Epley Maneuver Kuti Achite Zisonyezo za Vertigo

Mmene Epley akuyendetsera ndi mankhwala omwe amachititsidwa ndi matenda omwe amatchedwa BPPV (Benign Paroxysmal Positional Vertigo). BPPV imaganiza kuti imayambitsidwa ndi calcium deposits mkati mwa khutu lamkati, lomwe limadziwika ngati otoconia. Otoconia nthawi zambiri amakhala m'magulu awiri a khutu - makina ndi chikwama - koma akamalowa mozungulira gawo la mkati mwa khutu limatchedwa mayendedwe omwe amatha kuyambitsa zitsulo .

BPPV nthawi zambiri imapezeka mu khutu limodzi panthawi imodzi osati palimodzi.

Kuwongola kwa Epley ndizochita masewero olimbitsa thupi la otoconia mkati mwa khutu lamkati ndi kuwafikitsa ku mbali yosiyana ya khutu kumene iwo sangakhale nawo ochepa. Ndondomekoyi imatchulidwanso kuti "repositioning", njira yowonetsera kayendedwe ka kayendedwe kake kapena kusintha kosinthika. Zochitazo zimakhala ndi maudindo anayi osiyanasiyana omwe amachitikira kwa masekondi pafupifupi 30. Njirayi iyenera kuchitidwa ku ofesi ya dokotala ndi dokotala wodziwika bwino, wodziwa bwino ntchito. Zimatengera pafupifupi mphindi khumi kuti mutsirize.

Musanayambe Kukhala ndi Zopatsa Zambiri

Pali zinthu zingapo zomwe muyenera kumuuza dokotala musanayese kuyendetsa bwino kuti muteteze vuto lililonse. Uzani dokotala wanu ngati mwapezapo zotsatirazi:

• Tsitsi kapena mavuto obwerera
• Kuthamanga kwa magazi
• Mbiri ya retina yosungidwa

Dokotala wanu angakupatseni malangizo enieni pa zomwe mungachite ndi zomwe musachite musanagwire.

Kawirikawiri, muyenera:

• lekani kudya maola anayi musanakonzekere.
• valani bwino.
• Tengani mankhwala alionse omwe amalepheretsa kusuta kapena zozizwitsa , monga Phenergan kapena Antivert, musanagwire ntchitoyi.

Zimene muyenera kuyembekezera

Inde, simungadziwe kwenikweni zomwe muyenera kuyembekezera, koma kumvetsetsa mfundo yaikulu ya ndondomekoyi kungathandize kuti maganizo anu akhale omasuka.

Pamene mwakhalapo dokotalayo adzasunthira mutu wanu pafupifupi madigiri 45 mu njira ya khutu lakukhudzidwa. Mudzasinthidwa kumbuyo kotero kuti mukusunga malo a digiri 45 ndikutsamira kumbuyo.

Dokotala adzapitiriza kukugwirani mutu. Nthawi zambiri amapezeka pamalo amenewa, kotero mungathe kugwiritsitsa manja anu a dokotala kuti akuthandizeni. Dokotala adzakulowetsani malowa mpaka mphutsi yaima.

Pambuyo pake, dokotala wanu atembenuzira mutu wanu pafupifupi madigiri 90 mu njira ya khutu losakhudzidwa ndikukutsani inu kumbali iyi. Inu tsopano muziyang'ana pansi. Mwinanso mungapezepo zowonjezereka pamtundu uwu ndipo mutha kukhalabe muyesoyi mpaka mutasiya. Kenaka adokotala adzakuthandizani kuti mukhalenso pansi ndipo mumakweza mutu wanu pansi madigiri 30.

Pambuyo pa Epley Maneuver

Mutatha kusonkhanitsa, mumayenera kugwiritsa ntchito khola lachiberekero lofewa kuti mukhale ndi malo abwino. Dokotala wanu akuyenera kukupatsani malangizo a zomwe mungachite mutatha. Malangizo awa ayenera kupambana malangizo omwe aperekedwa m'nkhani ino, koma mukhoza kuyembekezera kuti akuphunzitseni:

• Dikirani mphindi 10 musanapite ku ofesi ya dokotala.

• khalani ndi munthu wina akuthamangitsani kwanu.
• kugona kumadutsa pa digiri 45 digiri kwa mausiku awiri otsatira.
• peŵani zochitika zonse zomwe zimaphatikizapo kuyendetsa mutu.
• Kugona kumapitirira pa miyendo iwiri ndikupewa kugona pa khutu kapena kumbali yomwe imakhudzidwa kwa sabata imodzi.
• khalani wolunjika momwe mungathere sabata limodzi.

Kuyenda kwa Epley kumakhala ndi mwayi wokhala ndi mwayi wopanga zizindikiro za BPPV ndi 65 kapena 95 ndipo ndipamwamba kuposa njira za placebo. Komabe, odwala ena ayenera kuyendetsedwa kangapo asanapeze chithandizo kapena kufufuza njira zina zothandizira.

_Zotsatira:

_{Chilankhulo cha American-Language-Hearing Association. Kukonzekera kwa Madzi.}