Ngaba nawe uvakalelwa kukuba ihlabathi liphela liyakujikeleza xa uphakama ngequbuliso, uqengqeleka ebhedini, okanye ujika intloko yakho ngokukhawuleza? Ngaba uziva ungalungelelananga xa uhamba, okanye uziva ngathi uza kuwa? Ngaba oku kwenze kwaba nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla? Ngamanye amaxesha esi sizungu sinokuhamba nentloko ebuhlungu kunye nokuziva ungaphilanga kakuhle. Oku akukhululekanga ngokwenene. Kodwa ungakhathazeki, kukho unyango olukhethekileyo olunokunceda kule meko. Yiloo nto sithetha ngayo namhlanje.
Yintoni iVestibular Rehabilitation Therapy?
Oku kusenokuvakala ngathi ligama elide, kodwa eneneni kulula kakhulu. Ngamafutshane, luluhlu lwemithambo ekuncedayo ukulawula isiyezi sakho kunye nokungalingani. Asikuko nje naluphi na uhlobo lomthambo. Luqheliso oluyilwe ngokwesayensi oluqeqesha kwakhona ingqondo yakho kunye neenkqubo zokulinganisela zomzimba. Kufana nokufundisa ingqondo yakho ukuba izilinganisele kwakhona. Kuthatha ixesha ukuqhela, kodwa kunokwenza umahluko omkhulu ebomini bakho.
Ngubani ofuna olu nyango?
Kukho iimeko ezahlukeneyo zempilo ezinokubangela isiyezi kunye nokulahlekelwa yibhalansi. Olu nyango luluncedo kwiimeko ezininzi ezinjalo. Khawuthelekelele ukuba ugqirha wakho ukuxelele ukuba unesifo esinjalo, kuya kuba kuhle kakhulu ukumbuza ngolu nyango.
| Imeko/Isizathu | Kalula nje... |
|---|---|
| I-Vertigo | Isiyezi esinzima esivakala ngathi izinto ezikungqongileyo ziyajikeleza, hayi wena. |
| Isifo sikaMénière | Ukudinwa kuhamba nokulahlekelwa kukuva, ukukhala kweendlebe (i-tinnitus), kunye nokuziva ucinezelekile ngaphakathi endlebeni. |
| I-Benign Paroxysmal Positional Vertigo (BPPV) | Le yingxaki abantu abaninzi abanayo. Isiyezi esinzima esihlala imizuzwana embalwa xa ujika intloko yakho ngendlela ethile (umz., xa uqengqeleka ebhedini). |
| ILabyrinthitis kunye neVestibular Neuritis | Isiyezi esinzima esibangelwa kusulelo lwemithambo-luvo okanye iindawo zendlebe yangaphakathi ezibandakanyeka ekulinganiseni. |
| Intloko ebuhlungu ye-migraine | Ezinye iimeko ze-migraine zinokuhamba nesiyezi kunye nokulahlekelwa yibhalansi. |
| Ukulimala kwengqondo okanye isifo sohlangothi (TBI) | Ezi ngxaki zinokwenzeka emva kweemeko ezinje ngenxa yomonakalo kwiindawo zengqondo ezilawula ibhalansi. |
| Umngcipheko wokuwa | Olu nyango lubaluleke kakhulu nakwabo bawa rhoqo, ingakumbi njengoko bekhula, ngenxa yokulahlekelwa yibhalansi. |
Isebenza njani le nto? Iyamangalisa, akunjalo?
Ukudinwa nokulinganisela kufana namacala amabini eengqekembe ezifanayo. Ukuze siqonde indlela olu nyango olusebenza ngayo, masiqale sijonge indlela umzimba wethu ogcina ngayo ibhalansi.
Okokuqala, masiqonde oku kuxakeka.
Ukudinwa yimeko apho ingqondo yethu idideka khona. Cinga ngayo, ingqondo yethu ihlala 'ibala' apho sikhoyo nendlela umzimba wethu omi ngayo ngokumalunga nendawo esingqongileyo. Kufana neGPS. Oku sikubiza ngokuba yi-"spatial orientation". Xa kukho into ephazamisa le nkqubo, imiqondiso eza engqondweni iyadideka. Kulapho ke siziva sidinwe, sidinwe, kwaye singalingani.
Kuthekani ngebhalansi?
