Tiyeni tiphunzire za mayeso apadera a chizungulire? (Dix-Hallpike Maneuver)

Kodi munayamba mwamvapo ngati dziko lonse likuzungulirani pamene munagona pabedi, munakweza mutu wanu kuti mufike pa chinachake kuchokera pa shelufu pamwamba panu, kapena mwadzidzidzi munayimirira? Chizungulire chadzidzidzichi nthawi zina chimatha kutsagana ndi nseru ndi kusanza. Ndi chinthu chosasangalatsa komanso choopsa. Nthawi zambiri, simungathe ngakhale kulingalira chomwe chikuyambitsa. Nthawi zina ngati izi, tikulankhula za mayeso apadera, komanso osavuta, omwe madokotala amagwiritsa ntchito kuti adziwe ngati muli ndi vuto lotchedwa BPPV, lomwe lingakhale chifukwa chachikulu cha chizungulirechi.

Kodi BPPV ndi chiyani? Kodi mayeso a Dix-Hallpike amayang'ana chiyani?

Mwachidule, BPPV ndi dzina lalifupi la Benign Paroxysmal Positional Vertigo . Ili ndi vuto lofala, koma si lalikulu (loipa) lomwe limapezeka mkati mwa khutu.

Taganizirani izi motere. Khutu lathu lamkati ndi dongosolo losavuta kumva lomwe limalamulira bwino momwe thupi lathu lilili. Lili ndi miyala yaing'ono ya calcium (yomwe imatchedwanso `canaliths` kapena `otoconia`). Kawirikawiri, miyala iyi imayikidwa bwino pamalo ake oyenera. Koma nthawi zina, ndi ukalamba, chifukwa cha kuvulala pang'ono pamutu, kapena popanda chifukwa chilichonse, miyala yaying'ono iyi imatha kutuluka pamalo ake ndikuyandama m'ngalande zodzaza ndi madzi (`semicircular canal`) zomwe zili pamenepo.

Mukatembenuza mutu wanu m'malo enaake, mipira yotayirira ndi madzi zimayendayenda. Izi zimatumiza zizindikiro zolakwika ku ubongo wanu, zomwe zimapangitsa kuti umve ngati ukuzungulira mosayembekezereka. Ndicho chimene chimayambitsa chizungulire mu BPPV.

Choncho, mayeso a Dix-Hallpike ndi mayeso omwe dokotala wanu amachita kuti atsimikizire ngati chizungulire chanu chayamba chifukwa cha BPPV kapena china chake.

Kodi Dix-Hallpike ndi Epley ndi chinthu chimodzi? Kodi kusiyana kwake n'chiyani?

Mungamve mayina awiriwa kuchokera kwa dokotala. Onsewa akugwirizana ndi vuto la BPPV, koma ntchito ya awiriwa ndi yosiyana kwambiri. Anthu ambiri amasokoneza awiriwa. Choncho tiyeni timvetse kusiyana kumeneku momveka bwino.

Kodi mayesowa amachitika bwanji? Kodi ndi chinthu choopa?

Ayi ndithu. Iyi ndi njira yosavuta komanso yopanda ululu yomwe imatenga mphindi zochepa chabe. Simukuyenera kukonzekera mwapadera. Tiyeni tiwone momwe dokotala amachitira izi pang'onopang'ono.

1. Kukhala pansi: Choyamba, mudzapemphedwa kukhala patebulo loyezetsera ndi miyendo yanu yotambasula.

2. Tembenuzani Mutu: Kenako, dokotala adzakufunsani kuti mutembenuze mutu wanu pafupifupi madigiri 45 mbali imodzi (kumanja kapena kumanzere).

3. Kuwerama mmbuyo: Iyi ndi gawo lofunika kwambiri. Dokotala adzagwira mutu wanu mosamala ndikukubweza mmbuyo mwachangu. Pa nthawiyi, mutu wanu udzakhala utapachikidwa pang'ono pabedi. Musadandaule, dokotalayo akugwira mutu wanu wonse mwamphamvu m'manja mwake.

4. Kuyezetsa maso: Mukakhala pamalo amenewa, dokotala adzakufunsani kuti maso anu akhale otseguka . Izi ndizofunikira kwambiri chifukwa akuyang'ana maso anu mosamala. Ngati muli ndi BPPV, maso anu adzathima mwachangu (izi zimatchedwa `nystagmus`).

5. Kusinthana mbali: Pakatha mphindi imodzi, dzukaninso ndipo chitani mayeso omwewo mbali inayo.

Mungathe kumva chizungulire kwakanthawi panthawi yoyezetsa iyi. Izi ndi zachilendo. Izi zimachitika kuti dokotala athe kutsimikizira zizindikiro zanu.

Kodi zotsatira zake zikuti chiyani?

Dokotala wanu angakuuzeni zotsatira zake mayeso akangotha.

• Ngati mayeso ali ndi kachilombo:Izi zikutanthauza kuti chizungulire chanu chimayambitsidwa ndi BPPV. Iyi ndi nkhani yabwino! Chifukwa ndi yosavuta kuchiza. Dokotala wanu amatha kuchita Epley maneuver nthawi yomweyo ndikubwezeretsa mipira pamalo pake. Nthawi zambiri, chizungulire chimatha msanga mukachita izi.
• Ngati mayesowo ali oipa: Izi zikutanthauza kuti chizungulire chanu sichinayambitsidwe ndi BPPV, koma ndi china chake. Chingakhale matenda a m'khutu, mutu waching'alang'ala, kapena vestibular neuritis. Dokotala wanu adzalamula mayeso ena kuti adziwe chomwe chimayambitsa matendawa.

Ndani sayenera kuchita mayesowa? Kodi pali zoopsa zilizonse?

Kawirikawiri iyi ndi mayeso otetezeka kwambiri. Komabe, anthu ena angaganize kawiri asanachite izi. Makamaka:

• Anthu omwe adachitidwa opaleshoni ya khosi kapena msana kapena olumala
• Anthu omwe ali ndi nyamakazi yoopsa ya khosi
• Amayi oyembekezera
• Anthu omwe adadwala sitiroko posachedwapa

Choncho, onetsetsani kuti mwauza dokotala wanu mbiri yanu yonse ya matenda musanachite mayesowa. Kenako iye angasankhe ngati ndi bwino kwa inu.

Kodi ndingathe kuchita izi ndekha kunyumba?

Chifukwa, ngati zitachitika molakwika, zimatha kuwononga khosi kapena msana . Komanso, dokotala yekha ndi amene angazindikire kusintha kochepa m'maso (`nystagmus`), kutanthauzira molondola zotsatira zake, ndikusankha choti achite kenako.

Komabe, BPPV ikatsimikizika, dokotala wanu angakuphunzitseni momwe mungachitire chithandizo cha kunyumba, monga Epley maneuver. Komabe, dokotala nthawi zonse ayenera kupanga matenda.

Ngati mukukumana ndi zizindikiro zosalekeza za chizungulire, nseru, kapena kulephera kukhazikika bwino, musanyalanyaze zimenezo. Onetsetsani kuti mwaonana ndi dokotala wanu kuti akupatseni upangiri. Iye akhoza kuchita mayeso a Dix-Hallpike kuti adziwe chomwe chimayambitsa vuto lanu.