Yu dɔn ɛva fil lɛk se di wan ol wɔl de spin rawnd yu we yu rol oba na bed, es yu ed fɔ rich sɔntin frɔm wan shelf we de ɔp yu, ɔ tinap wantɛm wantɛm? Dis diziz we kin kam wantɛm wantɛm kin kam wit nɔys ɛn vɔmit. Na ɛkspiriɛns we nɔ kin rili kɔmfyut ɛn we kin mek pɔsin fred. Bɔrku tɛm, yu nɔr kin ivin imajin wetin de kɔz am. Na tɛm lɛk dis, wi de tɔk bɔt wan spɛshal, ɛn rili simpul, tɛst we dɔktɔ dɛn kin yuz fɔ no if yu gɛt wan sik we dɛn kɔl BPPV, we kin bi di men tin we kin mek yu gɛt dis diziz.
Wetin na BPPV? Wetin di Dix-Hallpike tɛst de luk fɔ?
Fɔ tɔk am simpul wan, BPPV na di shɔt nem fɔ Benign Paroxysmal Positional Vertigo . Dis na kכmכn, bכt nכto siriכs (benign) kכndyushכn we de apin na di insay yes.
Tink bɔt am dis we. Wi insay yes na wan sistεm we rili sεnsitiv we de kכntro wi bכdi in bεlε. i gεt sכm sכm sכm kalsiכm ston dεm (dεn kכl dεm bak `canaliths` כ `otoconia`). Nɔmal wan, dɛn kin put dɛn ston dɛn ya fayn fayn wan na dɛn rayt ples. bכt sכmtεm, wit di ej, bikoz fכ sכm sכm ed injuri, כ fכ nכ rizin atכl, dεn sכm sכm ston ya kin kכmכt na dεn ples εn fכt insay di kanal dεm we fulכp wit wata (`semicircular canals`) we de de.
We yu tɔn yu ed na sɔm say dɛn, di bɔl dɛn we lɔs ɛn di wata we de kɔmɔt na di wata kin muf rawnd. Dis kin sɛn kɔrɛkt sayn to yu bren, we kin mek i fil lɛk se yu de spin di we aw yu nɔ bin de ɛkspɛkt. Na dat de mek di diziz na BPPV.
So, di Dix-Hallpike tɛst na tɛst we yu dɔktɔ kin du fɔ kɔnfɔm if yu vertigo rili kɔmɔt frɔm BPPV ɔ ɔda tin.
Dix-Hallpike ɛn Epley na di sem tin? Wetin na di difrɛns?
Yu go yɛri dɛn tu nem ya frɔm dɔktɔ. Dɛn tu gɛt fɔ du wit di kɔndishɔn BPPV, bɔt di wok we di tu de du rili difrɛn. Bɔku pipul dɛn kin kɔnfyus dɛn tu tin ya. So lɛ wi ɔndastand dis difrɛns klia wan.
| 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 we dɛn kin gɛt | Tritmɛnt fɔ di sik |
| Wetin de apin? | I go kɔnfɔm if BPPV na di kɔz fɔ yu diziz ɔ nɔto. | Dɛn kin put di kiub dɛn we dɛn dɔn displeys bak na dɛn kɔrɛkt ples. |
| Udat dɛn kin du am? | Na dɔktɔ nɔmɔ fɔ du am. | Dɔktɔ kin du am. Sɔntɛnde, dɛn kin advays yu bak fɔ du am na os. |
Di tin we impɔtant pas ɔl na dat, dɛn nɔ go ebul fɔ du tritmɛnt if dɛn nɔ no di sik fayn fayn wan. So, bifo yu du di Epley manyuv, i nid fɔ kɔnfɔm di prɛzɛns fɔ BPPV bay we yu du di Dix-Hallpike tɛst.
Aw dɛn kin du dis tɛst? Na sɔntin we wi fɔ fred?
Atɔl. Dis na tɛst we rili simpul ɛn we nɔ de mek pɔsin fil pen ɛn we kin tek jɔs sɔm minit. Yu nɔ nid fɔ du ɛni spɛshal pripia. Lɛ wi si aw di dɔktɔ de du am stɛp bay stɛp.
1. Siddon: Fɔs, dɛn go aks yu fɔ sidɔm na di ɛgzam tebul wit yu leg dɛn we yu dɔn spre.
2. Tכn yu ed: Neks, di dכkta go aks yu fכ tכn yu ed lεk 45 digri to wan sayd (rayt כ lεft).
3. Tilt bak: Dis na di pat we impɔtant pas ɔl. Di dɔktɔ go tek tɛm ol yu ed ɛn tilt yu bak kwik kwik wan. Dis tɛm ya, yu ed go de hang smɔl pan di bed. Nɔ wɔri, di dɔktɔ de ol di ful wet na yu ed tranga wan na in an.
