Yini Inqubo Yokubeka Kabusha i-Canalith? Inhloso, Izinyathelo & Nemiphumela

Inqubo yokubeka kabusha i-canalith iyindlela elula, engahlaseli yokwelapha esiza ukukhulula i-vertigo ebangelwa amakristalu e-calcium athuthukile endlebeni yakho yangaphakathi. Cabanga ngayo njengendlela enobumnene yokuqondisa lawa makristalu amancane ukuba abuyele lapho okufanele abe khona, njengokuthi usiza amabhola ukuba agingqeke abuyele esitsheni sawo esifanele.

Le nqubo, eyaziwa nangokuthi i-Epley maneuver, ihlanganisa uchungechunge lokunyakaza kwekhanda nomzimba okulawulwa ngokucophelela okwenziwa ngumhlinzeki wezempilo. Abantu abaningi bathola ukuthuthuka okukhulu noma ukukhululeka okuphelele emizweni yabo yokuzungeza ngemva kweseshini eyodwa nje.

Yini inqubo yokubeka kabusha i-canalith?

Inqubo yokubeka kabusha i-canalith iyindlela yokwelapha ngomzimba elapha i-benign paroxysmal positional vertigo (BPPV) ngokuhambisa amakristalu e-calcium carbonate athuthukile abuyele endaweni yawo efanele endlebeni yakho yangaphakathi. Lawa makristalu amancane, abizwa ngokuthi i-otoconia noma i-canaliths, ngokuvamile akusiza ukuthi ugcine ibhalansi.

Lapho lawa makristalu ekhishwa futhi entanta engxenyeni engalungile yemigudu yakho yendlebe yangaphakathi, athumela izimpawu ezididayo ebuchosheni bakho mayelana nesikhundla sekhanda lakho. Lokhu kudala umuzwa wokuzungeza owuzwayo nge-BPPV.

Le nqubo isebenzisa amandla adonsela phansi nokunyakaza okuthile kwekhanda ukuze iqondise ngobumnene lawa makristalu ukuba abuyele lapho okufanele abe khona. Kuphephile ngokuphelele futhi kungenziwa ehhovisi likadokotela wakho ngaphandle kwemithi noma ukuhlinzwa.

Kungani kwenziwa inqubo yokubeka kabusha i-canalith?

Le nqubo yenziwa ikakhulukazi ukwelapha i-BPPV, imbangela evame kakhulu ye-vertigo. Ungase ube ngumuntu ofanelekayo kulolu hlobo lokwelapha uma uhlangabezana neziqephu ezimfushane zokuzungeza noma isiyezi esibangelwa ukunyakaza okuthile kwekhanda njengokugingqeka embhedeni, ukubheka phezulu, noma ukugoba phansi.

Udktela wakho angase atuse le nqubo uma izimpawu zakho ziphazamisa kakhulu imisebenzi yansuku zonke efana nokugqoka, ukuhamba, noma ukulala. I-BPPV ingenza imisebenzi elula izizwe ingaphezu kwamandla futhi ikhulise ingozi yakho yokuwa.

Le nqubo ilusizo ikakhulukazi ngoba ibhekana nembangela eyinhloko kunokumane imboze izimpawu. Ngokungafani nemithi engase ikwenze ukozela, ukubekwa kabusha kwe-canalith empeleni kulungisa inkinga yomshini ebangela i-vertigo yakho.

Ngezinye izikhathi odokotela basebenzisa le nqubo njengendlela yokuxilonga futhi. Uma izimpawu zakho zithuthuka kakhulu ngemva kokwelashwa, kuqinisekisa ukuthi amakristalu athuthukisiwe empeleni ayebangela i-vertigo yakho.

Iyini inqubo yokubekwa kabusha kwe-canalith?

Inqubo yokubekwa kabusha kwe-canalith ihlanganisa uchungechunge lwezikhundla ezine ezinembile zekhanda nomzimba, ngalinye libanjwe cishe imizuzwana engama-30 kuya emizuzwini emi-2. Umhlinzeki wakho wezempilo uzokuqondisa esinyathelweni ngasinye ngenkathi eqapha izimpawu zakho nokunyakaza kwamehlo.

