma emilenzeni yakho. Lezi zimpawu zingase zibonise ukugqwala noma enye isimo elibi lezinzwa elidinga ukunakekelwa okusheshayo.

Ziyini izimbangela zengozi zokuqina kwezinto?

Izinto eziningana zingase zikhulise amathuba akho okuthuthukisa ukuqina kwezinto, nakuba ukuba nalezi zimbangela zengozi akusho ukuthi uzokuthola. Ukuziqonda kusiza ukuba uhlale uqaphile ngezinto ezingase zikubangele.

Ubudala buthatha indima ebalulekile, njengoba ukuqina kwezinto kuvamile ngemuva kweminyaka engu-40. Izakhiwo zakho ze-inner ear zishintsha ngokwemvelo ngokuhamba kwesikhathi, okwenza izinkinga zokulinganisela zibe lula. Abafazi bavame ukuhlangabezana nezinhlobo ezithile zokuqina kwezinto, njenge-BPPV, njalo kunabesilisa.

Nazi ezinye izinto ezingase zikhulise ingozi yakho:

• Ukulimala kwekhhanda kwangaphambili noma ukulimala kwendlebe
• Izifo zezindlebe ezivamile noma izinkinga zesinus
• Ukuthatha imithi ekuthinta indlebe yakho yangaphakathi
• Ukuba ne-migraines noma ezinye izimo zezinzwa
• Umlando womndeni wesifo se-Meniere noma izifo ezifanayo ze-inner ear
• Ukuphumula ebethe elide, okungase kuthonye isikhundla se-inner ear crystal

Ezinye izinto zokuphila njengokucindezeleka, ukushoda kokulala, nokuqothuka kwamanzi kungase kubangele ukuqina kwezinto kubantu abasengozini. Noma kunjalo, abantu abaningi bathuthukisa ukuqina kwezinto ngaphandle kwanoma yiziphi izimbangela zengozi ezicacile.

Ziyini izinhlupheko ezingase zenzeke ngokuqina kwezinto?

Nakuba ukuqina kwezinto ngokwalo ngokuvamile kungabi yingozi, kungase kube nezinhlelo ezingase zithinte impilo yakho yansuku zonke nokulondeka kwakho. Isimo sokupenduka nezinkinga zokulinganisela zingase zenze izingozi okufanele uzilawule ngokucophelela.

Ukuwa kuyinkinga ephambili, ikakhulukazi kubantu abadala. Uma ukuqina kwezinto kuqala ngokuzumayo, ungase ulahlekelwe ukulinganisela futhi uzilimaze. Le ngozi iphakeme kakhulu emakamelweni okugezela, emazingeni, noma uma uhamba ezindaweni ezingalingani.

Nazi ezinye izinhlupheko ezingase zithuthuke:

• Ukuhlupheka okuqhubekayo nokugabha okuholela ekuqothukeni kwamanzi
• Ukukhathazeka nokuhlaselwa kokukhathazeka okubangelwa ukwesaba izikhathi zokuqina kwezinto
• Ukuhlukaniswa komphakathi ngokugwema imisebenzi engase ibe yizimbangela zezimpawu
• Ubunzima bokuqhuba noma ukusebenzisa imishini ngokuphepha
• Izinkinga zokulala uma ukuqina kwezinto kuya kubi uma ulele phansi
• Ukudideka ngezimpawu ezihlala isikhathi eside ezihlupha ikhwalithi yempilo

Ezimeni ezingavamile, izimo ezingalawulwanga eziholela ekuqineni kwezinto zingase ziholele ekulahlekeni kokuzwa okungapheli noma izinkinga zokulinganisela eziqhubekayo. Kungakho ukuxilongwa nokwelashwa okuqondile kubalulekile ekuphileni kwakho isikhathi eside.

Ukuqina kwezinto kungavikeleka kanjani?

Nakuba ungakwazi ukuvimba zonke izinhlobo zokuqina kwezinto, amasu athile angase anciphise ingozi yakho yezikhathi futhi akusize ulawule izimbangela ngokuphumelelayo. Ukuvimbela ngokuvamile kugxile ekuvikeleni indlebe yakho yangaphakathi nokugcina impilo enhle yonke.

Ukukhathalela izindlebe zakho kubalulekile. Phatha izifo zezindlebe ngokushesha, gwema ukufaka izinto ezindlebeni zakho, futhi vikele ukukuzwa kwakho emizweni ephakeme. Uma uhlala ugeza, oma izindlebe zakho ngokuphelele ukuvimbela izifo ezingase zibangele ukuqina kwezinto.

