Ni iki cyitwa Uburyo bwo Gushyira mu Mwanya Canalith? Intego, Intambwe & Ibivamo

Uburyo bwo gushyira mu mwanya canalith ni uburyo bworoshye, butagira icyo bukora bwo kuvura bugufi buterwa n'ibice bya kalisiyumu byimuriwe mu gutwi kwawe kw'imbere. Bitekereze nk'inzira yoroheje yo kuyobora ibi bice bito bya kristali gusubira aho bikwiye kuba biri, nk'uko ufasha amabuye gukora mu kintu cyayo gikwiye.

Ubu buryo, buzwi kandi nka Epley maneuver, bukubiyemo urukurikirane rw'umutwe n'imibiri bigenzurwa neza bikorwa n'umuganga. Abantu benshi bagira impinduka zigaragara cyangwa guhumurizwa rwose ku byiyumvo byabo byo kuzunguruka nyuma y'icyiciro kimwe gusa.

Ni iki cyitwa uburyo bwo gushyira mu mwanya canalith?

Uburyo bwo gushyira mu mwanya canalith ni uburyo bwo kuvura umubiri buvura vertigo ya paroxysmal positional benign (BPPV) binyuze mu kwimura ibice bya kalisiyumu carbonate byimuriwe gusubira ahantu habo hakwiye mu gutwi kwawe kw'imbere. Ibi bice bito bya kristali, byitwa otoconia cyangwa canaliths, bisanzwe bifasha kubungabunga uburinganire.

Iyo ibi bice bya kristali byimuwe bigatembera mu gice kidasanzwe cy'inzira zawe z'imbere z'amatwi, byohereza ibimenyetso bishobora kuyobya ubwonko bwawe ku bijyanye n'umwanya w'umutwe wawe. Ibi bitera icyiyumvo cyo kuzunguruka wumva hamwe na BPPV.

Ubu buryo bukoresha uburemere n'imigendekere y'umutwe kugirango uyobore neza ibi bice bya kristali gusubira aho bikwiye kuba biri. Ni umutekano rwose kandi birashoboka ko bikorerwa mu biro bya muganga wawe nta muti cyangwa kubagwa.

Kuki uburyo bwo gushyira mu mwanya canalith bukorerwa?

Ubu buryo ahanini bukorwa kugirango buvure BPPV, intandaro isanzwe ya vertigo. Ushobora kuba ukwiriye kuri ubu buvuzi niba ufite ibice bigufi byo kuzunguruka cyangwa isereri biterwa n'imigendekere y'umutwe runaka nk'uko wihindukiza mu buriri, ureba hejuru, cyangwa ukora hasi.

Muganga wawe ashobora kugusaba gukora iki gikorwa iyo ibimenyetso byawe bibangamira cyane imirimo ya buri munsi nk'imyambarire, kugenda, cyangwa gusinzira. BPPV irashobora gutuma imirimo yoroheje yumvikana nkaho iremereye kandi ikongera ibyago byo kugwa.

Iki gikorwa gifasha cyane cyane kuko kivura ikibazo nyirizina aho guhisha gusa ibimenyetso. Bitandukanye n'imiti ishobora gutuma usinzira, kwimurwa kwa canalith bikosora rwose ikibazo cy'imashini gitera vertigo yawe.

Rimwe na rimwe abaganga bakoresha iki gikorwa nk'igikoresho cyo gupima. Niba ibimenyetso byawe bigabanuka cyane nyuma y'ubuvuzi, byemeza ko amabuye yimuwe koko yateje vertigo yawe.

Ni iki gikorwa cyo kwimurwa kwa canalith?

Iki gikorwa cyo kwimurwa kwa canalith gikubiyemo urukurikirane rw'imyanya ine y'umutwe n'umubiri, buri imwe ikamara iminota 30 kugeza kuri 2. Umuganga wawe azakuyobora muri buri ntambwe mugihe akurikirana ibimenyetso byawe n'imigendekere y'amaso yawe.

