Ngaba ngequbuliso uziva unesizungu? Isenokuba yi-BPPV (Benign Paroxysmal Positional Vertigo)!

Ngaba wakha waziva ngathi ihlabathi liphela liyajikeleza xa uvuka ebhedini okanye ujika intloko yakho ijonge ecaleni? Kuqhelekile ukuba uzive usoyika kancinci ngamaxesha anjalo. Kwiimeko ezininzi, oku kunokubangelwa yimeko ebizwa ngokuba yi-BPPV (Benign Paroxysmal Positional Vertigo), esiza kuthetha ngayo namhlanje. Nangona igama lide kancinci, asilosifo esiyingozi.

Yintoni i-BPPV (i-Benign Paroxysmal Positional Vertigo)? Masiyiqonde ngokulula.

Ngamafutshane, i-BPPV yingxaki encinci endlebeni yethu yangaphakathi. Okwenzekayo kukuba xa ushukumisa intloko yakho kwiindlela ezahlukeneyo, ujonge phezulu, uphuma ebhedini, okanye uqengqeleka ebhedini, ngequbuliso uziva ngathi lonke igumbi liyajikeleza (vertigo). Kungavakala ngathi usenqanaweni okanye usetoyweni ejikelezayo.

"I-Benign" ithetha ukuba oku akuyongozi, hayi into efana nomhlaza. "I-Paroxysmal" ithetha ukuba esi sizunguzungu sivela ngequbuliso, ngequbuliso, size siphele emva kwexesha elithile. "Indawo" ithetha ukuba oku kwenzeka xa indawo yentloko itshintsha. "I-Vertigo" ibhekisa kuloo mvakalelo yokujikeleza endikhankanyileyo. Ngoko ke, igama ngokwalo linentsingiselo, akunjalo?

Nangona i-BPPV ingeyongxaki imbi kakhulu, iimpawu zayo zinokoyikisa kakhulu. Abantu abangaphezu kweminyaka engama-65 ubudala basengozini enkulu yokuwa, ingakumbi ukuba banale meko. Ukuba bayawa, banokude baphuke amalungu abo omzimba (aqhekeke). Ngoko ke, kubalulekile ukukwazi oku.

Ngubani onokuba nethuba elikhulu lokufumana i-BPPV?

Nangona i-BPPV inokwenzeka nakweyiphi na iminyaka, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-50 ubudala. Enyanisweni, kuthiwa malunga nesiqingatha sabantu abakweli qela leminyaka baya kuba ne-BPPV ubuncinane kube kanye ebomini babo.

I-BPPV ayifumaneki kakhulu ebantwaneni abancinci, kodwa inokubonwa ngamanye amaxesha.

Ixhaphake kangakanani i-BPPV?

Enyanisweni, i-BPPV sisifo esixhaphakileyo sendlebe yangaphakathi. Kufunyaniswe ukuba yi-20% kuphela yabantu abaya kugqirha abane-vertigo ene-BPPV. Oko kuthetha ukuba ukuba uhlangabezana nale meko, awuwedwa.

Ukuba unesifo se-BPPV, ngaba siya kuhlala sihleli?

Hayi, i-BPPV idla ngokuziphelela . Nangona kunjalo, ukuba ayinyangwa kwaye ayilawulwa kakuhle, ingabuya. Kwabanye abantu, i-vertigo ingabuya emva kweenyanga okanye iminyaka.

Zithini iimpawu ze-BPPV?

Uphawu oluphambili lwe-BPPV kukuziva ngathi ihlabathi liyajikeleza (vertigo). Olu luvo lokujikeleza lunokuba buthathaka okanye lube nzima. Lunokuhlala ukusuka kwimizuzwana embalwa ukuya kumzuzu. Lunokuhamba nezinye iimpawu, kuquka:

• Isiyezi
• Ubukrelekrele, ukuziva ngathi uyabhabha
• Ukulahlekelwa kukulinganisela xa uhamba okanye umi (Iingxaki zokulinganisela)
• Isicaphucaphu nokuhlanza
• Umbono ofipheleyo
• Iintshukumo zamehlo ezikhawulezayo neziqhubekayo (iNystagmus) - Nokuba awukuqapheli oku, ugqirha angakubona.

