Ngaba unesizunguzungu esingapheliyo? Makhe sithethe nge-PPPD (i-Persistent Postural-Perceptual Dizziness)!

Ngaba ngamanye amaxesha uziva unesizungu ngaphandle kwesizathu, ulahlekelwe yibhalansi yakho xa umi okanye uhleli, kwaye uzive ngathi udada esikhepheni? Kunzima kakhulu ukuhlala nesi sizungu kangangeentsuku ezininzi, akunjalo? Usenokuziva ulusizi kwaye uyoyika oku. Namhlanje siza kuthetha ngolu hlobo lwesizunguzi sexesha elide, oko kuthetha ukuba sihlala iinyanga ezintathu okanye nangaphezulu. Oogqirha babiza oku ngokuthi yiPPPD (Persistent Postural-Perceptual Dizziness) . Nangona igama lisenokubonakala lide kancinci, masiligcine lilula.

Yintoni iPPPD (iPersistent Postural-Perceptual Dizziness)? Ngamafutshane...

Singayifumana intsingiselo ye-PPPD kumagama ngokwawo.

• Ukuzingisa: Oku kuthetha ukuba ayiguquki, ihlala ixesha elide . Ubusoloko unesi sizunguzungu ubuncinane iinyanga ezintathu, uninzi lweentsuku.
• Imeko yomzimba: Oku kunxulumene nesimo somzimba . Esi sizunguzungu siba sibi ngakumbi xa umi, uhleli, okanye ume nkqo.
• Ukuqonda: Oku kunxulumene nendlela esibona ngayo izinto, oko kukuthi, indlela esizibona ngayo izinto . Uziva ngathi wena okanye indawo okuyo ayilungelelananga. Kuvakala ngathi umhlaba uyanyikima, okanye wena ngokwakho uyanyikima.
• Ukudinwa: Oku kukudelela . Kodwa akufani "neVertigo" apho izinto zijikeleza khona. KwiPPPD, kuvakala ngathi uyashukuma, ngathi usesikhepheni, okanye awuzinzanga .

Ngamafutshane, i-PPPD luhlobo lwesiyezi oluqala emva kwesiganeko, luhlale ixesha elide, luyanda xa umi, kwaye lukwenza wena okanye indawo okuyo uzive ungalungelelananga, ngokungathi uyashukuma.

Imizimba yethu inenkqubo entsonkothileyo elawula ukulinganisela kwethu. Ibandakanya amehlo ethu, izihlunu, inkqubo ye-vestibular endlebeni yethu yangaphakathi, kunye nengqondo . Zonke ezi zinto zisebenza kunye, zisebenza njengeqela, ukuze zingawi. Oku kwenzeka ngokwendalo, ngaphandle kokuba siqaphele.

Kodwa kumntu one-PPPD, kukho ukuphazamiseka okanye ukungangqinelani konxibelelwano phakathi kwamalungu ale nkqubo. Oko kukuthi, kukho ingxaki ngendlela imiqondiso evela emehlweni, emzimbeni, nakwindlebe yangaphakathi eya ngayo ebuchotsheni kwaye idityaniswe kunye. Into ebalulekileyo kukuba akukho sifo okanye umonakalo kwiindawo nganye zale nkqubo (ezifana namehlo, iindlebe, kunye nengqondo) . Kodwa azivumelaniswanga. Yiyo loo nto uziva ungaqinisekanga kwaye unesiyezi.

Ixhaphake kangakanani le meko yePPPD?

I-PPPD isenokuba yeyona meko ixhaphakileyo ngoku, ngoku ibonwa njengembangela yesiyezi esihlala ixesha elide. Nangona kunjalo, sisifo esitsha.. Kwakungowama-2017 kuphela apho iingcali zonyango zadibana ukuze zichaze iindlela ezisetyenziswayo kwesi simo. Ngoko ke kusekho uphando oluninzi oluqhubekayo, kwaye kuninzi ekufuneka kufundwe. Ngaphambili, kusenokwenzeka ukuba bekungenakwenzeka ukubabona ngokuchanekileyo abantu abanezi mpawu.

Zithini iimpawu zePPPD?

Umntu one-PPPD uziva enesizunguzungu amaxesha amaninzi . Oku kuthetha ukuba unokuziva enesizunguzungu iintsuku ezingaphezu kwesixhenxe ngeveki. Ngamanye amaxesha esi sizunguzungu sinokuhlala iiyure ezininzi, kwaye sinokuba sibi ngakumbi njengoko usuku luqhubeka . Okanye sinokufika sidlule ngaphandle kwesiqhelo.

