Ake sifunde ngokuhlolwa okukhethekile kwesiyezi? (Dix-Hallpike Maneuver)

Wake wazizwa sengathi umhlaba wonke uyakujikeleza lapho uguqa embhedeni, uphakamisa ikhanda lakho ukuze ufinyelele okuthile kusuka eshalofini elingaphezu kwakho, noma usukuma ngokuzumayo? Lesi sizungu esiphuthumayo ngezinye izikhathi singahambisana nesicanucanu nokuhlanza. Kuyinto engakhululekile futhi eyesabekayo ngempela. Esikhathini esiningi, awukwazi ngisho nokuthola ukuthi yini ebangela lokhu. Ezimweni ezinjalo, sizokhuluma ngokuhlolwa okukhethekile, futhi okulula kakhulu, odokotela abakusebenzisayo ukuthola ukuthi unesifo esibizwa ngokuthi i-BPPV, esingaba imbangela eyinhloko yalesi sizungu.

Kuyini i-BPPV? Ukuhlolwa kwe-Dix-Hallpike kubheka ini?

Kalula nje, i-BPPV yigama elifushane le- Benign Paroxysmal Positional Vertigo . Lesi yisimo esivamile, kodwa esingesibi (esingesihle) esenzeka endlebeni yangaphakathi.

Cabanga ngalokhu. Indlebe yethu yangaphakathi iyisimiso esibucayi kakhulu esilawula ibhalansi yomzimba wethu. Iqukethe amatshe amancane e-calcium (abizwa nangokuthi 'ama-canalith' noma 'ama-otoconia'). Ngokuvamile, la matshe abekwa kahle ezindaweni zawo ezifanele. Kodwa ngezinye izikhathi, ngokuguga, ngenxa yokulimala okuncane ekhanda, noma ngaphandle kwesizathu nhlobo, la matshe amancane angasuswa endaweni yawo bese entanta emiseleni egcwele uketshezi ('imisele ye-semicircular') etholakala lapho.

Uma uphendula ikhanda lakho ezindaweni ezithile, amabhola axegayo kanye noketshezi kuyahambahamba. Lokhu kuthumela izimpawu ezingalungile ebuchosheni bakho, kukwenze uzizwe sengathi ujikeleza ngendlela engalindelekile. Yilokho okubangela isiyezi ku-BPPV.

Ngakho-ke, ukuhlolwa kwe-Dix-Hallpike kuwukuhlolwa okwenziwa udokotela wakho ukuqinisekisa ukuthi i-vertigo yakho ibangelwa yi-BPPV noma okunye.

Ingabe uDix-Hallpike no-Epley bayinto efanayo? Uyini umehluko?

Ungase uzwe la magama amabili evela kudokotela. Womabili ahlobene nesimo se-BPPV, kodwa umsebenzi wawo womabili uhlukile ngokuphelele. Abantu abaningi bayawadida la magama amabili. Ngakho-ke masiwuqonde kahle lo mehluko.

Lokhu kuhlolwa kwenziwa kanjani? Ingabe kuyinto okufanele uyesabe?

Lutho neze. Lolu ukuhlolwa okulula kakhulu, okungenabuhlungu okuthatha imizuzu embalwa nje. Awudingi ukwenza noma yikuphi ukulungiselela okukhethekile. Ake sibone ukuthi udokotela ukwenza kanjani isinyathelo ngesinyathelo.

1. Ukuhlala: Okokuqala, uzocelwa ukuba uhlale etafuleni lokuhlolwa imilenze yakho ivulekile.

2. Phendula Ikhanda: Okulandelayo, udokotela uzokucela ukuthi uphendule ikhanda lakho ngama-degree angu-45 ohlangothini olulodwa (kwesokudla noma kwesobunxele).

