Benign Paroxysmal Positional Vertigo
BPPV inotsanangurwa nezvechiremba yeBenign Paroxysmal Positional Vertigo. Icho chimiro che vertigo iyo inofungidzirwa kuti inokonzerwa ne calcium deposits mukati memuteve yomukati. Izwi rezvokurapa rezvipimo izvi iotoconia. Otoconia inowanzogara mumativi maviri enzeve iyo inonzi utricle uye inogura asi apo inowanzoita nzira yavo muchikamu chendangariro yemukati inonzi semicircular canals inogona kukonzera vertigo.
BPPV inowanzoitika munzeve imwe panguva imwe uye isiri pamwe chete.
Zvinokonzera
Kukuvara kumutori kunogona kukonzera BPPV kusanganisira kushungurudzika musoro, utachiona hwakafanana ne vestibular neuritis , kana kuparara kwematricle munguva. Inogonawo kukonzerwa nehutano hwepabonde rwekunze kwenzeve. Dzimwe nguva BPPV yakabatanidzwa nenhoroondo yemavaro maduku kana chirwere cheMeneire .
Zviratidzo
Zviratidzo zveBPPV dzimwe nguva zvishoma nezvishoma zvishoma nezvishoma kana kuenda pashure pemwedzi mitanhatu. Zviratidzo zveBPPV zvinoonekwa nekuchinja munzvimbo yako sekumire kubva pakarara kana kutendeuka mubhedha. Zvinogona kusiyana zvishoma pakati pevanhu asi zviratidzo zvinowanzosanganisira:
- chizoro
- kuva chiedza kutungamirirwa kana kubuda kunze
- kusawirirana kunogona kuita kuti kufamba zvakaoma
- nausea
- headache
Kuziva
BPPV inowanikwa ichishandisa kusanganiswa kweongororo dzezvokurapa kusanganisira nhoroondo yevarwere uye kuongorora kwepanyama. BPPV inowanzosangana ne nystagmus, "kusvetuka" kwemashoko emeso ayo dzimwe nguva inogona kuonekwa nemunhu anotarisa kana kushandisa soro inonzi electronystagmography (ENG).
MRI inogona kuitwa kuitira kutonga zvimwe zvinetso zvinogona kufungwa nezvimwe zvinosanganisira chironda kana tumarara.
Kurapa
Mishonga yekurwisa mutsara yakadai seoddsetron kana mishonga inoshandiswa kurwara kunofambisa inogona kubatsira mukurapa kushungurudza kunobatanidza neBPPV. Kana zvisina kudaro mishonga haifaniri kubatsira zvikuru mukurapa chirwere.
BPPV inogona kurapwa uchishandisa Brandt-Daroff maitiro uye mishonga mbiri dzinonzi Epley and Semont Manueuvers.
The Epley Maneuver
IEpley Maneuver inofanirwa kunge ichishandurwa nechiremba anokwanisa mune hofisi yechiremba. Zvinotora anenge maminitsi gumi nemashanu kuti apedze uye inofanirwa senzira yekuwana iyo otoconia (calcium inopa) mune imwe chikamu chetsive apo inenge isingakwanisi kukonzera zviratidzo. Iyo Epley Maneuver inogonawo kunzi "particle repositioning", kanalist repositioning procedure kana kuti kushandurwa kushandiswa kusununguka. Icho chiito chinosanganisira zvitsva zvakasiyana zvakasiyana zvese izvo zvinochengeterwa kwemaminitsi makumi matatu ega ega. Kuchenjerera kunofanira kutorwa kana uchiedza kuita iyi nzira kumba .
The Semont Maneuver
Munguva yeSamont inofambisa chiremba achaita kuti musoro wako uite nenzira dzakasiyana apo iwe uri pachigaro. Pakupedzisira achaputira musoro wako uye zvishoma nezvishoma anobatsira kusvikira iwe uchinge wakarara pasi nenzeve isina hanya nemhino yako yakarondedzerwa. Iwe uchagara munzvimbo iyi kwemaminitsi matatu. Zvadaro chiremba achakubatsira zvishoma nezvishoma kuti ugare panzvimbo yakagara.
Pane inenge 80 muzana yemukana weEpley naShemont inoshandisa kushanda uye mukana wekuti zviratidzo zveBPPV zvichadzoka zvakare.
Chiremba wako angakupa murayiridzo wekurovedza muviri kana nzvimbo dzaunofanira kudzivisa mushure mekugadzirisa izvi.
Brandt-Daroff Exercises
Brandt-Daroff Kurovedza muviri kunogona kunge kwakagadziriswa pamba mushure mokurayirirwa nechiremba. Zvinowanzochengeterwa vanhu umo maEaney or Semont Maneuvers asina kubudirira. Zvidzidzo zvinowedzera zvakasimba pakuti dzinofanirwa kunge dzakagadziriswa mumasero matatu pazuva kwevhiki mbiri. Brandt-Daroff Maitiro anobudirira mune anenge 95 muzana emhosva dzeBPPV.
Kurapa Kwokuvhiya
Kurapwa kweBPPV kunowanzotaurirwa chete mushure mokunge marapirwo ari pamusoro apa akundikana uye zviratidzo zvakaramba zvakadaro kwegore rimwe kana kupfuura.
Kuvhiyiwa kunosanganisira kusunungura mushure mutsva. Ngozi dzekuvhiya dzinosanganisira kurasikirwa kwekunzwa mukuwedzera kune ngozi dzese anesthesia. Iga 1 muzana yevarwere vane BPPV vakamboita izvi.
Kunyange zvazvo BPPV inogona kuva yakaoma kurarama nayo uye inoda kuti iwe uchinje mararamiro ako ezuva nezuva varwere vazhinji vanorapwa zvakabudirira.
Kunobva:
Zalewski, Chris MA, CCC-A. Chii chinonzi Benign Paroxysmal Positional Vertigo (BPPV) ?. ASHA 2011