Khum atanga i tho a, i hawi let emaw, i han hawi chho emaw hian khawvel pum pui hian a rawn inher kual vel ang maiin i inhria nghal em? Chutih lai chuan i ding thei lo va, i rilru a hah hle a, chubakah chuan rilru hahna i nei bawk. He luak chhuak hi minute tlemte chhungin reh mahse, chutih laia hlauhna i neih chu a ropui hle. Mi tam takin chutiang thil tawn chu an lo tawng tawh a ni. Chuvangin vawiinah hian hei hi a chhan ber leh doctor-te’n a natna hriat theihna atana an hman test awlsam tak chungchang hi han sawi ila.
Engvangin nge hetiang hian ka lu a inher? BPPV chu eng nge ni?
Hetianga luak chhuak nghal mai chhan ber leh awm tam ber chu Benign Paroxysmal Positional Vertigo an tih hi a ni. A tawi zawngin (BPPV) kan ti a. A hming hi sei deuh mah se, a awmzia chu a awlsam hle.
- Benign - Chumi awmzia chu a hlauhawm lo leh nunna atana hlauhawm a ni lo tihna a ni. Cancer ang chi a ni lo.
- Paroxysmal - chu chu a intan nghal a, rei vak lo hnuah a takin a reh tihna a ni.
- Positional - Hei hian lu position a inthlak hian a thleng tihna a ni.
- Vertigo - tih hian kan hriat angin luak chhuak tihna a ni.
A awlsam zawngin BPPV hi hlauhawm lo tak a ni a, a lo awm nghal a, lu an sawn chuan hun rei lote hnuah a reh leh thin.
Awle, tunah chuan hetiang thil hi engvangin nge a lo awm tih hi han en ila. Kan beng chhungah, beng chhungril lamah hian taksa inthlauhna (balance) thunun theitu, sensitive tak tak a awm a. Hemi chhungah hian calcium carbonate crystal te tak te tak tak a awm a. Sand chi hrang hrang angin ngaihtuah rawh. A tlangpuiin heng crystal te hi an awmna tur hmunah mumal takin an inrem thin.
Mahse, a châng chuan kan tar chhoh zêl chuan lu-ah bump tlem kan neih hian, emaw, chhan awm lovin emaw, heng crystal ṭhenkhat hi an awmna hmun aṭanga chhuakin, balance siamtu channel (`Semicircular canals`) system-ah an lut thei ṭhin. Tunah chuan tui bottle chhungah lunghlu te tak te engemaw zat a awm tih han ngaihtuah teh. Bottle i han vawrh chuan chu lung lian tak takte chu a kal leh zel a, tui chu a tichhe vek a ni lawm ni? Chutiang bawkin, i lu i han thing hian, chu crystal hmun dik lo lama kal tawhte pawh chu an kal leh zel a, chu channel chhunga tui awm nen chuan an insu a, kan thluak hnenah "tunah chuan i lu a buai tawh" tih signal dik lo an thawn a ni. Kan luak tak tak lo nachungin thluak hian chu signal chu a ring a, chuvang chuan kan luak chhuak tih kan hria. Chu chu BPPV-ah chuan a thleng thin.
Chuti a nih chuan, engtin nge doctor chuan BPPV i neih leh neih loh dik taka a hriat theih ang?
Hetiang vertigo i neih chuan doctor i pan dawnin BPPV i nei tak tak em tih emaw, thil dang avanga vertigo a nih leh nih loh emaw a enfiah tur a ni, a chhan chu vertigo thlentu dang a awm thei a ni.
Khawvel hmun hrang hranga doctor-te’n BPPV an hriat theihna tura an test ber leh dik ber chu Dix-Hallpike Maneuver a ni.Hei hi test awlsam tak a ni a, kum 1952 atang khan hman tan a ni a, eng machine emaw damdawi emaw hman a ni lo.
He test-ah hian doctor chuan uluk takin i lu chu hmun bik hrang hrangah a her kual thin. Chutianga i tih chuan a hmaa kan sawi tawh, displaced crystals te chu an che leh tan ta a ni. Chutiang a lo thlen chuan i lu a na a, i mit chu a bik takin a che tan ta a ni. Doctor chuan chu che vel chu a en a.
Dix-Hallpike test hi step khat hnu step khata tih dan tur
He thu i hriat hian i hlau mai thei. " Aw , i lu i lu i thing mai ang em?" Mahse hlauhthawn a ngai lo . Doctor chuan fimkhur takin a ti a, i lu chu a thununna hnuaiah a awm vek a ni. Hei hian minute tlemte chauh a la a ni.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| Step 1: Thut dan | Exam table-ah chuan i ke phar chungin ding chungin i thu ang. |
| Step 2: Lu lam hawi | Doctor chuan i lu chu degree 45 velin dinglam emaw veilamah emaw a hawitir ang. Hetih lai hian mit khap reng turin an ti ang che. |
| Step 3: Mut vat rawh | A dawtah chuan i lu chu i hawi let ang chiah khan dahin, doctor chuan rang takin khumah a muhil ang che, i lu leh i kekawrte chu a chelh ang che. Hetah hian i lu chu khum atang chuan a sang deuh ang a, chu chu i kawr chu a ben deuh ang tihna a ni. Mahse doctor kut chuan i lu rit zawng zawng a thlawp vek avangin engmah hrehawmna i nei lovang. |
| Step 4: Monitoring neih a ni | Doctor chuan chutiang dinhmunah chuan second 30 vel a chelh ang che, i mit chu ngun takin a en ang che. Hemi hun chhung hian i lu a buai thei. Tin, BPPV i neih chuan i mit chu thunun theih loh khawpin rang takin (a hnung leh hnung) a kal ang. Hei hi nystagmus an ti a . |
| Step 5: Thut lehin a sir lehlamah check | Tichuan uluk takin i thu leh ta a. Luak chhuak a reh hma chu nghak la, chutah chuan i lu chu a sir lehlamah han hawi la, chutiang bawk chuan test rawh, a chhan chu heng crystal te hi beng dinglam emaw veilam emaw ah a awm thei a ni. |
Nystagmus hi eng nge ni?
