Ukuhlolwa kweBhalansi

-Delile

• Kuyini ukuhlolwa kwebhalansi?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kwebhalansi?
• Kwenzekani ngesikhathi sokuhlolwa kwebhalansi?
• Ngabe kuzodingeka ngenze noma yini ukulungiselela isivivinyo sebhalansi?
• Ingabe zikhona izingozi zokulinganisela izivivinyo?
• Isho ukuthini imiphumela?
• Izinkomba

Kuyini ukuhlolwa kwebhalansi?

Ukuhlolwa kokulinganisela yiqembu lezivivinyo ezihlola ukuphazamiseka kwebhalansi. Isifo sokulinganisela yisimo esikwenza uzizwe ungagxilile ezinyaweni zakho futhi unesiyezi. Isizungu yigama elijwayelekile lezimpawu ezahlukahlukene zokungalingani. Isizunguzungu singafaka i-vertigo, umuzwa wokuthi wena noma okuzungezile ujikeleza, nekhanda elikhanyayo, umuzwa wokuthi uzophela amandla. Izinkinga zebhalansi zingaba mnene, noma zibe nzima kakhulu ukuze ube nenkinga yokuhamba, ukukhuphuka izitebhisi, noma ukwenza eminye imisebenzi ejwayelekile.

Izinhlelo ezahlukahlukene emzimbeni wakho zidinga ukuthi zisebenzisane ukuze ube nokulinganisela okuhle. Uhlelo olubaluleke kunazo zonke lubizwa ngokuthi i-vestibular system. Lolu hlelo lutholakala endlebeni yakho yangaphakathi futhi lubandakanya izinzwa nezakhiwo ezikhethekile ezikusiza ugcine ibhalansi yakho. Umbono wakho nomuzwa wokuthinta nakho kubalulekile ekulinganiseni okuhle. Izinkinga nganoma iyiphi yalezi zinhlelo zingaholela ekuphazamiseni ibhalansi.

Izinkinga zebhalansi zingenzeka kunoma yisiphi isikhathi, kepha zivame kakhulu kubantu abadala. Kungenye yezizathu eziyinhloko zokuthi abantu abadala asebekhulile bavame ukuwa kaningi kunabantu abasha.

Amanye amagama: ukuhlolwa kwe-vestibular balance, ukuhlolwa kwe-vestibular

Zisetshenziselwani?

Ukuhlolwa kwebhalansi kusetshenziselwa ukuthola ukuthi unenkinga yini nebhalansi yakho, futhi uma kunjalo, kubangelwa yini. Kunezimbangela eziningi zokuphazamiseka kokulinganisela. Kubandakanya:

• I-Benign paroxysmal positional vertigo (BPPV). Indlebe yakho yangaphakathi iqukethe amakristalu e-calcium, asiza ukulawula ibhalansi. I-BPPV yenzeka lapho lawa makristalu esuswa esikhundleni. Kungakwenza uzizwe sengathi igumbi liyajikeleza noma indawo okuyo iyahamba. I-BPPV iyimbangela ejwayelekile kakhulu ye-vertigo kubantu abadala.
• Isifo sikaMeniere. Lesi sifo sibangela isiyezi, izikhathi zokulahlekelwa ukuzwa, kanye ne-tinnitus (ukukhala ezindlebeni).
• I-vestibular neuritis. Lokhu kusho ukuvuvukala ngaphakathi kwendlebe yangaphakathi. Ngokuvamile kubangelwa igciwane. Izimpawu zifaka phakathi isicanucanu ne-vertigo.
• Migraines. I-migraine uhlobo lokushaya ikhanda, ikhanda elibi. Ihlukile kunezinye izinhlobo zekhanda. Kungadala isicanucanu nesiyezi.
• Ukulimala ekhanda. Ungathola i-vertigo noma ezinye izimpawu zebhalansi ngemuva kokulimala kwekhanda.
• Umphumela ohlangothini lwezokwelapha. Isizungu singaba nomphumela oseceleni wemithi ethile.

Lapho usufunde imbangela yokuphazamiseka kokulinganisela kwakho, ungathatha izinyathelo zokusiza ukuphatha noma ukwelapha isimo sakho.

Kungani ngidinga ukuhlolwa kwebhalansi?

Ungadinga ukuhlolwa kwebhalansi uma unezimpawu zesifo sokulinganisa. Izimpawu zifaka:

• Isiyezi
• Uzwa sengathi uyanyakaza noma uyajikeleza, noma umile (i-vertigo)
• Ukulahlekelwa ibhalansi ngenkathi uhamba
• Ukudiyazela ngenkathi uhamba
• Ukukhala ezindlebeni (tinnitus)
• Uzwa sengathi uzophelelwa amandla (ikhanda elikhanyayo) kanye / noma ukuzwa okuntantayo
• Ukubona okufiphele noma umbono ophindwe kabili
• Ukudideka

Kwenzekani ngesikhathi sokuhlolwa kwebhalansi?

