Ingabe uzizwa unesizungu ngokuzumayo? Kungaba yi-BPPV (Benign Paroxysmal Positional Vertigo)!

Wake wazizwa sengathi umhlaba wonke uyajikeleza lapho uvuka embhedeni noma uphendulela ikhanda lakho eceleni? Kuvamile ukuzizwa wesaba kancane ngezikhathi ezinjalo. Ezimweni eziningi, lokhu kungabangelwa yisimo esibizwa ngokuthi i-BPPV (Benign Paroxysmal Positional Vertigo), esizokhuluma ngaso namuhla. Nakuba igama lide kancane, akusona isifo esiyingozi.

Kuyini i-BPPV (i-Benign Paroxysmal Positional Vertigo)? Ake sikuqonde kalula.

Kalula nje, i-BPPV iyinkinga encane endlebeni yethu yangaphakathi. Okwenzekayo ukuthi uma uhambisa ikhanda lakho ngezindlela ezahlukene, ubheka phezulu, uphuma embhedeni, noma uguqa embhedeni, ngokuzumayo uzizwa sengathi lonke igumbi liyazungeza (vertigo). Kungazwakala sengathi usemkhumbini noma usethoyizini elizungezayo.

"I-Benign" isho ukuthi lokhu akuyona ingozi, hhayi into efana nomdlavuza. "I-Paroxysmal" isho ukuthi lesi sizungu siza ngokuzumayo, ngokuzumayo, bese siphela ngemva kwesikhashana. "Isikhundla" isho ukuthi lokhu kwenzeka lapho isikhundla sekhanda sishintsha. "I-Vertigo" isho lowo muzwa wokujikeleza engiwushilo. Ngakho-ke, igama ngokwalo linencazelo, akunjalo?

Nakuba i-BPPV ingeyona inkinga enkulu, izimpawu zayo zingase zibe zimbi kakhulu. Abantu abangaphezu kweminyaka engu-65 basengozini enkulu yokuwa, ikakhulukazi uma benalesi simo. Uma benaso, bangaze baphuke ngisho nemilenze yabo (ukuqhekeka). Ngakho-ke, kubalulekile ukuqaphela lokhu.

Ubani onamathuba amaningi okuthola i-BPPV?

Nakuba i-BPPV ingenzeka kunoma yimuphi ubudala, ivame kakhulu kubantu abangaphezu kweminyaka engu-50. Eqinisweni, kuthiwa cishe ingxenye yabantu kuleli qembu leminyaka bazobhekana ne-BPPV okungenani kanye empilweni yabo.

I-BPPV ayivamile kakhulu ezinganeni ezincane, kodwa ingabonakala ngezikhathi ezithile.

Ivame kangakanani i-BPPV?

Eqinisweni, i-BPPV iyisifo esivame kakhulu endlebeni yangaphakathi. Kutholakale ukuthi abantu abangu-20% kuphela abaya kudokotela abane-vertigo empeleni bane-BPPV. Lokho kusho ukuthi uma ubhekene nalokhu, awuwedwa.

Uma uthola i-BPPV, ingabe izoba yinto ehlala njalo?

Cha, i-BPPV ivame ukuziphelela yodwa . Kodwa-ke, uma ingelashwa futhi ingalawulwa kahle, ingabuya. Kwabanye abantu, isiyezi singabuya ezinyangeni noma ngisho neminyaka kamuva.

Ziyini izimpawu ze-BPPV?

Uphawu oluyinhloko lwe-BPPV umuzwa wokuthi umhlaba uyajikeleza (isiyezi). Lo muzwa wokuzungeza ungaba mnene noma ube nzima. Ungahlala kusukela kumasekhondi ambalwa kuya kumzuzu. Ungahambisana nezinye izimpawu, okuhlanganisa:

• Isiyezi
• Ubuthakathaka, uzizwa sengathi uyantanta
• Ukulahlekelwa ibhalansi ngenkathi uhamba noma umile (Izinkinga zokulinganisela)
• Isicanucanu nokuhlanza
• Umbono ofiphele
• Ukunyakaza kwamehlo okusheshayo nokuqhubekayo (i-Nystagmus) - Ngisho noma ungakuqapheli lokhu, udokotela angakubona.

