We yu grap na bed, tɔn rawnd, ɔ luk ɔp, yu kin fil wantɛm wantɛm se di wan ol wɔl de spin rawnd yu? Da tɛm de, yu nɔ kin ivin ebul fɔ tinap, ɛn yu kin fil bad bad wan, ɛn yu kin fil lɛk yu nɔs. Pan ɔl we dis diziz kin stɔp insay sɔm minit, di fred we yu kin fil da tɛm de kin rili bad. Bɔku pipul dɛn dɔn gɛt dis kayn ɛkspiriɛns. So tide, lɛ wi tɔk bɔt di men tin we kin mek dis sik ɛn di simpul tɛst we dɔktɔ dɛn kin yuz fɔ no if i gɛt am.
Wetin mek mi ed de spin lɛk dis? Wetin na BPPV?
Di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis kayn diziz wantɛm wantɛm na wan sik we dɛn kɔl Benign Paroxysmal Positional Vertigo . Wi kin kɔl am (BPPV) fɔ shɔt tɛm. Pan ɔl we di nem lɔng smɔl, di minin rili simpul.
- Benign - Dis min se i nɔ denja ɔr de mek pɔsin in layf de pan denja. I nɔto sɔntin we tan lɛk kansa.
- Paroxysmal - min se i de stat wantɛm wantɛm ɛn i de stɔp fɔ insɛf afta sɔm tɛm.
- Pozishכn - Dis min se i de apin we di ed posishכn chenj.
- Vɛrtigo - de tɔk bɔt di diziz we wi no.
Fɔ tɔk am simpul wan, BPPV na wan sik we nɔ de trɛtin we kin apin wantɛm wantɛm ɛn afta dat i kin stɔp afta sɔm tɛm we dɛn muv di ed.
Okay, naw mek wi si wetin mek dis de apin. Insay wi yes, di insay yes, wan pat de we rili sɛnsitiv we de kɔntrol di balans na di bɔdi. Insay dis, na rili smɔl smɔl kalsiɔm kabɔnɛt kristal dɛn de. Tink bɔt dɛn lɛk grens dɛn we gɛt san. Nɔmal wan, dɛn kin arenj dɛn kristal dɛn ya ɔdasay na di say dɛn we dɛn fɔ de.
bכt sכmtεm, as wi de ol, we wi gεt sכm bכmp na di ed, כ fכ nכ rizin atכl, sכm pan dεn kristכl dεm ya kin slip kכmכt na di ples εn go insay wan sistεm fכ chanεl dεm (`Semicircular canals`) we de rispansabl fכ bεlε. Naw imajin se sɔm smɔl smɔl ston dɛn de insay wan bɔtul wata. We yu shek di bɔtul, dɛn ston dɛn de de muf go bifo ɛn biɛn, ɛn mek di wata stɛp, nɔto so? semweso, we yu shek yu ed, dεn kristכl dεm we dεn go na di rכng ples de muv bak εn go bak, dεn de kכl wit di wata we de insay dεn chanεl dεm, εn sεnd lay lay signal to wi bren se "yu de diziz naw." Pan ɔl we wi nɔ kin rili diziz, di bren kin biliv da sayn de, so wi kin fil diziz. Na dat kin apin na BPPV.
So, aw dɔktɔ go no kɔrɛkt wan if yu gɛt BPPV?
If yu gɛt dis kayn vertigo, we yu go to dɔktɔ, i fɔ mek shɔ se yu rili gɛt BPPV ɔ na vertigo we ɔda tin kin mek, bikɔs ɔda tin dɛn kin de we kin mek yu gɛt vertigo.
Di men ɛn kɔrɛkt tɛst we dɔktɔ dɛn ɔlsay na di wɔl kin yuz fɔ no if pɔsin gɛt BPPV na di Dix-Hallpike Maneuver.Dis na wan rili simpul tɛst we dɛn dɔn de yuz frɔm 1952 ɛn dɛn nɔ de yuz ɛni mashin ɔ drɔgs.
Insay dis tɛst, di dɔktɔ kin tek tɛm tɔn yu ed pan sɔm patikyula pozishɔn dɛn. We yu du dis, dɛn kristal dɛn we dɔn displeys we wi bin dɔn tɔk bɔt trade kin bigin fɔ muf bak. We dat apin, yu kin fil lɛk se yu ed de tɔn, ɛn yu yay kin bigin fɔ muf wan spɛshal we. Di dɔktɔ de luk da muvmɛnt de.
