Ðe wòsena le ɖokuiwò me be yeƒe ta gbãna ɣeaɖewoɣia? Abe ɖe xexeame le tsatsam ene. Alo ɖe nèsena le ɖokuiwò me be yeabu dadasɔ eye yeadze anyi ne yele zɔzɔm alo le tsitrenua? Egbea míele nu ƒom tso dodokpɔ vevi ŋutɔ siwo wowɔna tsɔ dia nusi tututu gbɔ dzesi siawo tso ŋu. Woyɔa esia be vestibular dodokpɔ.
Kpuie ko la, nukae nye vestibular dodokpɔ?
Bu míaƒe ŋutilã abe ʋu ene. Ʋu sia ƒe akpa vevitɔ si kpena ɖe eŋu wòda sɔ eye meʋuʋuna o ye nye dadasɔ ƒe ɖoɖo si le míaƒe to ememetɔ me. Le atikewɔwɔ me la, míeyɔa esia be vestibular system . Eyata ne dzesiwo abe taɖuame kple kuxiwo le wò dadasɔ me ene la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ siawo siwo kplɔ wo nɔewo ɖo atsɔ akpɔe ɖa be wò vestibular system le dɔ wɔm nyuie hã.
Akpa vevi geɖe le vestibular system sia ŋu.
- Tɔdzisasrã siwo le gota afã: Esiawo le abe nusiwo dea dzesi ta ƒe ʋuʋu ene.
- Tolith organs: Esiawo nye nusiwo dea dzesi nuheŋusẽ.
- Vestibular nerve: Nyatakaka siwo tso nuɖoanyi sia me toa lãmeka sia dzi yia ahɔhɔ̃a me.
Dodokpɔ siawo daa alesi akpa siawo wɔa dɔ ɖekae nyuie be woawɔ ɖeka kple wò ŋutilã ƒe ʋuʋu eye woada asɔ.
Nukatae ɖɔktaa le biabiam tso asiwò be nàwɔ dodokpɔ sia?
Dodokpɔ siawo kpena ɖe ame ŋu be nànya nenye be to ememetɔ ƒe kuxi aɖe gbɔe taɖuame si me tom nèle la tso ŋutɔŋutɔ alo ahɔhɔ̃mekawo ƒe kuxi aɖe si do ƒome kplii gbɔe wòtso.
Esia wɔnɛ be ɖɔktaa te ŋu dea dzesi atikewɔwɔ me nɔnɔme aɖewo. Le kpɔɖeŋu me:
- Paroxysmal Positional Vertigo si me dɔlékui aɖeke mele o (BPPV) .
- Labyrinthitis ƒe dɔléle
- Ménière ƒe dɔlélea
- Vestibular Neuritis ƒe dɔléle
Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò hã be nàɖo kpe edzi be menye to ememetɔ ƒe kuxi aɖe gbɔe wò dzesiawo tso o. Ɣeaɖewoɣi la, dzesiwo abe taɖuame ene ate ŋu atso ŋku ƒe kuxiwo, atikewo, atikewɔwɔ ƒe nɔnɔme bubuwo, alo afɔkuwo gbɔ. Eyata dodokpɔ sia le vevie ŋutɔ be nànya nusi tututu gbɔ wòtso.
Aleke dodokpɔ siawo wɔa dɔe?
Tosese kple dadasɔ ƒe kuxiwo ŋuti nunyala bibi aɖee wɔa dodokpɔ siawo. Míeyɔa eyama be Tomeŋutinunyala. Abia nyawo wò esime wòle ale si nàwɔ dɔ bɔbɔe vovovowoe fiam wò. Mègatsi dzi o, afia nu sia nu wò afɔɖeɖe ɖesiaɖe.
Ele be nuɖoanyi vevi etɔ̃ nawɔ dɔ ɖekae be míaƒe ŋutilã nada asɔ.
1. Nukpɔkpɔ: Nu siwo míekpɔna kple ŋku.
2. Kakaɖedzi ƒe seselelãme (Proprioception): .Alesi anyigba sena le eɖokui me le míaƒe ŋutigbalẽ ŋu, vevietɔ míaƒe afɔwo.
