Ingabe nawe uzizwa sengathi umhlaba wonke uyajikeleza lapho usukuma ngokuzumayo, uguqa embhedeni, noma uphendula ikhanda lakho ngokushesha okukhulu? Ingabe uzizwa ungazinzile lapho uhamba, noma uzizwa sengathi uzowa? Ingabe lokhu kwenze kwaba nzima ngawe ukwenza imisebenzi yakho yansuku zonke? Ngezinye izikhathi lesi sizungu singahambisana nekhanda elibuhlungu kanye nomuzwa wokungaphatheki kahle. Lokhu akumnandi ngempela. Kodwa ungakhathazeki, kukhona ukwelashwa okukhethekile okungasiza ngalesi simo. Yilokho esikhuluma ngakho namuhla.
Kuyini Ukwelashwa Kokuvuselelwa Kwe-Vestibular?
Lokhu kungase kuzwakale njengegama elide, kodwa empeleni kulula kakhulu. Kalula nje, uchungechunge lwezivivinyo ezikusiza ukulawula isiyezi sakho nokungalingani. Akuyona nje noma yikuphi ukuzivocavoca. Kuwukuzivocavoca okuklanywe ngokwesayensi okuqeqesha kabusha ubuchopho bakho kanye nezinhlelo zokulinganisela zomzimba. Kufana nokufundisa ubuchopho bakho ukuthi buzilinganisele futhi. Kuthatha isikhathi ukujwayela, kodwa kungenza umehluko omkhulu empilweni yakho.
Ubani odinga lokhu kwelashwa?
Kunezimo ezahlukene zezokwelapha ezingabangela isiyezi nokulahlekelwa ibhalansi. Lokhu kwelashwa kuyasiza ezimweni eziningi ezinjalo. Cabanga uma udokotela wakho ekutshela ukuthi unesifo esinjalo, kufanelekile kakhulu ukumbuza ngalokhu kwelashwa.
| Isimo/Imbangela | Kalula nje... |
|---|---|
| I-Vertigo | Isiyezi esikhulu esizwakala sengathi izinto ezikuzungezile ziyajikeleza, hhayi wena. |
| Isifo sikaMénière | Isiyezi sihambisana nokulahlekelwa ukuzwa, ukukhala ezindlebeni (i-tinnitus), kanye nomuzwa wokucindezeleka ngaphakathi endlebeni. |
| I-Benign Paroxysmal Positional Vertigo (BPPV) | Lena inkinga abantu abaningi abanayo. Isiyezi esinzima esihlala imizuzwana embalwa uma uphendula ikhanda lakho ngendlela ethile (isib., lapho ugingqika embhedeni). |
| I-Labyrinthitis kanye ne-Vestibular Neuritis | Isiyezi esinzima esibangelwa ukutheleleka kwemizwa noma izingxenye zendlebe yangaphakathi ezihilelekile ekulinganiseni. |
| Ikhanda elibuhlungu le-migraine | Ezinye izimo ze-migraine zingahambisana nesiyezi kanye nokulahlekelwa yibhalansi. |
| Ukulimala kobuchopho okubangelwa yi-stroke noma i-traumatic brain (TBI) | Lezi zinkinga zingavela ngemva kwezimo ezinjengalezi ngenxa yomonakalo ezingxenyeni zobuchopho ezilawula ibhalansi. |
| Ingozi yokuwa | Lokhu kwelashwa kubaluleke kakhulu nakulabo abawa njalo, ikakhulukazi njengoba bekhula futhi belahlekelwa yibhalansi. |
Lokhu kusebenza kanjani ngempela? Kuyamangalisa, akunjalo?
Ukuzungeza nokulinganisela kufana nezinhlangothi ezimbili zohlamvu lwemali olufanayo. Ukuze siqonde ukuthi lokhu kwelashwa kusebenza kanjani, ake siqale sibheke ukuthi imizimba yethu igcina kanjani ibhalansi.
Okokuqala, ake siqonde lokhu kuzizwa unesizungu.
Ukuzungeza yisimo lapho ubuchopho bethu budideka khona. Cabanga ngakho, ubuchopho bethu buhlala 'bubala' ukuthi sikuphi nokuthi umzimba wethu ubekwe kanjani ngokuqondene nendawo esizungezile. Kufana ne-GPS. Lokhu yilokho esikubiza ngokuthi "ukuqondisa indawo". Uma okuthile kuphazamisa lolu hlelo, izimpawu ezifika ebuchosheni ziyaxubana. Yilapho-ke sizizwa sizungezwe yisiyezi, sizungezwe yisiyezi, futhi singalingani kahle.