Aw fɔ du di Dix-Hallpike tɛst stɛp bay stɛp
Yu kin fred we yu yɛri dis. " Oh , yu de shek yu ed laik se yu de diziz?" Bɔt nid nɔ de fɔ mek yu fred . Di dɔktɔ kin tek tɛm du dis ɛn i kin put yu ed ɔnda in kɔntrol ɔltogɛda. Dis kin tek sɔm minit nɔmɔ.
| Step dɛn we yu fɔ du | Wetin de apin? |
|---|---|
| Step 1: Fɔ sidɔm | Dɛn go mek yu sidɔm stret na di ɛgzam tebul wit yu leg dɛn we yu opin. |
| Step 2: Fɔ tɔn ed | Di dɔktɔ go tɔn yu ed lɛk 45 digri to rayt ɔ lɛft. Dis tɛm ya, dɛn go aks yu fɔ kip yu yay opin. |
| Step 3: Ledɔm kwik kwik wan | Neks, wit yu ed na di sem pozishɔn we yu tɔn, di dɔktɔ go le yu dɔŋ na di bed kwik kwik wan, ɛn ol yu ed ɛn sholda dɛn. Na ya, yu ed go es smɔl frɔm di bed, we min se yu nɛk go bɛn smɔl. Bɔt bikɔs di dɔktɔ in an dɛn de sɔpɔt di wan ol wet na yu ed, yu nɔ go gɛt ɛni prɔblɛm. |
| Step 4: Fɔ wach di pɔsin | Di dɔktɔ go ol yu na da pozishɔn de fɔ lɛk 30 sɛkɔn, ɛn luk yu yay gud gud wan. Yu kin fil diziz insay dis tɛm. Dɔn bak, if yu gɛt BPPV, yu yay go muv kwik kwik wan (bak ɛn go) we yu nɔ go ebul fɔ kɔntrol. Dɛn kɔl dis nistagmus . |
| Step 5: Sidɔm bak ɛn chɛk di ɔda say | Dɔn dɛn tek tɛm sidɔm bak. Wet te di diziz dɔn stɔp, dɔn tɔn yu ed to di ɔda say ɛn du di sem tɛst, bikɔs dɛn kristal ya kin de na di rayt ɔ lɛft yes. |
Wetin na Nystagmus?
Dis na di men sayn we de kɔnfyus BPPV. We yu tilt yu ed bak lɛk dat, di kristal dɛn we de insay yu yes kin muf ɛn sɛn sayn dɛn we nɔ kɔrɛkt to di bren, ɛn fɔ ansa dis, yu yay kin bigin fɔ bit kwik kwik wan. I tan lɛk se klok de tik. Yu nɔ go ebul fɔ stɔp dis. If yu dɔktɔ si dis, i kin shɔ se yu gɛt BPPV lɛk 100%.
Ɛni risk de wit dis tɛst?
Di Dix-Hallpike tɛst kin jɔs rili sef . Bɔt if yu gɛt injuri na yu nɛk, yu bak de pen, ɔ yu jɔs gɛt strok, yu dɔktɔ kin disayd fɔ lɛf di tɛst ɔ du wan we we dɛn dɔn chenj.
Fɔ ɛgzampul, yu kin du dis bay we yu put pilo ɔnda yu sholda ɛn rɛst yu ed na di bed. Dis we ya, no prɛshɔn nɔ de na yu nɛk. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt bɛlɛ. I go du ɔltin di we we sef fɔ yu sik.
Wetin na di tin dɛn we kin kɔmɔt frɔm di tɛst?
Di big bɛnifit fɔ dis tɛst na dat yu kin no di rizɔlt wantɛm wantɛm. Yu nɔ nid fɔ wet fɔ sɔm dez fɔ mek di ripɔt kam. Di rizulyt kin bi "Positive" ɔ "Negative".
If Dix-Hallpike Pozitiv...
Dis min se dɛn dɔn no se yu gɛt BPPV . Dis na gud nyus! Bikɔs BPPV na wan sik we dɛn kin wɛl ɔlmost ɔltogɛda if yu nɔ tek mɛrɛsin, wit simpul ɛksɛsayz program.
