Kodi mumamvanso ngati dziko likuzungulira mukagubuduzika pabedi, kapena mukadzuka mwadzidzidzi ndikutembenuza mutu wanu? Chizungulire ichi, chomwe chimakhala kwa masekondi angapo, nthawi zina chimatsagana ndi kusanza. Ichi ndi chochitika choopsa kwambiri chomwe anthu ambiri amakumana nacho. Koma musadandaule, nthawi zambiri chifukwa chake sichili chachikulu. Lero tikulankhula za chithandizo chosavuta, koma chogwira mtima kwambiri, chosagwiritsa ntchito mankhwala.
N’chifukwa chiyani mutu wanga umazungulira chonchi? Mwachidule, BPPV...
Chizungulire chadzidzidzichi chimadziwika ndi madokotala kuti ``Benign Paroxysmal Positional Vertigo'', kapena mwachidule BPPV . Ngakhale kuti dzinali ndi lovuta pang'ono, nkhaniyi ndi yosavuta.
Tangoganizirani, khutu lathu lamkati lili ndi dongosolo losavuta kumva lomwe limalamulira bwino thupi. Mkati mwa dongosololi, muli makhiristo ang'onoang'ono opangidwa ndi calcium carbonate. Timatcha awa "ma canaliths". Nthawi zambiri, awa amakonzedwa mwadongosolo pamalo omwe ayenera kukhala, kutanthauza, mbali ina ya khutu yotchedwa "utricle".
Koma, nthawi zina ndi ukalamba, chifukwa cha kuvulala pang'ono pamutu, kapena popanda chifukwa chilichonse, mipira ina ing'onoing'ono iyi imachoka pamalo omwe iyenera kukhala ndipo imathera kudera lapafupi lotchedwa ngalande zozungulira. Apa ndi pomwe vuto limayambira. Madzi mkati mwa ngalandezi amatumiza zizindikiro ku ubongo za kayendedwe ka mutu wathu. Kuphatikiza apo, mipira yomwe yalowa ikagubuduzika mmbuyo ndi mtsogolo mkati mwa ngalandezi, kayendedwe ka madziwo kamasokonekera, ndipo ngakhale mutuwo sukuyenda, chizindikiro chabodza chimatumizidwa ku ubongo ngati kuti mutuwo ukuzungulira mofulumira .
Mwachidule, mukagwedeza mutu wanu kapena kugubuduzika pabedi, zizindikiro zoyendera bwino zomwe zimapita ku ubongo wanu zimasokonezeka ndi timiyala ting'onoting'ono tomwe tili pamalo olakwika. Ndicho chifukwa chake mumamva ngati dziko likuzungulira.
Kodi njira yothetsera vutoli ndi iti? (Njira Yosinthira Malo ku Canalith)
Chithandizo chabwino komanso choyamba cha izi chimatchedwa `(Canalith Repositioning Procedure - CRP)`. Ichi si mankhwala kapena opaleshoni. Kunena zoona, ichi ndi masewera olimbitsa thupi apadera omwe amachitidwa mothandizidwa ndi dokotala. Cholinga cha izi ndikusuntha mosamala miyala yaying'ono (`canaliths`) kubwerera pamalo ake oyenera (`utricle`).
Mwa njira izi za `(CRP)`, njira yodziwika bwino komanso yopambana kwambiri padziko lonse lapansi pakadali pano ndi Epley Maneuver . Zapezeka kuti njira iyi imapereka mpumulo mwachangu mwa anthu pafupifupi asanu ndi atatu mwa khumi omwe ali ndi BPPV . Ichi ndichifukwa chake madokotala nthawi zambiri amayesa `(Epley maneuver)` kaye.
Kodi Epley Maneuver imachitika bwanji?
Izi ndi zomwe dokotala adzakutsogolerani. Ntchito yonseyi imatenga mphindi 5 mpaka 10. Ngati sizikugwira ntchito kamodzi kokha, mungafunike kuchita kangapo. Mungamve chizungulire pang'ono mukuchita izi, koma musadandaule, ndi zachilendo.
