Yu kin fil bak se di wan ol wɔl de spin rawnd yu we yu tinap wantɛm wantɛm, rol oba na bed, ɔ tɔn yu ed smɔl tumɔs? Yu kin fil se yu nɔ balans we yu de waka, ɔ yu kin fil lɛk se yu go fɔdɔm? Dis dɔn mek i nɔ izi fɔ yu fɔ du di tin dɛn we yu de du ɛvride? Sɔmtɛm dis diziz kin kam wit ed we de at ɛn fil se yu nɔr wɛl. Dis rili nɔ kin mek pɔsin fil fayn. Bɔt nɔr wɔri, spɛshal tritmɛnt de wae kin ɛp fɔ dis sik. Na dat wi de tok abaut tide.
Wetin na Vɛstibular Rihabiliteshɔn Tɛrapi?
Dis kin tan lɛk se na lɔng nem, bɔt fɔ tru, i rili simpul. Fɔ tɔk am simpul wan, na sɔm ɛksesaiz dɛn we de ɛp yu fɔ kɔntrol yu diziz ɛn nɔ balans. I nɔ jɔs bi ɛni ɛksesaiz. Na ɛksesaiz we sayɛnsman dɛn mek we de tren yu bren ɛn bɔdi in balans sistɛm bak. I tan lɛk se yu de tich yu bren fɔ balans insɛf bak. I kin tek sɔm tɛm fɔ mek yu yus to am, bɔt i kin mek big chenj na yu layf.
Udat nid dis tritmɛnt?
Difrɛn kayn mɛrɛsin kin de wae kin mek pɔrsin in ed de tɔn ɛn nɔr kin balans. Dis tritmɛnt kin fayn fɔ bɔku pan dɛn kayn tin ya. Imajin if yu dɔktɔ tɛl yu se yu gɛt dis kayn sik, i rili fayn fɔ aks am bɔt dis tritmɛnt.
| Kɔndishɔn/Kɔz | Fɔ tɔk am simpul wan... |
|---|---|
| Vertigo we pɔsin kin gɛt | Sivεr diziz wae de fil lεk tin dεm wae de arawnd yu de spin, nכto yu. |
| Di sik we dɛn kɔl Ménière | Diziz kin kam wit yu nɔ de yɛri fayn, yu kin ring na yu yes (tinnitus), ɛn yu kin fil se yu de prɛs insay yu yes. |
| Benign Paroksismal Pozishכnal Vεrtigo (BPPV) . | Dis na prɔblɛm we bɔku pipul dɛn gɛt. Sivεr diziz we de las fכ fכ sεkכnd we yu tכn yu ed insay wan patikyula we (e.g., we yu de rכl ova na bed). |
| Labirintitis ɛn Vɛstibular Nyuraytis | Bɔrku diziz we kin kam bikɔs ɔf infεkshɔn na di nerv dɛm ɔr pat dɛm na di insay yes we de involv fɔ balans. |
| Maygren ed we de at | Sɔm maygren kin kam wit diziz ɛn nɔr kin balans. |
| Strɔk ɔ traumatik bren injuri (TBI) . | dis prכblεm kin apin afta kכndishכn lεk dis bikoz fכ di damej pan di pat dεm na di bren we de kכntro bεlε. |
| Risk fɔ fɔdɔm | Dis tritmɛnt rili impɔtant bak fɔ di wan dɛn we de fɔdɔm ɔltɛm, mɔ we dɛn de ol ɛn nɔ de balans. |
Aw dis kin rili wok? I wɔndaful, nɔto so?
Diziz ɛn balans tan lɛk tu say dɛn na di sem kɔyn. Fɔ ɔndastand aw dis tritmɛnt de wok, lɛ wi fɔs tek wan simpul luk pan aw wi bɔdi de balans.
Fɔs, lɛ wi ɔndastand dis diziz.
Diziz na wan tin we kin mek wi bren kɔnfyus. Tink bɔt am, wi bren de ‘kɔlkul’ ɔltɛm usay wi de ɛn aw wi bɔdi de pozishɔn we yu kɔmpia am to di tin dɛn we de arawnd wi. I tan lɛk GPS. Dis na wetin wi kɔl ``spatial orientation''. We sɔntin ambɔg dis sistɛm, di sayn dɛn we de kam na di bren kin miks. Na da tɛm de wi kin fil lɛk se wi de tɔn diziz, diziz, ɛn nɔ balans.
Ɛn wetin wi go se bɔt di balans?
