Ngaba ngamanye amaxesha uziva unesizungu? Ngokungathi ihlabathi liyajikeleza. Okanye uziva ngathi uza kulahlekelwa yibhalansi yakho kwaye uwe xa uhamba okanye umi? Namhlanje siza kuthetha ngothotho olubaluleke kakhulu lweemvavanyo ezenziwayo ukufumana unobangela ochanekileyo wezi mpawu. Oku kubizwa ngokuba luvavanyo lwe-vestibular.
Ngamafutshane, yintoni uvavanyo lwe-vestibular?
Cinga ngemizimba yethu njengemoto. Eyona nto iphambili kule moto eyinceda ukuba ihlale ilungelelene kwaye ingashukumi yinkqubo yokulinganisela endlebeni yethu yangaphakathi. Kwizonyango, le nkqubo siyibiza ngokuba yinkqubo ye-vestibular . Ngoko ke, ukuba uneempawu ezifana nesiyezi kunye neengxaki zokulinganisela kwakho, ugqirha wakho unokuyalela olu luhlu lweemvavanyo ukuze abone ukuba inkqubo yakho ye-vestibular isebenza kakuhle na.
Le nkqubo ye-vestibular ineenxalenye eziphambili ezininzi.
- Ii-semicircular canal: Ezi zifana nee-sensors ezibona iintshukumo zentloko.
- Izitho ze-Otolith: Ezi ziinzwa ezibona amandla angaphantsi komhlaba.
- Imithambo-luvo yeVestibular: Ulwazi oluvela kule nkqubo luthwalwa lusiwe engqondweni ngalo mthambo.
Olu vavanyo luvavanya indlela ezi nxalenye ezisebenzisana ngayo ukulungelelanisa iintshukumo zomzimba wakho nokugcina ibhalansi.
Kutheni ugqirha ekucela ukuba wenze olu vavanyo?
Olu vavanyo lunceda ekuqinisekiseni ukuba isiyezi osivayo sibangelwa yingxaki yangaphakathi yendlebe okanye ingxaki yemithambo-luvo enxulumene nayo engqondweni.
Oku kuvumela ugqirha ukuba axilonge ezinye izifo. Umzekelo:
- I-Benign Paroxysmal Positional Vertigo (BPPV)
- I-Labyrinthitis
- Isifo sikaMénière
- I-Vestibular Neuritis
Olu vavanyo lunokunceda ukuqinisekisa ukuba iimpawu zakho azibangelwa yingxaki yangaphakathi yendlebe. Ngamanye amaxesha, iimpawu ezifana nesiyezi zinokubangelwa ziingxaki zokubona, amayeza, ezinye iimeko zonyango, okanye iingozi. Ngoko ke olu vavanyo lubaluleke kakhulu ukufumanisa unobangela ochanekileyo.
Zisebenza njani ezi mvavanyo?
Olu vavanyo lwenziwa yingcali kwiingxaki zokuva nokulinganisela. Simbiza ngokuba yi-Audiologist. Uza kukubuza imibuzo ngelixa ekubonisa indlela yokwenza imisebenzi eyahlukeneyo elula. Ungakhathazeki, uza kukufundisa yonke into inyathelo ngenyathelo.
Iinkqubo ezintathu eziphambili kufuneka zisebenzisane ukuze kugcinwe ibhalansi emzimbeni wethu.
1. Umbono: Izinto esizibonayo ngamehlo ethu.
2. Imvakalelo yokuchukumisa (Ukuqonda into ethile):Indlela umhlaba ovakalelwa ngayo kulusu lwethu, ingakumbi iinyawo zethu.
3. Inkqubo yeVestibular: Inkqubo yokulinganisela endlebeni engaphakathi.
Ezi mvavanyo zijonga indlela ezi nkqubo zintathu ezisebenza ngayo kunye.
Enye yezona ndlela zibalulekileyo zokusabela kwi-vestibular system yethu yi -vestibulo-ocular reflex (VOR) . Ngamafutshane, ikunceda ukuba ubone ngokucacileyo nakwenye indawo, nokuba intloko okanye umzimba wakho uhamba. Khawuthelekelele uhleli ebhasini kwaye ufunda uphawu ngaphandle. Nangona ushukumisa intloko yakho, usenokubona oonobumba abakuphawu ngokucacileyo, akunjalo? Le reflex ebizwa ngokuba yi-VOR ikunceda ukuba wenze loo nto.