Ukuhlolwa kokulinganisela kungenziwa ngumhlinzeki wezempilo oyinhloko noma uchwepheshe ekuphazamisekeni kwendlebe. Lokhu kufaka phakathi:

• Isazi sokuzwa, umhlinzeki wezokunakekelwa kwezempilo ogxile ekuxilongeni, ekwelapheni nasekuphatheni ukulahleka kokuzwa.
• I-otolaryngologist (ENT), udokotela onguchwepheshe ekwelapheni izifo nemibandela yezindlebe, ikhala, nomphimbo.

Ukuthola ukuphazamiseka kokulinganisela ngokuvamile kudinga izivivinyo eziningana. Ungathola isivivinyo esisodwa noma eziningi ezilandelayo:

Ukuhlolwa kwe-Electronystagmography (ENG) kanye ne-videonystagmography (VNG). Lezi zivivinyo zirekhoda futhi zikala ukunyakaza kwamehlo akho. Uhlelo lwakho lokubuka ludinga ukusebenza kahle ukuze ube nokulinganisela okuhle. Ngesikhathi sokuhlolwa:

• Uzohlala esihlalweni sezivivinyo egumbini elimnyama.
• Uzocelwa ukuthi ubheke futhi ulandele amaphethini wokukhanya esikrinini.
• Uzocelwa ukuthi ungene ezindaweni ezahlukahlukene njengoba ubuka le patheni ekhanyayo.
• Ngemuva kwalokho amanzi afudumele futhi apholile noma umoya uzobekwa endlebeni ngayinye.Lokhu kufanele kubangele ukuthi amehlo ahambe ngezindlela ezithile. Uma amehlo engaphenduli ngalezi zindlela, kungasho ukuthi kukhona ukulimala kwezinzwa zendlebe yangaphakathi.

Ukuhlolwa kwe-Rotary, okwaziwa nangokuthi ukuhlolwa kwesihlalo esijikelezayo. Lokhu kuhlolwa futhi kukala ukunyakaza kwamehlo akho. Phakathi nalolu vivinyo:

• Uzohlala esihlalweni esilawulwa yikhompyutha, esinenjini.
• Uzofaka izibuko ezikhethekile ezizorekhoda ukunyakaza kwamehlo akho njengoba isihlalo sihamba kancane siye emuva naphambili futhi sizungeze isiyingi.

I-Posturography, eyaziwa nangokuthi i-computer ashukumisayo posturography (CDP). Lokhu kuhlolwa kukala ikhono lakho lokugcina ibhalansi ngenkathi umile. Phakathi nalolu vivinyo:

• Uzoma ungafake zicathulo epulatifomu, ufake amabhande okuphepha.
• Kuzoba khona isikrini sendawo ezungeze wena.
• Ipulatifomu izohamba izungeze ukuvivinya amandla akho okuhlala umile endaweni ehambayo.

Ukuhlolwa kwe-Vestibular kuveze amandla we-myogenic potentials (VEMP). Lokhu kuhlolwa kukala ukuthi imisipha ethile isabela kanjani ekuphenduleni umsindo. Ingakhombisa ukuthi ngabe kunenkinga yini endlebeni yakho yangaphakathi. Phakathi nalolu vivinyo:

• Uzohlala esihlalweni.
• Uzofaka ama-earphone.
• Amapayipi wezinzwa azonamathiselwa entanyeni yakho, ebunzini, nangaphansi kwamehlo akho. Lawa ma-pads azoqopha ukunyakaza kwakho kwemisipha.
• Ukuchofoza kanye / noma ukuqhuma kwamathoni kuzothunyelwa kuma-earphone akho.
• Ngenkathi umsindo udlala, uzocelwa ukuthi uphakamise ikhanda noma amehlo isikhathi esifushane.

I-Dix hallpike maneuver. Lokhu kuhlolwa kukala indlela iso lakho eliphendula ngayo ekunyakazeni okungazelelwe. Phakathi nalolu vivinyo:

• Umhlinzeki wakho uzokuhambisa masinyane kusuka ekuhlaleni phansi ukulala phansi kanye / noma ukuhambisa ikhanda lakho ezindaweni ezahlukahlukene.
• Umhlinzeki wakho uzohlola ukunyakaza kwamehlo akho ukubona ukuthi unengqondo engamanga yokunyakaza noma ukuphotha.

Uhlobo olusha lwalesi sivivinyo lubizwa nge- ukuhlolwa kwekhanda levidiyo (vHIT). Ngesikhathi sokuhlolwa kwe-vHIT, uzogqoka izibuko ezirekhoda ukunyakaza kwamehlo ngenkathi umhlinzeki ephendula ikhanda lakho ngobumnene ezindaweni ezahlukahlukene.