Kuthiwani ngebhalansi?
Ukulinganisela komzimba wethu akuyona into eyodwa nje. Kuyinhlanganisela yezinhlelo ezintathu eziyinhloko. Ubuchopho bethu (isimiso sezinzwa esiyinhloko) buqoqa futhi buhlaziye ulwazi oluvela kulezi zintathu ukuze umzimba ugcine umzimba uqonde.
1. I-vestibular labyrinth: Lena yingxenye ebaluleke kakhulu. Lolu hlelo oluncane ngaphakathi kwendlebe yethu lufana nebhamuza lomoya ngaphakathi kwebhodlela lamanzi. Uma siphendula amakhanda ethu, sibheka phezulu, noma sibheka phansi, uketshezi olungaphakathi kwalolu hlelo luyahamba futhi lutshele ubuchopho ukuthi, "Ikhanda lakho seliphendukele kwesokudla" noma "Seliqondile manje."
2. Umbono: Lokhu kulula kakhulu. Amehlo ethu abheka izinto ezisizungezile futhi atshele ubuchopho ukuthi sikuphi nokuthi siyahamba noma cha. Yingakho sizizwa singalingani ebumnyameni.
3. Izinzwa Zomzimba (Isikhumba, Amalunga, Imisipha): Kunezinzwa ezincane emzimbeni wethu, ikakhulukazi ezinyaweni zethu, amalunga, nemisipha. Lezi zitshela ubuchopho ukuthi simile, sihleli, noma siyahamba. Zicabange umi futhi ugobe kancane. Bese, ukucindezeleka ezinyaweni zakho nasemaqakaleni kuthumela isignali ebuchosheni, ithi, "Awuqondile manje, ugobe emuva. Ngaphambi kokuba uwe, goba phambili."
Ngakho-ke, uma noma yiluphi lwalezi zinhlelo ezintathu luphazamiseka, isibonelo, uma kunenkinga endlebeni yangaphakathi, izimpawu ezifika ebuchosheni ziyaphambana. Amehlo athi, "Umi uqonde," kanti izindlebe zithi, "Cha, uyajikeleza." Lokhu kudideka ebuchosheni yikho okusenza sizizwe sididekile.
Ukwelashwa kokuvuselelwa kwe-Vestibular (VRT) kusebenza ngokuvuselela ukuxhumana phakathi kwalezi zinhlelo. Kuqeqesha ubuchopho ukusebenzisa ezinye izinhlelo (amehlo nezinzwa zomzimba) kangcono ukuze kulungiswe uhlelo olubuthakathaka. Ngokuhamba kwesikhathi, ubuchopho buyajwayela le ndlela entsha yokucabanga futhi bulawula isiyezi nokulahlekelwa ibhalansi.
Kwenzekani ngaphambi nangesikhathi sokwelashwa?
Ngaphambi kokuqala lokhu kwelashwa, udinga ukuthola ukuthi inkinga yakho iyini ngempela.
- Ukuhlolwa: Udokotela wakho angakudlulisela kudokotela wezindlebe, ozokwenza uchungechunge lwezivivinyo zokuhlola ukuzwa kwakho kanye nokulinganisela, njengebhethri lokuhlola i-vestibular. Udokotela wezokwelapha ngokomzimba uzohlola nokulinganisela kwakho, ukuhamba, kanye namandla ezingalweni nasemilenzeni yakho.
- Ngesikhathi sokwelashwa: Ngemva kwalezi zivivinyo, udokotela we-physiotherapist uzolungiselela isethi yezivivinyo eziqondene nawe. Akuwona wonke umuntu onikezwa isethi efanayo yezivivinyo. Izivivinyo zikhethwa ngokwenkinga yakho. Ngesikhathi sokwelashwa, uzofundiswa indlela efanele yokwenza lezi zivivinyo. Kufanele futhi uzenze ekhaya. Kunalezi zinhlobo zezivivinyo ikakhulukazi:
- Ukuzivocavoca okulawula ukunyakaza kwamehlo: Izinto ezifana nokugcina ukunaka kwakho endaweni eyodwa nokujika ikhanda lakho.
- Ukulinganisela ukuqeqeshwa kabusha: Ukuzijwayeza ukuma nokuhamba ezindaweni ezahlukene.
- Ukuzivocavoca kokwelula nokuqinisa: Ukuzivocavoca okwandisa amandla nokuguquguquka komzimba.
Kuthatha isikhathi esingakanani lokhu kwelashwa?
Kuyahlukahluka kuye ngesimo sakho. Isikhathi sincike ekutheni yini ebangela isiyezi sakho nokuthi usabela kanjani ekwelashweni.
