Ingabe ngezinye izikhathi uzizwa sengathi uzizwa unesizungu ngokuzumayo, sengathi konke okukuzungezile kuzungeza njengengubo ezungezayo? Noma ingabe ulahlekelwa yibhalansi yakho ngokuzumayo ngenkathi uhamba futhi uzizwe sengathi uzowa? Kungaba nezizathu eziningi zalezi zinto. Kodwa-ke, namuhla sizokhuluma ngokuhlolwa okukhethekile okwenziwa ukuthola ukuthi ngabe kukhona yini inkinga ngezinzwa ezilawula ibhalansi ebuchosheni bethu nasendlebeni yangaphakathi. Leso ukuhlolwa kwe-ENG.
Kalula nje, luyini lolu vivinyo lwe-ENG?
Igama eliphelele le-ENG yi-Electronystagmography. Nakuba igama lingase lizwakale liyinkimbinkimbi, lokho elikwenzayo kulula kakhulu. Kalula nje, i-ENG iyisivivinyo esihlola ukusebenza kweminye yemizwa ebalulekile ebuchosheni bakho (imizwa ye-cranial) elawula ukunyakaza kwamehlo, ukuzwa, kanye nokulinganisela .
Lokhu kuhlolwa kuhlola kakhulu ukubona ukuthi amehlo akho ahamba ngokushesha yini emuva naphambili ngendlela engalawuleki. Ngokwezokwelapha, lesi simo sibizwa ngokuthi 'nystagmus' . Ngokuhlaziya indlela amehlo akho ahamba ngayo, lokhu kuhlolwa kuvumela udokotela wakho ukuthi athole umbono omuhle ngokusebenza kwendlebe yakho yangaphakathi kanye nezingxenye zobuchopho bakho eziphethe ibhalansi.
Yiziphi lezo zinzwa ezibalulekile ezihlolwa nge-ENG?
Cishe yonke imisebenzi emzimbeni wethu ilawulwa yizinzwa ezivela ebuchosheni. Kunezinzwa ezine eziyinhloko ezibaluleke kakhulu emehlweni ethu, ezindlebeni, kanye nokulinganisela esizogxila kuzo kulolu vivinyo lwe-ENG. Ake sibheke ukuthi ziyini nokuthi kwenzekani kuzo.
| Igama Lemizwa | Lokho ekwenzayo (ngamagama alula) |
|---|---|
| Inzwa ye-Oculomotor | Imisipha yamehlo ixhunywe ebuchosheni futhi isiza ukuhambisa amehlo phezulu, phansi, nangaphakathi. |
| Inzwa ye-Trochlear | Inzwa enkulu esiza ekuphenduleni amehlo phansi kanye nekhala eceleni. |
| I-Abducens nerve | Kuyasiza ukuphendulela amehlo eceleni, okungukuthi, ngaphandle kusukela ekhaleni. |
| Inzwa ye-Vestibular | Lona umthambo oyinhloko oxhumanisa ubuchopho bethu ngaphakathi kwendlebe yethu futhi ulawula ibhalansi yomzimba kanye nokuzwa. |
Kudingeka nini ukuhlolwa kwe-ENG?
Kunezizathu ezimbili eziyinhloko ezenza udokotela wakho angase acele lokhu kuhlolwa. Esinye kungenxa yezimpawu zakho. Esinye ukuqinisekisa isimo sezempilo esisolwayo.
Ingabe unezimpawu ezifana nalezi?
Uma uqhubeka nokuba nesinye noma ngaphezulu sezimpawu ezingezansi, udokotela wakho angase asikisele ukuhlolwa kwe-ENG.
- Izinkinga zokulinganisela: Ukuzizwa ungazinzile noma unesiyezi lapho uhamba, uvame ukuwa.
- Isiyezi kanye nezinhlobo ze-vertigo: Lokhu akuyona nje umuzwa wokuzungeza. 'I-Vertigo' yilapho uzizwa sengathi umhlaba okuzungezile uzungeza ngokushesha, noma ngabe umile.
- Ukulahlekelwa ukuzwa okungachazeki: Uma ulahlekelwa ukuzwa ngokuzumayo noma kancane kancane endlebeni eyodwa, lokhu kuhlolwa kungasiza ekunqumeni ukuthi imbangela iyinkinga yini ngemizwa engaphakathi kwendlebe.
