Qhov sib txawv tseem ceeb ntawm BPPV thiab Meniere's yog tias BPPV yog ib qho mob uas ua rau peripheral vertigo vim yog mob me lossis mob hnyav rau lub taub hau, thaum Meniere's yog ib qho mob uas ua rau peripheral vertigo vim muaj qhov txawv txav ntawm kua (endolymph) nyob rau hauv pob ntseg puab.
Vertigo yog qhov kev xav ntawm kev txav los yog kiv uas feem ntau piav raws li kiv taub hau. Nws yog ob hom xws li central thiab peripheral. Central vertigo yog vim muaj teeb meem hauv lub hlwb, thaum peripheral vertigo yog vim muaj teeb meem hauv pob ntseg. BPPV thiab Meniere's yog ob yam mob uas ua rau peripheral vertigo.
BPPV yog dab tsi?
Benign paroxysmal positional vertigo (BPPV) yog ib qho mob uas ua rau lub cev tsis muaj zog vim yog mob me lossis mob hnyav rau lub taub hau. Nws yog ib qho ntawm feem ntau ua rau peripheral vertigo. BPPV feem ntau ua rau luv luv ntawm me me mus rau khaus khaus. Nws feem ntau tshwm sim vim muaj kev hloov pauv hauv lub taub hau txoj hauj lwm. Qhov no yuav tshwm sim thaum tib neeg lub taub hau nce lossis nqis, thaum lawv pw, thaum lawv tig los yog zaum saum txaj. Txawm hais tias BBPV tuaj yeem ua rau muaj kev ntxhov siab, nws tsis tshua ua rau muaj mob hnyav tshwj tsis yog ua rau muaj kev poob qis. BBPV yog ib qho mob idiopathic. Txawm li cas los xij, nws ntseeg tau tias yog tshwm sim los ntawm me me los yog mob hnyav rau lub taub hau. Qhov tsis tshua muaj tshwm sim yog cov teeb meem cuam tshuam rau pob ntseg sab hauv thiab kev puas tsuaj uas tshwm sim thaum phais.
Figure 01: BPPV
Cov tsos mob ntawm BBPV muaj xws li kiv taub hau, kiv taub hau lossis txav mus los, poob qis, xeev siab, thiab ntuav. Ntxiv mus, BPPV tuaj yeem kuaj tau los ntawm kev kuaj lub cev, electronystagmorgraphy (ENG) lossis videonystagmorgraphy, (VNG), thiab MRI. Tsis tas li ntawd, kev kho mob rau tus mob no muaj xws li canalith repositioning thiab lwm txoj kev phais xws li ntsaws phais.
Meniere yog dab tsi?
Meniere's yog ib yam mob uas ua rau peripheral vertigo vim muaj cov kua dej txawv txav (endolymph) hauv pob ntseg sab hauv. Cov yam ntxwv uas ua rau muaj qhov txawv txav ntawm cov kua dej uas ua rau Meniere tus kab mob muaj xws li cov kua dej tsis zoo, kev tiv thaiv kab mob tsis zoo, kev kis kab mob, thiab caj ces predisposition. Tus mob no tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis feem ntau nws pib ntawm cov hluas thiab cov neeg laus hnub nyoog nruab nrab. Cov tsos mob thiab cov tsos mob ntawm Meniere tus kab mob tuaj yeem suav nrog rov tshwm sim ntawm vertigo, hnov lus tsis zoo, suab nrov hauv pob ntseg (tinnitus), thiab hnov lub pob ntseg puv.
Daim duab 02: Meniere's
Tus mob no tuaj yeem kuaj tau los ntawm keeb kwm kev kho mob, kuaj lub cev, ntsuas qhov hnov lus (audiometry), ntsuas qhov sib npaug xws li videonystagmorgraphy (VNG), ntsuas lub rooj zaum teb, vestibular evoked myogenic muaj peev xwm (VEMP) kuaj, posturography, video taub hau impulse kuaj (vHIT), electrocochleography (ECoG), CT scan, thiab MRI. Tsis tas li ntawd, txoj kev kho mob rau tus mob no suav nrog cov tshuaj kho mob (diazepam), tshuaj tiv thaiv xeev siab (promethazine), tshuaj ntev ntev xws li diuretics, kev kho tsis zoo (kev kho mob, kev pab hnov lus, kev kho siab zoo), kev txhaj tshuaj hauv pob ntseg (gentamicins)., steroids) thiab kev phais xws li cov txheej txheem endolymphatic sac, labyrinthectomy, thiab vestibular paj hlwb.
Dab tsi yog qhov Zoo sib xws ntawm BPPV thiab Meniere's?
- BPPV thiab Meniere yog ob yam mob uas ua rau peripheral vertigo.
- Cov xwm txheej no cuam tshuam rau pob ntseg sab hauv.
- Ob qho xwm txheej ua rau kiv puag ncig lossis kiv taub hau.
- Lawv tsis mob hnyav.
- Lawv kho tau los ntawm cov tshuaj thiab kev phais.
Qhov txawv ntawm BPPV thiab Meniere yog dab tsi?
BPPV yog peripheral vertigo tshwm sim vim yog me me los yog mob hnyav rau lub taub hau, thaum Meniere's yog peripheral vertigo tshwm sim vim muaj qhov txawv txav ntawm cov kua dej (endolymph) hauv pob ntseg sab hauv. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm BPPV thiab Meniere's. Tsis tas li ntawd, BPPV tsis muaj caj ces, thaum Meniere's muaj cov caj ces predisposition.
Cov ntawv qhia hauv qab no nthuav tawm qhov sib txawv ntawm BPPV thiab Meniere's hauv daim ntawv teev npe rau ib sab ntawm kev sib piv.
Summary – BPPV vs Meniere's
BPPV thiab Meniere's yog ob qho kev kho mob uas ua rau peripheral vertigo. BPPV yog tshwm sim los ntawm me me los yog mob hnyav rau lub taub hau thaum Meniere tus kab mob tshwm sim vim muaj cov kua dej txawv txav (endolymph) hauv pob ntseg sab hauv. Yog li, qhov no yog qhov txawv ntawm BPPV thiab Meniere's.
