Benign Paroxysmal Positional Vertigo | El Paso, TX.

Ufunyanwe ukuba unayo Benign Paroxysmal Positional Vertigo. Le ncwadana yenzelwe ukunceda ukwandisa ukuqonda kwakho kwesi sifo kunye nokunyanga kwayo.

Benign Paroxysmal Positional Vertigo

Yintoni i-BPPV?

I-Benign paroxysmal positional vertigo (BPPV) yingxaki yendlebe yangaphakathi. Abantu abane-BPPV bahlala behlelwa ziziqendu ezimfutshane ze-vertigo (isiyezi) xa betshintsha indawo yentloko yabo malunga nomxhuzulane. Ngokumalunga neepesenti ze-20 zayo yonke i-vertigo ngenxa ye-BPPV.

Yintoni eyenza i-BPPV?

I-Benign Paroxysmal Positional Vertigo kucatshangelwa ukuba ngenxa yeekristal ezincinci, ezibizwa ngokuba yi-otoconia, eziqokelelwe kwingxenyana enobuhlungu kwindlebe yangaphakathi. I-Otoconia yi-crystals ye-calcium carbonate eqhelekileyo kwisakhiwo seendlebe esibizwa nge-utricle.

Utywala kwenzeka xa iikristali zifuduswa kwi-utricle zibe kwiingqungquthela zeemicircular zendlebe yangaphakathi.
I-Otoconia inokuthi ikhutshwe xa i-utricle yalimala, ukuba kukho isifo okanye esinye isifo seendlebe zangaphakathi, okanye ngenxa yobudala obude. Xa utshintshe isikhundla sekhanda lakho, i-otoconia ihambela kwiingqungquthela zemizimba kwaye oku kubangela ukuba utywabile. Ukuzondloba kuncedisa xa i-otoconia iyeka ukuhamba.

Isizathu esiqhelekileyo seBPPV kubantu abaneminyaka engaphantsi kwe-50 yinto yokulimala kwentloko. Kubantu asebekhulile, isizathu esona sixhaphakileyo sisifo se-vestibular yeendlebe zangaphakathi. I-BPPV iba yinto exhaphake kakhulu ngokukhula. Ezinye izimbangela ziquka imivimbo emincinci, isifo sikaMeniere, kunye neentsholongwane ezifana nezo zenza i-vestibular neuritis. Phantse kwisiqingatha sawo onke amatyala e-BPPV, akukho sizathu esinokumiselwa.

Ziziphi Iimpawu?

Iimpawu ze-BPPV ziquka ukuzondla okanye u-vertigo, ubunwele obunzima, ukungalingani, kunye nesiphithiphithi. Imisebenzi
ukuzisa iimpawu ziyahluka phakathi kwabantu, kodwa iimpawu zihlala zihambelana nokutshintsha kwimeko yentloko ngokubhekiselele ekudeni kwamandla. Ukuphuma embhedeni, ukuguqa phezu kombhede, nokuphosa intloko emva kokujonga phezulu kukho "ingxaki" yesiqhelo. Ukusetyenziswa kwezimbiza ze-shampoo kwiinwele zeerons kungabangela iimpawu. Umzekelo oqhelekileyo uqhelekileyo. I-BPPV inokuthi ikhona kwiiveki ezimbalwa, ke ume, uze ubuye kwakhona.

I-Benign Paroxysmal Positional Vertigo (BPPV) ichongwa njani?

I-BPPV ifunyaniswa novavanyo lwe-Dix-Hallpike. Olu vavanyo lubandakanya ukujonga amehlo ngentloko nomzimba ebekelelwe ngeendlela ezithile. Inokwenziwa ngunyango, okanye njengenxalenye yolu vavanyo lwebhoratri olubizwa ngokuthi i-electronystagmography, okanye i-ENG. Ukuba uvavanyo lwe-Dix-Hallpike aluqhelekanga kwaye iziphumo "zi-dassic" ze-BPPV, koko uvavanyo olongezelelweyo alukho mfuneko. Ukuba iziphumo ziqhelekileyo okanye azikho "i-classic" ke ukuxilongwa kweBPPV kuncinci kwaye ezinye iimvavanyo zingacetyiswa.

Ziziphi iiNyango zeBPPV?

Kukho iindlela ezine zokuphatha i-BPPV.

1. Ungenzi nto uze ulinde ukuba uhambe ngeyakho

Iimpawu zeBPPV ngezinye iinkhathi zihamba zingakapheli inyanga ezintandathu zokuqala, ngoko unokufuna ukulinda uze ubone ukuba iimpawu zakho ziyazithoba. Ngethuba lexesha lokulinda, amayeza okukhusela ukuguquka kwesifo okanye i-nausea ngamanye amaxesha uncedo ekulawuleni isicaphulelo se-BPPV.