3. Vestibular system: Dadasɔ ƒe ɖoɖo si le to ememetɔ me.
Dodokpɔ siawo léa ŋku ɖe alesi ɖoɖo etɔ̃ siawo wɔa dɔ ɖekae ŋu.
Nu vevi siwo le míaƒe vestibular system me dometɔ ɖekae nye vestibulo-ocular reflex (VOR) . Kpuie ko la, ekpena ɖe ŋuwò nèkpɔa nu nyuie eye wònɔa teƒe ɖeka, ne wò ta alo ŋutilã le ʋuʋum gɔ̃ hã. Tsɔe be èbɔbɔ nɔ bɔs me hele dzesi aɖe xlẽm le gota. Togbɔ be èle ta ʋuʋum hã la, àte ŋu akpɔ ŋɔŋlɔdzesi siwo le dzesia dzi nyuie kokoko, alo? Reflex sia si woyɔna be VOR kpena ɖe ŋuwò nèwɔa ema.
Eŋutinunyala bibi si le dodokpɔa wɔm la alé ŋku ɖe wò ŋku ƒe ʋuʋu ŋu nyuie, elabena wò ŋkuwo ate ŋu ana nyatakaka veviwo tso alesi wò vestibular system le dɔ wɔm ŋu. Ɣeaɖewoɣi la, woalé ŋku ɖe nystagmus , si nye ŋku ƒe ʋuʋu kabakaba si dzi womeɖu o hã ŋu.
Aleke wòle be madzra ɖo hafi adoe kpɔ?
Ele vevie ŋutɔ be nàwɔ ɖe mɔfiame siwo wò ɖɔkta alo toŋutinunyala na wò dzi pɛpɛpɛ. Mɔfiame siwo nàxɔ zi geɖe lae nye esiawo:
- Kplɔ ame aɖe ɖe asi le aƒeme: Àte ŋu ase le ɖokuiwò me be yeƒe ta natsi vie alo yeƒe ta le fafɛ le dodokpɔa megbe. Le wò dedienɔnɔ ta la, anyo wu be nàna ame aɖe naku ʋu wò ayi aƒeme ʋukuku manɔmee.
- Wɔ ɖe wò atikewo ŋuti mɔfiamewo dzi: Atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔa me tsonu dzi. Eyata bia wò ɖɔkta be atike kawo tututue wòle be nàdzudzɔ nono kple esiwo wòle be nàyi edzi anɔ nonom le ŋkeke siwo do ŋgɔ na dodokpɔa me.
- Kpɔ nyuie le nu siwo nèɖuna kple nunono ŋu: Ɣeaɖewoɣi la, woate ŋu abia tso asiwò be nàɖu nu fafɛ ko hafi adoe kpɔ, alo nàtsi nu adɔ gaƒoƒo ʋɛ aɖewo. Ele be nàdzudzɔ ahanono godoo.
- Mègado ŋkumeɖonu o: Esia le vevie ŋutɔ. Nuwo abe ŋkumeɖonu kple mascara ene ate ŋu ado kplamatse dodokpɔa, elabena ele be nàlé ŋku ɖe wò ŋku ƒe ʋuʋu ŋu nyuie.
Nukae dzɔna le dodokpɔa wɔɣi? Mina míasrɔ̃ nu tso dodokpɔ ƒomevi ɖesiaɖe ŋu.
Vestibular dodokpɔ ƒomevi vovovowo li. Wò toŋutinunyala atso nya me le dodokpɔ siwo nèhiã ŋu le wò dzesiwo nu. Ðewohĩ mahiã be wo katã nanɔ asiwò o. Mina míalé ŋku ɖe dodokpɔ ƒomevi vevi aɖewo ŋu.
