Ingabe ngezinye izikhathi uzizwa unesizungu? Njengokungathi umhlaba uyajikeleza. Noma uzizwa sengathi uzolahlekelwa ibhalansi yakho bese uwe lapho uhamba noma umi? Namuhla sizokhuluma ngochungechunge olubaluleke kakhulu lokuhlolwa okwenziwa ukuthola imbangela eqondile yalezi zimpawu. Lokhu kubizwa ngokuthi ukuhlolwa kwe-vestibular.
Kalula nje, kuyini ukuhlolwa kwe-vestibular?
Cabanga ngomzimba wethu njengemoto. Ingxenye eyinhloko yale moto esiza ukuthi ihlale ilinganisele futhi ingashukumi uhlelo lokulinganisela olusendlebeni yethu yangaphakathi. Kwezokwelapha, lokhu sikubiza ngokuthi uhlelo lwe-vestibular . Ngakho-ke, uma unezimpawu ezifana nokuzungeza kanye nezinkinga ngokulinganisela kwakho, udokotela wakho angase akucele lolu chungechunge lwezivivinyo ukuze abone ukuthi uhlelo lwakho lwe-vestibular lusebenza kahle yini.
Lolu hlelo lwe-vestibular lunezingxenye eziningana eziyinhloko.
- Imisele eyisiyingi: Lezi zifana nezinzwa ezibona ukunyakaza kwekhanda.
- Izitho ze-Otolith: Lezi izinzwa ezibona amandla adonsela phansi.
- I-Vestibular nerve: Ulwazi oluvela kulesi simiso luyiswa ebuchosheni ngalo mthambo.
Lezi zivivinyo zihlola ukuthi lezi zingxenye zisebenza kahle kangakanani ukuhlanganisa ukunyakaza komzimba wakho nokugcina ibhalansi.
Kungani udokotela ekucela ukuthi wenze lolu vivinyo?
Lezi zivivinyo zisiza ekunqumeni ukuthi isiyezi osizwayo empeleni sibangelwa inkinga yangaphakathi kwendlebe noma inkinga yezinzwa ehlobene nayo ebuchosheni.
Lokhu kuvumela udokotela ukuthi ahlole izimo ezithile zezokwelapha. Isibonelo:
- I-Benign Paroxysmal Positional Vertigo (BPPV)
- I-Labyrinthitis
- Isifo sikaMénière
- I-Vestibular Neuritis
Lezi zivivinyo zingasiza futhi ukuqinisekisa ukuthi izimpawu zakho azibangelwa inkinga yangaphakathi yendlebe. Ngezinye izikhathi, izimpawu ezifana nesiyezi zingabangelwa izinkinga zokubona, imithi, ezinye izimo zezokwelapha, noma izingozi. Ngakho-ke lokhu kuhlolwa kubaluleke kakhulu ukuthola imbangela eqondile.
Lezi zivivinyo zisebenza kanjani?
Lezi zivivinyo zenziwa uchwepheshe wezinkinga zokuzwa nokulinganisela. Simbiza ngokuthi i-Audiologist. Uzokubuza imibuzo ngenkathi ekukhombisa ukuthi ungayenza kanjani imisebenzi ehlukahlukene elula. Ungakhathazeki, uzokufundisa konke isinyathelo ngesinyathelo.
Izinhlelo ezintathu eziyinhloko kumele zisebenzisane ukuze kugcinwe ibhalansi emzimbeni wethu.
1. Umbono: Izinto esizibona ngamehlo ethu.
2. Inzwa yokuthinta (Ukuqonda Okuyimfihlo):Indlela umhlaba ozizwa ngayo esikhumbeni sethu, ikakhulukazi ezinyaweni zethu.
3. Uhlelo lwe-Vestibular: Uhlelo lokulinganisela endlebeni engaphakathi.
Lezi zivivinyo zibheka ukuthi lezi zinhlelo ezintathu zisebenza kanjani ndawonye.
Enye yezindlela ezibaluleke kakhulu zokuzindla ohlelweni lwethu lwe-vestibular yi -vestibulo-ocular reflex (VOR) . Kalula nje, ikusiza ukuthi ubone kahle futhi endaweni eyodwa, ngisho noma ikhanda noma umzimba wakho uhamba. Zicabange uhleli ebhasini futhi ufunda uphawu ngaphandle. Ngisho noma unikina ikhanda lakho, usengazibona izinhlamvu ezisophawini ngokucacile, akunjalo? Le ndlela yokuzindla ebizwa ngokuthi i-VOR ikusiza ukuthi wenze lokho.
