Masifunde ngovavanyo olukhethekileyo lwesiyezi? (Dix-Hallpike Maneuver)

Ngaba wakha waziva ngathi ihlabathi liphela liyakujikeleza xa uqengqeleka ebhedini, uphakamisa intloko yakho ukuze ufikelele kwinto ethile kwishelufu engaphezulu kwakho, okanye uphakame ngequbuliso? Esi sizunguzungu ngequbuliso ngamanye amaxesha sinokuhamba nesicaphucaphu nokuhlanza. Lixesha elingakhululekanga neloyikisayo. Uninzi lwexesha, awunakucinga nokuba yintoni ebangela esi sigulo. Ngamaxesha anje, sithetha ngovavanyo olukhethekileyo, nolulula kakhulu, olusetyenziswa ngoogqirha ukufumanisa ukuba unesifo esibizwa ngokuba yi-BPPV, esinokuba sisizathu esiphambili sesi sizunguzungu.

Yintoni i-BPPV? Yintoni ejongwa luvavanyo lweDix-Hallpike?

Ngamafutshane, i-BPPV ligama elifutshane le- Benign Paroxysmal Positional Vertigo . Le yimeko eqhelekileyo, kodwa engeyiyo embi (engeyiyo embi) eyenzeka endlebeni engaphakathi.

Cinga ngale ndlela. Indlebe yethu yangaphakathi yinkqubo ebuthathaka kakhulu elawula ukulinganisela komzimba wethu. Iqulethe amatye amancinci e-calcium (akwabizwa ngokuba yi-'canaliths' okanye 'otoconia'). Ngokwesiqhelo, la matye abekwa kakuhle kwiindawo zawo ezifanelekileyo. Kodwa ngamanye amaxesha, ngokukhula, ngenxa yokwenzakala okuncinci entloko, okanye ngaphandle kwesizathu konke konke, la matye amancinci anokukhutshelwa kwindawo yawo aze antante aye kwimisele egcwele ulwelo ('imijelo ye-semicircular') efumaneka apho.

Xa ujika intloko yakho kwiindawo ezithile, iibhola ezikhululekileyo kunye nolwelo ziyahambahamba. Oku kuthumela imiqondiso engalunganga engqondweni yakho, okwenza uzive ngathi ujikeleza ngendlela engalindelekanga. Yiloo nto ebangela isiyezi kwi-BPPV.

Ngoko ke, uvavanyo lweDix-Hallpike luvavanyo oluqhutywa ngugqirha wakho ukuqinisekisa ukuba i-vertigo yakho ibangelwa yi-BPPV okanye enye into.

Ngaba uDix-Hallpike no-Epley bayafana? Yintoni umahluko?

Usenokuva la magama mabini evela kugqirha. Omabini anxulumene nemeko ye-BPPV, kodwa umsebenzi wawo omabini wahlukile ngokupheleleyo. Abantu abaninzi bayawabhidanisa la magama mabini. Ngoko ke masiwuqonde kakuhle lo mahluko.

Olu vavanyo lwenziwa njani? Ngaba yinto yokoyika?

Akunjalo konke konke. Olu luvavanyo olulula kakhulu, olungenabuhlungu oluthatha imizuzu embalwa nje. Akufuneki wenze naluphi na ulungiselelo olukhethekileyo. Makhe sibone ukuba ugqirha ulwenza njani inyathelo ngenyathelo.

1. Ukuhlala phantsi: Okokuqala, uza kucelwa ukuba uhlale etafileni yovavanyo imilenze yakho ivuliwe.

2. Jika Intloko: Okulandelayo, ugqirha uza kukucela ukuba ujike intloko yakho malunga nama-45 degrees uye kwelinye icala (ngasekunene okanye ngasekhohlo).

