Iyo Epley mufambisi inorapwa kune imwe nzira ye vertigo inokonzerwa nechirwere chinonzi BPPV (Benign Paroxysmal Positional Vertigo). BPPV inofungidzirwa kuti inokonzerwa ne calcium deposits mukati mezeve yomukati, inozivikanwa semishonga seytoconia. Otoconia inowanzogara muzvikamu zviviri zvezeve - utricle uye chikwata - asi kana pavanenge vachiita nenzira dzisina kukodzera mukati memucheto wekunze kwemukati kunonzi semicircular canals vanogona kukonzera vertigo .
BPPV inowanzoitika munzeve imwe panguva imwe uye isiri pamwe chete.
Iyo Epley mufambiro ishanduro inotarisirwa kuisazve otoconia mukati memuteere yomukati uye kuitora iwo mune imwe chikamu chetsive apo pavanenge vasisina mikana yekukonzera zviratidzo. Nzira yacho inonziwo inonzi repositioning, canalith repositioning chirongwa kana shanduko yekushandura. Basa racho rinosanganisira maitiro mana akasiyana-siyana ayo akachengetwa kwemaminitsi makumi matatu nerimwe. Izvi zvinofanirwa kuitwa muhofisi yechiremba nechiremba anozivikanwa, ane ruzivo. Zvinotora maminitsi gumi nemashanu kuti apedzise.
Usati Wakava neEpley Maneuver
Pane zvinhu zvishomanana unofanira kutaurira chiremba wako usati waedza Epley kufamba kuitira kuti udzivise chero matambudziko. Udza chiremba wako kana iwe wakamboona chimwe cheizvi:
- Neck kana kumashure kumashure
- High blood pressure
- Nhoroondo ye retina yakavharwa
Chiremba wako angangokupa mirayiridzo chaiyo yezvaunofanira kuita uye zvausingafaniri kuita usati wasarudzwa.
Kazhinji, zvakadaro, iwe unofanira:
- rega kudya mana maawa asati agadzwa.
- kupfeka zvakanaka.
- kutora chero chero ipi zvayo yakarongerwa mishonga inodzivisa kushungurudza kana zviratidzo zvechirwere , zvakadai sePhenergan kana Antivert, musati wasarudzwa.
Zvaunotarisira
Zvechokwadi, iwe haugone kunyatsoziva zvaunotarisira, asi kunzwisisa chinangwa chemuitiro kunobatsira kuisa pfungwa yako nyore nyore.
Paunogara iwe chiremba achafambisa musoro wako anenge madhigirii makumi mashanu mukutungamirirwa kwekunzwa nzeve. Iwe uchanetseka kumashure kuitira kuti iwe uri kuchengetedza nzvimbo ye-45-degree uye uchinamatira kumashure horizontally.
Chiremba acharamba achibata musoro wako. Kakawanda vertigo kazhinji kunowanikwa munzvimbo iyi, saka iwe unogona kubata kune zvigaro zvechiremba kuti uwane rubatsiro. Chiremba achakuchengeta munzvimbo iyi kusvikira vertigo isamira.
Mushure mokunge vertigo ikamira, chiremba wako achashandura musoro wako anenge 90 degrees mukutungamira nzeve isina hanya uye ozokusvitsa kune rumwe rutivi. Iwe zvino uchatarisa pasi. Iwe unogona kuve nerutivi rwepamusoro parizvino uye ucharamba uri munzvimbo iyi kusvikira yarega. Ipapo chiremba achakubatsira zvakare kuti ugare munzvimbo yakagadzikana uye unowedzera musoro wako pasi 30 degrees.
Mushure meEpley Maneuver
Mushure mokugadzwa kwako, iwe wakaita kuti ushandise shangu yekervical collar kuti uchengete zvakakodzera musoro. Chiremba wako anofanira kukupa mirayiridzo yezvinofanira kuita mushure mekuita. Iyi mirayiridzo inofanira kukunda mazano anopiwa munyaya ino, asi unogona kutarisira kuudzwa kuti:
- kumirira kwemaminitsi 10 musati maenda kuhofisi yechiremba.
- Ita kuti mumwe munhu akutakure kumba kwako.
- kurara kunowedzera pa 45-degree angle kwemausiku maviri anotevera.
- kudzivisa chero rupiro rwekuita muviri kunosanganisira kutungamira musoro.
- kurara kunoputika pamisasa miviri uye kunonoka kurara panzeve dzakagadzikana kana rutivi kwevhiki imwechete.
- gara wakarurama sezvinobvira kwevhiki imwechete.
Iyo Epley mufambisi inenge inenge 65 kusvika ku95 muzana yemukana wekuvandudza zviratidzo zveBPPV uye yakakwirira pane placebo kufamba. Zvisinei, vamwe varwere vangave vachifanira kutora nzira dzakawanda vasati vawana rubatsiro kana kuongorora dzimwe nzira dzokurapa.
Sources:
American Speech-Mutauro-Kunzwa Sangano. Vestibular Rehabilitation.