Ðe wò ta le ƒoƒom zi ɖekaa? Ate ŋu anye BPPV (Benign Paroxysmal Positional Vertigo)!

Ðe nèse le ɖokuiwò me kpɔ be xexeame katã le tsatsam esi nèfɔ tso aba dzi alo trɔ ta ɖe axa ɖeka? Enye nusi sɔ be vɔvɔ̃ naɖo ame vie le ɣeyiɣi mawo tɔgbe me. Zi geɖe la, esia ate ŋu atso nɔnɔme aɖe si woyɔna be BPPV (Benign Paroxysmal Positional Vertigo), si ŋu míaƒo nu tsoe egbea gbɔ. Togbɔ be ŋkɔa didi vie hã la, menye dɔléle si me afɔku le o.

Nukae nye BPPV (Benign Paroxysmal Positional Vertigo)? Mina míase egɔme bɔbɔe.

Kpuie ko la, BPPV nye kuxi sue aɖe le míaƒe to ememetɔ me. Nusi dzɔna enye be ne èʋuʋu ta ɖe mɔ vovovowo nu, fɔ mo dzi, fɔ tso aba dzi, alo nèmli ɖe aba dzi la, kasia nèsena le ɖokuiwò me be xɔ bliboa le tsatsam (vertigo). Ate ŋu ase le eɖokui me abe ɖe nèle meli me alo le fefenu si le tsatsam dzi ene.

"Benign" fia be esia menye afɔku o, menye nane abe kansa ene o. "Paroxysmal" fia be taɖuame sia va dona kpata, kasia, eye wòdzona le ɣeyiɣi aɖe megbe. "Positional" fia be esia dzɔna ne ta ƒe nɔnɔme trɔ. "Vertigo" fia tsatsam ƒe seselelãme ma si meyɔ. Eyata gɔmesese aɖe le ŋkɔa ŋutɔ ŋu, alo?

Togbɔ be BPPV menye dɔléle sesẽ aɖeke o hã la, eƒe dzesiwo ate ŋu ado vɔvɔ̃ na ame ŋutɔ. Ame siwo xɔ wu ƒe 65 la ate ŋu adze anyi, vevietɔ ne dɔléle sia le wo ŋu. Ne wowɔe nenema la, woate ŋu agbã woƒe abɔ kple afɔwo gɔ̃ hã (afɔkuwo ƒe gbagbã). Eya ta ele vevie be míanya esia.

Amekae ate ŋu axɔ BPPV wu?

Togbɔ be BPPV ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe amesiwo xɔ wu ƒe 50. Le nyateƒe me la, wogblɔ be amesiwo xɔ ƒe sia dometɔ siwo ade afã akpɔ BPPV zi ɖeka ya teti le woƒe agbe me.

BPPV mebɔ kura le ɖevi suewo me o, gake woate ŋu akpɔe ɣeaɖewoɣi.

Aleke gbegbee BPPV bɔe?

Le nyateƒe me la, BPPV nye to ememetɔ ƒe dɔléle si bɔ ŋutɔ. Wokpɔe be ame 20% koe yia ɖɔkta gbɔ kple vertigo ŋutɔŋutɔ. Ema fia be ne èle nusia me tom la, ke menye wò ɖeka koe o.

Ne BPPV dze dziwò la, ɖe wòanɔ anyi ɖaa?

Ao, zi geɖe la, BPPV nu yina le eɖokui si . Gake ne womewɔ atike nɛ heɖu edzi nyuie o la, ate ŋu atrɔ ava. Le ame aɖewo gome la, vertigo la ate ŋu atrɔ ava le ɣleti aɖewo alo ƒe geɖe gɔ̃ hã megbe.

Nukae nye BPPV ƒe dzesiwo?

BPPV ƒe dzesi vevitɔe nye seselelãme be xexeame le tsatsam (vertigo). Trɔtrɔ ƒe seselelãme sia ate ŋu anɔ bɔbɔe alo nu sesẽ. Ate ŋu anɔ anyi tso sɛkɛnd ʋɛ aɖewo va ɖo aɖabaƒoƒo ɖeka. Dzesi bubuwo ate ŋu akpe ɖe eŋu, siwo dometɔ aɖewoe nye:

• Taɖuame
• Tagbɔdɔ, sese le ɖokuiwò me abe ɖe nèle tsia dzi ene
• Da asɔ le kuxiwo me ne èle zɔzɔm alo nèle tsitrenu
• Aɖuɖɔtoe kple ʋuʋudedi
• Nukpɔkpɔ si me mekɔ o
• Ŋku ƒe ʋuʋu kabakaba, si yia edzi (Nystagmus) - Ne mède dzesi esia o hã la, ɖɔkta ate ŋu akpɔe.

