Kodi mwadzidzidzi mukumva chizungulire? Mwina ndi BPPV (Benign Paroxysmal Positional Vertigo)!

Kodi munayamba mwamvapo ngati dziko lonse likuzungulira mutadzuka pabedi kapena mutatembenuza mutu wanu kumbali? Ndizachibadwa kumva mantha pang'ono nthawi zina ngati zimenezo. Nthawi zambiri, izi zimatha kuchitika chifukwa cha matenda otchedwa BPPV (Benign Paroxysmal Positional Vertigo), omwe tikambirana lero. Ngakhale kuti dzinali ndi lalitali pang'ono, si matenda oopsa.

Kodi BPPV (Benign Paroxysmal Positional Vertigo) ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, BPPV ndi vuto laling'ono m'khutu mwathu. Chomwe chimachitika ndichakuti mukasuntha mutu wanu mbali zosiyanasiyana, kuyang'ana mmwamba, kudzuka pabedi, kapena kugubuduzika pabedi, mwadzidzidzi mumamva ngati chipinda chonse chikuzungulira (vertigo). Zingamveke ngati muli m'sitima kapena pa chidole chozungulira.

"Benign" amatanthauza kuti izi sizowopsa, osati chinthu chonga khansa. "Paroxysmal" amatanthauza kuti chizungulirechi chimabwera mwadzidzidzi, mwadzidzidzi, ndipo chimatha pakapita kanthawi. "Positional" amatanthauza kuti izi zimachitika pamene mutu wasintha. "Vertigo" amatanthauza kugwedezeka komwe ndatchula. Chifukwa chake, dzinalo lili ndi tanthauzo, eti?

Ngakhale kuti BPPV si matenda oopsa, zizindikiro zake zimakhala zoopsa kwambiri. Anthu azaka zopitilira 65 ali pachiwopsezo chachikulu chogwa, makamaka ngati ali ndi vutoli. Ngati atagwa, amatha kuthyoka miyendo yawo (kusweka). Chifukwa chake, ndikofunikira kudziwa izi.

Ndani amene ali ndi mwayi waukulu wopeza BPPV?

Ngakhale kuti BPPV imatha kuchitika pa msinkhu uliwonse, imapezeka kwambiri mwa anthu azaka zopitilira 50. Ndipotu, akuti pafupifupi theka la anthu azaka izi adzakumana ndi BPPV kamodzi pa moyo wawo.

BPPV ndi yosowa kwambiri mwa ana aang'ono, koma nthawi zina imatha kuwoneka.

Kodi BPPV ndi yofala bwanji?

Ndipotu, BPPV ndi matenda ofala kwambiri m'makutu. Zapezeka kuti 20% yokha ya anthu omwe amapita kwa dokotala ali ndi vuto la chizungulire ndi omwe ali ndi BPPV. Izi zikutanthauza kuti ngati mukukumana ndi izi, simuli nokha.

Ngati mutakhala ndi BPPV, kodi idzakhala yokhazikika?

Ayi, BPPV nthawi zambiri imatha yokha . Komabe, ngati sichichiritsidwa ndi kulamulidwa bwino, chingabwererenso. Kwa anthu ena, chizungulire chingabwererenso miyezi ingapo kapena zaka pambuyo pake.

Kodi zizindikiro za BPPV ndi ziti?

Chizindikiro chachikulu cha BPPV ndikumva ngati dziko likuzungulira (vertigo). Kuzungulira kumeneku kumatha kukhala kofatsa kapena koopsa. Kumatha masekondi angapo mpaka mphindi imodzi. Kumatha kutsagana ndi zizindikiro zina, kuphatikizapo:

• Chizungulire
• Mutu wopepuka, kumva ngati ukuyandama
• Kutaya mphamvu poyenda kapena kuyimirira (Mavuto a kulinganiza bwino)
• Kusanza ndi kusanza
• Maso osawoneka bwino
• Kuyenda kwa maso mwachangu komanso mosalekeza (Nystagmus) - Ngakhale mutazindikira izi, dokotala akhoza kuziona.

