Zicabange uzama ukuvuka embhedeni ekuseni, noma uguqa ngakolunye uhlangothi lombhede. Kungazelelwe, uzizwa sengathi lonke igumbi liyakuzungeza. Akuyona yini into engathandeki futhi eyesabekayo leyo? Lolu uphawu oluyinhloko lwesimo esisibiza ngokuthi i-BPPV ngamafuphi. Kungase kuzwakale njengento enkulu, kodwa ungesabi. Ake sixoxe ngakho kalula nangokucacile.
Kalula nje, iyini i-BPPV?
Incazelo ephelele ye-BPPV ithi i -Benign Paroxysmal Positional Vertigo . Leli gama lizwakala lide kancane, akunjalo? Ake silihlukanise igama negama.
- Okuhle: Lokhu kusho ukuthi "akuyona into embi kakhulu." Kusho ukuthi akuyona umdlavuza noma isimo esiyingozi kakhulu esisongela ukuphila.
- I-Paroxysmal: Lokhu kusho ukuthi "kuza ngokuzumayo bese kuhamba." Lolu hlobo lwesiyezi aluhlali lukhona. Luza ngokuzumayo bese luhamba ngemizuzwana embalwa noma umzuzu.
- Okuphathelene nesimo: Lokhu kusho ukuthi "kuhlobene nesimo." Lokhu kusho ukuthi isiyezi senzeka kuphela uma ushintsha ngokuzumayo isikhundla sekhanda lakho.
- I-Vertigo: Leli yigama lezokwelapha elisho "i-vertigo." Lisho ukuthi uzizwa sengathi indawo ekuzungezile iyajikeleza, noma ngabe umile.
Kalula nje, i-BPPV iyisizungu esiphuthumayo, kodwa esingesibi kangako, esiphela ngemva kwesikhashana uma ushintsha isikhundla sekhanda lakho. Sibangelwa inkinga encane endlebeni yethu yangaphakathi.
Nakuba lokhu kungekubi kangako, izimpawu zingase zesabise kakhulu. Lesi sizungu singabangela abantu abangaphezu kweminyaka engu-65 ukuba balahlekelwe ibhalansi yabo bese bewa . Uma uwa, kubalulekile ukuqaphela lokhu, njengoba kungaholela ekuqhekekeni kwamathambo.
Ubani onamathuba amaningi okubhekana nalesi simo?
Nakuba i-BPPV ingathinta abantu banoma yimuphi ubudala, ivame kakhulu kubantu abangaphezu kweminyaka engu-50. Eqinisweni, kulinganiselwa ukuthi cishe umuntu oyedwa kwababili kuleli qembu leminyaka uzobhekana ne-BPPV okungenani kanye empilweni yakhe. Akuvamile kakhulu ezinganeni.
I-BPPV itholakala kubantu abangaba ngu-20% abeza kithi bezokwelashwa nge-vertigo, noma cishe oyedwa kwabahlanu. Kuyisimo esivamile.
Umbuzo abantu abaningi abawubuzayo ukuthi ngabe lesi yisimo esihlala njalo yini. Cha, i-BPPV ivame ukuphela yodwa ezinsukwini noma emavikini ambalwa. Kodwa-ke, ngezinye izikhathi ingabuya. Ngezinye izikhathi, isiyezi singabuya ezinyangeni noma ngisho neminyaka kamuva.
Ziyini izimpawu ze-BPPV?
Uphawu oluyinhloko yi-vertigo. Kodwa-ke, kunezinye izimpawu eziningana ezingahambisana nayo. Ake sibheke lezi kuthebula elingezansi.
| Isibonakaliso | Kuzwakala kanjani? (Kuzwakala kanjani?) |
|---|---|
| I-Vertigo | Kuzwakala sengathi lonke igumbi liyakuzungeza, noma ngabe awunyakazi. |
| Isiyezi | Ukuzizwa sengathi ikhanda lakho alinasisindo, njengokungathi uyantanta. Ukuzizwa sengathi usuzolahlekelwa ingqondo. |
| Izinkinga zokulinganisela | Ukuzizwa uphelelwa amandla lapho umi noma uhamba. Ukuzizwa sengathi uzowa. |
| Isicanucanu nokuhlanza | Ukuzizwa unesizungu noma ukuhlanza kanye nesicanucanu. |
| Umbono ofiphele | Ukuzizwa sengathi umbono wakho awubonakali kahle uma unesiyezi. |
| Ukunyakaza kwamehlo okusheshayo (i-Nystagmus) | Ukunyakaza kwamehlo okusheshayo nokungalawuleki. Ungase ungakuboni lokhu, kodwa othile oseduze noma udokotela wakho angase akubone. |
Yini ebangela lesi sizungu? (Izinto ezibangela lokhu)
I-vertigo ye-BPPV ivame ukwenzeka lapho ikhanda lishintsha indawo. Isibonelo:
- Ngesikhathi elele embhedeni.
