Sib Piv Tau

Zoo Siab

• Cov kev ntsuas sib npaug yog dab tsi?
• Lawv siv rau dab tsi?
• Vim li cas kuv thiaj li xav tau qhov ntsuas kom sib npaug?
• Yuav ua li cas thaum lub sijhawm ntsuas nws ntsuas?
• Kuv puas yuav tau ua ib yam dab tsi los npaj rau kev ntsuas tus kheej?
• Puas muaj kev pheej hmoo rau qhov ntsuas sib luag?
• Cov txiaj ntsig li cas?
• Ua tim khawv

Cov kev ntsuas sib npaug yog dab tsi?

Cov ntsuas kev tshuav nyiaj yog ib pab pawg sib tw uas kuaj pom kev tsis sib npaug. Qhov kev tshuav khov kho yog qhov mob uas ua rau koj tsis xis nyob ntawm koj txhais taw thiab kiv taub hau. Kiv taub hau yog ib lo lus dav dav rau cov tsos mob sib txawv ntawm tsis txaus. Kiv taub hau tuaj yeem suav nrog ntsug, ib qho kev xav tias koj lossis koj ib puag ncig rov qab, thiab lub teeb tob tob, ib qho kev xav zoo li koj yuav tsaus muag. Kev tshuav nyiaj li cas tuaj yeem yog mob me, lossis hnyav uas koj yuav muaj teeb meem taug kev, nce ntaiv, lossis ua lwm yam dej num ib txwm muaj.

Cov tshuab sib txawv hauv koj lub cev yuav tsum tau ua haujlwm ua ke rau koj kom koj thiaj li muaj qhov sib npaug zoo. Lub kaw lus tseem ceeb tshaj plaws yog hu ua vestibular system. Qhov system no nyob hauv koj lub pob ntseg sab hauv thiab suav nrog cov hlab ntsha tshwj xeeb thiab cov qauv uas pab koj ua kom koj tshuav nyiaj li cas. Koj lub zeem muag thiab qhov hnov ​​ntawm kev sib chwv kuj tseem ceeb rau qhov sib npaug zoo. Teeb meem nrog ib qho ntawm cov kab ke no tuaj yeem ua rau tsis sib haum.

Tshuav nyiaj tsis zoo yuav tshwm sim tsis hais lub hnub nyoog li cas, tab sis feem ntau cov neeg laus. Nws yog ib qho ntawm cov laj thawj tseem ceeb uas cov laus muaj feem ntau poob ntau dua li cov hluas.

Lwm lub npe: vestibular balance test, vestibular test

Lawv siv rau dab tsi?

Kev ntsuas ntawm kev tshuav nyiaj txiag raug siv los xyuas seb koj puas muaj teeb meem nrog koj qhov kev tshuav nyiaj li cas, thiab yog tias muaj, dab tsi ua rau nws mob. Muaj ntau yam ua rau muaj kev tsis sib luag. Lawv suav nrog:

• Benign paroxysmal txoj hauj lwm vertigo vertigo (BPPV). Koj lub pob ntseg sab hauv muaj cov calcium crystals, uas pab tswj kev tshuav nyiaj. BPPV tshwm sim thaum cov muaju no txav tawm ntawm txoj haujlwm. Nws tuaj yeem ua rau koj mloog zoo li chav nyob kiv kiv lossis koj ib puag ncig hloov mus. BPPV yog qhov ua rau ntau tshaj plaws ntawm vertigo rau cov neeg laus.
• Meniere's kab mobCov. Qhov kev tsis zoo no ua rau kiv taub hau, txhaws ntsej muag, thiab pob ntseg (nrov hauv pob ntseg).
• Vestibular mob hlwb. Qhov no hais txog qhov mob sab hauv lub pob ntseg sab hauv. Feem ntau yog tim tus kab mob. Cov tsos mob muaj xws li xeev siab thiab ntsug.
• Lus AaskivCov. Ib qho mob taub hau yog ib hom mob qa, mob taub hau heev. Nws txawv dua lwm hom kev mob taub hau. Nws tuaj yeem ua rau xeev siab thiab kiv taub hau.
• Lub taub hau raug mobCov. Koj tuaj yeem yuav mob qis dua lossis lwm yam tsos mob tom qab koj lub taub hau raug mob.
• Tshuaj mob sab tshwm simCov. Kiv taub hau tuaj yeem yog qhov mob tshwm sim ntawm qee cov tshuaj.

