Imajin se yu de tray fɔ grap na bed na mɔnin, ɔ yu de rɔl oba na di ɔda say na di bed. Wantɛm wantɛm, yu fil lɛk se di wan ol rum de spin rawnd yu. Yu nɔ tink se dat na ɛkspiriɛns we nɔ rili fayn ɛn we de mek pɔsin fred? Dis na di men sayn fɔ wan kɔndishɔn we wi kin kɔl BPPV fɔ shɔt tɛm. I kin tan lɛk se na big tin, bɔt nɔ fred. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na BPPV?
di ful minin fכ BPPV na Benign Paroxysmal Positional Vertigo . Di nem soun likl long, no bi so? Mek wi brok am dɔŋ wɔd bay wɔd.
- Benign: Dis min se "nɔ siriɔs." I min se nɔto kansa ɔr siriɔs sik we de mek pɔsin in layf de pan denja.
- Paroxysmal: Dis min se "i de kam wantɛm wantɛm ɛn afta dat i go go." Dis kayn diziz nɔr kin de ɔltɛm. I kin kam wantɛm wantɛm ɛn i kin go insay sɔm sɛkɔn ɔ wan minit.
- Pozishɔn: Dis min "rilayt to pozishɔn." Dis min se di diziz kin jɔs apin we yu chenj di pozishɔn we yu ed de wantɛm wantɛm.
- Vertigo: Dis na di mεdikal tεm fכ "vertigo." I min se yu de fil lɛk se di tin dɛn we de arawnd yu de spin, pan ɔl we yu tinap wansay.
Fɔ tɔk am simpul wan, BPPV na wan sɔdɛn, bɔt nɔto siriɔs, vertigo we kin go afta sɔm tɛm we yu chenj yu ed pozishɔn. Na wan smɔl prɔblɛm we de na wi insay yes kin kam wit am.
Pan ɔl we dis nɔr siriɔs, di sayn dɛm kin rili frayd. Dis diziz kin mek pipul dɛm wae dɔn pas 65 ia nɔr balans ɛn fɔdɔm . If yu fɔdɔm, i impɔtant fɔ no bɔt dis, bikɔs i kin mek yu brok brok.
Udat kin gɛt dis sik mɔ?
Pan ɔl we BPPV kin afɛkt pipul dɛn we gɛt ɛni ej, i kin apin mɔ pan pipul dɛn we dɔn pas 50. Infakt, dɛn se lɛk wan pan ɔl tu pipul dɛn na dis ej grup go gɛt BPPV wan tɛm na dɛn layf. I nɔ kin apin so ɔltɛm pan pikin dɛn.
Dɛn kin no BPPV pan lɛk 20% pan di pipul dɛm wae kin kam to wi fɔ tritmɛnt fɔ vertigo, ɔr lɛk wan pan fayv pipul dɛm. Na dis kayn tin we kin apin we pipul dɛn kin gɛt.
Wan kwɛstyɔn wae bɔrku pipul kin aks na if dis na tin wae kin apun ɔltɛm. Nɔ, BPPV kin go fɔ insɛf insay sɔm dez ɔ wik. Bɔt, sɔntɛnde i kin kam bak. Sɔmtɛm, de vertigo kin kam bak sɔm mɔnt ɔr ivin sɔm ia afta dat.
Wetin na di sayn dɛm fɔ BPPV?
Di men sayn na di vertigo. Bɔt sɔm ɔda sayn dɛn de we kin kam wit am. Lɛ wi luk dɛn tin ya na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Aw i kin fil? (Aw i kin fil?) |
|---|---|
| Vertigo we pɔsin kin gɛt | I kin tan lɛk se di wan ol rum de spin rawnd yu, pan ɔl we yu nɔ de muf. |
| Diziz we pɔsin kin gɛt | Fɔ fil lɛk se yu ed nɔ gɛt wet, lɛk se yu de flɔt. Fɔ fil lɛk se yu de kam lɔs kɔnshɛns. |
| Prɔblɛm dɛn fɔ balans | Fɔ fil se yu nɔ gɛt natin we yu tinap ɔ waka. Fɔ fil lɛk se yu go fɔdɔm. |
| Nɔs ɛn vɔmit | Fɔ fil diziz ɔ fɔ vɔmit wit nɔys. |
| Di vishɔn we nɔ klia | Fɔ fil lɛk se yu de si tin kin blɔk smɔl we yu gɛt diziz. |
| Di yay we de muv kwik kwik wan (Nystagmus) . | Di muvmɛnt dɛn we di yay de muv kwik kwik wan ɛn we dɛn nɔ de kɔntrol. Yu nɔ go notis dis, bɔt pɔsin we de nia yu ɔ yu dɔktɔ go notis am. |
Wetin kin mek dis diziz? (Di tin dɛn we de mek pɔsin want fɔ du sɔntin)
BPPV vεrtigo kin apin we di ed chenj in posishכn. Fɔ ɛgzampul:
- We i de ledɔm na bed.
