So wo ho retɔ wo mpofirim? Ebetumi ayɛ BPPV (Benign Paroxysmal Positional Vertigo)!

So woate nka pɛn sɛ wiase nyinaa retwa bere a wusɔre fii mpa so anaasɛ wodan wo ti kɔɔ ɔfã biako no? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra wɔ mmere a ɛte saa mu. Mpɛn pii no, eyi betumi afi tebea bi a wɔfrɛ no BPPV (Benign Paroxysmal Positional Vertigo) a yɛrebɛka ho asɛm nnɛ no mu aba. Ɛwom sɛ edin no ware kakra de, nanso ɛnyɛ yare a ɛyɛ hu.

Dɛn ne BPPV (Benign Paroxysmal Positional Vertigo)? Momma yɛnte ase tiawa.

Sɛ yɛbɛka no tiawa a, BPPV yɛ ɔhaw ketewaa bi wɔ yɛn aso a ɛwɔ yɛn mu no mu. Nea ɛba ne sɛ, sɛ wode wo ti kɔ mmeae ahorow, woma w’ani so, wosɔre fi mpa so, anaasɛ wobɔ wo ho mu wɔ mpa so a, mpofirim ara wote nka sɛ dan no nyinaa redi akɔneaba (vertigo). Ebetumi ayɛ te sɛ nea wowɔ hyɛn mu anaa agode bi a ɛretwintwam so.

"Benign" kyerɛ sɛ eyi nyɛ asiane, ɛnyɛ biribi te sɛ kokoram. "Paroxysmal" kyerɛ sɛ saa adwenemhaw yi ba mpofirim, mpofirim, na ɛkɔ bere tiaa bi akyi. "Positional" kyerɛ sɛ eyi ba bere a ti no gyinabea sesa. "Vertigo" kyerɛ saa spinning sensation a mekaa ho asɛm no. Enti, edin no ankasa wɔ ntease bi, ɛnte saa?

Ɛwom sɛ BPPV nyɛ tebea a emu yɛ den de, nanso ne sɛnkyerɛnne ahorow no betumi ayɛ hu koraa. Nnipa a wɔadi boro mfe 65 no wɔ asiane kɛse mu sɛ wɔbɛhwe ase, titiriw sɛ wɔwɔ saa tebea yi a. Sɛ wɔyɛ saa a, wobetumi abubu wɔn akwaa mpo (abubu). Enti, ɛho hia sɛ wohu eyi.

Hena na ɛda adi sɛ obenya BPPV?

Ɛwom sɛ BPPV betumi aba wɔ mfe biara mu de, nanso ɛtaa ba nnipa a wɔadi boro mfe 50. Nokwarem no, wɔka sɛ anyɛ yiye koraa no, nnipa a wɔadi mfe yi mu bɛyɛ fã benya BPPV pɛnkoro wɔ wɔn asetra mu.

BPPV ho yɛ na koraa wɔ mmofra nkumaa mu, nanso wotumi hu no bere ne bere mu.

BPPV abu so dɛn?

Nokwarem no, BPPV yɛ aso mu yare a abu so yiye. Wɔahu sɛ nnipa a wɔkɔ oduruyɛfo nkyɛn a wɔwɔ vertigo no mu 20% pɛ na wɔwɔ BPPV ankasa. Ɛno kyerɛ sɛ sɛ worehyia eyi a, ɛnyɛ wo nkutoo na wowɔ.

Sɛ wunya BPPV a, so ɛbɛtra hɔ daa?

Dabi, mpɛn pii no, BPPV no ankasa kɔ . Nanso, sɛ wɔansa na wɔansi so yiye a, ebetumi asan aba bio. Wɔ nnipa binom fam no, vertigo no betumi asan aba asram anaa mfe bi mpo akyi.

Dɛn ne BPPV ho sɛnkyerɛnne ahorow?

