Yu de sɔfa wit diziz we nɔ de chenj? Lɛ wi tɔk bɔt PPPD (Persistent Postural-Perceptual Dizziness)!

Sɔntɛnde, yu kin fil lɛk se yu ed de tɔn fɔ natin, yu nɔ kin balans we yu tinap ɔ sidɔm, ɛn yu kin fil lɛk se yu de flɔt na bot? I rili at fɔ liv wit dis diziz fɔ sɔm dez, nɔto so? Yu kin ivin fil bad ɛn fred fɔ dis. Tide wi go tɔk bɔt dis kayn diziz we kin de fɔ lɔng tɛm, we min se i kin te fɔ tri mɔnt ɔ ivin lɔng pas dat. Dɔktɔ dɛn kɔl dis PPPD (Persistent Postural-Perceptual Dizziness) . Pan ɔl we i go tan lɛk se di nem lɔng smɔl, lɛ wi kip am simpul.

Wetin na PPPD (Persistent Postural-Perceptual Dizziness) we pɔsin kin gɛt? Fɔ tɔk am simpul wan...

Wi kin fɛnɔt di minin fɔ PPPD frɔm di wɔd dɛnsɛf.

• Nɔ de chenj: Dis min se i de ɔltɛm, i de te . Yu dɔn de gɛt dis diziz fɔ at le tri mɔnt, bɔku dez.
• Postural: Dis gɛt fɔ du wit di pozishɔn we di bɔdi de si . Dis diziz kin wɔs we yu tinap, sidɔm, ɔ yu de tinap stret.
• Di we aw wi de si tin: Dis gɛt fɔ du wit di we aw wi de si tin, dat na di we aw wi de si tin . Yu kin fil lɛk se yu ɔ di tin dɛn we de arawnd yu nɔ balans. I kin tan lɛk se di grɔn de shek, ɔ yusɛf de shek.
• Diziz: Dis na diziz . Bɔt i nɔ tan lɛk ``Vertigo'' usay tin de spin rawnd yu. Insay PPPD, i kin tan lɛk se yu de rɔk, lɛk se yu de na bot, ɔ yu nɔ stedi .

Fɔ tɔk am simpul wan, PPPD na wan kayn diziz we kin bigin afta wan tin we apin, kin te fɔ lɔng tɛm, kin bɔku we yu tinap, ɛn kin mek yu ɔ di tin dɛn we de arawnd yu fil se yu nɔ balans, lɛk se yu de swɛla.

Wi bɔdi gɛt wan kɔmpleks sistɛm we de kɔntrol wi balans. I kin gɛt fɔ du wit wi yay, mɔsul dɛn, di vestibular system na wi insay yes, ɛn di bren . Ɔl dɛn tin ya de wok togɛda, de wok as tim, fɔ mek wi nɔ fɔdɔm. Dis kin apin bay wilful, wi nɔ kin ivin no.

Bɔt pan pɔsin we gɛt PPPD, i kin brok ɔ nɔ kin gri pan di kɔmyunikeshɔn bitwin di pat dɛn na dis sistɛm. Dat min se prɔblɛm de wit di we aw di signal dɛn we de kɔmɔt na di yay, di bɔdi, ɛn di insay yes ɔl de go na di bren ɛn dɛn de kɔdinɛt togɛda. Di impɔtant tin na dat nɔr sik ɔr pwɛl hat to di wan wan pat dɛm na dis sistɛm (lɛk di yay, yes, ɛn bren) . Bɔt dɛn nɔ de "sync" togɛda. Na dat mek yu fil se yu nɔ de stedi ɛn yu de ed de tɔn.

Aw kɔmɔn dis PPPD kɔndishɔn?

PPPD kin rili bi di mכst kכmכn kכndyushכn we dεn no naw as di kכz fכ lכng tεm diziz. Bɔt, na nyu tin we dɛn dɔn no bɔt.. Na insay 2017 nɔmɔ di mɛdikal masta sabi pipul dɛn kam togɛda fɔ difayn di krayteria fɔ dis sik. So bɔku risach stil de we dɛn de du, ɛn bɔku tin de fɔ lan. Trade, i kin bi se i nɔ bin pɔsibul fɔ no di wan dɛn we gɛt dɛn sik ya kɔrɛkt wan.

Wetin na di sayn dɛm fɔ PPPD?

Pɔsin we gɛt PPPD kin fil diziz bɔku tɛm . Dis min se dɛn kin fil diziz pas sɛvin dez insay di wik. Sɔntɛnde dis diziz kin te fɔ lɔng tɛm, ɛn i kin wɔs as di de de go . Ɔ i kin kam ɛn go witout ɛni pɔtn.