I-BPPV idla ngokuchaphazela indlebe enye ngexesha, kodwa ayifane ichaphazele zombini iindlebe.

Yintoni ebangela ukuba i-BPPV ivele ngequbuliso?

I-BPPV idla ngokuvela xa utshintsha indlela intloko yakho ebekwe ngayo. Abanye abantu banokufumana ezi mpawu xa belele phantsi okanye bephuma ebhedini. Abanye banokufumana ezi mpawu xa bejika intloko yabo ngasemva okanye beyijika ecaleni. Njengoko sikhula, iindawo ezibuthathaka zendlebe yethu yangaphakathi ziyawohloka, ngoko ke ezi mpawu zinokwanda.

Ngamanye amaxesha, i-BPPV inokuba luphawu lwenye imeko engaphakathi kwendlebe. Umzekelo:

• Usulelo okanye ukudumba kwendlebe yangaphakathi (iLabyrinthitis)
• I-Vestibular neuritis (ukudumba kwemithambo-luvo okunxulumene nokulinganisela)
• I-Acoustic neuroma, ithumba elingelona umhlaza elikhula endlebeni

Ukongeza, abantu abane-migraines banokuba ne-BPPV. Okanye, i-BPPV inokukhula emva kokubetheka kakhulu entloko, umzekelo, ukuwa, ingozi, okanye enye ingozi ngelixa bedlala imidlalo.

Kutheni ndiba nesiyezi xa ndishukumisa intloko yam? Kwenzeka ntoni ngaphakathi koku?

Kulungile, eli libali lesayensi kancinci, kodwa mandilibeke ngokulula. Kwindlebe yethu engaphakathi, kukho inxalenye elawula ibhalansi. Inenkqubo yemijelo ebizwa ngokuba yi-'Semicircular canal' . Kwakhona, kufutshane nale mijelo kukho elinye ilungu elincinci elibizwa ngokuba yi-'Utricle'.

Ngaphakathi kweli `Utricle`, kukho amasuntswana amancinci kakhulu afana nomgubo enziwe ngecalcium carbonate`(Otoconia) .` Cinga ngala `njengeengqalutye` ezincinci endlebeni. Ngokwesiqhelo, la `Otoconia` kufuneka abe ngaphakathi kwelo `Utricle`.

Nangona kunjalo, ngamanye amaxesha ngenxa yokwenzakala, usulelo, okanye ukwaluphala, ezinye zezi `Otoconia` (Otoconia) zibaleka kwi `Utricle` (Utricle) zize zingene kwezo `Semicircular canal` (Semicircular canal). Kulapho ke ingxaki iqala khona.

Xa ushukumisa intloko yakho, i-'Otoconia' engaphakathi kwezo misele iyaqengqeleka iye phambili nangasemva. Ngaphakathi kwezi misele kukho iindawo ezintle kakhulu ezifana neenwele '(Cilia).' Ezi 'Cilia' zezona zithumela ulwazi malunga nokulinganisela engqondweni yethu. Xa ezo 'Otoconia' ziqengqeleka zize zibethe ezi 'Cilia', ingqondo ifumana isignali engalunganga, ngokungathi uyajikeleza. Yiyo loo nto uziva unesizungu. Uyaqonda? Kufana "nomjikelo omfutshane" omncinci kwinkqubo yokulinganisela ezindlebeni zethu.

Ugqirha uyixilonga njani i-BPPV?

Xa usiya kugqirha, baya kukuxilonga, bakubuze ngeempawu zakho, baze bakubuze ngezinye izifo zakho ukuze babone ukuba unayo na i-BPV. Ngamanye amaxesha, kwenziwa uvavanyo olukhethekileyo (uvavanyo lwe-Dix-Hallpike) .Ungakwenza oku. Ugqirha uza kukuxelela ukuba ulale ebhedini aze ajike intloko yakho ukusuka kwelinye icala ukuya kwelinye ukuze abone ukuba uziva unesiyezi okanye amehlo akho ayaxhuzula (nystagmus).

Ngaba ikho indlela yokunyanga i-BPPV ngokukhawuleza?