BPPV nthawi zambiri imakhudza khutu limodzi nthawi imodzi, koma nthawi zambiri imatha kukhudza makutu onse awiri.

Kodi n’chiyani chimayambitsa BPPV kuonekera mwadzidzidzi?

BPPV nthawi zambiri imachitika mukasintha malo a mutu wanu. Anthu ena amatha kuona zizindikirozi akagona kapena akutuluka pabedi. Ena amatha kuziona akatembenuza mutu wawo kumbuyo kapena kuutembenuza kumbali. Pamene tikukalamba, ziwalo zofewa zamkati mwa khutu lathu zimafooka, kotero zizindikirozi zimatha kuwonjezeka.

Nthawi zina, BPPV ikhoza kukhala chizindikiro cha vuto lina mkati mwa khutu. Mwachitsanzo:

• Matenda kapena kutupa kwa khutu lamkati (Labyrinthitis)
• Vestibular neuritis (kutupa kwa mitsempha komwe kumakhudzana ndi kulinganiza bwino)
• Acoustic neuroma ndi chotupa chosakhala khansa chomwe chimakula m'khutu.

Kuphatikiza apo, anthu omwe ali ndi mutu waching'alang'ala amatha kukhala ndi BPPV. Kapena, BPPV imatha kudwala mutu utamenyedwa mwamphamvu, mwachitsanzo, kugwa, ngozi, kapena ngozi ina akamasewera masewera.

N’chifukwa chiyani ndimachita chizungulire ndikagwedeza mutu wanga? Kodi n’chiyani chikuchitika mkati mwake?

Chabwino, iyi ndi nkhani ya sayansi pang'ono, koma ndingoifotokoza mwachidule. M'khutu mwathu, muli gawo lomwe limalamulira kulinganiza. Lili ndi njira yotchedwa `Semicircular canal` . Komanso, pafupi ndi njirazi pali chiwalo china chaching'ono chotchedwa `Utricle`.

Mkati mwa 'Utricle' iyi, muli tinthu tating'onoting'ono tonga ufa topangidwa ndi calcium carbonate '(Otoconia) .' Ganizirani izi ngati 'timiyala' tating'onoting'ono m'khutu. Kawirikawiri, 'Otoconia' iyi iyenera kukhala mkati mwa 'Utricle' imeneyo.

Komabe, nthawi zina chifukwa cha kuvulala, matenda, kapena ukalamba, ena mwa `Otoconia` (Otoconia) amenewa amathawa kuchokera ku `Utricle` (Utricle) ndikulowa mu `Semicircular canal` (Semicircular canal). Apa ndi pomwe vuto limayamba.

Mukagwedeza mutu wanu, 'Otoconia' yomwe ili mkati mwa ngalandezo imazungulira mmbuyo ndi mtsogolo. Mkati mwa ngalandezi muli ziwalo zooneka ngati tsitsi '(Cilia).' 'Cilia' izi ndi zomwe zimatumiza chidziwitso chokhudza kulinganiza ku ubongo wathu. 'Otoconia' imeneyo ikazungulira ndikugunda 'Cilia' izi, ubongo umalandira chizindikiro cholakwika, ngati kuti ukuzungulira. Ndicho chifukwa chake mumamva chizungulire. Kodi mukumvetsa? Zili ngati "short circuit" pang'ono mu dongosolo lolinganiza m'makutu mwathu.

Kodi dokotala amazindikira bwanji BPPV?

Mukapita kwa dokotala, adzakuyesani, adzakufunsani za zizindikiro zanu, ndikufunsani za matenda ena omwe muli nawo kuti adziwe ngati muli ndi BPV. Nthawi zina, mayeso apadera (Dix-Hallpike test) amachitidwa .Mukhoza kuchita izi. Dokotala adzakugonetsani pabedi ndikutembenuza mutu wanu kuchokera uku ndi uku kuti aone ngati mukumva chizungulire kapena ngati maso anu akugwedezeka (nystagmus).

Kodi pali njira yochiritsira BPPV mwachangu?

