I lu a buai nghal em? BPPV (Benign Paroxysmal Positional Vertigo) a ni thei!

Khum atanga i tho emaw, i lu chu a sir lehlamah i hawitir emaw khan khawvel pum hi a inher ang maiin i inhriat ngai em? Chutiang hun lai chuan hlauhna tlem a awm chu thil pangngai a ni. A tam zawkah chuan hei hi BPPV (Benign Paroxysmal Positional Vertigo) tih natna avang a ni thei a, chu chu vawiin hian kan sawi dawn a ni. A hming hi sei deuh mah se, natna hlauhawm tak a ni lo.

BPPV (Benign Paroxysmal Positional Vertigo) hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, BPPV hi kan beng chhungril lama harsatna tenau tak a ni. Thil thleng chu i lu chu kawng hrang hranga i sawn a, i han hawi chho a, khum atanga i tho a, khumah i roll over chuan room pum pui chu a inher (vertigo) ang maiin i inhriat nghal a ni. Lawngah emaw, infiamna toy-ah emaw i awm ang maiin a lang thei.

"Benign" tih hian hei hi a hlauhawm lo, cancer ang chi a ni lo tihna a ni. "Paroxysmal" tih awmzia chu he luak chhuak hi a lo thleng nghal a, a lo thleng nghal a, rei vak lo hnuah a bo ta tihna a ni. "Positional" tih hian lu dinhmun a inthlak hian a thleng tihna a ni. "Vertigo" tih hian chu spinning sensation ka sawi kha a kawk a ni. Chuti a nih chuan, a hming ngei pawh hian awmzia a nei a ni lawm ni?

BPPV hi natna khirh tak ni lo mah se, a natna lan chhuah dan chu a hlauhawm khawp mai. Kum 65 chunglamte chu tlu hlauhawmna a sang hle a, a bik takin he natna hi an neih chuan an tlu thei a ni. An tih chuan an ke ruh (fractures) pawh an tikehsawm thei a ni. Hei hi kan hriat chian a pawimawh hle a ni.

Tute nge BPPV vei tam zawk?

Kum eng pawhah BPPV hi awm thei mah se, kum 50 chunglam zingah a tam ber a , a nihna takah chuan he kum lama mi zinga a chanve vel chuan an dam chhungin vawi khat tal BPPV hi an tawk dawn niin an sawi.

BPPV hi naupang tê têah a tlem hle a, mahse a chang chuan hmuh theih a ni.

BPPV hi engtiang chiahin nge a hluar?

Dik tak chuan BPPV hi inner ear disorder a awm fo thin a ni. Vertigo nei doctor pan thin zinga 20% chauhvin BPPV an nei tak tak tih hmuhchhuah a ni. Chu chu hetiang hi i tawng a nih chuan nangmah chauh i ni lo tihna a ni.

BPPV i neih chuan a awm reng dawn em ni?

Ni lo, BPPV hi a mah chauhin a bo fo thin . Amaherawhchu, enkawl leh control tha a nih loh chuan a lo let leh thei a ni. Mi thenkhat tan chuan vertigo hi thla tam tak emaw, kum tam tak hnuah pawh a lo let leh thei a ni.

BPPV natna lan chhuah dan chu engte nge ni?

BPPV chhinchhiahna ber chu khawvel a inher (vertigo) anga hriat hi a ni. He spinning sensation hi a na lo thei a, a na thei bawk. Second tlemte atanga minute khat thleng a daih thei. Symptom dang pawh a awm thei a, chungte chu:

• Luak chhuak thei
• Lightheadedness, tui chunga inhnim ang maia inhriatna
• Kal lai emaw, ding lai emawa balance hloh (Balance problems) .
• Nausea leh luak chhuak
• Mit hmuh a fiah lo
• Rapid, continuous eye movements (Nystagmus) - Hei hi i hre lo a nih pawhin doctor-in a hmu thei.

BPPV hian beng pakhatah a nghawng tlangpui a, mahse a tlem hle a, beng pahnih a nghawng thei.

Eng thilin nge BPPV a lo lang nghal chhan?

BPPV hi i lu dinhmun i thlak hian a lo awm fo thin. Mi thenkhat chuan mut emaw, khum atanga tho emaw hian heng symptoms te hi an nei thei a ni. Mi dangte chuan an lu hnunglam an hawi emaw, a sir khata an hawi emaw hian an tawng thei a ni. Kan tar chhoh zel chuan kan beng chhungril hmun nalh tak takte chu a chhe vek a, chuvangin heng symptoms te hi a pung thei a ni.

A châng chuan BPPV hi beng chhung lam natna dang chhinchhiahna a ni thei bawk. Entir nan:

• Beng chhung lam natna emaw, a hring emaw (Labyrinthitis) .
• Vestibular neuritis (balance nena inzawm nerve a hring) .
• Acoustic neuroma hi cancer ni lo, beng chhunga lo awm thin a ni.

