Uvavanyo lweBhalansi

Umxholo

• Luthini uvavanyo lwebhalansi?
• Zenzelwe ntoni?
• Kutheni ndifuna uvavanyo lwebhalansi?
• Kwenzeka ntoni ngexesha lovavanyo lwebhalansi?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo lwebhalansi?
• Ngaba bukhona ubungozi ekulinganiseni iimvavanyo?
• Zithetha ntoni iziphumo?
• Izalathiso

Luthini uvavanyo lwebhalansi?

Uvavanyo lokulinganisela liqela leemvavanyo ezijonga ukuphazamiseka kokulinganisela. Ingxaki yokulinganisela yimeko ekwenza uzive ungazinzanga kwiinyawo zakho kwaye unesiyezi. Ukuba nesiyezi ligama eliqhelekileyo leempawu ezahlukeneyo zokungalingani. Ukuba nesiyezi kungabandakanya i-vertigo, imvakalelo yokuba wena okanye indawo ekungqongileyo iyajikeleza, kunye nentloko elula, iimvakalelo zokuba uza kufa isiqaqa. Ukuphazamiseka kokulinganisela kunokuba mnene, okanye kube nzima kangangokuba unokuba nengxaki yokuhamba, ukunyuka izitepsi, okanye ukwenza eminye imisebenzi yesiqhelo.

Iinkqubo ezahlukeneyo emzimbeni wakho kufuneka zisebenzisane ukuze ube nokulinganisela okuhle. Inkqubo ebaluleke kakhulu ibizwa ngokuba yinkqubo yevestibular. Le nkqubo ikwindlebe yakho yangaphakathi kwaye ibandakanya imithambo-luvo ekhethekileyo kunye nolwakhiwo olukunceda ukuba ugcine ibhalansi yakho. Umbono wakho kunye nemvakalelo yokuthinta ikwabalulekile kulungelelwaniso olulungileyo. Iingxaki ngayo nayiphi na kwezi nkqubo inokukhokelela kukuphazamiseka kokulingana.

Ukuphazamiseka kokulinganisela kunokwenzeka nakweyiphi na iminyaka, kodwa kuqhelekile kubantu abadala. Sesinye sezizathu eziphambili zokuba abantu abadala badala bawele ukuwa rhoqo kunabantu abancinci.

Amanye amagama: uvavanyo lwebhalansi ye-vestibular, uvavanyo lwe-vestibular

Zenzelwe ntoni?

Uvavanyo lwebhalansi lusetyenziselwa ukufumanisa ukuba unengxaki na nebhalansi yakho, ukuba kunjalo, yintoni ebangela oko. Zininzi izizathu zokuphazamiseka kwemali eseleyo. Ziquka:

• I-Benign paroxysmal positional vertigo (BPPV). Indlebe yakho yangaphakathi iqulethe iikristal ze-calcium, ezikunceda ukulawula ibhalansi. I-BPPV yenzeka xa ezi kristali zisuswa endaweni yazo. Inokukwenza uzive ngathi igumbi liyajikeleza okanye iindawo ezikungqongileyo ziyahamba. I-BPPV sesona sizathu siqhelekileyo se-vertigo kubantu abadala.
• Isifo sikaMeniere. Esi sigulo sibangela ukuba nesiyezi, amaxesha okulahleka kwendlebe, kunye ne-tinnitus (ukukhala ezindlebeni).
• I-Vestibular neuritis. Oku kubhekisa kukukrala ngaphakathi kwendlebe yangaphakathi. Ngokuqhelekileyo kubangelwa yintsholongwane. Iimpawu zibandakanya isicaphucaphu kunye ne-vertigo.
• Imigraines. I-migraine luhlobo lokubetha, intloko ebuhlungu. Kwahlukile kunezinye iintlobo zentloko. Ingabangela isicaphucaphu kunye nesiyezi.
• Ukwenzakala entloko. Unokufumana i-vertigo okanye ezinye iimpawu zokulinganisela emva kokulimala kwentloko.
• Isiphumo secala lonyango. Isiyezi sinokuba sisiphumo esibi kumayeza athile.

