Luak chhuak test bik chungchang i zir dawn em ni? (Dix-Hallpike-a thiltih dan) .

Khumah i inher a, i chunga shelf pakhat atanga thil pakhat thleng tura i lu i han chawi a, i ding nghal vat a, khawvel pum hi a rawn inher kual vel ang maiin i inhriat ngai em? Hetianga luak chhuak nghal mai hi a chang chuan rilru hahna leh luak chhuak nen a inzawm thei bawk. Thil nuam lo leh hlauhawm tak a ni. A tam zawkah chuan eng thil nge a thlen tih pawh i ngaihtuah thei lo. Hetiang hunah hian test bik, leh awlsam tak, doctor-te’n BPPV tih hming pu natna i neih leh neih loh an hriat theihna tur test kan sawi a, chu chu he luak chhuak chhan ber a ni thei.

BPPV chu eng nge ni? Dix-Hallpike test hian eng nge a zawn?

A awlsam zawngin sawi ila, BPPV hi Benign Paroxysmal Positional Vertigo tih hming tawi a ni. Hei hi beng chhungril lama awm thin, mahse serious (benign) condition a ni lo.

Hetiang hian han ngaihtuah teh. Kan beng chhungril hi a sensitive hle a, kan taksa balance control tu a ni. Calcium lung te tak te (canaliths emaw otoconia an ti bawk) a awm a. A tlangpuiin heng lungte hi a hmun dik takah felfai taka dah a ni. Mahse, a châng chuan kum upa lam, lu hliam tenau vang emaw, chhan awm lovin emaw, heng lung te te hi an awmna aṭangin an chhuak thei a, chuta awm fluid-filled canals (semicircular canals)-ah chuan an inhnim pil thei a ni.

I lu chu hmun thenkhatah i herh chuan ball loose leh fluid chu a inher kual vel thin. Hei hian i thluak ah signal dik lo a thawn a, beisei loh takin i inher ang maiin a awm thin. Chu chu BPPV-a luak chhuaktu a ni.

Chuvangin, Dix-Hallpike test hi i doctor-in i vertigo hi BPPV emaw thil dang emaw avanga lo awm tak tak em tih finfiah nan a test a ni.

Dix-Hallpike leh Epley te hi thil inang an ni em? Eng nge a danglamna?

Heng hming pahnih hi doctor hnen atangin i hre mai thei. An pahnih hian condition BPPV nen an inzawm a, mahse an pahnih hnathawh hi a danglam vek thung. Mi tam tak chuan an pahnih hi an ti buai hle. Chuvangin he danglamna hi chiang takin i hrethiam ang u.

A pawimawh ber chu enkawl dan tur dik tak hriat chian loh chuan tih theih a ni lo tih hi a ni. Chuvangin Epley maneuver tih hmain Dix-Hallpike test hmangin BPPV a awm leh awm loh finfiah a ngai a ni.

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Engtin nge he test hi tih a nih? Hlauh tur thil a ni em?

Ni miah lo. Hei hi test awlsam tak, hrehawm lo tak a ni a, minute tlemte chauh a ni. Inbuatsaihna bik neih a ngai lo. Doctor-in a tih dan step by step-in i en ang u.

1. Thut: A hmasa berin exam dawhkanah i ke phar chungin thu turin an ti ang che.

2. Lu Turn: A dawtah chuan doctor chuan i lu chu 45 degree vel a sir khatah (dinglam emaw veilam emaw) hawitir turin a ti ang che.

3. Tilting back: Hei hi a pawimawh ber a ni. Doctor chuan uluk takin i lu a chelh ang a, rang takin hnunglam a tilt ang che. Hetih lai hian i lu chu khum atang chuan a innghat deuh ang. Ngaihtuah buai suh, doctor chuan i lu rit zawng zawng chu a kutah nghet takin a chelh tlat a ni.

4. Mit enfiah: Hetiang dinhmuna i awm lai hian doctor chuan i mit kha meng reng turin a ti ang che . Hei hi a pawimawh hle a, a chhan chu i mit a en uluk hle a ni. BPPV i neih chuan i mit chu a rawn eng nghal vat ang (hei hi nystagmus an ti).

5. Switching sides: Minute khat vel hnuah i insiamrem leh la, a sir lehlamah pawh test ang chiah kha ti leh rawh.

He test chhung hian rei lo te chhung chu i lu a buai thei. Hei hi thil pangngai a ni. Hei hi doctor-in i symptoms a finfiah theih nan a ni.

Results hian eng nge a sawi?

I doctor chuan test zawh veleh result a hrilh nghal thei che a ni.

• Test a positive a nih chuan:Chu chu i vertigo hi BPPV vang a ni ngei ang tihna a ni. Hei hi chanchin lawmawm tak a ni! A chhan chu enkawl a awlsam em em a ni. I doctor chuan Epley maneuver chu a ti nghal thei a, ball te chu a hmunah a dah leh thei bawk. A tam zawkah chuan hetianga tih zawh hian vertigo hi a reh nghal vat thin.
• Test negative a nih chuan: Chumi awmzia chu i luak chhuak hi BPPV vang ni lovin, thil dang vang a ni tihna a ni. Beng chhung lam natna, migraine emaw, vestibular neuritis emaw a ni thei. Chumi hnuah chuan i doctor chuan a chhan dik tak hriat theih nan test dang neih belh leh turin a ti ang.

He test hi tute nge nei lo tur? Risk a awm em?

Hei hi test him tak a ni tlangpui. Amaherawhchu, mi \henkhatin hetianga an tih hmain an ngaihtuah nawn leh mai thei. Bik takin:

• Kawr emaw, hnungzang emaw zai tawh emaw, rualbanlote emaw
• Neck arthritis na tak nei te
• Hmeichhe naupai
• Tun hnaia stroke nei tawhte

Chuvangin, he test hi i tih hmain i doctor hnenah i medical history kimchang hrilh hmasa phawt ang che. Tichuan i tan a him leh him loh a rel thei ang.

Hei hi in lamah keimah chauhin ka ti thei ang em?

Mi tam takin zawhna pakhat chu, ‘Hei hi in lamah tih theih a ni lo em ni?’ tih hi a ni. A chhanna chu, ‘Ni lo’ tih hi a ni. Hei hi diagnostic test a ni. Doctor enkawlna hnuaia tih tur a ni.

A chhan chu, tih dik loh chuan kawr emaw, ruhro emaw a tichhia thei a ni . Tin, doctor chauh hian mit a inthlak danglamna fiah lo (nystagmus) a hre thei a, a result dik takin a hrilhfiah thei a, a hnua tih tur a rel thei bawk.

Mahse, BPPV hi a dik tih finfiah a nih veleh i doctor chuan in lama enkawlna, Epley maneuver ang chi tih dan tur a zirtir thei che a ni. Mahse, diagnosis chu doctor-in a siam reng tur a ni.

I luak chhuak, luak chhuak, emaw, balance hloh emaw symptoms awm reng i neih chuan ngaihthah suh. Doctor hnenah thurawn dil ngei ngei tur a ni. I harsatna chhan dik tak hriat theih nan Dix-Hallpike test a ti thei a ni.