Uchwepheshe owenza ukuhlolwa uzobheka ukunyakaza kwamehlo akho ngokucophelela, ngoba amehlo akho angakunikeza ulwazi olubalulekile mayelana nendlela uhlelo lwakho lwe-vestibular olusebenza ngayo. Ngezinye izikhathi bazohlola ne -nystagmus , okuyi-movement yamehlo esheshayo nengalawuleki.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Kubaluleke kakhulu ukulandela imiyalelo enikezwa udokotela wakho noma udokotela wezindlebe ngqo. Imiyalelo ozoyithola ngokuvamile yilena elandelayo:
- Letha othile ekhaya: Ungase uzizwe unesiyezi noma udidekile ngemva kokuhlolwa. Ukuze uphephe, kungcono ukuba othile akushayele ekhaya ngaphandle kokushayela.
- Landela imiyalelo yemithi yakho: Eminye imithi ingathinta imiphumela yokuhlolwa. Ngakho-ke, buza udokotela wakho ukuthi yimiphi imithi okufanele uyeke ukuyithatha nokuthi yini okufanele uqhubeke uyithatha ezinsukwini ngaphambi kokuhlolwa.
- Qaphela ukuthi udlani futhi uphuzani: Ngezinye izikhathi ungase ucelwe ukuba udle ukudla okulula kuphela ngaphambi kokuhlolwa, noma uzile ukudla amahora ambalwa. Kufanele nakanjani uyeke ukuphuza utshwala.
- Ungafaki izimonyo zamehlo: Lokhu kubaluleke kakhulu. Izinto ezifana ne-eyeliner kanye ne-mascara zingaphazamisa ukuhlolwa, njengoba ukunyakaza kwamehlo akho kudingeka kubhekwe kahle.
Kwenzekani ngesikhathi sokuhlolwa? Ake sifunde ngohlobo ngalunye lokuhlolwa.
Kunezinhlobo eziningana zokuhlolwa kwe-vestibular. Udokotela wakho we-audiologist uzonquma ukuthi yiziphi izivivinyo ozidingayo ngokusekelwe ezimpawini zakho. Ungase ungadingi ukuzenza zonke. Ake sibheke ezinye zezinhlobo eziyinhloko zokuhlolwa.
| Igama Lokuhlolwa | Ubonani kulokhu? | Yini okufanele uyenze? |
|---|---|---|
| I-Electronystagmography (ENG) kanye ne-Videonystagmography (VNG) | Ihlola impilo yemizwa ebuchosheni elawula ukunyakaza kwamehlo, ukuzwa, kanye nokulinganisela. | Ucelwa ukuba wenze izinto ezifana nokubuka ithagethi bese uyibuka ihamba, bese uhambisa ikhanda nomzimba wakho ezindaweni ezahlukene. Ngezinye izikhathi ubeka iqhwa elincane noma amanzi ashisayo/amanzi ashisayo endlebeni yakho bese ubheka ukuthi amehlo akho asabela kanjani. Ku-VNG, kufanele ugqoke izibuko ezinekhamera. |
| Ukuhlolwa Kwesihlalo Esijikelezayo | Kukala ukuthi amehlo akho kanye nesistimu ye-vestibular zisebenza kahle kangakanani ukuze zigcine umbono wakho uzinzile njengoba uhamba. | Kufanele ugqoke izibuko ezikhethekile futhi uhlale esihlalweni esinenjini. Kufanele uhlale uvulekile amehlo njengoba isihlalo sijikeleza kancane kancane kwesobunxele nakwesokudla. Izibuko ziqopha ukunyakaza kwamehlo akho. |
| i-mCTSIB | Babheka indlela umbono wakho, ukuthinta (lokho okuzwayo ezinyaweni zakho), kanye nendlebe yangaphakathi okukuthinta ngayo isiyezi sakho. | Uzocelwa ukuthi ume ngaphandle kokunyakaza imizuzwana engama-30, kuqala endaweni eqinile, bese kuba endaweni ethambile njenge-foam, ngaphandle kwezicathulo. Ungase ucelwe ukuba wenze lokhu uvale amehlo. |
| Ukuhlolwa Kwe-Head Impulse Yevidiyo (VHIT) | Imisele emithathu eyindilinga endlebeni yangaphakathi iyahlolwa ukuze kubonakale ukuthi ikubona kahle kangakanani ukunyakaza kwekhanda. | Ugqoka izibuko ezinekhamera bese ubheka umuntu okuqondiwe. Uchwepheshe uzohambisa ikhanda lakho kancane kancane kwesobunxele/kwesokudla noma phezulu/phansi. Bazolinganisa ukuthi ungakwazi yini ukugcina amehlo akho ekuqondisweni njengoba uhambisa ikhanda lakho. |
| Ama-Vestibular Evoked Myogenic Potentials (VEMP) | Ihlola indlela izitho ezimbili ze-otolith (i-saccule ne-utricle) ezingaphakathi kwendlebe ezisebenza ngayo. | Ama-electrode amaningana anamathele entanyeni yakho. Ugqoka ama-headphone bese uphendula ikhanda lakho kwesobunxele nakwesokudla ngenkathi ubheka okuqondiwe. Phakathi nalesi sikhathi, uzwa imisindo ehlukene ngama-headphone. Ama-electrode alinganisa ukuthi imisipha yentamo yakho isabela kanjani kuleyo misindo. |
Kwenzekani ngemva kokuhlolwa?