- We yu grap na bed.
- We yu tos ɛn tɔn na bed.
- we yu de tכn di ed כp (e.g. fכ pik sכmtin כp frכm shelf).
- We yu bɛn yu ed dɔŋ.
Wetin rili de apin na di insay yes?
Okay, naw mek wi luk wetin mek dis de apin. Fɔ ɔndastand dis, wi nid fɔ no smɔl bɔt aw wi insay yes tan.
Imajin se na yu insay yes, usay yu de kɔntrol yu balans, smɔl tin dɛn de we tan lɛk san. Dis na rili kalsiɔm kabɔnɛt patikyula dɛn . Insay mɛrɛsin, wi kin kɔl dɛn tin ya otoconia . nכmal wan, dεn de usay dεn fכ de, insay wan כgan we dεn kכl `utricle`.
Bɔt as wi de ol, ɔ we wi gɛt smɔl injuri na wi ed (lɛk we wi fɔdɔm ɔ aksidɛnt), ɔ we wi gɛt infɛkshɔn, dɛn ‘bɔl’ ya kin kɔmɔt ɛn muf kɔmɔt na di say we dɛn de. afta dat dεn kin muf go insay di sεmisεkyul kanal dεm, we gεt wata we imכtant fכ bεlε.
naw, we yu shek yu ed, dεn patikyula dεm ya de rol rawnd bak insay da wata de, we de mek di fayn fayn sεns pat dεm we lεk ia (`cilia`) we de de. Dis kin sɛn di rɔng signal to di bren. Dat signal na se 'yu de spin'. Na dat mek wi kin fil lɛk se wi de tɔn diziz.
Sɔntɛnde, di BPPV simptom kin bi bikɔs ɔf ɔda tin dɛn we kin apin na di yes. fכ egzampl, i kin apin wit kכndishכn dεm lεk `(Labyrinthitis)` (infεkshכn na di insay yes) כ `(Vestibular neuritis)` (inflamεshכn na di nεv we de rispansabl fכ bεlε). Pipul wae gɛt maygren kin gɛt BPPV bak.
Dɔktɔ, aw yu go no ɛn trit dis?
If yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to yu dɔktɔ. I go aks yu bɔt yu sik dɛn ɛn chɛk yu.
Wan spɛshal tɛst de fɔ no if yu gɛt BPPV. Insay dis tɛst, di dɔktɔ go mek yu sidɔm na tebul fɔ ɛgzamin, tɔn yu ed to wan say, ɛn le yu kwik kwik wan. na dis tεm ya, i go luk yu yay dεm εn chεk fכ diziz כ nystagmus (y yay de twitch). Dis go ɛp am fɔ no if yu gɛt BPPV.
Di gud nyus na dat di tritmɛnt fɔ BPPV rili simpul. I nɔ nid fɔ tek mɛrɛsin fɔ lɔng tɛm. Di men tritmɛnt na fɔ ɛksesaiz fɔ mɛn yu bɔdi . dεn kכl dεn tin ya `canalith repositioning procedures.` dεn εksεsayz dεm ya de wok bay we dεn de muv di misplaced kalsiכm kristכl dεm bak usay dεn fכ de. We dɛn rich de, dɛn kin sɔlv, so di vertigo nɔ kin kam bak.
Simpul ɛksesaiz fɔ ridyus diziz na os
Wan pan dɛn ɛgzampul ya na di Epley Maneuver. Yu dɔktɔ go sho yu aw fɔ du dis na di klinik ɛn i go tich yu bak aw fɔ du am na os.