| Dodokpɔ ƒe Ŋkɔ | Nukae nèkpɔ le esia me? | Nukae wòle be nàwɔ? |
|---|---|---|
| Elektrɔnikmɔ̃ɖaŋu (ENG) kple Videonystagmography (VNG) . | Eléa ŋku ɖe ahɔhɔ̃meka siwo kpɔa ŋku ƒe ʋuʋu, tosese, kple dadasɔ dzi ƒe lãmesẽ ŋu. | Wobia tso asiwò be nàwɔ nuwo abe ŋkuléle ɖe taɖodzinu aɖe ŋu ahakpɔe wòanɔ ʋuʋum, eye nàʋuʋu wò ta kple ŋutilã ɖe nɔnɔme vovovowo me ene. Ɣeaɖewoɣi la, èdea tsikpe alo tsi dzodzoe/tsi dzodzoe vi aɖe wò to me eye nèléa ŋku ɖe alesi wò ŋkuwo wɔa nui ŋu. Le VNG me la, ele be nàdo ŋkumeɖobolo kple fotoɖemɔ̃. |
| Rotary Chair Dodokpɔ | Edzidzea alesi wò ŋkuwo kple vestibular system wɔa dɔ ɖekae nyuie be wò ŋkuwo nali ke ne èle ʋuʋum. | Ele be nàdo ŋkumeɖobolo tɔxɛwo eye nànɔ zikpui si dzi mɔ̃ le dzi. Ele be nàna wò ŋkuwo nanɔ ʋuʋu ɖi esime zikpui la le tsatsam vivivi le miame kple ɖusime. Glasses la ŋlɔa wò ŋku ƒe ʋuʋu ɖi. |
| mCTSIB | Woléa ŋku ɖe alesi wò nukpɔkpɔ, asikaka nu ŋu (nusi nèsena le ɖokuiwò me le wò afɔwo me), kple to ememetɔ kpɔa ŋusẽ ɖe wò taɖuame dzii ŋu. | Woabia tso asiwò be nàtsi tre maʋãmaʋãe hena sɛkɛnd 30, gbã le teƒe sesẽ aɖe, emegbe le teƒe falɛfalɛ abe foam ene, afɔkpa manɔmee. Woate ŋu abia tso asiwò be nàwɔ esia kple ŋku ʋuʋu. |
| Video Ta ƒe Ʋuʋudedi Dodokpɔ (VHIT) . | Wodoa tɔdzisasrã etɔ̃ siwo le dzogoe ene me siwo le to ememetɔ me kpɔna be woakpɔ alesi wokpɔa ta ƒe ʋuʋu nyuie. | Èdoa ŋkumeɖobolo si ŋu fotoɖemɔ̃ le eye nèléa ŋku ɖe nusi nèdi be yeaɖo taɖodzinu na ŋu. Eŋutinunyala bibi la aʋuʋu wò ta blewuu le miame/ɖusime alo dzi/anyi. Woadzidzee nenye be àte ŋu ana wò ŋku nanɔ taɖodzinua ŋu ne èle ta ʋuʋum. |
| Vestibular Evoked Myogenic Potentials (VEMP) ƒe Ŋutetewo . | Edzroa alesi to ƒe ŋutinu eve (saccule kple utricle) siwo le to ememetɔ me wɔa dɔe me. | Wotsɔa elektrikŋusẽnamɔ̃ geɖe blaa wò kɔ. Èdoa toɖoɖomɔ̃ eye nètrɔa ta ɖe miame kple ɖusime esime nèle ŋku lém ɖe taɖodzinu aɖe ŋu. Le ɣeyiɣi sia me la, èsea gbeɖiɖi vovovowo to toɖoɖomɔ̃a dzi. Elektrikŋusẽnamɔ̃awo dzidzea alesi wò kɔ ƒe lãmekawo wɔa nui ɖe gbeɖiɖi mawo ŋui. |
Nukae dzɔna le dodokpɔa megbe?
Ɣeyiɣi didi kae dodokpɔa xɔa?
Zi geɖe la, esia xɔa abe gaƒoƒo eve ene, gake le wò dzesiwo kple emetsonuwo nu la, dodokpɔa ate ŋu axɔ ɣeyiɣi sue aɖe ko.
Ðe afɔku aɖewo le dodokpɔ siawo mea?
