{"id":139,"date":"2024-02-14T08:44:35","date_gmt":"2024-02-14T06:44:35","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/vertijul\/"},"modified":"2024-03-06T11:19:44","modified_gmt":"2024-03-06T09:19:44","slug":"ce-este-vertijul","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/ce-este-vertijul\/","title":{"rendered":"Ce este vertijul?"},"content":{"rendered":"\n<h2><strong>Ce este vertijul?<\/strong><\/h2>\n<p>Vertijul este un <a href=\"https:\/\/roneuro.ro\/blog\/de-ce-ametesc\/\" target=\"_blank\" rel=\"noopener\"><strong>tip de ame\u021beal\u0103 <\/strong><\/a>caracterizat prin senza\u021bia c\u0103 totul se \u00eenv\u00e2rte \u00een jurul nostru, sau senza\u021bia c\u0103 noi ne \u00eenv\u00e2rtim. Dac\u0103 a\u021bi sim\u021bit vreodat\u0103 c\u0103 sunte\u021bi \u00eentr-un carusel, de\u0219i sunte\u021bi a\u0219eza\u021bi sau merge\u021bi pe strad\u0103 este posibil s\u0103 fi avut vertij.<\/p>\n<p><strong>Vertijul vestibular reprezint\u0103 aproximativ 25% din cauzele ame\u021belii<\/strong> \u0219i are o inciden\u021b\u0103 anual\u0103 de 1,4% [1]. Vertijul \u0219i migrena sunt adesea afec\u021biuni care apar \u00eempreun\u0103; cu excep\u021bia migrenei vestibulare. Pacien\u021bii cu boala Meni\u00e8re prezint\u0103 o rat\u0103 mai mare de migrene (aproximativ 56%) dec\u00e2t popula\u021bia total\u0103 [2].<\/p>\n<p>Mai mult, vertijul contribuie la o tendin\u021b\u0103 de cre\u0219tere a costurilor directe ale asisten\u021bei medicale a persoanelor afectate, din cauza \u00eemb\u0103tr\u00e2nirii popula\u021biei. Consulta\u021bii repetate \u0219i insuficient direc\u021bionate, utilizarea excesiv\u0103 a imagisticii de diagnosticare costisitoare \u0219i atribuirea inutil\u0103 a asisten\u021bei de urgen\u021b\u0103 sunt factori care contribuie la asta [3].<\/p>\n<h2><strong>Cum se manifest\u0103 vertijul?<\/strong><\/h2>\n<p>De cele mai multe ori vertijul apare brusc, la persoanele s\u0103n\u0103toase, \u0219i poate fi \u00eensp\u0103im\u00e2nt\u0103tor. Senza\u021bia de vertij poate dura c\u00e2teva secunde sau minute, sau se poate prelungi p\u00e2n\u0103 la c\u00e2teva ore sau zile. Poate exista un singur episod scurt de vertij, sau episoade recurente. Vertijul care dureaz\u0103 mai mult de c\u00e2teva minute poate fi \u00eenso\u021bit de diverse simptome (Figura 1).<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-826 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij.jpeg\" alt=\"\" width=\"800\" height=\"586\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij.jpeg 1470w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij-300x220.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij-1024x750.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij-768x562.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij-750x549.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Simptome-vertij-1140x834.jpeg 1140w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p style=\"text-align: center;\">Figura 1. Simptome asociate vertijului<\/p>\n<p>Pentru mai multe informa\u021bii despre vertij precum \u0219i alte tipuri de ame\u021beal\u0103, viziona\u021bi interviul video cu<strong> Dr. Alina Nagy, medic ORL<\/strong>:<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/DFk0Tyg-46I?si=InlDbpi1MWRNYgfq\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><strong>Ce factori influen\u021beaz\u0103 apari\u021bia vertijului?