BPPV ho sɛnkyerɛnne titiriw ne atenka a ɛne sɛ wiase no redi akɔneaba (vertigo). Saa atenka a ɛma obi twitwiw ne ho yi betumi ayɛ nea emu nyɛ den anaasɛ emu yɛ den. Ebetumi akyɛ fi sikɔne kakraa bi kosi simma biako. Ebetumi de sɛnkyerɛnne afoforo aka ho, a nea ɛka ho ne:

• Adwene a ɛyɛ basaa
• Lightheadedness, te nka sɛ worehuruhuruw
• Kari a wɔhwere bere a wɔnantew anaa wogyina hɔ (Balance problems) .
• Akisikuru ne ɔfe
• Anisoadehu a ɛyɛ kusuu
• Aniwa a ɛkɔ ntɛmntɛm (Nystagmus) - Sɛ woanhu eyi mpo a, oduruyɛfo betumi ahu.

Mpɛn pii no, BPPV ka aso biako bere koro mu, nanso ɛntaa nsi koraa sɛ ebetumi aka aso abien no nyinaa.

Dɛn na ɛma BPPV pue mpofirim?

BPPV taa ba bere a wosakra wo ti gyinabea no. Ebia nnipa binom behu saa sɛnkyerɛnne ahorow yi bere a wɔada anaa wɔrefi mpa so no. Ebia afoforo nso behyia wɔn bere a wɔdan wɔn ti kɔ akyi anaa wɔdan kɔ ɔfã biako no. Bere a yɛrenyin no, yɛn aso mu afã horow a ɛyɛ mmerɛw no sɛe, enti saa sɛnkyerɛnne ahorow yi betumi ayɛ kɛse.

Ɛtɔ mmere bi a, BPPV betumi ayɛ tebea foforo bi a ɛwɔ aso a ɛwɔ mu no ho sɛnkyerɛnne. Nhwɛsoɔ:

• Ɔyare mmoawa anaa aso a ɛho ahonhon (Labyrinthitis) .
• Vestibular neuritis (ntini no a ɛho ahonhon a ɛfa kari pɛ ho) .
• Acoustic neuroma, akisikuru a ɛnyɛ kokoram a ɛba aso mu

Bio nso, nnipa a wɔwɔ atiridiinini no betumi anya BPPV. Anaasɛ, BPPV betumi anya bere a wɔabɔ no denneennen akyi, sɛ nhwɛso no, obi ahwe ase, akwanhyia, anaa akwanhyia foforo bere a ɔredi agumadi.

Dɛn nti na me ho popo bere a mewosow me ti? Dɛn na ɛrekɔ so wɔ eyi mu?

Okay, eyi yɛ nyansahu mu asɛm kakra, nanso ma menka no tiawa. Yɛn aso a ɛwɔ yɛn mu no wɔ ɔfã bi a ɛhwɛ kari pɛ so. Ɛwɔ nsukorabea nhyehyɛe bi a wɔfrɛ no `Semicircular canals` . Afei nso, ɛbɛn saa akwan yi, akwaa ketewa foforo bi a wɔfrɛ no `Utricle` wɔ hɔ.

Wɔ saa `Utricle` yi mu no, nneɛma nketenkete bi a ɛte sɛ powder a wɔde calcium carbonate `(Otoconia) ayɛ .` Fa eyinom sɛ `abotan` nketewa wɔ aso mu. Mpɛn pii no, ɛsɛ sɛ saa `Otoconia` yi wɔ saa `Utricle` no mu.

Nanso ɛtɔ da bi a esiane opira, ɔyare mmoawa, anaa onyin nti, saa `Otoconia` (Otoconia) yi bi guan fi `Utricle` (Utricle) no mu na wɔkɔ saa `Semicircular canals` (Semicircular canals) no mu. Ɛno na ɔhaw no fi ase.

