Ðe nèse le ɖokuiwò me kpɔ be xɔ bliboa le tsatsam le ye ŋu esime nèmli ɖe aba dzi, kɔ ta dzi be yeaɖo nane si le dziwò gbɔ, alo kasia nètsi trea? Le sɛkɛnd ʋɛ aɖewo me la, esia ate ŋu anye nuteƒekpɔkpɔ si me dziɖeleameƒo le ŋutɔ eye wòdoa vɔvɔ̃ na ame. Ame geɖe yɔnɛ be ‘aɖabaƒoƒo ƒe
taɖuame .’ Egbea la, míaƒo nu tso nusi bɔ si hea taɖuame sia ƒomevi vɛ kple atike bɔbɔe aɖe ŋutɔ, gake wòwɔa dɔ nukutɔe na esia ŋu.
Nukatae nye ta nɔa tsatsam zi ɖeka alea? Nukae nye BPPV?
Kpuie ko la, tɔtrɔ sue aɖe si le wò to ememetɔ me gbɔe esia tsona. Bu eŋu kpɔ, dɔ aɖe si sea nu gɔme ŋutɔ si kpɔa míaƒe ŋutilã ƒe
dadasɔ dzi le míaƒe to ememetɔ me . Kristmas suesuesue siwo wotsɔ calcium wɔe la le ɖoɖo sia me. Míeyɔa esiawo le atikewɔwɔ me be ``otoconia'' alo ``canaliths''. Zi alesi wole teƒe nyuitɔ ko la, kuxi aɖeke meli o. Gake ɣeaɖewoɣi ne ame tsi, le abi sue aɖe si xɔ ta, alo ɣeaɖewoɣi le susu aɖeke kura ta la, kristalo sue siawo dona le woƒe nɔƒe eye woʋuna yia tɔdzisasrã siwo le gota afã siwo le afima la me. Ɣemaɣie kuxia dzea egɔme. Ne ètrɔ ta le teƒe aɖewo (le kpɔɖeŋu me, ne ètrɔ le aba dzi) la, kristalo siwo le ʋuʋum la ʋãna yia ŋgɔ kple megbe le tɔdzisasrãa me. Esia ɖoa dzesi si mesɔ o ɖe wò ahɔhɔ̃ be èle tsatsam. Togbɔ be mèle tsatsam ŋutɔŋutɔ o hã la, wò ahɔhɔ̃ susunɛ nenema. Emae nye nusi míeyɔna be
Benign Paroxysmal Positional Vertigo (BPPV) .
"Benign" fia be esia menye nɔnɔme sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me o. "Paroxysmal" fia be menye nusi yia edzi o, ke boŋ eva eye wòdzona zi ɖeka. "Positional" fia be ne ta ƒe nɔnɔme trɔ ko hafi wòdzɔna. "Vertigo" gɔmee nye taɖuame. Èse egɔme fifiaa?
Eyata nukae nye esia gbɔ kpɔnu? Nukae nye Epley ƒe Mɔnukpɔkpɔ?
Enyo, fifia èse kuxia gɔme. Eyata nukae nye egbɔkpɔnua? Ele bɔbɔe ŋutɔ. Nusi nàwɔ koe nye be nàgbugbɔ akɔtaƒu mawo siwo mesɔ o la aɖo woƒe nɔƒe si sɔ. Emae nye nusi míeyɔna be kamedede bɔbɔe, tɔxɛ siwo kplɔ wo nɔewo ɖo siwo míewɔna na ema
, Canalith Repositioning Procedure ( CRP ) . Mɔnu siwo bɔ wu, siwo wonya nyuie eye wokpɔa dzidzedze wu siwo míezãna le esia me dometɔ ɖekae nye
Epley Maneuver . Nusi nèwɔnae nye be nàtrɔ ta kple ŋutilã le ɖoɖo aɖe koŋ nu, le ɖoɖo aɖe nu, eye nàzã nuheŋusẽ atsɔ aɖo akɔtaƒu mawo ɖe afisi wòle be woanɔ.
Vevietɔ la, ɖeko atikewɔwɔ sia wɔa dɔ na vertigo si BPPV hena vɛ . Mewɔa dɔ na vertigo si to me dɔléle , taɖuame , alo ahɔhɔ̃mekawo ƒe dɔléle bubuwo hena vɛ o . Esia tae wòle vevie be nàkpɔ ɖɔkta gbã be nàkpɔe ɖa be BPPV le ŋuwò hã.
Aleke nèwɔa Epley Maneuver lae?
Zi geɖe la, ɖɔkta alo lãmesẽdɔwɔlae wɔa esia le atikewɔƒe. Ele be woawɔe nyuie ŋutɔ, eye woawɔ ɖe afɔɖeɖe siwo sɔ dzi. Zi geɖe la, aɖabaƒoƒo 5 va ɖo 10 koe dɔ bliboa xɔa. Tabla si le ete la fia afɔɖeɖe siwo woawɔ atsɔ awɔ esia. (Le kpɔɖeŋu me, mina míagblɔ be wò taɖuame le dodom tso wò ɖusito me).