Di diziz we PPPD kin mek kin fil lɛk se di wef de tos bot, ɔ lɛk se yu de swɛla, yu nɔ de fil fayn, lɛk se yu nɔ ebul fɔ kip yu fut na grɔn . Pan ɔl we dis kin apin fɔ no patikyula rizin, i kin tranga pasmak pan sɔm kes dɛm. Fɔ ɛgzampul:

• We yu tinap, sidɔm stret, ɔ chenj yu pozishɔn wantɛm wantɛm (e.g. fɔ kɔmɔt na bed).
• We yu de waka ɔ rayd insay motoka (kar, bɔs, tren) .
• We yu si bɔku tin dɛn wan tɛm . Tink bɔt fɔ luk di shelf dɛn usay dɛn de sɛl tin dɛn fɔ it na supamakit, ɔ skrol na soshal midia na yu fon. Dis kayn we aw yu de si tin kin mek yu gɛt mɔ diziz.

Apat frɔm dɛn men sayn ya, ɔda sayn dɛn kin kam wit PPPD:

• Bren fog: Dis min se i at fɔ tink klia wan ɛn pe atɛnshɔn.
• Fɔ mɛmba tin fɔ shɔt tɛm: Fɔ fɔgɛt smɔl smɔl tin dɛn kwik kwik wan.
• I nɔ kin izi fɔ pe atɛnshɔn: I nɔ kin izi fɔ pe atɛnshɔn pan wan tin ɔ fɔ kɔntinyu fɔ du wan wok.

PPPD kin mek yu fil se yu nɔ gɛt ɛnitin fɔ du wit yu bɔdi, di tin dɛn we de arawnd yu, ɛn ɔda pipul dɛn, lɛk se yu de drim . Yu kin avɔyd bak fɔ de wit ɔda pipul dɛn ɛn fɔ du tin dɛn we yu kin du ɛvride bikɔs yu de fred fɔ mek yu ed de tɔn mɔ ɛn mɔ. Dis kin gɛt bɔku impak pan yu kwaliti fɔ liv.

Wetin na di tin dɛn we kin mek pɔsin gɛt PPPD?

PPPD kin stat afta wan "trigger" ivent we de afekt yu balans . Dis min se yu kin dɔn gɛt diziz bifo tɛm, lɛk fɔ wund yu ed, ɛn di PPPD kin kɔntinyu ivin afta i dɔn wɛl.

Na sɔm pan di tin dɛm wae kin mek pɔrsin gɛt PPPD:

• Wantɛm wantɛm, bad bad diziz (Acute vertigo).
• Benign Paroxysmal Positional Vertigo (BPPV) na wan sik wae de mek yu ed de tɔn we yu de muv yu ed.
• Injuri na di ed (e.g., wan kɔnkyushɔn).
• Di sik dɛm we de insay yu yes lɛk di sik we dɛn kɔl Ménière.
• Panik atak.
• Wan `Stroke` (paralysis) kɔndishɔn.
• `Vestibular migraine` na diziz we kin apin wit maygren.
• Vestibular neuritis na inflameshn na wan nerve na di insay yes.

Wetin kin apin na PPPD na dat ivin afta di fɔs diziz ɔ sik dɔn pas, yu bren kin mɛmba di "lɔs ɔf balans" ɛkspiriɛns . If yu nɔ no, yu kin bigin fɔ no pasmak bɔt tin dɛn we de afɛkt yu balans, lɛk aw yu bɔdi de ɛn di tin dɛn we de arawnd yu. Dis hyperawareness kin mek yu fil de wɔri ɔltɛm.

Imajin se yu slip ɛn fɔdɔm na rod. Afta dat, yu go rili tek tɛm ɛvri tɛm we yu de waka na da rod de, de luk dɔŋ, ɛn tink bɔt ɛni stɛp, nɔto so? Semweso, insay PPPD, yu bren kin bigin fɔ tink tumɔs bɔt balans ɛn de wach.

Bifo yu ɛp yu, dis kayn we aw yu de fil pasmak kin mek yu bren nɔ ebul fɔ prosɛs di tin dɛn we yu de fil fayn fayn wan frɔm yu yay, mɔsul, ɛn insay yes, ɛn dis kin mek yu stebul. di masta sabi pipul dεm se yu bren de dip tu mכch pan di sεns dεm we yu de fil mכst (e.g., wetin yu de si, aw yu de ol yu bכdi), εn i nכ de yuz di sεns dεm we yu de fil sכmtεm (e.g., infכmeshכn bכt di sכft muvmεnt dεm frכm yu insay yes). Dat mismatch na in de mek yu gɛt di sik.

Dis kin rili distɔb, bikɔs jɔs lɛk aw fɔ kip balans kin kam fɔ pɔsin we nɔ gɛt PPPD, dis aypasɛnsitiviti kin kam bak fɔ pɔsin we gɛt PPPD.

Udat de pan ay risk fɔ gɛt PPPD?

