Benign posintha vertigo

Benign positional vertigo ndi mtundu wofala kwambiri wa vertigo. Vertigo ndikumverera kuti mukuzungulira kapena kuti chilichonse chikuzungulira. Zitha kuchitika mukamayendetsa mutu wanu pamalo enaake.

Benign positional vertigo amatchedwanso kuti benign paroxysmal positional vertigo (BPPV). Zimayambitsidwa ndi vuto m'khutu lamkati.

Khutu lamkati lili ndimachubu zodzaza ndimadzimadzi zotchedwa ngalande zozungulira mozungulira. Mukasuntha, madzimadzi amalowa mkati mwa machubu awa. Mitsinjeyo imakhudzidwa kwambiri ndi kayendedwe kalikonse kamadzimadzi. Kumva kwamadzimadzi omwe amayenda mu chubu amauza ubongo wanu momwe thupi lanu lilili. Izi zimakuthandizani kuti musamawonongeke.

BPPV imachitika pamene tinthu ting'onoting'ono ta calcium ngati mafupa (otchedwa canaliths) timamasuka ndikuyandama mkati mwa chubu. Izi zimatumiza uthenga wosokoneza kuubongo wanu wonena za momwe thupi lanu lilili.

BPPV ilibe chiopsezo chachikulu. Koma, chiopsezo chanu chokhala ndi BPPV chitha kuwonjezeka ngati muli:

• Achibale omwe ali ndi BPPV
• Anadwalapo mutu (ngakhale kugundana pang'ono kumutu)
• Anali ndi matenda am'makutu otchedwa labyrinthitis

Zizindikiro za BPPV zimaphatikizapo izi:

• Kumva ngati mukupota kapena kuyenda
• Kumva ngati dziko likukuzungulira
• Kutaya malire
• Nseru ndi kusanza
• Kutaya kwakumva
• Mavuto amawonedwe, monga kumva kuti zinthu zikudumpha kapena kuyenda

Kutengeka kokazungulira:

• Nthawi zambiri zimayambitsidwa ndikusuntha mutu wanu
• Nthawi zambiri zimayamba mwadzidzidzi
• Amakhala masekondi pang'ono mpaka mphindi

Maudindo ena amatha kuyambitsa kumverera kozungulira:

• Kugubuduzika pabedi
• Kupendeketsa mutu wanu kuti muyang'ane china chake

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za mbiri yanu yazachipatala.

Kuti mupeze BPPV, omwe amakupatsani akhoza kuchita mayeso otchedwa Dix-Hallpike maneuver.

• Wopereka wanu amakugwirani mutu mwanjira inayake. Kenako mumapemphedwa kuti mugone mwachangu pamwamba pa tebulo.
• Mukamachita izi, omwe amakupatsani amayang'ana mayendedwe achilendo (otchedwa nystagmus) ndikufunsani ngati mukumva ngati mukupota.

Ngati kuyesaku sikuwonetsa zotsatira zomveka, mutha kupemphedwa kuti mupange mayeso ena.

Mutha kukhala ndi mayeso am'magazi ndi amanjenje (neurological) kuti mupeze zina. Izi zingaphatikizepo:

• Electroencephalogram (EEG)
• Electronystagmography (ENG)
• Mutu wa CT
• Sinthani mutu wa MRI
• Kuyesedwa kwakumva
• Maginito omveka bwino pamutu
• Kutentha ndi kuziziritsa khutu lamkati ndi madzi kapena mpweya kuyesa kuyesa kwa maso (kukondoweza kwa caloric)

Wothandizira anu akhoza kuchita njira yotchedwa (Epley maneuver). Ndizosunthika zingapo zakumutu kuti mukhazikitsenso ma canaliths m'makutu anu amkati. Ndondomekoyi ingafunike kubwereza ngati zizindikiro zibwereranso, koma mankhwalawa amathandiza kwambiri kuchiza BPPV.

Wothandizira anu akhoza kukuphunzitsani zina zomwe mungachite kunyumba, koma zimatha kutenga nthawi yayitali kuposa momwe Epley amayendetsera kuti mugwire. Zochita zina, monga chithandizo chamagetsi, zitha kuthandiza anthu ena.

Mankhwala ena amatha kuthana ndi kutengeka:

• Antihistamines
• Wotsutsa
• Zododometsa

Koma, mankhwalawa nthawi zambiri samagwira bwino ntchito pochizira ma vertigo.

Tsatirani malangizo amomwe mungadzisamalire nokha kunyumba. Kuti matenda anu asakule kwambiri, pewani malo omwe amayamba.

BPPV siyabwino, koma imatha kuthandizidwa ndimayendedwe a Epley. Itha kubwereranso popanda chenjezo.

Anthu omwe ali ndi vertigo yoopsa amatha kutaya madzi chifukwa chosanza pafupipafupi.

Itanani omwe akukuthandizani ngati:

• Mumakhala ndi vertigo.
• Chithandizo cha vertigo sichigwira ntchito.

Pezani thandizo lachipatala nthawi yomweyo ngati muli ndi zizindikiro monga:

• Kufooka
• Mawu osalankhula
• Mavuto masomphenya

Izi zikhoza kukhala zizindikiro za vuto lalikulu.

Pewani maudindo am'mutu omwe amayambitsa mawonekedwe amtsogolo.

Vertigo - udindo; Benign paroxysmal positi vertigo; BPPV; Chizungulire - udindo

Baloh RW, Jen JC. Kumva ndi kufanana. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 400.

Bhattacharyya N, Gubbels SP, Schwartz SR, neri Al; American Academy of Otolaryngology-Mutu ndi Neck Opaleshoni Foundation. Chitsogozo chazachipatala: benign paroxysmal positional vertigo (zosintha). Otolaryngol Mutu Wam'mutu. 2017; 156 (3_Suppl): S1-S47. PMID: 28248609 www.ncbi.nlm.nih.gov/pubmed/28248609. (Adasankhidwa)

Crane BT, Wamng'ono LB. Matenda ozungulira a vestibular. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 165.