Zi geɖe la, BPPV dzea to ɖeka dzi le ɣeyiɣi ɖeka me, gake ƒã ŋutɔ be ate ŋu adze to eveawo siaa dzi.

Nukae nana be BPPV dzena zi ɖeka?

Zi geɖe la, BPPV dzɔna ne ètrɔ wò ta ƒe nɔnɔme. Ame aɖewo ate ŋu akpɔ dzesi siawo ne womlɔ anyi alo wofɔ tso aba dzi. Ame bubuwo ate ŋu akpɔ wo ne wogbugbɔ ta ɖe megbe alo trɔe ɖe axa ɖeka. Ne míele tsitsim la, míaƒe to ememetɔ ƒe akpa siwo le tsɛ la vuvuna, eyata dzesi siawo ate ŋu adzi ɖe edzi.

Ɣeaɖewoɣi la, BPPV ate ŋu anye nɔnɔme bubu aɖe si le to ememetɔ me ƒe dzesi. Le kpɔɖeŋu me:

• Dɔlékui alo to ememetɔ ƒe vuvu (Labyrinthitis) .
• Vestibular neuritis (lãmeka ƒe vuvu si do ƒome kple dadasɔ) .
• Acoustic neuroma, si nye dɔdzẽ si menye kansa o si dona le to me

Tsɔ kpe ɖe eŋu la, amesiwo ŋu taɖuame le ate ŋu axɔ BPPV. Alo, BPPV ate ŋu adze ame dzi le ƒoƒo sesẽ aɖe megbe, le kpɔɖeŋu me, anyidzedze, afɔku, alo afɔku bubu esime wole kamedefefe wɔm.

Nukatae nye ta gbãna ne meʋuʋu ta? Nukae le edzi yim le esia me?

Enyo, dzɔdzɔmeŋutinunya me ŋutinya aɖee nye esia vie, gake mina magblɔe kpuie. Akpa aɖe le míaƒe to ememetɔ si kpɔa ŋusẽ ɖe dadasɔ dzi. Tɔdzisasrã ƒe ɖoɖo aɖe le esi si woyɔna be `Semicircular canals` . Azɔ hã, ŋutinu sue bubu aɖe si woyɔna be `Utricle` te ɖe mɔ siawo ŋu.

Le `Utricle` sia me la, nu suesuesue siwo le abe aŋɔ ene siwo wotsɔ calcium carbonate `(Otoconia) .` Bu esiawo be wonye `kpe suesuesuewo` le to me. Zi geɖe la, ele be `Otoconia` siawo nanɔ `Utricle` ma me.

Ke hã, ɣeaɖewoɣi le abi, dɔlékui, alo tsitsi ta la, `Otoconia` (Otoconia) siawo dometɔ aɖewo sina le `Utricle` (Utricle) me eye wogena ɖe `Semicircular canals` (Semicircular canals) mawo me. Ɣemaɣie kuxia dzea egɔme.

Ne èʋuʋu ta la, `Otoconia` si le tɔdzisasrã mawo me la ʋuʋuna yia ŋgɔ kple megbe. Le tɔdzisasrã siawo me la, akpa siwo le abe taɖa ene siwo le tsɛ ŋutɔ `(Cilia).` `Cilia` siawoe ɖoa nyatakaka siwo ku ɖe dadasɔ ŋu ɖe míaƒe ahɔhɔ̃. Ne `Otoconia` mawo ʋuʋu eye woƒo `Cilia` siawo la, ahɔhɔ̃a xɔa dzesi si mesɔ o, abe ɖe nèle tsatsam ene. Esia tae nèsena le ɖokuiwò me be yeƒe ta le ƒoƒom ɖo. Èse egɔmea? Ele abe "short circuit" vi aɖe le balance system me le míaƒe towo me ene.

Aleke ɖɔkta wɔa anya BPPV?

Ne èyi ɖɔkta gbɔ la, woado wò kpɔ, abia wò dzesiwo, eye woabia wò atikewɔwɔ ƒe nɔnɔme bubuwo be woakpɔe ɖa be BPV le ŋuwò hã. Ɣeaɖewoɣi la, wowɔa dodokpɔ tɔxɛ aɖe (Dix-Hallpike dodokpɔ) .Àte ŋu awɔ esia. Ðɔktaa ana nàmlɔ aba dzi eye nàtrɔ ta tso axa ɖeka ayi axa ke be yeakpɔe ɖa be yeƒe ta le ʋuʋum alo yeƒe ŋkuwo le ʋuʋum (nystagmus).

Ðe mɔ aɖe li si dzi woato ada BPPV kabaa?