Chithandizo chabwino komanso chachangu cha BPPV ndi masewera olimbitsa thupi. Masewerawa amatchedwa `Canalith Repositioning Procedures`. Cholinga cha izi ndikusuntha `Otoconia` yomwe yakhazikika mu `Semicircular canal` kubwerera komwe iyenera kukhala, `Utricle`. Zikafika pamenepo, tinthu tating'onoting'ono timasungunuka ndipo sitikhalanso vuto.

Kuwonjezera pa masewera olimbitsa thupi awa, mutha kumwa mankhwala ena ochepetsa chizungulire. Komabe, sikoyenera kumwa mankhwala awa nthawi zonse.

Kodi maseŵera olimbitsa thupi a BPPV amenewa amagwira ntchito bwanji?

Masewerowa, otchedwa ``Canalith Repositioning Procedures,'' nthawi zambiri amatenga mphindi 15 kuti achitike. Pachifukwa ichi, mutu ndi thupi lanu zimasinthidwa chimodzi ndi chimodzi kuti zisinthe ``Otoconia'' yomwe yayikidwa pamalo olakwika.

Taganizirani ngati kuyesa kutulutsa timiyala ting'onoting'ono m'botolo. Mumachita izi potembenuza botolo kuchokera mbali imodzi kupita mbali ina. Kuchita izi kuli motere.

Kuchita masewera olimbitsa thupi kamodzi kotereku kudzathandiza anthu pafupifupi 80% mpaka 90% omwe ali ndi BPPV. Komabe, ngati zizindikiro zikupitirira, mungafunike kuchita masewero ena angapo.

Dokotala wanu angakuwonetseni masewero olimbitsa thupi awa. Angakuphunzitseninso momwe mungawachitire kunyumba. Kenako mutha kuwachita nthawi iliyonse mukayamba kumva chizungulire.

Nazi njira zosavuta zochitira masewera olimbitsa thupi zomwe mungayesere kunyumba (izi zikufanana ndi Epley Maneuver, koma nthawi zonse funsani dokotala ):

• Gawo 1: Khalani molunjika pabedi. Tembenuzani mutu wanu pafupifupi madigiri 45 ku khutu lomwe lili kumbali yomwe mukumva chizungulire. (Mwachitsanzo, ngati ndi khutu lanu lamanja, tembenuzirani kumanja).
• Gawo 2: Gona pabedi mwachangu. Ikani mutu wanu mbali yomweyo yomwe munatembenukira, ndipo mugone pansi ndi mutu wanu pansi pang'ono pa bedi (monga kutuluka pakona pa bedi). Dikirani kwa mphindi imodzi, kapena mpaka zizindikiro zanu zitatha.
• Gawo 3: Popanda kukweza mutu wanu, tembenuzani mutu wanu mwachangu mbali inayo. Izi zikutanthauza kuti khutu lanu "labwino" tsopano liyenera kukhala lofanana ndi bedi, pansi pang'ono. Gwirani kwa mphindi imodzi, kapena mpaka zizindikiro zitatha.
• Gawo 4: Pitirizani mbali inayo. Tembenuzani mutu wanu madigiri ena 90 mbali yomweyo. Mphuno yanu iyenera kuyang'ana pansi. Gwirani kwa mphindi imodzi.
• Gawo 5: Ikani chibwano chanu pachifuwa chanu ndipo imirirani mbali imodzi ndi thupi lanu. Kenako tsatirani malangizo ena onse omwe dokotala wakupatsani.

Chofunika: Ndi bwino kukhala ndi munthu pafupi pochita masewera olimbitsa thupi awa, chifukwa chizungulire chingakule.Musachite masewera olimbitsa thupi awa nokha popanda chilolezo cha dokotala, makamaka ngati muli ndi vuto la khosi.

Kodi BPPV imadzichiritsa yokha?

Inde, BPPV nthawi zambiri imatha yokha. Komabe, imatha kubwerera. Ngati itabweranso, dokotala wanu adzakuphunzitsani momwe mungathanirane ndi zizindikiro zanu.

Kodi chiopsezo chotenga BPPV chingachepe?