Uzoqala ngokuhlala uqonde etafuleni lokuhlolwa. Udktela wakho uzobe esenyakazisa ikhanda lakho nomzimba wakho ngale ndlela elandelayo:

1. Ikhanda lakho lijikiswa ngamadigri angama-45 ngasezindlebeni ezithintekile, bese wehliswa ngokushesha emuva kuze kube yilapho ikhanda lakho lilenga kancane ngaphansi kwezinga letafula
2. Ikhanda lakho lijikiswa ngamadigri angama-90 ngakolunye uhlangothi ngenkathi lihlala endaweni ekhanda liye phansi
3. Umzimba wakho wonke ugoqwa ohlangothini lwakho ngendlela ikhanda lakho libheke ngayo
4. Ubuyiselwa kancane endaweni yokuhlala nekhanda lakho lithambekele phambili kancane

Ngesikhathi sokushintsha ngakunye kwesimo, ungase uzwe isiyezi sesikhashana noma isicanucanu njengoba amakristalu enyakaza. Lokhu kuvamile ngokuphelele futhi empeleni kubonisa ukuthi inqubo iyasebenza. Udktela wakho uzoqaphela amehlo akho ukuze abone amaphethini athile okunyakaza abonisa ukuthi amakristalu athutha kahle.

Inqubo yonke ngokuvamile ithatha imizuzu eyi-10 kuya kweli-15. Abanye abantu badinga ukuthi le ndlela iphindwe izikhathi ezimbili noma ezintathu ngesikhathi esifanayo sokuvakasha ukuze kufezekiswe ukubekwa kabusha okuphelele kwamakristalu.

Ungalungiselela kanjani inqubo yakho yokubeka kabusha i-canalith?

Ukulungiselela le nqubo kuqondile futhi kudinga umzamo omncane ngakho. Akudingeki ukuthi uzile noma uyeke ukuthatha imithi yakho ejwayelekile ngaphandle uma uqondiswe ngqo ngumhlinzeki wakho wezempilo.

Gqoka izingubo ezikhululekile, ezixekile ezingeke zikuvimbele ukunyakaza kwakho ngesikhathi sokubekwa kwekhanda nomzimba. Gwema amakhola aqinile noma ubucwebe obungase bukwenze ungakhululeki ukulala phansi.

Cabanga ngokuletha umuntu nawe esimisweni, ikakhulukazi uma izimpawu zakho ze-vertigo zinzima. Ungase uzizwe unesiyezi ngokushesha ngemva kwenqubo, futhi ukuba nokusekelwa kungaqinisekisa uhambo oluya ekhaya.

Uma ugqoka amalensi okuxhumana, ungase ufune ukuwasusa ngaphambi kwesikhathi ngoba inqubo ngezinye izikhathi ingabangela ukucasuka kweso okwesikhashana noma ukuklebhuka. Izibuko zilungile ngokuphelele ukuthi zihlale zivuliwe.

Yazisa udokotela wakho nganoma yiziphi izinkinga zentamo noma zomhlane ezingenza izikhundla ezithile zibe nzima noma zingakhululeki. Bangashintsha kancane inqubo ukuze bavumelane nemikhawulo yakho engokomzimba ngenkathi besafinyelela imiphumela efiselekayo.

Ungawafunda kanjani imiphumela yakho yokubeka kabusha i-canalith?

Impumelelo evela enqubweni yokubeka kabusha i-canalith ngokuvamile ilinganiswa ngokuthi izimpawu zakho ze-vertigo zithuthuka kangakanani kunokuba ngemiphumela yelabhorethri noma izivivinyo zokucabanga. Abantu abaningi baqaphela ukukhululeka ngokushesha noma ukuncipha okukhulu kwemizwa yokujikeleza ngemva nje kwenqubo.

Udokotela wakho uzohlola imiphumela ngokubuka ukunyakaza kwamehlo akho ngesikhathi senqubo futhi ebuza mayelana nezinguquko zezimpawu zakho. Amaphethini athile okunyakaza kwamehlo abizwa ngokuthi i-nystagmus asiza ukuqinisekisa ukuthi amakristalu anyakaza futhi abekwa kabusha ngendlela efanele.

Impumelelo ephelele isho ukuthi awusazizwa isiyezi ngokunyakaza kwekhanda okwakubangela izimpawu zakho ngaphambili. Impumelelo engaphelele ihlanganisa ukuncipha kwamandla noma ubude besikhathi esifushane seziqephu zokudideka.

