Khawuthelekelele uzama ukuphuma ebhedini kusasa, okanye uqengqeleka kwelinye icala lebhedi. Ngequbuliso, uziva ngathi lonke igumbi liyakujikeleza. Ayisiyonto imbi neyoyikisayo leyo? Olu luphawu oluphambili lwesimo esisibiza ngokuba yi-BPPV ngamafutshane. Isenokuvakala ngathi yinto enkulu, kodwa ungoyiki. Masithethe ngale nto ngokulula nangokucacileyo.
Ngamafutshane, yintoni i-BPPV?
Intsingiselo epheleleyo ye-BPPV yi- Benign Paroxysmal Positional Vertigo . Eli gama livakala lide kancinci, akunjalo? Masilihlalutye igama negama.
- Intle: Oku kuthetha "ukungakhathali." Kuthetha ukuba akusiso isifo somhlaza okanye imeko esongela ubomi.
- I-Paroxysmal: Oku kuthetha "ukuza ngequbuliso uze uhambe." Olu hlobo lwesiyezi aluhlali lukho. Lufika ngequbuliso luze luphele kwimizuzwana embalwa okanye umzuzu.
- Isikhundla: Oku kuthetha "ukuhambelana nendawo." Oku kuthetha ukuba isiyezi senzeka kuphela xa utshintsha ngequbuliso indawo yentloko yakho.
- I-Vertigo: Eli ligama lezonyango elithi "vertigo." Lithetha ukuba uziva ngathi imeko-bume ekungqongileyo iyajikeleza, nangona umile ungashukumi.
Ngamafutshane, i-BPPV yintlungu eyenzeka ngequbuliso, kodwa engeyongozi, ephela emva kwexesha elithile xa utshintsha indlela intloko yakho eme ngayo. Ibangelwa yingxaki encinci endlebeni yethu yangaphakathi.
Nangona oku kungengombandela ubalulekileyo, iimpawu zinokuba ziyoyikisa kakhulu. Esi sizungu sinokubangela ukuba abantu abangaphezu kweminyaka engama-65 ubudala baphulukane nokulinganisela baze bawe . Ukuba uyawa, kubalulekile ukuqaphela oku, kuba kunokubangela ukwaphuka kwamalungu omzimba.
Ngubani onokuba nethuba elingcono lokufumana le meko?
Nangona i-BPPV inokuchaphazela abantu bayo nayiphi na iminyaka, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-50 ubudala. Enyanisweni, kuqikelelwa ukuba malunga nomntu omnye kwabababini kweli qela leminyaka uya kuba ne-BPPV ubuncinane kube kanye ebomini bakhe. Ayiqhelekanga kakhulu ebantwaneni.
I-BPPV ifunyanwa kubantu abamalunga nama-20% abeza kuthi ukuze bafumane unyango lwe-vertigo, okanye malunga nomnye kwabahlanu. Yimeko eqhelekileyo le.
Umbuzo abantu abaninzi abawubuzayo kukuba ingaba le yimeko esisigxina na. Hayi, i-BPPV idla ngokuziphelela emva kweentsuku okanye iiveki ezimbalwa. Nangona kunjalo, ngamanye amaxesha ingabuya. Ngamanye amaxesha, i-vertigo ingabuya emva kweenyanga okanye iminyaka.
Zithini iimpawu ze-BPPV?
Uphawu oluphambili yivertigo. Nangona kunjalo, kukho ezinye iimpawu ezininzi ezinokuhamba nayo. Makhe sijonge ezi kwitheyibhile engezantsi.
| Uphawu | Ivakala njani? (Ivakala njani?) |
|---|---|
| I-Vertigo | Kuvakala ngathi igumbi lonke liyajikeleza, nangona ungashukumi. |
| Isiyezi | Ukuziva ngathi intloko yakho ayinabunzima, ngathi uyadada. Ukuziva ngathi uza kulahlekelwa zingqondo. |
| Iingxaki zokulinganisela | Ukuziva utyhafile xa umi okanye uhamba. Ukuziva ngathi uza kuwa. |
| Isicaphucaphu nokuhlanza | Ukuziva unesizungu okanye ukuhlanza kunye nesicaphucaphu. |
| Umbono ofipheleyo | Ukuziva ngathi umbono wakho awubonakali kakuhle xa unesiyezi. |
| Ukunyakaza kwamehlo ngokukhawuleza (i-Nystagmus) | Iintshukumo zamehlo ezikhawulezayo nezingalawulekiyo. Usenokungakuqapheli oku, kodwa umntu okufutshane okanye ugqirha wakho unokukuqaphela. |
Yintoni ebangela esi sizunguzungu? (Izinto ezibangela esi sizungu)
Isiyezi seBPPV sidla ngokuvela xa intloko itshintsha indawo. Umzekelo:
- Ngethuba elele ebhedini.
