I-Benign Paroxysmal Positional Vertigo
I-BPPV yisifingqo sezokwelapha seBenign Paroxysmal Positional Vertigo. Kuyindlela ye-vertigo okucatshangwa ukuthi ibangelwa i-calcium deposits ngaphakathi kwezindlebe zangaphakathi. Ithimba lezokwelashwa lalezi zimali ziyi-otoconia. I-otoconia ivame ukuhlala izingxenye ezimbili zendlebe ebizwa ngokuthi i-utricle ne-saccule kodwa uma ingena ngendlela engavamile engxenyeni yendlebe yangaphakathi ebizwa ngokuthi imisele yamanzi ingabangela i-vertigo.
I-BPPV ivame ukuvela endlebeni eyodwa ngesikhashana futhi hhayi ngokubili.
Izimbangela
Ukulimala ku-utricle kungabangela i-BPPV kubandakanya ukuhlukunyezwa kwekhanda, ukutheleleka njenge- vestibular neuritis , noma ukuphazamiseka kwe-utricle ngokuhamba kwesikhathi. Kungabuye kubangelwa ukuphazamiseka kokubeletha kwezindlebe zangaphakathi. Ngezinye izikhathi i-BPPV ihlotshaniswe nomlando wezingxabano ezincane noma isifo sikaMeneire .
Izimpawu
Izimpawu ze-BPPV ngezinye izikhathi zingancipha ngokweqile noma zihambe ngemva kwezinyanga eziyisithupha. Izimpawu ze-BPPV zivela nezinguquko esimweni sakho njengokuma ngokulala noma ukuguqa. Bangase bahluke phakathi kwabantu kodwa izimpawu ezivamile zihlanganisa:
- isiyezi
- ukuhogela ukukhanya noma ukudlula
- ukungalingani okungenza ukuhamba kunzima
- isiyaluyalu
- ikhanda
Ukuxilongwa
I-BPPV itholakale isebenzisa inhlanganisela yezivivinyo zezokwelapha kuhlanganise nomlando wesiguli kanye nokuhlolwa ngokomzimba. I-BPPV ivame ukuhambisana ne-nystagmus, i-"jumping" yocashi engase ibonakale ngumboneli noma ngokusebenzisa i-electronystagmography (ENG).
I- MRI ingenziwa ukuze ilawulwe ezinye izifo ezingacatshangwa ezibandakanya ukushaywa noma isisu.
Ukwelapha
Imishanguzo yokulwa nesicanshulwa njenge-ondansetron noma imithi esetshenziselwa ukugula ukuhamba ingaba usizo ekwelapheni isicanucanu esihlotshaniswa ne-BPPV. Ngaphandle kwalokho imithi ayibonakali inenzuzo kakhulu ekwelapheni lesi sifo.
I-BPPV ingaphathwa ngendlela yokusebenzisa i-Brandt-Daroff nezinqubo ezimbili ezibizwa nge-Epley and Semont Manueuvers.
I-Epley Maneuver
I-Epley Maneuver kumele ilandelwe udokotela oqeqeshiwe ehhovisi likadokotela. Kuthatha cishe imizuzu engu-15 ukuqedela futhi kuhloswe njengendlela yokuthola i-otoconia (i-calcium deposits) ibe yingxenye ehlukile yendlebe lapho kuyoba khona amathuba okubangela izimpawu. I- Epley Maneuver ingase futhi ibizwe ngokuthi i-particle repositioning, inqubo ye-canalith repositioning noma indlela yokuguqula i-modified. Ukuzivocavoca kunezikhundla ezine ezihlukene zezinhloko ezigcinwe imizuzwana engu-30 ngayinye. Ukuqapha kufanele kuthathwe uma uzama ukwenza le ndlela ekhaya .
I-Semont Maneuver
Ngesikhathi se-Semont uqondisa udokotela uzolungisa ikhanda lakho ngezindlela ezihlukile ngenkathi uhlezi phansi. Ekugcineni uzothuthukisa ikhanda lakho kancane kancane akusize uze ulele endlebeni engathintekile ngekhala lakho elikhonjisiwe. Uzohlala kule ndawo imizuzu engu-3. Khona-ke udokotela uzokusiza kancane kancane ukuba uhlale endaweni ehlezi.
Kunezithuba ezingamaphesenti angama-80 amathuba okubili ama-Epley ne-Semont asebenza ngokusebenza kanye nethuba lokuthi izimpawu ze-BPPV zizoqhubeka.
Udokotela wakho angakunikeza imfundo yokuzivocavoca noma izikhundla okufanele uzigweme ngemuva kokuba lezi zindlela zenziwe.
I-Brandt-Daroff Exercises
Ukuzivocavoca kwe-Brandt-Daroff kungase kube yinto ehlelwe ekhaya ngemuva kokufundiswa ngudokotela wezokwelapha. Ngokuvamile kuvunyelwe abantu lapho ama-Maneuvers e-Epley noma e-Semont angasebenzi. Ukuzivocavoca kunzima kakhulu ngoba kumele kube kuhlelwe ngama-3 isethi ngosuku ngamasonto amabili. I-Brandt-Daroff Exercises iphumelele ngamaphesenti angaba ngu-95 we-BPPV.
Ukwelapha Okuhlinzekwayo
Ukwelashwa okuhlinzekwayo kwe-BPPV kuvame ukuphakanyiswa kuphela ngemuva kokuba izikwelapha ezingenhla zihluleke futhi izimpawu ziye zaqhubeka unyaka owodwa noma ngaphezulu.
Ukuhlinzekwa kuhilela ukuvula umsele ongasemuva. Izingozi zokuhlinzwa zifaka ukulahlekelwa kokuzwa ngaphezu kwezingozi ze-anesthesia jikelele. Amaphesenti angu-1 kuphela weziguli ezine-BPPV ayenaso le nqubo.
Nakuba i-BPPV ingaba nzima ukubhekana nayo futhi ngokuqinisekile iyodinga ukuba ushintshe impilo yakho yansuku zonke iziguli eziningi ziphathwa ngokuphumelelayo.
Umthombo:
Zalewski, Chris MA, CCC-A. Kuyini uBenign Paroxysmal Positional Vertigo (BPPV) ?. ASHA 2011