Ingcali eyenza olu vavanyo iza kujonga iintshukumo zamehlo akho ngononophelo, kuba amehlo akho anokubonelela ngolwazi olubalulekileyo malunga nendlela esebenza ngayo inkqubo yakho ye-vestibular. Ngamanye amaxesha baya kujonga ne -nystagmus , eyindlela yokunyakaza kwamehlo okukhawulezayo nokungalawulekiyo.
Ndingazilungiselela njani ngaphambi kovavanyo?
Kubaluleke kakhulu ukulandela imiyalelo oyinikwe ngugqirha wakho okanye yingcali ye-audiologist ngokuchanekileyo. Imiyalelo oza kuyifumana rhoqo yile ilandelayo:
- Zisa umntu ekhaya: Usenokuziva unesiyezi okanye udidekile emva kovavanyo. Ukuze ukhuseleke, kungcono ukuba umntu akuqhubele ekhaya ngaphandle kokuqhuba.
- Landela imiyalelo yakho yamayeza: Amanye amayeza anokuchaphazela iziphumo zovavanyo. Ngoko ke, buza ugqirha wakho ukuba zeziphi amayeza ekufuneka uyeke ukuwasela kunye neziphi ekufuneka uqhubeke uzisela kwiintsuku ezingaphambi kovavanyo.
- Lumka ngento oyityayo noyiselayo: Ngamanye amaxesha ungacelwa ukuba utye isidlo esilula kuphela ngaphambi kovavanyo, okanye uzile ukutya iiyure ezimbalwa. Ngokuqinisekileyo kufuneka uyeke ukusela utywala.
- Musa ukunxiba izinto zokuthambisa amehlo: Oku kubaluleke kakhulu. Izinto ezifana ne-eyeliner kunye ne-mascara zinokuphazamisa uvavanyo, njengoko iintshukumo zakho zamehlo kufuneka zijongwe ngokucacileyo.
Kwenzeka ntoni ngexesha lovavanyo? Masifunde ngohlobo ngalunye lovavanyo.
Kukho iintlobo ezahlukeneyo zovavanyo lwe-vestibular. Ingcali yakho ye-audiologist iya kugqiba ukuba loluphi uvavanyo olufunekayo ngokusekelwe kwiimpawu zakho. Usenokunganyanzelekanga ukuba ulwenze lonke. Makhe sijonge ezinye zeentlobo eziphambili zovavanyo.
| Igama lovavanyo | Ubona ntoni kule nto? | Yintoni ekufuneka uyenze? |
|---|---|---|
| I-Electronystagmography (ENG) kunye neVideonystagmography (VNG) | Ijonga impilo yemithambo-luvo esebuchotsheni elawula intshukumo yamehlo, ukuva, kunye nokulinganisela. | Ucelwa ukuba wenze izinto ezifana nokujonga into ekujoliswe kuyo uze uyibukele ishukuma, uze uhambise intloko nomzimba wakho kwiindawo ezahlukeneyo. Ngamanye amaxesha ubeka intwana yomkhenkce okanye amanzi ashushu/amanzi ashushu endlebeni yakho uze ujonge indlela amehlo akho asabela ngayo. Kwi-VNG, kufuneka unxibe iiglasi ezinekhamera. |
| Uvavanyo lweSihlalo esijikelezayo | Ilinganisa indlela amehlo akho kunye nenkqubo ye-vestibular ezisebenzisana ngayo ukugcina umbono wakho uzinzile njengoko uhamba. | Kufuneka unxibe iiglasi ezikhethekileyo kwaye uhlale kwisitulo esinenjini. Kufuneka uhlale uvulekile amehlo akho njengoko isitulo sijikeleza kancinci ngasekhohlo nasekunene. Iiglasi zirekhoda iintshukumo zamehlo akho. |
| mCTSIB | Bajonga indlela umbono wakho, ukuchukumisa (oko ukuvayo ezinyaweni zakho), kunye nendlebe yangaphakathi ekuchaphazela ngayo isiyezi sakho. | Uza kucelwa ukuba ume ngaphandle kokushukuma imizuzwana engama-30, kuqala kwindawo eqinileyo, uze uye kwindawo ethambileyo efana ne-foam, ungenazihlangu. Usenokucelwa ukuba wenze oku uvale amehlo. |
| Uvavanyo lweNtshukumo yeNtloko yeVidiyo (VHIT) | Iimisele ezintathu ezizii-semicircular kwindlebe yangaphakathi ziyavavanywa ukuze kubonwe ukuba ziyazibona kakuhle kangakanani iintshukumo zentloko. | Unxiba iiglasi ezinekhamera uze ujonge into ekujoliswe kuyo. Ingcali iza kuyishukumisa kancinci intloko yakho ngasekhohlo/ekunene okanye phezulu/ezantsi. Baza kulinganisa ukuba ungakwazi na ukugcina amehlo akho ekujoliswe kuyo njengoko uhambisa intloko yakho. |
| IiVestibular Evoked Myogenic Potentials (VEMP) | Ihlola indlela amalungu amabini e-otolith (i-saccule kunye ne-utricle) asebenza ngayo kwindlebe yangaphakathi. | Ii-electrode ezininzi zinamathele entanyeni yakho. Unxiba ii-headphones uze ujike intloko yakho ngasekhohlo nasekunene ngelixa ujonge ithagethi. Ngeli xesha, uva izandi ezahlukeneyo ngee-headphones. Ezi electrode zilinganisa indlela izihlunu zentamo yakho ezisabela ngayo kwezo zandi. |
Kwenzeka ntoni emva kovavanyo?
