Uma uvuka embhedeni, uphenduka, noma ubheka phezulu, ingabe uzizwa sengathi umhlaba wonke uyakujikeleza? Ngaleso sikhathi, awukwazi ngisho nokuma, futhi uzizwa ungakhululekile, kanye nomuzwa wokucasuka. Nakuba lesi sizungu siphela ngemizuzu embalwa, ukwesaba okuzwayo ngaleso sikhathi kukhulu. Abantu abaningi baye baba nokuhlangenwe nakho okufanayo. Ngakho-ke namuhla, ake sixoxe ngembangela eyinhloko yalokhu kanye nokuhlolwa okulula okusetshenziswa odokotela ukukuxilonga.
Kungani ikhanda lami lijikeleza kanje? Kuyini i-BPPV?
Imbangela eyinhloko nevame kakhulu yalesi sizungu esizumayo yisimo esibizwa ngokuthi i-Benign Paroxysmal Positional Vertigo . Sisibiza ngokuthi (BPPV) ngamafuphi. Nakuba igama lide kancane, incazelo ilula kakhulu.
- Okuhle - Lokhu kusho ukuthi akusiyo ingozi noma akusona isifo esisongela ukuphila. Akuyona into efana nomdlavuza.
- I-Paroxysmal - kusho ukuthi iqala ngokuzumayo futhi iphele ngokuzenzakalelayo ngemva kwesikhashana.
- Okuma - Lokhu kusho ukuthi kwenzeka lapho isikhundla sekhanda sishintsha.
- I-Vertigo - ibhekisela esiyezini esisaziyo.
Kalula nje, i-BPPV yisimo esingeyona ingozi esenzeka ngokuzumayo bese siphela ngemva kwesikhathi esifushane lapho ikhanda linyakaziswa.
Kulungile, manje ake sibone ukuthi kungani lokhu kwenzeka. Ngaphakathi kwendlebe yethu, indlebe engaphakathi, kukhona ingxenye ezwela kakhulu elawula ibhalansi yomzimba. Ngaphakathi kwalokhu kukhona amakristalu amancane kakhulu e-calcium carbonate. Cabanga ngawo njengezinhlayiya zesihlabathi. Ngokuvamile, la makristalu ahlelwe ngendlela ehlelekile ezindaweni okufanele abe kuzo.
Kodwa ngezinye izikhathi, njengoba sikhula, lapho sithola ukungqubuzana okuncane ekhanda, noma ngaphandle kwesizathu nhlobo, amanye ala makristalu angaphuma endaweni yawo aye ohlelweni lweziteshi (`imisele ye-semicircular`) ebangela ibhalansi. Manje cabanga ukuthi kunamatshe amancane ebhodleleni lamanzi. Uma unyakazisa ibhodlela, lawo matshe ahamba emuva naphambili, evuselela amanzi, akunjalo? Ngokufanayo, uma unyakazisa ikhanda lakho, lawo makristalu aye endaweni engafanele nawo ahamba emuva naphambili, ashayisane noketshezi olungaphakathi kwalezo ziteshi, futhi athumele isignali engamanga ebuchosheni bethu yokuthi "usuyazula manje." Ngisho noma singayazula ngempela, ubuchopho buyasikholelwa leso signali, ngakho sizizwa siyazula. Yilokho okwenzekayo ku-BPPV.
Ngakho-ke, udokotela uhlonza kanjani ngokunembile ukuthi une-BPPV?
Uma unalolu hlobo lwe-vertigo, uma uya kudokotela, kufanele aqiniseke ukuthi une-BPPV ngempela noma ukuthi i-vertigo ibangelwa okunye, ngoba kungaba nezinye izimbangela ze-vertigo.
Ukuhlolwa okuyinhloko nokunembe kakhulu okusetshenziswa odokotela emhlabeni wonke ukuxilonga i-BPPV yi -Dix-Hallpike Maneuver.Lolu uhlobo lokuhlola olulula kakhulu olusetshenziswe kusukela ngo-1952 futhi alusebenzisi mishini noma izidakamizwa.
Kulesi sivivinyo, udokotela uphendula ikhanda lakho ngokucophelela ochungechungeni lwezikhundla ezithile . Uma wenza lokhu, lawo makristalu asusiwe esikhulume ngawo ekuqaleni aqala ukunyakaza futhi. Uma lokho kwenzeka, uzizwa unesiyezi, futhi amehlo akho aqala ukunyakaza ngendlela ekhethekile. Udokotela ubheka lokho kunyakaza.