Uzatangira wicaye neza ku meza yo gupimisha. Muganga wawe azahita yimurira umutwe wawe n'umubiri wawe mu rukurikirane rukurikira:

1. Umutwe wawe uhindurwa dogere 45 werekeza ku gutwi kwagizweho ingaruka, hanyuma ukamanurwa vuba kugeza umutwe wawe umanitse gato munsi y'urwego rw'ameza
2. Umutwe wawe uhindurwa dogere 90 ku ruhande rutandukanye mugihe ukiri mumwanya wo gushyira umutwe hasi
3. Umubiri wawe wose uzungurushwa ku ruhande rwawe mu cyerekezo umutwe wawe werekezamo
4. Uzagenda uzanwa mu mwanya wo kwicara umutwe wawe wunamye gato imbere

Mugihe cyo guhindura buri mwanya, urashobora guhura n'isazi y'igihe gito cyangwa isesemi mugihe amabuye yimuka. Ibi ni ibisanzwe rwose kandi mubyukuri birerekana ko igikorwa gikora. Muganga wawe azareba amaso yawe kugirango abone uburyo bwihariye bwo kugenda bugaragaza ko amabuye yimurwa neza.

Ubusanzwe iki gikorwa gifata iminota 10 kugeza kuri 15. Abantu bamwe na bamwe bakeneye ko iki gikorwa cyongerwa kabiri cyangwa gatatu mu gihe cyo gusurwa kugira ngo bagere ku guhindura imiterere y'amabuye yose.

Ni gute witegura igikorwa cyo guhindura imiterere y'amabuye?

Kutegura iki gikorwa biroroshye kandi bisaba imbaraga nkeya ku ruhande rwawe. Ntabwo ukeneye kwiyiriza cyangwa guhagarika imiti yawe isanzwe keretse niba ubisabwe n'umuganga wawe.

Jyana imyenda yoroshye kandi yagutse itazabuza imyenda yawe mu gihe cyo gushyira umutwe n'umubiri mu mwanya. Irinde amakora akomeye cyangwa imitako ishobora gutuma kuryama bitaryoha.

Tekereza kuzana umuntu hamwe nawe ku gihe cyo guhura, cyane cyane niba ibimenyetso byawe byo kuzunguruka bikomeye. Ushobora kumva uzunguruka ako kanya nyuma y'igikorwa, kandi kugira ubufasha birashobora gutera icyizere mu rugendo rwo gutaha.

Niba wambara amaso, ushobora kubikuramo mbere y'igihe kuko iki gikorwa rimwe na rimwe gishobora gutera umujinya w'amaso w'agateganyo cyangwa kurira. Amaso ni meza rwose kuyagumana.

Menyesha umuganga wawe ibibazo byose byo mu ijosi cyangwa mu mugongo bishobora gutuma imyanya imwe n'imwe igorana cyangwa itaryoha. Barashobora guhindura uburyo buke kugira ngo bahure n'ubushobozi bwawe bw'umubiri mugihe bagera ku ntego zifuzwa.

Ni gute usoma ibisubizo byawe byo guhindura imiterere y'amabuye?

Intsinzi kuva mu gikorwa cyo guhindura imiterere y'amabuye ubusanzwe ipimwa n'uburyo ibimenyetso byawe byo kuzunguruka bigenda neza kuruta uko biba bimeze mu bisubizo byo mu laboratori cyangwa mu bizami by'amashusho. Abantu benshi bamenya ubufasha bwihuse cyangwa kugabanya cyane ibyiyumvo byo kuzunguruka nyuma y'igikorwa.

Umuganga wawe azasuzuma ibisubizo akurikije uko amaso yawe agenda mu gihe cy'igikorwa kandi akabaza ibyerekeye impinduka z'ibimenyetso byawe. Imiterere yihariye y'imigendekere y'amaso yitwa nystagmus ifasha kwemeza ko amabuye agenda kandi ahindura imiterere neza.

Kugera ku ntsinzi yuzuye bisobanura ko utakongera kugira vertigo iyo wimuye umutwe nk'uko byahoze bikubaho mbere. Kugera ku ntsinzi igice bisobanura kugabanya ubukana cyangwa igihe gito cyo kuribwa.

Abantu bamwe bashobora gukenera inshuro ya kabiri cyangwa iya gatatu yo kuvurwa niba ibimenyetso bikomeje. Ibi ntibisobanura ko ubu buryo butagize icyo bugeraho – rimwe na rimwe amabuye aba akomeye cyane cyangwa hari amabuye menshi agomba gushyirwa ahantu heza.