Wɔnin:Di tin we impɔtant pas ɔl na fɔ du dis ɛgzampul fɔs afta yu dɔn go to yu dɔktɔ. I go nid fɔ no if na BPPV de mek yu diziz ɛn if i de afɛkt yu rayt ɔ lɛft yes. If yu du dis na di rɔng say, dat kin mek yu sik dɛn wɔs. So, nɔ tray am fɔ yusɛf if yu dɔktɔ nɔ advays yu.
Dis dɔŋ ya na aw pɔrsin wae gɛt BPPV na in rayt yes de du dis ɛgzampul. (Fɔ di lɛft yes, yu fɔ du am di ɔda we.)
1. Step 1: Sidɔm stret pan bed. tכn yu ed 45 digri to di rayt (to di sayd we di sik afekt).
2. Step 2: Naw, we yu de tɔn yu ed to di rayt say, ledɔm kwik kwik wan na di bed . Wit yu sholda dɛn we de rɛst pan di pilo, kip yu ed smɔl frɔm di bed. Stay na dis pozishɔn fɔ 30-60 sɛkɔn, ɔ te di diziz stɔp ɔl.
3. Step 3: If yu nɔ es yu ed ɔp, tɔn yu ed kwik kwik wan to di lɛft (90 digri). Yu lɛft yes fɔ de fes di bed naw. Hol dis pozishɔn fɔ 30-60 sɛkɔn.
4. Step 4: Naw tɔn yu ɔl bɔdi ɛn ed ɔda 90 digri to di lɛft , tilt yu ed. Yu nos fɔ de fes di grɔn. Stay na dis pozishɔn fɔ 30-60 sɛkɔn.
5. Step 5: Sidɔm sloslo frɔm di sayd we yu de ledɔm pan, kip yu chin nia yu sholda.
Dis ɛgzampul go klia 80%-90% pan yu simptom dɛm afta jɔs wan sɛshɔn. If yu stil gɛt sɔm sayn dɛn, yu go nid fɔ ripit am lɛk aw yu dɔktɔ tɛl yu.
Ustɛm yu fɔ rili go to dɔktɔ?
If yu sɔspɛkt se yu gɛt sɔm sayn dɛm fɔ BPPV, mek shɔ se yu go to dɔktɔ. Da we de, yu kin gɛt kɔrɛkt diagnosis ɛn lan di ɛksesaiz dɛn we yu nid.
Bɔt sɔntɛnde, diziz kin bi sayn fɔ wan sik we rili siriɔs.
If yu gɛt ɛni wan pan di sayn dɛm we de dɔŋ ya wit diziz, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, ɛn nɔ de te.
* Ed we de at bad bad wan (especially if yu nɔ ɛva gɛt am bifo) .
* Chɛst pen ɔ chenj we nɔ kɔmɔn na di at rit
* I nɔ izi fɔ tɔk ɔ fɔ slɔk wɔd dɛn
* Wan say na di fes de sag
* Yu an ɔ yu leg kin swɛla ɔ swɛt
* Yu de si tu tɛm ɔ yu nɔ de si fayn igen
Dɛn tin ya kin bi sayn fɔ siriɔs sik lɛk strok, so tek tɛm bad bad wan bɔt dɛn tin ya.
Mɛsej we dɛn kin kɛr go na os
- BPPV na wan kכmכn εn nכto siriכs kכndyushכn we de apin na di insay yes. Nɔ mek yu fred fɔ dis.
- dis na biכs sכm sכm sכm sכm kalsiכm bכl dεm (otoconia) na di insay yes kin kכmכt frכm usay dεn fכ de εn muf go na di rכng ples.
- di men sayn na diziz we de kam wan wan εn we de las pas wan minit we yu de chenj di ed posishכn (e.g., we yu kכmכt na bed).
- Di bɛst tritmɛnt fɔ dis nɔto pils, bɔt na simpul ɛgzampul (repositioning maneuvers) we di dɔktɔ de tich.
- Nɔ ɛva tray dɛn ɛgzampul ya fɔ yusɛf we yu nɔ go to dɔktɔ ɔ luk dɛn na di intanɛt. I impɔtant fɔ mek yu gɛt di rayt diagnosis fɔs.
- If yu diziz gɛt ɔda siriɔs sayn dɛm lɛk ed we de at bad bad wan, chɛst pen, ɔr at fɔ tɔk, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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