Nje ukuba ufunde unobangela wokungahambi kakuhle kwakho, ungathatha amanyathelo ukukunceda ukulawula okanye ukunyanga imeko yakho.

Kutheni ndifuna uvavanyo lwebhalansi?

Unokufuna uvavanyo lwebhalansi ukuba uneempawu zengxaki yokulingana. Iimpawu zibandakanya:

• Ukuba nesiyezi
• Uziva ngathi uyashukuma okanye ujikeleza, nokuba umile (i-vertigo)
• Ukuphulukana nokulingana ngelixa uhamba
• Ukugxadazela ngelixa uhamba
• Ukukhala ezindlebeni (tinnitus)
• Uziva ngathi uza kufa isiqaqa (intloko engenamsebenzi) kunye / okanye imvakalelo yokudada
• Umbono ongacacanga okanye umbono ophindwe kabini
• Ukudideka

Kwenzeka ntoni ngexesha lovavanyo lwebhalansi?

Uvavanyo lokulinganisela lunokwenziwa ngumboneleli wokuqala wezempilo okanye ingcali kwiingxaki zendlebe. Oku kubandakanya:

• I-audiologist, umboneleli wezempilo ojolise ekuchongeni, ekunyangeni nasekulawuleni ilahleko yokuva.
• I-otolaryngologist (ENT), ugqirha oyingcali kunyango lwezifo kunye neemeko zeendlebe, impumlo kunye nomqala.

Ukuchonga ukuphazamiseka kwemali eseleyo kufuna iimvavanyo ezininzi. Unokufumana olunye okanye nangaphezulu kwezi mvavanyo zilandelayo:

I-Electronystagmography (ENG) kunye nevideonystagmography (VNG). Olu vavanyo lurekhoda kwaye lulinganise ukunyakaza kwamehlo akho. Inkqubo yakho yombono kufuneka isebenze ngokufanelekileyo ukuze ube nokulinganisela okuhle. Ngexesha lovavanyo:

• Uya kuhlala kwisitulo soviwo kwigumbi elimnyama.
• Uya kucelwa ukuba ujonge kwaye ulandele iipateni zokukhanya kwiscreen.
• Uya kucelwa ukuba uye kwiindawo ezahlukileyo njengoko ubukele le patheni yokukhanya.
• Emva koko kuya kufakwa amanzi afudumeleyo apholileyo okanye umoya oza kufakwa kwindlebe nganye.Oku kufanele ukuba kubangele ukuba amehlo ahambe ngeendlela ezithile. Ukuba amehlo akaphenduli kwezi ndlela, oko kunokuthetha ukuba kukho umonakalo kwiimithambo zendlebe yangaphakathi.

Uvavanyo lweRotary, ekwabizwa ngokuba luvavanyo lwesitulo esijikelezayo. Olu vavanyo lukwalinganisa ukuhamba kwamehlo akho. Ngexesha lovavanyo:

• Uya kuhlala kwisitulo esilawulwa yikhompyuter.
• Uya kunxiba iigogg ezikhethekileyo eziza kubhala phantsi intshukumo yamehlo njengoko isitulo sihamba kancinci sihla senyuka sisesangqeni.

I-Posturografi, ekwabizwa ngokuba yikhompyuter yasemva kwexesha enamandla (CDP). Olu vavanyo lulinganisa amandla akho okugcina ibhalansi ngelixa umile. Ngexesha lovavanyo:

• Uya kuma unganxibanga zihlangu eqongeni, unxibe imitya yokhuseleko.
• Kuya kubakho isikrini somhlaba esingqonge wena.
• Iqonga liya kujikeleza ukuvavanya amandla akho okuhlala umi kwindawo ehambayo.