- Xa uphuma ebhedini.
- Xa ujikela ebhedini.
- Xa ujika intloko phezulu (umz. ukuyothatha into eshelufini).
- Xa ugoba intloko yakho ezantsi.
Kwenzeka ntoni ngokwenene endlebeni engaphakathi?
Kulungile, ngoku makhe sijonge ukuba kutheni oku kusenzeka. Ukuze sikuqonde oku, kufuneka sazi kancinci malunga nolwakhiwo lwendlebe yethu yangaphakathi.
Khawuthelekelele ukuba endlebeni yakho engaphakathi, apho ulawula khona ibhalansi yakho, kukho izinto ezincinci ezifana nesanti. Ezi ziinxalenye zecalcium carbonate . Kwizonyango, ezi sizibiza ngokuba yi-otoconia . Ngokwesiqhelo, zifumaneka apho zifanele ukuba khona, kwilungu elibizwa ngokuba yi-'utricle'.
Kodwa njengoko sikhula, okanye xa senzakele kancinci entloko (njengokuwa okanye ingozi), okanye xa sinosulelo, la 'mabhola' anokukhubeka aze asuke endaweni yawo. Emva koko aya kwimijelo ye-semicircular, equlethe ulwelo olubalulekileyo ukuze kubekho ulungelelwano.
Ngoku, xa ushukumisa intloko yakho, la masuntswana ajikeleza kuloo manzi, evuselela iindawo ezintle ezifana neenwele ('cilia') apho. Oku kuthumela umyalezo ongalunganga engqondweni. Loo myalezo kukuba 'uyajikeleza'. Yiyo loo nto siziva sididekile.
Ngamanye amaxesha iimpawu ze-BPPV zinokubangelwa zezinye iimeko zendlebe. Umzekelo, zinokuvela kwiimeko ezifana ne-`(Labyrinthitis)` (usulelo lwendlebe yangaphakathi) okanye `(Vestibular neuritis)` (ukudumba kwemithambo-luvo enoxanduva lokulinganisela). Abantu abane-migraines nabo banamathuba amaninzi okufumana i-BPPV.
Gqirha, uza kuyixilonga kwaye uyinyange njani le nto?
Ukuba unale mpawu, kungcono ukubona ugqirha wakho. Uza kukubuza ngeempawu zakho aze akuhlole.
Kukho uvavanyo olukhethekileyo lokufumanisa i-BPPV. Kolu vavanyo, ugqirha uza kukubeka etafileni yovavanyo, ajike intloko yakho ijonge ecaleni, aze akulalise phantsi ngokukhawuleza. Ngeli xesha, uza kujonga amehlo akho aze ajonge ukuba unesiyezi okanye i-nystagmus (ukuxhuzula kwamehlo). Oku kuya kumnceda ukuba aqonde ukuba unayo na i-BPPV.
Iindaba ezimnandi zezokuba unyango lwe-BPPV lulula kakhulu. Aludingi mayeza exesha elide. Unyango oluphambili luqheliselo lonyango lomzimba . Ezi zibizwa ngokuba ziinkqubo zokutshintsha indawo ye-canalith. Ezi qheliselo zisebenza ngokubuyisela iikristale ze-calcium ezilahlekileyo apho zifanele ukuba khona. Zakuba zilapho, ziyanyibilika, ukuze i-vertigo ingabuyi.
Ukuzilolonga okulula ukunciphisa isiyezi ekhaya
Enye yezi ziqhelo yi-Epley Maneuver. Ugqirha wakho uza kukubonisa indlela yokwenza oku ekliniki aze akufundise nendlela yokwenza oku ekhaya.
Isilumkiso:Eyona nto ibalulekileyo kukuqala wenze lo mthambo emva kokubonisana nogqirha wakho. Kuya kufuneka aqinisekise ukuba isiyezi sakho sibangelwa yi-BPPV na nokuba siyayichaphazela na indlebe yakho yasekunene okanye yasekhohlo. Ukwenza oku kwicala elingalunganga kunokwenza iimpawu zakho zibe mandundu. Ngoko ke, musa ukuzama ngokwakho ngaphandle kwengcebiso kagqirha wakho.