I-BPPV ivame ukuthinta indlebe eyodwa ngesikhathi, kodwa akuvamile ukuthi ithinte zombili izindlebe.

Yini ebangela ukuthi i-BPPV ivele ngokuzumayo?

I-BPPV ivame ukwenzeka uma ushintsha ukuma kwekhanda lakho. Abanye abantu bangase babe nalezi zimpawu lapho belele phansi noma bevuka embhedeni. Abanye bangase babe nazo lapho begobisa ikhanda labo noma beliphendulela eceleni. Njengoba sikhula, izingxenye ezibucayi zendlebe yethu yangaphakathi ziyawohloka, ngakho lezi zimpawu zinganda.

Ngezinye izikhathi, i-BPPV ingaba uphawu lwesinye isimo endlebeni yangaphakathi. Isibonelo:

• Ukutheleleka noma ukuvuvukala kwendlebe yangaphakathi (i-Labyrinthitis)
• I-Vestibular neuritis (ukuvuvukala kwemizwa okuhlobene nokulinganisela)
• I-Acoustic neuroma, isimila esingeyona umdlavuza esikhula endlebeni

Ngaphezu kwalokho, abantu abane-migraines bangaba ne-BPPV. Noma, i-BPPV ingakhula ngemva kokushaywa ikhanda kakhulu, isibonelo, ukuwa, ingozi, noma enye ingozi ngesikhathi bedlala imidlalo.

Kungani ngiba nesiyezi uma nginikina ikhanda? Kwenzekani ngaphakathi kulokhu?

Kulungile, lena indaba yesayensi kancane, kodwa ake ngiyibeke kalula. Endlebeni yethu yangaphakathi, kunengxenye elawula ibhalansi. Inesimiso seziteshi esibizwa ngokuthi 'imisele ye-semicircular '. Futhi, eduze kwalezi ziteshi kukhona esinye isitho esincane esibizwa ngokuthi 'i-Utricle'.

Ngaphakathi kwale 'Utricle', kunezinhlayiya ezincane kakhulu ezifana nempuphu ezenziwe nge-calcium carbonate '(Otoconia) .' Cabanga ngalezi 'zinhlayiya' ezincane endlebeni. Ngokuvamile, lezi 'Otoconia' kufanele zibe ngaphakathi kwaleyo 'Utricle'.

Kodwa-ke, ngezinye izikhathi ngenxa yokulimala, ukutheleleka, noma ukuguga, ezinye zalezi 'Otoconia' (Otoconia) ziyabaleka ku-'Utricle' (Utricle) bese zingena kulezo 'Semicircular canal' (Semicircular canal). Yilapho inkinga iqala khona.

Uma unikina ikhanda lakho, i-'Otoconia' engaphakathi kwaleyo misele iyajika iye phambili naphambili. Ngaphakathi kwale misele kunezingxenye ezincane kakhulu ezifana nezinwele '(Cilia).' Lezi 'Cilia' yizo ezithumela ulwazi mayelana nokulinganisela ebuchosheni bethu. Lapho lezo 'Otoconia' zijika futhi zishaya lezi 'Cilia', ubuchopho buthola isignali engalungile, njengokungathi uyajikeleza. Yingakho uzizwa unesiyezi. Uyaqonda? Kufana "nomjikelezo omfushane" omncane ohlelweni lokulinganisela ezindlebeni zethu.

Udokotela uyixilonga kanjani i-BPPV?

Uma uya kudokotela, bazokuhlola, bakubuze ngezimpawu zakho, futhi bakubuze ngezinye izimo zakho zezokwelapha ukuze bathole ukuthi une-BPV yini. Ngezinye izikhathi, kwenziwa ukuhlolwa okukhethekile (ukuhlolwa kwe-Dix-Hallpike) .Ungakwenza lokhu. Udokotela uzokuyala ukuba ulale embhedeni bese ephendula ikhanda lakho kusukela kolunye uhlangothi kuya kolunye ukuze abone ukuthi uzizwa unesiyezi noma ukuthi amehlo akho ayaqhaqhazela (nystagmus).

Ingabe ikhona indlela yokwelapha i-BPPV ngokushesha?

