Ngaba nawe uvakalelwa ngathi ihlabathi liyajikeleza xa ujika ebhedini, okanye xa uvuka ngequbuliso ujika intloko yakho? Esi sizungu, esihlala imizuzwana embalwa, ngamanye amaxesha sihamba nokuhlanza. Eli liva eloyikekayo kakhulu elifunyanwa ngabantu abaninzi. Kodwa ungakhathazeki, uninzi lwexesha imbangela ayibalulekanga kangako. Namhlanje sithetha ngonyango olulula, kodwa olusebenzayo kakhulu, olungelulo unyango lwale nto.
Kutheni intloko yam ijikeleza ngolu hlobo? Ngamafutshane, i-BPPV...
Esi sizunguzungu sikhawulezileyo ngokwezonyango saziwa ngokuba yi-"Benign Paroxysmal Positional Vertigo", okanye i-BPPV ngamafutshane. Nangona eli gama liyinkimbinkimbi kancinci, ibali lilula kakhulu.
Khawucinge nje, indlebe yethu yangaphakathi inenkqubo ebuthathaka kakhulu elawula ulungelelwaniso lomzimba. Ngaphakathi kule nkqubo, kukho iikristale ezincinci ezenziwe ngecalcium carbonate. Ezi sizibiza ngokuba zii "canaliths". Ngokwesiqhelo, ezi zicwangciswe ngendlela ehlelekileyo kwindawo apho zifanele ukuba khona, oko kukuthi, kwinxalenye yendlebe ebizwa ngokuba yi "utricle".
Kodwa, ngamanye amaxesha ngenxa yokwaluphala, ngenxa yokwenzakala okuncinci entloko, okanye ngaphandle kwesizathu konke konke, ezinye zezi bhola zincinci ziyaphuma apho zifanele ukuba khona zize ziphele kwindawo ekufutshane ebizwa ngokuba yi-semicircular canal. Ngoku kulapho ingxaki iqala khona. Ulwelo ngaphakathi kwezi bhalbhu luthumela imiqondiso engqondweni malunga nokuhamba kwentloko yethu. Ukongeza, xa iibhola ezingene ziqengqeleka ngaphakathi kwezi bhalbhu, intshukumo yolo lwelo iyaphazamiseka, kwaye nokuba intloko ayishukumi, isibonakaliso esingeyonyani sithunyelwa engqondweni ngokungathi intloko ijikeleza ngokukhawuleza .
Ngamafutshane, xa ushukumisa intloko yakho okanye uqengqeleka ebhedini, imiqondiso yokulinganisela eya engqondweni yakho iphazanyiswa ziingqalutye ezimbalwa kwindawo engafanelekanga. Yiyo loo nto uziva ngathi ihlabathi liyajikeleza.
Sithini isisombululo sale nto? (Inkqubo yokuHlaziya iCanalith)
Unyango olungcono nolokuqala loku lubizwa ngokuba yi-`(Canalith Repositioning Procedure - CRP)`. Olu asilonyango okanye utyando. Ngokuchanekileyo, olu luchungechunge lwemithambo ekhethekileyo eyenziwa ngoncedo lukagqirha. Injongo yoku kukususa ngononophelo loo matye mancinci (`canaliths`) abuyele kwindawo yawo efanelekileyo (`utricle`).
Kwezi ndlela ze-`(CRP)`, eyona ndlela idumileyo nephumelelayo ehlabathini okwangoku yi -Epley Maneuver . Kufunyaniswe ukuba le ndlela inika uncedo olukhawulezileyo kubantu abasibhozo kwabalishumi abane-BPPV . Yiyo loo nto oogqirha bedla ngokuzama le `(Epley maneuver)` kuqala.
Yenziwa njani i-Epley Maneuver?
Le yinto ugqirha aza kukunika yona. Lonke eli xesha lithatha malunga nemizuzu emi-5 ukuya kweli-10. Ukuba ayisebenzi kanye, kusenokufuneka uyenze izihlandlo ezininzi. Usenokuziva unesiyezi kancinci ngelixa usenza oku, kodwa ungakhathazeki, kuyinto eqhelekileyo.