Isiyezi esibangelwa yiPPPD sinokuvakala ngathi isikhephe sishukunyiswa ngamaza, okanye ngathi uyashukuma, uzive ungazinzile, ngokungathi awukwazi ukugcina iinyawo zakho emhlabeni . Nangona oku kunokwenzeka ngaphandle kwesizathu esithile, kunokuba nzima ngakumbi kwezinye iimeko. Umzekelo:

• Xa umi, uhleli uthe nkqo, okanye utshintsha-tshintsha ngequbuliso (umz. xa uphuma ebhedini).
• Xa uhamba ngeenyawo okanye ukhwela imoto (imoto, ibhasi, uloliwe) .
• Xa ubona izinto ezininzi ngexesha elinye . Cinga ngokujonga iishelufu zokutya kwivenkile enkulu, okanye ukuskrola kwimidiya yoluntu kwifowuni yakho. Olu hlobo lokuvuselela umbono lunokunyusa isiyezi.

Ukongeza kwezi mpawu ziphambili, ezinye iimpawu zinokuhamba ne-PPPD:

• Inkungu yobuchopho: Oku kuthetha ukuba kunzima ukucinga ngokucacileyo nokugxila.
• Ukulahlekelwa yinkumbulo yexesha elifutshane: Ukulibala izinto ezincinci ngokukhawuleza.
• Ubunzima bokugxila: Kunzima ukugxila kwinto enye okanye ukuqhubeka nokwenza umsebenzi omnye.

I-PPPD ingakwenza uzive ungadibani nomzimba wakho, indawo ekungqongileyo, kunye nabanye abantu, ngokungathi usephupheni . Ungakuphepha nemisebenzi yoluntu kunye nemisebenzi yemihla ngemihla ngenxa yokoyika ukuba isiyezi sakho siya kuba sibi ngakumbi. Oku kunokuba nefuthe elikhulu kumgangatho wobomi bakho.

Zithini izizathu zePPPD?

I-PPPD idla ngokuqala emva kwesiganeko "esibangela" esichaphazela ibhalansi yakho . Oku kuthetha ukuba usenokuba ukhe waba nesiyezi ngaphambili, njengokwenzakala entloko, kwaye i-PPPD isenokuqhubeka nasemva kokuba ipholile.

Nazi ezinye zezinto ezinokubangela i-PPPD:

• Isiyezi esiqatha, esikhawulezileyo (i-vertigo ebukhali).
• I-Benign Paroxysmal Positional Vertigo (BPPV) yimeko ebangela isiyezi xa ushukumisa intloko yakho.
• Ukwenzakala entloko (umz., ukuxhuzula ingqondo).
• Izifo zendlebe zangaphakathi ezifana nesifo sikaMénière.
• Uhlaselo loloyiko.
• Imeko 'yokubetheka' (ukukhubazeka).
• I-'Vestibular migraine' sisiyezi esibakho xa kukho iintloko ezibuhlungu.
• I-Vestibular neuritis kukudumba komthambo ongaphakathi endlebeni.

Okwenzekayo kwi-PPPD kukuba nasemva kokuba isiyezi okanye ukugula kudlulile, ingqondo yakho ikhumbula amava "okulahlekelwa yibhalansi" . Ngaphandle kokuqaphela, uqala ukuqaphela izinto ezichaphazela ibhalansi yakho, njengendawo yomzimba wakho kunye nendawo engqongileyo. Oku kuqaphela kakhulu kunokubangela ukuba uzive uxhalabile ngalo lonke ixesha.

Khawucinge ukuba utyibilike wawa endleleni. Emva koko, ubuya kuba nononophelo ngalo lonke ixesha uhamba kuloo ndlela, ujonge ezantsi, kwaye ucinga ngenyathelo ngalinye, akunjalo? Ngokufanayo, kwi-PPPD, ingqondo yakho iqala ukucinga kakhulu ngokulinganisela kwaye uhlale uphaphile.

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Oku kuyaphazamisa kakhulu, kuba kanye njengokuba ukugcina ibhalansi kuyinto eqhelekileyo kumntu ongenayo i-PPPD, oku kungabi namdla kangako kuyenzeka nakuye umntu one-PPPD.

Ngubani osengozini enkulu yokuphuhlisa i-PPPD?

