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October 10, 2025
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Ukuqhayiza yilowo mzwelo ongathandeki lapho izwe libonakala lijikeleza kuwe noma lapho uzizwa ungaqiniseki ngezinyawo zakho. Lingenye yezizathu ezivame kakhulu abantu abavakashela ngazo udokotela wabo, futhi nakuba kungase kuzwakale kukhathaza ngaleso sikhathi, izincazelo eziningi zokuqhayiza azinamona futhi zilawuleka.
Indlebe yakho yangaphakathi, ubuchopho, nezinzwa zezinzwa zisebenza ndawonye njengesistimu yokunavigetha ehlukahlukene ukuze zigcine ukhona. Uma kukhona okuthinta lesi sistimu esibucayi, ukuqhayiza kungase kwenzeke. Ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza uzizwe uqiniseke kakhulu ngokuphatha lezi zenzakalo.
Ukuqhayiza ligama elikhulu elichaza imizwelo eminingana ehlukene, kusukela ekuzizweni ukhanya ekhanda ukuya ekuzizweni sengathi uqhanyelwa. Yindlela yomzimba wakho yokukutshela ukuthi kukhona okuthinta isimiso sakho sokuqina.
Cabanga ngokuqhayiza njengesiqubulo esimboza izinhlobo ezine eziyinhloko zemizwelo. Ungase uzizwe sengathi uqhanyelwa noma uhamba lapho empeleni umile. Ngezinye izikhathi uzizwa ukhanya ekhanda, njengokungathi ungase udle. Ngezinye izikhathi, ungase uzizwe ungaqiniseki noma ulahlekelwe ukulingana kwakho ngenkathi uhamba.
Uhlobo lwesine luhilela ukuzizwa ungaxhunyiwe noma “uqaqamba,” cishe njengokungathi awukho khona ngokuphelele emzimbeni wakho. Uhlobo ngalunye lungase lubonise izimbangela ezihlukahlukene eziyisisekelo, yingakho ukuchaza umzwelo wakho othile ku dokotela wakho kusiza ukuqonda ukuthi kwenzekani.
Izimpawu zokuqhayiza zingase zihluke kakhulu kumuntu nomuntu, futhi ukuqaphela uhlobo oluthile olukuhlangenwe nakho kusiza ekutholeni imbangela eyiyisisekelo. Izimpawu zakho zingase zifike ngokuzumayo noma zithuthukiswe kancane kancane ngokuhamba kwesikhathi.
Nazi izimpawu ezivame kakhulu abantu abazibhekana nazo:
Abanye abantu nabo baye bahlangabezana nokubona okungacaci, ubuhlungu esifubeni, noma ukushaya kwenhliziyo okusheshayo kanye nokuzizwa bekhanyile. Lezi zimpawu ezengeziwe zingakunika izinkomba ezibalulekile mayelana nalokho okubangela ukukhungatheka kwakho futhi zisize udokotela wakho ukuthi anqume indlela yokwelapha engcono kakhulu.
Ukuqonda izinhlobo ezahlukene zokukhanya kukusiza ukuthi uxhumane kangcono nomhlinzeki wakho wezempilo. Uhlobo ngalunye lunezimpawu ezihlukile futhi ngokuvamile lubhekisela ezahlukweni ezithile eziyisisekelo.
I-Vertigo yilona hlobo olukhulu kunazo zonke, lidala umuzwa oqondile wokuthi wena noma izindawo ezikuzungezile zizungeza noma zihamba. Lo mzwelo wokuzungezela ngokuvamile uza nokuphuza futhi kungenza kube nzima ukumelana noma ukuhamba ngokuphephile.
I-Presyncope, noma ukuzizwa ukhanyile, ikwenza uzizwe sengathi uzodla. Ungase uzizwe ubuthakathaka, uthuthumele, noma uqaphele ukubona kwakho kuqala ukuphazamiseka. Lo mkhuba ngokuvamile uba khona lapho ukuma ngokushesha noma ngezikhathi zengcindezi.
Ukungahambisani nezinye izinto kuchaphazela umuzwa wakho wokulinganisela ngaphandle komuzwa wokuzungezela. Ungase uzizwe ungazinzi ezinyaweni zakho, njengokungathi uhamba ebhodini, noma ube nezinkinga zokugcina ibhalansi yakho ngenkathi uhamba.
