ImpiloImithi engamakhambi

Bethonya Eppley njengoba LFK e ingozi paroxysmal inzululwane positional

Benign paroxysmal inzululwane positional (DPPG) - kuyinto zokugula ezivamile. Enye indlela yokwelapha zokukunciphisa izimpawu sifo Eppley iqhinga.

izimpawu

DPPG ngokuvamile eba abesifazane. Kubangelwa yini lesi sifo ubhekwa sebethule calcium nosawoti (otolith) ku kwangaphakathi indlebe umsele. Movement of the ikhanda (enyakazayo, swivel, Itshekisela) avuse yesikhathi esifushane neziqubu isiyezi. Phakathi iziqephu isiguli bangezwa isicanucanu, iyehla iyenyuka wegazi, ukulahlekelwa ibhalansi, thermoregulation kahle. ukuhlaselwa okukhulu avamile angabakhulula ngokuphazamisa kangangokuthi umbuzo ukuthi benzeni inzululwane, kufanele isiguli eze kuqala. Lapho isikhathi kuqalile ukwelashwa DPPG umonakalo eziphikelelayo empilweni, isifo ingozi kuhilela ukwehla kobukhulu iziqephu.

ukuhlola

Sifo "DPPG" Ungabeka udokotela ngesisekelo anamnesis nesineke isikhalo. Engeziwe izindlela neurologic zokuxilonga kukhona isampula-Dix Hallpike futhi ukuhlolwa ukujikeleza.

ukwelashwa

Kukhethwa yokwelapha lesi sifo luncike uhlobo isiteshi zonakaliswe. Ngo inqubo yokwelapha yesimanje, ukuze kuqedwe izimpawu umzimba vestibular futhi otoliths ekuhleleni kabusha. Lula isimo ngesikhathi DPPG ukusiza namakhono athile zokwelapha. Ezinconyiwe udokotela umsebenzi yokwelapha ingozi paroxysmal inzululwane positional kunciphisa kobukhulu ukuhlaselwa. Ukwelashwa kufanele bacabangele indawo otolith we crystal e imiselekazi ongaphambili omise ka zengaphakathi lendlebe. Isikhundla iqhinga Epley iyona ndlela okucwaningwa ngawo kakhulu futhi ilawula ukuhlaselwa ngesikhathi zokugula akha lateral. Ingqikithi uphathwa ukushintsha isikhundla otoliths. Okungaguquki crystal ancibilikisa, ngaleyo ndlela sibe nengxenye ukunyamalala izimpawu.

ikhuluma Technique

Emuva ngo-1992 wathenjiswa Epley iqhinga. Esikhathini sawo sokuphila isicelo nge-calcium carbonate zinhlayiya ngenxa adonsela phansi isuswa emiseleni ongaphambili omise. Inqubo uvame ukuhambisana izimpawu autonomic yanda, ngenxa ukufuduka ophoqelelwe we otoliths izinsalela. Kubalulekile ukulandela inqubo ngqo lokwenza Epley umzimba.

  • Isiguli ihlala ngakwesokudla kusofa, ebheka bebheke indlebe lesiguli at 45˚.
  • Ngaphezu kwalokho, lapho egcinwe ngokucophelela ujikise ikhanda lesiguli ibekwe ukuze ikhanda kancane aphonswe emuva. Kulesi sikhundla, uhlala isikhathi esithile - 20-60 imizuzwana.
  • Khona-ke ikhanda liphenduka 90˚ ohlangothini enempilo.
  • Ekupheleni kwesikhathi esithile lesiguli umzimba futhi ikhanda esimweni esithile, uphendukisa luhamba luye ohlangothini olulodwa ngisho at 90˚. ubuso bakhe iqondiswa phansi. Kulesi isikhundla wahlala ezinye imizuzwana.
  • Isiguli ihlala phansi kancane kuze kube indawo yokuqala.

Ngo inqubo enza iqhinga positional kufanele kube isiyezi. Izivivinyo ezihlongozwayo ngomphumela ogcwele ukuze kwenziwe ngesikhathi sale nqubo ngokuphindaphindiwe. Isibalo ezinikezwa ilawulwa imizwa siqu: Ngokushesha nje lapho leli isiyezi stop, kuseshini inqanyulwa. Uma inqubo iphelile, kufanele niphumule cishe imizuzu engu-10 kubaluleke kabi, hhayi ukwenza ukunyakaza kungazelelwe ikhanda, ukuze okuqukethwe zengaphakathi lendlebe akuyona kushintshile. ukusebenza yokuzijwayeza avamile kancane kancane ukusiza ukuncibilikisa calcium nosawoti. Nciphisa ukubonakala izimpawu kule isifo kungenzeka ngaphandle ukusetshenziswa kwezidakamizwa.

Bethonya Eppley obizwa nangokuthi inqubo ukunciphisa isiteshi. Isebenze kahle ekuqaleni, ukuba wawuqondiswa udokotela. Kumelwe kubhekwe ukuthi isiguli uyakwazi ukwenza yokuzijwayeza bebodwa. ingozi empilweni, ngokusho kongoti, ne inqubo engalungile incane, kodwa cishe wehlise kusebenta kulindeleke ekwelapheni DPPG.

Uma ungazi ukuthi kufanele wenzeni ne isiyezi ukuthi kwenzeka njalo kufanele kudokotela. Uma ukuxilongwa "ingozi paroxysmal inzululwane positional" laliyokwakhiwa kuqinisekisiwe, kubalulekile ukuba banamathele ekwelashweni ebekiwe. Lesi sifo kuvamile impela bese uboleka kahle ngokwabo yokwelapha.

Similar articles

 

 

 

 

Trending Now

 

 

 

 

Newest

Copyright © 2018 zu.unansea.com. Theme powered by WordPress.