Ezinye izifundo zibonise ukuba abafazi banamathuba aphindwe kane okuba ne-PPPD kunamadoda . Kwakhona, abantu abanemeko esele ikho echaphazela ibhalansi (isifo se-vestibular) okanye imeko yempilo yengqondo efana nokuxhalaba okanye ukudakumba banamathuba amaninzi okuba ne-PPPD emva kokufumana esinye seziganeko ezikhankanyiweyo apha ngasentla.

Ubuntu bakho bunokudlala indima. Izifundo zibonise ukuba i-PPPD ixhaphake kakhulu kubantu abathuleyo, abanomdla wokuzibandakanya nabanye .

Ifunyaniswa njani i-PPPD?

PPPD . , . , ‍ , `(Vestibular tests)` , ‍ ‍ (normal) .

Ngoko ke, ugqirha wakho uza kukufumanisa ukuba une-PPPD ngokusekelwe kwiindlela ezintlanu ezinxulumene neempawu zakho . Ufunyaniswa ukuba une-PPPD ukuba uyahlangabezana nezi ndlela zilandelayo:

1. Ubukhe waziva unesiyezi okanye ungaqinisekanga kangangeentsuku ezininzi ubuncinane iinyanga ezintathu (ngaphandle kokuziva ujikeleza).

2. Iimpawu zinokwanda ngaphandle kwesizathu esithile, kodwa isiyezi sinokuba sibi ngakumbi xa umi, uhamba, okanye ujonge izinto ezininzi .

3. Qalisa ukujikeleza.Ube nesiganeko esikubangela uxinezeleko (isiganeko sexeshana okanye ukugula ixesha elide).

4. Iimpawu zakho zibe nefuthe elibi kubomi bakho bemihla ngemihla nakumgangatho wobomi bakho .

5. Kufuneka uqinisekise ukuba iimpawu zakho azibangelwa yenye imeko yezonyango (kusenokufuneka wenze uvavanyo ukuze kuthintelwe ezinye iimeko).

Ziziphi iindlela zonyango ze-PPPD?

Okwangoku akukho nyango lwe-PPPD. Nangona kunjalo, kukho iindlela ezahlukeneyo zonyango ezinokukunceda ulawule isiyezi sakho. Ugqirha wakho unokucebisa enye okanye ezingaphezulu kwezi.

Iindlela eziphambili zonyango zezi:

• Unyango Lokuvuselela Ingqondo (i-VRT): Olu lunyango lonyango lomzimba olukhethekileyo. Lukunceda uqonde indlela umzimba wakho ovakalelwa ngayo yi-hyper-sensitivity (hyperfocus) ekubangela ngayo isiyezi. Wakuba uqonda okwenzekayo, ungafunda amaqhinga okulawula iimpawu zakho. Kubandakanya ukwenza umthambo okhethekileyo wokulinganisela.
• Unyango lokuthetha: Unyango olufana neCognitive Behavioral Therapy (CBT) lunokuba luncedo kakhulu ekulawuleni ixhala elinokuyandisa iimpawu zePPPD. Lunokukunceda uphuhlise amaqhinga okunxulumana nabantu ngakumbi nokuzithemba kwakhona ukuba uye wazinxwema ebantwini ngenxa yevertigo yakho.
• Amayeza: Ugqirha wakho angakunika udidi lwamayeza abizwa ngokuba yi-SSRIs (Selective Serotonin Reuptake Inhibitors) okanye, ukuba azisebenzi, ii-SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors). La ngamayeza amiselwe ngokukodwa ukudakumba kunye nokuxhalaba. Nangona uphando lusaqhubeka malunga nendlela esebenza ngayo le PPPD, kucingelwa ukuba anceda ekunciphiseni ukuxhalaba kunye nokuphazamiseka kwengqondo okunxulunyaniswa ne-PPPD.

Ngugqirha onjani onyanga i-PPPD?

Ukuba uneempawu zePPPD, qala ubonane nogqirha wakho wosapho (PCP) . Angakuthumela kwingcali ukuba kuyimfuneko. Iingcali ezixilonga kwaye zinyange iPPPD ziquka:

• Iingcali ze-Otolaryngologists (ENTs)
• Iingcali ze-Otologists - ii-ENTs ezigxile kwiimeko zendlebe yangaphakathi
• Iingcali ze-Neurology
• Iingcali zengqondo okanye iingcali zengqondo
• Iingcali zonyango lwe-Vestibular

Ngaba i-PPPD inganyangeka ngokupheleleyo?