Umuvuzi wawe ashobora gutegura gusura mu cyumweru kimwe cyangwa bibiri kugira ngo yemeze ko ibimenyetso byawe byakize kandi ntibisubire. Bazanakwigisha ibimenyetso byo kwitondera byerekana ko amabuye yongeye kwimuka.

Ni gute wakomeza ibisubizo byawe nyuma yo gushyira amabuye ahantu heza?

Nyuma yo kuvurwa, gukurikiza amabwiriza yihariye nyuma yo kuvurwa bifasha kwemeza ko amabuye aguma ahantu heza kandi ibimenyetso byawe ntibisubire. Muganga wawe azatanga amabwiriza yihariye, ariko hariho inama rusange zikoreshwa ku bantu benshi.

Mu masaha 48 ya mbere nyuma yo kuvurwa, gerageza kugumisha umutwe wawe hejuru uko bishoboka. Ryama umutwe wawe uri hejuru y'imitozo ibiri cyangwa itatu kandi wirinde kuryama hasi rwose.

Uzashaka kwirinda kwimuka k'umutwe vuba kandi imyanya ishobora gukura amabuye yimuwe vuba. Ibi bisobanura kwimuka gahoro iyo uhagurutse ku gitanda kandi witonda cyane iyo wunamye cyangwa urebye hejuru.

Abaganga bamwe basaba kwirinda kuryama ku ruhande rwavuriweho mu ijoro ryinshi. Abandi bagasaba imyitozo yihariye y'umutwe kugira ngo bafashe kwirinda kwimuka kw'amabuye mu gihe kizaza.

Abantu benshi bashobora gusubira mu bikorwa bisanzwe mu minsi mike, ariko ni byiza kwirinda ibikorwa bifite kwimuka k'umutwe cyane nk'imikino imwe cyangwa imikino yo mu ngendo mu isabukuru imwe nyuma yo kuvurwa.

Ni iki gitera kwimuka kw'amabuye?

Ibintu byinshi bishobora kongera amahirwe yo kurwara BPPV no gukenera uburyo bwo gushyira mu mwanya imitsi. Imyaka ni kimwe mu bintu by'ingenzi byongera ibyago, aho ibibazo byinshi bibaho ku bantu bafite imyaka irenga 40.

Kumva ibyo bintu byongera ibyago bishobora kugufasha gufata ingamba zo kwirinda no kumenya igihe ibimenyetso bishobora gutangira:

• Ubukomere bwo mu mutwe cyangwa imvune, ndetse no gukubitwa umutwe bisa nk'ibito
• Udukoko two mu gutwi tw'imbere cyangwa kubyimba bishobora gukuraho imitsi
• Kuruhuka igihe kirekire ku gitanda cyangwa kutagira icyo ukora bituma imitsi yicara mu myanya itari yo
• Uburyo bumwe na bumwe bwo kuvura bujyana no gushyira umutwe mu mwanya mu gihe cyo kubaga
• Izindi ndwara zo mu gutwi tw'imbere nka Meniere's disease cyangwa vestibular neuritis
• Umutwe w'umutwe wa migraine, usa nk'uwongera ibyago bya BPPV ku mpamvu zitagaragara
• Osteoporose, ishobora kugira ingaruka ku mikorere y'imitsi yo mu gutwi tw'imbere

Abagore bafite amahirwe menshi yo kurwara BPPV kurusha abagabo, cyane cyane nyuma yo gucura. Impinduka za hormone zishobora kugira uruhare mu mikorere y'imitsi, nubwo abashakashatsi bakiri gukora ubushakashatsi kuri iyi mikoranire.

Abantu bamwe bafite imiterere ya genetike yo kurwara BPPV, bivuze ko bikunda kubaho mu miryango. Niba abavandimwe bawe baragize ibimenyetso bisa n'ibyo bya vertigo, ushobora kuba ufite ibyago byinshi byo kurwara iyi ndwara nawe.

Ni izihe ngaruka zishobora guterwa no gushyira mu mwanya imitsi?