Lezi zindlela zokuphila zingase zisize ekuqedeni ingozi yakho yokuqina kwezinto:

• Hlala unamanzi ngokuphuza amanzi amaningi usuku lonke
• Thola ukulala okwanele ukuze usize uhlelo lwakho lwezinzwa ukuba lusebenze kahle
• Lawula ukucindezeleka ngezindlela zokupumula noma ukuzivocavoca njalo
• Gwema ukunyakaza kwekhhanda ngokuzumayo uma unesifo se-BPPV
• Limita i-caffeine, utshwala, nosawoti, okungase kubangele isifo se-Meniere
• Thatha imithi njengoba kuyalelwe futhi uxoxe ngemiphumela emibi nodokotela wakho

Uma uke waba nokuqina kwezinto ngaphambili, ukuqonda izimbangela zakho siqu kungakusiza ukuba ugweme izikhathi zesikhathi esizayo. Abanye abantu baphawula izibonelo ezihlobene nezimo ezithile, amazinga okucindezeleka, noma izinto zokudla.

Ukuqina kwezinto kuhlonzwa kanjani?

Ukuxilongwa kokukhahlela kwezinto kuhilela udokotela wakho oqoqa ulwazi mayelana nezimpawu zakho futhi enze izivivinyo ezithile ukuze athole imbangela yangempela. Inqubo ngokuvamile iqala ngengxoxo eningiliziwe mayelana nokuthi ukuqina kwakho kwezinto kwenzeka nini nokuthi kwenzeka kanjani.

Udokotela wakho uzobuza ngesimo sokupenduka, isikhathi eside izikhathi zigcina, yini eziqalayo, nanoma yiziphi ezinye izimpawu ozibona. Bazofuna futhi ukwazi ngomlando wakho wezokwelapha, imithi yamanje, nanoma yiziphi izifo noma ukulimala kwamuva.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho angase enze lezi zihloko:

• Ukuhamba kwe-Dix-Hallpike: Ukuhambisa ikhanda lakho ezimbomini ezithile ukuze uqale izimpawu ze-BPPV
• Ivivinyo le-head impulse: Ukunyakaza kwekhhanda okusheshayo ngenkathi ugxile kwinhloso ukuhlola umsebenzi we-inner ear
• Izivivinyo zokulinganisela: Ukuma noma ukuhamba ukuhlola uzinzo lwakho
• Izivivinyo zokuzwa: Ukuhlola ukuthi ukulahleka kokuzwa kuhambisana nokuqina kwakho kwezinto
• Ukuhlolwa kokunyakaza kwamehlo: Ukubuka ukunyakaza kwamehlo okungalungile okubonisa izinkinga ze-inner ear

Uma udokotela wakho ekholelwa ekuqaleni okunzima, angase ayalele ezinye izivivinyo njenge-MRI scans, izivivinyo zegazi, noma izifundo zokulinganisela ezikhethekile. Noma kunjalo, izimo eziningi zokuqina kwezinto zingaxilongwa ngokuhlolwa kokuqala nokulinganisa izimpawu.

Yini ukwelashwa kokukhahlela kwezinto?

Ukwelashwa kokukhahlela kwezinto kuya ngalokho okubangela izimpawu zakho, kodwa izinketho eziningi eziphumelelayo zingase zinikeze impumuzo. Izindaba ezinhle ukuthi izinhlobo eziningi zokuqina kwezinto ziphendula kahle ekwelapheni, futhi izikhathi eziningi ziyaphela zodwa.

Nge-BPPV, imbangela evamile kakhulu, odokotela ngokuvamile basebenzisa izinqubo zokubeka kabusha i-canalith. Lokhu kuhilela ukunyakaza kwekhhanda okukhethekile okusisiza ukuba sihambise ama-kristali ahlala endaweni yabo efanele endlebeni yakho yangaphakathi. I-Epley maneuver ingenye indlela enjalo engase ibe nempumelelo enkulu.

