I-vertigo yesimo se-Benign

I-Benign positional vertigo uhlobo oluvame kakhulu lwe-vertigo. IVertigo wumuzwa wokuthi uyajikeleza noma ukuthi yonke into izungeza wena. Kungenzeka uma uhambisa ikhanda lakho endaweni ethile.

I-Benign vertigo positional ibizwa nangokuthi i-benign paroxysmal positional vertigo (BPPV). Kubangelwa inkinga endlebeni yangaphakathi.

Indlebe yangaphakathi inamashubhu agcwele uketshezi abizwa ngokuthi yimisele emincane eyindilinga. Uma unyakaza, uketshezi luye lungene ngaphakathi kula mashubhu. Imisele izwela kakhulu kunoma yikuphi ukunyakaza koketshezi. Ukuzwa koketshezi oluhamba ngaphakathi kushubhu kutshela ubuchopho bakho ukuma komzimba wakho. Lokhu kukusiza ukuthi ugcine ibhalansi yakho.

I-BPPV yenzeka lapho izingcezu ezincane ze-calcium enjengethambo (ebizwa ngokuthi ama-canaliths) igqashuka futhi intante ngaphakathi kweshubhu. Lokhu kuthumela imiyalezo edidayo ebuchosheni bakho mayelana nokuma komzimba wakho.

I-BPPV ayinazici ezinkulu zobungozi. Kepha, ingozi yakho yokuthuthukisa i-BPPV ingakhuphuka uma une:

• Amalungu omndeni ane-BPPV
• Ngaba nokulimala kwangaphambili kwekhanda (ngisho nokushayisana okuncane ekhanda)
• Ngaba nokutheleleka kwendlebe kwangaphakathi okubizwa nge-labyrinthitis

Izimpawu ze-BPPV zifaka noma yikuphi okulandelayo:

• Uzizwa sengathi uyajikeleza noma uyahamba
• Uzwa sengathi umhlaba uzungeza wena
• Ukulahlekelwa ibhalansi
• Isicanucanu nokuhlanza
• Ukulahlekelwa ukuzwa
• Izinkinga zombono, njengokuzwa ukuthi izinto ziyagxuma noma ziyahamba

Ukuzwa kokuphotha:

• Kuvame ukubangelwa ukuhambisa ikhanda lakho
• Imvamisa iqala kungazelelwe
• Ihlala imizuzwana embalwa kuya kumizuzu

Izikhundla ezithile zingadala umuzwa wokuphotha:

• Ukugingqika embhedeni
• Sitshekise ikhanda lakho ubheke okuthile

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba abuze ngomlando wakho wezokwelapha.

Ukuxilonga i-BPPV, umhlinzeki wakho angenza isivivinyo esibizwa nge-Dix-Hallpike maneuver.

• Umhlinzeki wakho ubamba ikhanda lakho endaweni ethile. Ngemuva kwalokho ucelwa ukuthi ulale ngokushesha emuva emuva etafuleni.
• Njengoba wenza lokhu, umhlinzeki wakho uzobheka ukunyakaza okungavamile kwamehlo (okubizwa nge-nystagmus) bese ebuza ukuthi uzizwa sengathi uyajikeleza yini.

Uma lokhu kuhlolwa kungakhombisi umphumela ocacile, ungacelwa ukuthi wenze ezinye izivivinyo.

Ungahle ube nokuhlolwa kobuchopho kanye nesistimu yezinzwa (neurological) ukukhipha ezinye izimbangela. Lokhu kungafaka:

• I-Electroencephalogram (EEG)
• I-Electronystagmography (ENG)
• Iskena sekhanda le-CT
• Iskena sekhanda le-MRI
• Ukuhlolwa kokuzwa
• I-Magnetic resonance angiography yekhanda
• Ukufudumeza nokupholisa indlebe yangaphakathi ngamanzi noma ngomoya ukuhlola ukunyakaza kwamehlo (i-caloric stimulation)

Umhlinzeki wakho angenza inqubo ebizwa nge- (Epley maneuver). Kuchungechunge lokunyakaza kwekhanda ukubeka kabusha ama-canaliths endlebeni yakho yangaphakathi. Inqubo ingadinga ukuphindwa uma izimpawu zibuya, kepha le ndlela yokwelashwa isebenza kahle ukwelapha i-BPPV.

Umhlinzeki wakho angakufundisa ezinye izivivinyo zokubeka kabusha ongazenza ekhaya, kepha kungathatha isikhathi eside kunokwenziwa ngu-Epley ukusebenza. Okunye ukuzivocavoca, njengokwelapha ibhalansi, kungasiza abanye abantu.

Eminye imithi ingasiza ekunciphiseni ukuzwa kokuphotha:

• Ama-antihistamine
• Ama-anticholinergics
• Ama-sedative-hypnotics

Kepha, le mithi imvamisa ayisebenzi kahle ekwelapheni i-vertigo.

Landela imiyalo yokuthi ungazinakekela kanjani ekhaya. Ukugcina izimpawu zakho zingabi zimbi, gwema izikhundla ezizibangelayo.

I-BPPV ayizizwa kahle, kepha imvamisa iphathwa nge-Epley maneuver. Ingabuya futhi ngaphandle kwesixwayiso.

Abantu abane-vertigo enamandla bangathola ukoma emzimbeni ngenxa yokuhlanza njalo.

Shayela umhlinzeki wakho uma:

• Uthuthukisa i-vertigo.
• Ukwelashwa kwe-vertigo akusebenzi.

Thola usizo lwezokwelapha ngokushesha uma unezimpawu ezifana nalezi:

• Ubuthakathaka
• Inkulumo eshisiwe
• Izinkinga zombono

Lokhu kungaba yizimpawu zesimo esibi kakhulu.

Gwema izikhundla zekhanda ezibangela i-vertigo yesimo.

I-Vertigo - isikhundla; I-vertigo yesimo se-Benign paroxysmal; BPPV; Isizungu - ukuma

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UBhattacharyya N, uGubbels SP, uSchwartz SR, et al; I-American Academy ye-Otolaryngology-Head kanye neNeck Surgery Foundation. Umhlahlandlela wokusebenza komtholampilo: i-benign paroxysmal positional vertigo (buyekeza). I-Otolaryngol Head Neck Surg. 2017; 156 (3_Suppl): S1-S47. I-PMID: 28248609 www.ncbi.nlm.nih.gov/pubmed/28248609.

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