Uburyo bwo gushyira mu mwanya imitsi ni bwo bwizewe cyane, ariko nk'ubundi buvuzi ubwo aribwo bwose, bushobora kugira ingaruka zimwe na zimwe z'igihe gito. Kumva icyo gisanzwe bigufasha kumva ufite icyizere mu gihe cyo gukora no nyuma y'uburyo.

Ingaruka zisanzwe zihita zigaragara ni isereri ry'igihe gito n'isuka mu gihe cyo gukora ubwo buryo ubwabwo. Ibi bibaho kuko kwimura imitsi bitangiza ibimenyetso bya vertigo wari umaze igihe ubona.

Dore ingaruka zoroheje ushobora guhura nazo:

• Ubwiyongere bw'igihe gito cyo kuribwa umutwe mu masaha 24 kugeza kuri 48 nyuma yo kuvurwa
• Urugimbu ruto cyangwa kumva utameze neza igihe ugenda mu ntangiriro
• Kugaruka guto kw'ibimenyetso bya vertigo niba amabuye ataratuza neza
• Ubugoye bwo mu ijosi cyangwa kubabara biturutse ku myanya yo gushyiramo
• Kumva umutwe igihe uhinduye imyanya vuba

Ingorane zikomeye ni gake cyane ariko zirimo kuribwa umutwe gukomeza kutagira icyo guhinduka cyangwa bikiyongera cyane nyuma yo kuvurwa. Ibi bishobora kwerekana ko amabuye yimukiye mu muyoboro utandukanye cyangwa hari ikindi kibazo cyihishe.

Gake cyane, abantu bafite ibibazo bimwe na bimwe byo mu ijosi bashobora kugira ibibazo igihe bakora imyanya yo gushyiramo. Muganga wawe azasuzuma imikorere y'ijosi ryawe mbere y'igihe kandi ahindure uburyo niba bibaye ngombwa.

Niba ubona ibimenyetso bikomeye bikomeza, urugimbu rukomeza, cyangwa impinduka zose ziteye inkeke nyuma yo gukorerwa, vugana n'umuganga wawe vuba na bwangu kugira ngo asuzume.

Ni ryari nkwiriye kubona umuganga kubera ibimenyetso bya vertigo?

Ukwiriye gushaka ubufasha bw'ubuvuzi niba ubona ibihe bikomeza byo kumva uzunguruka, cyane cyane niba biterwa n'imikorere yihariye y'umutwe. Gusuzuma no kuvura hakiri kare birinda ibimenyetso kwiyongera kandi bigateza imbere ubuzima bwawe cyane.

Teganya gahunda yo kubonana na muganga wawe niba ibihe bya vertigo bimara iminota irenga mike, bikaba kenshi, cyangwa bikabangamira imirimo yawe ya buri munsi. N'ubwo ibimenyetso bishobora kugaragara nkoroheje, gusuzuma neza bituma ubona ubuvuzi bukwiye.

Shaka ubufasha bw'ubuvuzi bwihutirwa niba vertigo yawe iza hamwe n'ibimenyetso byo gutanga umuburo:

• Umutwe ukaze cyane cyangwa impinduka mu buryo busanzwe umutwe wawe wari umeze
• Urubore, kutumva neza, cyangwa kuribwa mu matwi bijyana no kuvirirwa
• Ubugwari, ubucucu, cyangwa kugorana kuvuga
• Impinduka mu mbono cyangwa kureba ibintu bibiri
• Uburibwe mu gituza cyangwa kugorana guhumeka
• Gusitara cyangwa gutakaza ubwenge mu gihe cyo kuvirirwa

Ibi bimenyetso bishobora kwerekana indwara zikomeye zisaba ko zigenzurwa byihutirwa aho gukoresha uburyo bwo kwimura amabuye. Muganga wawe ashobora kumenya niba wemerewe gukoresha uburyo bwo kwimura amabuye cyangwa ukeneye ubuvuzi butandukanye.

Ntugatinye gushaka ubufasha kabone niyo utazi neza niba ibimenyetso byawe bikomeye bihagije. Kuvirirwa bishobora kugira ingaruka zikomeye ku mutekano wawe n'imibereho yawe myiza, kandi hariho imiti ikora neza.

Ibikunze kubazwa ku bijyanye n'uburyo bwo kwimura amabuye

Q.1 Ese uburyo bwo kwimura amabuye bukora ku bwoko bwose bwo kuvirirwa?