Uvavanyo lweVestibular lukhuphe amandla e-myogenic (VEMP). Olu vavanyo lilinganisela indlela izihlunu ezithile ezisabela ngayo ekuphenduleni isandi. Ingabonisa ukuba kukho ingxaki kwindlebe yakho yangaphakathi. Ngexesha lovavanyo:

• Uya kuhlala esitulweni.
• Uya kufaka ii-earphone.
• Iipads zoluvo ziya kunamathela entanyeni yakho, ebunzi, naphantsi kwamehlo akho. Ezi pads ziya kurekhoda iintshukumo zakho zemisipha.
• Ukucofa kunye / okanye ukugqabhuka kweethoni kuya kuthunyelwa kwiintloko zakho.
• Ngelixa isandi sidlala, uya kucelwa ukuba uphakamise intloko okanye amehlo ixesha elifutshane.

Dix holo yehholo lokuhamba. Olu vavanyo lilinganisela indlela iso lakho elijongana ngayo neentshukumo eziphazamisayo. Ngexesha lovavanyo:

• Umboneleli wakho uya kukuhambisa ngokukhawuleza ukusuka ekuhlaleni phantsi ukuya kulala phantsi kunye / okanye ukuhambisa intloko yakho kwiindawo ezahlukeneyo.
• Umboneleli wakho uya kujonga intshukumo yamehlo ukuze abone ukuba unentshukumisa yokuhamba okanye ujikeleze.

Inguqulelo entsha kolu vavanyo ibizwa ngokuba yi Uvavanyo lwempembelelo kwintloko yevidiyo (vHIT). Ngexesha lovavanyo lwe-vHIT, uya kunxiba iigoggs ezirekhoda ukuhamba kwamehlo ngelixa umboneleli ejika intloko yakho ngobunono kwiindawo ezahlukeneyo.

Unokufumana uvavanyo olunye lokuva okanye ngaphezulu, kuba uninzi lweengxaki zokulinganisela zihambelana neengxaki zokuva.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo lwebhalansi?

Kuya kufuneka unxibe iimpahla ezikhululekileyo. Kuxhomekeke kuvavanyo, kungafuneka wenze utshintsho kwindlela otya ngayo okanye uphephe amayeza athile kusuku olunye okanye ezimbini ngaphambi kovavanyo lwakho. Umboneleli wakho wezempilo uya kukwazisa ukuba ngaba kukho nayiphi na imiyalelo ekhethekileyo ekufuneka uyilandele.

Ngaba bukhona ubungozi ekulinganiseni iimvavanyo?

Iimvavanyo ezithile zinokukwenza uzive unesiyezi okanye ungonwabanga. Kodwa ezi mvakalelo zihlala ziphela kwimizuzu embalwa. Unokufuna ukwenza amalungiselelo okuba umntu akuqhubise ukugoduka, ukuba isiyezi sihlala ixesha elide.

Zithetha ntoni iziphumo?

Ukuba iziphumo zakho bezingaqhelekanga, umboneleli wakho unoku-odola uvavanyo ngakumbi kunye / okanye akubeke kwisicwangciso sonyango. Ngokuxhomekeke kwisizathu sokungahambi kakuhle kwemali, unyango lwakho lunokubandakanya:

• Iyeza ukunyanga usulelo.
• Iyeza ukunceda ukulawula isiyezi kunye isicaphucaphu.
• Inkqubo yokubeka endaweni. Ukuba ufumene ukuba une-BPPV, umboneleli wakho unokwenza uthotho lweentshukumo ezizodwa zentloko kunye nesifuba. Oku kunokunceda ukubeka amasuntswana kwindlebe yakho yangaphakathi ethe yaphuma endaweni. Inkqubo ikwabizwa ngokuba yi-Epley maneuver, okanye i-canalith reposition.
• Ukulinganisa unyango kwakhona, ekwabizwa ngokuba kukuvuselelwa kwe vestibular. Umboneleli osebenza ngokulungelelanisa ukubuyisela kwimeko yesiqhelo unokuyila inkqubo yokuzivocavoca kunye namanye amanyathelo okuphucula ibhalansi yakho kunye nokuthintela ukuwa. Oku kunokubandakanya ukufunda ukusebenzisa induku okanye isihambahamba.
• Ukutya kunye notshintsho kwindlela yokuphila. Ukuba ufunyaniswe unesifo sikaMeniere okanye isifo sentloko esibuhlungu, utshintsho oluthile kwindlela yokuphila lunokunciphisa iimpawu zakho. Oku kunokubandakanya ukwandisa ukusebenza komzimba, ukunqanda ukutya okuthile, kunye nokuyeka ukutshaya. Buza umboneleli wakho wezempilo malunga nokuba loluphi utshintsho olunokuba lolona lulungileyo kuwe.
• Ugqirha. Ukuba amayeza okanye ezinye iindlela zonyango azisebenzi, unokufuna utyando ukulungisa ingxaki kwindlebe yakho yangaphakathi. Uhlobo lotyando luya kuxhomekeka kwisizathu esithile sokuphazamiseka kwemilinganiselo yakho.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Izalathiso

