I-Epley Maneuver Eyasetyenziswa yii-Chiropractors ze-BPPV e-El Paso, TX

Benign paroxysmal post vertigo uhlobo oluqhelekileyo lwe-vertigo, uvakalelo lwe-spinning or whirling and loss of balance, oluye lwaxelwa kwi-akhawunti kubaninzi njengepesenti ye-17 yazo zonke iimeko zengxondorha. I-Benign paroxysmal post vertigo, okanye i-BPPV, ikholelwa ukuba ibangelwa yinkinga yempilo entle engaphakathi. Nangona ngokuqhelekileyo kuhlotshaniswa nokuguga, ukulimala kwentloko kuye kwafunyanwa kubangela iBPPV.

 

I-BPPV iyenzeka xa eziliqela zamakristal amancinci afunyenwe kwindlebe yangaphakathi, eyaziwa ngokuba yi-otoconia, zikhululekile kwaye ziphephe kwi-one okanye ngaphezulu kwezi zintathu zamanzi zendlebe. Nanini na xa ezi kristali zijikeleza ngeendlebe zangaphakathi, zingenza ukuba amanzi asemanqeni angama-moya aphephe. Oku ekugqibeleni kubangela ukutshintsha okanye ukuvakala komsindo, kungenjalo kuthiwa yi-vertigo. Iimpawu ze-BPPV zidla ngokuza ngokukhawuleza xa umntu one-vertigo enobungozi be-paroxysmal ishukumisela intloko yabo kwindawo ethile. Ngokomzekelo, iimpawu zingabangela xa uguqa ngexesha lokulala ngexesha lobusuku. Iimpawu zeBPPV zinokuhlala phi ukusuka kumasekhondi ambalwa ukuya kwimininzi imizuzu, kwaye ingaquka:

 

• Utywala;
• Uvakalelwa kukuba iindawo ezijikelezayo zihamba okanye zihamba (vertigo);
• Ukulahlekelwa kwesilinganisi okanye ukulinganisela;
• Isisindo; kwaye
• Ukuvutha.

 

Ukwelashwa kweBPPV

 

Nangona abaninzi abaqeqeshi bempilo bahlala bebeka iziyobisi kunye / okanye imithi ye-BPPV, akukho ubungqina obaneleyo bokuxhasa ukusetyenziswa kwabo njengonyango kule meko. Kwamanye amaxesha amanqabileyo, amanyathelo angenelelo athatyathwa. Nangona kunjalo, kwiimeko ezininzi, i-BPPV ikwazi ukulungiswa ngokufanelekileyo nangokufanelekileyo.

 

Emva kokuba unonophelo lwezonyango oluxhomekeke kwiingxaki ze-vestibular, ezinjenge-vestibular rehabilitation therapist, chiropractor, Ugqirha oqeqeshiwe ngokomzimba, ingcali kwezomsebenzi okanye i-audiologist, okanye i-ENT (indlebe, impumlo kunye nomqala oyingcali eneengxaki ze-vestibular), uye wafumanisa ngokufanelekileyo uhlobo lomntu we-vertigo ye-paroxysmal positional vertigo ngokwenza iimvavanyo ezinje Uvavanyo lwe-Dix-Hallpike, ngoko baya kuba nako ukuqonda ukuba yeyiphi i-canal okanye i-cryalals ye-semicircular in, kunye nokuba ingaba yi-canalithiasis, apho i-cryalals ehambayo ingahamba ngokukhululekile kwi-tube, okanye i-cupulolithiasis, apho kukholwa khona i-crystals ukuba 'uxhonywe' kwintonga yeentsholongwane ezivakalelwa ukunyakaza kwamanzi, ngoko ziyakuncoma ukuba usebenze ngokufanelekileyo.

 

Olunye uVavanyo lokuSebenza lokuVavanya kunye neVestibular

 

I-Dix-Hallpike Test isetyenziselwa ukuxilonga i-BPPV, nangona kunjalo, ukuba ukuxilongwa kukubi, abaqeqeshi bezempilo bangasebenzisa iintlobo ezahlukeneyo nezinye iimvavanyo zomsebenzi wokuhlola kunye ne-vestibular ukuze kuhlolwe kakuhle umthombo wezigulane zabo.

 

Uvavanyo lwe-Dix-Hallpike Ukujonga i-BPPV

 

 

Unyango oluqhelekileyo unyango lwe-vertigo enobungozi obunobungozi, okanye iBPPV, ubizwa ngokuba yi-Epley maneuver. I-Epley maneuver, ngamanye amaxesha ebizwa ngokuba yi-canalith repositioning, yinkqubo ebandakanya ukulandelelana kwentloko, eqhutyelwa ngunyango wezempilo oqeqeshelwayo kunye nolwazi kwiinkatho ze-vestibular, ukwenzela ukukhulula iimpawu ezinxulumene ne-BPPV.

