Ingabe nawe uzizwa sengathi umhlaba uyajikeleza uma uguqa embhedeni, noma uma uvuka ngokuzumayo uphendule ikhanda lakho? Lesi sizungu, esihlala imizuzwana embalwa, ngezinye izikhathi sihambisana nokuhlanza. Lokhu kuyinto eyesabekayo ngempela abantu abaningi ababhekana nayo. Kodwa ungakhathazeki, isikhathi esiningi imbangela ayiyona into enkulu. Namuhla sikhuluma ngokwelashwa okulula, kodwa okusebenzayo kakhulu, okungeyona imithi kwalokhu.
Kungani ikhanda lami lijikeleza kanje? Kalula nje, i-BPPV...
Lesi sizungu esizumayo saziwa ngokwezokwelapha ngokuthi "i-Benign Paroxysmal Positional Vertigo", noma i-BPPV ngamafuphi. Nakuba igama liyinkimbinkimbi kancane, indaba ilula kakhulu.
Cabanga nje, indlebe yethu yangaphakathi inesimiso esibucayi kakhulu esilawula ibhalansi yomzimba. Ngaphakathi kwalesi simiso, kunezinhlayiya ezincane ezenziwe nge-calcium carbonate. Sizibiza ngokuthi "ama-canaliths". Ngokuvamile, lezi zihlelwe ngendlela ehlelekile endaweni lapho kufanele zibe khona, okungukuthi, engxenyeni yendlebe ebizwa ngokuthi "i-utricle".
Kodwa, ngezinye izikhathi ngokuguga, ngenxa yokulimala okuncane ekhanda, noma ngaphandle kwesizathu nhlobo, amanye ala mabhola amancane ayaphuma lapho kufanele abe khona bese ephelela endaweni eseduze ebizwa ngokuthi imisele emincane. Manje yilapho inkinga iqala khona. Uketshezi olungaphakathi kwale misele luthumela izimpawu ebuchosheni mayelana nokunyakaza kwekhanda lethu. Ngaphezu kwalokho, lapho amabhola angene ephenduka emuva naphambili ngaphakathi kwale misele, ukunyakaza kwalolo ketshezi kuyaphazamiseka, futhi ngisho nalapho ikhanda lingashukumi, isignali engamanga ithunyelwa ebuchosheni njengokungathi ikhanda lijikeleza ngokushesha .
Kalula nje, uma unikina ikhanda noma uguqa embhedeni, izimpawu zokulinganisela eziya ebuchosheni bakho ziyaphazanyiswa amatshe amancane ambalwa endaweni engafanele. Yingakho uzizwa sengathi umhlaba uyajikeleza.
Iyini ikhambi lalokhu? (Inqubo Yokushintsha Indawo Ye-Canalith)
Ukwelashwa okungcono kakhulu nokuqala kwalokhu kubizwa ngokuthi `(Canalith Repositioning Procedure - CRP)`. Lokhu akuyona imithi noma ukuhlinzwa. Uma sikhuluma iqiniso, lolu uchungechunge lwezivivinyo ezikhethekile ezenziwa ngosizo lukadokotela. Inhloso yalokhu ukuhambisa ngokucophelela lawo matshe amancane (`canaliths`) abuyele endaweni yawo efanele (`utricle`).
Kulezi zindlela ze-`(CRP)`, indlela eyaziwa kakhulu nephumelelayo emhlabeni njengamanje yi -Epley Maneuver . Kutholakale ukuthi le ndlela inikeza impumuzo ngokushesha kubantu abayisishiyagalombili kwabayishumi abane-BPPV . Yingakho odokotela bevame ukuzama le `(Epley maneuver)` kuqala.
I-Epley Maneuver yenziwa kanjani?
Lokhu kuyinto udokotela azokuqondisa kuyo. Yonke inqubo ithatha cishe imizuzu emi-5 kuya kweyi-10. Uma ingasebenzi kanye, kungase kudingeke ukuthi ukwenze izikhathi eziningana. Ungase uzizwe unesiyezi kancane ngenkathi wenza lokhu, kodwa ungakhathazeki, kuvamile.
Ake sibheke lesi sinyathelo ukuze sisiqonde kahle.
| Isinyathelo | Indlela yokukwenza (Incazelo) |
|---|---|
| Isinyathelo 1 | Udokotela uzokuhlalisa etafuleni lokuhlolwa bese ephendula ikhanda lakho ngama-degree angu-45 ohlangothini lwendlebe olubangela isiyezi. |
| Isinyathelo sesi-2 | Okulandelayo, uzolala embhedeni ngokushesha, ugcine ikhanda lakho linganyakazi. Lapha, ikhanda lakho lizoba ngaphansi kancane kwezinga lombhede. Ungase uzizwe unesiyezi kancane kuleli qophelo. Udokotela uzokucela ukuthi uhlale kuleso simo imizuzwana engama-20-30. |
| Isinyathelo 3 | Manje, ngaphandle kokuphakamisa ikhanda lakho, jika kancane ikhanda lakho liye kolunye uhlangothi. |
| Isinyathelo 4 | Bese uphendula umzimba wakho wonke, okuhlanganisa nekhanda lakho, uye ohlangothini olulodwa, bese uphenduka uthambekele. Kufanele uhlale kanjalo isikhathi eside. |
| Isinyathelo 5 | Ekugcineni, ngosizo lukadokotela, ngiphinde ngihlale phansi kancane kancane. |
Ngingakwenza lokhu mina ekhaya?
