Labyrinthitis (vestibular neuritis) yog o thiab o ntawm pob ntseg sab hauv uas feem ntau tshwm sim los ntawm tus kab mob lossis (txawm tias tsis tshua muaj) kab mob. Cov tsos mob tshwm sim feem ntau ntawm labyrinthitis suav nrog hnov tsis hnov lus, kiv taub hau, kiv taub hau, tsis sib npaug, thiab xeev siab. Cov tsos mob hnyav tshaj plaws feem ntau poob qis hauv ib lub lis piam, tab sis lub sijhawm no, koj tuaj yeem ua cov kauj ruam ntxiv los pab daws cov tsos mob thiab teeb meem.
Kauj ruam
Txoj Kev 1 ntawm 2: Txhim Kho Labyrinthitis Cov tsos mob hauv Tsev
Kauj Ruam 1. Paub txog cov tsos mob ntawm labyrinthitis
Lub pob ntseg sab hauv yog qhov tseem ceeb heev rau kev hnov hnov thiab sib npaug. Kev o vim labyrinthitis tuaj yeem cuam tshuam tsis hnov lus thiab sib npaug uas tom qab ntawd ua rau muaj kev cuam tshuam. Qhov tshwm sim tshaj plaws uas tuaj yeem siv los lees paub labyrinthitis suav nrog:
- Vertigo (kev xav zoo li thaum sawv tseem)
- Nyuaj nyuaj tsom vim qhov muag txav ntawm nws tus kheej
- Mob taub hau
- Tsis hnov lus
- Tsis tshuav nyiaj li cas
- Xeev siab thiab ntuav
- Tinnitus (nrov nrov lossis nrov nrov hauv pob ntseg)
Kauj Ruam 2. Zam kev ua ub no uas tuaj yeem ua rau muaj teeb meem lossis ua rau koj mob hnyav dua
Muaj kab mob kis (mob khaub thuas thiab mob khaub thuas) ntxiv rau kev ua pa thiab pob ntseg yuav ua rau muaj kev pheej hmoo ntawm labyrinthitis ntau ntxiv. Txawm li cas los xij, qee yam tswj tau lossis ua haujlwm kuj tseem tuaj yeem ua rau koj muaj kev pheej hmoo lossis ua rau koj mob hnyav yog tias koj twb muaj labyrinthitis, suav nrog:
- Kev haus cawv ntau dhau
- Qaug zog
- Kev ua xua hnyav
- Haus luam yeeb
- Nyuaj siab
- Qee yam tshuaj (xws li tshuaj aspirin)
Kauj Ruam 3. Siv tshuaj antihistamine nyob tom khw
Cov tshuaj antihistamines tuaj tom khw tuaj yeem siv los kho kev ua xua thiab tuaj yeem pab txo qis kev sib kis vim muaj kab mob uas tuaj yeem ua rau o thiab thaum kawg ua rau labyrinthitis. Feem ntau siv cov tshuaj antihistamines suav nrog diphenhydramine (Benadryl), cetirizine (Zyrtec), loratadine (Claritin), desloratadine (Clarinex), thiab fexofenadine (Allegra).
Feem ntau cov tshuaj antihistamines tuaj yeem ua rau tsaug zog, yog li nyeem cov kev mob tshwm sim ntawm pob kom zoo thiab ua raws li cov tshuaj pom zoo
Kauj Ruam 4. Noj cov tshuaj tom khw los kho mob taub hau
Txij li labyrinthitis feem ntau tshwm sim los ntawm kev kis tus kab mob, koj yuav tsum tau tos koj lub cev tiv thaiv kab mob ua nws txoj haujlwm thiab kov yeej tus kab mob. Lub caij no, koj tuaj yeem txo qhov kiv taub hau cuam tshuam nrog labyrinthitis los ntawm kev noj cov tshuaj tom khw. Cov tshuaj uas yuav tom khw muag tshuaj feem ntau siv los kho kiv taub hau yog meclizine (Bonine, Dramamine, lossis Antivert).