3. Ukutsheka emuva: Lena yingxenye ebaluleke kakhulu. Udokotela uzobamba ikhanda lakho ngokucophelela futhi akutsheke ngokushesha emuva. Kuleli qophelo, ikhanda lakho lizobe lilenga kancane embhedeni. Ungakhathazeki, udokotela ubambe isisindo sonke sekhanda lakho ngokuqinile ezandleni zakhe.

4. Ukuhlolwa kwamehlo: Ngesikhathi usekule ndawo, udokotela uzokucela ukuthi ugcine amehlo akho evulekile . Lokhu kubaluleke kakhulu ngoba ubheka amehlo akho ngokucophelela. Uma une-BPPV, amehlo akho azocwayiza ngokushesha ngokuzenzakalela (lokhu kubizwa ngokuthi i-'nystagmus').

5. Ukushintsha izinhlangothi: Ngemva komzuzu, ziqondise futhi bese wenza isivivinyo esifanayo ngakolunye uhlangothi.

Ungase uzizwe unesizungu okwesikhashana phakathi nalolu vivinyo. Lokhu kuvamile. Lokhu kwenzelwa ukuthi udokotela aqinisekise izimpawu zakho.

Imiphumela ithini?

Udokotela wakho angakutshela imiphumela ngokushesha nje lapho ukuhlolwa sekuqediwe.

• Uma ukuhlolwa kukuhle:Lokho kusho ukuthi i-vertigo yakho ibangelwa yi-BPPV. Lezi yizindaba ezinhle! Ngoba kulula kakhulu ukuyilapha. Udokotela wakho angenza ngokushesha i-Epley maneuver futhi abuyisele amabhola endaweni yawo. Esikhathini esiningi, i-vertigo izophela ngokushesha ngemva kokwenza lokhu.
• Uma ukuhlolwa kungenayo imiphumela: Lokhu kusho ukuthi isiyezi sakho asibangelwa yi-BPPV, kodwa sibangelwa okunye. Kungaba ukutheleleka kwendlebe yangaphakathi, i-migraine, noma i-vestibular neuritis. Udokotela wakho uzobe eseyalela ukuhlolwa okwengeziwe ukuze athole imbangela eqondile.

Ubani okungafanele enze lokhu kuhlolwa? Ingabe zikhona izingozi?

Lokhu kuvame ukuba ukuhlolwa okuphephile kakhulu. Kodwa-ke, abanye abantu bangase bacabange kabili ngaphambi kokwenza lokhu. Ikakhulukazi:

• Abantu abaye bahlinzwa entanyeni noma emhlane noma abakhubazekile
• Abantu abane-arthritis entanyeni enzima
• Abesifazane abakhulelwe
• Abantu abasanda kuba nesifo sohlangothi

Ngakho-ke, qiniseka ukuthi utshela udokotela wakho umlando wakho wezokwelapha ophelele ngaphambi kokwenza lokhu kuhlolwa. Ngemuva kwalokho anganquma ukuthi kuphephile yini kuwe.

Ngingakwenza lokhu ekhaya ngedwa?

Ngoba, uma kwenziwa ngendlela engalungile, kungabangela umonakalo entanyeni noma emgogodleni . Futhi, udokotela kuphela ongabona izinguquko ezincane emehlweni (`nystagmus`), achaze imiphumela ngokunembile, futhi anqume ukuthi yini okufanele ayenze ngokulandelayo.

Kodwa-ke, uma i-BPPV isiqinisekisiwe, udokotela wakho angakufundisa ukuthi ungenza kanjani ukwelashwa kwasekhaya, njengokusebenzisa i-Epley maneuver. Kodwa-ke, udokotela kufanele ahlale eqinisekisa ukuthi unesifo.

Uma ubhekene nezimpawu eziqhubekayo zokuzizwa unesizungu, isicanucanu, noma ukulahlekelwa ibhalansi, ungakuzibi. Qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko. Angenza isivivinyo se-Dix-Hallpike ukuze athole imbangela eqondile yenkinga yakho.