Benign positional vertigo

Benign positional vertigo ndiyo mhando yakajairika ye vertigo. Vertigo iko kunzwa kwekuti urikutenderera kana kuti zvese zviri kutenderera zvakakukomberedza. Zvinogona kuitika kana iwe uchifambisa musoro wako mune imwe nzvimbo.

Benign positional vertigo inonziwo benign paroxysmal positional vertigo (BPPV). Inokonzerwa nedambudziko munzeve yemukati.

Nzeve yemukati ine machubhu akazadzwa nehunyoro anonzi semicircular migero. Paunofamba, chinoyerera chinofamba mukati memachubhu aya. Iyo migero inonetseka zvakanyanya kune chero kufamba kwemvura. Kunzwa kwemvura inoyerera mutabhu kunotaurira uropi hwako mamiriro emuviri wako. Izvi zvinobatsira kuti uchengetedze muyero wako.

BPPV inoitika kana zvidimbu zvidiki zvefupa-senge calcium (inonzi canaliths) inotsemuka yakasununguka uye ichiyangarara mukati mechubhu. Izvi zvinotumira mameseji anovhiringidza kuuropi hwako nezve chinzvimbo chemuviri wako.

BPPV haina njodzi huru. Asi, njodzi yako yekuvandudza BPPV inogona kuwedzera kana iwe uine:

• Nhengo dzemhuri neBPPV
• Aive nekukuvara kwepakutanga (kunyangwe bump shoma kumusoro)
• Aive nechirwere chemukati chezeve chinonzi labyrinthitis

BPPV zviratidzo zvinosanganisira chero cheanotevera:

• Kunzwa kunge urikutenderera kana kufamba
• Kunzwa kunge nyika iri kutenderera pauri
• Kurasikirwa kwekuenzanisa
• Kusvotwa uye kurutsa
• Kunzwa kurasikirwa
• Matambudziko ekuona, senge kunzwa kuti zvinhu zviri kusvetuka kana kufamba

Iko kutenderera kwekunzwa:

• Inowanzo kukonzerwa nekufambisa musoro wako
• Kazhinji inotanga kamwe kamwe
• Inotora masekondi mashoma kusvika maminetsi

Zvimwe zvinzvimbo zvinogona kukonzeresa kutenderera kwekunzwa:

• Kuumburuka pamubhedha
• Kutenderedza musoro wako kutarisa pane chimwe chinhu

Anokuchengetedza hutano achaita bvunzo dzepanyama uye obvunza nezve nhoroondo yako yekurapa.

Kuti uongorore BPPV, mupi wako anogona kuita bvunzo inonzi iyo Dix-Hallpike maneuver.

• Mupiki wako anobata musoro wako mune imwe nzvimbo. Ipapo iwe unobvunzwa kurara nekukurumidza uchidzokera pamusoro petafura.
• Sezvaunoita izvi, mupi wako anotarisa zvisina kujairika kufamba kweziso (inonzi nystagmus) uye wobvunza kana iwe uchinzwa kunge urikutenderera.

Kana bvunzo iyi ikasaratidza mhedzisiro yakajeka, unogona kukumbirwa kuti uite mimwe miedzo.

Iwe unogona kunge uine huropi uye huta system (neurological) bvunzo kutonga zvimwe zvikonzero. Izvi zvinogona kusanganisira:

• Electroencephalogram (EEG)
• Electronystagmography (ENG)
• Musoro CT scan
• Musoro MRI scan
• Kunzwa bvunzo
• Magnetic resonance angiography yemusoro
• Kudziisa uye kutonhora nzeve yemukati nemvura kana mweya kuyedza kufamba kwemaziso (caloric kukurudzira)

Wako mupi anogona kuita maitiro anonzi (Epley maneuver). Iwo akateedzana emusoro mafambiro ekumisazve ma canaliths munzeve yako yemukati. Maitiro acho angangoda kudzokororwa kana zviratidzo zvadzoka, asi kurapwa uku kunoshanda zvakanyanya kurapa BPPV.

Wako mupi anogona kukudzidzisa imwe repositioning zviitwa zvaunogona kuita kumba, asi zvinogona kutora nguva yakareba kupfuura iyo Epley maneuver yekushanda. Kumwe kurovedza muviri, kwakadai sekuyera kurapa, kunogona kubatsira vamwe vanhu.

Mimwe mishonga inogona kubatsira kudzikamisa kutenderera kwekunzwa.

• Antihistamines
• Anticholinergics
• Sedative-hypnotics

Asi, iyi mishonga kazhinji haishande zvakanaka pakurapa vertigo.

Tevedza rairo yekuti ungazvichengete sei kumba. Kuti uchengetedze zviratidzo zvako kubva pakuwedzera, dzivisa zvinzvimbo zvinotangisa.

BPPV haina kugadzikana, asi inogona kurapwa pamwe neiyo Epley maneuver. Inogona kudzoka zvakare pasina yambiro.

Vanhu vane vertigo yakaoma vanogona kupera mvura nekuda kwekurutsa kazhinji.

Fonera mupiki wako kana:

• Iwe unovandudza vertigo.
• Kurapa kwe vertigo hakushandi.

Tora rubatsiro rwechiremba ipapo ipapo kana iwe zvakare uine zviratidzo zvakadai se:

• Kushaya simba
• Kutaura kwakadzikira
• Matambudziko ekuona

Izvi zvinogona kuve zviratidzo zveakanyanya mamiriro.

Dzivisa misoro yemusoro inokonzeresa positi vertigo.

Vertigo - mamiriro; Benign paroxysmal positional vertigo; BPPV; Dzungu - positional

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Bhattacharyya N, Gubbels SP, Schwartz SR, et al; American Academy yeOtolaryngology-Musoro uye Neck Kuvhiya Foundation. Kliniki yekudzidzira nhungamiro: benign paroxysmal positional vertigo (kugadzirisa). Otolaryngol Musoro Neck Kuvhiya. 2017; 156 (3_Suppl): S1-S47. PMID: 28248609 www.ncbi.nlm.nih.gov/pubmed/28248609.

Crane BT, Mudiki LB. Peripheral vestibular kusagadzikana. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 165.