| Afɔɖeɖe | Alesi woawɔe (Numeɖeɖe) . |
|---|
| Afɔɖeɖe 1: Nɔ anyi | Nɔ anyi ɖe dodokpɔkplɔ̃a dzi tsitrenu. Ðɔktaa atrɔ wò ta dzidzenu 45 ɖe ɖusime (ɖe to si ŋu dɔlélea le gbɔ). |
| Afɔɖeɖe 2: Mlɔ anyi kaba | Azɔ, trɔ ta ɖe ɖusime nenema ke, eye nàmlɔ aba dzi kaba. Ele be wò ta nanɔ abatia ƒe kɔkɔme te vie, eye wò abɔta nanɔ abatia ƒe go kemɛ dzi. Lé nɔnɔme sia me ɖe asi sɛkɛnd 30-60. (Àte ŋu ase le ɖokuiwò me be yeƒe ta natsi wu le ɣeyiɣi sia me, si nye nusi sɔ). |
| Afɔɖeɖe 3: Trɔ ta ɖe akpa kemɛ | Mèkɔ ta ɖe dzi o, trɔ ta blewuu ɖe miame (dzidzeme 90). Ele be nàtrɔ wò ta azɔ dzidzenu 45 ɖe miame. Lé nɔnɔme sia me ɖe asi sɛkɛnd 30-60. |
| Afɔɖeɖe 4: Ametia tɔtrɔ | Azɔ trɔ wò ŋutilã bliboa ɖe miame, wò ta hã le eme, eye nàziɔ ɖe axadzi. Fifia ele be nànɔ anyigba kpɔm. Nɔ nɔnɔme sia me sɛkɛnd 30-60. |
| Afɔɖeɖe 5: Agbugbɔ anɔ anyi | Ðe wò afɔwo ɖe abatia ƒe axadzi vivivi eye nàgabɔbɔ nɔ anyi dzɔdzɔe ake. |
Ðe nye ŋutɔ mate ŋu awɔ esia le aƒemea?
Ẽ, àte ŋui. Gake kple
‘gake’ gã aɖe ! Hafi nàte esia kpɔ le aƒeme la,
ele be nàna wò ɖɔkta naɖe mɔ nyuitɔ si dzi nàto awɔe la afia zi ɖeka ya teti godoo. Ewɔwɔ gbegblẽ ate ŋu
ahe kɔ me kuxiwo vɛ alo ana wò taɖuame nagado gã ɖe edzi . Azɔ hã, ele be nàbia wò ɖɔkta be wòanya to si tututu le wò taɖuame hem vɛ. Elabena ele be nàdze kamededea gɔme to wò ta tɔtrɔ ɖe akpa ma me. Ame geɖe lɔ̃a esia wɔwɔ hafi amlɔ anyi le zã me. Esia le alea elabena ne taɖuame vie le kamededea megbe la, adzo kple alɔ̃dɔdɔ.
Viɖe kple afɔku kawoe le mɔnu sia ŋu?
Abe atikewɔwɔ ɖesiaɖe ene la, viɖe kple afɔku suesuesuewo le esiawo dometɔ ɖeka ŋu.
| Viɖe siwo le eŋu | Afɔkuwo / Kuxiwo |
|---|
| Dedie ŋutɔ. | Taɖuame ƒe dzidziɖedzi hena ɣeyiɣi aɖe le kamedede me. |
| Amekoko alo atike aɖeke mehiã o (Non-invasive). | Aɖuɖɔtoe alo ʋuʋudedi ate ŋu adzɔ. |
| Ekpɔ dzidzedze ŋutɔ (dzidzedzekpɔkpɔ ƒe agbɔsɔsɔme anɔ 80%). | Ne womewɔe vodadatɔe o la, àte ŋu agblẽ nu le wò kɔ ŋu. |
| Woate ŋu awɔe le ɖɔkta ƒe dɔwɔƒe tututu. | Ƒã ŋutɔ hafi kubit la ate ŋu aʋu ayi mɔ bubu dzi. |
| Àte ŋu asrɔ̃ alesi wò ŋutɔ nàwɔe le aƒeme. | |
Ɣekaɣie wòle be magakpɔ ɖɔkta ake?
Kpɔ nyuie le nu siawo ŋu.- Ne taɖuame, taɖuame, alo dadasɔ ƒe dzesi siwo nɔa anyi ɖaa le ŋuwò la, ele vevie be nàkpɔ ɖɔkta. Ele vevie be nànya nenye be BPPV alo nu bubu aɖee.
- Ne wò dzesiwo meva nyo ɖe edzi le Epley ƒe afɔɖeɖea wɔwɔ zi ɖeka alo zi eve megbe o la, ƒo nu kple wò ɖɔkta. Ate ŋu awɔ dodokpɔ geɖe wu akpɔe ɖa be nu bubu aɖewo hã li siwo gbɔ wòtso hã.
- Ne ède kame vɔ la, anyo be nàƒo asa na nuwo abe ta ʋuʋu zi ɖeka alo ta ʋuʋu kpata hena ɣeyiɣi aɖe le ŋkekea me ene.
Gbedasi si Wotsɔ Yi Aƒeme
- BPPV nye to ƒe ʋuʋu si nu mesẽ o si tso to ememetɔ ƒe ƒu sue siwo le ʋuʋum le teƒe si mele o gbɔ.
- Epley Maneuver (Canalith Repositioning Procedure) nye kamedede bɔbɔe aɖe si wɔa dɔ ŋutɔ, si kplɔ wo nɔewo ɖo be woatsɔ ana kubi siawo nagatrɔ ava woƒe nɔƒe nyuitɔ.
- BPPV koe atike sia wɔa dɔ nyuie, eyata ele vevie be ɖɔkta nakpɔ dɔlélea nyuie gbã.
- Hafi nàwɔ esia le aƒeme la, kpɔ egbɔ be yesrɔ̃ mɔnu nyuitɔ tso ɖɔkta gbɔ be màgblẽ nu le wò kɔ ŋu o eye nàkpɔ emetsonu siwo de pɛpɛpɛ.
- Ne dzesiawo gakpɔtɔ li le atikewɔwɔ vɔ megbe la, yi ɖɔkta gbɔ ake be nàkpɔe ɖa be nu bubu siwo gbɔ wòtso hã.
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