I-ENG iyasiza futhi ekuxilongeni lezi zimo.
Ukuhlolwa kwe-ENG kunikeza ulwazi olubalulekile ngesikhathi sokuxilongwa noma ukwelashwa kwezimo ezithile zezokwelapha.
- I-Acoustic neuroma: Isimila esingeyona umdlavuza esikhula emthanjeni osuka endlebeni uye ebuchosheni.
- I-BPPV (Benign Paroxysmal Positional Vertigo): Isiyezi esiphuthumayo nesinzima esenzeka lapho ikhanda liphendulwa ngezindlela ezithile. I-Labyrinthitis noma i-vestibular neuritis: Ukulahlekelwa yibhalansi ngenxa yokutheleleka noma ukuvuvukala endlebeni yangaphakathi.
- Isifo sikaMénière: Isimo esibonakala ngokucindezela okukhulu endlebeni yangaphakathi, okubangela izimpawu ezifana ne-vertigo, ukulahlekelwa ukuzwa, kanye nokukhala ezindlebeni.
- I-Usher syndrome: Isimo sofuzo esithinta kokubili ukuzwa kanye nokubona.
Uma unalezi zimpawu, kufanele nakanjani ubone udokotela futhi uthole iseluleko. Ungacabangi nje ukuthi unesifo esisekelwe olwazini oluku-inthanethi.
Uyini umehluko phakathi kwe-ENG ne-VNG?
Udokotela wakho angase futhi ancome i-VNG (Videonystagmography) esikhundleni se-ENG. Nakuba imiphumela elindelekile ifana, kunomehluko omncane endleleni ekwenziwa ngayo.
- Ekuhlolweni kwe-ENG: Ukunyakaza kwamehlo kulinganiswa ngokunamathisela amapuleti amancane ensimbi (ama-electrode) esikhumbeni esizungeze amehlo akho.
- Ngesikhathi sokuhlolwa kwe-VNG: Uzonikezwa izibuko ezikhethekile ezisebenzisa amakhamera e-infrared ukuqopha ukunyakaza kwamehlo akho.
Kalula nje, nakuba kunomehluko omncane phakathi kwalezi zindlela ezimbili, zombili zinikeza udokotela ulwazi olufanayo olubalulekile mayelana nokusebenza kwezinzwa zakho kanye nendlebe yangaphakathi.
Ungasithatha kanjani isivivinyo se-ENG?
Ungase uzizwe wesaba kancane uma ucabanga ngalesi sivivinyo. Kodwa akusona isivivinyo esibuhlungu. Ake sibheke ukuthi kwenzekani ngaphambi, ngesikhathi, nangemva kwesivivinyo.
Uzilungiselela kanjani ngaphambi kokuhlolwa?
Lokhu ngokuvamile akudingi noma yikuphi ukulungiselela okukhethekile. Kodwa-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo. Kufanele umtshele ngayo yonke into oyithathayo, okuhlanganisa amavithamini kanye nezithasiselo.
- Udokotela wakho angase akucebise ukuthi uyeke okwesikhashana ukuthatha imithi ethile, ikakhulukazi imithi yokudambisa ubuhlungu noma imithi yokulwa nobuhlungu, emahoreni angu-24 kuya kwangu-48 ngaphambi kokuhlolwa.
Kwenzekani ngesikhathi sokuhlolwa?
Ukuhlolwa kwe-ENG kuvame ukwenziwa udokotela wezindlebe. Kungathatha cishe imizuzu engama-90.
1. Ukubekwa kwama-electrode: Okokuqala, amadiski ensimbi amancane, anamathelayo abizwa ngokuthi ama-electrode abekwa ngaphezulu, ngaphansi, naseduze kwamakhona angaphandle kwamehlo akho. Elinye lingabekwa ebunzini lakho.
2. Igumbi elimnyama: Khona-ke uzohlala kahle esihlalweni ekamelweni elimnyama.
3. Izikhathi zokuhlola: Yilapho ukuhlolwa kuqala khona. Benza izinto ezimbalwa ezahlukene ukuqopha ukunyakaza kwamehlo akho.
