Ndiziva ndinesiyezi: iPheripheral Vertigo

Umxholo

• Zeziphi iintlobo ze-peripheral vertigo?
• I-Benign paroxysmal positional vertigo (BPPV)
• ILabyrinthitis
• I-neuronitis yeVestibular
• Isifo sikaMeniere
• I-peripheral vertigo ifunyaniswa njani?
• Zithini iindlela zokhetho zonyango lwe-vertigo yangaphakathi?
• Iziyobisi kunye namayeza
• Ukunyanga ukulahleka kwendlebe
• Imithambo
• Ulungiso lwenyama
• Ndingakuthintela njani ukuhlaselwa kwe-vertigo yangaphakathi?

Yintoni i-peripheral vertigo?

I-Vertigo yintsholongwane ehlala ichazwa njengoluvo lokujikeleza. Isenokuvakalelwa njengokugula kokuhamba okanye ngokungathi ungqiyame kwicala elinye. Ezinye iimpawu ngamanye amaxesha zinxulunyaniswa ne-vertigo zibandakanya:

• ukulahleka kwendlebe kwindlebe enye
• kukhala ezindlebeni zakho
• ubunzima bokujonga amehlo akho
• ukulahleka kwemali eseleyo

Kukho iindlela ezimbini ezahlukeneyo ze-vertigo: i-peripheral vertigo kunye ne-vertigo ephakathi. Ngokwe-American Institute of Balance, i-vertigo ye-peripheral ihlala iqine kakhulu kune-vertigo esembindini.

I-peripheral vertigo sisiphumo sengxaki ngendlebe yakho yangaphakathi, elawula ibhalansi. I-vertigo esembindini ibhekisa kwiingxaki ezikwingqondo yakho okanye kwingqondo. Kukho iintlobo ezahlukeneyo ze-vertigo yendlela.

Zeziphi iintlobo ze-peripheral vertigo?

I-Benign paroxysmal positional vertigo (BPPV)

I-BPPV ithathwa njengeyona ndlela ixhaphakileyo ye-vertigo yendlela. Olu hlobo ludla ngokubangela ukufutshane, rhoqo kwe-vertigo. Iintshukumo ezithile zentloko zibangela i-BPPV. Kucingelwa ukuba kungenxa yamaqhekeza amancinci e-anatomiki aqhekeka kwimingxunya yendlebe yangaphakathi kunye nokukhuthaza iinwele ezincinci ezihambelana nendlebe yakho yangaphakathi. Oku kuyabhida ingqondo yakho, kuvelise uvakalelo lokuba nesiyezi.

ILabyrinthitis

I-Labyrinthitis ibangela isiyezi okanye imvakalelo yokuhamba xa ungekho. Usulelo lwendlebe lwangaphakathi lubangela le fomu ye-vertigo. Ngenxa yoko, ihlala isenzeka kunye nezinye iimpawu ezinje ngomkhuhlane kunye nentloko ebuhlungu. Usulelo lukulebhu, isakhiwo kwindlebe yakho yangaphakathi elawula ukulingana kunye nokuva. Ukugula kwintsholongwane, njengokubanda okanye umkhuhlane, kuhlala kubangela olu suleleko. Usulelo lwendlebe lwebacteria ngamanye amaxesha lubangelwa.

I-neuronitis yeVestibular

I-Vestibular neuronitis ikwabizwa ngokuba yi-vestibular neuritis. Olu hlobo lwe-vertigo luqala ngesiquphe kwaye kunokubangela ukungazinzi, indlebe ebuhlungu, isicaphucaphu kunye nokugabha. I-Vestibular neuronitis sisiphumo sosulelo oluthe lwasasazeka kwi-vestibular nerve, elawula ibhalansi. Le meko ihlala ilandela usulelo lwentsholongwane, njengokubanda okanye umkhuhlane.

Isifo sikaMeniere

Isifo sikaMeniere sibangela i-vertigo ekhawulezileyo enokuhlala ukuya kuthi ga kwiiyure ezingama-24. I-vertigo ihlala iqatha kangangokuba ibangela isicaphucaphu nokugabha. Isifo sikaMeniere sikwabangela ukulahleka kwendlebe, ukukhala ezindlebeni zakho, kunye nemvakalelo yokugcwala ezindlebeni zakho.

I-peripheral vertigo ifunyaniswa njani?

Kukho iindlela ezininzi ugqirha wakho anokuchonga ukuba unayo i-vertigo yendlela. Ugqirha wakho unokuvavanya iindlebe zakho ukukhangela iimpawu zosulelo, kunye nokujonga ukuba ungahamba ngqo na ukuvavanya ibhalansi yakho.