Ungase futhi uthole ukuhlolwa kokuzwa okukodwa noma okuningi, ngoba izinkinga eziningi zokulinganisela zihlobene nezinkinga zokuzwa.

Ngabe kuzodingeka ngenze noma yini ukulungiselela isivivinyo sebhalansi?

Kufanele ugqoke izingubo ezikhululekile. Ngokuya ngesivivinyo, kungadingeka ukuthi wenze izinguquko ekudleni kwakho noma uvikele imithi ethile usuku noma ezimbili ngaphambi kokuhlolwa kwakho. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwazisa uma ngabe kukhona imiyalelo ekhethekile ongayilandela.

Ingabe zikhona izingozi zokulinganisela izivivinyo?

Ukuhlolwa okuthile kungakwenza uzizwe unesiyezi noma unesicanucanu. Kodwa le mizwa ivame ukuphela phakathi nemizuzu embalwa. Ungahle ufune ukwenza amalungiselelo okuthi omunye umuntu akuhambise ngemoto aye ekhaya, uma kwenzeka isiyezi sihlala isikhathi eside.

Isho ukuthini imiphumela?

Uma imiphumela yakho ibingeyona eyejwayelekile, umhlinzeki wakho anga-oda ezinye izivivinyo kanye / noma akubeke kuhlelo lokwelashwa. Ngokuya ngesizathu senkinga yakho yokulinganisela, ukwelashwa kwakho kungafaka:

• Umuthi ukwelapha ukutheleleka.
• Umuthi ukusiza ukulawula isiyezi kanye nesicanucanu.
• Inqubo yokubeka isikhundla. Uma utholwe une-BPPV, umhlinzeki wakho angenza uchungechunge lokunyakaza okukhethekile kwekhanda nesifuba sakho. Lokhu kungasiza ukubeka kabusha izinhlayiya endlebeni yakho yangaphakathi eye yaphuma endaweni. Inqubo yaziwa nangokuthi i-Epley maneuver, noma ukubeka kabusha i-canalith.
• Ukulinganisela ukuqeqeshwa kabusha, eyaziwa nangokuthi ukuvuselelwa kwe-vestibular. Umhlinzeki ogxile ekuvuseleleni ibhalansi angakha uhlelo lokuzivocavoca nezinye izinyathelo zokuthuthukisa ibhalansi yakho nokuvimbela ukuwa. Lokhu kungafaka ukufunda ukusebenzisa induku noma i-walker.
• Izinguquko zokudla nezindlela zokuphila. Uma utholwe unesifo sikaMeniere noma i-migraine ikhanda, izinguquko ezithile zendlela yokuphila zinganciphisa izimpawu zakho. Lokhu kungabandakanya ukwandisa umsebenzi womzimba, ukugwema ukudla okuthile, nokuyeka ukubhema. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi yiziphi izinguquko ezingaba ngcono kuwe.
• Ukuhlinzwa. Uma imithi noma ezinye izindlela zokwelapha zingasebenzi, ungadinga ukuhlinzwa ukulungisa inkinga endlebeni yakho yangaphakathi. Uhlobo lokuhlinzwa luzoya ngesizathu esithile senkinga yokulinganisela kwakho.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Izinkomba

