Benign inzululwane positional (DPPG)

Ngamunye wethu kukho konke ukuphila kwakhe okungenani kanye, kodwa kwaba isiyezi. Kungenzeka ngenxa yezizathu ezihlukahlukene, kungaba kusukela ukukhathala evamile noma ngesikhathi sokukhulelwa, isibonelo.

Izinhlobonhlobo lesi sifo kungaba okuningi, kanye izimbangela zalesi simo. Omunye wabo - a inzululwane ingozi positional. Abantu abaningi abakaze bezwe kokutshelwa ngokukhubazeka kwengane, kodwa ingabe akukhona bazivikele ukuvela kwalesi egunjini lokuhlolwa kwezifo. Ake sibone ukuthi yini inhlobo yesifo, kuba sethusa futhi kungenzeka okubhekana naso.

Nature lesi sifo

Benign paroxysmal inzululwane positional (DPPG) - ingenye izinhlobo zalesi sifo, kungabonakala nasemkhakheni ngokushintsha yokuma esifubeni noma ekhanda emkhathini. Kukholakala ukuthi isizathu kuyinto otolith indlebe ukucasuka achithayo ngonyaka ngaphakathi yalo ngaphambi umsele sokuzwa. Kukhona ezinye izici zangaphandle ezibanga ukwenqaba otoliths ezindongeni, baqala ukuthuthela ngokukhululekile, thinta receptor futhi abangele isiyezi ezinzima. Lokhu kuholela disorientation, isimo esidinga ukwelashwa.

Igama elithi "ingozi" egameni lesi sifo busikisela ukuthi leli zokugula asisebenzi iziyaluyalu sina isimiso sezinzwa.

Yiziphi izizathu sifo eba?

Ngokusho odokotela, ukuthuthukiswa kwalesi sifo kungabangela ukunqwabelana kwe-calcium ezingaphakathi endlebeni. Statolith agqashule ekusebenzelaneni ulwelwesi otolith bese ukuhambisa ngokukhululekile ngesikhathi ukunyakaza komzimba noma ikhanda, kanjalo okubangela isiyezi.

Kaningi kukhona ezimweni lapho zokugula siqala ukuvela lapho osteochondrosis wesibeletho. Kodwa ezimweni eziningi, uma une engqondweni ingozi positional inzululwane, izizathu kunzima ukunquma. Ochwepheshe kulesi sigaba zifaka i-izici ezilandelayo:

1. Shona ukulimala.
2. imisebenzi Steel azenziwanga kahle.
3. nesifo i-Meniere sika.
4. Kwangathi avuse isiyezi nemithi ethile elwa namagciwane, njengokuthi "gentamicin."
5. Ukuba khona ukuvuvukala endlebeni emiseleni.
6. migraines njalo libangelwa spasm semithambo, edabula Maze.
7. Ezinye isikhundla ngisho eside elimisiwe ikhanda kungadala isiyezi.
8. ushintsho olumayelana nohlelo ubudala kungabuye isibaluli izizathu.

Ngokuvamile eqoshiwe ingozi inzululwane positional besifazane abaneminyaka engama-50. Izingane esemncane pathology cishe ingekho.

symptomatology lesi sifo

Pathology kungaba ukuzibonakalisa ngezindlela ezahlukene, kodwa ngokuvamile kakhulu ingozi positional izimpawu inzululwane zimi kanje:

1. ukuhlaselwa ngokuvamile iqala ukuthuthukiswa yayo ngesikhathi isikhundla ethile yomzimba noma ikhanda.
2. Lokhu kwenzeka uma entanyeni uzimisele noma ukuphendulela ikhanda.
3. isikhathi isimo ingeqi amasekhondi angu-30.
4. Iziguli ngokuvamile ngokunemba high ongamtshela ukuthi iluphi uhlangothi ayegubha kuhlasela.
5. Ngokuvamile ephelezelwa isicanucanu, isiyezi.
6. Ukuhlaselwa kungaba kokubili abangashadile futhi liphindwe izikhathi eziningana ngosuku.
7. isiyezi akubonakali ngaphandle ingqondo ukunyakaza.