Atike nyuitɔ kekeake si woate ŋu azã kabakaba wu na BPPV enye kamedede. Woyɔa dɔ siawo be `Canalith Repositioning Procedures`. Taɖodzinu si le esiawo ŋue nye be woaɖe `Otoconia` siwo tsi `Semicircular canals` me la atrɔ ayi afisi wòle be woanɔ, si nye `Utricle`. Ne wonya ɖo afima ko la, nusueawo ƒuna eye womeganyea kuxi o.

Tsɔ kpe ɖe kamedede siawo ŋu la, àte ŋu ano ʋuʋudedi ƒe atike aɖewo be wò taɖuame dzi naɖe akpɔtɔ. Gake manyo be woano atike siawo atraɖii o.

Aleke BPPV kamedede siawo wɔa dɔe?

Zi geɖe la, kamedede siawo, siwo woyɔna be ``Canalith Repositioning Procedures,'' xɔa abe miniti 15 ene hafi wowɔna. Le esia me la, wotrɔa asi le wò ta kple ŋutilã ŋu ɖekaɖeka be woagbugbɔ aɖo ``Otoconia'' si mesɔ o la ɖe teƒe bubu.

Bu eŋu abe agbagbadzedze be yeaɖe kpe suesuesue aɖewo le aŋetu me ene. Èwɔa esia ne ètrɔ aŋetu la tso axa ɖeka yi axa ke. Kamedede sia le nenema.

Kamedede mawo dometɔ ɖeka ana gbɔdzɔe amesiwo ŋu BPPV le la dometɔ siwo ade 80% va ɖo 90%. Gake ne dzesiawo gakpɔtɔ li la, ahiã be nàgawɔe zi geɖe.

Wò ɖɔkta ate ŋu afia kamedede siawo wò. Woate ŋu afia alesi nàwɔ wo le aƒeme hã wò. Ekema àte ŋu awɔ wo ɣesiaɣi si nèse le ɖokuiwò me be yeƒe ta le ƒoƒom.

Kamedede ƒe afɔɖeɖe bɔbɔe aɖewo siwo nàte ŋu ate kpɔ le aƒemee nye esi (esia sɔ kple Epley Maneuver, gake yi ɖɔkta gbɔ ɣesiaɣi ):

• Afɔɖeɖe 1: Nɔ anyi ɖe aba dzi tẽ. Trɔ wò ta abe dzidzenu 45 ene ɖe to si le axa si dzi nèle ta ɖum le la gbɔ. (Le kpɔɖeŋu me, ne wò ɖusitoe la, trɔ ɖe ɖusime).
• Afɔɖeɖe 2: Mlɔ aba dzi kaba. Na wò ta nanɔ axa si nètrɔ la ke dzi, eye nàmlɔ anyi eye wò ta naɖiɖi vie le aba la ƒe kɔkɔme nu (abe alesi nàdo le abatia ƒe dzogoe dzi ene). Lala abe aɖabaƒoƒo ɖeka ene, alo vaseɖe esime wò dzesiwo nadzudzɔ.
• Afɔɖeɖe 3: Mèkɔ ta ɖe dzi o, trɔ ta ɖe akpa kemɛ kaba. Esia fia be ele be wò to "nyui" la nasɔ kple abaa azɔ, le ete vie. Lée ɖe asi abe miniti ɖeka ene, alo vaseɖe esime dzesiawo nadzudzɔ.
• Afɔɖeɖe 4: Tsɔe ƒo ɖe akpa kemɛ. Trɔ wò ta dzidzenu 90 bubu ɖe mɔ ma ke nu. Ele be wò ŋɔti nadze ŋgɔ anyigba azɔ. Lée ɖe asi abe miniti ɖeka ene.
• Afɔɖeɖe 5: Na wò asike natsɔ abla wò akɔta eye nàtsi tre ɖe axa ɖeka dzi kple wò ŋutilã. Emegbe wɔ ɖe mɔfiame susɔe siwo ɖɔktaa na dzi.

Vevietɔ: Anyo wu be ame aɖe nanɔ gbɔwò ne èle kamedede sia wɔm, elabena taɖuame ate ŋu adzi ɖe edzi.Mègawɔ kamedede siawo le ɖokuiwò si gbeɖe ɖɔkta ƒe mɔɖeɖe manɔmee o, vevietɔ ne kɔmedɔ aɖe le ŋuwò.

Ðe BPPV nyona ɖe edzi le eɖokui sia?

Ẽ, zi geɖe la, BPPV nu yina le eɖokui si. Ke hã, ate ŋu atrɔ ava. Ne ewɔe la, wò ɖɔkta afia alesi nàwɔ akpɔ wò dzesiwo gbɔe wò.

Ðe woate ŋu aɖe afɔku si le BPPV xɔxɔ me dzi akpɔtɔa?