Ukuba ugqirha wakho ukrokrela i-BPPV, banokwenza i-Dix-Hallpike maneuver. Ngethuba lovavanyo, ugqirha wakho uya kukuhambisa ngokukhawuleza ukusuka kwindawo yokuhlala ukuya kwindawo yokulala, kunye nentloko yakho ibe yindawo ephantsi kakhulu yomzimba wakho. Uya kujongana nogqirha wakho, kwaye kuya kufuneka ugcine amehlo akho evulekile ukuze ugqirha wakho akwazi ukujonga iintshukumo zamehlo akho. Lo mkhwa uzisa iimpawu ze-vertigo kubantu abane-BPPV.

Ugqirha wakho unokuyalela ukulinganisela kunye neemvavanyo zokuva. Ngokuxhomekeka kwiimpawu zakho, ugqirha wakho unokuyalela ukuba kwenziwe izifundo zokucinga (ezinje nge-MRI scan) yengqondo yakho nentamo yokulawula ezinye izizathu ze-vertigo.

Zithini iindlela zokhetho zonyango lwe-vertigo yangaphakathi?

Iziyobisi kunye namayeza

Inani lamayeza lisetyenziselwa ukunyanga i-vertigo yangaphakathi, kubandakanya:

• Iintsholongwane (ukunyanga usulelo)
• antihistamines - umzekelo, meclizine (Antivert)
• iprochlorperazine - ukukhulula isicaphucaphu
• i-benzodiazepines-amayeza oxinzelelo anokuthi anciphise iimpawu zomzimba we-vertigo

Abantu abanesifo sikaMeniere bahlala bethatha iyeza elibizwa ngokuba yi-betahistine (Betaserc, Serc), elinokunceda ukunciphisa uxinzelelo olubangelwa lulwelo kwindlebe yangaphakathi kunye nokuthomalalisa iimpawu zesi sifo.

Ukunyanga ukulahleka kwendlebe

Abantu abanesifo sikaMeniere banokufuna unyango lokukhala ezindlebeni kunye nokuva kwendlebe. Unyango lunokubandakanya amayeza kunye nezinto zokuva.

Imithambo

Ukuba ufumene isifo se-BPPV, ugqirha wakho unokukufundisa nge-Epley maneuver kunye neBrandt-Daroff. Zombini zibandakanya ukuhambisa intloko kuthotho lweentshukumo ezintathu okanye ezine ezikhokelwayo.

Ugqirha wakho uya kwenza u-Epley maneuver, njengoko ifuna intshukumo ekhawulezayo kunye nokujika kwentloko yakho. Akucetyiswa kubantu abaneengxaki zentamo okanye zomqolo.

Unokwenza umthambo kaBrandt-Daroff ekhaya. Ezi zezona ziqhelo zisetyenziswayo ukunyanga i-vertigo. Kukholelwa ukuba banokunceda ukuhambisa ingqushu ebangela i-vertigo.

Ukwenza imithambo kaBrandt-Daroff:

1. Hlala emaphethelweni ebhedi yakho (kufutshane embindini) imilenze yakho ijinga ecaleni.
2. Lala ngasekunene uze ujike intloko uye eluphahleni. Bamba esi sikhundla ubuncinci imizuzwana engama-30. Ukuba uziva unesiyezi, bamba esi sikhundla de kudlule.
3. Buyela kwindawo ethe nkqo kwaye ujonge phambili ngqo kwimizuzwana engama-30.
4. Phinda inyathelo lesibini, ngeli xesha kwicala lasekhohlo.
5. Hlala nkqo ujonge phambili kangangemizuzwana engama-30.
6. Yenza iiseti ezongezelelweyo ubuncinci amaxesha amathathu okanye amane ngosuku.

Ulungiso lwenyama

Unyango lwe-Vestibular rehabilitation yenye yeendlela zonyango kunyango lwe-vertigo. Kubandakanya ukusebenza ngengcali yomzimba ukuphucula ibhalansi ngokunceda ingqondo yakho ukuba ifunde ukubuyekeza iingxaki zeendlebe zangaphakathi.

Utyando lunokunyanga iimeko ezinzima, eziqhubekayo ze-vertigo ukuba ezinye iindlela zonyango aziphumelelanga. Olu tyando lubandakanya ukususa inxenye okanye yonke indlebe yakho yangaphakathi.

Ndingakuthintela njani ukuhlaselwa kwe-vertigo yangaphakathi?

Ngokwesiqhelo awunakuthintela i-vertigo yokuqala, kodwa isimilo esithile sinokukunceda ukuthintela olunye uhlaselo lwe-vertigo. Kuya kufuneka uphephe:

• izibane eziqaqambileyo
• intshukumo ekhawulezayo yentloko
• Ukugoba
• ujonge phezulu

Olunye uhlobo lokuziphatha oluluncedo lumi kancinci kwaye ulele ngentloko.