Kufanele kuqashelwe ukuthi kulesi simo akukho bekhanda, ubuhlungu ukuhlokoma ezindlebeni noma ubuthulu.

zinhlobo isifo

Njengoba sazi ukuthi inqubo isifo singenzeka kunoma noma indlebe, olusesandleni sokunene futhi sobunxele ukuhlukanisa isiyezi. isifo indlela kungase futhi kube ezahlukene, ngakho kukhona izinhlobo ezilandelayo ke:

• Kupulolitiaz. Kulesi uhlobo receptor otolith obulimaza endlebeni njalo mkhulu futhi awashintsheki komunye udonga isiteshi.
• Kanalolitiaz - otoliths sebehamba ngokukhululeka besuka ezweni futhi ukuhamba akuphumelelanga ikhanda kuvuse kuhlasela.

Uma kutholakala ukuthi uphethwe yini ingozi inzululwane positional, impatho kuzoncika ukuma kanye nobungako ukubonakaliswa isifo.

zokugula ukuhlola

Uma njalo bakhathazeka inzululwane ongaziwa ukuthi awukwazi ukuchaza izizathu, kufanele ubone onguchwepheshe. Udokotela uzokubuza zonke izimpawu, lapho kuwukubonakaliswa waqala.

On the ingxenye nesineke liyadingeka ukuze sicacise ukuthi kuphakamisa ukuhlaselwa futhi isikhathi esingakanani eside. Udokotela ngeke ahlole, futhi ehlanganisa izindlela ezihlukahlukene zokuhlola:

• YeSampuli Dix-Hallpike. Iziguli ucelwa ukushintsha isikhundla ikhanda futhi umzimba, futhi lo dokotela ubukele asabela ngayo.
• Kwezinye ukungabaza olwenziwa i-MRI.
• tomography ngekhompyutha yomgogodla wesibeletho.

Udokotela wakho lingabhekisela for ezingxoxo Otolaryngologist, udokotela wezinzwa futhi vestibulologu.

izimiso yokwelapha

Uma kukhona paroxysmal ingozi positional inzululwane, ukwelashwa kungadingeka esimweni ngasinye. Ngokuvamile kokuhlasela ngokwabo futhi ushiye umuntu ongcono ukungabaphazamisi kuye. Kodwa kuyiqiniso futhi akunangqondo kanjani ukwethemba, ngoba ubuya nge amandla angaphezulu nakakhulu futhi ukuphindaphinda imvamisa.

Esimweni yokwelapha ezinjalo akunakugwenywa, kubalulekile ukuya kudokotela. Ochwepheshe esetshenziswa ekwelashweni ezindaweni eziningana, njenge:

1. Izidakamizwa-free ukwelashwa.
2. ukwelashwa.
3. Surgery.

Lo mbuzo esimweni ngasinye isinqunyiwe ngamunye.

Izindlela ukwelashwa ngaphandle imithi

Ungazama ukubhekana nalesi sifo futhi ngaphandle izidakamizwa. Kukhona reception enhle Epley, okuyinto yini eyenze ushintsho lwekhanda ilandelane ezithile. Otolith ophumayo umsele ongaphambili omise ukuze embundwini yayo. Uma kukhona intuthuko, Ukuwohloka libhekene ngemva umzimba okunjalo.

Imiphumela emihle etholakale uma kukhona ingozi paroxysmal inzululwane positional, ukuzivocavoca vestibular. I aziwayo engcono iyona ndlela Brandt-Daroffa, yilokho yena:

1. Ekuseni ngemva nje uvuka ukuba ahlale embhedeni ne uqonde emuva.
2. Bese uya kunoma yiluphi uhlangothi, futhi aphonse emuva ikhanda lakhe kancane phezulu.
3. Kulesi sikhundla, ukuhlala amasekhondi 45 noma kuze kuze ngemuva isiyezi, uma kuphakama.
4. Bese uphinda ngakolunye uhlangothi.
5. Qeqesha ngokwanele ukwenza izikhathi 5 ohlangothini ngalunye.
6. Uma ngesikhathi isiyezi kwenzeka, khona-ke zonke izivivinyo kwenziwe kusihlwa.

Azoyenza odokotela kanye indlela Semont Lempert iqhinga, kodwa okungcono isetshenziswa ngaphansi udokotela kwabaqaphi. Bonisa kuyenziwa ngesivinini kahle eliphezulu. Ngakho-ke, ngokuvamile obuhambisana nokuthanda isiyezi ngisho isicanucanu. Uchwepheshe uqaphe ngezimo zesiguli futhi ulungisa umthwalo.

