Xa uvuka ebhedini, ujika, okanye ujonge phezulu, ngaba uziva ngathi ihlabathi liphela liyakujikeleza? Ngelo xesha, awukwazi nokuma, kwaye uzive ungakhululekanga, kunye nemvakalelo yokuba nesicaphucaphu. Nangona esi sizungu siphela kwimizuzu embalwa, uloyiko oluvayo ngelo xesha lukhulu. Abantu abaninzi baye baba namava afanayo. Ngoko ke namhlanje, masithethe ngesizathu esiphambili sale nto kunye novavanyo olulula olusetyenziswa ngoogqirha ukuxilonga.
Kutheni intloko yam ijikeleza ngolu hlobo? Yintoni i-BPPV?
Eyona nto iphambili neyona ixhaphakileyo yesi sizunguzungu ngequbuliso yimeko ebizwa ngokuba yiBenign Paroxysmal Positional Vertigo . Siyibiza ngokuthi (BPPV) ngamafutshane. Nangona igama lide kancinci, intsingiselo ilula kakhulu.
- Intle - Oku kuthetha ukuba ayiyongozi okanye ayisongeli ubomi. Ayiyonto ifana nomhlaza.
- I-Paroxysmal - ithetha ukuba iqala ngequbuliso ize iphele ngokuzenzekelayo emva kwexesha elithile.
- Isikhundla - Oku kuthetha ukuba kwenzeka xa isikhundla sentloko sitshintsha.
- I-Vertigo - ibhekisa kwisiyezi esisaziyo.
Ngamafutshane, i-BPPV yimeko engeyongozi eyenzeka ngequbuliso ize iphele emva kwexesha elifutshane xa intloko ishukunyiswa.
Kulungile, ngoku masibone ukuba kutheni oku kusenzeka. Ngaphakathi kwendlebe yethu, indlebe engaphakathi, kukho inxalenye ebuthathaka kakhulu elawula ulungelelwaniso lomzimba. Ngaphakathi kukho iikristale zecalcium carbonate ezincinci kakhulu. Zicinge njengeentlabathi. Ngokwesiqhelo, ezi kristale zicwangciswe ngendlela ecwangcisiweyo kwiindawo ezifanele ukuba kuzo.
Kodwa ngamanye amaxesha, njengoko sikhula, xa sifumana ukungqubana okuncinci entlokweni, okanye ngaphandle kwesizathu konke konke, ezinye zezi kristale zinokuphuma endaweni yazo ziye kwinkqubo yemijelo (`imijelo ye-semicircular`) enoxanduva lokulinganisela. Khawuthelekelele ukuba kukho iingqalutye ezincinci kwibhotile yamanzi. Xa ushukumisa ibhotile, ezo ngqalutye zihamba zibuyela umva, zivuselela amanzi, akunjalo? Ngokufanayo, xa ushukumisa intloko yakho, ezo ngqalutye ziye kwindawo engafanelekanga nazo zihamba zibuyela umva, zingqubana nolwelo olungaphakathi kwezo ngqalutye, kwaye zithumele umqondiso ongeyonyani engqondweni yethu wokuba "udidekile ngoku." Nangona singaxinezelekanga ngokwenene, ingqondo iyakholelwa kuloo mqondiso, ngoko ke siziva sixinezelekile. Yiloo nto eyenzekayo kwi-BPPV.
Ngoko ke, ugqirha ufumanisa njani ngokuchanekileyo ukuba une-BPPV?
Ukuba unolu hlobo lwe-vertigo, xa usiya kugqirha, kufuneka aqinisekise ukuba une-BPPV okanye ukuba yi-vertigo ebangelwa yenye into, kuba zinokubakho ezinye izizathu ze-vertigo.
Uvavanyo oluphambili noluchanekileyo olusetyenziswa ngoogqirha kwihlabathi liphela ukuxilonga i-BPPV yiDix-Hallpike Maneuver.Olu luvavanyo olulula kakhulu oluye lwasetyenziswa ukususela ngo-1952 kwaye alusebenzisi matshini okanye ziyobisi.
Kolu vavanyo, ugqirha ujika intloko yakho ngononophelo kwiindawo ezithile . Xa usenza oku, ezo kristale zisusiweyo esithethe ngazo ngaphambili ziqala ukuhamba kwakhona. Xa oko kusenzeka, uziva unesiyezi, kwaye amehlo akho aqala ukuhamba ngendlela ekhethekileyo. Ugqirha ujonga loo ntshukumo.