Di balans we wi bɔdi de balans nɔto jɔs wan tin. Na wan kɔmbaynshɔn fɔ tri men sistɛm dɛn. wi bren (sεntri nεv sεstem) de kכlekt εn analכz di infכmeshכn we de kכmכt frכm dεn tri ya fכ mek di bכdi tinap stret.
1. Di vestibular labyrinth: Dis na di pat we impɔtant pas ɔl. Dis smɔl tin we de insay wi yes tan lɛk ɛya bɔbul insay wata bɔtul. we wi tכn wi ed, luk כp, כ luk dכn, wan wata we de insay dis sistεm de muv εn tεl di bren se, "Yu ed naw tכn to di rayt" כ "I naw strεt."
2. Vishɔn: Dis na tin we rili simpul. Wi yay de luk di tin dɛm we de rawnd wi ɛn tɛl di bren usay wi de ɛn if wi de muv ɔ nɔ de muv. Dis na di rizin we mek wi kin fil se wi nɔ balans na dak.
3. Bɔdi Sɛns (Skin, Jɔyn, Mɔsul): Smɔl smɔl tin dɛn de ɔlsay na wi bɔdi, mɔ na wi fut, jɔyn, ɛn mɔsul dɛn. Dɛn tin ya kin tɛl di bren if wi tinap, sidɔm, ɔ waka. Imajin se yu tinap ɛn ledɔm bak smɔl. Dɔn, di prɛshɔn we de na yu fut ɛn yu anklɛ dɛn de sɛn signal to di bren, we se, "Yu nɔ stret naw, yu de ledɔm bak. Bifo yu fɔdɔm, ledɔm bifo."
so, if eni wan pan dεn tri sistεm dεm ya dεn disrupt, fכ egzampl, if prכblεm de na di insay yes, di signal dεm we de kam na di bren kin miks. Di yay se, "Yu tinap stret," ɛn di yes se, "Nɔ, yu de spin." Dis kɔnfyushɔn na di bren na in kin mek wi fil lɛk se wi de tɔn diziz.
di vεstibular rihabiliteshכn tεrapi (VRT) de wok bay we i de ri-establish di kכnεkshכn bitwin dεn sistεm dεm ya. i de tren di bren fכ yuz כda sistεm dεm (ay εn bכdi sεns dεm) bεtε fכ kכmpεns di sistεm we wik. As tɛm de go, di bren kin adap to dis nyu we fɔ tink ɛn i kin ebul fɔ kɔntrol di diziz ɛn lɔs fɔ balans.
Wetin kin apin bifo ɛn we dɛn de trit am?
Bifo yu bigin dis tritmɛnt, yu nid fɔ no ustɛm na yu prɔblɛm.
- Test: Yu dɔktɔ kin rifer yu to ɔdiɔlɔjis, we go du sɔm tɛst fɔ chɛk yu yɛri ɛn balans, lɛk vestibular tɛst bateri. Wan dɔktɔ we de mɛn yu bɔdi go chɛk bak yu balans, aw yu de waka, ɛn yu trɛnk na yu an ɛn fut.
- We dɛn de du tritmɛnt: Afta dɛn tɛst ya, di fisiotɛrapist go pripia wan sɛt fɔ ɛksesaiz dɛn we go spɛshal fɔ yu. Nɔto ɔlman dɛn kin gi di sem sɛt fɔ ɛksesaiz. Dɛn kin pik di ɛgzampul dɛn akɔdin to yu prɔblɛm. We dɛn de du tritmɛnt, dɛn go tich yu di kɔrɛkt we fɔ du dɛn ɛgzampul ya. Yu fɔ du dɛn tin ya bak na os. Na dɛn kayn ɛksesaiz ya mɔ:
- Ɛksesaiz we de kɔntrol aw yu yay de muv: Tin dɛn lɛk fɔ kip yu atɛnshɔn na wan ples ɛn tɔn yu ed.
- Balans ritrenin: Praktis fɔ tinap ɛn waka na difrɛn say dɛn.
- Ɛksesaiz fɔ strɛch ɛn fɔ mek yu gɛt trɛnk: Ɛksesaiz we de mek di bɔdi gɛt mɔ trɛnk ɛn ebul fɔ chenj.
Aw lɔng dis tritmɛnt kin tek?
I kin difrɛn difrɛn wan bay di tin we de apin to yu. Di tɛm we yu fɔ tek go dipen pan wetin de mek yu gɛt diziz ɛn aw yu de du tritmɛnt.
- Bɔrku pipul kin go lɛk 6 ɔr 8 tɛm insay di wik.
- Sɔm pipul dɛn (especially fɔ kɔndishɔn lɛk BPPV) kin gɛt kɔmplit rilif insay 1 ɔ 2 sɛshɔn .
