Yintoni i-BPPV?

Benign Paroxysmal Positional Vertigo

I-BPPV yinkcazo yonyango yeBenign Paroxysmal Positional Vertigo. Yiyo ifom ye-vertigo ecingelwa ukuba ibangelwa i-calcium deposits ngaphakathi kwindlebe yangaphakathi. Ixesha lezonyango lale mali i-otoconia. I-Otoconia ngokuqhelekileyo ihlala kwiindawo ezimbini zeendlebe ezibizwa ngokuba yi-utricle kwaye zixhamla kodwa xa zihamba ngendlela engafanelekanga kwinxalenye yendlebe yangaphakathi ebizwa ngokuba yimigodi yamanxeba ingabangela i-vertigo.

I-BPPV idla ngokukwenzeka kwindlebe enye ngexesha kwaye ingabi ngamanye amazwe.

Izizathu

Ukulimala kwi-utricle kunokubangela i-BPPV kuquka intlungu yesifo, intsholongwane efana ne- vestibular neuritis , okanye ukuphazamiseka kwe-utricle ngokuhamba kwesikhathi. Inokubangelwa ziziintlungu zomntwana zendlebe yangaphakathi. Ngamanye amaxesha i-BPPV idibaniswe nembali yemivimbo emincinci okanye isifo sikaMenaire .

Iimpawu

Iimpawu zeBPPV ngamanye amaxesha zinganciphisa ubunzima okanye zihambe emva kweenyanga ezintandathu. Iimpawu zeBPPV zivela kunye noshintsho kwisimo sakho sokumisa ukulala okanye ukuguqula. Bayahlukahluka phakathi kwabantu kodwa iimpawu eziqhelekileyo ziquka:

• ukungcola
• ukukhanya okanye ukuphuma
• Ukungalingani okwenza ukuba kube nzima ukuhamba
• isicaphulelo
• intloko

Ukuxilongwa

I-BPPV ifunyaniswa isetyenziselwa ukudibanisa iimvavanyo zonyango kubandakanywa nembali yesigulane kunye nokuhlolwa kwangokwenyama. I-BPPV idla ngokuhamba kunye ne-nystagmus, "ukuxumla" okubuqilileyo kwamehlo ngamanye amaxesha kubonwa ngumboneleli okanye ngokusebenzisa uvavanyo olubizwa ngokuthi i-electronystagmography (ENG).

I- MRI ingenziwa ukwenzela ukulawula ezinye iziphazamiso ezinokuqwalaselwa kubandakanywa ukubetha okanye isisu.

Unyango

Amachiza enqweno yokukhusela isisulu ezifana ne-ondansetron okanye imithi esetyenziswayo yokugula kwesibhambathiso inokukunceda ekuphatheni isicupucu esihambelana ne-BPPV. Ngaphandle koko imishanguzo ayibonakali inenzuzo ekuphatheni le ngxaki.

I-BPPV ingaphathwa ngokusetyenziswa kweBritht-Daroff kunye neyeza ezimbini ezibizwa ngokuba yi-Epley and Semont Manueuvers.

Epley Maneuver

I-Epley Maneuver kufuneka iqhutywe ngugqirha ofanelekileyo kwiofisi yegqirha. Kuthatha malunga nemizuzu eyi-15 ukugqiba kwaye ijoliswe njengendlela yokufumana i-otoconia (i-calcium deposits) kwiindawo ezahlukeneyo zendlebe apho abayi kuba nako ukudala iimpawu. I- Epley Maneuver inokuthiwa ngokuba yi-particle repositioning, indlela yokubuyisela i-canalith okanye ukulungiswa kwendlela yokukhulula. Umsebenzi uqukethe izikhundla ezine ezahlukileyo zeentloko ezigcinwe imizuzwana engama-30 nganye. Ukulumka kufuneka kuthathwe ukuba uzame ukwenza le ndlela ekhaya .

I-Semont Maneuver

Ngexesha le-Semont uqhuba ugqirha uya kuguqula intloko yakho kwiindlela ezihlukeneyo ngelixa uhleli phantsi. Ekugqibeleni uya kuguqa intloko kwaye ekuncedeni ngokukhawuleza uze ulele phantsi kwindlebe engenakuchaphazeleka kunye neempumlo zakho. Uya kuhlala kule ndawo imizuzu emithathu. Emva koko ugqirha uya kukunceda ngokukhawuleza ukuba ungene kwindawo ehleli.

Kukho ama-80 ekhulwini ngamathuba e-Epley ne-Semont eqhuba ukusebenza kunye nethuba lokuba iimpawu ze-BPPV ziza kuqhubeka.

Ugqirha wakho unokukunika umyalelo wokuzilolonga okanye izikhundla omele uziphephe emva kokuba ezi zinto zenziwe.

I-Brandt-Daroff Exercises

I-Brandt-Daroff Ukuzivocavoca kunokuba kulungiswe ekhaya emva kokufundiswa ngugqirha wezokwelapha. Zivame ukugcinwa kubantu abathile aba-Epley okanye i-Semont Maneuvers abazange baphumelele. Ukuzivocavoca kunzima kakhulu kuba kufuneka baqulunqwe kwiiseti ezi-3 ngosuku ngeveki ezimbini. I-Brandt-Daroff Exercises iphumelele malunga nama-95 ekhulwini kwiimeko zeBPPV.

Utyando loPhando

Unyango oluphandwayo lwe-BPPV ngokubanzi lukhuthazwa kuphela emva kokuba unyango olungenanto luphumelele kwaye iimpawu ziye zaqhubeka unyaka omnye okanye ngaphezulu.

Utyando lubandakanya ukukhupha i-canal yangaphambili. Izingozi zokuhlinzwa zibandakanya ukulahlekelwa kwindlebe ngaphezu kweengozi ze-anesthesia jikelele. Iipesenti ezi-1 kuphela zezigulane ezineBPPV ziye zale nkqubo.

Ngoxa i-BPPV ingaba nzima ukujamelana nayo kwaye ngokuqinisekileyo iyafuna ukuba uguqule ubomi bakho bemihla ngemihla uninzi lwezigulane ziphathwa ngempumelelo.

_Umthombo:

_{Zalewski, uChris MA, CCC-A. Yintoni iBenign Paroxysmal Positional Vertigo (BPPV) ?. ASHA 2011}