Indlela yokwenza uvavanyo lweDix-Hallpike inyathelo ngenyathelo
Usenokoyika xa usiva oku. " Owu , unikina intloko yakho ngathi unesiyezi?" Kodwa akukho mfuneko yokoyika . Ugqirha ukwenza oku ngononophelo olukhulu kwaye intloko yakho iphantsi kolawulo lwakhe ngokupheleleyo. Oku kuthatha imizuzu embalwa kuphela.
| Amanyathelo | Kwenzekani? |
|---|---|
| Inyathelo 1: Ukuhlala phantsi | Uza kuhlaliswa etafileni yovavanyo, imilenze yakho ivuleke. |
| Inyathelo lesi-2: Ukujika intloko | Ugqirha uza kujika intloko yakho ngama-45 degrees ngasekunene okanye ngasekhohlo. Ngeli xesha, uza kucelwa ukuba uhlale uvulekile amehlo akho. |
| Inyathelo lesi-3: Lala phantsi ngokukhawuleza | Okulandelayo, intloko yakho ikwindawo efanayo naleyo ubujika kuyo, ugqirha uza kukubeka ebhedini ngokukhawuleza, ebambe intloko namagxa akho. Apha, intloko yakho iza kuphakanyiswa kancinci ebhedini, oko kuthetha ukuba intamo yakho iza kugoba kancinci. Kodwa ekubeni izandla zikagqirha zixhasa wonke umthwalo wentloko yakho, awuyi kuba nangxaki. |
| Inyathelo lesi-4: Ukubeka iliso | Ugqirha uza kukugcina kuloo ndawo kangangemizuzwana engama-30, aze ajonge amehlo akho kakuhle. Usenokuziva unesiyezi ngeli xesha. Kwakhona, ukuba une-BPPV, amehlo akho aza kuhamba ngokukhawuleza (emva nangaphambili) ngendlela engalawulekiyo. Oku kubizwa ngokuba yi-nystagmus . |
| Inyathelo lesi-5: Ukuhlala phantsi ujonge elinye icala | Emva koko uphinda uhlale phantsi ngononophelo. Linda ude isiyezi siphele, uze ujike intloko yakho uye kwelinye icala wenze uvavanyo olufanayo, kuba ezi kristale zinokuba kwindlebe yasekunene okanye yasekhohlo. |
Yintoni iNystagmus?
Olu luphawu oluphambili oluqinisekisa i-BPPV. Xa ujika intloko yakho ngolo hlobo, iikristale zendlebe zangaphakathi ziyashukuma zize zithumele imiqondiso engalunganga engqondweni, kwaye ngenxa yoko, amehlo akho aqala ukubetha ngokukhawuleza. Kufana newotshi ebethayo. Awunakukwazi ukuyimisa. Ukuba ugqirha wakho uyakubona oku, unokuqiniseka phantse nge-100% ukuba une-BPPV.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Uvavanyo lweDix-Hallpike luhlala lukhuselekile kakhulu . Nangona kunjalo, ukuba wenzakele entanyeni, umqolo ubuhlungu, okanye usandul' ukuba nestroke, ugqirha wakho unokugqiba ekubeni angaluthathi uvavanyo okanye enze uhlobo olulungisiweyo.
Umzekelo, ungakwenza oku ngokubeka umqamelo phantsi kwamagxa akho uze uphumze intloko yakho ebhedini. Ngale ndlela, akukho xinzelelo entanyeni yakho. Qiniseka ukuba uxelela ugqirha wakho ukuba ukhulelwe. Uza kwenza konke okusemandleni akhe kwimeko yakho ekhuselekileyo.
Zithini iziphumo zovavanyo?
Eyona nzuzo inkulu yolu vavanyo kukuba ungazazi iziphumo ngoko nangoko. Akunyanzelekanga ukuba ulinde iintsuku ngaphambi kokuba ingxelo ifike. Iziphumo zinokuba "Zilungile" okanye "Zimbi".
Ukuba uDix-Hallpike ulungile...
Oku kuthetha ukuba ufunyenwe une-BPPV . Ezi ziindaba ezimnandi! Kuba i-BPPV yimeko enokunyangeka phantse ngokupheleleyo ngaphandle kwamayeza, ngenkqubo elula yokuzilolonga.