Abanye abantu bangase badinge iseshini yesibili noma yesithathu yokwelashwa uma izimpawu ziqhubeka. Lokhu akusho ukuthi inqubo yehlulekile – ngezinye izikhathi amakristalu aqinile kakhulu noma kunamakristalu amaningi okudingeka abekwe kabusha.

Umhlinzeki wakho wezempilo angase ahlele ukuvakashelwa okulandelayo emasontweni amabili ukuze aqinisekise ukuthi izimpawu zakho zixazululiwe futhi azibuyi. Bazokufundisa futhi izimpawu zokuxwayisa okufanele uziqaphele ezingase zibonise ukuthi amakristalu aphinde athuthuka.

Ungawagcina kanjani imiphumela yakho ngemva kokubekwa kabusha kwe-canalith?

Ngemva kwenqubo yakho, ukulandela imiyalelo ethile ngemva kokwelashwa kusiza ekuqinisekiseni ukuthi amakristalu ahlala endaweni yawo efanele futhi izimpawu zakho azibuyi. Udokotela wakho uzohlinzeka ngemihlahlandlela eyenzelwe wena, kodwa ezinye izincomo ezijwayelekile zisebenza kubantu abaningi.

Emahoreni okuqala angama-48 ngemva kokwelashwa, zama ukugcina ikhanda lakho liqondile ngangokunokwenzeka. Lala nekhanda lakho liphakanyiswe ematheni amabili noma amathathu futhi ugweme ukulala uqondile ngokuphelele.

Uzofuna ukugwema ukunyakaza kwekhanda okusheshayo nezindawo ezingase zithuthukise amakristalu abekwe kabusha. Lokhu kusho ukunyakaza kancane lapho uvuka embhedeni futhi uqaphele kakhulu lapho ugoqa noma ubheka phezulu.

Abanye odokotela batusa ukugwema ukulala ohlangothini olwelashwe izinsuku eziningana. Abanye baphakamisa ukuzivocavoca kwekhanda okuthile ukuze kusize ekuvimbeleni ukuthuthuka kwamakristalu esikhathini esizayo.

Abantu abaningi bangakwazi ukubuyela emisebenzini ejwayelekile ezinsukwini ezimbalwa, kodwa kuhle ukugwema imisebenzi enokunyakaza okukhulu kwekhanda njengemidlalo ethile noma ukugibela epaki lokuzijabulisa cishe isonto elilodwa ngemva kokwelashwa.

Yiziphi izici eziyingozi zokuthuthuka kwamakristalu?

Izinto eziningi zingakhuphula amathuba akho okuthuthukisa i-BPPV nokudinga inqubo yokubeka kabusha i-canalith. Ubudala buyisici esiyingozi esibaluleke kakhulu, njengoba izimo eziningi zenzeka kubantu abaneminyaka engaphezu kwengama-40.

Ukuqonda lezi zinto eziyingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi uqaphele lapho izimpawu zingase zivele khona:

• Ukwelashwa kwekhanda noma ukulimala, ngisho nokushayeka okuncane ekhanda
• Izifo zendlebe zangaphakathi noma ukuvuvukala okungase kukhulule amakristalu
• Ukuphumula embhedeni isikhathi eside noma ukunganyakazi okuvumela amakristalu ukuthi ahlale ezindaweni ezingalungile
• Ezinye izinqubo zezokwelapha ezihilela ukubekwa kwekhanda ngesikhathi sokuhlinzwa
• Ezinye izifo zendlebe zangaphakathi njengesifo sikaMeniere noma i-vestibular neuritis
• Ikhanda elibuhlungu le-Migraine, elibonakala likhuphula ingozi ye-BPPV ngezizathu ezingacacile
• I-Osteoporosis, engase ithinte ukuzinza kwamakristalu endlebe yangaphakathi

Abesifazane maningi amathuba okuthi bathuthukise i-BPPV kunamadoda, ikakhulukazi ngemva kokuyeka ukuya esikhathini. Ushintsho lwama-hormone lungase ludlale indima ekuqineni kwamakristalu, nakuba abacwaningi besalifunda leli xhumano.

Abanye abantu banokuthambekela kofuzo ku-BPPV, okusho ukuthi kuqhubeka emindenini. Uma izihlobo zakho ziye zaba nezimpawu ezifanayo ze-vertigo, ungase ube nengozi enkulu yokuthuthukisa lesi simo ngokwakho.

Ziyini izinkinga ezingaba khona zokubeka kabusha i-canalith?