<\/strong><\/h2>\n<p>Adesea senza\u021bia de vertij este un semn de suferin\u021b\u0103 a organelor responsabile de echilibru, dar poate ap\u0103rea \u0219i \u00een alte situa\u021bii, de exemplu:<\/p>\n<ul>\n<li>anxietate<\/li>\n<li>stres<\/li>\n<li>r\u0103u de mi\u0219care<\/li>\n<li>r\u0103u de \u00een\u0103l\u021bime<\/li>\n<li>consumul de alcool sau droguri<\/li>\n<li>ca reac\u021bie advers\u0103 la anumite medicamente.<\/li>\n<\/ul>\n<p>Mai rar, vertijul poate fi asociat cu:<\/p>\n<ul>\n<li>leziuni la cap sau la g\u00e2t<\/li>\n<li>accident vascular cerebral<\/li>\n<li>tumori<\/li>\n<li>dureri de cap de tip migren\u0103.<\/li>\n<\/ul>\n<h2><strong>Care sunt principalele tipuri de vertij?<\/strong><\/h2>\n<p>Exist\u0103 dou\u0103 tipuri de vertij: periferic \u0219i central.<\/p>\n<h3><strong>Vertijul periferic<\/strong><\/h3>\n<p>Vertijul periferic apare \u00een caz de suferin\u021b\u0103 a urechii interne sau a nervului echilibrului. Por\u021biunea din urechea intern\u0103 responsabil\u0103 de echilibru recep\u021bioneaz\u0103 \u0219i apoi transmite creierului informa\u021bii legate de pozi\u021bia capului \u00een raport cu gravita\u021bia av\u00e2nd un rol important \u00een men\u021binerea ortostatismului (statul \u00een picioare).<\/p>\n<p><strong>Vertijul periferic<\/strong> poate fi cauzat de:<\/p>\n<ul>\n<li>infec\u021bii bacteriene sau virale ale urechii<\/li>\n<li>traumatisme craniene<\/li>\n<li>tulbur\u0103ri ale circula\u021biei s\u00e2ngelui.<\/li>\n<\/ul>\n<p>Cele mai comune afec\u021biuni ale urechii interne ale c\u0103ror principal simptom e vertijul sunt prezentate \u00een<strong> Figura 2<\/strong>.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-829 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic.jpeg\" alt=\"Vertijul periferic\" width=\"800\" height=\"346\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic.jpeg 1310w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic-300x130.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic-1024x443.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic-768x332.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic-750x325.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Vertijul-periferic-1140x493.jpeg 1140w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p style=\"text-align: center;\">Figura 2. Afec\u021biuni ale urechii interne asociate vertijului<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>Vertijul central<\/strong><\/h3>\n<p>Vertijul central este semn de afectare a cerebelului \u0219i a trunchiului cerebral. Senza\u021bia de rotire poate fi mai pu\u021bin violent\u0103 dec\u00e2t a celui periferic, dar dezechilibrul este mai semnificativ \u0219i mersul mai dificil, sau chiar imposibil.<\/p>\n<h2><strong>Cum se diagnosticheaz\u0103 vertijul?<\/strong><\/h2>\n<p>Dac\u0103 a\u021bi avut vertij programa\u021bi-v\u0103 la un medic <strong>ORL-ist<\/strong> sau <strong>neurolog<\/strong>:<\/p>\n<ul>\n<li>Medicul v\u0103 va ruga s\u0103-i descrie\u021bi senza\u021bia pe care o sim\u021bi\u021bi c\u00e2t mai \u00een detaliu<\/li>\n<li>Va pune \u00eentreb\u0103ri legate de contextul \u00een care a ap\u0103rut vertijul<\/li>\n<li>Va efectua teste legate de echilibrul, coordonarea \u0219i mers<\/li>\n<li>Va evalua <strong>nistagmusul<\/strong> (mi\u0219carea involuntar\u0103 a ochilor care apare la pacien\u021bii cu vertij).