Vestibular dodokpɔwo nye dodokpɔ siwo le dedie ŋutɔ . Naneke meli si ŋu woavɔ̃ ɖo o. Gake àte ŋu ase le ɖokuiwò me be yeƒe ta natsi vie le dodokpɔa wɔɣi kple ɣeyiɣi aɖe le dodokpɔa megbe. Esia tae míegblɔ va yi be anyo wu be ame aɖe nakplɔ wò ɖo ayi aƒeme ɖo.
Nu ka ƒomevie makpɔ tso eme?
Àte ŋu akpɔ emetsonu vevi eve siwo do tso eme la dometɔ ɖeka:
- Nusiwo dona tso eme si sɔ: Esia fia be menye vestibular system ƒe gbegblẽ gbɔe wò dzesiawo tso o.
- Nusiwo dona tso eme siwo mesɔ o: Esia fia be kuxi aɖe si le vestibular system alo lãmeka siwo do ƒome kplii ŋu le wò dzesiwo hem vɛ.
Ɣekaɣie makpɔ emetsonuwo?
Zi geɖe la, toŋutinunyala la aɖe emetsonuwo me na wò ne wonya wu dodokpɔa nu ko. Ɣeaɖewoɣi la, ne ɣeyiɣi geɖe wu hiã be nàsrɔ̃ nu tso emetsonuwo ŋu nyuie la, woana nànya nu tso esia ŋu emegbe. Woaɖo emetsonu siawo ɖe ɖɔkta si ɖo wò ɖa be woawɔ dodokpɔa hã.
Nukae woawɔ emegbe?
Woanɔ te ɖe wò emetsonuwo dzi atso nya me le afɔɖeɖe si kplɔe ɖo ŋu.
- Ðewohĩ wò ɖɔkta ate ŋu aɖo wò ɖe dɔdala bibi bubu gbɔ.
- Woate ŋu abia tso asiwò hã be nàwɔ dodokpɔ bubuwo, abe MRI (Magnetic Resonance Imaging) alo CT (Computed Tomography) scan , be nàkpɔe ɖa be nane gblẽ le to ememetɔ ƒe ƒuwo alo lãkusi falɛfalɛwo ŋu hã.
Dodokpɔ siawo katã ŋu nya sese ate ŋu agbɔdzɔ vie. Gake le nyateƒe me la, wonye dodokpɔ siwo le bɔbɔe ŋutɔ eye wole tẽ. Mehiã be nàvɔ̃ o elabena toŋutinunyala la aɖe nusianu me na wò. Ne èwɔ dodokpɔ sia la, àgogo afɔɖeɖe ɖeka be yeake ɖe nusi tututu gbɔ wò dzesiawo tso ŋu eye nàdze atikewɔwɔ si hiã gɔme.
Gbedasi si Wotsɔ Yi Aƒeme
- Ne taɖuame, taɖuame, alo dadasɔ ƒe kuxiwo nɔa ŋuwò enuenu la, Vestibular Testing nye dodokpɔ siwo wowɔna tsɔ nyaa nusi gbɔ wòtso.
- Esia koŋ doa alesi dadasɔ ƒe ɖoɖo si le wò to ememetɔ me wɔa dɔe kpɔna.
- Esiawo nye dodokpɔ siwo le dedie ŋutɔ, siwo le bɔbɔe eye susu aɖeke meli si ta nàvɔ̃ o.
- Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi nyuie hafi nàwɔ dodokpɔa (atike, nuɖuɖu, atsyɔ̃ɖomi aɖeke manɔmee, kple ame aɖe nakplɔ wò ayi aƒeme).
- Wò ɖɔkta anɔ te ɖe dodokpɔa me tsonu dzi anya wò dɔlélea nyuie eye wòawɔ atikewɔwɔ ƒe ɖoɖo si sɔ na wò wu.
- Taɖuame kple dadasɔ ƒe anyimanɔmanɔ menye dzesi siwo dzi woaŋe aɖaba aƒu o. Kpɔ egbɔ be yeƒo nu tso nya sia ŋu na wò ɖɔkta.
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