2. Iimpawu zenyama ezenziwe kwiKliniki

(Epley and Semont Maneuvers)
I-Epley ne-Semont maneuvers, ezithiywe ngabaqambi bazo, lunyango olwenziwa eklinikhi. Olu nyango lujolise ngokukodwa ukuhambisa i-otoconia ukusuka kwimijelo ephakathi ukuya kwindawo ebuthathaka kakhulu ngaphakathi kwendlebe engaphakathi. Ugqirha wakho uya kukhetha i impatho efanelekileyo kakhulu kuwe.

Ngalunye lwala mayeza luthatha malunga nemizuzu ye-15 kwaye lunciphisa iimpawu malunga neepesenti ze-80 zezigulane. Kwipesenti ze20 ezisele, unyango lwesibini lunokuba luyimfuneko, okanye unokuyalelwa ukuba wenze imisebenzi yeBritht-Daroff (jonga "Ukwelashwa Kwekhaya").

Epley maneuver, ekwabizwa ngokuba yinkqubo ye-canalith reposistioning (CRP) kunye nokubekwa kwakhona kwamasuntswana, yinkqubo apho ugqirha ahambisa intloko yakho kwindawo ezintlanu, egcina indawo nganye malunga nemizuzwana engama-30. I-Semont maneuver (ekwabizwa ngokuba yi-liberatory maneuver) yinkqubo apho ugqirha akushenxisa ngokukhawuleza ukusuka ekungqengqeni kwelinye icala ukuya kwelinye icala. Ezi zikhokelo zisenokungafanelanga izigulane ezineengxaki zentamo okanye umva. Izigulana ezinesicaphucaphu okanye ukuxhalaba zisenokufuna ukusebenzisa amayeza ngaphambi kokuba ziqale unyango.

IMIYALELO YABANTU ABANTU NGEMVAVANYO EMVA KWEMISEBENZI YEZIKLINIC

Landela le miyalelo emva kokuhamba kwe-Epley okanye kwe-Semont. Ngokwenza njalo uya kunciphisa ithuba lokuba i-otoconia ibuyele kwimigodi yamanxeba entloko yangaphakathi kwaye unciphise ubunokuthi utywala lwakho luya kubuya.

Lindela ubuncinane imizuzu ye-10 emva kokuhamba ngaphambi kokuya ekhaya.

Oku kukuthintela "i-spins ngokukhawuleza" okanye ukuqhuma okufutshane kwe-vertigo njengoko i-otoconia ibeka kwakhona ngokukhawuleza emva kokuhamba. Ukuba kunokwenzeka, lungiselela ukuba umntu akuqhube akugoduse.

Ezi ntsuku ezimbini zilandelayo:

• Ukulala ubusuku obunamibini obusuku obuzayo. Oku kuthetha ukulala nentloko yakho phakathi kweplati kunye nokuthe tye, kwinqanaba le-45-degree. Le nto yenziwa lula ngokulala kwisihlalo sokuhlalisa okanye ngokulala nemilenze ehlelwe ngokufanelekileyo kwiqhekeza.
• Ebudeni bemihla, zama ukugcina ikhanda lakho lime. I-soft brace brace inokuba luncedo.
• Musa ukuya kwi-barber, i-hairdresser okanye ugqirha wamazinyo.
• Xa uguguza, gcina intloko yakho ebonakalayo ngokuguqa phambili emacaleni akho entanyeni.
• Ukuba udinga ukulawula amaconsi esamehlo, zama ukugcina intloko yakho njengento ebonakalayo.
• Sham poo kuphela phantsi kweshawari.

Ngethuba leveki elandelayo, gwema ukukhupha izikhundla zentloko ezingayenza kwi-BPPV.

• Sebenzisa imithwalo emibili xa ulala.
• Gwema ukulala kwicala elichaphazelekayo.
• Ungaguquki intloko yakho phezulu okanye kude.
• Gwema ukubuyisela intloko yakho emva koko xa ulele emhlane wakho kunye nentloko yakho yajika kwicala elichaphazelekayo.
• Ukuba kunokwenzeka, ukuyeka ukuhlinzwa okhethwayo kunye nokuya kwirejista yobuhle okanye ofisi yamazinyo.
• Gwema izikhundla eziphambili eziphambili kunye nokusebenzisa apho intloko ingagcinwanga ngokuthe tye, umzekelo onqamlekileyo.

Ukusebenza konyango lweeklinikhi akunakukwazi ukumiselwa ngeveki enye.

Lindela iveki enye emva kokunyanga ukuvavanya ukuphumelela kwonyango. Zibeke kwisikhundla esivame ukukwenza udibanise. Qinisekisa ukuba uzibeke uqaphele kwaye phantsi kweemeko apho ungakwazi ukuwa okanye uzilimaze.