- Uma uvuka embhedeni.
- Uma ujikijela futhi uphenduka embhedeni.
- Uma uphendula ikhanda phezulu (isib. ukuyothatha okuthile eshalofini).
- Uma ugoba ikhanda lakho phansi.
Kwenzekani ngempela endlebeni engaphakathi?
Kulungile, manje ake sibheke ukuthi kungani lokhu kwenzeka. Ukuze siqonde lokhu, sidinga ukwazi okuncane ngesakhiwo sendlebe yethu yangaphakathi.
Cabanga ukuthi endlebeni yakho yangaphakathi, lapho ulawula khona ibhalansi yakho, kunezinto ezincane ezifana nesihlabathi. Empeleni lezi yizinhlayiya ze-calcium carbonate . Kwezokwelapha, lezi sizibiza ngokuthi i-otoconia . Ngokuvamile, zitholakala lapho kufanele zibe khona, esithweni esibizwa ngokuthi i-'utricle'.
Kodwa njengoba siguga, noma lapho sinokulimala okuncane ekhanda (njengokuwa noma ingozi), noma lapho sinokutheleleka, lawa 'mabhola' angaphuma futhi asuke endaweni yawo. Abe esengena emiseleni eyisiyingi, equkethe uketshezi olubalulekile ukuze kube nebhalansi.
Manje, uma unikina ikhanda lakho, lezi zinhlayiya nazo ziyazungeza kulolo ketshezi, zivuselela izingxenye ezincane zezinzwa ezifana nezinwele ('cilia') lapho. Lokhu kuthumela isignali engafanele ebuchosheni. Leso signali sithi 'uyajikeleza'. Yingakho sizizwa sididekile.
Ngezinye izikhathi izimpawu ze-BPPV zingabangelwa ezinye izimo zendlebe. Isibonelo, kungenzeka ngezimo ezifana ne-`(Labyrinthitis)` (ukutheleleka kwendlebe yangaphakathi) noma `(Vestibular neuritis)` (ukuvuvukala kwenzwa okubangela ibhalansi). Abantu abane-migraines nabo banamathuba amaningi okuthola i-BPPV.
Dokotela, uzoyixilonga futhi uyiphathe kanjani le nkinga?
Uma unalezi zimpawu, kungcono ukubona udokotela wakho. Uzokubuza ngezimpawu zakho bese ekuxilonga.
Kukhona ukuhlolwa okukhethekile kokuxilonga i-BPPV. Kulokhu kuhlolwa, udokotela uzokuhlalisa etafuleni lokuhlolwa, aphendule ikhanda lakho eceleni, bese ekulalisa phansi ngokushesha. Kuleli qophelo, uzobheka amehlo akho bese ehlola isiyezi noma i-nystagmus (ukudikiza kwamehlo). Lokhu kuzomsiza ukuthi anqume ukuthi une-BPPV.
Izindaba ezinhle ukuthi ukwelashwa kwe-BPPV kulula kakhulu. Akudingi imithi yesikhathi eside. Ukwelashwa okuyinhloko ukuzivocavoca umzimba . Lokhu kubizwa ngokuthi 'izinqubo zokushintsha indawo ye-canalith.' Lokhu kuzivocavoca kusebenza ngokubuyisela amakristalu e-calcium alahlekile lapho kufanele abe khona. Uma eselapho, ayancibilika, ukuze i-vertigo ingabuyi.
Ukuzivocavoca okulula ukunciphisa isiyezi ekhaya
Enye yalezi zivivinyo yi-Epley Maneuver. Udokotela wakho uzokukhombisa ukuthi ungakwenza kanjani lokhu emtholampilo futhi uzokufundisa nokuthi ungakwenza kanjani ekhaya.