Tin, migraine nei te pawhin BPPV an nei thei bawk. A nih loh leh, BPPV hi lu-a vuak na tak hnuah a lo awm thei a, entirnan, tlu emaw, accident emaw, infiamna khelh laiin accident dang emaw a awm thei bawk.

Engvangin nge ka lu ka thing hian ka lu ka luak thin? Hemi chhungah hian eng thil nge thleng?

Okay, hei hi scientific story deuh a ni a, mahse a awlsam zawngin ka sawi ang. Kan beng chhungril lamah hian balance control tu part a awm a. Channel system a nei a , chu chu `Semicircular canals` tih a ni. Tin, heng channel bulah hian taksa peng te tak te dang `Utricle` an tih pawh a awm bawk.

He `Utricle` chhungah hian calcium carbonate `(Otoconia) .` atanga siam powder ang chi thil te tak te tak te a awm a. A tlangpuiin heng `Otoconia` te hi chu `Utricle` chhungah chuan an awm tur a ni.

Mahse, a chang chuan hliam, hri kai, emaw tar vang emaw hian heng `Otoconia` (Otoconia) thenkhat hi `Utricle` (Utricle) atang hian an tlanchhuak a, chu `Semicircular canals` (Semicircular canals) ah chuan an lut thin. Chutah chuan buaina chu a intan ta a ni.

I lu i thing chuan chu canal chhunga awm `Otoconia` chu a rawn inher leh chhuak thin. Heng canal chhungah hian sam ang chi te tak te tak tak `(Cilia) a awm a.` Heng `Cilia` te hi kan thluak ah balance chungchang information thawntu an ni. Chu `Otoconia` te chu an roll a, heng `Cilia` te hi an rawn hit chuan thluak hian signal dik lo a hmu a, i inher ang maiin. Chuvang chuan i lu a hah thin. I hrethiam em? Kan beng chhunga balance system-a "short circuit" tlem te ang mai a ni.

Engtin nge doctor hian BPPV hi a hriat theih ang?

Doctor i pan chuan an enfiah ang che, i symptoms te an zawt ang che a, BPV i vei em tih hriat nan i damdawi lam dinhmun dangte pawh an zawt ang che. A chang chuan test bik (Dix-Hallpike test) an nei thin.Hei hi i ti thei ang. Doctor chuan khumah mu turin a ti ang che a, i lu chu a sir lehlamah a her kual ang a, i lu a buai em tih emaw, i mit a hrual em tih emaw (nystagmus) a en ang.

BPPV hi rang taka tihdam theih dan a awm em?

BPPV enkawlna tha ber leh rang ber chu physical therapy exercise hi a ni. Heng exercise te hi `Canalith Repositioning Procedures` tih a ni. Hengte hian a tum ber chu `Semicircular canals`-a `Otoconia` tangte chu an awmna tur hmun, `Utricle`-ah sawn leh a ni. Chutah chuan a awm chuan a particle te chu a inthiarfihlim a, harsatna a awm tawh lo.

Heng exercise bakah hian i luak chhuak tihziaawm nan motion sickness damdawi thenkhat i ei thei bawk. Amaherawhchu heng damdawi te hi ei chhunzawm zel a tha lo.

Engtin nge heng BPPV exercise te hian hna an thawh?

Heng exercise, ``Canalith Repositioning Procedures'' tia koh te hi minute 15 vel a ni tlangpui. Hetah hian i lu leh taksa chu pakhat hnu pakhatin an manipulate a, chu chu a hmun dik lo ``Otoconia'' chu hmun dangah dah leh a ni.

Bottle atanga lung lian lo tak tak lak chhuah tum ang maiin han ngaihtuah teh. Chu chu bottle chu a sir lehlamah i herh a, i ti thin. He exercise hi chutiang chu a ni.

Chutiang exercise session pakhat chuan BPPV vei zinga 80% atanga 90% vel chu a ti hahdam ang. Mahse, symptoms a awm reng chuan session engemaw zat tih belh a ngai mai thei.

I doctor chuan heng exercise te hi a entir thei che a ni. In lama tih dan tur pawh an zirtir thei bawk. Tichuan i luak chhuak apiangin i ti thei ang.

In lama exercise step awlsam tak tak i tih theih tur thenkhat chu hetiang hi a ni (hei hi Epley Maneuver nen a inang a, mahse doctor rawn hmasa phawt ang che ):

• Step 1: Khumah ding chungin thu rawh. I lu chu degree 45 velin i beng lam hawi la, i luak chhuak na tur lam hawi la. (Entirnan, i beng dinglam a nih chuan dinglam hawi la).
• Step 2: Rang takin khumah mu rawh. I lu chu i hawi kualna lam khatah dah la, i lu chu khum level hnuai lam deuhah (khum kil atanga chhuak ang maiin) mu rawh. Minute khat vel nghak la, a nih loh leh i symptoms a reh hma loh chuan nghak rawh.
• Step 3: I lu chawi sang lovin, rang takin i lu chu a sir lehlamah hawitir rawh. Hei hian i beng "tha" chu tunah chuan khum nen a inmil tur a ni tihna a ni a, a hnuai lam deuhah a awm tur a ni. Minute khat vel, a nih loh leh a natna lan chhuah dan a reh hma loh chuan vawn reng tur a ni.
• Step 4: A sir lehlamah roll over rawh. I lu chu degree 90 dangin chutiang lam hawiin her leh rawh. Tunah chuan i hnar chu lei lam hawi tur a ni. Minute khat vel chu vawn tlat tur a ni.
• Step 5: I hmui chu i rilruah dah la, i taksa sir khatah ding rawh. Tichuan doctor-in a pek dan dang zawng zawng chu zawm rawh.