3. Ukunyanga kwekhaya kaBenign Paroxysmal Positional Vertigo (i-Brandt-Daroff Exercises)

Xa unyango lweklinikhi (i-Epley okanye i-Semont) ingaphumeleli, xa icala elibandakanyekayo linganqunywanga, okanye xa ityala lincinci, i-Brandt-Daroff exercises inokucetyiswa. Olu qheliselo luyaphumelela kwi-95 yepesenti yeemeko kodwa kuthatha ixesha elide ukusebenza kunonyango lwasekliniki. Kufuneka wenze olu qheliselo kuphela xa uyalelwe ukuba wenze njalo ngugqirha wakho. Ukuba ugqirha wakho wenze i-Epley okanye i-Semont maneuver, kufuneka ulinde iveki enye emva kolonyango ngaphambi kokuba uqalise umthambo we-Brandt-Daroff.

Ezi zifundo kufuneka zenziwe kwiplati ephezulu, ngaphandle komlambo.

Qala uhleli phantsi ngqo kombhede okanye phantsi.

(Isikhundla 1)�Jika intloko yakho i-45 degrees ukuya ngasekhohlo kwaye ulale phantsi ngecala lakho lasekunene.

(Isikhundla 2)�Xa ukwindawo yasekunene-ulele, intloko yakho kufuneka ibekwi-engile ye-45-degree ejikwe phakathi komphezulu osicaba kunye nesilingi. Hlala kwindawo yokulala ngecala ubuncinane imizuzwana engama-30. Ukuba usenesiyezi, hlala kude kuphele isiyezi okanye umzuzu omnye, nokuba yeyiphi engaphantsi.

Bese uhlala (Isikhundla 3} kwaye uhlale kwindawo yokuhlala imizuzwana engama-30. Jikela intloko yakho i-45 degrees ukuya ngasekunene kwaye ulale phantsi ngecala lakho lasekhohlo.

(Isikhundla 4)�Kwakhona ugcine intloko yakho ijike embindini ukuya kwisilingi imizuzwana engama-30 okanye de isiyezi sithothe. Buyela kwiNdawo yoku-1 (hlala nkqo) imizuzwana engama-30. Olu luphindaphindo olunye.

Isetyenzisiweyo esinye (ukuphindaphinda ezintlanu) kuthatha imizuzu ye-10 ukugqiba kwaye kufuneka yenziwe nganye ntsasa, phakathi kwemini nobusuku.

Ukusetyenziswa kweBritht-Daroff kufuneka kwenziwe ngeeveki ezimbini, ezintathu zibeka usuku ngalunye, okanye iiveki ezintathu, iisethi ezimbini ngosuku (i-52 isethi epheleleyo). Kwinkoliso yabantu, uhlawulelo olupheleleyo lweempawu lufumaneka emva kweetayiti ze-30, okanye malunga neentsuku ze-10. Kwimizuzu engama-30 yezigulane, i-BPPV iya kuphinda iphinde ibe ngumnyaka omnye. Ukuba i-BPPV ibuyeka unokufisa ukongeza omnye umsebenzi we-10 ngomzuzu (isethi enye) kwindlela yakho yemihla ngemihla.

4. Unyango lotyando�Benign Paroxysmal Positional Vertigo

Ukuba ukuqhuba okanye ukuzivocavoca akuyikulawula izibonakaliso eziye zaqhubeka unyaka okanye ngaphezulu kwaye ukuxilongwa kucacile, utyando lunokucetyiswa. Inkqubo yokugqithisa eqhelekileyo, ebizwa ngokuba ngumsele ongaphantsi komgca, uvimba ubuninzi bomsebenzi ongasemva komngcipheko ngaphandle kokuchaphazela imisebenzi yamanye amanqanawa okanye iinxalenye zendlebe. Noko ke, kukho umngcipheko omncinci wokulahlekelwa kwindlebe. Olu uphando lusebenzayo malunga neepesenti ze-90 zabantu abangazange baphendule kwezinye iindlela zokwelapha kwaye xa iimpawu zinzima kwaye zimile.

�?2000 iYunivesithi yaseMntla-ntshona.
Abalobi: UTimoti C. Hain, MD, uJanet Odiry Helminski, PhD, PT.

Le ngcaciso iinjongo zemfundo kwaye ayihloselwe ukuba ithathe indawo yeemviwo, ukuxilongwa, okanye unyango olunikezelwa ngumqeqeshi wezempilo onemvume. Lo msebenzi wawuxhaswa yiZiko leeNzululwazi kunye neCommunitytion Disorders kwiYunivesithi yaseNyakatho-ntshona, isizwe sophando kunye neziko loqeqesho oluxhaswa yiNational Institute of Intelligence kunye nezinye iingxaki zoNxibelelwano.