3. Ukuthambekela ngasemva: Le yeyona nxalenye ibalulekileyo. Ugqirha uza kubamba intloko yakho ngononophelo aze akuthambekele ngasemva ngokukhawuleza. Ngeli xesha, intloko yakho iya kube ixhonywe kancinci ebhedini. Ungakhathazeki, ugqirha ubambe yonke intloko yakho ngokuqinileyo ezandleni zakhe.

4. Ukuhlolwa kwamehlo: Ngelixa ukule ndawo, ugqirha uza kukucela ukuba ugcine amehlo akho evulekile . Oku kubaluleke kakhulu kuba ujonga amehlo akho ngononophelo. Ukuba une-BPPV, amehlo akho aza kukhawuleza ngokukhawuleza (oku kubizwa ngokuba yi-'nystagmus').

5. Ukutshintsha amacala: Emva komzuzu omnye, zilungise kwakhona uze wenze uvavanyo olufanayo kwelinye icala.

Usenokuziva unesizungu okomzuzwana ngeli xesha lovavanyo. Oku kuqhelekile. Oku kwenzelwa ukuba ugqirha aqinisekise iimpawu zakho.

Zithini iziphumo?

Ugqirha wakho angakuxelela iziphumo kwangoko nje ukuba uvavanyo lugqityiwe.

• Ukuba uvavanyo luthi lulungile:Oko kuthetha ukuba i-vertigo yakho ngokuqinisekileyo ibangelwa yi-BPPV. Ezi ziindaba ezimnandi! Kuba kulula kakhulu ukuyinyanga. Ugqirha wakho angenza ngoko nangoko i-Epley maneuver aze abuyisele iibhola endaweni yazo. Uninzi lwexesha, i-vertigo iyaphela ngokukhawuleza emva kokwenza oku.
• Ukuba uvavanyo alubonisi ukuba une-negative: Oku kuthetha ukuba isiyezi sakho asibangelwa yi-BPPV, kodwa yinto eyahlukileyo. Isenokuba yintsholongwane yendlebe yangaphakathi, i-migraine, okanye i-vestibular neuritis. Ugqirha wakho uya kuyalela iimvavanyo ezongezelelweyo ukuze afumanise unobangela ochanekileyo.

Ngubani ongafanele enze olu vavanyo? Ngaba kukho iingozi?

Olu luvavanyo oluhlala lukhuselekile kakhulu. Nangona kunjalo, abanye abantu banokucinga kabini ngaphambi kokuba benze oku. Ingakumbi:

• Abantu abaye batyandwa entanyeni okanye emqolo okanye abakhubazekileyo
• Abantu abane-arthritis ebuhlungu entanyeni
• Abafazi abakhulelweyo
• Abantu abasandula ukuba nesifo sohlangothi

Ngoko ke, qiniseka ukuba uxelela ugqirha wakho imbali yakho epheleleyo yezonyango ngaphambi kokuba wenze olu vavanyo. Emva koko unokugqiba ukuba lukhuselekile na kuwe.

Ndingakwenza oku ndedwa ekhaya?

Kuba, ukuba yenziwe ngendlela engafanelekanga, inokubangela umonakalo entanyeni okanye emgogodleni . Kwakhona, ngugqirha kuphela onokubona utshintsho oluncinci emehlweni (`nystagmus`), achaze ngokuchanekileyo iziphumo, aze agqibe ngento aza kuyenza emva koko.

Nangona kunjalo, xa i-BPPV iqinisekisiwe, ugqirha wakho unokukufundisa indlela yokwenza unyango lwasekhaya, olufana ne-Epley maneuver. Nangona kunjalo, ugqirha kufuneka asoloko esenza uxilongo.

Ukuba uneempawu ezingapheliyo zesiyezi, isicaphucaphu, okanye ukulahleka kokulinganisela, musa ukuzityeshela. Qiniseka ukuba ubona ugqirha wakho ukuze akunike icebiso. Angenza uvavanyo lweDix-Hallpike ukuze afumanise unobangela wengxaki yakho.