Ukukhanya okungacacisiwe kudala umuzwa ongaqondakali wokuba "ngaphandle" noma ungaxhunyiwe. Abantu bavame ukubiza lokhu ngokuthi ukuzizwa befinyelele, bekhululekile, noma abakhona ngokuphelele. Lo mkhuba ungaba yinkinga kakhulu ngoba kunzima ukuqonda ukuthi yini ephosakele.
Ukulingelwa kungabangelwa izimbangela ezihlukahlukene, kusukela ekusweleni okulula kwamanzi kuya ezinkingeni ezinkulu zezinzwa zangaphakathi. Izimbangela eziningi azikabi nzima futhi ziphendula kahle ekwelapheni uma sezitholakele.
Izimbangela ezivame kakhulu zihlanganisa izinkinga zezinzwa zakho zangaphakathi, ezifaka izitho zokulinganisela zomzimba wakho. I-Benign paroxysmal positional vertigo (BPPV) kwenzeka lapho ama-kristali amancane e-calcium esendlini yakho ehlala ehlukana futhi eya endaweni engafanele. Lokhu kudala imizwa eqinile yokujikijika, ikakhulukazi uma ushintsha izikhundla zekhanda.
Nazi izimbangela eziyinhloko zokulingelwa:
Izimbangela ezingavamile kodwa ezinzima kakhulu zihlanganisa izinkinga zokuthinta kwenhliziyo, isithombe, noma iziphundu zobuchopho. Lezi ngokuvamile zihambisana nezinye izimpawu ezifana nobuhlungu esifubeni, ubuthakathaka, noma izikhanda ezinzima. Udokotela wakho uzocubungula lezi zinto uma ukulingelwa kwakho kunzima, kuhlala isikhathi eside, noma kuhambisana nezinye izimpawu ezikhathazayo.
Nakuba ukulingelwa okuncane okungavamile kuvame ukungabi yimbangela yokukhathazeka, izimo ezithile zidinga ukunakekelwa ngokushesha kwezokwelapha. Ukubona ukuthi nini kufanele ufuna usizo kungavimbela izinkinga futhi kunikeze ukuthula kwengqondo.
Kufanele ubona udokotela ngokushesha uma ukulingelwa kwakho kuhambisana nobuhlungu bekhanda obukhulu, ubuhlungu esifubeni, ubunzima bokukhuluma, noma ubuthakathaka ezandleni noma emilenzeni yakho. Lezi zimpawu zingabonisa isithombe noma inkinga yenhliziyo edinga ukunakekelwa okusheshayo.
Hlela isikhathi sokubona udokotela wakho uma uhlushwa ukungqubuzana okuvamile okuphazamisa imisebenzi yakho yansuku zonke. Ukungqubuzana okuphela isikhathi esingaphezu kwamalanga ambalwa, okuya kubi kancane kancane, noma okuvela ngemva kokulimaza ikhanda kudinga ukwelashwa kwezokwelapha.
Ezinye izimpawu ezinkulu zihlanganisa ukulahlekelwa ukuzwa, ukukhala ezindlebeni, noma ukushintsha kokubona okuhambisana nokungqubuzana kwakho. Ukuwa noma ukusondela ekuweni ngenxa yokungqubuzana kubalulekile ukukuxoxela nodokotela wakho, ikakhulukazi uma ukhulu noma uthatha imithi eminingi.
Ngisho noma ukungqubuzana kwakho kubonakala kulula, kufanele ukukhulumisise nodokotela wakho ngesikhathi sokuvakasha okuvamile. Bangakusiza ukuthi ubone imiphumela emibi yemithi noma izimo ezingaphansi ezingase zifake isandla ezimpawu zakho.
Izici eziningi zingandisa amathuba akho okuhlushwa ukungqubuzana, nokuqonda lokhu kungakusiza ukuthi uthathe izinyathelo zokuvikela. Ubudala ingenye yezici eziyinhloko zengozi, njengoba izinhlelo zokulinganisela ziya hlehlisa ngokuhamba kwesikhathi.
Izimo ezithile zezokwelapha zenza ukungqubuzana kube lula ukuvela. I-Diabetes ingathinta amazinga akho eshukela egazini kanye nokujikeleza kwegazi, kokubili lokhu kuthonya uhlelo lwakho lokulinganisela. Ukuncipha noma ukuphakama kwegazi kungabangela ukukhanya ekhanda, ikakhulukazi lapho ushintsha izikhundla.