1. I-American Speech-Language-Hearing Association (ASHA) [i-Intanethi]. I-Rockville (MD): I-American Speech-Language-Hearing Association; c1997-2020. Ukuphazamiseka kohlelo lweBhalansi: Ukuhlola; [icashunwe ngo-2020 Jul 27]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.asha.org/PRPSpecificTopic.aspx?folderid=8589942134§ion=Assessment
2. I-Audiology nempilo Yokuzwa [i-Intanethi]. I-Goodlettsville (TN): I-Audiology ne-Hearing Health; c2019. Ukuhlolwa kwe-Balance Usebenzisa i-VNG (Videonystagmography); [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.audiologyandhearing.com/services/balance-testing-using-videonystagmography
3. IBarrow Neurological Institute [i-Intanethi]. IPhoenix: IBarrow Neurological Institute; c2019. Isikhungo saseMohammad Ali Parkinson: Ukuhlolwa Kwama-Balance; [kucashunwe ngo-2019 Ephreli 22]. [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.barrowneuro.org/specialty/balance-testing
4. I-Familydoctor.org [i-Inthanethi]. I-Leawood (KS): I-American Academy Yodokotela Bomndeni; c2019. I-Benign Paroxysmal Positional Vertigo (BPPV); [kubuyekezwe 2017 Jul 19; kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://familydoctor.org/condition/benign-paroxysmal-positional-vertigo
5. UJohn Hopkins Medicine [Inthanethi]. IBaltimore: IJohns Hopkins University; c2019. I-Vestibular Balance Disorder; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.hopkinsmedicine.org/health/conditions-and-diseases/vestibular-balance-disorder
6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. Izinkinga Zokulinganisela: Ukuxilongwa nokwelashwa; U-2018 Meyi 17 [ucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/balance-problems/diagnosis-treatment/drc-20350477
7. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. Izinkinga zebhalansi: Izimpawu nezimbangela; U-2018 Meyi 17 [ucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/balance-problems/symptoms-causes/syc-20350474
8. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. Isifo sikaMeniere: Ukuxilongwa nokwelashwa; I-2018 Dec 8 [icashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/menieres-disease/diagnosis-treatment/drc-20374916
9. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. Isifo sikaMeniere: Izimpawu nezimbangela; I-2018 Dec 8 [icashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/menieres-disease/symptoms-causes/syc-20374910
10. Isikhungo Sezindlebe saseMichigan [i-Intanethi]. Uchwepheshe Wezindlebe we-ENT; Ibhalansi, isiyezi kanye neVertigo; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-5]. Kutholakala kusuka: http://www.michiganear.com/ear-services-dizziness-balance-vertigo.html
11. Isikhungo Sikazwelonke Semininingwane Ye-Biotechnology [Internet]. I-Bethesda (MD): Isikhungo Sikazwelonke Semininingwane Ye-Biotechnology, Umtapo Wezincwadi Kazwelonke Wezokwelapha; I-InformedHealth.org: Usebenza kanjani umuzwa wethu wokulinganisela ?; 2010 Aug 19 [kubuyekezwe 2017 Sep 7; kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/books/NBK279394
12. Isikhungo Sikazwelonke Sokuguga [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Izinkinga Zokulinganisela Nezinkinga; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.nia.nih.gov/health/balance-problems-and-disorders
13. I-National Institute on Deafness and Other Communication Disorders [Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Izinkinga zebhalansi; 2017 Dec [kubuyekezwe ngo-2018 Mashi 6; kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.nidcd.nih.gov/health/balance-disorders
14. I-National Institute on Deafness and Other Communication Disorders [Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isifo sikaMeniere; 2010 Jul [kubuyekezwe 2017 Feb 13; kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.nidcd.nih.gov/health/menieres-disease
15. Isikhungo se-Neurology [Internet]. IWashington D.C. Isikhungo seNeurology; I-Videonystagmography (VNG); [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.neurologycenter.com/services/videonystagmography-vng
16. Isibhedlela Sezingane i-UCSF Benioff [Internet]. ISan Francisco (CA): Abaphathi beYunivesithi yaseCalifornia; c2002–2019. Ukukhuthazwa Kwekhalori; [kucashunwe ngo-2019 Ephreli 29]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.ucsfbenioffchildrens.org/tests/003429.html
17. I-UCSF Medical Center [i-Inthanethi]. ISan Francisco (CA): Abaphathi beYunivesithi yaseCalifornia; c2002–2019. Ukuhlolwa Kwesihlalo Esijikelezayo; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.ucsfhealth.org/education/rotary_chair_testing
18. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2019. Ukuphazamiseka okuhambisana neVertigo: Ukubuka konke; [kubuyekezwe 2019 Ephreli 22; kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/vertigo-associated-disorders
19. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. Ukuphazamiseka Kwibhalansi kanye Nomtholampilo Wesiyezi: Ukulinganisela Ukuhlolwa Kwelebhu; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.urmc.rochester.edu/balance-clinic/tests.aspx
20. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. I-Health Encyclopedia: I-Migraine Headaches; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=P00814
21. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. I-ENT- Otolaryngology: Ukuphazamiseka Kwesiyezi Nokulinganisela; [kubuyekezwe ngo-2011 Aug 8; kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/ear-nose-throat/dizziness-and-balance-disorders/11394
22. IVanderbilt University Medical Center [i-Intanethi]. INashville: Isikhungo Sezokwelapha saseVanderbilt University; c2019. Ibhalansi Yezinkinga Zebhalansi: Ukuhlola Ukuxilonga; [kucashunwe ngo-2019 Ephreli 22]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.vumc.org/balance-lab/diagnostic-testing
23. I-Weill Cornell Medicine: I-Otolaryngology Head and Neck Surgery [Inthanethi]. ENew York: Weill Cornell Medicine; Ukuhlolwa kwe-Electronystagmogrophy (ENG) kanye ne- & Videonystagmography (VNG); [icashunwe ngo-2020 Jul 27]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://ent.weill.cornell.edu/patients/clinical-specialties/conditions/electronystagmogrophy-eng-videonystagmography-vng-testing#:~:text=ElectroNystagmoGraphy%20(ENG)%20and%20VideoNystagmoGraphy%20 (, isitho% 20or% 20central% 20vestibular% 20system

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.