Sɔm stɔdi dɔn sho se uman dɛn kin gɛt PPPD lɛk 4 tɛm pas man dɛn . Dɔn bak, pipul dɛm wae gɛt wan sik wae bin dɔn de bifo wae de afɛkt balans (wan vestibular disorder) ɔr wan mɛntɛl hεlth kɔndishɔn lɛk fɔ wɔri ɔr pwɛl hat kin gɛt PPPD afta dɛn dɔn gɛt wan pan di trigεr tin dɛm wae wi bin dɔn tɔk bɔt.

Di pɔsin we yu bi kin ɛp bak. Stɔdi dɔn sho se PPPD kin mɔs pan pipul dɛn we de introvert, we kin introvert mɔ .

Aw dɛn kin no PPPD?

Sɔntɛnde, fɔ no PPPD kin tranga bikɔs nɔr sik nɔr de na di wan wan pat dɛm na yu balans sistɛm. So, di rutin balans tεst dεm, lεk vestibular tεst, kin kam bak nכmal .

So, yu dɔktɔ go no se yu gɛt PPPD bay fayv krayteria dɛn we gɛt fɔ du wit yu sik dɛn . Dɛn kin no se yu gɛt PPPD if yu mit dɛn krayteria ya:

1. Yu dɔn fil diziz ɔ nɔ stedi bɔku dez fɔ at le tri mɔnt (we yu nɔ de fil fɔ spin).

2. Di sik kin wɔs fɔ no patikyula rizin, bɔt diziz kin wɔs we yu tinap, waka, ɔ luk bɔku tin dɛn .

3. Start fɔ spin.Yu dɔn gɛt wan tin wae kin mek yu fil fayn (wan tin wae kin apin fɔ sɔm tɛm ɔr sik wae kin kam fɔ lɔng tɛm).

4. Yu sik dɔn gɛt bad bad impak pan yu ɛvride layf ɛn kwaliti layf .

5. Yu nid fɔ mek shɔ se yu nɔr gɛt ɛni ɔda mɛrɛsin (yu kin nid fɔ du tɛst fɔ no ɔda kayn sik).

Wetin na di tritmɛnt dɛm fɔ PPPD?

Naw, no mɛrɛsin nɔ de fɔ PPPD. Bɔt sɔm tritmɛnt dɛn de we go ɛp yu fɔ kɔntrol yu diziz. Yu dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn tin ya.

Di men we dɛn fɔ trit am na:

• Vɛstibular Rihabiliteshɔn Tɛrapi (VRT): Dis na spɛshal tritmɛnt fɔ fizik tɛrapi. I de ɛp yu fɔ ɔndastand aw yu bɔdi in hyper-sensitivity (hyperfocus) de mek yu diziz. Wae yu ɔndastand wetin de apun, yu kin lan aw fɔ mɛn yu sik. I min fɔ du spɛshal ɛgzampul dɛn fɔ balans.
• Tɔk tɛrapi: Tritmɛnt lɛk Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) kin rili ɛp fɔ mɛn di wɔri we kin mek di PPPD simptom dɛn wɔs. I kin ɛp yu bak fɔ divɛlɔp strateji fɔ bi mɔ soshal ɛn kɔnfidɛns bak if yu dɔn bi sɔshal witdraw bikɔs ɔf yu vertigo.
• Mɛrɛsin: Yu dɔktɔ kin gi yu wan klas mɛrɛsin we dɛn kɔl SSRI (Selective Serotonin Reuptake Inhibitors) ɔ, if dɛn wan ya nɔ wok, SNRI (Serotonin-Norepinephrine Reuptake Inhibitors). Dis na mɛrɛsin wae dɛn kin gi pɔrsin fɔ gɛt pwɛl hat ɛn wɔri. Pan ɔl we risach stil de go bifo pan ɛksaktɔli aw dɛn tin ya de wok fɔ PPPD, dɛn tink se dɛn kin ɛp fɔ ridyus di wɔri ɛn aypasɛnsitiviti we gɛt fɔ du wit PPPD.

Us kayn dɔktɔ de trit PPPD?

If yu gɛt sayn dɛm fɔ PPPD, fɔs go to yu famili dɔktɔ (PCP) . I kin rifer yu to spɛshal pɔsin if nid de. Spɛshal pipul dɛm wae de no ɛn trit PPPD na:

• Otolaryngologist dɛn (ENT dɛn) .
• Otologist dεm - ENT dεm we spεshal pan di insay ia kכndishכn dεm
• Di wan dɛn we de stɔdi bɔt nyurolɔji
• Sayɛnsman dɛn ɔ Saykayatris dɛn
• Vestibular fyzikal tεrapist dεm

Yu tink se PPPD kin wɛl ɔltogɛda?

