Iingxaki zengxowankulu kunye nezixazululo zezikhalazo eziqhelekileyo ezivela kubantu abaye bahlala bexinzelelekileyo intloko kunye nokulimala kwengqondo ebuhlungu. Okwangoku kuqikelelwa ukuba ubuncinane ubuncinane iipesenti ezingama-30 zabaphululi bezobuchopho zivela kwiingxaki. Izimpawu eziqhelekileyo ziquka:
- Uvakalelwa ukukhanya okanye u-woozy
- Ingqiqo yokuba imimandla engqongekileyo idibene, okanye iyanqanda
- Ubunzima bokugcina isithuba esifanelekileyo
- Ukugubha, ukuwa phantsi
- Ukungakwazi ukulungelelanisa umzimba, inyawo kunye nokunyakaza kwesandla
- Isihlunu kunye nokuhlanza
Kukho iinkalo ezininzi ezichaphazela umngcipheko womntu wokuphuhlisa iingxaki emva kokugcina intlungu eyintloko. Ezi ziquka ukuba yiyiphi inxalenye yengqondo eyalimalayo, ubunzima baloo ngozi yengqondo, nomonakalo kwezinye izitho kunye nezakhi zomzimba.
Iingozi eziphazamisayo ezichaphazela intloko zingathintela ezinye iinkqubo zemizimba. Kukho ukulimala kwintambo yomthambo, amathambo amakhulu amathambo, kunye nezitho ezifana nezamehlo neendlebe. Zonke ezi zixhobo zenza ukuba kubekho ukulinganisela.
Ekugqibeleni, unyango olusetyenziselwa ukunyanga iimpawu zentlungu yesifo lunokubangela ukuba utywabile kunye neengxaki zokulinganisela.
Zonke ezi zinto kubangelwa ukuba ziqwalaselwe xa zizama ukuqonda imvelaphi yeengxaki zengqolowa emva kwexinzelelo lwentloko.
Iziphumo kunye neziphumo
Ukuhlala ngokulinganayo kunye nokulungelelaniswa yinkqubo eqhubekayo.
Amehlo, iindlebe, isikhumba, izihlunu kunye neengcindezelo zengcinezelo ziqhubeka zithumela imiyalezo kwingqondo, ngokukodwa i-brainstem kunye ne-cerebellum, malunga nesimo somzimba kwindawo.
I-brainstem kunye ne-cerebellum zifumaneka kwisiseko seengqondo ngasemva kwentloko. I-brainstem idibanisa ulwazi olufumanayo kwiimpawu zengqondo ezininzi, izihlunu, kunye neentloko zengcinezelo, kunye kunye ne-cerebellum inquma indlela umzimba kufuneka uphendule ngayo.
Ingqondo ingabhalela imisipha ethile ukuze iqine kunye nezinye izihlunu ukuze zikhulule. Inokuthumela kwakhona umyalezo osondeleyo kwinto ethiwa "i-reflex-ocular reflex" phakathi kweendlebe zangaphakathi kunye namehlo. Oku kwenza amehlo agcine kunye naluphi na utshintsho lwezithuba zomzimba, ngoko unokubona apho uya khona.
Ukulimala kwiBrain
Ukulimala kuyo yonke i-brainstem okanye i-cerebellum iyingozi kakhulu. Iphazamisa iinkqubo ezininzi zokulinganisela kunye nokulingana. Ukulimala kungavimba amandla okufumana impendulo emzimbeni, ukuhlaziya loo nkcazelo, okanye ukuthumela impendulo yokulungisa eyiyo.
Ukulimala okuManyeneyo: amathambo, iindlebe, kunye neamehlo
Ixinzelelo lwentloko luhlala lwenzeka kwimeko yokulimala okwenyama. Ukuba iimbambo, umlenze, i-pelvis, okanye amathambo ende emilenzeni iyaphulwa, kukho umba oqulunqwayo owenzela ukungalingani ngokubanzi.
Ukulimala kwiindlebe kubalulekile kuba indlebe yangaphakathi iqukethe izitya ezininzi ezizaliswe ngamanzi eziyingxenye yenkqubo ye-vestibular. Le nkqubo ithumela imilayezo esheshayo kwi-brainstem malunga nesimo senhloko kwisithuba. Ukuba ama-crystals amancinci angaphakathi kweli candelo lendlebe adibene, unokukhokelela kwimeko ebizwa ngokuba yi-benign paroxysmal post vertigo (BPPV).
Ukulimala kwenkqubo yokubukela kubangela ukuba kungalingani emva kweentlungu zentloko. Ezi nzakala zibandakanya umonakalo kwiso, ngokwawo, okanye umonakalo kwiimbilini ezixubusha iimpawu ezibonakalayo kwingqondo. Ukulahlekelwa ngumbono wecala, ukulahleka okanye ukuguqulwa kwengqondo, umbono ombini, ubunzima bokugxila kwamehlo, kwaye ungaphenduli ngokukhawuleza ngokwaneleyo kwimiba engqongileyo inokuphuhliswa.
Mayeza
Iindidi ezahlukahlukeneyo zonyango zisetyenziselwa ukunyanga iimpawu zentlungu yesifo. Ezi ziquka:
- Antibiotics
- Igalelo loxinzelelo lwegazi
- Iziyobisi zokuthintela
- Iipilisi zempilo
- Ukulala amapilisi
Ekubeni kwintlupheko kunye ne-vertigo, ukuhlaziywa ngokucopheleleyo kwamachiza kufuneka kugqitywe ukuqinisekisa ukuba ngaba kukho naziphi na izizathu zempawu.
Xa isisombululo sesingqinisiso sesingqinisiso, unyango luya kuqalwa.
Imithombo:
Inness EL, Howe J, Niechwiej-Szwedo E, et al. Ukulinganisa ukulinganisa nokuhamba emva kokulimala kweBrainatic Traumatic: Ukuqinisekiswa koLungelelaniso loLuntu kunye nokuPhuma kweBhunga (CB & M). Physiotherapy Canada . 2011; 63 (2), 199-208 10p.
Iimpawu ezinobungozi obunzima bokulimala kwengqondo kunye nokuphazamiseka kwengqondo emva kwe-balance disability kwi-servicemembers kunye nabasemagunyeni abasebenzisa i-computer emva kokubhala. Umbhalo woPhando loPhando noPhuhliso . 2015; 52 (5), 591-604 13p.