Apha ngezantsi kukho indlela umntu one-BPPV endlebeni yasekunene awenza ngayo lo mthambo. (Kwindlebe yasekhohlo, kufuneka ukwenze ngendlela eyahlukileyo.)
1. Inyathelo 1: Hlala uthe nkqo ebhedini. Jika intloko yakho ijike ibe ngama-45 degrees ngasekunene (ngasecaleni elichaphazelekileyo).
2. Inyathelo lesi-2: Ngoku, ngelixa ujika intloko yakho iye ngasekunene, lala ngokukhawuleza ebhedini . Amahlombe akho ephumle phezu komqamelo, gcina intloko yakho ikude kancinci ebhedini. Hlala kule ndawo imizuzwana engama-30-60, okanye ude isiyezi siyeke ngokupheleleyo.
3. Inyathelo lesi-3: Ngaphandle kokuphakamisa intloko yakho, jika intloko yakho ngokukhawuleza uye ngasekhohlo (iidigri ezingama-90). Indlebe yakho yasekhohlo ngoku kufuneka ijonge ebhedini. Bamba le ndawo imizuzwana engama-30-60.
4. Inyathelo lesi-4: Ngoku jika umzimba wakho wonke uze ujonge kwakhona iidigri ezingama-90 ngasekhohlo , utyekise intloko yakho. Impumlo yakho mayijonge phantsi. Hlala kule ndawo imizuzwana engama-30-60.
5. Inyathelo lesi-5: Hlala kancinci kwicala oxhomekeke kulo, ugcine isilevu sakho sisondele egxalabeni lakho.
Olu qheliselo luza kususa iimpawu zakho ezingama-80%-90% emva kweseshoni enye nje. Ukuba usenazo iimpawu, kuya kufuneka uphinde njengoko ugqirha wakho ekuyalele.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba ukrokrela ukuba uneempawu ze-BPPV, qiniseka ukuba ubona ugqirha. Ngale ndlela, unokufumana uxilongo oluchanekileyo kwaye ufunde imithambo efunekayo.
Nangona kunjalo, ngamanye amaxesha isiyezi sinokuba luphawu lwesifo esinzima ngakumbi.
Ukuba unezinye zeempawu ezingezantsi kunye nesiyezi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko, ngaphandle kokulibazisa.
* Intloko ebuhlungu kakhulu (ingakumbi ukuba awukaze ube nayo ngaphambili)
* Intlungu yesifuba okanye utshintsho olungaqhelekanga kwisantya sentliziyo
* Ubunzima bokuthetha okanye ukungakwazi ukuthetha kakuhle
* Ukugoba kwelinye icala lobuso
* Ukuba ndindisholo okanye ukurhawuzelela engalweni okanye emlenzeni
* Ukubona kabini okanye ukulahleka ngokupheleleyo kokubona
Ezi zinokuba ziimpawu zesifo esinzulu esifana nestroke, ngoko ke lumka kakhulu ngazo.
Umyalezo Wokuya Ekhaya
- I-BPPV yimeko eqhelekileyo kwaye ayisiyongxaki enkulu eyenzeka endlebeni engaphakathi. Musa ukothuka ngokungeyomfuneko yile nto.
- Oku kungenxa yokuba ii-calcium pellets ezincinci (i-otoconia) ezikwindlebe engaphakathi ziyaphuma apho zifanele ukuba khona zize ziye kwindawo engafanelekanga.
- Uphawu oluphambili sisiyezi esifika ngequbuliso kwaye sihlala ngaphantsi komzuzu xa utshintsha intloko (umz., xa uphuma ebhedini).
- Unyango olungcono koku asikokusebenzisa iipilisi, kodwa kukuzilolonga okulula (ukutshintsha iindlela zokusebenzisa) okufundiswa ngugqirha.
- Ungaze uzame ezi ziqhelo ngokwakho ngaphandle kokubonana nogqirha okanye ukuzijonga kwi-intanethi. Kubalulekile ukuba uqale ufumane uxilongo olufanelekileyo.
- Ukuba isiyezi sihamba nezinye iimpawu ezinzulu ezifana nentloko ebuhlungu, iintlungu zesifuba, okanye ubunzima bokuthetha, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
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