Ukwelashwa okungcono kakhulu nokusheshayo kwe-BPPV ukuzivocavoca umzimba. Lokhu kuzivocavoca kubizwa ngokuthi 'Izinqubo Zokubeka Kabusha ze-Canalith'. Umgomo walokhu ukuhambisa 'i-Otoconia' ebhajwe 'emiseleni ye-Semicircular' ibuyele lapho kufanele ibe khona, i-'Utricle'. Uma sezifikile lapho, izinhlayiya ziyancibilika futhi aziseyona inkinga.

Ngaphezu kwalezi zivivinyo, ungathatha imithi ethile yokudambisa isiyezi ukuze unciphise isiyezi. Kodwa-ke, akukhuthazwa ukuthatha le mithi njalo.

Lezi zivivinyo ze-BPPV zisebenza kanjani?

Lezi zivivinyo, ezibizwa ngokuthi "Izinqubo Zokubeka Kabusha zeCanalith," zivame ukuthatha imizuzu eyi-15 ukuze zenziwe. Kulokhu, ikhanda nomzimba wakho kuyashintshwa ngamunye ngamunye ukuze kubekwe kabusha "i-Otoconia" elahlekile.

Cabanga ngakho njengokuzama ukukhipha amatshe amancane ebhodleleni. Ukwenza lokhu ngokuphendula ibhodlela kusukela kolunye uhlangothi kuya kolunye. Lo msebenzi unjalo.

Iseshini eyodwa enjalo yokuzivocavoca izokhulula abantu abangaba ngu-80% kuya ku-90% abane-BPPV. Kodwa-ke, uma izimpawu ziqhubeka, kungadingeka wenze ezinye izikhathi eziningana.

Udokotela wakho angakukhombisa lezi zivivinyo. Bangakufundisa nokuthi ungazisebenzisa kanjani ekhaya. Ngemuva kwalokho ungazenza noma nini lapho uzizwa unesiyezi.

Nazi ezinye izinyathelo ezilula zokuzivivinya ongazizama ekhaya (lokhu kufana ne-Epley Maneuver, kodwa hlala uthintana nodokotela ):

• Isinyathelo 1: Hlala uqonde embhedeni. Jikisa ikhanda lakho cishe ngama-degree angu-45 liye endlebeni ohlangothini lapho uzizwa khona isiyezi. (Isibonelo, uma kuyindlebe yakho yesokudla, jika uye kwesokudla).
• Isinyathelo sesi-2: Lala phansi ngokushesha embhedeni. Gcina ikhanda lakho liseceleni elifanayo oliphendule ngalo, bese ulala phansi ikhanda lakho lingaphansi kancane kwezinga lombhede (njengokuphumela ekhoneni lombhede). Linda cishe umzuzu, noma kuze kube yilapho izimpawu zakho ziphela.
• Isinyathelo 3: Ngaphandle kokuphakamisa ikhanda lakho, jika ikhanda lakho ngokushesha uye kolunye uhlangothi. Lokhu kusho ukuthi indlebe yakho "enhle" kufanele manje ihambisane nombhede, ingezansi kancane. Bamba cishe umzuzu, noma kuze kube yilapho izimpawu ziphela.
• Isinyathelo 4: Phendukela ngakolunye uhlangothi. Phendukisa ikhanda lakho elinye ama-degree angu-90 ohlangothini olufanayo. Ikhala lakho kufanele libheke phansi manje. Linda cishe umzuzu.
• Isinyathelo 5: Gcina isilevu sakho sinamathele esifubeni sakho bese usukuma ohlangothini olufanayo nomzimba wakho. Bese ulandela eminye imiyalelo enikezwe udokotela.

Okubalulekile: Kungcono ukuba nomuntu oseduze lapho wenza lo msebenzi, njengoba isiyezi singase sikhule.Ungalokothi wenze lezi zivivinyo wedwa ngaphandle kwemvume kadokotela, ikakhulukazi uma unesifo sentamo.

Ingabe i-BPPV iba ngcono ngokwayo?

Yebo, i-BPPV ivame ukuziphelela yodwa. Kodwa-ke, ingabuya. Uma ibuya, udokotela wakho uzokufundisa indlela yokuphatha izimpawu zakho.

Ingabe ingozi yokuthola i-BPPV ingancishiswa?