4. Fɔ chɛk yu yay: We yu de na dis pozishɔn, di dɔktɔ go aks yu fɔ kip yu yay opin . Dis rili impɔtant bikɔs i de tek tɛm luk yu yay. if yu gεt BPPV, yu yay go blink kwik kwik wan (dεn kכl dis `nystagmus`).
5. Switch sayd: Afta lɛk wan minit, stret yusɛf bak ɛn du di sem tɛst na di ɔda say.
Yu kin fil diziz fɔ smɔl tɛm we yu de du dis tɛst. Dis na nɔmal tin. Dis na fɔ mek di dɔktɔ ebul fɔ kɔnfɔm yu sayn dɛm.
Wetin di rizɔlt dɛn se?
Yu dɔktɔ kin tɛl yu di rizɔlt jɔs afta di tɛst dɔn.
- If di tɛst na pɔsitiv:Dat min se yu vertigo na BPPV fɔ tru. Dis na gud nyus! Na bikɔs i rili izi fɔ trit. Yu dɔktɔ kin du di Epley manejmɛnt wantɛm wantɛm ɛn put di bɔl dɛn bak na dɛn ples. Bɔrku tɛm, di vertigo go stɔp kwik kwik wan afta yu dɔn du dis.
- If di tɛst nɔ fayn: Dis min se nɔto BPPV de mek yu diziz, bɔt na ɔda tin. I kin bi infεkshכn na in yes, maygrεn, כ vεstibular nyuraytis. Dɔn yu dɔktɔ go ɔda fɔ mek dɛn du ɔda tɛst fɔ no di rayt tin we mek dɛn du dis.
Udat dɛn nɔ fɔ gɛt dis tɛst? Ɛni risk dɛn de we kin apin?
Bɔku tɛm, dis na tɛst we rili sef. Bɔt sɔm pipul dɛn kin tink tumɔs bifo dɛn du dis. Mɔ:
- Pipul dɛn we dɛn dɔn ɔpreshɔn dɛn nɛk ɔ bak ɔ we gɛt disabiliti
- Pipul dɛn we gɛt siriɔs nɛk at at sik
- Uman dɛn we gɛt bɛlɛ
- Pipul dɛn we dɔn gɛt strok dis biɛn tɛm
So, mek shɔ se yu tɛl yu dɔktɔ yu kɔmplit mɛdikal istri bifo yu du dis tɛst. Dɔn i kin disayd if i nɔ bad fɔ yu.
A kin du dis na os mi wan?
Wan tin we bɔku pipul dɛn kin aks na, ‘Dɛn nɔ go ebul fɔ du dis na os?’ Di ansa na, ‘Nɔ.’ Dis na tɛst fɔ no if pɔsin gɛt sik. Dɛn fɔ du am ɔnda dɔktɔ in sɔpɔtishɔn.
Bikɔs, if dɛn nɔ du am di rayt we, i kin mek di nɛk ɔ di spayna pwɛl . Dɔn bak, na dɔktɔ nɔmɔ kin no di chenj dɛn we nɔ klia na di yay (`nystagmus`), intaprit di rizɔlt kɔrɛkt wan, ɛn disayd wetin fɔ du nɛks.
Bɔt we dɛn dɔn kɔnfyus BPPV, yu dɔktɔ kin tich yu aw fɔ du tritmɛnt dɛn na os, lɛk di Epley manejmɛnt. Bɔt ɔltɛm, na dɔktɔ fɔ mek pɔsin no if i gɛt di sik.
If yu de gɛt sayn dɛn we de kɔntinyu fɔ gɛt diziz, nɔs, ɔr nɔr de balans, nɔr ignore am. Mek shɔ se yu go to yu dɔktɔ fɔ advays. I kin du di Dix-Hallpike tɛst fɔ no di rayt tin we mek yu gɛt prɔblɛm.
Mɛsej we dɛn kin kɛr go na os
- Dix-Hallpike nɔto tritmɛnt, bɔt na tɛst fɔ chɛk fɔ wan kɔndishɔn we dɛn kɔl BPPV na di insay yes.
- BPPV de kכz fכ sכm sכm kalsiכm dεposit dεm na di insay yes we de kכmכt.
- Test PozitivIf na so, i min se yu gɛt BPPV. Dɛn kin trit am wit tritmɛnt lɛk di Epley maneuver.
- If di tɛst nɔ fayn , di tin we kin mek pɔsin in ed de tɔn na ɔda tin. Di dɔktɔ go du ɔda tɛst dɛn fɔ no.
- Nɔ ɛva tray fɔ du dis tɛst na os fɔ yusɛf. If yu gɛt diziz, go to dɔktɔ fɔs ɔltɛm.
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