Sɛ wowosow wo ti a, `Otoconia` a ɛwɔ saa nsuten no mu no hwirew kɔ anim ne akyi. Wɔ saa nsuten yi mu no, afã horow a ɛte sɛ nhwi a ɛyɛ fɛ yiye `(Cilia) wɔ hɔ.` Saa `Cilia` yi ne nea ɛde nsɛm a ɛfa kari pɛ ho kɔ yɛn amemene no mu. Sɛ saa `Otoconia` no roll na wɔbɔ saa `Cilia` yi a, amemene no nya sɛnkyerɛnne a ɛnteɛ, te sɛ nea worekyinkyin. Ɛno nti na wote nka sɛ wo ho ayɛ wo hyew no. So wote ase? Ɛte sɛ "short circuit" kakra wɔ balance system a ɛwɔ yɛn aso mu no mu.

Ɔkwan bɛn so na oduruyɛfo hu sɛ ɔwɔ BPPV?

Sɛ wokɔ oduruyɛfo nkyɛn a, wɔbɛhwɛ wo, abisa wo yare no ho sɛnkyerɛnne, na wɔabisa w’ayaresa tebea afoforo ho asɛm de ahu sɛ wowɔ BPV anaa. Ɛtɔ da bi a, wɔyɛ sɔhwɛ titiriw bi (Dix-Hallpike sɔhwɛ) .Wubetumi ayɛ eyi. Oduruyɛfo no bɛma woada mpa so na wadan wo ti afi ɔfã biako akɔ ɔfã foforo ahwɛ sɛ ebia w’ani ayɛ wo yaw anaasɛ w’ani reyɛ ayɛ wo yaw (nystagmus).

So ɔkwan bi wɔ hɔ a wɔfa so sa BPPV ntɛm?

Ayaresa a eye sen biara na ɛyɛ ntɛm sen biara a wɔde sa BPPV ne apɔw-mu-teɛteɛ apɔw-mu-teɛteɛ. Wɔfrɛ saa dwumadie yi `Canalith Repositioning Procedures`. Eyinom botae ne sɛ wɔbɛma `Otoconia` a akɔhyɛ `Semicircular canals` no mu asan akɔ baabi a ɛsɛ sɛ ɛwɔ, `Utricle`. Sɛ wodu hɔ a, nneɛma nketenkete no tew na ɛnyɛ ɔhaw bio.

Wɔ apɔw-mu-teɛteɛ yi akyi no, wubetumi anom nnuru bi a wɔde sa kankyee na ama wo ti so atew. Nanso, ɛnyɛ papa sɛ wobɛkɔ so anom nnuru yi.

Ɔkwan bɛn so na saa BPPV apɔw-mu-teɛteɛ yi yɛ adwuma?

Saa apɔmuden yi a wɔfrɛ no ``Canalith Repositioning Procedures,'' taa gye bɛyɛ simma 15 na wɔde ayɛ. Wɔ eyi mu no, wɔyɛ wo ti ne wo nipadua no ho adwuma mmiako mmiako de san de ``Otoconia'' a ɛnteɛ no si baabi.

Fa no sɛ ɛte sɛ nea worebɔ mmɔden sɛ wubeyi abotan nketenkete bi afi toa mu. Woyɛ eyi denam toa no a wobɛdannan afi ɔfã biako akɔ ɔfã foforo no so. Saa apɔw-mu-teɛteɛ yi te saa.

Apɔw-mu-teɛteɛ a ɛte saa no biako bɛma nnipa a wɔwɔ BPPV no mu bɛyɛ 80% kosi 90% ho atɔ wɔn. Nanso, sɛ yare no ho sɛnkyerɛnne no kɔ so a, ebia ebehia sɛ woyɛ mpɛn pii bio.

Wo duruyɛfo betumi akyerɛ wo saa apɔw-mu-teɛteɛ yi. Wobetumi nso akyerɛ wo sɛnea wobɛyɛ wɔn wɔ fie. Afei wubetumi ayɛ wɔn bere biara a wobɛte nka sɛ wo ho ayɛ wo hyew.