Inqubo yokubeka kabusha i-canalith iphephile kakhulu, kodwa njenganoma yikuphi ukwelashwa kwezokwelapha, ingaba nemiphumela emibi yesikhashana. Ukuqonda ukuthi yini ejwayelekile kukusiza ukuthi uzizwe uqiniseka ngesikhathi nangemva kwenqubo.

Imiphumela esheshayo evame kakhulu ukugcwala isikhashana nesicanucanu ngesikhathi senqubo uqobo. Lokhu kwenzeka ngoba ukuhambisa amakristalu ekuqaleni kuqala imizwa efanayo ye-vertigo obuyihlangabezana nayo.

Nawa amashwa amancane ongase uwahlangabezane nawo:

• Ukwanda okwesikhashana kwesiyezi isikhathi esingamahora angu-24 kuya kwangama-48 ngemva kokwelashwa
• Ukunyenyeka okuncane noma ukuzizwa ungazinzile uma uqala ukuhamba
• Ukuvela kabusha okufushane kwezimpawu ze-vertigo uma amakristalu engakazinzisi ngokugcwele
• Ukuqina kwentamo noma ubuhlungu obubangelwa ukunyakaza kokubeka
• Ukuqina kwekhanda lapho ushintsha izikhundla ngokushesha

Izinkinga ezinzima azivamile kakhulu kodwa zingabandakanya isiyezi esiqhubekayo esingathuthuki noma esiba sibi kakhulu ngemva kokwelashwa. Lokhu kungase kubonise ukuthi amakristalu aye athuthela kwenye indawo noma kunesinye isimo esibangela lokhu.

Ngokuvamile, abantu abanezimo ezithile zentamo bangase bazwe ukungakhululeki ngesikhathi sokunyakaza kokubeka. Udokotela wakho uzohlola ukunyakaza kwentamo yakho ngaphambi kwesikhathi futhi ashintshe inqubo uma kudingeka.

Uma uhlangabezana nezimpawu ezinzima eziqhubekayo, isicanucanu esiqhubekayo, noma izinguquko ezithile ezikhathazayo ngemva kwenqubo yakho, xhumana nomhlinzeki wakho wezempilo ngokushesha ukuze uhlolwe.

Kufanele ngibone nini udokotela ngezimpawu ze-vertigo?

Kufanele ufune ukwelashwa uma uhlangabezana neziqephu eziphindaphindayo zokuzizwa ujikeleza, ikakhulukazi uma zibangelwa ukunyakaza okuthile kwekhanda. Ukuhlolwa nokwelashwa kwasekuqaleni kungavimbela izimpawu ukuthi zingabi zimbi futhi kuthuthukise izinga lempilo yakho kakhulu.

Hlela i-aphoyintimenti nodokotela wakho uma iziqephu zakho ze-vertigo zithatha imizuzu engaphezu kwemihlanu, zenzeka njalo, noma ziphazamisa imisebenzi yakho yansuku zonke. Noma ngabe izimpawu zibonakala zithambile, ukuxilongwa okufanele kuqinisekisa ukuthi uthola ukwelashwa okufanele.

Funa ukunakekelwa kwezempilo ngokushesha uma i-vertigo yakho iza nanoma yiziphi lezi zimpawu zokuxwayisa:

• Ukuqaqamba kwekhanda okukhulu noma izinguquko endleleni yakho ejwayelekile yokuqaqamba kwekhanda
• Umkhuhlane, ukulahlekelwa ukuzwa, noma ubuhlungu bendlebe obuhambisana nesiyezi
• Ubuthakathaka, ukuba ndikindiki, noma ubunzima bokukhuluma
• Ushintsho embonweni noma umbono ophindwe kabili
• Ubuhlungu besifuba noma ubunzima bokuphefumula
• Ukuwa noma ukulahlekelwa ukwazi ngesikhathi seziqephu zesiyezi

Lezi zimpawu zingase zibonise izimo ezingathi sína ezidinga ukuhlolwa ngokushesha kunokuthuthwa kwamagwebu okulula. Udokotela wakho angathola ukuthi ungumuntu ofanelekayo yini ukuthuthwa kwamagwebu noma udinga ukwelashwa okuhlukile.

Unganqikazi ukufuna usizo ngisho noma ungaqiniseki ukuthi izimpawu zakho zingathi sína yini. I-Vertigo ingathinta kakhulu ukuphepha kwakho nokuphila kahle, futhi imithi ephumelelayo iyatholakala.