Uburyo bwo kwimura amabuye bukora cyane cyane kuri BPPV iterwa n'amabuye yimuwe mu gutwi kwawe kw'imbere, ariko ntibizafasha ku zindi ngero zo kuvirirwa. Abantu bagera kuri 80 kugeza kuri 90 ku ijana bafite BPPV bagira impinduka zigaragara nyuma yo kuvurwa uku.

Ubu buryo ntibuzakora neza niba kuvirirwa kwawe guterwa n'indwara zo mu gutwi kw'imbere, ingaruka ziterwa n'imiti, cyangwa indwara zo mu bwonko. Muganga wawe azakora ibizamini byihariye kugirango amenye niba ibimenyetso byawe biterwa no kwimuka kw'amabuye mbere yo kugusaba ubuvuzi.

Q.2 Ese ubu buryo buraryana cyangwa butera kutumva neza?

Uburyo bwo kwimura amabuye ubwabyo ntibuteza uburibwe, ariko birashoboka ko uzagira kuvirirwa kw'agateganyo ndetse birashoboka ko uzagira isesemi igihe amabuye yimuka. Ibi bitumva neza ni ikimenyetso cyiza ko ubuvuzi burimo gukora kugirango yongere kwimura amabuye yimuwe.

Abantu benshi basobanura uko babyumva nk'ibisa n'ibimenyetso byabo bisanzwe bya vertigo ariko bikaba bikaze mu gihe gito. Akaga gakunze kugabanuka mu minota mike nyuma yo kurangiza icyo gikorwa, kandi abantu benshi bumva bahise babohoka nyuma yaho.

Q.3 Ese ibisubizo byo guhindura imyanya ya canalith bimara igihe kingana iki?

Abantu benshi bagira uburinzi burambye nyuma yo guhindura imyanya ya canalith neza, cyane cyane niba bakurikiza amabwiriza yo kuvurwa neza. Ariko, BPPV irashobora kugaruka ku bantu bagera kuri 15 kugeza kuri 20 ku ijana, akenshi nyuma y'amezi cyangwa imyaka.

Kugaruka ntibisobanura ko ubuvuzi bwa mbere butagenze neza - bisobanura gusa ko amabuye mashya yimuwe. Inkuru nziza ni uko ibikorwa byisubiramo akenshi bikora neza nk'ubuvuzi bwa mbere, kandi abantu bamwe biga gukora ibice byahinduwe murugo.

Q.4 Ese nshobora kwikorera guhindura imyanya ya canalith murugo?

Mugihe ibice byoroheje byo guhindura imyanya ya canalith bishobora gukorerwa murugo, ni byiza ko ubuvuzi bwawe bwa mbere bukorwa n'umuganga watojwe. Bashobora kureba tekinike ikwiye no gukurikirana uko witwara ku buvuzi.

Muganga wawe ashobora kukwigisha igice cyahinduwe cyo murugo cyitwa igikorwa cya half-somersault kubikorwa bizaza. Ariko, tekinike idakwiye rimwe na rimwe irashobora kwimura amabuye mu miyoboro itandukanye, bishobora gutuma ibimenyetso birushaho kuba bibi aho kuba byiza.

Q.5 Nkeneye ubuvuzi bungana iki kugirango mbone uburinzi bwuzuye?

Abantu benshi bagira impinduka zigaragara nyuma yo guhindura imyanya ya canalith rimwe gusa, hamwe na 70 kugeza kuri 80 ku ijana bagera ku burinzi bwuzuye. Abantu bamwe bakeneye ubuvuzi bubiri cyangwa butatu, cyane cyane niba bafite amabuye menshi yimuwe cyangwa amabuye mu miyoboro itandukanye y'amatwi.

Umuvuzi wawe w'ubuzima azasuzuma uko wabyitwayemo nyuma ya buri kuvurwa akamenya niba hakenewe izindi nshuro. Iyi nzira ishobora gusubirwamo mu buryo bwizewe inshuro nyinshi niba bibaye ngombwa, kandi buri kuvurwa gukurikira akenshi birushaho kugira akamaro uko ugutwi kwawe kw'imbere kwimenyereza.