1. I-American Speech-Language-Hearing Association (ASHA) [i-Intanethi]. I-Rockville (MD): Umbutho we-American Speech-Language-Hearing Association; c1997-2020. Ukuphazamiseka kwenkqubo yokulinganisa: Uvavanyo; [icatshulwe ngo-2020 kaJulayi 27]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589942134§ion=Assessment
2. I-audiology kunye neMpilo yokuva [i-Intanethi]. I-Goodlettsville (TN): iAudiology kunye neMpilo yokuva; c2019. Uvavanyo lweBhalansi usebenzisa iVNG (Videonystagmography); [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.audiologyandhearing.com/services/balance-testing-using-videonystagmography
3. IZiko leBarrow Neurological Institute [kwi-Intanethi]. IPhoenix: IZiko leBarrow Neurological Institute; c2019. IZiko leMohammad Ali Parkinson: Uvavanyo lweBhalansi; [icatshulwe ngo-2019 ngoMatshi 22]. [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.barrowneuro.org/specialty/balance-testing
4. Familydoctor.org [Intanethi]. I-Leawood (KS): Iziko laseMelika loGqirha boSapho; c2019. I-Benign Paroxysmal Positive Vertigo (BPPV); [ihlaziyiwe ngo-2017 Jul 19; icatshulwe ngo-2019 ngoMvulo 22]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://familydoctor.org/condition/benign-paroxysmal-positional-vertigo
5. Amayeza kaJohn Hopkins [kwi-Intanethi]. IBaltimore: IYunivesithi yaseJohn Hopkins; c2019. Ukuphazamiseka kokuLungelelanisa iVestibular; [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-balance-disorder
6. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Iingxaki zokulinganisela: Ukuchonga nokunyanga; I-2018 ngoMeyi 17 [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/balance-problems/diagnosis-treatment/drc-20350477
7. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Iingxaki zokulinganisela: Iimpawu kunye nezizathu; I-2018 ngoMeyi 17 [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/balance-problems/symptoms-causes/syc-20350474
8. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Isifo sikaMeniere: Ukufumanisa isifo kunye nonyango; 2018 Disemba 8 [icatshulwe ngo-2019 kuMatshi 22]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/menieres-disease/diagnosis-treatment/drc-20374916
9. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2019. Isifo sikaMeniere: Iimpawu kunye noonobangela; 2018 Disemba 8 [icatshulwe ngo-2019 kuMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.mayoclinic.org/diseases-conditions/menieres-disease/symptoms-causes/syc-20374910
10. IZiko leendlebe laseMichigan [i-Intanethi]. Ingcali yeendlebe ze-ENT; Ibhalansi, isiyezi kunye neVertigo; [icatshulwe ngo-Epreli 2019]; [malunga nezikrini ezi-5]. Ifumaneka kwi: http://www.michiganear.com/ear-services-dizziness-balance-vertigo.html
11. IZiko leLizwe leNgcaciso yeBiotechnology [kwi-Intanethi]. I-Bethesda (MD): Iziko leLizwe leNgcaciso yeBiotechnology, kwiThala leNcwadi leSizwe lezoNyango; InformedHealth.org: Isebenza njani imeko yethu yokulinganisela ?; 2010 Aug 19 [ihlaziyiwe 2017 Sep 7; icatshulwe ngo-2019 ngoMvulo 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.ncbi.nlm.nih.gov/books/NBK279394
12. IZiko leLizwe ngokuDala [kwi-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Iingxaki zokulinganisela kunye nokuphazamiseka; [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.nia.nih.gov/health/balance-problems-and-disorders
