Benign Paroxysmal Positional Vertigo
BPPV ndi chidule cha mankhwala cha Benign Paroxysmal Positional Vertigo. Ndiwo mawonekedwe a vertigo omwe amaganiza kuti amachititsidwa ndi calcium deposits mkati mwa khutu lamkati. Mawu azachipatala awa awa ndi otoconia. Otoconia nthawi zambiri amakhala m'magulu awiri a khutu amatchulidwa ndipo amatha kutuluka mumalo amkati mwa makutu amkati omwe amatha kuyambitsa mitsempha.
BPPV nthawi zambiri imapezeka mu khutu limodzi panthawi imodzi osati palimodzi.
Zimayambitsa
Kuvulala kwa chiwalochi kungayambitse BPPV kuphatikizapo kupwetekedwa kwa mutu, matenda monga chifuwa chachikulu , kapena kutayika kwa nthawi. Ikhoza kuyambanso chifukwa cha matenda osokonezeka a khutu lamkati. Nthaŵi zina BPPV imagwirizanitsidwa ndi mbiri ya mikwingwirima kapena matenda a Meneire .
Zizindikiro
Zizindikiro za BPPV nthawi zina zimatha kuchepa kapena kumapita patatha miyezi isanu ndi umodzi. Zizindikiro za BPPV zimawoneka ndi kusintha kwa malo anu monga kuimirira pakagona kapena kugona. Zingakhale zosiyana pakati pa anthu koma zizindikiro zofala zimaphatikizapo:
- chizungulire
- kukhala wotsogola kapena kutuluka
- Kusayenerera komwe kungapangitse kuyenda kovuta
- kunyoza
- mutu
Kudziwa
BPPV imapezedwa pogwiritsa ntchito mayesero a zachipatala kuphatikizapo mbiri ya odwala komanso kuunika kwa thupi. BPPV kawirikawiri imatsagana ndi nystagmus, "kugwedezeka" kowoneka bwino komwe nthawi zina kumawoneka ndi woonera kapena pogwiritsa ntchito mayeso otchedwa electronystagmography (ENG).
MRI ingachitidwe pofuna kuthetsa mavuto ena omwe angaganizidwe kuphatikizapo stroke kapena chotupa.
Chithandizo
Mankhwala osokoneza bongo monga mankhwala osokoneza bongo kapena mankhwala omwe amagwiritsidwa ntchito poyendetsa matenda angakhale othandizira kuchiza khunyu kamene kakugwirizana ndi BPPV. Apo ayi mankhwala samapindulitsa kwambiri pochiza matendawa.
BPPV imatha kuchiritsidwa pogwiritsa ntchito machitidwe a Brandt-Daroff ndi mankhwala awiri otchedwa Euey and Semont Manueuvers.
The Epley Maneuver
Epley Maneuver ayenera kutsogoleredwa ndi dokotala woyenera pa ofesi ya dokotala. Zimatengera pafupifupi mphindi khumi kuti zitsirize ndipo zimakhala ngati njira yopezera otoconia (calcium deposits) kukhala mbali yosiyana ya khutu kumene sichidzawonekere. Epley Maneuver angathenso kutchedwa kuti repositioning, mayalith repositioning ndondomeko kapena kusintha kosinthika. Zochitazo zimakhala ndi maudindo anayi osiyanasiyana omwe amasungidwa kwa masekondi 30 aliyense. Chenjezo liyenera kutengedwa ngati kuyesa kuchita njirayi kunyumba .
The Semont Maneuver
Panthawi ya Semont akutsogolera dokotala adzakopera mutu wanu mosiyana ndi momwe mukukhalira. Pomalizira pake adzakupukuta mutu ndikuyamba kukuthandizani mpaka mutagona pa khutu losakhudzidwa ndi mphuno yanu. Mudzakhalabe mu malo awa kwa mphindi zitatu. Ndiye adokotala amakuthandizani pang'onopang'ono kumalo okhalapo.
Panopa pafupifupi 80 peresenti mwayi wa Epley ndi Semont umayendetsa ntchito ndipo mwayi kuti zizindikiro za BPPV zidzakhalanso.
Dokotala wanu angakupatseni malangizo a masewera olimbitsa thupi kapena maudindo omwe muyenera kupewa pambuyo pochita izi.
Brandt-Daroff Zochita
Mankhwala a Brandt-Daroff angapangidwe kunyumba potsatira malangizo a dokotala. Kawirikawiri amakhala osungirako anthu omwe Amunthu a Epley kapena Semont alibe ntchito. Zochitazo ndizovuta kwambiri kuti ziyenera kutsogozedwa mu seti 3 pa tsiku kwa masabata awiri. Mankhwala a Brandt-Daroff amapambana pafupifupi 95 peresenti ya milandu ya BPPV.
Kuchiza Opaleshoni
Chithandizo chopangira opaleshoni cha BPPV kawirikawiri chimalangizidwa pokhapokha mankhwalawa atathawa ndipo zizindikiro zakhala zikupitirira chaka chimodzi kapena kuposerapo.
Kuchita opaleshoni kumaphatikizapo kutsegula chingwe cham'mbuyo. Kuopsa kwa opaleshoniyi kumaphatikizapo kutaya kwakumva kuwonjezera pa ngozi za anesthesia. Ambiri pa anthu 100 alionse omwe ali ndi BPPV akhala akuchita izi.
Ngakhale BPPV ikhoza kukhala yovuta kupirira ndipo iyenera kuti muzisintha moyo wanu wa tsiku ndi tsiku odwala ambiri amachiritsidwa bwino.
Chitsime:
Zalewski, Chris MA, CCC-A. Kodi Benign Paroxysmal Positional Vertigo (BPPV) ndi chiyani ?. ASHA 2011