Pawimawh: He exercise i tih hian a bul hnaia awm a tha ber, luak chhuak a tipung thei a ni.Doctor remtihna tel lo chuan heng exercise te hi nangmah chauhin ti ngai suh, a bik takin kawr natna i neih chuan.

BPPV hi a mah chauhin a tha chho em?

Ni e, BPPV hi a mah chauhin a bo fo thin. Mahse, a lo let leh thei. A lo awm a nih chuan i doctor chuan i symptoms enkawl dan tur a zirtir ang che.

BPPV vei theihna hi a tlahniam thei ang em?

Vanduaithlak takin BPPV hi a veng kim thei lo. Mahse, ka sawi tawh `particle repositioning exercises` tih hmangin symptoms chu i manage thei ang. Lu hliam avanga BPPV vei theihna tihziaawm nan bike khalh emaw contact sports khelh emaw hian helmet vuah theihnghilh suh.

BPPV i neih chuan eng nge beisei tur?

Thu lawmawm tak chu BPPV hi hriselna lama harsatna lian tham a nihzia tilangtu a ni lo. Mahse, heng symptoms te nen hian nun hi a hlauhawm deuh thei a, a ti thinrim thei bawk. I doctor chuan in lama BPPV exercise tih dan tur a zirtir thei che a, chuvangin harsatna i neih hmasak ber hunah i control thei ang.

BPPV hi eng chen nge a daih theih?

A tam zawkah chuan BPPV vanga vertigo hi minute 1 emaw 2 emaw chhung a awm thin. I natna lan chhuah dan chu a na lo hle thei a, a nasat em avangin i luak chhuak thei bawk. Ding emaw, kal emaw laiin i balance i hloh thei a, i tlu thei bawk.

Engtikah nge Doctor ka hmuh ang?

BPPV avanga vertigo i neih chuan doctor pan la, thurawn la rawh. I natna lan chhuah dan tihtlem nan physical therapy exercise a zirtir ang che.

Mahse, lu na tak, rilru na emaw, thinlung na mumal lo emaw nena luak chhuak i neih chuan 911 call nghal la, damdawi in hnai ber pan rawh. Chûngte chu natna khirh tak dang chhinchhiahna a ni thei bawk.

BPPV chungchanga hriatthiam tur thu pawimawh tlemte

Kan sawi tawh chu hrethiam zawk tur chuan kan beng chhung lam hengte hi tlem han zir ila:

• Semicircular canals: Hengte hi kan lu-a gyroscope ang mai a ni. Kawng pathum-ah channel an nei vek a: chunglam, hnuai lam leh a sir lam. Heng channel te hi an inzawm khawm chuan kan lu awmna (e.g., i kal lai, i hawi lai) chungchangah kan thluak hnenah signal an thawn a.
• `Cupula`: Hei hian semicircular canals chhunga tui luang chhuak chu a hre thei a. He tui luang chhuak hian kan taksa hi a che thei tih hriatna petu a ni.
• `Utricle`: Hei hi beng chhungril chhunga organ pakhat a ni bawk a, balance control naah a pui bawk. Sam cell tha tak tak a awm a, chu chu `Otoconia` in a khuh a ni. Heng `Otoconia` te hi gravity nena an oscillate hian thluak hnenah lu leh taksa awmna (upright emaw tilted emaw ang chi) chungchangah signal an thawn thin.
• `Otoconia`: Hengte hi a hmaa ka sawi tawh calcium crystal particle te tak te te kha an ni. Chungte chu `Utricle` (an hmin theihna hmun) a\angin an in\hen a, `Semicircular canals` (an hmin lohna hmun)-ah an lut ta a ni.
• Cochlea: Hei hi kan beng chhungril lama "snail shell" ang chi hriatna peng a ni. Aw chu nerve impulse-ah a chantir a, thluak lamah a thawn chhuak thin.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

BPPV hi nunna atana hlauhawm tak a ni lo a, mahse i nunphungah nghawng lian tak a nei thei a ni. BPPV symptoms, luak chhuak nghal, vertigo, balance hloh emaw i neih chuan doctor pan tur a ni. A tam zawkah chuan physical therapy exercise leh in lama damdawi te hian i natna lan chhuah dan tur a thunun thei a ni. Hlauthawng suh, mahse hei hi fimkhur rawh.

` BPPV, vertigo, luak chhuak, beng chhung lam, otoconia, balance, Epley maneuver