I-Epley Maneuver Yokuphatha Izimpawu Ze-Vertigo

I-Epley maneuver yindlela yokwelapha uhlobo oluthile lwe-vertigo obangelwa yi-disorder ebizwa nge- BPPV (Benign Paroxysmal Positional Vertigo). I-BPPV icatshangwa ukuthi ibangelwa i-calcium deposits ngaphakathi kwendlebe yangaphakathi, eyaziwa ngemithi njenge-otoconia. I-Otoconia ivame ukuhlala izingxenye ezimbili zendlebe - i-utricle kanye ne-saccule - kodwa uma benza ngendlela engavamile indlela engena engxenyeni yendlebe yangaphakathi ebizwa ngokuthi imisele yamanzi ingabangela i- vertigo .

I-BPPV ivame ukuvela endlebeni eyodwa ngesikhashana futhi hhayi ngokubili.

I-Epley maneuver yindlela yokuhlola ehloselwe ukubeka i-otoconia endlebeni yangaphakathi bese ibafaka engxenyeni ehlukile yendlebe lapho bekungaba khona amathuba okubangela izimpawu. Le nqubo ibizwa nangokuthi i-particle repositioning, indlela yokwakhiwa kabusha kwe-canalith noma indlela eguquguqukayo yokukhululwa. Ukuzivocavoca kunezikhundla ezine ezihlukene zekhanda ezigcinwe cishe imizuzwana engama-30 ngayinye. Lo mqondo kufanele wenziwe ehhovisi likadokotela ngudokotela oqinisekisiwe, onolwazi. Kuthatha cishe imizuzu engu-15 ukuqedela.

Ngaphambi kokuba Nomaneuver Omnandi

Kukhona izinto ezimbalwa okufanele utshele udokotela wakho ngaphambi kokuthi uzame ukuhamba kwe-Epley ukuze uvimbele noma yiziphi izinkinga. Tshela udokotela wakho uma uke wabona noma yikuphi okulandelayo:

• Inkinga noma izinkinga emuva
• Umfutho wegazi ophezulu
• Umlando we-retina ehlanganisiwe

Udokotela wakho cishe uzokunika imiyalelo eqondile yalokho okufanele ukwenze nokuthi yini ongayenzi ngaphambi kokuqokwa kwakho.

Ngokujwayelekile, kufanele:

• ayeke ukudla amahora amane ngaphambi kokuqokwa.
• sigqoke kahle.
• uthathe noma yimiphi imithi enqunyiwe evimbela isicanucanu noma izimpawu ze-vertigo , njengePhenergan noma i-Antivert, ngaphambi kokuqokwa.

Okufanele Ukulindele

Yiqiniso, awusoze wazi kahle ukuthi yini ongayilindela, kepha ukuqonda umqondo wenqubo kuzosiza ukubeka ingqondo yakho kalula.

Ngesikhathi uhlezi udokotela uzohambisa ikhanda lakho cishe ama-45 degrees ekuqondeni indlebe ethintekile. Uzophonswa emuva ukuze ugcine isikhundla se-45-degree futhi uzincike emuva ngokuzenzekelayo.

Udokotela uzoqhubeka ephethe ikhanda lakho. I-vertigo ye-vertigo ngokuvamile ivele kule ndawo, ngakho-ke ungase ufune ukubambelela ezingxenyeni zodokotela ukuze uthole usizo. Udokotela uzokugcina kule ndawo kuze kube yilapho i-vertigo iyeka.

Ngemuva kokuthi i-vertigo iyeke, udokotela wakho uzophendulela ikhanda lakho cishe ama-degree angu-90 ekuqondeni kwezindlebe ezingathintekile bese ugoqa uhlangothi olulodwa. Manje uzobe ubheka phansi. Ungase uthole ama-vertigo amaningi kuleli phuzu futhi uzohlala kule ndawo kuze kube yilapho seliyeka. Khona-ke udokotela uzokusiza ukuba uphinde uhlale endaweni ehlezi bese ugoqa ikhanda lakho phansi kwama-30 degrees.

Ngemuva kwe-Epley Maneuver

Ngemuva kokuqokwa kwakho, wenza isidingo sokusebenzisa ikhola yomlomo wesibeletho esithambile ukuze ugcine isikhundla esifanele sekhanda. Udokotela wakho kufanele akunike imiyalelo yalokho okufanele ukwenze ngemuva kwenqubo. Lezi ziyalezo kufanele ziqede iseluleko esinikezwe kulesi sihloko, kodwa ungalindela ukuthi ufundiswe:

• ulinde okungenani imizuzu eyi-10 ngaphambi kokushiya ihhovisi likadokotela.

• kube nomunye umuntu akushayela ekhaya.
• ukulala kuphakanyiswe ngezinga elingama-45 ubude obusuku ababili obuzayo.
• gwema noma yiluphi uhlobo lokuvivinya umzimba olubandakanya ukunyakaza kwekhanda
• ukulala kuphakama emilenzeni emibili futhi ugweme ukulala endlebeni ethintekile noma uhlangothi lweviki elilodwa.
• uhlale uqotho ngangokunokwenzeka ngesonto elilodwa.

I-Epley maneuver inamathuba angama-65 kuya kwangu-95 amathuba okuthuthukisa izimpawu ze-BPPV futhi iphakeme kunezindlela zokuhamba nge-placebo. Kodwa-ke, ezinye iziguli zingase zidingeke zihambisane nezinqubo eziningi ngaphambi kokuthola usizo noma ukuhlola ezinye izindlela zokwelapha.

_Imithombo:

_{I-American Speech-Language-Hearing Association. Ukuvuselelwa kwe-Vestibular.}