Nawa amaphuzu aphambili okutholakala kokungqubuzana:
Abesifazane bangase bahlushwe kakhulu ukukhungatheka ngesikhathi sezinguquko ze-hormonal njengokuba yisikhathi, ukukhulelwa, noma ukugugileka. Ukuhlupheka nokungahlali kahle kokulala nawo angenza ube sengozini yokukhungatheka, njengoba kuchaphazela ikhono lomzimba wakho lokugcina ibhalansi efanele.
Nakuba ukukhungatheka ngokwako kungabi yingozi, kungabangela izinhlanganisela ezichaphazela ikhwalithi yokuphila nokulondeka kwakho. Ukukhathazeka okukhulu kakhulu yingozi eyanda yokuwa nokulimala ngesikhathi sezimo zokukhungatheka.
Ukuwa kuyingozi kakhulu kubantu abadala, njengoba kungabangela ukwephulwa kwamafu, ukulimala kwekhanda, noma ezinye izinhlobo zokulimalala okuthile. Ngisho nabantu abasebancane bangase bahlushwe ukulimala uma ukukhungatheka kuqala ngesikhathi beshayela, bekhwela izitebhisi, noma besebenzisa imishini.
Ukukhungatheka okuqhubekayo kungabangela ezinye izinhlanganisela eziningi:
Abanye abantu bathuthukisa isimo esibizwa ngokuthi ukukhungatheka okuqhubekayo okungabonakali, lapho baba nomuzwa omkhulu wokunyakaza nezinselele zobulinganiso. Lokhu kungadala isizungu lapho ukukhathazeka ngokukhungatheka empeleni kubangela izimo eziningi.
Izindaba ezinhle ukuthi izinhlanganisela eziningi zingavikeleka ngokwelashwa okuhle nezinyathelo zokuphepha. Ukusebenza nodokotela wakho ukulawula ukukhungatheka kwakho ngokuphumelelayo kungakusiza ugcine ukhululekile futhi ube nekhwalithi yokuphila enhle.
Izimo eziningi zokukhungatheka zingavikeleka noma zinciphisiwe ngokulungisa impilo elula nokwazi izinto ezikubangela. Izindlela zokuvimbela zigxile ekugcineni impilo enhle jikelele nokugwema izinto ezaziwa ezingabangela ingozi.
Ukugcina umzimba uthambile yindlela ephumelelayo kakhulu yokuvimbela. Ukuphelelwa amanzi emzimbeni kuyimbangela evamile yokuzwela ikhanda elikhanyayo, ikakhulukazi lapho sekushisa noma lapho ugula. Zama ukuphuza amanzi usuku lonke kunokulinda uze uzwe ukoma.
Nawa amasu abalulekile okuvimbela:
Uma unezinye izinto ezibangela lokhu njengokuhamba kwezinhloko ezithile noma izinto ezikhanyayo, ukufunda ukugwema noma ukushintsha lezi zimo kungasiza ekuvimbeni izigameko. Ukuzivocavoca kokulinganisela okusikisela yi-physiotherapist kungaqinisa uzinzo lwakho futhi kunciphisa ukungalingani.
Ukuxilonga ukukhungatheka kuhilela ukuhlolwa okuphelele ukuze kutholakale imbangela yangempela. Udokotela wakho uzoqala ngengxoxo eningiliziwe mayelana nezimpawu zakho, lapho zenzeka khona, nokuthi yini ebonakala iyabangela.
Ukuhlolwa komzimba kuvame ukufaka ukuhlola ukucindezela kwegazi, izinga lenhliziyo, kanye nomsebenzi wezinzwa. Udokotela wakho angenza amavivinyo athile ukuhlola ibhalansi yakho kanye nomsebenzi wezindlebe zangaphakathi, njengokubuka ukuhamba kwamehlo akho noma ukukwenza ushintshe izikhundla ngenkathi ubheka ukukhungatheka.
Izindlela ezivamile zokuxilonga zihlanganisa:
Udokotela wakho angase akucele ukuba ugcine idayari yokukhungatheka, ubhale lapho izehlakalo zenzeka khona, isikhathi eside zingakanani, nokuthi wawenzani lapho ziqala khona. Ulwazi lolu lungaveza izindlela ezisiza ekutholeni imbangela.