Isexwayiso:Into ebaluleke kakhulu ukuthi uqale wenze lo msebenzi ngemuva kokubonisana nodokotela wakho. Kuzodingeka anqume ukuthi isiyezi sakho sibangelwa yi-BPPV nokuthi siyathinta yini indlebe yakho yesokudla noma yesobunxele. Ukwenza lokhu ohlangothini olungalungile kungenza izimpawu zakho zibe zimbi kakhulu. Ngakho-ke, ungazami wedwa ngaphandle kweseluleko sikadokotela wakho.
Ngezansi indlela umuntu one-BPPV endlebeni yesokudla awenza ngayo lo msebenzi. (Ngendlebe yesobunxele, kufanele ukwenze ngendlela ephambene.)
1. Isinyathelo 1: Hlala uqonde embhedeni. Jikisa ikhanda lakho ngama-degree angu-45 ngakwesokudla (ngasohlangothini oluthintekile).
2. Isinyathelo 2: Manje, ngenkathi uphendula ikhanda lakho ngakwesokudla, lala ngokushesha embhedeni . Amahlombe akho ephumule phezu komcamelo, gcina ikhanda lakho lisuka kancane embhedeni. Hlala kulesi simo imizuzwana engama-30-60, noma kuze kube yilapho isiyezi siphela ngokuphelele.
3. Isinyathelo 3: Ngaphandle kokuphakamisa ikhanda lakho, jika ikhanda lakho ngokushesha liye kwesobunxele (amadigri angu-90). Indlebe yakho yesobunxele kufanele manje ibheke embhedeni. Bamba lesi simo imizuzwana engu-30-60.
4. Isinyathelo 4: Manje phendula umzimba wakho wonke bese ubhekisa ikhanda lakho kwelinye izinga elingama-degree angu-90 ngakwesobunxele , ugobe ikhanda lakho. Ikhala lakho kufanele libheke phansi. Hlala kulesi simo imizuzwana engama-30-60.
5. Isinyathelo 5: Hlala kancane kancane ohlangothini oncike kulo, ugcine isilevu sakho siseduze nehlombe lakho.
Lo msebenzi uzosusa u-80%-90% wezimpawu zakho ngemva kweseshini eyodwa nje. Uma usenezimpawu, kuzodingeka uphinde njengoba kuqondiswe udokotela wakho.
Kufanele uye nini kudokotela?
Uma usola ukuthi unezimpawu ze-BPPV, qiniseka ukuthi ubona udokotela. Ngaleyo ndlela, ungathola ukuxilongwa okunembile futhi ufunde izivivinyo ezidingekayo.
Kodwa-ke, ngezinye izikhathi isiyezi singaba uphawu lwesimo esibucayi kakhulu.
Uma unezinye zezimpawu ezingezansi kanye nesiyezi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha, ngaphandle kokulibala.
* Ikhanda elibuhlungu kakhulu (ikakhulukazi uma ungakaze ube nalo ngaphambili)
* Ubuhlungu besifuba noma izinguquko ezingavamile ekushayeni kwenhliziyo
* Ubunzima bokukhuluma noma ukugwinya amagama
* Ukugoba kolunye uhlangothi lobuso
* Ukuba ndikindiki noma ukuqaqamba engalweni noma emlenzeni
* Ukubona kabili noma ukulahlekelwa umbono ngokuphelele
Lokhu kungaba izimpawu zesimo esibucayi njengesifo sohlangothi, ngakho-ke qaphela kakhulu ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-BPPV yisimo esivamile futhi esingesibi kakhulu esenzeka endlebeni yangaphakathi. Ungakhathazeki ngokungadingekile ngalokhu.
- Lokhu kungenxa yokuthi amabhola amancane e-calcium (i-otoconia) endlebeni yangaphakathi ayaphuma lapho kufanele abe khona bese ethuthela endaweni engafanele.
- Uphawu oluyinhloko isiyezi esivele ngokuzumayo futhi sithathe isikhathi esingaphansi komzuzu lapho kushintsha isikhundla sekhanda (isib., ukuvuka embhedeni).
- Ukwelashwa okungcono kakhulu kwalokhu akusiwo amaphilisi, kodwa ukuzivocavoca okulula (ukushintsha izindlela zokusebenzisa) okufundiswa udokotela.
- Ungalokothi uzame lezi zivivinyo wedwa ngaphandle kokubonisana nodokotela noma ukuzibheka ku-inthanethi. Kubalulekile ukuthola ukuxilongwa okufanele kuqala.
- Uma isiyezi sihambisana nezinye izimpawu ezinkulu njengekhanda elibuhlungu, ubuhlungu besifuba, noma ubunzima bokukhuluma, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
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