Kuthatha isikhathi esingakanani ukuhlolwa?
Lokhu kuvame ukuthatha cishe amahora amabili, kodwa kuye ngezimpawu zakho nemiphumela, ukuhlolwa kungathatha isikhathi esincane.
Ingabe zikhona izingozi ngalezi zivivinyo?
Ukuhlolwa kwe-Vestibular kuphephile kakhulu . Akukho okufanele ukwesabe. Kodwa-ke, ungase uzizwe unesiyezi kancane ngesikhathi sokuhlolwa nangesikhathi esithile ngemva kwalokho. Yingakho sishilo ngaphambili ukuthi kungcono ukuba nomuntu okuphelezela ekhaya.
Ngizothola luphi uhlobo lwemiphumela?
Ungathola olunye lwezinhlobo ezimbili eziyinhloko zemiphumela:
- Imiphumela evamile: Lokhu kusho ukuthi izimpawu zakho azibangelwa yiphutha ohlelweni lwe-vestibular.
- Imiphumela engavamile: Lokhu kusho ukuthi inkinga ngesistimu ye-vestibular noma isistimu yezinzwa ehlobene nayo ibangela izimpawu zakho.
Ngizoyithola nini imiphumela?
Ezimweni eziningi, udokotela wezindlebe uzokuchazela imiphumela ngokushesha nje lapho ukuhlolwa sekuqediwe. Ngezinye izikhathi, uma kudingeka isikhathi esengeziwe sokutadisha imiphumela kahle, uzokwaziswa ngalokhu kamuva. Le miphumela izothunyelwa nakudokotela okuthumelele ukuhlolwa.
Yini okufanele uyenze ngokulandelayo?
Isinyathelo esilandelayo sizonqunywa ngokusekelwe emiphumeleni yakho.
- Mhlawumbe udokotela wakho angakudlulisela komunye uchwepheshe.
- Ungase futhi ucelwe ukuthi wenze ezinye izivivinyo, njenge- MRI (Magnetic Resonance Imaging) noma i-CT (Computed Tomography) scan , ukuze ubone ukuthi kukhona yini umonakalo emathanjeni noma ezicutshini ezithambile zendlebe yangaphakathi.
Ukuzwa ngazo zonke lezi zivivinyo kungaba nzima kakhulu. Kodwa empeleni ziyizivivinyo ezilula kakhulu neziqondile. Asikho isidingo sokwesaba ngoba udokotela wezindlebe uzokuchazela konke. Ngokwenza lokhu kuhlolwa, uzosondela kakhulu ekutholeni imbangela yangempela yezimpawu zakho bese uqala ukwelashwa okudingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Uma uvame ukuba nesiyezi, i-vertigo, noma izinkinga zokulinganisela, i-Vestibular Testing iwuchungechunge lwezivivinyo ezenziwayo ukuthola imbangela.
- Lokhu kuvivinya kakhulu ukusebenza kohlelo lokulinganisela endlebeni yakho yangaphakathi.
- Lezi zivivinyo eziphephile kakhulu nezilula futhi asikho isizathu sokwesaba.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa (imithi, ukudla neziphuzo, ukungabi nezimonyo, kanye nokuba nomuntu okuphelezela ekhaya).
- Ngokusekelwe emiphumeleni yokuhlolwa, udokotela wakho uzokwazi ukuhlonza ngokunembile isimo sakho futhi athuthukise uhlelo lokwelashwa olufanele kakhulu kuwe.
- Ukuzungeza kanye nokulahlekelwa yibhalansi akuzona izimpawu okufanele uzishaye indiva. Qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu.
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