Ukulinganisela komzimba wethu asinto nje enye. Ludibaniso lweenkqubo ezintathu eziphambili. Ingqondo yethu (inkqubo yemithambo-luvo ephakathi) iqokelela kwaye ihlalutye ulwazi oluvela kwezi zintathu ukuze umzimba uhlale ume nkqo.
1. I-vestibular labyrinth: Le yeyona nxalenye ibalulekileyo. Le nkqubo incinci engaphakathi kwendlebe yethu ifana nebhamuza lomoya elingaphakathi kwibhotile yamanzi. Xa sijika iintloko zethu, sijonga phezulu, okanye sijonga ezantsi, ulwelo olungaphakathi kule nkqubo luyashukuma luze luxelele ingqondo, "Intloko yakho ngoku ijike yaya ngasekunene" okanye "Ngoku ithe tye."
2. Umbono: Oku kulula kakhulu. Amehlo ethu ajonga izinto ezisingqongileyo aze axelele ingqondo ukuba siphi na nokuba siyahamba okanye asihambi. Yiyo loo nto siziva singazinzanga ebumnyameni.
3. IiSensors Zomzimba (Ulusu, Amalunga, Imisipha): Kukho iisensors ezincinci emzimbeni wethu, ingakumbi ezinyaweni zethu, amalunga, kunye nemisipha. Ezi zixelela ingqondo ukuba simile, sihleli, okanye sihamba. Khawuthelekelele ukuba umi kwaye ugobile kancinci. Emva koko, uxinzelelo lweenyawo zakho kunye namaqatha luthumela umyalezo engqondweni, othi, "Awukho ngqo ngoku, ugobile ngasemva. Ngaphambi kokuba uwe, gobile phambili."
Ngoko ke, ukuba nayiphi na kwezi nkqubo zintathu iyaphazamiseka, umzekelo, ukuba kukho ingxaki endlebeni engaphakathi, imiqondiso eza engqondweni iyadideka. Amehlo athi, "Umi uthe tye," kwaye iindlebe zithi, "Hayi, uyajikeleza." Oku kudideka engqondweni kuko okusenza sizive sinesizungu.
Unyango lokuvuselela imithambo yegazi (i-VRT) lusebenza ngokubuyisela unxibelelwano phakathi kwezi nkqubo. Luqeqesha ingqondo ukuba isebenzise ezinye iinkqubo (amehlo kunye neenzwa zomzimba) ngcono ukuhlawula inkqubo ebuthathaka. Ekuhambeni kwexesha, ingqondo iyaziqhelanisa nale ndlela intsha yokucinga kwaye ilawula isiyezi kunye nokulahlekelwa yibhalansi.
Kwenzeka ntoni ngaphambi nangexesha lonyango?
Ngaphambi kokuba uqale olu nyango, kufuneka ufumane ukuba yintoni kanye kanye ingxaki yakho.
- Uvavanyo: Ugqirha wakho unokukuthumela kwingcali ye-audiologist, eya kwenza uthotho lweemvavanyo zokujonga ukuva kwakho kunye nokulinganisela kwakho, njengebhetri yovavanyo lwe-vestibular. Ingcali yezonyango iya kujonga nokulinganisela kwakho, ukuhamba, kunye namandla akho ezingalweni nasemilenzeni yakho.
- Ngexesha lonyango: Emva kwezi mvavanyo, ingcali ye-physiotherapist iza kulungiselela iseti yemithambo ehambelana nawe. Asinguye wonke umntu onikwa iseti efanayo yemithambo. Imithambo ikhethwa ngokwengxaki yakho. Ngexesha lonyango, uza kufundiswa indlela echanekileyo yokwenza le mithambo. Kufuneka ukwenze oku ekhaya. Kukho olu hlobo lwemithambo:
- Ukuzilolonga okulawula iintshukumo zamehlo: Izinto ezifana nokugcina ingqalelo yakho kwindawo enye nokujika intloko yakho.
- Ukulinganisela uqeqesho: Ukuziqhelanisa nokuma nokuhamba kwiindawo ezahlukeneyo.
- Ukuzilolonga nokomeleza umzimba: Ukuzilolonga okwandisa amandla nokuguquguquka komzimba.
Ithatha ixesha elingakanani le nyango?
Iyahluka ngokuxhomekeke kwimeko yakho. Ixesha elibekiweyo lixhomekeke kwinto ebangela ukuba ube nesiyezi kunye nendlela osabela ngayo kunyango.