 

Izifundo zophando zibonise ukuba indlela ye-Epley lunyango olukhuselekileyo nolusebenzayo kwimeko leyo, enikezela ngoncedo lwangoko kunye nexesha elide. I-Epley maneuver, ethiywe ngegama likaGqirha John Epley, ibizwa ngokuba yi-canalith yokuphinda isebenze kwakhona kuba inceda ukumisa iikristale ezincinci endlebeni yomntu, ezinokuthi zibangele uvakalelo lokuba nesiyezi. Ukubeka ezi kristali zincinci, zikwabizwa ngokuba yi-otoconia, ekugqibeleni kuyanceda ekunciphiseni iimpawu ze-BPPV.

 

I-Epley Maneuver yokuphatha i-BPPV BPPV

 

 

I-Epley maneuver isenziwa ngokubeka intloko yesigulane kwinqanaba ukusuka apho ukuvutha komhlaba kunokunceda ukunciphisa iimpawu. Ukucinywa kwentloko kunokunyusa ama-crystals kwiimingxube zeemicircular zendlebe yangaphakathi. Oku kuthetha ukuba baya kuyeka ukufuduka komkhuhlane, ukukhulula ukuzondla kunye neentlanzi ezenzekayo. Ngale ndlela, u-Epley uhamba unciphisa iimpawu ze-BPPV. Kodwa, kunokudinga ukuphindaphindiwe ngaphezu kweyodwa, njengokuba ngamanye amaxesha, ukunyuka kweentloko kunokuphinda kukhishwe iikristali ezincinci zeendlebe zangaphakathi, xa sele sele zihlala zihlala emva kokunyanga okokuqala.

 

 

Xa unonophelo lwezezempilo uphatha u-Epley maneuver, baya kwenza amanyathelo alandelayo:

 

• Buza isiguli ukuba sihlale sigxininise kwitafile zeemviwo, sandisa ngokupheleleyo imilenze phambi kwabo.
• Ukuguqula intloko yesigulane kwinqanaba le-45-degree ukuya kwicala abajongene ne-vertigo ebi kakhulu.
• Ngokukhawuleza ugxotha isigulane emva koko, balala kunye namahlombe abo achukumisa itafile. Intloko yesigulane igcinwa ibhekiswe kwicala elichaphazelekayo elibi kakhulu yi-vertigo kodwa kwi-angle ye-30-degree, ukuze iphakanyiswe kancane kwitafile. Umqeqeshi wezempilo uya kugulisa isigulane kule ndawo phakathi kwemizuzwana ye-30 kunye nemizuzu emibini, kude kube lula ukuba iimpawu zabo zime.
• Yitshintshela intloko yesigulane intloko ye-90 ukusuka kwinqanaba elingaphambeneyo, ukuma xa enye indlebe i-30 degrees kude netafile. Kwakhona, ugqirha ugcina isigulane kule ndawo phakathi kwemizuzu ye-30 kunye nemizuzu emibini, de ivele impawu zazo ziphele.
• Emva koko, umqeqeshi wezezempilo uza kugulisa isigulane ngokuchanekileyo kwindlela ejongene nayo, ecaleni. Umzuzwana xa bafumana i-vertigo eyona nto iya kubheka phezulu. Ugqirha ugcina isigulane kule ndawo phakathi kwemizuzu ye-30 kunye nemizuzu ye-2, de ide iimpawu zabo zime.
• Ekugqibeleni, umqeqeshi wezezempilo uza kusibuyisela isiguli kwisithuba sokuhlala.
• Inkqubo yonke iphinda iphindwe kathathu, kude kube ziimpawu zezigulane zikhululwe ngokupheleleyo.

 

Iingcali zonyango ezixhomekeke kwiingxaki ze-vestibular, ezifana ne-chiropractor okanye umphathiswa wezonyango, ziya kusebenzisa u-Epley maneuver ukuncedisa ukunciphisa isisu somntu kunye nesiphithiphithi, phakathi kwezinye iimpawu, xa zigqibile ukuba i-BPPV yimbangela. Njengoko kuthethwe ngaphambili, i-Epley maneuver ayifanelekanga ukunyanga i-vertigo evezwe ngenye ingxaki yempilo ngaphandle kwe-BPPV. Ukuba umntu akaqinisekanga yintoni ebangela i-vertigo yabo, bafanele bathethe nodokotela baze bacele ukuba bafumaneke kakuhle. Ezinye izizathu ze-vertigo zingabandakanya:

 