Nazi ezinye izindlela zokwelapha udokotela wakho angase azincoma:

• Imithi: Imithi yokulwa nokuhlupheka, ama-antihistamines, noma ama-benzodiazepines ukuze kupumule izimpawu
• Ukwelashwa kwe-vestibular: Ukuzivocavoca komzimba ukuze kuthuthukiswe ukulinganisela nokunciphisa ukuqina
• Ama-diuretics: Ngesifo se-Meniere ukuze kunciphise ukugcwala kwamanzi endlebeni yangaphakathi
• Ama-antibiotic: Uma isifo se-bacterial sibangela i-labyrinthitis
• Ukwelashwa kwe-migraine: Uma ukuqina kwezinto kuhlobene nezinhlungu zekhanda ze-migraine
• Ukuhlinzwa: Akudingeki ngokuvamile, kuphela ezimweni ezinzima ezingaphenduli kwezinye izindlela zokwelapha

Uhlelo lwakho lokwelashwa luzokwenziwa ngokusekelwe ohlotsheni lwakho oluthile lokuqina kwezinto nezimpawu. Abantu abaningi babona ukuthuthuka okukhulu ezinsukwini ezimbalwa kuya emavikini okuqala ukwelashwa okufanele.

Indlela yokulawula ukuqina kwezinto ekhaya?

Amasu amaningana ekhaya angakusiza ukuba ubhekane nezimo zokuqina kwezinto futhi unciphise umthelela wawo ekuphileni kwakho kwansuku zonke. Lezi zindlela zisebenza kangcono kanye nokwelashwa kochwepheshe, hhayi njengokushintshwa kokunakekelwa kwezokwelapha.

Ngesikhathi sesimo sokuqina kwezinto, thola indawo ephephile yokuhleli noma ukuwela phansi ngokushesha. Gcina ikhanda lakho lizolile futhi ugxile endaweni ethile ekamelweni. Gwema izibani ezicwebezelayo futhi zama ukuhlala endaweni ethule kuze kube yilapho ukupenduka kuphela.

Lezi zindlela zokulawula ekhaya zingase zinikeze impumuzo eyengeziwe:

• Lala ngekhanda lakho liphezulu kancane usebenzisa izikhwama ezengeziwe
• Hamba kancane futhi ngokucophelela, ikakhulukazi uma uvuka noma ushintsha izikhundla
• Sebenzisa ukukhanya okuhle ukuze usize uhlelo lwakho lokubona ukubuyisela izinkinga zokulinganisela
• Hlala unamanzi futhi udle ukudla okuncane, okuvamile ukuvimbela ukuhlupheka
• Zama ukuheha okunzulu noma izindlela zokupumula ngesikhathi sezimo
• Susa izinto eziwela ekhaya ukuvimbela ukuwela
• Cabanga ukusebenzisa induku noma i-walker uma izinkinga zokulinganisela ziqhubeka

Gcina idayari yesimpawu ukuze uqonde izibonelo ezimweni zakho zokuqina kwezinto. Qaphela ukuthi wawenzani lapho izimpawu ziqala, isikhathi eside zigcina, nokuthi yini ebonakala ikusiza. Lolu lwazi lungaba lubalulekile kumnini wakho wezokunakekelwa kwezempilo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza uqinisekise ukuthi uthola ukuxilongwa okuqondile kakhulu nehlelo lokwelapha eliphumelelayo. Udokotela wakho uzoxhomekeka kakhulu ekuchazeni kwakho izimpawu, ngakho-ke ukuqoqa ulwazi oluqondile ngaphambili kubalulekile.

Ngaphambi kwendwendwelo yakho, bhala phansi ukuthi isimo sokupenduka sizizwa kanjani futhi senzeka nini. Qaphela ukuthi izikhundla ezithile, ukunyakaza, noma imisebenzi kubonakala sengathi ziqala ukuqina kwakho kwezinto. Futhi, qopha isikhathi eside izikhathi zivame ukugcina nokuthi yiziphi ezinye izimpawu ezihambisana nazo.

Letha lolu lwazi olubalulekile e-aphoyintimenti yakho:

• Uhlu oluphelele lwemithi yamanje, kufaka phakathi imithi ye-over-the-counter
• Umbhalo wezifo zakamuva, ukulimala, noma ukushintsha empilweni yakho
• Umlando womndeni wezinkinga zezindlebe, i-migraines, noma izimo zezinzwa
• Imibuzo mayelana nezimpawu zakho, izinketho zokwelapha, nokuguqulwa kwansuku zonke
• Ulwazi mayelana nendlela ukuqina kwezinto okuthinta ngayo umsebenzi wakho, ukuqhuba, nemisebenzi yansuku zonke

Cabanga ukuletha umngani othembekile noma ilungu lomndeni elingakusiza ukuchaza izimpawu zakho uma uhlangabezana nokuqina kwezinto ngesikhathi se-aphoyintimenti. Bangase bakhumbule imininingwane oyilibale futhi bangakusiza uqonde imiyalo yokwelapha.

Iyini into ebaluleke kakhulu mayelana nokuqina kwezinto?