Ngezinye izikhathi ukuxilongwa kucace kakhulu ngokushesha, ikakhulukazi ngezimo ezifana ne-BPPV ezinezimpawu ezibonakalayo. Ngezinye izikhathi, kungase kudingeke ukuvakashela okuningi nezivivinyo ukuze kutholakale imbangela eqondile yokukhungatheka kwakho.
Ukwelashwa kokukhungatheka kuncike ngokuphelele embangelweni eyingqayizivele, futhi izindaba ezinhle ukuthi izinhlobo eziningi zokukhungatheka ziphendula kahle ekwelapheni okufanele. Udokotela wakho uzokulungiselela uhlelo lwakho lokwelashwa ngokususelwa ekuxilongweni kwakho okuqondile nezimpawu.
Nge-BPPV, ukunyakaza okulula kokuguqula isikhundla okwenziwa ehhovisi lika-dokotela kungaxazulula izimpawu ngokushesha. Lezi zinqubo zisiza ekuhambiseni ama-kristali ahambile endaweni yawo efanele esendlini yakho yangaphakathi.
Izindlela zokwelapha ezivamile zihlanganisa:
Ukwelashwa kokulinganisela komzimba kuhilela ukuzivocavoca okuqondile okwakhelwe ukusiza ingqondo yakho ukuba ilungele izinkinga zokulinganisela nokunciphisa izimpawu zokukhungatheka. Lolu hlobo lokwelashwa komzimba lungasebenza kahle kakhulu ezimweni zokukhungatheka okuhlala njalo.
Abanye abantu bayazuza emithi eyancipha izimpawu zokukhungatheka noma esiza ngokuphelelwa amandla. Kodwa-ke, lezi zivame ukusetshenziswa isikhathi esifushane, njengoba umgomo ukulungisa imbangela yangempela kunokugqiba nje izimpawu.
Amasu okuphatha ekhaya angathuthukisa kakhulu induduzo yakho nokulondeka phakathi nezikhathi zokukhungatheka. Okubalulekile ukuthola amasu asebenza ngohlobo lwakho oluthile lokukhungatheka nokuba uhlelo luyalungile uma izimpawu zivela.
Uma uzizwa ukhungathekile, hlala phansi noma ulele phansi ngokushesha ukuvimbela ukuwa. Uma ubhekene nokukhungatheka, ukuhlala uthule ngekhanda lakho eliphakeme kancane kungasiza ekuqedeni umuzwa wokujika. Gwema ukuhamba okusheshayo kwekhanda kuze kube yilapho isigameko sidlula.
Amasu aphezulu okuphatha ekhaya afaka:
Itiye lejinja noma izithasiselo zejinja zingasiza ekuqedeni ukuphelelwa amandla okuhambisana nokukhungatheka, yize kufanele ukhangele kudokotela wakho ngaphambi kokuzama izindlela zokwelapha ngezitshalo. Abanye abantu bathola ukuthi ukuzolula okumnene kwentamo noma amasu okuphumula kusiza ekuqedeni ukucindezeleka okungase kuhambisane nezimpawu zabo.
Ukudala indawo ephephile ekhaya kubalulekile. Qinisekisa ukukhanya okwanele, susa ama-rugs ahlala ephumula, futhi ugcine izinto ezisetshenziswa njalo zifinyeleleka kalula ukuze kunciphise isidingo sokuhamba okusheshayo noma ukushintsha kwezimo.
Ukulungiselela kahle isikhathi sakho sokuya kudokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha eliphumelelayo. Ukulungiselela okuhle kusiza futhi ukuba ukhumbule imininingwane ebalulekile engase iphuthe engqondweni yakho ngesikhathi sokudokotela.
Qala ngokugcina idayari yezimpawu okungenani isonto ngaphambi kokuvakashela kwakho. Bhala lapho ukungakhululeki kwenzeka khona, isikhathi eside esikuthathayo, okuyikhiphayo, nanoma yiziphi izimpawu ezihambisana nazo njengokuphefumula noma isiphithiphithi.
Izinyathelo zokulungiselela ezibalulekile zihlanganisa:
Cabanga ngendlela yokuchaza ukungakhululeki kwakho ngokuqondile. Ingabe kuyiphini, ukukhanya, noma ukungazinzi? Ingabe kwenzeka ngezinye izinyathelo noma izimo? Lolu lwazi oluqondile lusiza udokotela wakho ukuba anciphise izimbangela ezingase zibe khona ngokushesha.