Thaum koj paub qhov ua rau koj tshuav kev tsis txaus siab, koj tuaj yeem nqis tes los pab tswj lossis kho koj tus mob.

Vim li cas kuv thiaj li xav tau qhov ntsuas kom sib npaug?

Tej zaum koj yuav xav tau ib qho kev ntsuas kom sib npaug yog tias koj muaj cov tsos mob ntawm qhov tsis xwm yeem sib npaug. Cov tsos mob muaj xws li:

• Kiv taub hau
• Zoo nkaus li koj nyob hauv cov lus tsa suab lossis kiv, txawm tias thaum tseem sawv ntsug (vertigo)
• Poob qhov sib npaug thaum taug kev
• Thooj ntsej muag thaum taug kev
• Lub pob ntseg hauv pob ntseg (tinnitus)
• Zoo li koj yuav tsaus muag (pom kev lub hauv siab) thiab / los yog qhov nov ntawm ntus lom zem
• Qhov pom kev plooj plooj lossis ob lub zeem muag
• Tsis meej pem

Yuav ua li cas thaum lub sijhawm ntsuas nws ntsuas?

Thawj qhov kev kuaj mob yuav kho tau los ntawm cov kws kho mob los yog tus kws kho mob tshwj xeeb hauv lub pob ntseg. Cov no suav nrog:

• Tus kws ntsuas mob, ib tus kws saib xyuas kev noj qab haus huv uas tshwj xeeb hauv kev kuaj mob, kho mob, thiab tswj kev hnov ​​lus.
• Tus kws kho mob otolaryngologist (ENT), kws kho mob tshwj xeeb hauv kev kho cov kab mob thiab cov mob ntawm pob ntseg, qhov ntswg, thiab caj pas.

Kev kuaj pom kev tshuav nyiaj li cas feem ntau yuav tsum muaj ntau qhov kev ntsuam xyuas. Koj tuaj yeem kuaj ib lossis ntau dua ntawm cov hauv qab no:

Cov kev ntsuam xyuas electronystagmography (ENG) thiab videonystagmography (VNG). Cov kev kuaj no sau thiab ntsuas koj qhov muag. Koj lub zeem muag yuav tsum ua haujlwm kom raug rau koj kom muaj kev sib npaug. Thaum qhov kev kuaj:

• Koj yuav zaum hauv lub rooj soj ntsuam hauv chav tsaus.
• Koj yuav raug nug saib thiab ua raws cov qauv ntawm lub teeb ntawm ib qho screen.
• Koj yuav raug hais kom txav mus rau txoj haujlwm sib txawv thaum koj saib lub teeb qauv no.
• Tom qab ntawd dej sov thiab dej txias lossis huab cua yuav muab tso rau hauv txhua lub pob ntseg.Qhov no yuav tsum ua kom lub qhov muag txav mus rau qhov tshwj xeeb. Yog tias lub qhov muag tsis teb cov lus no, nws yuav txhais tau tias muaj kev puas tsuaj rau cov leeg ntshav ntawm lub pob ntseg sab hauv.

Qeb mentshis ntsuas, tseem hu ua lub rooj zaum kev sib tw kuaj. Qhov kev ntsuas no tseem ntsuas koj lub qhov muag txav. Thaum lub sijhawm kuaj no:

• Koj yuav zaum hauv chav khoos phis tawj-tswj, lub cev muaj zog.
• Koj yuav tsum hnav cov hnab looj tes tshwj xeeb uas yuav sau koj lub qhov muag txav zoo li lub rooj zaum maj mam txav mus thiab rov qab thiab hauv lub voj voog.

Posturography, tseem hu ua computerized dynamic posturography (CDP). Qhov kev ntsuas no ntsuas koj lub peev xwm los tswj kev tshuav nyiaj li cas thaum sawv. Thaum lub sijhawm kuaj no:

• Koj yuav sawv txhais khau liab qab ntawm lub platform, hnav txoj siv kev ruaj ntseg.
• Yuav muaj duab toj roob hauv pes nyob ib puag ncig koj.
• Lub platform yuav txav mus los sim koj lub peev xwm kom nyob twj ywm sawv ntawm qhov chaw txav mus los.