Nakhu inqubo Semont:

1. Isiguli kufanele bake bahlale phansi bese wehlise imilenze phansi.
2. Inhloko ivuliwe by 45 degrees ngendlela enempilo.
3. Ukuyona izandla wayolala naleso sikhundla.
4. Balondoloza isikhundla kuze ukumisa okuphelele ekuhlaseleni isiyezi.
5. Kungokufanayo kwenziwa ngakolunye uhlangothi.
6. Uma kudingekile, yonke izenzo eziphindaphindiwe.

Lempert iqhinga:

• Isiguli ihlala eduze kombhede futhi uphendulela ikhanda lakhe 45 degrees eya ohlangothini ethintekile.
• Udokotela ophethe alingana nekhanda lomuntu kulo lonke umsebenzi.

• Isiguli amanga emhlane wakhe futhi ikhanda lakhe osebenzisa kolunye uhlangothi.
• Khona-ke ujike ohlangothini enempilo.
• Phendula futhi kufanele kube umzimba kusuka isikhundla yizikhukhula.
• Inhloko phansi ekhaleni.
• Zonke izinguquko isikhundla umzimba kuhambisana ukuzungeza ikhanda.

Ngokuvamile, lezi izivivinyo ukunikeza imiphumela emihle, futhi iziguli eziningi angadingi okunye ukwelashwa wezokwelapha uma ingozi paroxysmal inzululwane positional degree omnene.

isifo yokwelapha izidakamizwa

Odokotela abaningi bakholelwa ukuthi ukusetshenziswa kwezidakamizwa kule zokugula akukuniki imiphumela emihle futhi alubuqedi ngokuphelele inzululwane. Kodwa ngezinye izikhathi, ngcono ochwepheshe nesineke namanje anikeze isiguli imithi.

Uma ukuxilongwa "ingozi paroxysmal inzululwane positional," ukuphathwa kabi kwezidakamizwa anganika umphumela ezilandelayo:

• Inciphisa isicanucanu.
• isimo esingokomzwelo okuthuthukisiwe.
• Kwegazi ebuchosheni kuyathuthuka.

Uma ukuhlaselwa aphindaphindwe kaningi futhi ngamandla, isiguli Kunconywa embhedeni ukuphumula isikhathi esithile.

kokungenela kuhlinzwa

Emacaleni angu-olunzima, lapho ukwelashwa yezokwelapha ehluleka kanye umzimba vestibular, le ingozi inzululwane positional kuyadingeka ukuqeda izindlela kuhlinzwa. Zimbili izindlela wokusebenza:

1. Ukuvaleka wax ukuvimbela ukunyakaza uketshezi.
2. Njengoba sase sihlukene kwangaphakathi indlebe emsipheni.

kokungenela Steel, nakuba ayengafiki kungalimaza ukuzwa kwakho, kodwa ngokuvamile sinikeza inkinga. It njengamanje isakhiwa futhi oprobyvat zokwelapha nge laser.

Ngubani ingozi paroxysmal inzululwane positional, izimbangela zezinkumbulo okungaba yimuphi, asikwazi wamagciwane izidakamizwa ethize. Ukwelashwa babelwe ngamunye esimweni ngasinye.

zokugula Prevention

Kukhona izifo ezimbalwa kuphela babengeke besaba izinyathelo eziqondile izifo. Kodwa ingozi inzululwane positional nje enjalo, futhi ukukhathazeka. Indlela uzivikele lesi sifo akwaziwa, kodwa kungenzeka ukunikeza iziguli ezinye iziphakamiso:

• Gwema ukulimala ekhanda ngesikhathi izinsolo kancane ke osidinga ngokuphuthumayo ukuvakashela udokotela.
• Gcina izindlebe zakho futhi ugweme ukulimala.
• Ukuqeqeshwa vestibular apharathasi futhi babe Ukugunda.

• Aphathwe ngendlela esifike ngesikhathi kuzo zonke pathologies ezingamahlalakhona. Lokhu kuzosiza ukunciphisa ingozi isiyezi noma sokuphinda yayo.

Noma yimuphi ukuphambuka kusuka kwezempilo jikelele kufanele kungaqashelwa. ukufinyelela esifike udokotela ukusiza ligweme izinkinga ezingase zivele. Kwabe sekuvela ukuthi, ngisho isiyezi evamile kungenzeka ukuthi umataniswe ababenezinkinga ezinkulu.