I-vertigo yesimo seBenign

I-benign positional vertigo lolona hlobo luqhelekileyo lwe-vertigo. I-Vertigo yimvakalelo yokuba ujikeleza okanye yonke into ijikeleza kuwe. Inokwenzeka xa uhambisa intloko kwindawo ethile.

I-Benign positional vertigo ibizwa ngokuba yi-benign paroxysmal positional vertigo (BPPV). Kubangelwa yingxaki kwindlebe yangaphakathi.

Indlebe yangaphakathi ineetyhubhu ezigcwele ulwelo ezibizwa ngokuba yimijelo enesangqa semicircular. Xa ushukuma, ulwelo lungena ngaphakathi kwezi tyhubhu. Imijelo inovakalelo kuyo nayiphi na intshukumo yolwelo. Uvakalelo lolwelo oluhamba kwityhubhu luxelela ingqondo yakho isikhundla somzimba wakho. Oku kukunceda ugcine ibhalansi yakho.

I-BPPV yenzeka xa iziqwenga ezincinci ze-calcium efana nethambo (ebizwa ngokuba zii-canaliths) ikhululeka kwaye ihambe ngaphakathi kwityhubhu. Oku kuthumela imiyalezo edidayo kwingqondo yakho malunga nokuma komzimba wakho.

I-BPPV ayinazinto ziphambili zomngcipheko. Kodwa, umngcipheko wokuphuhlisa i-BPPV unokunyuka xa une:

• Amalungu osapho ane-BPPV
• Wayenokonzakala kwangaphambili kwentloko (nokuba ungqubekile kancinci entloko)
• Unosulelo lwendlebe lwangaphakathi olubizwa ngokuba yi-labyrinthitis

Iimpawu ze-BPPV zibandakanya nayiphi na kwezi zilandelayo:

• Uziva ngathi uyajikeleza okanye uyahamba
• Uziva ngathi umhlaba ujikeleza kuwe
• Ukuphulukana nokulingana
• Isicaphucaphu nokugabha
• Ukuphulukana nokuva
• Iingxaki zombono, ezinjengoluvo lokuba izinto ziyaxhuma okanye zihamba

Imvakalelo yokujikeleza:

• Ihlala ibangelwa kukuhambisa intloko
• Rhoqo iqala ngequbuliso
• Ihlala imizuzwana embalwa ukuya kwimizuzu

Izikhundla ezithile zinokubangela ukuziva ujikeleza:

• Ukuziqengqa ebhedini
• Ukuthambisela intloko yakho phezulu ukujonga into

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yezonyango.

Ukufumanisa i-BPPV, umboneleli wakho unokwenza uvavanyo olubizwa ngokuba yi-Dix-Hallpike maneuver.

• Umboneleli wakho ubambe intloko yakho kwindawo ethile. Emva koko uyacelwa ukuba ulale ngokukhawuleza umva ngaphezulu kwetafile.
• Njengoko usenza oku, umboneleli wakho uya kujonga iintshukumo zamehlo ezingaqhelekanga (ezibizwa ngokuba yi-nystagmus) kwaye abuze ukuba uziva ngathi ujikeleza.

Ukuba olu vavanyo alubonisi siphumo sicacileyo, unokucelwa ukuba wenze olunye uvavanyo.

Unokuba novavanyo lobuchopho kunye nenkqubo yemithambo-luvo ukulawula ezinye izizathu. Oku kunokubandakanya:

• I-Electroencephalogram (i-EEG)
• I-Electronystagmography (ENG)
• Ukuskena iNtloko ye-CT
• Iskena seNtloko seMRI
• Uvavanyo lokuva
• Imagnetic resonance angiography yentloko
• Ukufudumeza nokupholisa indlebe yangaphakathi ngamanzi okanye ngomoya ukuvavanya intshukumo yamehlo (ukukhuthaza kweekhalori)

Umboneleli wakho angenza inkqubo ebizwa ngokuba yi (Epley maneuver). Luthotho lweentshukumo zentloko ukubeka kwakhona ii-canaliths kwindlebe yakho yangaphakathi. Inkqubo inokufuna ukuphindwaphindwa ukuba iimpawu ziyabuya, kodwa olu nyango lusebenza ngcono ukunyanga i-BPPV.

Umboneleli wakho unokukufundisa ezinye iindlela zokuphinda ubeke endaweni onokuzenza ekhaya, kodwa kungathatha ixesha elide kunendlela yokusebenza kukaEpley. Olunye uqeqesho, njengonyango lokulinganisa, lunokunceda abanye abantu.

Amanye amayeza anokunceda ekunciphiseni ukujija kokujikeleza:

• AmaNtsholongwane
• I-Anticholinergics
• Ukunyanga okuluthayo

Kodwa, la mayeza ahlala engasebenzi kakuhle kunyango lwe-vertigo.

Landela imiyalelo yendlela onokuzinyamekela ngayo ekhaya. Ukugcina iimpawu zakho zingabi zibi, thintela izikhundla ezibangela ukuba zibekho.

I-BPPV ayonwabanga, kodwa ihlala inyangwa nge-Epley maneuver. Inokubuya kwakhona ngaphandle kwesilumkiso.

Abantu abane-vertigo enzima banokufumana amanzi ngenxa yokuhlanza rhoqo.

Fowunela umnikezeli wakho ukuba:

• Uphuhlisa i-vertigo.
• Unyango lwe-vertigo alusebenzi.

Fumana uncedo lwezonyango kwangoko ukuba uneempawu ezinje:

• Ubuthathaka
• Intetho egudileyo
• Iingxaki zombono

Oku kunokuba yimiqondiso yesimo esibi kakhulu.

Gwema izikhundla zentloko ezibangela i-vertigo yesikhundla.

IVertigo - isikhundla; I-benign paroxysmal positional vertigo; BPPV; Uxinzelelo - isikhundla

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Bhattacharyya N, Gubbels SP, Schwartz SR, okqhubekayo; IAmerican Academy yeOtolaryngology-iNtloko kunye neSiseko seNeck Surgery. Isikhokelo sokuziqhelanisa neklinikhi: i-benign paroxysmal positional vertigo (uhlaziyo). Intloko ye-Otolaryngol Surg. Ngo-2017; 156 (3_Suppl): S1-S47. IINKCUKACHA: 28248609 www.ncbi.nlm.nih.gov/pubmed/28248609.

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