Uvavanyo luthatha ixesha elingakanani?
Oku kudla ngokuthatha malunga neeyure ezimbini, kodwa kuxhomekeke kwiimpawu zakho kunye neziphumo, uvavanyo lungathatha ixesha elincinci.
Ngaba kukho naziphi na iingozi ngezi mvavanyo?
Uvavanyo lweVestibular luvavanyo olukhuselekileyo kakhulu . Akukho nto yokoyika. Nangona kunjalo, ungaziva unesizungu ngexesha lovavanyo kwaye emva kwexesha elithile. Yiyo loo nto besitshilo ngaphambili ukuba kungcono ukuba nomntu ohamba nawe ukuya ekhaya.
Zeziphi iziphumo endiza kuzifumana?
Ungafumana enye yeentlobo ezimbini eziphambili zeziphumo:
- Iziphumo eziqhelekileyo: Oku kuthetha ukuba iimpawu zakho azibangelwa sisiphene kwinkqubo ye-vestibular.
- Iziphumo ezingaqhelekanga: Oku kuthetha ukuba ingxaki kwinkqubo ye-vestibular okanye inkqubo ye-nervous enxulumene nayo inegalelo kwiimpawu zakho.
Ndiza kuzifumana nini iziphumo?
Kwiimeko ezininzi, ingcali ye-audiologist iya kukuchazela iziphumo kwangoko nje ukuba uvavanyo lugqityiwe. Ngamanye amaxesha, ukuba kufuneka ixesha elingakumbi lokufunda iziphumo kakuhle, uya kwaziswa ngale nto kamva. Ezi ziphumo ziya kuthunyelwa nakugqirha okuthumelele uvavanyo.
Yintoni omawuyenze emva koko?
Inyathelo elilandelayo liza kugqitywa ngokusekelwe kwiziphumo zakho.
- Mhlawumbi ugqirha wakho angakuthumela kwenye ingcali.
- Usenokucelwa ukuba wenze ezinye iimvavanyo, ezifana ne -MRI (Magnetic Resonance Imaging) okanye i-CT (Computed Tomography) scan , ukuze kubonwe ukuba akukho monakalo na emathanjeni okanye kwizicubu ezithambileyo zendlebe yangaphakathi.
Ukuva ngazo zonke ezi mvavanyo kunokuba nzima kancinci. Kodwa eneneni ziimvavanyo ezilula kakhulu nezilula. Akukho mfuneko yokoyika kuba ingcali ye-audiologist iya kukuchazela yonke into. Ngokwenza olu vavanyo, uya kuba usondele kakhulu ekufumaneni unobangela wokwenene weempawu zakho kwaye uqale unyango oluyimfuneko.
Umyalezo Wokuya Ekhaya
- Ukuba uhlala unengxaki yesiyezi, i-vertigo, okanye i-balance, i-Vestibular Testing luluhlu lweemvavanyo ezenziwayo ukuze kufunyanwe unobangela.
- Oku kuvavanya kakhulu ukusebenza kwenkqubo yokulinganisela endlebeni yakho yangaphakathi.
- Ezi zizilingo ezikhuselekileyo nezilula kwaye akukho sizathu sokoyika.
- Landela imiyalelo kagqirha ngononophelo ngaphambi kovavanyo (amayeza, ukutya, akukho makeup, kunye nokuba nomntu oza kuhamba nawe ukuya ekhaya).
- Ngokusekelwe kwiziphumo zovavanyo, ugqirha wakho uya kukwazi ukufumanisa ngokuchanekileyo imeko yakho aze enze isicwangciso sonyango esifanelekileyo kuwe.
- Ukuba nesiyezi kunye nokulahlekelwa yibhalansi asizompawu zokungazinanzi. Qiniseka ukuba uthetha nogqirha wakho ngale nto.
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