Apɔw-mu-teɛteɛ anammɔn a ɛnyɛ den bi a wubetumi asɔ ahwɛ wɔ fie ni (eyi te sɛ Epley Maneuver no, nanso kɔ oduruyɛfo nkyɛn bere nyinaa ):

• Anamɔn 1: Tena mpa so tẽẽ. Dane wo ti bɛyɛ digrii 45 kɔ aso a ɛwɔ ɔfã a worenya adwenemhaw no so. (Sɛ nhwɛso no, sɛ ɛyɛ w’aso nifa a, dan kɔ nifa).
• Anamɔn 2: Da mpa so ntɛm. Ma wo ti ntra ɔfã koro no ara a wodanee no, na da fam a wo ti nkɔ fam kakra wɔ mpa no so (te sɛ nea worepue afi mpa no ntwea so). Twɛn bɛyɛ simma biako, anaa kosi sɛ wo yare no ho sɛnkyerɛnne no begyae.
• Anamɔn 3: Sɛ womma wo ti so, dan wo ti ntɛm kɔ ɔfã foforo. Wei kyerɛ sɛ afei ɛsɛ sɛ w'aso "pa" no ne mpa no di nsɛ, wɔ ase kakra. Kura mu bɛyɛ simma biako, anaa kosi sɛ yare no ho sɛnkyerɛnne no begyae.
• Anamɔn 4: Bobɔw kɔ ɔfã foforo no. Dan wo ti digrii 90 bio kɔ ɔkwan koro no ara so. Afei ɛsɛ sɛ wo hwene hwɛ fam. Kura mu bɛyɛ simma biako.
• Anamɔn 5: Ma wo hwene nhyɛ wo moma so na sɔre gyina ɔfã koro no ara a ɛne wo nipadua no hyia. Afei di akwankyerɛ a aka a oduruyɛfo no de ama no akyi.

Nea ɛho hia: Ɛyɛ papa sɛ wubenya obi a ɔbɛn wo bere a woreyɛ apɔw-mu-teɛteɛ yi, efisɛ ebia adwenemhaw betumi ayɛ kɛse.Mma w’ankasa nyɛ saa apɔw-mu-teɛteɛ yi da a wunni oduruyɛfo kwan, titiriw sɛ wowɔ kɔn mu yare bi a.

So BPPV no ankasa yɛ yiye?

Yiw, mpɛn pii no, BPPV no ankasa kɔ. Nanso, ebetumi asan aba bio. Sɛ ɛba saa a, wo duruyɛfo bɛkyerɛ wo sɛnea wubedi wo sɛnkyerɛnne ahorow no ho dwuma.

So wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya BPPV no so?

Nea ɛyɛ awerɛhow no, wontumi nsiw BPPV ano koraa. Nanso, wubetumi adi sɛnkyerɛnne ahorow no ho dwuma denam `particle repositioning exercises` a mekaa ho asɛm no a wobɛyɛ so. Sɛnea ɛbɛyɛ a asiane a ɛwɔ hɔ sɛ wubenya BPPV afi ti a wopirapira mu no so atew no, mma wo werɛ mmfi sɛ wobɛhyɛ dade kyɛw bere a wote sakre so anaasɛ woredi agumadi a wɔde di nkitaho no.

Sɛ wowɔ BPPV a, dɛn na wobɛhwɛ kwan?

Asɛmpa no ne sɛ BPPV nyɛ akwahosan ho haw a emu yɛ den ho sɛnkyerɛnne. Nanso, sɛ wo ne saa sɛnkyerɛnne ahorow yi bɛtra ase a, ebetumi ayɛ hu kakra na ayɛ ahometew. Wo duruyɛfo betumi akyerɛ wo sɛnea wobɛyɛ BPPV apɔw-mu-teɛteɛ wɔ fie, enti wubetumi adi so wɔ ɔhaw ho sɛnkyerɛnne a edi kan no mu.