- Amanzi noma umoya ezindlebeni: Ngokucophelela okukhulu, inani elincane lamanzi afudumele noma abandayo (noma umoya) lifakwa ezindlebeni zakho ngezikhathi ezithile. Lokhu kuvuselela i-vestibular nerve yakho, ebangela ibhalansi yakho. Ungase uzizwe unesiyezi kancane phakathi nalesi sikhathi, kodwa lokhu kuvamile futhi kuzophela ngemizuzu embalwa.
- Ukubuka ukukhanya: Kukutshela ukuthi ubheke ukukhanya okuhambayo ngaphandle kokushukumisa ikhanda lakho.
- Ukunyakaza kwekhanda: Ungase ucelwe ukuba wenze izinto ezifana nokuvuka ngokushesha uhleli, noma ukujika ikhanda lakho ngokushesha.
Kwenzekani ngemva kokuhlolwa?
Uma ukuhlolwa sekuphelile, ungaya ekhaya ngendlela evamile bese uqhubeka nemisebenzi yakho evamile. Noma yisiphi isiyezi noma isicanucanu ongase uzizwe ngesikhathi sokuhlolwa kuvame ukuphela ngokuphelele phakathi nosuku olufanayo.
Ingabe kukhona ingozi kulokhu?
Lokhu ukuhlolwa okuphephile kakhulu, okungenangozi eningi. Ngakho-ke ungakwesabi ngokungadingekile.
Iningi labantu alibi nezinkinga ezinkulu. Ungase ube nobuhlungu obuncane entanyeni noma emhlane ngenxa yokunyakaza okusheshayo ngesikhathi sokuhlolwa.
Akuvamile kakhulu, kunethuba elincane lokuthi ukucindezela kokufaka amanzi endlebeni yakho kungabangela umonakalo omncane ku-eardrum yakho. Kodwa-ke, uma uke waba nokubhoboka kwe-eardrum yakho ngaphambilini, ithimba lakho lezokwelapha lizokwazi ngalokhu futhi lizogwema ukufaka amanzi endlebeni yakho. Ngakho-ke asikho isidingo sokukhathazeka ngakho.
Ithini imiphumela yokuhlolwa?
Uma amehlo akho engahambi njengoba kulindelekile ngesikhathi sokuhlolwa, kungase kubonise ukuthi kukhona ubuthakathaka noma umonakalo emithanjeni ebuchosheni (imizwa ye-cranial). Kungaba nezimbangela eziningana zalolu hlobo lomonakalo wemizwa.
- Izinkinga zemithambo yegazi
- Ukukhula kwesikhumba endlebeni ephakathi (i-Cholesteatoma)
- Imithi ethile (isib. eminye imithi yokulwa nomalaleveva, imithi yokukhipha isisu, noma imithi elwa namagciwane)
- Izinkinga zokunyakaza
- I-multiple sclerosis
- Izifo ezifana ne-rubella
- Ukulimala okubuhlungu ekhanda
Uma imiphumela yakho ye-ENG ingajwayelekile, udokotela wakho angase acele ukuhlolwa okwengeziwe (njengokuskena kwe-MRI) ukuze kutholakale imbangela eyisisekelo. Ngemuva kwalokho, ngokusekelwe kuleyo sizathu, bazonquma ukuthi yiluphi ukwelashwa okudingayo.
Umlayezo Wokuya Nawe Ekhaya
- I-ENG iyisivivinyo esingenabuhlungu nesiphephile esisiza ekutholeni imbangela yezimpawu zakho, njengesiyezi kanye nokulahlekelwa yibhalansi.
- Lokhu kubheka kakhulu ukusebenza kwezinzwa ebuchosheni bakho ezilawula amehlo akho, izindlebe, kanye nokulinganisela komzimba.
- Ngesikhathi sokuhlolwa, ama-electrode abekwa eduze kwamehlo, amanzi noma umoya ushaywa ezindlebeni, futhi ukunyakaza kwamehlo kubhekwa ngokunyakaza ikhanda.
- Kubaluleke kakhulu ukwazisa udokotela ngayo yonke imithi oyiphuzayo ngaphambi kokuhlolwa.
- Kungakhathaliseki ukuthi imiphumela yokuhlolwa ithini, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho bese unquma ngezinyathelo ezilandelayo okufanele uzithathe.
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