Unyango olungcono nolukhawulezayo lwe-BPPV luqheliso lonyango lomzimba. Olu qheliso lubizwa ngokuba yi-'Canalith Repositioning Procedures'. Injongo yalo kukubuyisela i-'Otoconia' ebambeke kwi-'Semicircular canal' apho kufanele ukuba khona, i-'Utricle'. Akuba elapho, amasuntswana ayanyibilika kwaye awasenangxaki.

Ukongeza kwezi ziqhelo, ungathatha amayeza okudakumba ukuze unciphise isiyezi. Nangona kunjalo, akucetyiswa ukuba uwathathe rhoqo la mayeza.

Zisebenza njani ezi ziqhelo zeBPPV?

Ezi ziqhelo, ezibizwa ngokuba yi-"Canalith Repositioning Procedures," zihlala zithatha malunga nemizuzu eli-15 ukuze zenziwe. Kule meko, intloko nomzimba wakho ziyaguqulwa nganye nganye ukuze kubekwe kwakhona i-"Otoconia" engafanelekanga.

Cinga ngokuzama ukukhupha amatye amancinci ebhotileni. Ukwenza oku ngokujika ibhotile ukusuka kwelinye icala ukuya kwelinye. Olu qheliselo lunjalo.

Iseshoni enye enjalo yokuzilolonga iya kunceda abantu abamalunga nama-80% ukuya kuma-90% abane-BPPV. Nangona kunjalo, ukuba iimpawu ziyaqhubeka, kunokufuneka wenze ezinye iiseshoni ezininzi.

Ugqirha wakho angakubonisa ezi ziqhelo. Bangakufundisa nendlela yokuzenza ekhaya. Emva koko ungayenza nanini na xa uziva unesiyezi.

Nazi ezinye iindlela ezilula zokuzilolonga onokuzizama ekhaya (oku kufana ne-Epley Maneuver, kodwa soloko ubonana nogqirha ):

• Inyathelo 1: Hlala uthe nkqo ebhedini. Jika intloko yakho malunga nama-45 degrees uye ngasendlebeni kwicala apho unesiyezi khona. (Umzekelo, ukuba yindlebe yakho yasekunene, jika uye ngasekunene).
• Inyathelo lesi-2: Lala ebhedini ngokukhawuleza. Gcina intloko yakho kwicala elifanayo olijikile, uze ulale phantsi intloko yakho ingaphantsi kancinci kwinqanaba lebhedi (njengokuphumela ngaphandle kwekona yebhedi). Linda malunga nomzuzu, okanye ude iimpawu zakho ziphele.
• Inyathelo lesi-3: Ngaphandle kokuphakamisa intloko yakho, jika intloko yakho ngokukhawuleza uye kwelinye icala. Oku kuthetha ukuba indlebe yakho "elungileyo" ngoku kufuneka ilingane nebhedi, ingezantsi kancinci. Bamba malunga nomzuzu, okanye ide iphele loo mpawu.
• Inyathelo lesi-4: Jikela kwelinye icala. Jika intloko yakho kwakhona ngama-90 degrees kwicala elifanayo. Impumlo yakho ngoku kufuneka ijonge phantsi. Yibambe malunga nomzuzu.
• Inyathelo lesi-5: Gcina isilevu sakho sinamathele esifubeni sakho uze ume ngecala elifanayo nomzimba wakho. Emva koko landela eminye imiyalelo enikiweyo ngugqirha.

Kubalulekile: Kungcono ukuba nomntu okufutshane xa usenza olu qheliselo, kuba isiyezi sinokwanda.Ungaze uzenze ezi zivivinyo wedwa ngaphandle kwemvume kagqirha, ingakumbi ukuba uneengxaki zentamo.

Ngaba i-BPPV iba ngcono ngokwayo?

Ewe, i-BPPV idla ngokuziphelela. Nangona kunjalo, ingabuya. Ukuba iyabuya, ugqirha wakho uza kukufundisa indlela yokulawula iimpawu zakho.

Ngaba umngcipheko wokuba ne-BPPV ungancitshiswa?