Kauj Ruam 5. Kho vertigo
Cov teebmeem ntawm labyrinthitis feem ntau tshwm sim hauv daim ntawv ntawm kev tawm tsam, tsis yog cov tsos mob uas tshwm sim tas li. Yog tias koj ntsib kev tawm tsam ntawm vertigo vim yog labyrinthitis, koj tuaj yeem ua cov kauj ruam tsim nyog los pab txo qis qhov tshwm sim. Koj yuav tsum:
- So kom ntau li ntau tau thiab sim dag tseem tsis tau txav koj lub taub hau
- Tsis txhob hloov chaw lossis hloov chaw tam sim ntawd
- Rov pib ua haujlwm qeeb
- Thov kev pab taug kev kom koj tsis txhob ntog thiab ua rau koj tus kheej raug mob
- Tsis txhob siv lub teeb ci ci, TV (thiab lwm cov ntxaij vab tshaus hluav taws xob), thiab nyeem ntawv thaum tawm tsam vertigo
Kauj Ruam 6. Ua qee yam qoj ib ce kom txo tau qhov kiv taub hau
Muaj ntau ntau yam kev tawm dag zog uas tuaj yeem pab txo qis vertigo. Qhov ua tau zoo tshaj plaws yog Epley maneuver. Epley maneuver tuaj yeem pab kho qhov chaw ntawm cov khoom me me hauv cov pob ntseg sab hauv. Thaum txav tawm ntawm qhov chaw, cov khoom tuaj yeem ua rau vertigo. Txhawm rau ua Epley maneuver:
- Zaum ntawm ntug txaj, nyob hauv nruab nrab, thiab tig koj lub taub hau 45 ° hauv qhov kev coj ua uas ua rau kiv taub hau
- Ceev nrooj pw ntawm koj ib sab nrog koj lub taub hau tseem nyob rau hauv cov lus qhia ua rau vertigo. Qhov no yuav tau txais cov lus teb vertigo muaj zog. Tuav txoj haujlwm no rau 30 vib nas this.
- Tig koj lub taub hau 90 ° hauv qhov kev coj rov qab thiab tuav rau 30 vib nas this.
- Tig koj lub taub hau thiab lub cev nyob rau tib qho kev taw qhia tib lub sijhawm (tam sim no pw ntawm koj ib sab nrog koj lub taub hau hla ntug txaj 45 ° rau hauv pem teb). Tuav rau 30 vib nas this ua ntej zaum rov qab.
- Rov ua qhov kev tawm dag zog no tsib lossis rau zaug kom txog thaum koj tsis muaj kev paub vertigo teb thaum lub sijhawm ua haujlwm.
Kauj Ruam 7. Ua qhov kev tiv thaiv tsim nyog thaum koj qhov mob zoo tuaj
Thaum cov tsos mob hnyav tshaj plaws ntawm labyrinthitis feem ntau nyob ntev li ntawm ib lub lim tiam, koj yuav pom cov tsos mob me me rau peb lub lis piam tom ntej (qhov nruab nrab). Kev npau npau sai sai thaum tsav tsheb, nce toj, lossis siv lub tshuab hnyav tuaj yeem ua pov thawj txaus ntshai thaum koj tseem rov zoo. Ua qhov kev tiv thaiv tsim nyog thiab txiav txim siab sab laj nrog kws kho mob kom paub thaum nws muaj kev nyab xeeb rov pib ua haujlwm li hais los saum no.
Txoj Kev 2 ntawm 2: Mus ntsib kws kho mob
Kauj Ruam 1. Paub thaum twg koj yuav tsum nrhiav kev pab kho mob tam sim
Feem ntau ntawm kev kis tus kab mob labyrinthitis, lub cev tiv thaiv kab mob yuav kis tus kab mob ntawm nws tus kheej. Txawm li cas los xij, qee qhov xwm txheej tsawg ntawm kab mob labyrinthitis tuaj yeem ua rau muaj mob hnyav dua (thiab muaj peev xwm ua rau muaj kev phom sij rau lub neej) xws li mob qog noj ntshav. Koj yuav tsum nrhiav kev kho mob tam sim yog tias koj tau ntsib ib qho ntawm cov tsos mob hauv qab no:
- Qaug dab peg
- Ob lub zeem muag
- Tsaus muag
- Ntuav hnyav
- Cov lus hais tsis meej
- Vertigo nrog kub cev 38 ° C lossis siab dua
- Lub cev tsis muaj zog lossis tuag tes tuag taw
Kauj Ruam 2. Teem caij nrog kws kho mob
Txawm hais tias koj tsis tau ntsib ib qho ntawm cov tsos mob uas yuav raug cais ua qhov xwm txheej ceev, koj tseem yuav tsum mus ntsib koj tus kws kho mob yog tias koj muaj labyrinthitis. Koj tus kws kho mob yuav pab txheeb xyuas seb koj tus mob puas yog los ntawm tus kab mob lossis kab mob. Tom qab ntawd, tus kws kho mob tuaj yeem ua cov kauj ruam tsim nyog los ua kom lub sijhawm luv luv, txo cov tsos mob, thiab txo qhov kev pheej hmoo ntawm kev hnov pob ntseg tas mus li.