- Ɔda pipul dɛn kin nid fɔ kɔntinyu fɔ gɛt tritmɛnt ɛn ɛksesaiz na os fɔ sɔm mɔnt. Di tin we impɔtant pas ɔl na fɔ du di ɛgzampul dɛn na os jɔs lɛk aw dɛn tɛl yu fɔ du.
Wetin na di bɛnifit dɛn we dis tritmɛnt de gi?
Risach dɔn pruv se dis we fɔ trit pɔsin kin rili wok fayn.
| Di bɛnifit we i go gɛt | Dat min se... |
|---|---|
| Di risk fɔ fɔdɔm kin ridyus. | Yu go ebul fɔ waka mɔ ɛn mɔ ɛn gɛt kɔnfidɛns. |
| Di bɔdi in balans kin bɛtɛ. | Di nɔ stedi we pɔsin kin fil we i de du wok dɛn we i de du ɛvride, we i de waka, ɛn tinap, nɔ de igen. |
| Di sayn dɛm fɔ diziz kin go dɔŋ | Di diziz ɛn layt ed we yu kin gɛt ɔltɛm kin stɔp smɔl smɔl. |
| Vishɔn kin stebul. | We yu tɔn yu ed, yu nɔ de mek di tin dɛn we de arawnd yu nɔ klia ɛn yu nɔ de si tin fayn. |
| I de mek di bɔdi gɛt mɔ trɛnk | We yu de du ɛksɛsayz, dat kin mek yu bɔdi gɛt mɔ trɛnk. |
Ɛni risk de we dis kin apin?
Klose to no risk nɔr de fɔ di bɔdi pan dis tritmɛnt. I rili sef. Bɔt wan tin de. Sɔmtɛm dis tritmɛnt nɔr kin sɔlv yu prɔblɛm 100%. Ɛspɛshali if yu nɔ du di ɛgzampul dɛn we dɛn kin gi yu na os di rayt we, yu nɔ go gɛt di tin dɛn we yu bin de op fɔ. So, i rili impɔtant fɔ mek wi du dis wit wi dedikeshɔn.
Ustɛm a fɔ go to di dɔktɔ bak?
Bɔrku tɛm, dis tritmɛnt nɔr kin kɔz ɛni big prɔblɛm. Bɔt if yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya we yu de du ɛksɛsayz na os, ɔ if i wɔs, kɔl yu dɔktɔ wantɛm wantɛm.
| Pe atɛnshɔn to dɛn sayn dɛn ya. |
|---|
| * Wantɛm wantɛm chenj na di we aw pɔsin de yɛri ɔ we i nɔ de yɛri igen. |
| * Fɔ fil pen ɔr nɔr kɔmfyut prɛshɔn insay di yes. |
| * Ring na di yes we de stat bak ɔ we de kam tranga pas aw i bin de bifo. |
| * Fluid we de kɔmɔt na di yes. |
| * Nyu pen ɔ diskɔmfɔt na yu nɛk ɔ bak we yu de du ɛksɛsayz. |
Diziz ɛn lɔs fɔ balans nɔ kin rili fayn. I kin bi big tin we de ambɔg wi ɛvride layf. Bɔt yu nɔ nid fɔ liv wit am. Tru dis tritmɛnt we dɛn kɔl `(Vestibular Rehabilitation Therapy)`, yu kin gɛt yu kɔntrol bak. If yu gɛt dɛn sik ya, nɔ fred ɛn nɔ delay, tɔk to yu dɔktɔ . I go chɛk yu, disayd if dis na fayn tritmɛnt fɔ yu, ɛn sɛn yu to spɛshal pɔsin if nid de.
Mɛsej we dɛn kin kɛr go na os
- Vestibular Rehabilitation Therapy na wan tritmɛnt we rili fayn fɔ diziz ɛn fɔ lɛf fɔ balans, we dɛn kin du spɛshal ɛksesaiz.
- Dis kin mek yu tren bak di kɔnekshɔn bitwin yu bren, di balans sistɛm na yu insay yes, yu yay, ɛn di tin dɛn we yu bɔdi de sɛns.
- Dis na tritmɛnt we rili sef. Fɔ mek i go bifo, i impɔtant fɔ du di ɛgzampul dɛn kɔrɛkt wan ɛn ɔltɛm na os.
- If yu kin gɛt diziz ɔltɛm ɔ yu kin gɛt prɔblɛm wit yu balans, nɔ ignore am, ɛn fɔ tru, go to dɔktɔ fɔ advays.
- If ɛni ɔda kayn sayn we nɔ kɔmɔn apin we yu de trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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