Mukadzuka pabedi, kutembenuka, kapena kuyang'ana mmwamba, kodi mwadzidzidzi mumamva ngati dziko lonse likuzungulirani? Panthawiyo, simungathe ngakhale kuimirira, ndipo mumadzimva osasangalala kwambiri, pamodzi ndi kumva nseru. Ngakhale kuti chizungulirechi chimatha mumphindi zochepa, mantha omwe mumamva panthawiyo ndi akulu. Anthu ambiri akumanapo ndi zofanana. Choncho lero, tiyeni tikambirane za chifukwa chachikulu cha izi ndi mayeso osavuta omwe madokotala amagwiritsa ntchito pozindikira vutoli.
N’chifukwa chiyani mutu wanga umazungulira chonchi? Kodi BPPV ndi chiyani?
Chifukwa chachikulu komanso chofala kwambiri cha chizungulire chadzidzidzichi ndi vuto lotchedwa Benign Paroxysmal Positional Vertigo . Timalitcha mwachidule (BPPV) . Ngakhale kuti dzinali ndi lalitali pang'ono, tanthauzo lake ndi losavuta.
- Zabwino - Izi zikutanthauza kuti sizowopsa kapena zoopsa. Sizofanana ndi khansa.
- Paroxysmal - imatanthauza kuti imayamba mwadzidzidzi ndipo imatha yokha pakapita kanthawi.
- Malo - Izi zikutanthauza kuti zimachitika pamene malo a mutu asintha.
- Vertigo - imatanthauza chizungulire chomwe timachidziwa.
Mwachidule, BPPV ndi vuto losaopsa lomwe limachitika mwadzidzidzi kenako n’kutha pakapita nthawi yochepa mutuwo ukasunthidwa.
Chabwino, tsopano tiyeni tiwone chifukwa chake izi zimachitika. Mkati mwa khutu lathu, khutu lamkati, muli gawo losavuta kumva lomwe limayang'anira bwino thupi. Mkati mwake muli makhiristo ang'onoang'ono a calcium carbonate. Amaganiziridwa ngati tinthu ta mchenga. Kawirikawiri, makhiristo amenewa amakonzedwa mwadongosolo m'malo omwe ayenera kukhala.
Koma nthawi zina, pamene tikukalamba, pamene tikumva kupweteka pang'ono pamutu, kapena popanda chifukwa chilichonse, makhiristo ena amatha kutuluka pamalo pake n’kulowa mu dongosolo la njira (`Semicircular canal`) zomwe zimapangitsa kuti pakhale kulinganiza. Tsopano taganizirani kuti pali miyala yaying'ono mu botolo la madzi. Mukagwedeza botolo, miyalayo imasuntha mtsogolo ndi mtsogolo, kusuntha madzi, sichoncho? Mofananamo, mukagwedeza mutu wanu, makhiristo omwe apita pamalo olakwika amasunthanso mtsogolo ndi mtsogolo, akugundana ndi madzi omwe ali mkati mwa njirazo, kutumiza chizindikiro chabodza ku ubongo wathu kuti "mukuzunguzika tsopano." Ngakhale kuti sitikuzunguzika kwenikweni, ubongo umakhulupirira chizindikiro chimenecho, kotero timamva chizungulire. Ndicho chimene chimachitika mu BPPV.
Kotero, kodi dokotala amadziwa bwanji molondola ngati muli ndi BPPV?
Ngati muli ndi vuto la chizungulire chamtunduwu, mukapita kukaonana ndi dokotala, ayenera kuonetsetsa kuti muli ndi vuto la BPPV kapena kuti ndi vuto la chizungulire lomwe limayambitsidwa ndi china chake, chifukwa pakhoza kukhala zifukwa zina zomwe zimayambitsa chizungulire.
Mayeso akuluakulu komanso olondola kwambiri omwe madokotala padziko lonse lapansi amagwiritsa ntchito pozindikira BPPV ndi Dix-Hallpike Maneuver.Iyi ndi njira yosavuta kwambiri yoyesera yomwe yakhala ikugwiritsidwa ntchito kuyambira mu 1952 ndipo sigwiritsa ntchito makina kapena mankhwala aliwonse.