Hei hi BPPV nemnghehna chhinchhiahna ber a ni. Chutianga i lu hnunglam i han tilt chuan inner ear crystals te chu an che a, thluak ah signal dik lo an thawn a, chu chu chhanna atan i mit chu a na nghal vat thin. Darkar ri ang mai a ni. I titawp thei lo. I doctor hian hei hi a hmuh chuan BPPV i nei tih chu 100% velin a chiang thei a ni.
He test hmang hian risk a awm em?
Dix-Hallpike test hi a tlangpuiin a him hle . Mahse, i kawng hliam emaw, i hnungzang na emaw, tun hnaia stroke i neih emaw chuan i doctor chuan test chu skip emaw, modified version tih emaw a rel thei a ni.
Entirnan, i ke hnuaiah pillow dahin khumah i lu dahin i ti thei ang. Hetiang hian i kawngah pressure a awm lo. Naupai i nih chuan doctor hnenah hrilh ngei ang che. I dinhmun atan hian engkim hi a him ber angin a ti vek ang.
Test result chu eng nge ni?
He test thatna lian ber chu result i hriat nghal theih hi a ni. Report lo thleng tur chu ni tam tak nghah a ngai lo. A rah chhuah chu "Positive" emaw "Negative" emaw pawh a ni thei.
Dix-Hallpike Positive a nih chuan...
Hei hian BPPV i vei tih hmuhchhuah a ni tihna a ni . Hei hi chanchin lawmawm tak a ni! A chhan chu BPPV hi damdawi tel lo pawha tihdam theih vek tawh, exercise program awlsam tak hmanga tihdam theih a nih vang a ni.
Test a positive a nih chuan a tam zawkah chuan doctor in a enkawl nghal mai ang che. Chumi atana hmanraw hman chu Epley Maneuver an ti a . Hei hi Dix-Hallpike nen a inang a, i lu chu hmun hrang hrangah i herh a ni. Mahse hei hian a tum ber chu hmun dik lo lama kal crystal te chu an awmna tur hmuna sawn leh a ni.
Dix-Hallpike hi negative a nih chuan...
Chumi awmzia chu i luak chhuak hi BPPV vang a ni lo tihna a ni. A chhan dang a awm thei tihna a ni. Chutih hunah chuan i doctor chuan i symptoms a zirin test dang a refer ang che a, i luak chhuak chhan dik tak chu a zawng chhuak ang.
Dix-Hallpike leh Epley Maneuver - An pahnih hi eng nge an danglamna?
Mi tam tak chuan heng hming pahnih hi an ti buai hle. An pahnih hian BPPV nen inzawm mah se, hna hrang hrang an nei a ni.
| Mihring ziarang | Dix-Hallpike-a thiltih dan a ni | Epley chuan a rawn ti a |
|---|---|---|
| Tum ber chu | Diagnosis - BPPV i neih leh neih loh hriatchhuah. | Treatment - BPPV dinhmun siamthat nan crystals te chu repositioning. |
| Engtikah nge tih a nih ang? | Symptoms a awm chuan a chhan zawn chhuah hmasak ber tur a ni. | Dix-Hallpike test hi "positive" a nih hnuah tih a ni. |
| Nghawngchhuah | Natna finfiah emaw, nemnghet lo emaw. | Symptoms tihziaawmna, luak chhuak bo. |
A pawimawh hle: He test hi nangmah ngeiin in lamah tih tum ngai suh. Hei hi doctor trained chauhin tih tur a ni. Thil tih dik loh chuan kawng a tichhia thei a, misdiagnosis a thlen thei bawk.
A châng chuan, i doctor-in BPPV i neih thu a finfiah hnuah, in lama Epley Maneuver tih dan tur an zirtir thei che a ni. Mahse chu chu i doctor enkawlna hnuaiah chauh tih tur a ni.
Dix-Hallpike Maneuver hi hmanraw tangkai tak leh awlsam tak a ni a, kum 70 chuang zet BPPV hriat theihna atana hman tawh a ni. Chu natna chu tidam lo mah se, i vertigo awm chhan dik tak chu a zawng chhuak thei a, enkawlna dik tak i tan thei bawk. Chuvangin, heng symptoms te hi i neih chuan doctor hmuin sawi hreh suh.
Take-Home Thuchah a ni
- I lu i tihchet laiin luak chhuak nghal mai theitu ber chu BPPV (Benign Paroxysmal Positional Vertigo) a ni thei.
- BPPV hi beng chhunga crystal te te an inthlak danglam avanga hlauhawm lo a ni.
- I doctor chuan BPPV i vei nia a rinhlelh chuan a finfiahna atana test ber chu Dix-Hallpike Maneuver a ni.
- Hei hi test him tak a ni a, minute tlemte chhunga tih theih a ni. Test neih chhung hian luak chhuak tlem i nei thei.
- Test neih chhunga nystagmus (involuntary eye movements) a awm chuan BPPV a awm tih finfiahna nghet tak a ni.
- He test hi in lamah mahni chauha tih tum ngai suh. Doctor enkawlna hnuaiah tih reng tur a ni.
- BPPV enkawlna hi thil awlsam dang Epley Maneuver an tih a ni a, hei hi test ni khatah tih theih a ni fo.











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