Makhe sijonge eli nyathelo ukuze siliqonde kakuhle.
| Inyathelo | Indlela yokwenza oku (Inkcazo) |
|---|---|
| Inyathelo 1 | Ugqirha uza kukubeka etafileni yovavanyo aze ajike intloko yakho malunga nama-45 degrees ecaleni kwendlebe okubangela isiyezi. |
| Inyathelo lesi-2 | Okulandelayo, uza kubuyela ebhedini ngokukhawuleza, ugcine intloko yakho ingashukumi. Apha, intloko yakho iza kuba ngaphantsi kancinci kwinqanaba lebhedi. Ungaziva unesiyezi kancinci ngeli xesha. Ugqirha uza kukucela ukuba uhlale kuloo ndawo imizuzwana engama-20-30. |
| Inyathelo lesi-3 | Ngoku, ngaphandle kokuphakamisa intloko yakho, jika intloko yakho kancinci uye kwelinye icala. |
| Inyathelo lesi-4 | Emva koko, jika umzimba wakho wonke, kuquka nentloko yakho, uye kwicala elo, uze ujike ube yithambeka. Kufuneka uhlale unjalo ixesha elide. |
| Inyathelo lesi-5 | Ekugqibeleni, ngoncedo lukagqirha, ndihlala phantsi kancinci kwakhona. |
Ndingenza oku ekhaya?
Ewe, ungakwenza. Ukuba iimpawu zakho ziyabuya, zisebenzise. Ugqirha wakho uza kukuxelela indlela yokwenza oku ekhaya. Kufuneka uhlale emphethweni webhedi yakho uze ulandele amanyathelo kanye njengoko ugqirha wakho ekuxelele. Ukuze ufumane iziphumo ezilungileyo, unokucetyiswa ukuba ukwenze oku malunga namaxesha amathathu ngemini.
Kodwa khumbula, ungaze uzame ukukwenza ngokwakho ngaphandle kokufunda kugqirha. Ukukwenza ngendlela engafanelekanga kunokwenza iimpawu zakho zibe zimbi ngakumbi.
Abantu abaninzi bathanda ukwenza oku ngaphambi kokuba ulale kuba ukuba unesizungu emva kokwenza oku, kuya kuziphelela xa ulele.
Zithini iingenelo kunye neengozi zoku?
Eyona nzuzo inkulu yolu nyango kukuba lusebenza kakhulu kwi-BPPV . Lukwanazo neengozi ezimbalwa kakhulu.
Nangona kunjalo, ukuba unengxaki yentamo okanye umqolo, ukuqhekeka kwe-retina, okanye isifo semithambo yegazi, le nkqubo isenokungakulungeli. Ke ngoko, ugqirha wakho uza kujonga imbali yakho epheleleyo yezonyango ngaphambi kokuba enze le nkqubo.
Emva kokwenza oku, abanye abantu banokuziva izinto ezinje:
- Isicaphucaphu
- I-vertigo enzulu
- Ukuhlanza (okungafane kwenzeke)
Abantu abaninzi baziva bekhululekile phantse kwangoko emva kokwenza i-Epley maneuver. Kwabanye, iimpawu ziyanyamalala ngokupheleleyo emva kweentsuku ezimbini ukuya kwezintathu.
Ufuna ukuphinda umbone ugqirha kwakhona nini?
Ukuba wenza ezi zivivinyo ekhaya kwaye iimpawu zakho aziphucuki emva kweentsuku ezimbalwa, qiniseka ukuba ubona ugqirha wakho kwakhona . Angajonga ukuba kukho ezinye izizathu zokudinwa kwakho. Umzekelo, usulelo lwendlebe okanye i-migraines nazo zinokubangela isiyezi. Ukuba kuyimfuneko, ugqirha wakho angakunika amayeza okudinwa okanye isiyezi.
Uyazi njani ukuba yeyiphi indlebe ebangela isiyezi?
Le yinto enzima kuwe ukuyifumanisa wedwa. Xa ugqirha wakho ekuxilonga, uza kwenza uvavanyo olukhethekileyo olubizwa ngokuba yiDix-Hallpike maneuver. Oku kuya kunceda ekuqinisekiseni ukuba isiyezi sakho sivela endlebeni yakho yasekunene okanye yasekhohlo. Wakuba ukwazi oko, ungakhetha ukuba ujike kweliphi icala intloko yakho ngexesha le-Epley maneuver.
Kwakhona, khumbula, `(Canalith Repositioning Procedure - CRP)` ligama eliqhelekileyo. `(Epley maneuver)` yenye yeendlela ezaziwayo phantsi kwayo. Kukwakho nezinye iindlela ezibizwa ngokuba yi`(Semont maneuver)` kunye ne`(Brandt-Daroff maneuver)`. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-BPPV ibangelwa ngamatye amancinci (ii-canaliths) endlebeni engaphakathi ahamba aye kwindawo engafanelekanga.
- I-Epley Maneuver yindlela yokuzilolonga esebenza kakhulu, engenazo iziyobisi etshintsha amathambo omqolo.
- Oku kukhuselekile kakhulu. Kodwa ngaphambi kokuba ukwenze ngokwakho ekhaya, qiniseka ukuba ufunda indlela echanekileyo kugqirha.
- Ukuba iimpawu zakho aziphucuki nangona uzilolonga, bonana nogqirha wakho kwakhona ukuze ubone ukuba kukho enye imbangela.
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