<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/8_js27Xkqnw?si=WcSfKOj3h8J56tcd\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>Medicul ORL-ist va efectua anumite manevre care eviden\u021biaz\u0103 nistagmusul cum e mi\u0219carea rapid\u0103 a capului \u00een st\u00e2nga \u0219i \u00een dreapta sau v\u0103 va \u00eentinde pe masa de consulta\u021bie cu capul \u00eentors spre dreapta sau spre st\u00e2nga. Aceste manevre v\u0103 pot crea disconfort \u0219i v\u0103 pot induce vertijul.<\/p>\n<p>Pe l\u00e2ng\u0103 testele din cadrul consulta\u021biei medicul v\u0103 poate indica investiga\u021bii suplimentare:<\/p>\n<p><img decoding=\"async\" class=\"size-medium wp-image-830 alignright\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel-300x200.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel-1024x683.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel-768x512.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel-750x500.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel-1140x760.jpg 1140w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/08\/Ochelari-Frenzel.jpg 1152w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>\ud83d\udd3aEvaluarea cu ochelarii Frenzel &#8211; detecteaz\u0103 nistagmusul mai fin, mai pu\u021bin violent, care e posibil s\u0103 nu fie observat la evaluarea standard;<\/p>\n<p>\ud83d\udd3a <a href=\"https:\/\/roneuro.ro\/blog\/51-posturografia-computerizata.html\">Posturografia computerizat\u0103<\/a> &#8211; testeaz\u0103 echilibrul \u0219i evalueaz\u0103 riscul de c\u0103dere.<\/p>\n<p><strong>Prezenta\u021bi-v\u0103 c\u00e2t mai rapid \u00eentr-un serviciu de urgen\u021b\u0103 dac\u0103 vertijul este \u00eenso\u021bit de:<\/strong><\/p>\n<ul>\n<li>mai mult de 1-2 episoade de v\u0103rs\u0103turi<\/li>\n<li>diminuarea auzului la o ureche<\/li>\n<li>vedere dubl\u0103<\/li>\n<li>tulbur\u0103ri de vorbire<\/li>\n<li>durere puternic\u0103 de cap<\/li>\n<li>dificult\u0103\u021bi \u00een a mi\u0219ca m\u00e2inile sau picioarele sau amor\u021beala lor.<\/li>\n<\/ul>\n<h2><strong>Resurse \u0219i suport pentru pacien\u021bi<\/strong><\/h2>\n<p><strong>Suferi\u021bi<\/strong><strong> de vertij? <\/strong>Programa\u021bi-v\u0103 acum la un specialist <strong>neurolog<\/strong> sau<strong> ORL <\/strong>contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online ORL<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2><strong>Cum pot gestiona vertijul?<\/strong><\/h2>\n<p>Vertijul este o senza\u021bie foarte neplacut\u0103. Dac\u0103 ave\u021bi un episod de vertij este foarte important s\u0103 nu intra\u021bi \u00een panic\u0103.<\/p>\n<p>Dac\u0103 vertijul v\u0103 treze\u0219te noaptea din somn sau apare diminea\u021ba la trezire \u00eencerca\u021bi s\u0103 r\u0103m\u00e2ne\u021bi nemisca\u021bi \u0219i c\u00e2t mai linisti\u021bi pentru c\u00e2teva minute. Este posibil ca senza\u021bia s\u0103 se amelioreze sau chiar s\u0103 dispar\u0103 dup\u0103 c\u00e2teva minute. Dac\u0103 apare c\u00e2nd \u00eencerca\u021bi s\u0103 v\u0103 ridica\u021bi din pat, r\u0103mane\u021bi a\u0219eza\u021bi la marginea patului 2-3 minute, iar apoi, \u00een func\u021bie de cum v\u0103 sim\u021bi\u021bi \u00eencerca\u021bi s\u0103 v\u0103 deplasa\u021bi cu grij\u0103, lent, evit\u00e2nd mi\u0219c\u0103rile bru\u0219te cu sprijin.<\/p>\n<p>Dac\u0103 vertijul apare c\u00e2nd sunte\u021bi \u00een picioare, a\u0219eza\u021bi-v\u0103 \u0219i r\u0103m\u00e2ne\u021bi a\u0219eza\u021bi c\u00e2teva minute.