Tiyeni tione sitepe iyi kuti timvetse bwino.
| Gawo | Momwe mungachitire (Kufotokozera) |
|---|---|
| Gawo 1 | Dokotala adzakupangitsani kukhala patebulo lofufuzira ndikutembenuza mutu wanu pafupifupi madigiri 45 kumbali ya khutu lomwe likuyambitsa chizungulire. |
| Gawo 2 | Kenako, mudzagona mofulumira pabedi, mutu wanu utakhala chete. Apa, mutu wanu udzakhala pansi pang'ono pa bedi. Mungamve chizungulire pang'ono panthawiyi. Dokotala adzakufunsani kuti mukhale pamalo amenewo kwa masekondi 20-30. |
| Gawo 3 | Tsopano, popanda kukweza mutu wanu, pang'onopang'ono tembenuzani mutu wanu mbali inayo. |
| Gawo 4 | Kenako, tembenuzani thupi lanu lonse, kuphatikizapo mutu wanu, kumbali imeneyo, ndipo tembenukani kukhala mozungulira. Muyenera kukhala choncho kwa kanthawi. |
| Gawo 5 | Pomaliza, ndi thandizo la dokotala, pang'onopang'ono ndinakhalanso tsonga. |
Kodi ndingathe kuchita izi ndekha kunyumba?
Inde, mungathe. Ngati zizindikiro zanu zabwerera, gwiritsani ntchito. Dokotala wanu adzakuuzani momwe mungachitire kunyumba. Muyenera kukhala m'mphepete mwa bedi lanu ndikutsatira njira zomwe dokotala wanu wakuuzani. Kuti mupeze zotsatira zabwino, mungalangizidwe kuchita izi katatu patsiku.
Koma kumbukirani, musayese kuchita nokha popanda kuphunzira kuchokera kwa dokotala. Kuchita molakwika kungapangitse kuti zizindikiro zanu ziwonjezeke.
Anthu ambiri amakonda kuchita izi musanagone chifukwa ngati mutayamba kuzunguzika pang'ono mutachita izi, zimatha zokha mukagona.
Kodi ubwino ndi zoopsa zake ndi ziti?
Ubwino waukulu wa mankhwalawa ndi wakuti ndi othandiza kwambiri pa BPPV . Alinso ndi zoopsa zochepa.
Komabe, ngati muli ndi vuto la khosi kapena msana, kutsekeka kwa retina, kapena matenda a mitsempha yamagazi, njirayi singakhale yoyenera kwa inu. Chifukwa chake, dokotala wanu adzawunikanso mbiri yanu yonse yachipatala asanayambe kuchita njirayi.
Pambuyo pochita izi, anthu ena angamve zinthu motere:
- Kusanza
- Chizungulire chachikulu
- Kusanza (kawirikawiri)
Anthu ambiri amamva mpumulo nthawi yomweyo akangochita Epley maneuver. Kwa ena, zizindikiro zimatha kwathunthu patatha masiku awiri kapena atatu.
Kodi mukufuna kukaonananso ndi dokotala liti?
Ngati mumachita masewera olimbitsa thupi awa kunyumba ndipo zizindikiro zanu sizikusintha patatha masiku angapo, onetsetsani kuti mwawonananso ndi dokotala wanu . Iye akhoza kuwona ngati pali zifukwa zina zomwe zimayambitsa chizungulire chanu. Mwachitsanzo, matenda a m'makutu kapena mutu waching'alang'ala zingayambitsenso chizungulire. Ngati pakufunika kutero, dokotala wanu angakupatseni mankhwala a nseru kapena chizungulire.
Kodi mumadziwa bwanji kuti ndi khutu liti lomwe limayambitsa chizungulire?
Ichi ndi chinthu chomwe chimakuvutani kuchidziwa nokha. Dokotala wanu akamakufufuzani, adzakuyesani mwapadera wotchedwa Dix-Hallpike maneuver. Izi zidzakuthandizani kudziwa ngati chizungulire chanu chikuchokera m'khutu lanu lamanja kapena lamanzere. Mukadziwa zimenezo, mutha kusankha mbali yomwe muyenera kutembenukira mutu wanu panthawi ya Epley maneuver.
Komanso, kumbukirani, `(Canalith Repositioning Procedure - CRP)` ndi dzina lodziwika bwino. `(Epley maneuver)` ndi imodzi mwa njira zodziwika bwino pansi pake. Palinso njira zina zotchedwa `(Semont maneuver)` ndi `(Brandt-Daroff maneuver)`. Dokotala wanu adzasankha njira yomwe ili yoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- BPPV imayamba chifukwa cha miyala yaying'ono (canaliths) mkati mwa khutu yomwe imasunthira pamalo olakwika.
- Epley Maneuver ndi njira yothandiza kwambiri komanso yopanda mankhwala yomwe imasinthira mafupa a msana awa.
- Izi ndi zotetezeka kwambiri. Koma musanachite nokha kunyumba, onetsetsani kuti mwaphunzira njira yoyenera kuchokera kwa dokotala.
- Ngati zizindikiro zanu sizikuchepa ngakhale mukuchita masewera olimbitsa thupi, pitani kwa dokotala kachiwiri kuti muwone ngati pali chifukwa china.
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