If di tɛst na pɔsitiv, bɔku tɛm di dɔktɔ go trit yu wantɛm wantɛm. Di we aw dɛn kin yuz fɔ du dis na in dɛn kɔl di Epley Maneuver . Dis tan lɛk di Dix-Hallpike, usay yu kin tɔn yu ed na difrɛn say dɛn. Bɔt di gol fɔ dis na fɔ muv di kristal dɛn we dɔn go na di rɔng ples bak usay dɛn fɔ de.
If Dix-Hallpike na negatif...
Dis min se yu diziz nɔto bikɔs ɔf BPPV. I min se sɔntɛm ɔda tin kin de we kin mek i apin. Da tɛm de, yu dɔktɔ go rifer yu to ɔda tɛst dɛn bay di sayn dɛn we yu gɛt fɔ tray fɔ no di rayt tin we mek yu ed de tɔn.
Dix-Hallpike en Epley Maneuver - Wetin na di difrens bitwin di tu?
Bɔku pipul dɛn kin kɔnfyus dɛn tu nem ya. Pan ɔl we dɛn ɔl tu gɛt fɔ du wit BPPV, dɛn gɛt difrɛn wok dɛn.
| Di kwaliti we pɔsin gɛt | Dix-Hallpike Maneuv we dɛn mek | Epley Maneuv we de mek pɔsin |
|---|---|---|
| Di men tin we dɛn want fɔ du | Diagnosis - Fɔ no if yu gɛt BPPV ɔ yu nɔ gɛt. | Tritmεnt - Riposishכn di kristכl dεm fכ kכrekt di BPPV kכndishכn. |
| Ustɛm dɛn go du am? | We di sayn dɛn kin apin, di fɔs tin we yu fɔ du na fɔ fɛn di tin we kin mek yu gɛt dis sik. | Di Dix-Hallpike test de du afta i "positiv". |
| Rizɔlt | Fɔ kɔnfɔm di sik ɔ nɔ kɔnfɔm. | Rilif fɔ di simptom dɛm, disappearance of diziz. |
I rili impɔtant: Nɔ ɛva tray fɔ du dis tɛst yusɛf na os. Na dɔktɔ we tren nɔmɔ fɔ du dis. If yu nɔ du am di rayt we, dat kin mek yu nɛk pwɛl ɛn mek yu nɔ no di sik di rayt we.
Sɔntɛnde, afta yu dɔktɔ dɔn kɔnfyus se yu gɛt BPPV, dɛn kin tich yu aw fɔ du di Epley Maneuver na os. Bɔt na ɔnda yu dɔktɔ in sɔpɔtishɔn nɔmɔ dɛn fɔ du dat.
Di Dix-Hallpike Maneuver na wan we we rili fayn ɛn simpul we dɛn dɔn yuz fɔ no BPPV fɔ pas 70 ia. Pan ɔl we i nɔ de mɛn di sik, i kin ɛp yu fɔ no di rayt tin we mek yu gɛt vertigo ɛn bigin di rayt tritmɛnt. So, if yu gɛt dɛn sik ya, nɔ shek fɔ go to dɔktɔ ɛn tɔk bɔt am.
Mɛsej we dɛn kin kɛr go na os
- Di tin we kin mek yu gɛt diziz wantɛm wantɛm we yu de muv yu ed kin bi BPPV (Benign Paroxysmal Positional Vertigo).
- BPPV na wan kכndishכn we nכ de trεt we de kכz bay di displεsmεnt fכ sכm sכm kristכl dεm na di insay yes.
- If yu dɔktɔ sɔspɛkt se yu gɛt BPPV, di men tɛst fɔ kɔnfirm am na di Dix-Hallpike Maneuver.
- Dis na tɛst we rili sef ɛn dɛn kin du am insay jɔs sɔm minit. Yu kin gɛt smɔl diziz we yu de du di tɛst.
- if nystagmus (involuntary eye movements) apin di tεm we dεn de tεst, na strכng pruf fכ BPPV.
- Nɔ ɛva tray fɔ du dis tɛst na os fɔ yusɛf. Dɛn fɔ du am ɔltɛm ɔnda dɔktɔ in sɔpɔtishɔn.
- Di tritmɛnt fɔ BPPV na ɔda simpul we we dɛn kɔl Epley Maneuver, we dɛn kin du bɔku tɛm di sem de we dɛn de du di tɛst.
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