<\/p>\n<h2><strong>Concluzii | Vertijul<\/strong><\/h2>\n<p>\u00cen concluzie, vertijul poate afecta semnificativ calitatea vie\u021bii \u0219i necesit\u0103 o abordare complex\u0103. \u00cen\u021belegerea cauzelor \u0219i consultul medical pentru un diagnostic precis reprezint\u0103 primul pas \u00een gestionarea acestuia. Adoptarea unui stil de via\u021b\u0103 s\u0103n\u0103tos, care include gestionarea stresului, men\u021binerea echilibrului nutri\u021bional \u0219i evitarea factorilor declan\u0219atori poate contribui semnificativ la prevenirea episoadelor de vertij \u0219i la \u00eembun\u0103t\u0103\u021birea bun\u0103st\u0103rii generale.<\/p>\n<p>Pe l\u00e2ng\u0103 aceste aspecte, educa\u021bia \u0219i con\u0219tientizarea cu privire la vertij sunt cruciale pentru pacien\u021bi, familiile lor \u0219i comunitatea medical\u0103. Recunoa\u0219terea simptomelor \u0219i tratamentul cauzelor acestuia pot reduce impactul negativ al vertijului asupra vie\u021bii.<\/p>\n<h2><strong>Referin\u021be<\/strong><\/h2>\n<ol>\n<li>Neuhauser HK. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27638063\/\" target=\"_blank\" rel=\"noopener\">The epidemiology of dizziness and vertigo<\/a>. Handb Clin Neurol. 2016;137:67-82. doi: 10.1016\/B978-0-444-63437-5.00005-4.<\/li>\n<li>Teggi R, Manfrin M, Balzanelli C, Gatti O, Mura F, Quaglieri S, Pilolli F, Redaelli de Zinis LO, Benazzo M, Bussi M. Point prevalence of vertigo and dizziness in a sample of 2672 subjects and correlation with headaches. Acta Otorhinolaryngol Ital. 2016 Jun;36(3):215-9. doi: 10.14639\/0392-100X-847.<\/li>\n<li>Kovacs, E., Wang, X. &amp; Grill, E. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6933936\/\" target=\"_blank\" rel=\"noopener\">Economic burden of vertigo: a systematic review<\/a>. <em>Health Econ Rev<\/em> 9, 37 (2019). https:\/\/doi.org\/10.1186\/s13561-019-0258-2<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ce este vertijul? Vertijul este un tip de ame\u021beal\u0103 caracterizat prin senza\u021bia c\u0103 totul se \u00eenv\u00e2rte \u00een jurul nostru, sau senza\u021bia c\u0103 noi ne \u00eenv\u00e2rtim. Dac\u0103 a\u021bi sim\u021bit vreodat\u0103 c\u0103 sunte\u021bi \u00eentr-un carusel, de\u0219i sunte\u021bi a\u0219eza\u021bi sau merge\u021bi pe strad\u0103 este posibil s\u0103 fi avut vertij. Vertijul vestibular reprezint\u0103 aproximativ 25% din cauzele ame\u021belii \u0219i [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":653,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"1","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"right-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"top","share_float_style":"share-monocrhome","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"0","post_reading_time_wpm":"300","show_zoom_button":"0","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"1","show_popup_post":"1","number_popup_post":"1","show_author_box":"0","show_post_related":"0","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"override_view_counter":"0","view_counter_number":"0","override_share_counter":"0","share_counter_number":"0","override_like_counter":"0","like_counter_number":"0","override_dislike_counter":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[7],"tags":[],"class_list":["post-139","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-orl"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=139"}],"version-history":[{"count":7,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/139\/revisions"}],"predecessor-version":[{"id":834,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/139\/revisions\/834"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/653"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}