Indlela yokwenza isivivinyo se-Dix-Hallpike isinyathelo ngesinyathelo
Ungase wesabe uma uzwa lokhu. " O , uyanikina ikhanda lakho sengathi unesiyezi?" Kodwa asikho isidingo sokwesaba . Udokotela ukwenza lokhu ngokucophelela futhi ikhanda lakho lilawulwa nguye ngokuphelele. Lokhu kuthatha imizuzu embalwa kuphela.
| Izinyathelo | Kwenzekani? |
|---|---|
| Isinyathelo 1: Ukuhlala phansi | Uzohlaliswa uqonde etafuleni lokuhlolwa imilenze yakho ivulekile. |
| Isinyathelo 2: Ukujika ikhanda | Udokotela uzophendula ikhanda lakho ngama-degree angu-45 ngakwesokudla noma kwesobunxele. Ngalesi sikhathi, uzocelwa ukuthi uhlale uvulekile amehlo akho. |
| Isinyathelo 3: Lala phansi ngokushesha | Okulandelayo, ikhanda lakho lisesimweni esifanayo naso osiphendukile, udokotela uzokulalisa embhedeni ngokushesha, ebambe ikhanda lakho namahlombe akho. Lapha, ikhanda lakho lizophakanyiswa kancane embhedeni, okusho ukuthi intamo yakho izogoba kancane. Kodwa njengoba izandla zikadokotela zisekela sonke isisindo sekhanda lakho, ngeke ube nokungakhululeki. |
| Isinyathelo 4: Ukuqapha | Udokotela uzokubamba kuleso simo cishe imizuzwana engama-30, bese ebheka amehlo akho eduze. Ungase uzizwe unesiyezi phakathi nalesi sikhathi. Futhi, uma une-BPPV, amehlo akho azohamba ngokushesha (emuva naphambili) ngendlela engalawuleki. Lokhu kubizwa ngokuthi i-nystagmus . |
| Isinyathelo 5: Ukuhlala phansi ubheke olunye uhlangothi | Bese uphinda uhleli phansi ngokucophelela. Linda kuze kube yilapho isiyezi siphela, bese uphendulela ikhanda lakho kolunye uhlangothi bese wenza isivivinyo esifanayo, ngoba la makristalu angaba sendlebeni yesokudla noma yesobunxele. |
Iyini i-Nystagmus?
Lesi yisibonakaliso esiyinhloko esiqinisekisa i-BPPV. Uma ugoqa ikhanda lakho emuva kanjalo, amakristalu endlebe yangaphakathi ayahamba futhi athumele izimpawu ezingalungile ebuchosheni, futhi ngenxa yalokho, amehlo akho aqala ukushaya ngokushesha. Kufana newashi elishayayo. Awukwazi ukukuvimba. Uma udokotela wakho ekubona lokhu, angaqiniseka cishe nge-100% ukuthi une-BPPV.
Ingabe zikhona izingozi ngalolu vivinyo?
Ukuhlolwa kwe-Dix-Hallpike ngokuvamile kuphephile kakhulu . Kodwa-ke, uma ulimele entanyeni, ubuhlungu emhlane, noma usanda kuba nesifo sohlangothi, udokotela wakho angase anqume ukweqa ukuhlolwa noma enze inguqulo eguquliwe.
Isibonelo, ungakwenza lokhu ngokubeka umcamelo ngaphansi kwamahlombe akho bese ubeka ikhanda lakho embhedeni. Ngale ndlela, akukho ngcindezi entanyeni yakho. Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe. Uzokwenza konke ngendlela ephephile ngangokunokwenzeka ngesimo sakho.
Iyini imiphumela yokuhlolwa?
Inzuzo enkulu yalolu vivinyo ukuthi ungayazi imiphumela ngokushesha. Akudingeki ulinde izinsuku eziningi ukuthi kufike umbiko. Umphumela ungaba "Muhle" noma "Mubi".
Uma uDix-Hallpike Ehle...
Lokhu kusho ukuthi utholakale une-BPPV . Lezi yizindaba ezinhle! Ngoba i-BPPV yisimo esingalapheka cishe ngokuphelele ngaphandle kwemithi, ngohlelo lokuzivocavoca olulula.