Ngelishwa, i-BPPV ayinakuthintelwa ngokupheleleyo. Nangona kunjalo, ungazilawula iimpawu ngokwenza 'uqheliso lokutshintsha indawo yee-particle' endikhankanyileyo. Ukunciphisa umngcipheko we-BPPV ngenxa yokwenzakala entloko, ungalibali ukunxiba isigcina-ntloko xa ukhwela ibhayisekile okanye udlala imidlalo yokudibanisa.

Yintoni onokuyilindela ukuba une-BPPV?

Iindaba ezimnandi zezokuba i-BPPV ayilophawu lwengxaki enkulu yempilo. Nangona kunjalo, ukuhlala nezi mpawu kunokuba yinto eyoyikisayo necaphukisayo. Ugqirha wakho angakufundisa indlela yokwenza umthambo we-BPPV ekhaya, ukuze ukwazi ukuyilawula xa kuvela ingxaki.

I-BPPV ingahlala ixesha elingakanani?

Uninzi lwexesha, i-vertigo ebangelwa yi-BPPV ihlala umzuzu omnye okanye emibini. Iimpawu zakho zinokuba zincinci kakhulu, okanye zinokuba nzima kangangokuba uhlanze. Usenokulahlekelwa yibhalansi yakho xa umi okanye uhamba uze uwe.

Ndifanele ndimbone nini ugqirha?

Ukuba une-vertigo ngenxa ye-BPPV, bona ugqirha ukuze akunike ingcebiso. Uza kukufundisa imithambo yonyango lomzimba ukunceda ukunciphisa iimpawu zakho.

Nangona kunjalo, ukuba unesizungu kunye nentloko ebuhlungu kakhulu, iintlungu zesifuba, okanye ukubetha kwentliziyo okungaqhelekanga, fowunela u-911 ngoko nangoko okanye uye esibhedlele esikufutshane. Ezi zinokuba ziimpawu zesinye isifo esinzima.

Amagama ambalwa abalulekileyo ekufuneka uwaqonde malunga ne-BPPV

Ukuze siqonde ngcono into ebesithetha ngayo, makhe sifunde kancinci ngala macandelo endlebe yethu yangaphakathi:

• Ii-semicircular canal: Ezi zifana ne-gyroscope entlokweni yethu. Zinemijelo kuzo zontathu iindlela: phezulu, ezantsi, nathe tye. Xa zidibene, ezi mijelo zithumela imiqondiso engqondweni yethu malunga nendawo yentloko yethu (umz., xa uhamba, ujika).
• `I-Cupula`: Oku kufumanisa ukuhamba kolwelo ngaphakathi kwimijelo ye-semicircular. Oku kuhamba kolwelo kuko okunika imizimba yethu imvakalelo yokuhamba.
• `Utricle`: Le ikwalilungu elikwindlebe engaphakathi elinceda ukulawula ibhalansi. Iqulethe iiseli zeenwele ezintle, ezigqunywe yi-`Otoconia`. Xa ezi `Otoconia` zitshintshatshintsha ngenxa yomxhuzulane, zithumela imiqondiso engqondweni malunga nendawo yentloko nomzimba (njengokuthe nkqo okanye ukuthambekela).
• `Otoconia`: La ngamasuntswana amancinci ekristale yecalcium endikhankanyileyo ngaphambili. La masuntswana aphuma kwi-`Utricle` (apho anokunyibilika khona) aze aye kwi-`Semicircular canal` (apho anganyibiliki khona).
• I-Cochlea: Eli lilungu lokuva elimile okweqokobhe leenkumba elikwindlebe yethu yangaphakathi. Liguqula isandi sibe ziintshukumo zemithambo-luvo kwaye lizithumele engqondweni.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-BPPV ayisiyongxaki esongela ubomi, kodwa inokuba nefuthe elikhulu kumgangatho wobomi bakho. Ukuba uneempawu ze-BPPV, ezifana nesiyezi ngequbuliso, i-vertigo, okanye ukulahlekelwa yibhalansi, kufuneka ubone ugqirha. Kwiimeko ezininzi, imithambo yonyango lomzimba kunye namayeza asekhaya anokunceda ukulawula iimpawu zakho. Musa ukoyika, kodwa qaphela oku.

I- BPPV, i-vertigo, isiyezi, indlebe yangaphakathi, i-otoconia, ibhalansi, i-Epley maneuver