Vestibular evoked myogenic potentials (VEMP) kev sim. Qhov ntsuas no ntsuas seb qee cov leeg hnov ​​cov lus li cas rau lub suab. Nws tuaj yeem qhia tau yog tias muaj teeb meem hauv koj lub siab sab hauv. Thaum lub sijhawm kuaj no:

• Koj yuav zaum hauv ib lub rooj zaum.
• Koj yuav muab lub mloog pob ntseg.
• Lub ntsuas pa yuav muab txuas rau koj lub caj dab, hauv pliaj, thiab hauv qab koj ob lub qhov muag. Cov ntaub ntawv no yuav sau tseg rau koj cov leeg txav mus los.
• Nyem thiab / lossis tawg ntawm lub suab nrov yuav raug xa mus rau koj lub pob ntseg.
• Thaum lub suab tseem ua si, koj yuav tau hais kom tsa koj lub taub hau lossis qhov muag tau ntev.

Dix sau khab maneuver. Qhov kev ntsuas no ntsuas seb koj lub qhov muag cuam tshuam li cas rau qhov qoj ib ce. Thaum lub sijhawm kuaj no:

• Koj tus kws kho mob yuav tshem koj sai sai ntawm qhov chaw zaum hauv lub luag haujlwm thiab / lossis txav koj lub taub hau ntawm ntau txoj haujlwm.
• Koj tus kws kho mob yuav kuaj xyuas koj ob lub qhov muag qhov muag kom pom tau tias koj muaj qhov tsis meej lossis qhov pom txav txawv.

Lub sijhawm tshiab nyob hauv qhov kev ntsuas no yog hu ua a video lub taub hau impulse xeem (vHIT). Thaum lub sijhawm kuaj vHIT, koj yuav tsum hnav looj hnab looj ntsej muag uas sau koj lub qhov muag txav thaum uas tus kws kho mob maj mam tig koj lub taub hau rau ntau txoj haujlwm.

Koj tuaj yeem kuaj ib lossis ob zaug kev ntsuam xyuas lub rooj sib hais, vim tias ntau yam tsis xwm yeem muaj feem cuam tshuam nrog cov teeb meem hnov ​​lus.

Kuv puas yuav tau ua ib yam dab tsi los npaj rau kev ntsuas tus kheej?

Koj yuav tsum hnav cov khaub ncaws xoob, xis nyob. Ua raws li kev ntsuam xyuas, koj yuav tau hloov pauv koj li kev noj haus lossis zam qee yam tshuaj noj rau ib lossis ob hnub uantej koj yuav mus kuaj. Koj tus kws kho mob yuav qhia rau koj paub yog tias nws muaj lus qhia tshwj xeeb ua raws.

Puas muaj kev pheej hmoo rau qhov ntsuas sib luag?

Qee qhov kev kuaj yuav ua rau koj kiv taub hau lossis xeev xeev siab. Tab sis cov kev xav no ib txwm ploj mus li ntawm ob peb feeb. Koj tuaj yeem npaj cov neeg thauj koj mus rau hauv tsev, yog tias cov kiv tob hau nyob ntev dua.

Cov txiaj ntsig li cas?

Yog tias koj cov txiaj ntsig tsis zoo li qub, koj tus kws kho mob yuav yuam kom kuaj ntxiv thiab / lossis tso koj rau hom phiaj xwm kho. Nyob ntawm qhov ua rau koj tsis sib haum xeeb, koj cov kev kho yuav suav nrog:

• Tshuaj kho mob los kho tus kab mob.
• Tshuaj kho mob los pab tswj tus kiv taub hau thiab xeev siab.
• Txoj kev muab tso rau txheej txheem. Yog tias koj tau kuaj pom BPPV, koj tus kws kho mob yuav ua ntau yam kev txav tshwj xeeb ntawm koj lub taub hau thiab hauv siab. Qhov no tuaj yeem pab kho qhov phom sij rau hauv koj lub ntsej muag sab hauv uas tau tawm ntawm qhov chaw. Cov txheej txheem kuj tseem hu ua Epley maneuver, lossis canalith repositioning.
• Sib npaug retraining kev kho, tseem hu ua kev txhim kho vestibular. Tus kws zov me nyuam tshwj xeeb hauv kev rov ua kom rov zoo tuaj yeem tsim qhov phiaj xwm ntawm kev tawm dag zog thiab lwm cov kauj ruam los txhim kho koj cov nyiaj tshuav thiab tiv thaiv kom tsis txhob poob. Qhov no yuav suav nrog kev kawm siv tus pas nrig lossis cov taug kev.
• Kev noj haus thiab kev ua neej pauv. Yog tias koj tau pom tias Meniere's mob lossis mob taub hau mob taub hau, qee yam kev hloov pauv ntawm kev ua neej yuav txo tau koj cov tsos mob. Cov no tuaj yeem suav nrog kev ua kom lub cev ntau ntxiv, zam qee yam zaub mov, thiab txiav luam yeeb. Nug koj tus kws kho mob seb cov kev hloov twg yuav zoo tshaj rau koj.
• Kev phais mob. Yog tias cov tshuaj lossis lwm yam kev kho mob tsis ua haujlwm, koj yuav raug phais kom kho qhov teeb meem hauv koj lub pob ntseg sab hauv. Hom kev phais mob yuav yog nyob ntawm cov teeb meem tshwj xeeb ntawm koj qhov kev tsis nyab xeeb.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Ua tim khawv