• Intloko ye-Migraine
• Izifo zentloko
• IAnemia
• Ulwaphulo lweCerebellar

 

Emva kokwenza u-Epley maneuver, ugqirha uya kucebisa isigulane esine-BPPV ukukhusela ukunyakaza okuthile okungawacima i-crystals. Ezi ntshukumo ziquka:

 

• Ukukhawuleza ngokukhawuleza
• Ukulala phantsi ngokukhawuleza
• Ukuncika kwentloko
• Ukuhambisa intloko emva nangaphambili

 

Ucwaningo oluninzi luye lwenziwe ngokukhuselekileyo nokusebenza kweendlela zokwenza unyango lwe-BPPV, njenge-Epley maneuver, kunye neziphumo kunye namanyathelo okuphumelela okubonisa ukuba amazinga okubuyiswa abuyele kwi-90 yeepesenti ye-1 kwi-3. I-cupulolithiasis engapheliyo, okanye 'i-hung-up' inguqu yeBPPV, ingaba yinkathazo encinane yokulungisa, njengoko olu hlobo lweBPPV ngokubanzi lubangelwa yintlungu okanye ukulimala.

 

Insight of Dr. Alex Jimenez

Ukuba uke wabuyela ngokukhawuleza okanye uvakalelo lwenkwenkwezi, utywala kunye nesicefe xa usenza ukuhamba kweentloko ezithile, ngokukodwa xa ujikeleza ebhedini ebusuku okanye xa uphuma ebhedeni ekuseni, unokufumana ubunzima obufanayo i-vertigo enobungozi obunobungozi, okanye i-BPPV. Olu hlobo lwe-vertigo lunokukhungathekisa ukujongana kwaye lunokuchaphazela kakhulu umgangatho wobomi bomntu. Iingcali zonyango ezijoliswe kwiingxaki ze-vestibular, kubandakanywa izigulane kunye neengcali zomzimba, zihlala zixilonga i-BPPV isebenzisa i-Dix-Hallpike Test phambi kokulandela unyango lwe-vertigo enobungozi obunobungozi usebenzisa i-Epley maneuver.

 

I-Benign Paroxysmal Positional Vertigo, okanye i-BPPV, yinkinga yezempilo rhoqo, kwaye iya kuhlanganiselwa ngokuphindaphindiweyo njengabantu bethu beminyaka. Isiphumo sichasana nokucaphukisa okunyamekayo kwimeko ephosakeleyo, kwaye inokusichaphazela umsebenzi kunye nokhuseleko kunye nokwandisa umngcipheko wokuwa. Ngethamsanqa, iimpawu zivame ukunciphisa ubuninzi ngaphezu kwexesha njengoko ingqondo igqithisa ngokuthe ngqo ukubonakaliswa kwamangqina angaqhelekanga ayifumanayo, okanye njengoko imeko ixazulula yona. Nangona kunjalo, kunye neengcali zonyango oqeqeshekileyo kunye nolwazi malunga nokuxilongwa kunye nokunyangwa kwe-BPPV, ezininzi izigulane ziya kufumana ukukhululeka kwengxaki yazo xa zilungiswa ngokukhawuleza kwaye ihlabathi labo liyeka ukujikeleza okanye ukuhamba. Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu kunye nemeko. Ukuxoxa ngesihloko, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

 

Imixholo eyongezelelweyo: iSciatica

Sciatica kuthethwa ngokuzonyango njengemqoqo yeempawu, kunokuba yingozi kunye / okanye imeko. Iimpawu zentlungu ye-ncium, okanye i-sciatica, inokuthi ihluke ngokuphindaphindiweyo kunye nobukhulu, nangona kunjalo, ngokuqhelekileyo ichazwe ngokukhawuleza, ebukhali (injenge-like) okanye intlungu yomsakazo ephuma kwi-low-down back downs, emagqabini, emathangeni kunye imilenze inyawo. Ezinye iimpawu ze-sciatica zingabandakanya, ukutshitshiswa okanye ukutshisa, ukugubungela kunye nobuthathaka kunye nobude beentsimbi ze-sciatic. I-Sciatica ihlala ichaphazela abantu phakathi kweminyaka eyi-30 kunye ne-50 iminyaka. Kungasoloko kuphuhliswa ngenxa yesantya sokusila komgudu ngenxa yobudala, nangona kunjalo, ukunyanzeliswa nokucaphukiswa kweentsimbi zesinci ezibangelwa kukugquma okanye disc disc, phakathi kweminye imiba yempilo yomgudu, inokubangela intlungu ye-nerve.

 

 

 

INGXELO EBALULEKILEYO: I-Chiropractor Sciatica Symptoms

 

 

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