Yu kin fil bak se di wɔl de spin we yu rol oba na bed, ɔ we yu grap wantɛm wantɛm ɛn tɔn yu ed? Dis diziz we kin te fɔ sɔm sɛkɔn, sɔntɛnde kin kam wit vɔmit. Dis na ɛkspiriɛns we rili de mek bɔku pipul dɛn fred. Bɔt nɔr wɔri, bɔrku tɛm de kɔz nɔr siriɔs. Tide wi de tɔk bɔt wan simpul, bɔt rili ifɛktiv, nɔr-drɔg tritmɛnt fɔ dis.
Wetin mek mi ed de spin lɛk dis? Fɔ tɔk am simpul wan, BPPV...
Dis diziz we kin kam wantɛm wantɛm na sɔntin we dɛn kin kɔl ``Benign Paroxysmal Positional Vertigo'', ɔ BPPV fɔ shɔt. Pan ɔl we di nem kɔmplikt smɔl, di stori rili simpul.
Imajin, wi insay yes gɛt wan rili sɛnsitiv sistɛm we de kɔntrol di balans na di bɔdi. Insay dis sistɛm, smɔl smɔl kristal dɛn de we dɛn mek wit kalsiɔm kabɔnɛt. Wi kin kɔl dɛn tin ya ``kanalit``. nכmal wan, dεn kin arenj dεm כda we na di ples we dεn fכ de, dat na, na wan pat pan di yes we dεn kכl ``utricle``.
bכt, sכmtεm wit di ej, bikoz fכ sכm injuri na di ed, כ fכ nכ rizin atכl, sכm pan dεn sכm sכm bכl dεm ya kin kכmכt frכm usay dεn fכ de εn dכn na wan εria we de nia we dεn kכl di sεmisεkyul kanal dεm. Naw na dis say di prɔblɛm bigin. Wan wata we de insay dɛn kanal ya de sɛn signal to di bren bɔt aw wi ed de muv. Apat frɔm dat, we di bɔl dɛn we dɔn kam insay de rol bak ɛn biɛn insay dɛn kanal dɛn ya, di muvmɛnt fɔ da wata de nɔ de muv, ɛn ivin we di ed nɔ de muv, dɛn kin sɛn lay lay sayn to di bren lɛk se di ed de spin kwik kwik wan .
Fɔ tɔk am simpul wan, we yu shek yu ed ɔ rol oba na bed, sɔm smɔl smɔl ston dɛn we de na di rɔng ples kin ambɔg di balans signal dɛn we de go na yu bren. Na dat mek yu fil se di wɔl de spin.
Wetin na di sɔlv fɔ dis? (Di Prɔsidyu fɔ Ripɔzishɔn di Kanal)
di bεst εn fכs tritmεnt fכ dis dεn kכl am `(Canalith Repositioning Procedure - CRP)`. Dis nɔto mɛrɛsin ɔ ɔpreshɔn. Fɔ tɔk di kɔrɛkt tin, dis na sɔm spɛshal ɛgzampul dɛn we dɛn kin du wit dɔktɔ in ɛp. di rizin fכ dis na fכ tek tεm muv dεn sכm sכm ston dεm (`canaliths`) bak na dεn rayt ples (`utricle`).
Fɔ dɛn `(CRP)` we ya, di we we pipul dɛn sabi ɛn we dɔn wok fayn pas ɔl na di wɔl na di Epley Maneuver naw. Dɛn dɔn si se dis we fɔ du tin kin mek lɛk et pan tɛn pipul dɛn we gɛt BPPV fil fayn kwik kwik wan . Na dat mek dɔktɔ dɛn kin tray dis `(Epley maneuver)` fɔs.
Aw dɛn kin du di Epley Maneuver?
Dis na sɔntin we di dɔktɔ go gayd yu fɔ du. Di ɔl di tin dɛn we dɛn kin du kin tek lɛk 5 to 10 minit so. If i nɔ wok wan tɛm, yu kin gɛt fɔ du am bɔku tɛm. Yu kin fil smɔl diziz we yu de du dis, bɔt nɔ wɔri, na nɔmal tin.