Ukuqina kwezinto yisimo esivamile esibangela izimo zokupenduka, kodwa ngokuvamile kulawuleka futhi akubangeli ingozi empilweni yakho yonke. Izimo eziningi zivela ezinkingeni ze-inner ear eziphendula kahle ezindleleni zokwelapha ezifanele.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukuhlupheka ngezimo zokuqina kwezinto wedwa. Izinketho zokwelapha ezisebenzayo zikhona ezinhlotsheni eziningi zokuqina kwezinto, futhi umhlinzeki wakho wezokunakekelwa kwezempilo angakusiza ukuthola imbangela yangempela futhi enze uhlelo lokwelapha olusebenza ngawe.

Nakuba ukuqina kwezinto kungase kube ukukhathazeka nokuphazamisa, abantu abaningi baphila kahle ngezimpawu zabo futhi babuyela emisebenzini yabo evamile. Ngokuxilongwa okuqondile, ukwelashwa, nokuguqulwa kokuphila, ungase ubuyisele ukulinganisela kwakho nokuthembela ekuphileni kwansuku zonke.

Imibuzo evamile ebuzwa mayelana nokuqina kwezinto

Q1: Ukuqina kwezinto kuvame ukugcina isikhathi esingakanani?

Isikhathi sokuqina kwezinto sihluka kakhulu kuye ngokuthi imbangela yangempela iyini. Izimo ze-BPPV ngokuvamile zigcina ngaphansi komzuzu kodwa zingabuya njalo. I-Labyrinthitis ingase ibe yimbangela yokuqina kwezinto izinsuku ezimbalwa kuya emavikini. Izimo zesifo se-Meniere ngokuvamile zigcina imizuzu engu-20 kuya emahoreni amaningana. Abanye abantu bahlangabezana nezimo ezifushane ngenkathi abanye behlala behlangabezana nezimpawu ezidinga ukuphathwa okuqhubekayo.

Q2: Ingabe ukucindezeleka kungase kubangele izimo zokuqina kwezinto?

Ukucindezeleka akubangeli ukuqina kwezinto ngokuqondile, kodwa kungase kubangele izimo kubantu abasengozini. Ukucindezeleka kungase kwenze izimpawu zibe zimbi ngokuthinta ukulala kwakho, ukwandisa ukucindezeleka kwemisipha, noma ukuguqula ukugeleza kwegazi. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukulala okwanele, nokuzivocavoca njalo kungase kusize ekuqedeni ubukhulu bezimo zokuqina kwezinto.

Q3: Ingabe ukuqina kwezinto kufana nokuqina?

Cha, ukuqina kwezinto nokuqina okuvamile kuyizinto ezahlukene. Ukuqina ngokuvamile kuzizwa njengokukhanya, ukungaqiniseki, noma ukuzizwa ukhanya. Ukuqina kwezinto kuhilela ngokuqondile isimo sokupenduka lapho uzizwa khona sengathi wena noma izindawo zakho ziphenduka. Ukuqina kwezinto kuvame ukufika nokuhlupheka nezinkinga zokulinganisela, kuyilapho ukuqina okuvamile kungase kungathinti ukulinganisela kwakho ngokukhulu.

Q4: Ingabe ukuqina kwezinto kungaba uphawu lwento enzima?

Izimo eziningi zokuqina kwezinto zivela ezinkingeni ezinhle ze-inner ear ezingabi yingozi empilweni yakho. Noma kunjalo, ukuqina kwezinto ngezinye izikhathi kungase kubonise izimo ezinzima njengokugqwala, izigaxa zobuchopho, noma i-multiple sclerosis. Funana ukunakekelwa kwezokwelapha ngokushesha uma ukuqina kwezinto kufika nezinhlungu zekhanda ezinzima, ukubona okubili, ubunzima bokukhuluma, ubuthakathaka, noma ukungabi namandla emilenzeni yakho.

Q5: Ingabe ukuqina kwami kwezinto kuzophinde kube khona ngemuva kokwelashwa?

Amathuba okuthi ukuqina kwezinto kubuyele kuya ngokuthi imbangela yangempela iyini. I-BPPV ngokuvamile ibuyela, ngama-half abantu abahlangabezana nesimo esinye phakathi kweminyaka emihlanu. Isifo se-Meniere sivame ukuba sesikhathi eside ngezikhathi ezithile. Noma kunjalo, abantu abaningi bafunda ukuphatha isimo sabo ngokuphumelelayo futhi bahlangabezana nezimo ezimbalwa noma ezingabi nzima ngokuhamba kwesikhathi ngokwelashwa okufanele nokuguqulwa kokuphila.