Ukuba uvavanyo luthi lukhona, uninzi lwexesha ugqirha uza kukuphatha ngoko nangoko. Indlela esetyenzisiweyo koku ibizwa ngokuba yi-Epley Maneuver . Oku kufana ne-Dix-Hallpike, apho ujika intloko yakho kwiindawo ezahlukeneyo. Kodwa injongo yoku kukuhambisa iikristale eziye kwindawo engafanelekanga zibuyele apho zifanele ukuba khona.
Ukuba iDix-Hallpike ayilunganga...
Oku kuthetha ukuba isiyezi sakho asibangelwa yi-BPPV. Kuthetha ukuba kunokubakho esinye isizathu. Ngelo xesha, ugqirha wakho uza kukuthumela kwezinye iimvavanyo ngokusekelwe kwiimpawu zakho ukuze azame ukufumana unobangela ochanekileyo wesiyezi sakho.
UDix-Hallpike kunye no-Epley Maneuver - Yintoni umahluko phakathi kwezi zimbini?
Abantu abaninzi bayabhideka la magama mabini. Nangona omabini enxulumene ne-BPPV, anemisebenzi eyahlukileyo.
| Uphawu | Uhambo lweDix-Hallpike | U-Epley Maneuver |
|---|---|---|
| Injongo ephambili | Ukuxilongwa - Ukufumanisa ukuba unayo na i-BPPV okanye akunjalo. | Unyango - Ukutshintsha iikristale ukuze kulungiswe imeko ye-BPPV. |
| Iza kwenziwa nini? | Xa kuvela iimpawu, into yokuqala ekufuneka yenziwe kukufumana unobangela. | Uvavanyo lweDix-Hallpike lwenziwa emva kokuba "luchanekile". |
| Isiphumo | Ukuqinisekisa isifo okanye akunjalo. | Ukunceda kwiimpawu, ukunyamalala kwesiyezi. |
Kubaluleke kakhulu: Ungaze uzame ukwenza olu vavanyo ngokwakho ekhaya. Oku kufanele kwenziwe ngugqirha oqeqeshiweyo kuphela. Ukukwenza gwenxa kunokubangela umonakalo entanyeni kwaye kukhokelele ekuxilongweni okungafanelekanga.
Ngamanye amaxesha, emva kokuba ugqirha wakho eqinisekisile ukuba une-BPPV, angakufundisa indlela yokwenza i-Epley Maneuver ekhaya. Kodwa oko kufanele kwenziwe phantsi kweliso likagqirha.
I-Dix-Hallpike Maneuver yindlela esebenzayo kakhulu nelula esetyenzisiweyo ukuxilonga i-BPPV kangangeminyaka engaphezu kwama-70. Nangona ingasinyangi esi sifo, inokukunceda ufumane unobangela ochanekileyo we-vertigo yakho kwaye uqale unyango olufanelekileyo. Ngoko ke, ukuba unale mpawu, ungathandabuzi ukubona ugqirha uze uthethe ngayo.
Umyalezo Wokuya Ekhaya
- Eyona nto ixhaphakileyo ebangela isiyezi ngesiquphe xa ushukumisa intloko yakho isenokuba yi-BPPV (Benign Paroxysmal Positional Vertigo).
- I-BPPV yimeko engeyongozi ebangelwa kukuhamba kweekristale ezincinci kwindlebe engaphakathi.
- Ukuba ugqirha wakho ukrokrela ukuba une-BPPV, uvavanyo oluphambili lokuqinisekisa ukuba unayo yiDix-Hallpike Maneuver.
- Olu luvavanyo olukhuselekileyo kakhulu olunokwenziwa ngemizuzu embalwa nje. Usenokuba nesiyezi kancinci ngexesha lovavanyo.
- Ukuba i-nystagmus (iintshukumo zamehlo ezizenzekelayo) zenzeka ngexesha lovavanyo, bubungqina obuqinileyo be-BPPV.
- Ungaze uzame ukwenza olu vavanyo ekhaya wedwa. Kufuneka lwenziwe phantsi kweliso likagqirha rhoqo.
- Unyango lwe-BPPV lolunye uhlobo lwenkqubo elula ebizwa ngokuba yi-Epley Maneuver, enokwenziwa rhoqo ngosuku olunye novavanyo.
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