PPPD nɔ de go ɔlsay , ɛn i kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ kɔntrol yu vertigo.

Bɔt di gud nyus na dat bɔku pipul dɛm wae gɛt PPPD kin ebul fɔ mɛn di sik fayn fayn wan wit tritmɛnt ɛn mɛrɛsin.Di masta sabi pipul dɛm stil de du risach aw wan wan tritmɛnt ɛn kɔmbayn tritmɛnt kin ɛp pipul dɛm wae gɛt PPPD.

Aw a go tek kia ɔf misɛf as pɔsin we gɛt PPPD?

If yu gɛt PPPD, fɔ kia fɔ yusɛf min fɔ peshɛnt wit yusɛf as yu de tray fɔ fɛn tritmɛnt dɛn we go ɛp yu . Bikɔs dis sik na nyu tin, dɛn stil de du risach bɔt di tritmɛnt dɛn we go wok fayn pas ɔl. Yu kin nid fɔ tray difrɛn tritmɛnt ɛn mɛrɛsin dɛn bifo yu fɛn di wan we go wok fɔ yu.

Dɔn bak, bi gud to yusɛf as yu de lan fɔ liv wit dis diagnosis. Bɔrku pipul dɛm wae gɛt PPPD kin se e tranga fɔ ɛksplen wetin dɛn de go tru to ɔda pipul dɛm. Ɔda pipul dɛn kin tɔk tin dɛn lɛk, “Dɛn nɔ ɔndastand,” ɔ “Ɔltin de na yu ed.”

Bɔt nɔto so i bi. PPPD na rial kɔndishɔn we de ambɔg yu sɛns fɔ stebul insay yu bɔdi. Na kɔndishɔn we yu go strɛs fɔ kɔntrol. Bɔt dɔktɔ dɛn de we rɛdi fɔ ɛp yu.

Yu kin drayv if yu gɛt PPPD?

Aks yu dɔktɔ if i sef fɔ drayv if yu gɛt PPPD. Sɔm pipul dɛm wae gɛt dis sik kin gɛt bɔrku diziz we dɛn de drayv. Dɛn kin fil lɛk se di motoka go tip. Dis we aw yu nɔ balans kin mek i nɔ izi fɔ drayv sef wan. Sɔm pipul dɛn kin drayv, bɔt na spid nɔmɔ we pas di spid we dɛn dɔn post.

Yu situeshɔn dipen pan aw yu vertigo tranga ɛn if yu dɔn fɛn tritmɛnt wae go woke fɔ yu fɔ kɔntrol am. Nɔ ɛva tek chans.

PPPD na jɔs wɔri?

PPPD ɛn wɔri na tu difrɛn kɔndishɔn . Bɔt if yu dɔn ɔlrɛdi gɛt wan sik we de mek yu wɔri ɛn afta dat yu gɛt sɔntin we de mek yu wɔri, yu kin gɛt mɔ risk fɔ gɛt PPPD. Dɔn bak, fɔ liv wit PPPD we nɔr gɛt tritmɛnt kin mek yu gɛt negatif fidbak lɔp we kin mek yu wɔri wɔs.

Na dat mek di tritmɛnt fɔ wɔri (e.g., CBT, mɛrɛsin) kin bi pat pan di PPPD tritmɛnt plan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di tin we kin mek a gɛt mi PPPD?
• Us tin dɛn we a fɔ avɔyd fɔ mek a nɔ gɛt diziz we de wɔs?
• Wetin na sɔm tin dɛm wae nɔr sef fɔ mi fɔ du wit mi diagnosis (e.g., drayv, wok na ayt)?
• Us tritmɛnt dɛn yu kin kɔmɛnt fɔ mi?
• Us krayteria wi no se di tritmɛnt kin wok fayn?
• Ɛni bad tin de we dɛn tritmɛnt ya kin du?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

If yu de fil diziz ɔltɛm fɔ no rizin, go to dɔktɔ wantɛm wantɛm.I kin tek sɔm tɛm fɔ no if na PPPD de mek yu gɛt prɔblɛm wit yu balans. Bɔt di mɔ yu go fɛn ɛp kwik kwik wan, na di mɔ yu go ebul fɔ fɛn tritmɛnt plan we go ɛp yu fɔ go bak na di rayt rod .

PPPD kin bi wan sik wae de kam wae yu de liv yu layf, bɔt e nɔr nid fɔ stɔp yu kwaliti fɔ liv. If yu gi yu di rayt advays ɛn tritmɛnt, yu go lan fɔ manej am ɛn liv fayn layf. Nɔto yu wan de, ɛn dɔktɔ ɛn tritmɛnt pipul dɛn de fɔ ɛp yu pan dis waka.

` PPPD, Diziz, Balans, Vɛstibular Sistɛm, Wɔri, Tritmɛnt, Vɛrtigo