- Uninzi lwabantu luya malunga nezihlandlo ezi-6 okanye ezi-8 ngeveki.
- Abanye abantu (ingakumbi kwiimeko ezifana ne-BPPV) banokufumana isiqabu esipheleleyo kwiseshoni enye okanye ezimbini .
- Abanye basenokufuna ukuqhubeka nonyango kunye nokuzilolonga ekhaya kangangeenyanga eziliqela. Eyona nto ibalulekileyo kukwenza izilolongiso ekhaya kanye njengoko kuyalelwe.
Zithini iingenelo zolu nyango?
Uphando luye lwabonisa ukuba le ndlela yonyango iphumelele kakhulu.
| Inzuzo | Oko ikukuthi... |
|---|---|
| Umngcipheko wokuwa uyancitshiswa. | Uya kukwazi ukuhamba ngokuthe chu nangokuzithemba. |
| Ukulinganisela komzimba kuyaphucuka. | Ukungazinzi okuvakalayo xa usenza imisebenzi yemihla ngemihla, ukuhamba, nokuma kuyanyamalala. |
| Iimpawu zesiyezi ziyancipha | Isiyezi esiqhelekileyo kunye nokuba buhlungu kancinci kancinci kuyaphela kancinci kancinci. |
| Umbono ungazinziswa. | Xa ujika intloko yakho, uphepha ukufiphala kwendawo ekungqongileyo kunye nokungazinzi kombono wakho. |
| Yonyusa amandla omzimba | Ukuzilolonga kuphucula amandla omzimba wakho. |
Ngaba kukho naziphi na iingozi koku?
Akukho phantse iingozi emzimbeni kolu nyango. Lukhuselekile kakhulu. Kodwa kukho into enye. Ngamanye amaxesha olu nyango lusenokungazisombululi iingxaki zakho nge-100%. Ingakumbi ukuba awuzenzi izivivinyo ezinikezelwa ekhaya ngqo, usenokungafumani ziphumo zilindelekileyo. Ke ngoko, kubaluleke kakhulu ukwenza oku ngokuzinikela.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Olu nyango alusoloko lubangela iingxaki ezinkulu. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezingezantsi ngelixa uzilolonga ekhaya, okanye ukuba ziya zisiba mandundu, fowunela ugqirha wakho ngoko nangoko.
| Nikela ingqalelo kwezi mpawu. |
|---|
| * Utshintsho olukhawulezileyo ekuveni okanye ekulahlekelweni kokuva. |
| * Ukuva iintlungu okanye uxinzelelo olungathandekiyo ngaphakathi kwendlebe. |
| * Ukukhala endlebeni okuqalisa kwakhona okanye okuya kuba nzima ngakumbi kunangaphambili. |
| * Ulwelo oluphuma endlebeni. |
| * Intlungu entsha okanye ukungakhululeki entanyeni okanye emqolo ngelixa uzilolonga. |
Ukuba nesiyezi kunye nokulahlekelwa yibhalansi akumnandi ngokwenene. Kungaba ngumqobo omkhulu kubomi bethu bemihla ngemihla. Kodwa akufuneki uphile nayo. Ngale ndlela yonyango ebizwa ngokuba yi-`(Vestibular Rehabilitation Therapy)`, ungaphinda ukwazi ukulawula. Ukuba unale mpawu, ungoyiki kwaye ungalibazisi, thetha nogqirha wakho. Uza kukuhlola, agqibe kwelokuba olu lonyango lufanelekile na kuwe, aze akuthumele kwingcali ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- Unyango lweVestibular Rehabilitation lunyango olusebenza kakhulu kwisiyezi kunye nokulahlekelwa yibhalansi, olusekelwe kwimithambo eyenzelwe ngokukodwa.
- Oku kuqeqesha kwakhona unxibelelwano phakathi kwengqondo yakho, inkqubo yokulinganisela endlebeni yakho yangaphakathi, amehlo akho, kunye nezinzwa zomzimba wakho.
- Olu lunyango olukhuselekileyo kakhulu. Ukuze luphumelele, kubalulekile ukwenza umthambo ngokuchanekileyo nangokungaguquguqukiyo ekhaya.
- Ukuba usoloko unesiyezi okanye iingxaki zokulinganisela, musa ukuzityeshela, kwaye ngokuqinisekileyo bonana nogqirha ukuze akunike ingcebiso.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezenzekayo ngexesha lonyango, yazisa ugqirha wakho ngoko nangoko.
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