Mukumva chizungulire? Tiyeni tiphunzire za Benign Proximal Vertigo (BPPV)!

Tangoganizirani kuti mukuyesera kudzuka pabedi m'mawa, kapena kugubuduzika mbali ina ya bedi. Mwadzidzidzi, mukumva ngati chipinda chonse chikuzungulirani. Kodi sichosangalatsa komanso choopsa kwenikweni? Ichi ndiye chizindikiro chachikulu cha matenda omwe timatcha BPPV mwachidule. Zingamveke ngati nkhani yaikulu, koma musachite mantha. Tiyeni tikambirane izi momveka bwino komanso momveka bwino.

Mwachidule, kodi BPPV ndi chiyani?

Tanthauzo lonse la BPPV ndi Benign Paroxysmal Positional Vertigo . Dzinalo limamveka lalitali pang'ono, sichoncho? Tiyeni tigawane liwu ndi liwu.

• Zabwino: Izi zikutanthauza kuti "si matenda oopsa." Zimatanthauza kuti si khansa kapena matenda oopsa omwe angawononge moyo.
• Paroxysmal: Izi zikutanthauza "kubwera mwadzidzidzi kenako nkuchoka." Mtundu uwu wa chizungulire sumapezeka nthawi zonse. Umadza mwadzidzidzi ndipo umatha pakatha masekondi angapo kapena mphindi imodzi.
• Malo: Izi zikutanthauza "zokhudzana ndi malo." Izi zikutanthauza kuti chizungulire chimachitika pokhapokha mutasintha mwadzidzidzi malo a mutu wanu.
• Chizungulire: Ili ndi liwu lachipatala la "chizungulire." Limatanthauza kuti mumamva ngati malo okuzungulirani akuzungulira, ngakhale mutaima chilili.

Mwachidule, BPPV ndi chizungulire chadzidzidzi, koma osati chachikulu, chomwe chimatha pakapita nthawi mukasintha mutu wanu. Chimachitika chifukwa cha vuto laling'ono mkati mwa khutu lathu.

Ngakhale izi sizowopsa, zizindikiro zake zimakhala zoopsa kwambiri. Chizungulirechi chingapangitse anthu azaka zopitilira 65 kutaya mphamvu zawo ndikugwa . Ngati mutagwa, ndikofunikira kudziwa izi, chifukwa zingayambitse kusweka kwa mafupa.

Ndani amene ali ndi mwayi waukulu wokumana ndi vutoli?

Ngakhale kuti BPPV ingakhudze anthu azaka zilizonse, imapezeka kwambiri mwa anthu azaka zopitirira 50. Ndipotu, akuti pafupifupi munthu m'modzi mwa awiri m'gululi adzakumana ndi BPPV kamodzi pa moyo wawo. Ndikosowa kwambiri kwa ana.

BPPV imapezeka mwa anthu pafupifupi 20% omwe amabwera kwa ife kudzalandira chithandizo cha vertigo, kapena pafupifupi munthu m'modzi mwa asanu. Ndi vuto lofala kwambiri.

Kodi zizindikiro za BPPV ndi ziti?

Chizindikiro chachikulu ndi chizungulire. Komabe, pali zizindikiro zina zingapo zomwe zingatsatire. Tiyeni tiwone izi mu tebulo ili m'munsimu.

Kodi chizungulire ichi chimayambitsa chiyani? (Zimayambitsa)

Chizungulire cha BPPV nthawi zambiri chimachitika mutu ukasintha malo ake. Mwachitsanzo:

• Ali pabedi.
• Mukadzuka pabedi.
• Mukaponya ndi kutembenuka pabedi.
• Mukakweza mutu mmwamba (monga kutenga chinachake kuchokera pa shelufu).
• Mukaweramitsa mutu wanu pansi.

Kodi chimachitika ndi chiyani kwenikweni mkati mwa khutu?

Chabwino, tsopano tiyeni tiwone chifukwa chake izi zimachitika. Kuti timvetse izi, tifunika kudziwa pang'ono za kapangidwe ka khutu lathu lamkati.

Tangoganizirani kuti mkati mwa khutu lanu, komwe mumayang'anira bwino momwe mukukhalira, muli zinthu zazing'ono ngati mchenga. Izi kwenikweni ndi tinthu ta calcium carbonate . Mu zamankhwala, timazitcha otoconia . Nthawi zambiri, zimapezeka pamalo omwe ziyenera kukhala, mu chiwalo chotchedwa `utricle`.

Koma tikamakalamba, kapena tikavulala mutu pang'ono (monga kugwa kapena ngozi), kapena tikadwala matenda, 'mipira' imeneyi imatha kutuluka m'malo mwake ndikuchoka pamalo ake. Kenako imapita m'mitsinje ya semicircular, yomwe ili ndi madzi omwe ndi ofunikira kuti thupi likhale lolimba.