Mu mayeso awa, dokotala amakutembenuzani mosamala mutu wanu m'malo osiyanasiyana . Mukachita izi, makhiristo omwe adachotsedwa omwe tidakambirana kale amayamba kuyendanso. Izi zikachitika, mukumva chizungulire, ndipo maso anu amayamba kuyenda mwanjira yapadera. Dokotalayo akuyang'ana kayendetsedwe kameneko.
Momwe mungachitire mayeso a Dix-Hallpike sitepe ndi sitepe
Mungachite mantha mukamva izi. " O , mukugwedeza mutu wanu ngati kuti mukuzunguzika mutu?" Koma palibe chifukwa chochita mantha . Dokotala amachita izi mosamala kwambiri komanso mutu wanu uli pansi pa ulamuliro wake wonse. Izi zimatenga mphindi zochepa zokha.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| Gawo 1: Kukhala pansi | Mudzakakamizidwa kukhala chilili patebulo loyesera ndi miyendo yanu itatambasulidwa. |
| Gawo 2: Kutembenuza mutu | Dokotala adzakutembenuzani mutu wanu madigiri 45 kumanja kapena kumanzere. Panthawiyi, mudzapemphedwa kuti mukhale maso nthawi zonse. |
| Gawo 3: Gona pansi mwachangu | Kenako, mutu wanu uli pamalo omwewo pamene munatembenuka, dokotalayo adzakugonetsani mwamsanga pabedi, akukugwirani mutu ndi mapewa. Apa, mutu wanu udzakwezedwa pang'ono kuchokera pabedi, zomwe zikutanthauza kuti khosi lanu lidzawerama pang'ono. Koma popeza manja a dokotalayo akuthandiza kulemera konse kwa mutu wanu, simudzamva kupweteka kulikonse. |
| Gawo 4: Kuwunika | Dokotala adzakusungani pamalo amenewo kwa masekondi pafupifupi 30, ndikuyang'ana maso anu mosamala. Mungathe kumva chizungulire panthawiyi. Komanso, ngati muli ndi BPPV, maso anu adzayenda mofulumira (kubwerera ndi kubwerera) mosalamulirika. Izi zimatchedwa nystagmus . |
| Gawo 5: Khalani pansi ndikuyang'ana mbali inayo | Kenako mumakhala pansi mosamala kachiwiri. Dikirani mpaka chizungulire chitachepa, kenako tembenuzani mutu wanu mbali inayo ndikuchita mayeso omwewo, chifukwa makhiristo awa akhoza kukhala m'khutu lamanja kapena lamanzere. |
Kodi Nystagmus ndi chiyani?
Ichi ndi chizindikiro chachikulu chomwe chimatsimikizira BPPV. Mukatembenuza mutu wanu motere, makhiristo amkati mwa khutu amasuntha ndikutumiza zizindikiro zolakwika ku ubongo, ndipo poyankha, maso anu amayamba kugunda mofulumira. Zili ngati wotchi ikuyenda. Simungathe kuziletsa. Dokotala wanu akawona izi, akhoza kukhala ndi chitsimikizo cha 100% kuti muli ndi BPPV.
Kodi pali zoopsa zilizonse ndi mayesowa?
Mayeso a Dix-Hallpike nthawi zambiri amakhala otetezeka kwambiri . Komabe, ngati mwavulala khosi, kupweteka msana, kapena mwangodwala sitiroko posachedwa, dokotala wanu angasankhe kusiya mayesowo kapena kuchita mtundu wina wosinthidwa.
Mwachitsanzo, mungathe kuchita izi mwa kuyika pilo pansi pa mapewa anu ndikuyika mutu wanu pabedi. Mwanjira imeneyi, palibe kupanikizika pakhosi panu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi pakati. Iye adzachita zonse zomwe angathe kuti athetse vuto lanu.
Kodi zotsatira za mayesowo ndi ziti?
Ubwino waukulu wa mayesowa ndi wakuti mutha kudziwa zotsatira nthawi yomweyo. Simuyenera kudikira masiku angapo kuti lipotilo libwere. Zotsatira zake zitha kukhala "Zabwino" kapena "Zoyipa".
Ngati Dix-Hallpike Ali ndi Chiyembekezo...
Izi zikutanthauza kuti mwapezeka ndi BPPV . Iyi ndi nkhani yabwino! Chifukwa BPPV ndi vuto lomwe lingachiritsidwe kwathunthu popanda mankhwala, ndi pulogalamu yosavuta yochitira masewera olimbitsa thupi.