Lɛ wi luk dis step fɔ ɔndastand am klia wan.
| Fut mak | Aw fɔ du am (Diskripshɔn) . |
|---|---|
| Step 1. Di tin we mek | Di dɔktɔ go mek yu sidɔm na di tebul fɔ ɛgzamin ɛn tɔn yu ed lɛk 45 digri to di sayd na di yes we de mek yu ed de tɔn. |
| Step 2. Di tin we mek | Neks, yu go ledɔm bak kwik kwik wan na di bed, ɛn kip yu ed stil. Na ya, yu ed go de smɔl dɔŋ di lɛvɛl we di bed de. Yu kin fil smɔl diziz na dis tɛm. Di dɔktɔ go aks yu fɔ de na da pozishɔn de fɔ 20-30 sɛkɔn. |
| Step 3. Di tin we mek | Naw, we yu nɔ es yu ed ɔp, tɔn yu ed smɔl smɔl to di ɔda say. |
| Step 4. Di tin we mek | Dɔn, tɔn yu wan ol bɔdi, ivin yu ed, to da say de, ɛn tɔn to tilt. Yu fɔ de da we de fɔ sɔm tɛm mɔ. |
| Step 5 we yu fɔ du | Fɔ dɔn, wit di dɔktɔ in ɛp, a kin sidɔm bak smɔl smɔl. |
A kin du dis misɛf na os?
Yɛs, yu kin ebul. If yu sik kam bak, yuz am. Yu dɔktɔ go tɛl yu aw fɔ du am na os. Yu jɔs gɛt fɔ sidɔm na di ed pat na yu bed ɛn fala di stɛp dɛn jɔs lɛk aw yu dɔktɔ tɛl yu. Fɔ mek yu gɛt di bɛst rizɔlt, dɛn kin advays yu fɔ du am lɛk tri tɛm so insay di de.
Bɔt mɛmba se, nɔ ɛva tray fɔ du am yusɛf we yu nɔ lan frɔm dɔktɔ. If yu nɔ du am di rayt we, dat kin mek yu sik dɛn wɔs.
Bɔrku pipul kin lɛk fɔ du dis bifo yu go slip bikɔs if yu gɛt smɔl diziz afta yu dɔn du dis, i go go insɛf we yu de slip.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Di big bɛnifit fɔ dis tritmɛnt na dat i rili wok fɔ BPPV . I nɔ gɛt bɛtɛ risk dɛn bak.
Bɔt if yu gɛt prɔblɛm wit yu nɛk ɔ bak, yu retina nɔ de kɔmɔt, ɔ yu gɛt sik we de mek yu gɛt vaskul, dis we fɔ du tin nɔ go fayn fɔ yu. So, yu dɔktɔ go rivyu yu kɔmplit mɛdikal istri bifo i du di ɔpreshɔn.
Afta dɛn dɔn du dis, sɔm pipul dɛn kin fil tin lɛk dis:
- Vɔmit
- Intɛns vertigo we pɔsin kin gɛt
- Vɔmit (nɔ kin apin so ɔltɛm) .
Bɔku pipul dɛn kin fil fri klos afta dɛn dɔn du di Epley manejmɛnt. Fɔ ɔda pipul dɛm, di sayn dɛm kin dɔn kpatakpata afta tu to tri dez.
Ustɛm yu want fɔ si di dɔktɔ bak?
If yu du dɛn ɛgzampul ya na os ɛn yu sik nɔ de bɛtɛ afta sɔm dez, mek shɔ se yu go to yu dɔktɔ bak . I kin chɛk if ɔda tin dɛn de we kin mek yu ed de tɔn. Fɔ ɛgzampul, yu yes infɛkshɔn ɔ maygren kin mek yu ed bak. If nid de, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ fil fayn ɔ fɔ mek yu gɛt diziz.
Aw yu go no us yes de mek yu diziz?
Dis na sɔntin we i nɔ kin izi fɔ yu fɔ no fɔ yusɛf. We yu dɔktɔ chɛk yu, i go du wan spɛshal tɛst we dɛn kɔl Dix-Hallpike maneuver. Dis go ɛp fɔ no if yu diziz de kɔmɔt na yu rayt ɔ lɛft yes. We yu dɔn no dat, yu kin disayd us say fɔ tɔn yu ed to di tɛm we dɛn de du di Epley manejmɛnt.
Dɔn bak, mɛmba se, `(Canalith Repositioning Procedure - CRP)` na wan kɔmɔn nem. `(Epley maneuver)` na wan pan di we dɛn we pipul dɛn sabi ɔnda am. Ɔda we dɛn de bak we dɛn kɔl `(Semont maneuver)` ɛn `(Brandt-Daroff maneuver)`. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- BPPV de kכz fכ sכm sכm stכn dεm (kanalith) na di insay yes we de muv go na di rכng ples.
- di Epley Maneuver na wan rili ifektiv, dכg-fri εksεsayz mεtכd we de riposishכn dεn vεrbra dεm ya.
- Dis na tin we rili sef. Bɔt bifo yu du am yusɛf na os, mek shɔ se yu lan di kɔrɛkt we frɔm dɔktɔ.
- If yu sik nɔr de bɛtɛ pan ɔl we yu de du ɛksɛsayz, go to yu dɔktɔ bak fɔ si if ɔda tin de we de mek yu gɛt dis sik.
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