
هل يمكن أن يسبب التوتر الدوار؟
مراجعة من قبل الدكتور كريشنا فاخاريا، MRCGPآخر تحديث بواسطة فيكتوريا راوآخر تحديث 28 Jan 2025
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Do you sometimes fee so dizzy that you find it hard to control your balance? You may be experiencing vertigo - a strange and often debilitating sensation that can have several possible causes. Most causes are physical, but what's the connection with emotional wellbeing and can stress cause vertigo?
دعم الصحة النفسية للبالغين والأطفال
العلاج السلوكي المعرفي والعلاج النفسي عبر الإنترنت للبالغين والأطفال الذين تتراوح أعمارهم بين 8 و17 عامًا. يقدّم اختصاصيو Onebright المعتمدون الدعم للأشخاص الذين يعانون من القلق والاكتئاب وغيرها من التحديات العاطفية.
ما هو الدوار؟
دوار is when you feel like you, or the world around you, is constantly moving or spinning. This can make you feel dizzy and off balance. It may be mild and barely noticeable, or it could be so severe that it completely debilitates you - like being unable to stand without falling over.
Symptoms of vertigo
Vertigo is itself a symptom of an underlying health problem. If you experience vertigo, it may feel like you are tilting, swaying, spinning, or being pulled in one direction.
Other vertigo symptoms may also accompany this:
صداع.
Unusual eye movements - jerking or twitching, known as nystagmus.
Your vertigo symptoms could last anywhere between a few seconds to days at a time.
The link between stress and vertigo
Of the various possible causes of vertigo, a problem with the inner ear - which is responsible for our sense of balance - is the most common. Several physical health problems can affect your inner ear, from an التهاب الأذن إلى مرض منيير.
But can التوتر cause vertigo? While more scientific evidence is needed to prove whether stress or القلق can directly cause vertigo, what is clear is that vertigo, stress, and the parts of your body that control your balance are all intricately connected.
These parts - collectively known as the vestibular system - include an organ in your inner ear.
This controls:
Your balance.
Specific areas of your brain.
The nerves that transit messages between the two.
Part of your inner ear sends information to your brain about your body position relative to gravity. Your brain then uses this message to determine if you're balanced.
How can feeling stressed negatively affect your vestibular system, and therefore your sense of balance?
Stress hormones and nerve signals
If you're feeling stressed, you may notice that your heartbeat and breathing speed up. These are some of the physical changes that can take place when stress or anxiety triggers the release of stress hormones - such as adrenaline and cortisol.
These stress hormones activate your autonomic nervous system, which prepares your body for a fight-or-flight response to a stressful situation. Alongside a quickened heart rate and sweating, this can also set off vertigo symptoms.
Adrenaline and cortisol - as well as other stress-triggered chemicals like histamine - may also disrupt the messages sent between your inner ear and brain. This means that vital information related to your sense of balance - like the exact position of your body - gets confused. For example, cortisol may do this by changing the activity in the nerve cells responsible for carrying this message.
Balance and stress in the brain
The parts of your brain that control stress and balance are also connected through a network of signals. This could explain the two-way relationship between stress and vertigo - when one part of the brain has heightened activity, this triggers more activity in the other.
In this theory, having vertigo or feeling off-balance can directly cause stress, and inversely feeling stressed could disrupt how your brain interprets your balance. This could help explain why higher rates of vertigo are found in people with anxiety disorders.
Stress and injury recovery
Many accidents and health conditions can injure your vestibular system and cause vertigo - from common ear infections to rare and serious conditions like tumours.
It may be that stress can also prolong vertigo caused by something else, slowing down how long it takes the vestibular system to heal itself.
How to manage your stress
If you have vertigo, the first thing you should do is visit your doctor to check for the underlying cause. Whether another cause is identified or not, if you're feeling stressed research suggests that stress management techniques may help your vertigo symptoms - on top of improving your quality of life.
Recognise and address your source of stress if you can.
Try relaxation techniques - على سبيل المثال،, اليقظة الذهنية و تمارين التنفس.
Find a support network.
Set reachable goals.
اطلب المساعدة المهنية - if self-help tips aren't making things better.
Other causes of vertigo
Experts may not be clear on the exact relationship between vertigo and stress, but there is strong evidence for many other direct causes.
تشمل هذه الأشياء:
التهابات الأذن or ear surgery - that damages the inner ear.
الدوار الموضعي الانتيابي الحميد (BPPV) - tiny calcium particles collect in the inner ear.
مرض منيير - a build-up of fluid and changing pressure in the inner ear.
الاضطرابات العصبية - على سبيل المثال،, السكتة الدماغية و التصلب المتعدد.
Vestibular migraines - a neurological condition triggering vertigo symptoms.
Head injuries or trauma - affecting the area of brain responsible for balance.
ورم العصب السمعي - a non-cancerous tumour that develops along the nerve connecting the brain and inner ear.
Your chances of developing vertigo also increases with age - more than 1 in 4 people over 72 years of age experience dizziness and vertigo. This is because your likelihood of vertigo-causing health problems - like BPPV - is much higher.
When to see doctor
Treating vertigo depends on its underlying cause. For this reason, it's always worth visiting your doctor. However, vertigo may also require urgent medical attention if you have other symptoms alongside feeling dizzy.
تحدث إلى طبيب إذا:
You have a severe headache.
It comes on suddenly and persists or gets worse.
You're sick or feel very nauseous.
You have a high temperature.
If it is accompanied by طنين الأذن in one ear.
There is sudden and complete hearing loss.
اختيارات المرضى لـ التوتر

الصحة النفسية
ما هو بطن الكورتيزول؟ لماذا قد يجعل التوتر من الصعب فقدان دهون البطن
‘Cortisol belly’ is a popular term used to describe weight gain around your stomach that may be linked to long-term stress. We spoke to a nutritional therapist to explain the science behind ‘cortisol belly’, how stress hormones can affect where we store fat, and the everyday habits that may help keep your cortisol levels in check.
بقلم فيكتوريا راو

الصحة النفسية
علامات أن وظيفتك تجعلك مريضًا
Do you leave your job most days feeling emotionally and physically drained? While few people love going to work every day, the number of days you're happy to head to the office should definitely outnumber the ones you spend wishing the day was already over.
بقلم سارة ليندبرج
حول المراجععرض السيرة الذاتية الكاملة

الدكتور كريشنا فاخاريا، MRCGP
كبير المسؤولين الطبيين للصحة، أوبتوم المملكة المتحدة
MBChB, MRCGP(2013), BMedSci (hons), DFSRH, DRCOG, PGDipDerm (Distn)
الدكتورة كريشنا فاخاريا هي طبيبة عامة في هيئة الخدمات الصحية الوطنية. كما أنها ممتحنة منتظمة لدبلوم الدراسات العليا في الأمراض الجلدية العملية في جامعة كارديف، بالإضافة إلى كونها كبيرة المسؤولين الطبيين للصحة في Optum UK.
تاريخ المقال
المقال متاح أيضًا باللغة الإنجليزية, الألمانية, إسبانية, الفرنسية, إيطالي, البرتغالية, الهندية, العبرية, العربية ,، و السويدية.
المراجعة التالية مستحقة: 28 يناير 2028
28 Jan 2025 | أحدث إصدار
٥ أبريل ٢٠٢٣ | نُشر في الأصل
كتبه:
Amberley Davis
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