Wake wazizwa sengathi lonke igumbi liyakuzungeza lapho uguqa embhedeni, uphakamisa ikhanda lakho ukuze ufinyelele okuthile okungaphezu kwakho, noma usukuma ngokuzumayo? Imizuzwana embalwa, lokhu kungaba yinto engakhululekile futhi eyesabekayo. Abantu abaningi bakubiza ngokuthi '
isiyezi esincane.' Namuhla, sizokhuluma ngembangela evamile yalolu hlobo lwesiyezi kanye nokwelashwa okulula kakhulu, kodwa okumangalisayo okuphumelelayo.
Kungani ikhanda lami liphenduka kanjena ngokuzumayo? Kuyini i-BPPV?
Kalula nje, lokhu kubangelwa ushintsho oluncane endlebeni yakho yangaphakathi. Cabanga ngakho, indlebe yethu yangaphakathi inesimiso esibucayi kakhulu esilawula
ibhalansi yomzimba wethu. Ngaphakathi kwalesi simiso kukhona amakristalu amancane enziwe nge-calcium. Siwabiza ngamagama ezokwelapha ngokuthi "otoconia" noma "canaliths". Uma nje esesendaweni efanele, akukho nkinga. Kodwa-ke, ngezinye izikhathi ngokuguga, ngenxa yokulimala okuncane ekhanda, noma ngezinye izikhathi ngaphandle kwesizathu nhlobo, la makristalu amancane ayasuswa endaweni yawo bese ethuthela emiseleni eyindilinga ekhona. Yilapho inkinga iqala khona. Uma uphendula ikhanda lakho ezindaweni ezithile (isibonelo, uma uphenduka embhedeni), amakristalu asusiwe ahamba emuva naphambili ngaphakathi komsele. Lokhu kuthumela isignali engalungile ebuchosheni bakho yokuthi uyajikeleza. Ngisho noma ungajikelezi ngempela, ubuchopho bakho bucabanga kanjalo. Yilokho esikubiza ngokuthi
i-Benign Paroxysmal Positional Vertigo (BPPV) .
"I-Benign" isho ukuthi lesi akusona isimo esibucayi nesisongela impilo. "I-Paroxysmal" isho ukuthi ayiqhubeki, kodwa iyafika futhi idlule ngokuzumayo. "Isikhundla" isho ukuthi kwenzeka kuphela lapho isikhundla sekhanda sishintsha. "I-Vertigo" isho isiyezi. Uyaqonda manje?
Ngakho-ke siyini ikhambi lalokhu? Iyini i-Epley Maneuver?
Kulungile, manje usuyaqonda inkinga. Ngakho-ke siyini ikhambi? Kulula kakhulu. Okumele ukwenze nje ukubuyisela lawo mathambo alahlekile endaweni yawo efanele. Yilokho esikubiza ngokuthi uchungechunge olulula noluqondile lwezivivinyo esizenzayo ngalokho
, i-Canalith Repositioning Procedure ( CRP ) . Enye yezindlela ezivame kakhulu, ezaziwayo neziphumelelayo esizisebenzisayo kulokhu yi-
Epley Maneuver . Okwenzayo ukuphendula ikhanda nomzimba ngendlela ethile, ngokulandelana okuthile, bese usebenzisa amandla adonsela phansi ukuthumela lawo mathambo lapho kufanele abe khona.
Okubalulekile, lokhu kwelashwa kusebenza kuphela enkingeni ebangelwa yi-BPPV . Akusebenzi enkingeni ebangelwa ukutheleleka kwendlebe , i-migraines , noma ezinye izimo zezinzwa . Yingakho kubalulekile ukubona udokotela kuqala ukuze kutholakale ukuthi unayo yini i-BPPV.
Uyenza kanjani i-Epley Maneuver?
Lokhu kuvame ukwenziwa emtholampilo ngudokotela noma isazi se-physiotherapist. Kudingeka kwenziwe ngokucophelela okukhulu, kulandelwe izinyathelo ezifanele. Yonke inqubo ivame ukuthatha imizuzu emi-5 kuya kweyi-10 kuphela. Ithebula elingezansi libonisa izinyathelo zokwenza lokhu. (Isibonelo, ake sithi isiyezi sakho sivela endlebeni yakho yesokudla).
