Ukuzwela “kokujikeleza kwekhanda”, ukulahleka kokulinganisela, umbono wokuthi izindonga ziyasizungeza, njll. Isizungu kanye ne-vertigo yimizwa engathandeki yokungalingani, okungahamba njengokuhambisana nesicanucanu nokuhlanza.

Zingaba nzima ngokwedlulele, zivame noma zingavamile, zibe ngezikhathi ezithile noma zihlale unomphela, futhi zingadalwa izifo nezifo ezahlukahlukene.

Lezi yizizathu ezivame kakhulu zokubonisana nabezokwelapha. Lezi yizimpawu ezijwayelekile, ezingathi, ezimweni ezingandile, zibangelwe yisifo esibi.

Kubalulekile ukuhlukanisa phakathi kwesiyezi esilula (ukuzwa okukhanyayo kwekhanda eliphothayo) nesiyezi esinzima (ukungakwazi ukusukuma, isicanucanu, njll.).

Isiyezi sijwayelekile futhi singabangelwa, phakathi kwezinye izinto:

• ukwehla kwesikhashana kwengcindezi yegazi
• ubuthakathaka ngenxa yesifo esithathelwanayo (umkhuhlane, i-gastroenteritis, ukubanda, njll.)
• komzimba
• ukucindezeleka nokukhathazeka
• ukusetshenziswa kukagwayi, utshwala, izidakamizwa noma imithi
• ekukhulelweni
• kungakhuphula izinga likashukela
• ukukhathala kwesikhashana, njll.

Isiyezi, ngakolunye uhlangothi, sikhubaza kakhulu. Zihambisana nenkohliso yokunyakaza, kungaba ukujikeleza noma ukugqama, ukungazinzi, umuzwa wokudakwa, njll. Kuvame ukwenzeka lapho kunokungqubuzana phakathi kwezimpawu zesikhundla ezibonwa ubuchopho nesimo sangempela somzimba.

IVertigo ngakho-ke ingavela ekuhlaselweni:

• yendlebe yangaphakathi: ukutheleleka, isifo sikaMénière, i-vertigo yesimo se-paroxysmal positive;
• izinzwa ze-cranial ezidlulisa imininingwane: i-acoustic neuroma, i-neuritis;
• izikhungo zobuchopho ezibhekele ukutholwa kwempahla: ischemia (unhlangothi), isifo sokuvuvukala (multiple sclerosis), isimila, njll.

Ukuthola imbangela, udokotela uzokwenza ukuhlolwa okuphelele kwemitholampilo bese ebheka:

• izici ze-vertigo
• lapho ivela (endala, yakamuva, ngokuzumayo noma ngokuqhubekayo, njll.)
• kumvamisa wayo kanye nezimo zokwenzeka
• ukutholakala kwezimpawu ezihambisanayo (i-tinnitus, ubuhlungu, i-migraine, njll.)
• umlando wezokwelapha

Phakathi kokuxilongwa okuvame kakhulu ezimweni ze-vertigo, i-benign paroxysmal positional vertigo iza kuqala (okwenza ingxenye yesithathu yezimbangela zokubonisana nge-vertigo). Kubonakala ngesiyezi esinobudlova, esijikelezayo esihlala ngaphansi kwemizuzwana engama-30 futhi esenzeka ngesikhathi sokushintsha kwesikhundla. Imbangela yayo: ukwakheka kwamadiphozithi (amakristalu e-calcium carbonate) emseleni oyindilinga wendlebe yangaphakathi.

Ezimweni lapho i-vertigo iqhubeka futhi yinde (izinsuku eziningana), imbangela ejwayelekile kakhulu yi-neuronitis noma i-vestibular neuritis, okungukuthi, ukuvuvukala kwenzwa evimbela indlebe yangaphakathi. Isizathu asicaci kahle, kepha kuvame ukucatshangelwa ukuthi ukutheleleka ngegciwane.

Ekugcineni, isifo sikaMénière siyimbangela ejwayelekile yesizungu: siholela ekuhlaselweni okuhambisana nezinkinga zokuzwa (i-tinnitus nokulahlekelwa ukuzwa).

Isiyezi singakhubaza kakhulu, size sivimbele umuntu ukuthi ame noma anyakaze. Lapho kuhambisana nesicanucanu noma ukuhlanza, kucindezela kakhulu.

Isiyezi singathinta nezinga lempilo futhi sinciphise imisebenzi, ikakhulukazi uma kwenzeka kaningi futhi ingalindelekile.

Izixazululo ngokusobala zincike kwizimbangela eziyisisekelo.

Ngakho-ke abaphathi badinga ukuqala ukusungula ukuxilongwa okucacile.

I-vertigo yesimo se-Paroxysmal iphathwa ngendlela yokwelapha esabalalisa imfucumfucu ekhona endlebeni yangaphakathi futhi ibuyise ukusebenza okujwayelekile.

I-vestibular neuritis, ngakolunye uhlangothi, iyaphola ngaphandle kokwelashwa kepha ingaqhubeka amasonto ambalwa. Izidakamizwa zokulwa nesiyezi kanye nokuzivocavoca okuthile kwe-vestibular kungasiza ekunciphiseni ukungakhululeki.

Ekugcineni, ngeshwa isifo sikaMénière asizuzi kunoma yiluphi ukwelashwa okusebenzayo, noma ngabe izindlela eziningi zenza ukuthi kube lula ukukhipha nokuhlaselwa.