Bere tenten ahe na BPPV betumi atra hɔ?

Mpɛn pii no, vertigo a BPPV de ba no di simma 1 anaa 2. Ebia wo yare no ho sɛnkyerɛnne no nyɛ den koraa, anaasɛ ebetumi ayɛ den araa ma wobɛfe. Ebia wobɛhwere wo kari pɛ bere a wugyina hɔ anaa wonantew na woahwe ase.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ vertigo esiane BPPV nti a, kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Ɔbɛkyerɛ wo apɔw-mu-teɛteɛ apɔw-mu-teɛteɛ na aboa ma wo yare no ho sɛnkyerɛnne so atew.

Nanso, sɛ wo ti yɛ wo yaw kɛse, wo koko mu yaw, anaa wo koma bɔ a ɛnteɛ a, frɛ 911 ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo. Eyinom betumi ayɛ tebea foforo a emu yɛ den ho sɛnkyerɛnne.

Nsɛmfua kakraa bi a ɛho hia a ɛsɛ sɛ yɛte ase fa BPPV ho

Sɛ yɛbɛte nea yɛaka ho asɛm no ase yiye a, momma yensua yɛn aso a ɛwɔ yɛn mu no afã horow yi ho ade kakra:

• Nsu a ɛyɛ kurukuruwa fã: Eyinom te sɛ gyroscope a ɛwɔ yɛn tirim. Wɔwɔ nsu kwan wɔ afã abiɛsa no nyinaa: soro, fam, ne fam. Saa akwan yi bom de nsɛnkyerɛnne kɔ yɛn amemene no mu fa faako a yɛn ti wɔ ho (sɛ nhwɛso no, bere a wonam, wodannan wo ho).
• `Cupula`: Eyi kyerɛ nsu a ɛsen wɔ nsuten a ɛyɛ kurukuruwa fã no mu. Saa nsu a ɛsen yi na ɛma yɛn nipadua no te nka sɛ ɛretu.
• `Utricle`: Eyi nso yɛ akwaa bi a ɛwɔ aso a ɛwɔ mu a ɛboa ma wɔhwɛ kari pɛ so. Ɛwɔ nwi nkwammoaa a ɛyɛ fɛ, a wɔde `Otoconia` akata so. Sɛ saa `Otoconia` yi wosow wɔ tumi a ɛtwe ade ba fam no mu a, ɛde nsɛnkyerɛnne kɔ amemene no mu fa gyinabea a ti ne nipadua no wɔ (te sɛ nea ɛteɛ anaasɛ ɛdannan).
• `Otoconia`: Eyinom ne calcium ahwehwɛ nketenkete a madi kan aka ho asɛm no. Eyinom tetew wɔn ho fi `Utricle` (baabi a wobetumi apete) na wɔkɔ `Semicircular canals` (baabi a wɔntetew) no mu.
• Cochlea: Eyi ne aso a ɛte sɛ "snail shell" a ɛwɔ yɛn aso mu. Ɛdan nnyigyei ma ɛbɛyɛ ntini mu nkate na ɛde kɔ amemene no mu.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

BPPV nyɛ tebea a ɛde wo nkwa to asiane mu, nanso ebetumi anya w’asetra so nkɛntɛnso kɛse. Sɛ wowɔ BPPV ho sɛnkyerɛnne te sɛ adwenemhaw mpofirim, adwenemhaw, anaasɛ wo kari pɛ a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Mpɛn pii no, apɔw-mu-teɛteɛ apɔw-mu-teɛteɛ ne ofie nnuru betumi aboa ma woadi wo sɛnkyerɛnne ahorow no so. Mma wo ho nnyɛ wo hu, nanso hwɛ eyi so.

` BPPV, vertigo, adwenemhaw, aso a ɛwɔ mu, otoconia, kari pɛ, Epley maneuver