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06/04/2011

眩暈 めまい Dizziness or Vertigo

子供の頃から、めまいの持病がある。

何故、こんなことを思い出したかと言うと、眩暈が地震(余震)後遺症として有名になったこと、そして今や世間の耳目を最も集める人物と同病相憐れむ仲になったこと。(KO出身者の間では「恥さらし」と言われているらしい。。。)

初めての発作は、小学校に上がる直前だった。夕方、近所の公園で遊んでいると突然周囲がぐるぐる回り出した。急いで家に帰ろうとするが、片側によれてまっすぐ歩けない!それを偶然見かけた近所のおばさんが、抱えるように家まで連れて帰ってくれた。 めまいの症状は30分程でおさまったが、5歳あまりの子供の酷いめまいに親も狼狽えたらしい。様々な検査を受けたが、結果的に原因不明となった。(自律神経失調と診断されたらしい。5歳にして自律神経失調とは、やはり相当おませだったのであろう。) その後、2〜3年おきにめまいの発作を起こした。多くは就寝中、特に起きがけに起こるのだが、まずはとにかく猛烈なめまいが起こる。(周囲の世界が横方向に触れる。この症状は眼振といって外から見ると実際に眼球が左右に往復振動しているらしいが、本人には知る由もない。)このめまいはメニエール症候群と診断されるもので内耳のリンパ水腫に原因があるらしい。(ボクの場合、難聴を伴わないのでメニエール「病」ではないとのこと。) 猛烈なめまい自体は20〜30分程でおさまるのだが、その後も猛烈に気分の悪い状態が一週間程続く。2足歩行する人類のバランス感は余程精密で、内耳機能と視覚、そして手足の感覚が見事な連携をとっているのだと思う。この病気では、その連携が内耳機能のほぼ完全な機能不全によりズタズタにされるのだろう。とにかく発作の後、暫くは自分のめまいと周囲の動きとの区別がつかない。今回の震災後症候群(地震とめまいの区別が付かず神経症状を誘発する。)と極めて近しい状態だと思う。 ボクの場合、数日経過するに連れ、まさに薄皮を剥ぐようにバランスが取れるようになってくるが、それでも周囲に不意の予期せぬ動きがあると、やはり自分のめまいとの区別が付かないのだ。

英語的には、急性期の眼振状態がVertigo(戦闘機乗りが雲中を飛行中、上下左右の感覚を失うことが有るらしいが、その状態はVertigo=空間識失調と表現される。濃いガスの中でスキーをしていて、どっちが山側か判らなくなる感覚!)、その後の「フラッ」とする感覚がDizzinessなのだろうか。Dizzyという言葉は、Disraeli(UK初のそして唯一のユダヤ人宰相)がめまい持ちだったところから来ていると聞いたことがあるが、記憶違いかしら・・・ メニエール病(症候群)に特効薬は無い。知人の医者は命に関わることのない病気だから真剣に研究されていないからだという。 ところでこのところ10年以上、大発作=Vertigoを起こしていない。唯一、思い当たる原因は、高血圧薬であるカルシウムブロッカーを飲み始めたこと。カルシウムブロッカーには血管拡張=内耳の血流改善作用があるが、それが効いているのかもしれない。

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