Ungangabazi ukubuza imibuzo ngesikhathi sokudokotela kwakho. Ukuqonda isimo sakho kanye nezinketho zokwelapha kuzokusiza uzizwe ukhulu ngokuphatha izimpawu zakho nokulandelwa uhlelo lwakho lokwelapha ngokuphumelelayo.
Ukukhungatheka kuyisimo esivamile, nakuba kungathukutheli, ngokuvamile akuyona into ebucayi futhi kuphendula kahle ekwelapheni okufanele. Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi nje ukukhuthazelela izikhathi zokukhungatheka.
Izimbangela eziningi zokukhungatheka zilapheka uma zitholakala kahle. Kungakhathaliseki ukuthi iyinqubo elula yokushintsha isikhundla se-BPPV, ukulungiswa kwemithi, noma ukushintsha kwesitayela sokuphila, izixazululo ezisebenzayo ziyatholakala kubantu abaningi ababhekene nokukhungatheka.
Ukusebenzisana nodokotela wakho ukuze uthole imbangela ethile yokukhungatheka kwakho yiyona nyathelo lokuqala lokuzizwa kangcono. Ngokuxilongwa okufanele nokwelashwa, abantu abaningi bangabuyela emisebenzini yabo evamile futhi bagcine ikhwalithi yempilo yabo.
Khumbula ukuthi ukuvimbela ukuwa nokulimala phakathi kwezikhathi zokukhungatheka kubaluleke kakhulu njengokwelapha imbangela ehilelekile. Izinyathelo ezilula zokuphepha ekhaya nokwazi izimpawu zakho kungakusiza uhlale uphephile ngenkathi usebenza ekufuneni isisombululo.
Yebo, ukushoda kwamanzi kungenye yezimbangela ezivamile zokuzwa ubuthakathaka nokuqina. Uma ushoda amanzi, izinga legazi lakho liyancipha, lokhu kungabangela ukuba igazi lakho liwe futhi kukwenze uzwe ukukhungatheka, ikakhulukazi uma ukuma. Ukuncwina amanzi anele usuku lonke ngokuvamile kungavimbela lo mnyombo wokukhungatheka.
Ukukhungatheka kudwa akunamkhawulo njengesibonakaliso sesifo sohlangothi, kodwa kungaba njalo uma kuhlanganiswa nezinye izimpawu ezifana nobuthakathaka obuzuma, ubunzima bokukhuluma, ubuhlungu obukhulu ekhanda, noma ukushintsha kombono. Ukukhungatheka okuhlobene nesifo sohlangothi ngokuvamile kuza ngokuzumayo futhi kuhambisana nezinye izimpawu zezinzwa. Uma uhlangabezana nalezi zihlobo, funa usizo lwezokwelapha ngokushesha.
Lolu hlobo lokukhungatheka, oluthiwa yi-orthostatic hypotension, kwenzeka lapho ukucindezeleka kwegazi kwehle ngokushesha uma ukuma. Umuthi wakho udinga isikhathi esithile sokulungisa ukugeleza kwegazi ebuchosheni bakho uma ushintsha izikhundla. Ukuma kancane, ukuhlala uthambile, nokubopha imisipha yemilenze yakho ngaphambi kokuma kungasiza ekunqobeni lezi zenzakalo.
Ukukhathazeka ngokuqinisekile kungabangela ukukhungatheka ngezindlela eziningi. Phakathi nezikhathi zokukhathazeka, ukushintsha kwemizamo yokuphefumula, ukwanda kokushaya kwenhliziyo, nokuqina kwemisipha konke kungase kube nomthelela ekuzizweni kokukhanya noma ukungazinzi. Ngaphezu kwalokho, ukukhathazeka ngokukhungatheka kungadala izingqimba lapho ukukhathazeka kuqalisa khona ezinye izigameko zokukhungatheka.
Ubude besikhathi sokukhungatheka buyahluka kakhulu kuye ngesizathu. Izigameko ze-BPPV ngokuvamile zihlala isikhathi esingaphansi komzuzu, kuyilapho ukutheleleka kwelindlebe yangaphakathi kungase kubangele ukukhungatheka izinsuku noma amasonto. Ukukhungatheka okuhlobene nemithi ngokuvamile kuphucuka emahoreni kuya ezinsukwini zokumisa leli dweliso. Izimo ezingapheli zingadinga ukuphathwa okuqhubekayo, kepha izimpawu ngokuvamile zingalawulwa kahle.
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