Uma ukuhlolwa kutholakala ukuthi unegciwane, isikhathi esiningi udokotela uzokwelapha ngokushesha. Indlela esetshenziswa kulokhu ibizwa ngokuthi i-Epley Maneuver . Lokhu kufana ne-Dix-Hallpike, lapho uphendula khona ikhanda lakho ngezindlela ezahlukene. Kodwa umgomo walokhu ukuhambisa amakristalu aye endaweni engafanele abuyele lapho kufanele abe khona.
Uma i-Dix-Hallpike ingenayo imiphumela...
Lokhu kusho ukuthi isiyezi sakho asibangelwa yi-BPPV. Kusho ukuthi kungase kube nesinye isizathu. Ngaleso sikhathi, udokotela wakho uzokudlulisela kwezinye izivivinyo ngokusekelwe ezimpawu zakho ukuze azame ukuthola imbangela eqondile yesiyezi sakho.
UDix-Hallpike no-Epley Maneuver - Uyini umehluko phakathi kwalokhu okubili?
Abantu abaningi bayadida la magama amabili. Nakuba womabili ehlobene ne-BPPV, anemisebenzi ehlukene.
| Isici | I-Dix-Hallpike Maneuver | I-Epley Maneuver |
|---|---|---|
| Inhloso eyinhloko | Ukuxilongwa - Ukuthola ukuthi une-BPPV noma cha. | Ukwelashwa - Ukubeka kabusha amakristalu ukuze kulungiswe isimo se-BPPV. |
| Kuzokwenziwa nini? | Uma kuvela izimpawu, into yokuqala okufanele uyenze ukuthola imbangela. | Ukuhlolwa kwe-Dix-Hallpike kwenziwa ngemva kokuthi "kukhona okuqondile". |
| Umphumela | Ukuqinisekisa lesi sifo noma cha. | Ukuqeda izimpawu, ukunyamalala kwesiyezi. |
Kubaluleke kakhulu: Ungalokothi uzame ukuzihlola ekhaya. Lokhu kufanele kwenziwe udokotela oqeqeshiwe kuphela. Ukukwenza ngendlela engalungile kungabangela umonakalo entanyeni futhi kuholele ekuxilongweni okungalungile.
Ngezinye izikhathi, ngemva kokuba udokotela wakho eseqinisekisile ukuthi une-BPPV, angakufundisa ukuthi ungayenza kanjani i-Epley Maneuver ekhaya. Kodwa lokho kufanele kwenziwe ngaphansi kokuqondisa kukadokotela.
I-Dix-Hallpike Maneuver iyindlela ephumelela kakhulu futhi elula ebilokhu isetshenziswa ukuxilonga i-BPPV iminyaka engaphezu kwengu-70. Nakuba ingelaphi lesi simo, ingakusiza ukuthola imbangela eqondile ye-vertigo yakho bese uqala ukwelashwa okufanele. Ngakho-ke, uma unalezi zimpawu, ungangabazi ukubona udokotela bese ukhuluma ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Imbangela evame kakhulu yokuzizwa unesizungu ngokuzumayo lapho ushukumisa ikhanda lakho kungaba yi-BPPV (Benign Paroxysmal Positional Vertigo).
- I-BPPV yisimo esingeyona ingozi esibangelwa ukufuduka kwamakristalu amancane endlebeni yangaphakathi.
- Uma udokotela wakho esola ukuthi une-BPPV, isivivinyo esiyinhloko sokuqinisekisa ukuthi une-Dix-Hallpike Maneuver.
- Lokhu ukuhlolwa okuphephile kakhulu okungenziwa ngemizuzu embalwa nje. Ungase ube nesiyezi esincane ngesikhathi sokuhlolwa.
- Uma kwenzeka i-nystagmus (ukunyakaza kwamehlo okuzenzakalelayo) ngesikhathi sokuhlolwa, kuwubufakazi obuqinile be-BPPV.
- Ungalokothi uzame ukwenza lokhu kuhlolwa ekhaya wedwa. Kufanele kwenziwe ngaphansi kokuqondisa kukadokotela ngaso sonke isikhathi.
- Ukwelashwa kwe-BPPV kungenye inqubo elula ebizwa ngokuthi i-Epley Maneuver, evame ukwenziwa ngosuku olufanayo nokuhlolwa.
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