- Iningi labantu liya cishe izikhathi eziyisi-6 noma eziyisi-8 ngesonto.
- Abanye abantu (ikakhulukazi ezimweni ezifana ne-BPPV) bangase bathole impumuzo ephelele ngemva kweseshini eyodwa noma ezimbili .
- Abanye kungadingeka baqhubeke nokwelashwa nokuzivocavoca ekhaya izinyanga eziningana. Into ebaluleke kakhulu ukwenza izivivinyo ekhaya njengoba nje kuqondiswe.
Ziyini izinzuzo zalokhu kwelashwa?
Ucwaningo luye lwabonisa ukuthi le ndlela yokwelapha iphumelela kakhulu.
| Inzuzo | Lokho kusho ukuthi... |
|---|---|
| Ingozi yokuwa iyancipha. | Uzokwazi ukuhamba kancane nangokuzethemba. |
| Ibhalansi yomzimba iyathuthuka. | Ukungazinzi okuzwakalayo lapho kwenziwa imisebenzi yansuku zonke, ukuhamba, nokuma kuyanyamalala. |
| Izimpawu zesiyezi ziyancipha | Isiyezi esivamile kanye nokukhathala kancane kancane kuyaphela. |
| Umbono ungaqiniswa. | Uma uphendula ikhanda lakho, ugwema ukufiphala kwendawo ekuzungezile kanye nokungazinzi kombono wakho. |
| Kwandisa amandla omzimba | Ukuzivocavoca kuthuthukisa amandla omzimba wakho wonke. |
Ingabe kukhona izingozi kulokhu?
Cishe azikho izingozi emzimbeni kulokhu kwelashwa. Kuphephile kakhulu. Kodwa kukhona into eyodwa. Ngezinye izikhathi lokhu kwelashwa kungase kungazixazululi izinkinga zakho 100%. Ikakhulukazi uma ungakwenzi lokho okuhlinzekwa ekhaya, ungase ungatholi imiphumela elindelekile. Ngakho-ke, kubaluleke kakhulu ukwenza lokhu ngokuzinikela.
Kufanele ngiphinde ngimbone nini udokotela?
Lokhu kwelashwa ngokuvamile akubangeli izinkinga ezinkulu. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngenkathi uzivocavoca ekhaya, noma uma ziba zimbi kakhulu, shayela udokotela wakho ngokushesha.
| Nakani lezi zimpawu. |
|---|
| * Ushintsho oluzumayo ekulahlekelweni kokuzwa noma kokuzwa. |
| * Ukuzwa ubuhlungu noma ukucindezeleka okungakhululekile ngaphakathi kwendlebe. |
| * Ukukhala endlebeni okuphinde kuqale noma kube nzima kakhulu kunakuqala. |
| * Uketshezi oluphuma endlebeni. |
| * Ubuhlungu obusha noma ukungakhululeki entanyeni noma emhlane ngesikhathi uzivocavoca. |
Ukuzungeza nokulahlekelwa yibhalansi akumnandi neze. Kungaba yisithiyo esikhulu ekuphileni kwethu kwansuku zonke. Kodwa akudingeki uphile nakho. Ngale ndlela yokwelapha ebizwa ngokuthi `(Vestibular Rehabilitation Therapy)`, ungaphinde ukwazi ukulawula. Uma unalezi zimpawu, ungesabi futhi ungalibali, khuluma nodokotela wakho. Uzokuhlola, anqume ukuthi lokhu kuyindlela efanele yokwelapha, futhi akuthumele kuchwepheshe uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa Kokuvuselelwa Kwe-Vestibular kuyindlela yokwelapha ephumelela kakhulu yokuzizwa unesizungu kanye nokulahlekelwa ibhalansi, ngokusekelwe ekuzilolongeni okuklanyelwe ngokukhethekile.
- Lokhu kuqeqesha kabusha ukuxhumana phakathi kobuchopho bakho, uhlelo lokulinganisela endlebeni yakho yangaphakathi, amehlo akho, kanye nezinzwa zomzimba wakho.
- Lokhu kuyindlela yokwelapha ephephile kakhulu. Ukuze kuphumelele, kubalulekile ukwenza izivivinyo ngendlela efanele nangokungaguquguquki ekhaya.
- Uma unenkinga yokuzungeza noma yokulinganisela njalo, ungakushayi indiva lokho, futhi nakanjani bonana nodokotela ukuze akunike iseluleko.
- Uma kuvela izimpawu ezingavamile ngesikhathi sokwelashwa, yazisa udokotela wakho ngokushesha.
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