Kauj Ruam 3. Kuaj koj tus kws kho mob pom zoo
Yog tias koj rooj plaub ua rau koj tus kws kho mob xav tias muaj mob lwm yam tshaj li labyrinthitis, koj yuav xav tau kev ntsuam xyuas txhawm rau txiav tawm lwm yam mob. Koj tus kws kho mob yuav hais kom koj mus ntsib:
- Electroencephalogram (EEG)
- Electronystagmography los ntsuas qhov muag reflexes los ntawm kev ua kom sov thiab txias hauv lub pob ntseg
- Xeem tomography (CT) luam theej duab xoo duab ntawm koj lub taub hau
- MRI
- Hnov xeem
Kauj Ruam 4. Noj cov tshuaj uas tau hais los kho labyrinthitis
Koj tus kws kho mob yuav sau ntawv tshuaj tua kab mob rau tus kab mob loj labyrinthitis lossis tshuaj tua kab mob yog tias qhov ua rau muaj kab mob. Xijpeem cov tshuaj tau sau tseg, coj nws raws nraim li tau hais tseg thaum kho txheej txheem.
Kauj Ruam 5. Nug txog cov tshuaj uas tuaj yeem txo cov tsos mob
Ntxiv rau kev sau tshuaj noj los kho qhov ua rau mob labyrinthitis, koj tus kws kho mob kuj tseem tuaj yeem qhia tshuaj noj kom pab kho ntshav qab zib, kiv taub hau, thiab lwm yam tsos mob thaum lub sijhawm rov zoo. Qhia rau koj tus kws kho mob yog tias koj tab tom noj tshuaj antihistamine, Dramamine, lossis lwm yam tshuaj tom khw muag khoom ua ntej koj teem sijhawm, thiab tom qab ntawd tsuas yog siv cov tshuaj uas koj tus kws kho mob sau tseg. Qee qhov tshuaj feem ntau tau sau tseg kom txo cov tsos mob ntawm labyrinthitis yog:
- Prochlorperazine (Compazine) los tswj kev xeev siab thiab ntuav
- Scopolamine (Transderm-Scop) los pab nrog kiv taub hau
- Sedative diazepam (Valium)
- Steroids (prednisone, methylprednisolone, lossis decadron)
Kauj Ruam 6. Nug txog kev kho mob vestibular kho mob (VRT) rau cov xwm txheej mob
Yog tias koj cov tsos mob tsis zoo nrog kev noj tshuaj thiab dhau mus ntev, koj yuav tsum nug koj tus kws kho mob txog VRT. VRT yog kev kho lub cev uas tuaj yeem pab koj hloov kho thiab txhim kho cov tsos mob ntawm labyrinthitis. Qee qhov feem ntau cov tswv yim siv hauv txoj kev kho no yog:
- Gaze ruaj khov kev ua haujlwm: Cov kev tawm dag zog no pab lub hlwb hloov pauv mus rau cov txheej txheem tshiab ntawm labyrinthine-cuam tshuam vestibular system (ib qho system uas pab txhawb kev taw qhia). Cov kev tawm dag zog ib txwm suav nrog ntsia koj lub qhov muag mus rau lub hom phiaj tshwj xeeb thaum txav koj lub taub hau.
- Kev rov kho cov kwj dej: Cov tsos mob ntawm labyrinthitis mob ntev tuaj yeem ua rau muaj kev hloov pauv ntsig txog cov leeg pob txha kom sib npaug thiab taug kev. Qhov kev tawm dag zog no txhim kho kev sib koom tes los ntawm kev pab koj yoog raws cov ntaub ntawv nkag siab uas tau cuam tshuam tau txais los ntawm lub qhov muag thiab lub cev vestibular.
- Npaj mus ntsib kws kho mob lub cev ib zaug lossis ob zaug hauv ib lub lis piam rau plaub txog rau rau lub lim tiam rau VRT ntu.
Kauj Ruam 7. Ua haujlwm raws li qhov chaw kawg
Hauv qhov xwm txheej tsawg heev, tus kws kho mob tuaj yeem txiav txim siab tias yuav tsum tau phais mob hnyav kom tsis txhob txhim kho cov teeb meem ntawm labyrinthitis los ntawm kev hloov mus rau qhov ua rau mob meningitis lossis encephalitis. Kev phais yog labyrinthectomy (tshem tawm lub pob ntseg sab hauv) kom pab tiv thaiv kev kis kab mob tsis txhob kis mus ntxiv.