I-PPPD ayipheli ngokupheleleyo , kwaye kungathatha ixesha ukufumana unyango olufanelekileyo lokulawula i-vertigo yakho.

Nangona kunjalo, iindaba ezimnandi zezokuba abantu abaninzi abane-PPPD banokuyilawula ngempumelelo le meko ngonyango nangamayeza.Iingcali zisaphanda indlela unyango lomntu ngamnye kunye nokudibanisa unyango olunokubanceda ngayo abantu abane-PPPD.

Ndingazinyamekela njani njengomntu one-PPPD?

Ukuba une-PPPD, ukuzinyamekela kuthetha ukuba nomonde kuwe njengoko uzama ukufumana unyango olunokukunceda . Ngenxa yokuba le meko intsha, uphando malunga nonyango olusebenzayo lusekwinqanaba lokuqala. Kusenokufuneka uzame unyango olwahlukeneyo kunye namayeza ngaphambi kokuba ufumane olusebenza kakuhle kuwe.

Kwakhona, yiba nobubele kuwe njengoko ufunda ukuphila nale meko. Abantu abaninzi abane-PPPD bathi kunzima ukuchazela abanye into abajongene nayo. Abanye banokuthi izinto ezinje, "Abaqondi," okanye "Konke kusengqondweni yakho."

Kodwa akunjalo. I-PPPD yimeko yokwenyani ephazamisa imvakalelo yakho yozinzo emzimbeni wakho. Yimeko oza kuba nzima ukuyilawula. Kodwa kukho oogqirha abakulungeleyo ukukunceda.

Ngaba ungaqhuba imoto ukuba une-PPPD?

Buza ugqirha wakho ukuba kukhuselekile na ukuqhuba ukuba une-PPPD. Abanye abantu abanale meko baba nesiyezi esigqithisileyo ngelixa beqhuba. Basenokuvakalelwa kukuba imoto iza kujika. Oku kulahlekelwa yibhalansi kunokwenza kube nzima ukuqhuba ngokukhuselekileyo. Abanye abantu banokuqhuba, kodwa kuphela ngesantya esingaphezulu kakhulu komda wesantya omiselweyo.

Imeko yakho ixhomekeke ekubeni i-vertigo yakho inzima kangakanani na kwaye ingaba ufumene unyango olusebenzayo kuwe ukuyilawula. Ungaze uthathe amathuba.

Ngaba i-PPPD yinkxalabo nje?

I-PPPD kunye nexhala ziimeko ezimbini ezahlukeneyo . Nangona kunjalo, ukuba sele unesifo sokuxhalaba uze ufumane isiganeko esibangela ukuba ube nesifo, usenokuba semngciphekweni omkhulu wokufumana i-PPPD. Kwakhona, ukuhlala ne-PPPD ngaphandle konyango kunokudala i-feedback loop engalunganga eyenza ixhala libe mandundu.

Yiyo loo nto unyango lokuxhalaba (umz., i-CBT, amayeza) ludla ngokuba yinxalenye yesicwangciso sonyango lwe-PPPD.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, ungambuza imibuzo efana nale:

• Yintoni enokuba ngunobangela we-PPPD yam?
• Zeziphi izinto ezibangela ukuba ndingaziboni ukuze ndithintele ukuba nesiyezi esibi ngakumbi?
• Zeziphi ezinye zezinto ezingakhuselekanga ukuba ndizenze xa ndixilongwa (umz., ukuqhuba, ukusebenza kwiindawo eziphakamileyo)?
• Loluphi unyango olundicebisayo?
• Ngawaphi amanqanaba esiwaziyo ukuba unyango luphumelele?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba uhlala uziva unesizungu ngaphandle kwesizathu esicacileyo, bonana nogqirha ngokukhawuleza.Kungathatha ixesha ukufumanisa ukuba i-PPPD yimbangela yeengxaki zakho zokulinganisela. Kodwa okukhona ufuna uncedo ngokukhawuleza, kokukhona ungafumana isicwangciso sonyango esiza kukunceda ubuyele endleleni .

I-PPPD inokuba yimeko yobomi bakho bonke, kodwa akufuneki ithintele umgangatho wobomi bakho. Ngeengcebiso zonyango ezifanelekileyo kunye nonyango, ungafunda ukuyilawula kwaye uphile kakuhle. Awuwedwa, kwaye kukho oogqirha kunye neengcali zonyango ukukunceda kolu hambo.

` I-PPPD, Isiyezi, Ukulinganisela, Inkqubo yeVestibular, Ixhala, Unyango, I-Vertigo