Mwatsoka, BPPV singathe kupewedwa kotheratu. Komabe, mutha kuthana ndi zizindikirozo pochita `masewero olimbitsa tinthu tating'onoting'ono' omwe ndatchula. Kuti muchepetse chiopsezo cha BPPV chifukwa cha kuvulala mutu, musaiwale kuvala chisoti mukakwera njinga kapena kusewera masewera olimbitsa thupi.

Kodi mungayembekezere chiyani ngati muli ndi BPPV?

Nkhani yabwino ndi yakuti BPPV si chizindikiro cha vuto lalikulu la thanzi. Komabe, kukhala ndi zizindikirozi kungakhale koopsa komanso kokhumudwitsa pang'ono. Dokotala wanu angakuphunzitseni momwe mungachitire masewera olimbitsa thupi a BPPV kunyumba, kuti muthe kulamulira vutoli nthawi yomweyo.

Kodi BPPV ingatenge nthawi yayitali bwanji?

Nthawi zambiri, chizungulire chomwe chimayamba chifukwa cha BPPV chimatenga mphindi imodzi kapena ziwiri. Zizindikiro zanu zitha kukhala zochepa kwambiri, kapena zitha kukhala zazikulu kwambiri moti mungasanze. Mungataye mtima wanu mutayimirira kapena mukuyenda ndikugwa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi chizungulire chifukwa cha BPPV, pitani kwa dokotala kuti akupatseni upangiri. Iye adzakuphunzitsani masewera olimbitsa thupi kuti akuthandizeni kuchepetsa zizindikiro zanu.

Komabe, ngati mukumva chizungulire komanso mutu waukulu, kupweteka pachifuwa, kapena kugunda kwa mtima kosakhazikika, imbani 911 nthawi yomweyo kapena pitani kuchipatala chapafupi. Izi zitha kukhala zizindikiro za matenda ena aakulu.

Mawu ochepa ofunikira kumvetsetsa okhudza BPPV

Kuti timvetse bwino zomwe takhala tikukambirana, tiyeni tiphunzire pang'ono za mbali izi za khutu lathu lamkati:

• Ma ngalande ozungulira: Awa ali ngati gyroscope m'mutu mwathu. Ali ndi njira zonse zitatu: mmwamba, pansi, ndi mopingasa. Pamodzi, njirazi zimatumiza zizindikiro ku ubongo wathu zokhudza malo a mutu wathu (monga, mukamayenda, mukutembenuka).
• `Cupula`: Izi zimazindikira kuyenda kwa madzi mkati mwa ngalande zozungulira. Kuyenda kwa madzi kumeneku ndi komwe kumapatsa thupi lathu mphamvu yoyenda.
• `Utricle`: Ichi ndi chiwalo chomwe chili mkati mwa khutu chomwe chimathandiza kulamulira bwino. Chili ndi maselo a tsitsi abwino, omwe ali ndi `Otoconia`. `Otoconia` imeneyi ikasinthasintha ndi mphamvu yokoka, imatumiza zizindikiro ku ubongo zokhudza malo a mutu ndi thupi (monga choyimirira kapena chopendekeka).
• `Otoconia`: Izi ndi tinthu tating'onoting'ono ta calcium crystal tomwe ndatchula kale. Timeneti timachoka ku `Utricle` (komwe tingasungunuke) n’kupita ku `Semicircular canal` (komwe sitisungunuka).
• Cochlea: Ichi ndi chiwalo chomvera chomwe chili mkati mwa khutu lathu chamkati chomwe chili ngati "chipolopolo cha nkhono". Chimasintha mawu kukhala mitsempha ndipo chimawatumiza ku ubongo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

BPPV si vuto lomwe lingawononge moyo wanu, koma likhoza kukhudza kwambiri moyo wanu. Ngati muli ndi zizindikiro za BPPV, monga chizungulire chadzidzidzi, chizungulire, kapena kulephera kukhazikika, muyenera kuwona dokotala. Nthawi zambiri, masewera olimbitsa thupi ndi mankhwala apakhomo angathandize kuchepetsa zizindikiro zanu. Musachite mantha, koma dziwani izi.

BPPV , chizungulire, chizungulire, khutu lamkati, otoconia, kusinthasintha, Epley maneuver