13. IZiko leLizwe leZithulu kunye nokunye ukuphazamiseka koNxibelelwano [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Iingxaki zokulinganisela; 2017 Dec [ihlaziywe ngo-2018 nge-6 kaMatshi; icatshulwe ngo-2019 ngoMvulo 22]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.nidcd.nih.gov/health/balance-disorders
14. IZiko leLizwe leZithulu kunye nokunye ukuphazamiseka koNxibelelwano [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Isifo sikaMeniere; 2010 Jul [ihlaziyiwe ngo-2017 Feb 13; icatshulwe ngo-2019 ngoMvulo 22]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.nidcd.nih.gov/health/menieres-disease
15. IZiko leNeurology [kwi-Intanethi]. IWashington DC: IZiko leNeurology; Videonystagmography (VNG); [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.neurologycenter.com/services/videonystagmography-vng
16. Isibhedlele i-UCSF Benioff saBantwana [i-Intanethi]. ISan Francisco (CA): Abameli beDyunivesithi yaseCalifornia; c2002–2019. Ukukhuthazwa kweKhalori; [icatshulwe ngo-Epreli 2019]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.ucsfbenioffchildrens.org/tests/003429.html
17. IZiko lezoNyango le-UCSF [i-Intanethi]. ISan Francisco (CA): Abameli beDyunivesithi yaseCalifornia; c2002–2019. Uvavanyo lukaSihlalo ojikelezayo; [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-5]. Ifumaneka kwi: https://www.ucsfhealth.org/education/rotary_chair_testing
18. Impilo ye-UF: iYunivesithi yaseFlorida yezeMpilo [i-Intanethi]. IGainesville (FL): yeYunivesithi yaseFlorida yezeMpilo; c2019. Ukuphazamiseka okunxulumene neVertigo: Ubume; [ihlaziywe ngo-2019 ngoMatshi 22; icatshulwe ngo-2019 ngoMvulo 22]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://ufhealth.org/vertigo-associated-disorders
19. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. Ukuphazamiseka kokulingana kunye neKlinikhi yesiyezi: Uvavanyo lweLebhu yeLebhu; [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.urmc.rochester.edu/balance-clinic/tests.aspx
20. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2019. I-Health Encyclopedia: iMigraine Intloko; [icatshulwe ngo-Epreli 2019]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P00814
21. Ezempilo ze-UW [kwi-Intanethi]. Madison (WI): Izibhedlele zeYunivesithi yaseWisconsin kunye neGunya leKlinikhi; c2019. I-ENT- Otolaryngology: Ukuphazamiseka kwesiyezi kunye nokuPhazamiseka kweBhalansi; [ihlaziyiwe ngo-2011 Agasti 8; icatshulwe ngo-2019 ngoMvulo 22]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://www.uwhealth.org/ear-nose-throat/dizziness-and-balance-disorders/11394
22. IZiko lezoNyango laseVanderbilt [i-Intanethi]. I-Nashville: iZiko lezoNyango iYunivesithi yaseVanderbilt; c2019. Ilebhu yokuPhazamiseka kweMali: Ukuvavanywa kovavanyo; [icatshulwe ngo-2019 ngoMatshi 22]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.vumc.org/balance-lab/diagnostic-testing
23. Amayeza kaWillill Cornell: Intloko yeOtolaryngology kunye nonyango lweNeck [Intanethi]. ENew York: Weill Cornell amayeza; Uvavanyo lwe-Electronystagmogrophy (ENG) kunye neVideonystagmography (VNG); [icatshulwe ngo-2020 kaJulayi 27]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://ent.weill.cornell.edu/patients/clinical-specialties/conditions/electronystagmogrophy-eng-videonystagmography-vng-testing#:~:text=ElectroNystagmoGraphy%20(ENG)%20and%20VideoNystagmoGraphy%20 (, ilungu% 20or% 20central% 20vestibular% 20system

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.