| Isinyathelo | Indlela yokukwenza (Incazelo) |
|---|
| Isinyathelo 1: Ukuhlala phansi | Hlala uqonde etafuleni lokuhlolwa. Udokotela uzophendula ikhanda lakho ngamadigri angu-45 ngakwesokudla (libheke endlebeni ethintekile). |
| Isinyathelo sesi-2: Lala phansi ngokushesha | Manje, phendula ikhanda lakho liye kwesokudla ngendlela efanayo, bese ulala embhedeni ngokushesha. Ikhanda lakho kufanele lilengise kancane ngaphansi kombhede, amahlombe akho asemaphethelweni ombhede. Bamba lesi simo imizuzwana engama-30-60. (Ungase uzizwe unesizungu kakhulu kuleli qophelo, okuyinto evamile). |
| Isinyathelo 3: Ukuphendulela ikhanda kolunye uhlangothi | Ngaphandle kokuphakamisa ikhanda lakho, jika kancane ikhanda lakho liye kwesobunxele (amadigri angu-90). Ikhanda lakho kufanele manje liphenduke amadigri angu-45 liye kwesobunxele. Bamba lesi sikhundla imizuzwana engu-30-60. |
| Isinyathelo 4: Ukuguqula umzimba | Manje jikisa umzimba wakho wonke ngakwesobunxele, kufaka phakathi nekhanda lakho, bese uncika ohlangothini. Manje kufanele ubheke phansi. Hlala kulesi simo imizuzwana engama-30-60. |
| Isinyathelo 5: Ukuhlala phansi | Kancane kancane, yehlisa imilenze yakho phezu kombhede bese uhlala uqonde futhi. |
Ngingakwenza lokhu mina ekhaya?
Yebo, ungakwazi. Kodwa nge-
'kodwa' enkulu! Ngaphambi kokuthi uzame lokhu ekhaya,
kufanele nakanjani udokotela wakho akubonise indlela efanele yokukwenza okungenani kanye. Ukwenza kabi
kungabangela izinkinga zentamo noma kwenze isiyezi sakho sibe sibi kakhulu . Futhi, kufanele ucele udokotela wakho ukuthi athole ukuthi iyiphi indlebe ebangela isiyezi sakho. Ngoba udinga ukuqala ukuzivocavoca ngokuphendula ikhanda lakho kulolo hlangothi. Abantu abaningi bathanda ukwenza lokhu ngaphambi kokulala ebusuku. Lokhu kungenxa yokuthi uma unesiyezi esincane ngemva kokuzivocavoca, sizophela nokulala.
Yiziphi izinzuzo nezingozi zale ndlela?
Njenganoma yikuphi ukwelashwa, lokhu kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi/Izinkinga |
|---|
| Kuphephile kakhulu. | Ukwanda kwesikhashana kwesiyezi ngesikhathi sokuzivocavoca. |
| Akukho ukuhlinzwa noma imithi edingekayo (Ayidingi ukuhlinzwa). | Kungase kube nesicanucanu noma ukuhlanza. |
| Iphumelele kakhulu (izinga lempumelelo cishe lingama-80%). | Uma kwenziwa ngendlela engalungile, ungalimaza intamo yakho. |
| Kungenziwa khona kanye ehhovisi likadokotela. | Akuvamile kakhulu ukuthi ikhiyubhu ikwazi ukuthuthela kwenye isiteshi. |
| Ungafunda ukukwenza ngokwakho ekhaya. | |
Kufanele ngiphinde ngimbone nini udokotela?
Qaphela lezi zinto.- Uma unezimpawu eziqhubekayo zokuzizwa unesizungu, ikhanda elibuthakathaka, noma ukulahlekelwa ibhalansi , kubalulekile ukubona udokotela. Kubalulekile ukuthola ukuthi ngabe yi-BPPV noma okunye.
- Uma izimpawu zakho zingathuthuki ngemva kokwenza i-Epley maneuver kanye noma kabili, khuluma nodokotela wakho. Angenza izivivinyo ezengeziwe ukuze abone ukuthi zikhona yini ezinye izimbangela.
- Ngemva kokuzivocavoca, kuwumqondo omuhle ukugwema izinto ezifana nokutshekisa ikhanda lakho ngokuzumayo noma ukunikina ikhanda lakho ngokuzumayo isikhashana emini.
Umlayezo Wokuya Nawe Ekhaya
- I-BPPV uhlobo oluncane lwe-vertigo olubangelwa amathambo amancane endlebeni yangaphakathi asuka endaweni yawo.
- I-Epley Maneuver (Inqubo Yokubeka Kabusha i-Canalith) iwuchungechunge lokuzivocavoca olusebenza kahle kakhulu nolulula lokubuyisela la ma-cubes endaweni yawo efanele.
- Lokhu kwelashwa kusebenza kuphela ku-BPPV, ngakho-ke kubalulekile ukuthi udokotela aqale ahlole lesi simo ngendlela efanele.
- Ngaphambi kokwenza lokhu ekhaya, qiniseka ukuthi ufunda indlela efanele kudokotela ukuze ugweme ukulimaza intamo yakho futhi uthole imiphumela enembile.
- Uma izimpawu ziqhubeka ngemva kokwelashwa, bona udokotela wakho futhi ukuze ahlole ezinye izimbangela.
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