Tsopano, mukagwedeza mutu wanu, tinthu timeneti timazunguliranso mumadzimadzi amenewo, zomwe zimathandizira ziwalo zowoneka ngati tsitsi ('cilia') zomwe zili mmenemo. Izi zimatumiza chizindikiro cholakwika ku ubongo. Chizindikiro chimenecho ndi chakuti 'mukuzungulira'. Ndicho chifukwa chake timamva chizungulire.

Nthawi zina zizindikiro za BPPV zimatha kuchitika chifukwa cha matenda ena a khutu. Mwachitsanzo, zimatha kuchitika ndi matenda monga `(Labyrinthitis)` (matenda a khutu lamkati) kapena `(Vestibular neuritis)` (kutupa kwa mitsempha komwe kumayambitsa kukhazikika). Anthu omwe ali ndi mutu waching'alang'ala nawonso ali ndi mwayi waukulu wopeza BPPV.

Dokotala, kodi mungazindikire bwanji vutoli ndikulichiza bwanji?

Ngati muli ndi zizindikiro izi, ndi bwino kupita kwa dokotala wanu. Iye adzakufunsani za zizindikiro zanu ndikukuyesani.

Pali mayeso apadera oti mupeze BPPV. Mu mayesowa, dokotala adzakupangitsani kukhala patebulo lofufuzira, kutembenuza mutu wanu kumbali, ndikukugonetsani pansi mwachangu. Pa nthawiyi, adzakuyang'anani maso anu ndikufufuza ngati muli ndi chizungulire kapena nystagmus (kugwedezeka kwa maso). Izi zidzamuthandiza kudziwa ngati muli ndi BPPV.

Nkhani yabwino ndi yakuti chithandizo cha BPPV ndi chosavuta kwambiri. Sichifuna mankhwala a nthawi yayitali. Chithandizo chachikulu ndi masewera olimbitsa thupi . Izi zimatchedwa `njira zosinthira ma canalith.` Masewerawa amagwira ntchito posuntha makhiristo a calcium omwe adayimitsidwa kubwerera komwe ayenera kukhala. Akafika pamenepo, amasungunuka, kotero chizungulire sichibwerera.

Maseŵero osavuta ochepetsera chizungulire kunyumba

Limodzi mwa masewero olimbitsa thupi amenewa ndi Epley Maneuver. Dokotala wanu adzakuwonetsani momwe mungachitire izi kuchipatala komanso adzakuphunzitsani momwe mungachitire kunyumba.

Pansipa pali momwe munthu amene ali ndi BPPV m'khutu lamanja amachitira izi. (Kwa khutu lamanzere, muyenera kuchita mosiyana.)

1. Gawo 1: Khalani moyimirira pabedi. Tembenuzani mutu wanu madigiri 45 kumanja (kumbali yokhudzidwa).

2. Gawo 2: Tsopano, mukamatembenuza mutu wanu kumanja, gonani pabedi mwachangu . Mapewa anu atagona pa pilo, sungani mutu wanu pang'ono pabedi. Khalani pamalo awa kwa masekondi 30-60, kapena mpaka chizungulire chitasiya kwathunthu.

3. Gawo 3: Popanda kukweza mutu wanu, tembenuzani mutu wanu mwachangu kumanzere (madigiri 90). Khutu lanu lakumanzere tsopano liyenera kuyang'ana pabedi. Gwirani izi kwa masekondi 30-60.

4. Gawo 4: Tsopano tembenuzani thupi lanu lonse ndikuyang'ana madigiri ena 90 kumanzere , mukutembenuza mutu wanu. Mphuno yanu iyenera kuyang'ana pansi. Khalani pamalo awa kwa masekondi 30-60.

5. Gawo 5: Khalani pansi pang'onopang'ono kuchokera kumbali yomwe mukutsamira, ndikusunga chibwano chanu pafupi ndi phewa lanu.

Kuchita masewera olimbitsa thupi kumeneku kudzathetsa 80%-90% ya zizindikiro zanu mutangomaliza gawo limodzi lokha. Ngati muli ndi zizindikiro, muyenera kubwereza monga momwe dokotala wanu wanenera.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi zizindikiro za BPPV, onetsetsani kuti mwaonana ndi dokotala. Mwanjira imeneyi, mutha kupeza matenda olondola ndikuphunzira masewera olimbitsa thupi ofunikira.

Komabe, nthawi zina chizungulire chingakhale chizindikiro cha matenda aakulu kwambiri.

Izi zitha kukhala zizindikiro za matenda oopsa monga sitiroko, choncho samalani kwambiri ndi izi.