Yebo, ungakwazi. Uma izimpawu zakho zibuya, zisebenzise. Udokotela wakho uzokutshela ukuthi ungakwenza kanjani ekhaya. Kufanele uhlale onqenqemeni lombhede wakho bese ulandela izinyathelo njengoba udokotela wakho ekutshelile. Ukuze uthole imiphumela emihle kakhulu, ungase welulekwe ukuthi ukwenze cishe kathathu ngosuku.
Kodwa khumbula, ungalokothi uzame ukukwenza ngokwakho ngaphandle kokufunda kudokotela. Ukukwenza ngendlela engafanele kungenza izimpawu zakho zibe zimbi kakhulu.
Abantu abaningi bathanda ukwenza lokhu ngaphambi kokulala ngoba uma uba nesiyezi kancane ngemva kokwenza lokhu, kuzophela ngokwako ngesikhathi sokulala.
Yiziphi izinzuzo nezingozi zalokhu?
Inzuzo enkulu yalokhu kwelashwa ukuthi kusebenza kahle kakhulu kwi-BPPV . Futhi kunezingozi ezimbalwa kakhulu.
Kodwa-ke, uma unenkinga yentamo noma umhlane, ukuqhekeka kwe-retinal, noma isifo semithambo yegazi, le nqubo ingase ingakulungeli. Ngakho-ke, udokotela wakho uzobuyekeza umlando wakho wezokwelapha ophelele ngaphambi kokwenza inqubo.
Ngemva kokwenza lokhu, abanye abantu bangase bazizwe izinto ezinjengalezi:
- Isicanucanu
- I-vertigo enamandla
- Ukuhlanza (okungavamile)
Abantu abaningi bazizwa bekhululekile cishe ngokushesha ngemva kokwenza u-Epley maneuver. Kwabanye, izimpawu ziyanyamalala ngokuphelele ngemva kwezinsuku ezimbili kuya kwezintathu.
Ufuna ukuphinde ubonane nodokotela nini?
Uma wenza lezi zivivinyo ekhaya futhi izimpawu zakho zingathuthuki ngemva kwezinsuku ezimbalwa, qiniseka ukuthi ubona udokotela wakho futhi . Angahlola ukuthi zikhona yini ezinye izimbangela zokuzungeza kwakho. Isibonelo, izifo zendlebe noma i-migraine nazo zingabangela isiyezi. Uma kudingeka, udokotela wakho angakunikeza imithi yokuzungeza noma isiyezi.
Wazi kanjani ukuthi iyiphi indlebe ebangela isiyezi?
Lokhu kuyinto okunzima ukuthi uyiqonde wedwa. Uma udokotela wakho ekuxilonga, uzokwenza ukuhlolwa okukhethekile okubizwa ngokuthi i-Dix-Hallpike maneuver. Lokhu kuzosiza ekunqumeni ukuthi isiyezi sakho sivela endlebeni yakho yesokudla noma yesobunxele. Uma usukwazi lokho, unganquma ukuthi uzophendukela kuluphi uhlangothi ngesikhathi se-Epley maneuver.
Futhi, khumbula, `(Inqubo Yokuhlela Kabusha i-Canalith - CRP)` igama elivamile. `(Inqubo Yokuqondisa I-Epley)` ingenye yezindlela ezaziwayo ngaphansi kwayo. Kukhona nezinye izindlela ezibizwa ngokuthi `(Inqubo Yokuqondisa I-Semont)` kanye `(Inqubo Yokuqondisa I-Brandt-Daroff)`. Udokotela wakho uzonquma ukuthi iyiphi indlela engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-BPPV ibangelwa amatshe amancane (ama-canalith) endlebeni yangaphakathi athuthela endaweni engafanele.
- I-Epley Maneuver iyindlela yokuzivocavoca ephumelela kakhulu, engenazo izidakamizwa eshintsha la mathambo amathambo abe yizitho.
- Lokhu kuphephile kakhulu. Kodwa ngaphambi kokuba ukwenze ngokwakho ekhaya, qiniseka ukuthi ufunda indlela efanele kudokotela.
- Uma izimpawu zakho zingathuthuki naphezu kokuvivinya umzimba, bonana nodokotela wakho futhi ukuze ubone ukuthi kukhona yini esinye isizathu.
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