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10. Lub Koom Haum Rau Hauv Pob Ntseg Michigan [Is Taws Nem]. Tus Kws Paub Txog Pob Ntseg; Sib npaug, kiv taub hau thiab Vertigo; [hais tawm 2019 Apr 22]; [txog 5 ntxaij]. Muaj los ntawm: http://www.michiganear.com/ear-services-dizziness-balance-vertigo.html
11. Cov Chaw Hauv Tebchaws ntawm Cov Txheej Txheem Biotechnology [Internet]. Bethesda (MD): Lub Chaw Hauv Lub Tebchaws rau Biotechnology Cov Ntaub Ntawv, Lub Chaw Qiv Tshuaj Hauv Tebchaws; Qhia rauHealth.org: Peb lub siab tshuav nyiaj li cas ua haujlwm? Xyoo 2010 Lub Yim Hli 19 [hloov tshiab 2017 Sep 7; raug nplua 2019 Apr 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/books/NBK279394
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16. UCSF Benioff Cov Menyuam Lub Tsev Khomob [Is Taws Nem]. San Francisco (CA): Cov Regents ntawm University of California; c2002–2019. Caloric Stimulation; [hais tawm 2019 Apr 29]; [txog 4 ntxaij]. Muaj los ntawm: https://www.ucsfbenioffchildrens.org/tests/003429.html
17. UCSF Medical Center [Is Taws Nem]. San Francisco (CA): Cov Regents ntawm University of California; c2002–2019. Kev Ntsuam Xyuas Lub Qeb Qeb Teb; [hais tawm 2019 Apr 22]; [txog 5 ntxaij]. Muaj los ntawm: https://www.ucsfhealth.org/education/rotary_chair_testing
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19. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Muaj Kev Ntsuas Kab Mob thiab Khov Kho Mob Ntshav Qab Zib: Chaw Ntsuas Ntsuas Ntsuas; [hais tawm 2019 Apr 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/balance-clinic/tests.aspx
20. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Cov Kws Kho Mob Kev Noj Qab Haus Huv: Mob Yig Twj; [hais tawm 2019 Apr 22]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P00814
21. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. ENT- Otolaryngology: kiv taub hau thiab mob tsis txaus; [kho tshiab 2011 Aug 8; raug nplua 2019 Apr 22]; [txog 4 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/ear-nose-hlau/dizziness-and-balance-disorders/11394
22. Vanderbilt University Medical Center [Internet]. Nashville: Vanderbilt University Medical Center; c2019. Kev Ntsuas Kab Mob Ntsuas Tshuav: Qhov kev kuaj mob; [hais tawm 2019 Apr 22]; [txog 3 ntxaij]. Muaj los ntawm: https://www.vumc.org/balance-lab/diagnostic-testing
23. Weill Cornell Tshuaj: Otolaryngology Lub Taub Hau thiab Caj Dab Caj Dab [Hauv Is Taws Nem]. New York: Weill Cornell Tshuaj; Electronystagmogrophy (ENG) thiab & Videonystagmography (VNG) Kev Ntsuas; [raug suav xyoo 2020 Jul 27]; [txog 3 ntxaij]. Muaj los ntawm: https://ent.weill.cornell.edu/patients/clinical-specialties/conditions/electronystagmogrophy-eng-videonystagmography-vng-testing#:~:text=ElectroNystagmoGraphy%20(ENG)%20and%20VideoNystagmoGraphy%20 (, hloov khoom nruab nrog% 20or% 20central% 20vestibular% 20system)

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.