Nublanuitɔe la, womate ŋu axe mɔ ɖe BPPV nu keŋkeŋ o. Ke hã, àte ŋu akpɔ dzesiawo gbɔ to `particle repositioning exercises` siwo meyɔ la wɔwɔ me. Be nàɖe BPPV ƒe afɔku si le abixɔxɔ le ta me dzi akpɔtɔ la, mègaŋlɔ be be yeado gakuku ne èle gasɔ dom alo le kamedefefe siwo me wodoa ka kple ame nɔewo le wɔm o.

Nukae nàkpɔ mɔ na ne BPPV le ŋuwò?

Nya nyuiae nye be BPPV menye lãmesẽkuxi sesẽ aɖe ƒe dzesi o. Gake agbenɔnɔ kple dzesi siawo ate ŋu ado vɔvɔ̃ na ame vie eye wòado dziku na ame. Wò ɖɔkta ate ŋu afia alesi nàwɔ BPPV kamedede le aƒeme wò, ale be nàte ŋu aɖu edzi le kuxi ƒe dzesi gbãtɔ me.

Ɣeyiɣi didi kae BPPV ate ŋu anɔ anyi?

Zi geɖe la, vertigo si BPPV hena vɛ la nɔa anyi aɖabaƒoƒo 1 alo 2. Wò dzesiwo ate ŋu anɔ bɔbɔe ŋutɔ, alo woate ŋu asẽ ale gbegbe be nàɖe aɖuɖɔ. Ðewohĩ màda asɔ o ne èle tsitrenu alo nèle zɔzɔm eye nèdze anyi.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne vertigo le ŋuwò le BPPV ta la, yi ɖɔkta gbɔ hena aɖaŋuɖoɖo. Afia kamedede ƒe kamededewo wò be wòakpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ.

Gake ne taɖuame kpe ɖe taɖuame sesẽ, akɔtave, alo dzi ƒe tsotso si mesɔ o ŋu la, ƒo ka na 911 enumake alo yi kɔdzi si te ɖe ŋuwò. Esiawo ate ŋu anye nɔnɔme sesẽ bubu ƒe dzesiwo.

Nya vevi ʋɛ aɖewo siwo gɔme wòle be míase tso BPPV ŋu

Be míase nusi ŋu míeƒo nu tsoe gɔme nyuie wu la, mina míasrɔ̃ nu vi aɖe tso míaƒe to ememetɔ ƒe akpa siawo ŋu:

• Tɔdzisasrã siwo le gota afã: Esiawo le abe gyroscope ene le míaƒe ta me. Tɔdzisasrãwo le wo si le mɔ etɔ̃awo katã nu: dzi, anyi, kple le tsia dzi. Mɔ̃ siawo ƒo ƒu ɖoa dzesiwo ɖe míaƒe ahɔhɔ̃ tso míaƒe ta ƒe nɔƒe ŋu (e.g., ne èle zɔzɔm, ne èle tɔtrɔm).
• `Cupula`: Esia dea dzesi tsi ƒe sisi le tɔdzisasrã siwo le gota afã me. Lãmetsi ƒe sisi siae nana míaƒe ŋutilã sena le eɖokui me be yeate ŋu aʋuʋu.
• `Utricle`: Esia hã nye ŋutinu aɖe si le to ememetɔ me si kpena ɖe ame ŋu be wòada asɔ. Taɖa ƒe lãmenugbagbevi nyuiwo le eme, siwo wotsɔ `Otoconia` tsyɔ. Ne `Otoconia` siawo ʋuʋu kple nuheŋusẽ la, woɖoa dzesiwo ɖe ahɔhɔ̃a tso ta kple ŋutilã ƒe nɔƒe ŋu (abe tsitrenu alo akɔta ene).
• `Otoconia`: Esiawo nye calcium kristalo ƒe akpa suesuesue siwo megblɔ va yi. Esiawo ɖea wo ɖokui ɖa tso `Utricle` (afisi woateŋu alɔ̃ le) gbɔ eye wogena ɖe `Semicircular canals` (afisi womeɖena le o) me.
• Cochlea: Esiae nye to si le abe "snail shell" ene le míaƒe to ememetɔ me. Etrɔa gbeɖiɖi wòzua lãmekawo ƒe ʋuʋu eye wòɖoa wo ɖe ahɔhɔ̃a me.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

BPPV menye dɔléle si ate ŋu ade wò agbe afɔku me o, gake ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi. Ne BPPV ƒe dzesiwo le ŋuwò, abe taɖuame kpata, taɖuame, alo dadasɔ ƒe gbegblẽ ene la, ele be nàyi ɖɔkta gbɔ. Zi geɖe la, kamedede kple aƒeme atikewo ate ŋu akpe ɖe ŋuwò nàɖu wò dzesiwo dzi. Mègatsi dzodzodzoe o, gake nya esia.

` BPPV, vertigo, taɖuame, to ememetɔ, toconia, dadasɔ, Epley ƒe afɔɖeɖe