Ngeshwa, i-BPPV ayikwazi ukuvinjelwa ngokuphelele. Kodwa-ke, ungazilawula izimpawu ngokwenza 'izivivinyo zokushintsha indawo yezinhlayiya' engizishilo. Ukuze unciphise ingozi ye-BPPV ekulimaleni ekhanda, ungakhohlwa ukugqoka isigqoko sokuzivikela uma ugibela ibhayisikili noma udlala imidlalo yokuxhumana.

Yini ongayilindela uma une-BPPV?

Izindaba ezinhle ukuthi i-BPPV ayisona isibonakaliso senkinga enkulu yempilo. Kodwa-ke, ukuhlala nalezi zimpawu kungaba yinto eyesabekayo futhi ecasulayo. Udokotela wakho angakufundisa ukuthi ungazivivinya kanjani izivivinyo ze-BPPV ekhaya, ukuze ukwazi ukuzilawula lapho kuvela inkathazo.

I-BPPV ingahlala isikhathi esingakanani?

Esikhathini esiningi, i-vertigo ebangelwa yi-BPPV ihlala umzuzu owodwa noma emibili. Izimpawu zakho zingase zibe zincane kakhulu, noma zingase zibe zimbi kakhulu kangangokuthi uhlanze. Ungase ulahlekelwe yibhalansi yakho lapho umi noma uhamba bese uwe.

Kufanele ngimbone nini udokotela?

Uma une-vertigo ngenxa ye-BPPV, bona udokotela ukuze akunike iseluleko. Uzokufundisa izivivinyo zokwelapha umzimba ukuze kuncishiswe izimpawu zakho.

Kodwa-ke, uma uzwa isiyezi kanye nekhanda elibuhlungu kakhulu, ubuhlungu besifuba, noma ukushaya kwenhliziyo okungajwayelekile, shayela u-911 ngokushesha noma uye esibhedlela esiseduze. Lokhu kungaba izimpawu zesinye isimo esibi.

Amagama ambalwa abalulekile okufanele uwaqonde nge-BPPV

Ukuze siqonde kangcono lokho ebesikhuluma ngakho, ake sifunde kancane ngalezi zingxenye zendlebe yethu yangaphakathi:

• Imisele eyisiyingi: Lezi zifana ne-gyroscope ekhanda lethu. Zinemisele kuzo zonke izinhlangothi ezintathu: phezulu, phansi, kanye nangokwe-horizontal. Ndawonye, ​​le misele ithumela izimpawu ebuchosheni bethu mayelana nendawo yekhanda lethu (isb., lapho uhamba, ujika).
• `I-Cupula`: Lokhu kuthola ukugeleza koketshezi ngaphakathi kwemisele eyisiyingi. Lokhu kugeleza koketshezi yikho okunikeza imizimba yethu umuzwa wokunyakaza.
• `I-Utricle`: Lesi futhi isitho esingaphakathi kwendlebe esisiza ukulawula ibhalansi. Siqukethe amangqamuzana ezinwele amahle, ambozwe yi-`Otoconia`. Uma lawa ma-`Otoconia` eguquguquka ngamandla adonsela phansi, athumela izimpawu ebuchosheni mayelana nendawo yekhanda nomzimba (njengokuthe njo noma ukuthambekela).
• `I-Otoconia`: Lezi yizinhlayiya ezincane zekristalu ye-calcium engikhulume ngazo ekuqaleni. Lezi zihlukana ne-`Utricle` (lapho zingancibilika khona) bese zingena 'emiseleni ye-Semicircular' (lapho zingancibiliki khona).
• I-Cochlea: Lesi yisitho sokuzwa esimise okwegobolondo lomnenke esingaphakathi kwendlebe yethu. Siguqula umsindo ube yimizwa yemizwa bese siyithumela ebuchosheni.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-BPPV akuyona inkinga esongela impilo, kodwa ingaba nomthelela omkhulu ezingeni lempilo yakho. Uma unezimpawu ze-BPPV, njengokuzungeza okungazelelwe, isiyezi, noma ukulahlekelwa ibhalansi, kufanele ubonane nodokotela. Ezimweni eziningi, ukuvivinya umzimba kanye namakhambi asekhaya kungasiza ekulawuleni izimpawu zakho. Ungesabi, kodwa qaphela lokhu.

` I-BPPV, i-vertigo, isiyezi, indlebe yangaphakathi, i-otoconia, ibhalansi, i-Epley maneuver