Ngati mayeso ali ndi kachilombo, nthawi zambiri dokotala amakuthandizani nthawi yomweyo. Njira yomwe imagwiritsidwa ntchito pa izi imatchedwa Epley Maneuver . Izi zikufanana ndi Dix-Hallpike, komwe mumatembenuza mutu wanu m'malo osiyanasiyana. Koma cholinga cha izi ndikusuntha makhiristo omwe apita kumalo olakwika kubwerera komwe ayenera kukhala.
Ngati Dix-Hallpike ali ndi vuto...
Izi zikutanthauza kuti chizungulire chanu sichinayambitsidwe ndi BPPV. Zikutanthauza kuti pakhoza kukhala chifukwa china. Panthawiyo, dokotala wanu adzakutumizirani ku mayeso ena kutengera zizindikiro zanu kuti apeze chomwe chimayambitsa chizungulire chanu.
Dix-Hallpike ndi Epley Maneuver - Kodi kusiyana pakati pa ziwirizi ndi kotani?
Anthu ambiri amasokoneza mayina awiriwa. Ngakhale onsewa akugwirizana ndi BPPV, ali ndi ntchito zosiyana.
| Khalidwe | Dix-Hallpike Maneuver | Epley Maneuver |
|---|---|---|
| Cholinga chachikulu | Kuzindikira Matenda - Kudziwa ngati muli ndi BPPV kapena ayi. | Chithandizo - Kusintha malo a makhiristo kuti akonze vuto la BPPV. |
| Kodi zidzachitika liti? | Zizindikiro zikayamba, choyamba kuchita ndikupeza chomwe chimayambitsa. | Mayeso a Dix-Hallpike amachitika akakhala kuti ali ndi "positive". |
| Zotsatira | Kutsimikizira matendawa kapena ayi. | Kuchepetsa zizindikiro, kutha kwa chizungulire. |
Chofunika kwambiri: Musayesere kudziyesa nokha kunyumba. Izi ziyenera kuchitidwa ndi dokotala wodziwa bwino ntchito yake. Kuchita molakwika kungayambitse kuwonongeka kwa khosi ndikupangitsa kuti munthu azindikire matenda molakwika.
Nthawi zina, dokotala wanu akatsimikizira kuti muli ndi BPPV, angakuphunzitseni momwe mungachitire Epley Maneuver kunyumba. Koma zimenezo ziyenera kuchitika pokhapokha ngati dokotalayo akuyang'anirani.
Njira ya Dix-Hallpike Maneuver ndi yothandiza kwambiri komanso yosavuta yomwe yakhala ikugwiritsidwa ntchito pozindikira BPPV kwa zaka zoposa 70. Ngakhale kuti siichiza vutoli, ingakuthandizeni kupeza chomwe chimayambitsa chizungulire chanu ndikuyamba chithandizo choyenera. Chifukwa chake, ngati muli ndi zizindikiro izi, musazengereze kupita kwa dokotala ndikukambirana za izi.
Uthenga Wopita Nawo Kunyumba
- Chomwe chimayambitsa chizungulire mwadzidzidzi mukasuntha mutu wanu chingakhale BPPV (Benign Paroxysmal Positional Vertigo).
- BPPV ndi vuto losaopsa lomwe limayamba chifukwa cha kusamuka kwa makhiristo ang'onoang'ono mkati mwa khutu lamkati.
- Ngati dokotala wanu akukayikira kuti muli ndi BPPV, mayeso akuluakulu otsimikizira kuti muli ndi BPPV ndi Dix-Hallpike Maneuver.
- Iyi ndi mayeso otetezeka kwambiri omwe angatengedwe mumphindi zochepa chabe. Mutha kumva chizungulire pang'ono panthawi yoyesedwa.
- Ngati nystagmus (kusuntha maso mosadzifunira) ichitika panthawi yoyezetsa, ndi umboni wamphamvu wa BPPV.
- Musayesere kuchita mayesowa kunyumba kwanu nokha. Nthawi zonse ayenera kuchitidwa moyang'aniridwa ndi dokotala.
- Chithandizo cha BPPV ndi njira ina yosavuta yotchedwa Epley Maneuver, yomwe nthawi zambiri imachitika tsiku lomwelo ndi mayeso.
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