Imibuzo evame ukubuzwa mayelana nenqubo yokuthuthwa kwamagwebu

Umb. 1 Ingabe inqubo yokuthuthwa kwamagwebu ilungele zonke izinhlobo ze-vertigo?

Inqubo yokuthuthwa kwamagwebu isebenza ngokuqondile ku-BPPV ebangelwa amagwebu athuthiwe endlebeni yakho yangaphakathi, kodwa ngeke isize ezinye izinhlobo ze-vertigo. Cishe amaphesenti angama-80 kuya kwangama-90 abantu abane-BPPV bathola ukuthuthuka okukhulu ngemva kwalolu hlobo lokwelashwa.

Le nqubo ngeke isebenze uma i-vertigo yakho ivela ezifweni zendlebe yangaphakathi, imiphumela emibi yemithi, noma izimo ze-neurological. Udokotela wakho uzokwenza izivivinyo ezithile ukuze athole ukuthi izimpawu zakho zibangelwa ukuthuthwa kwamagwebu ngaphambi kokuncoma lolu hlobo lokwelashwa.

Umb. 2 Ingabe le nqubo ibuhlungu noma ibangela ukungakhululeki?

Inqubo yokuthuthwa kwamagwebu ngokwayo ayibangeli ubuhlungu, kodwa cishe uzothola isiyezi sesikhashana futhi mhlawumbe ube nesicanucanu njengoba amagwebu ehamba. Lokhu kungakhululeki empeleni kuyisibonakaliso esihle sokuthi ukwelashwa kuyasebenza ekuthuthweni kwamagwebu athuthiwe.

Abantu abaningi bachaza ukuzwa njengokufana nezimpawu zabo ezivamile ze-vertigo kodwa zinamandla kakhulu isikhashana. Ukungakhululeki kuvame ukuncipha ngemizuzu embalwa ngemva kokuqeda inqubo, futhi abantu abaningi bazizwa bekhululekile ngokushesha ngemva kwalokho.

Umbuzo 3. Zingakanani izikhathi imiphumela evela ekubekeni kabusha i-canalith ehlala ngayo?

Abantu abaningi bathola ukukhululeka unomphela ngemva kokubekwa kabusha kwe-canalith okuphumelelayo, ikakhulukazi uma belandela imiyalelo ngemva kokwelashwa ngokucophelela. Nokho, i-BPPV ingase iphinde ivele cishe kuma-15 kuya kuma-20 ekhulwini labantu, ngokuvamile ngemva kwezinyanga noma iminyaka.

Ukuphindeka akusho ukuthi ukwelashwa kokuqala akuzange kuphumelele – kumane kusho ukuthi amakristalu amasha aye athuthuka. Izindaba ezinhle ukuthi izinqubo eziphindwayo zivame ukusebenza njengokwelashwa kokuqala, futhi abanye abantu bafunda ukwenza izinguqulo eziguquliwe ekhaya.

Umbuzo 4. Ngingakwazi yini ukwenza ukubekwa kabusha kwe-canalith ngami ekhaya?

Ngenkathi ezinye izinguqulo ezilula zokubekwa kabusha kwe-canalith zingenziwa ekhaya, kungcono ukuthi ukwelashwa kwakho kokuqala kwenziwe ngumhlinzeki wezempilo oqeqeshiwe. Bangaqinisekisa indlela efanele futhi baqaphe impendulo yakho ekwelashweni.

Udokotela wakho angase akufundise inguqulo yasekhaya eguquliwe ebizwa ngokuthi i-half-somersault maneuver yezigameko zesikhathi esizayo. Nokho, indlela engafanele ngezinye izikhathi ingahambisa amakristalu emiseleni ehlukene, okungenzeka ukuthi kwenze izimpawu zibe zimbi kunokuba zibe ngcono.

Umbuzo 5. Zingaki izindlela zokwelapha engizozidinga ukuze ngithole ukukhululeka okuphelele?

Abantu abaningi bathola ukuthuthuka okukhulu ngemva kweseshini eyodwa nje yokubekwa kabusha kwe-canalith, ngamaphesenti angaba ngu-70 kuya ku-80 efinyelela ukukhululeka okuphelele. Abanye abantu badinga ukwelashwa okubili noma okuthathu, ikakhulukazi uma benamakristalu amaningi athuthukile noma amakristalu emiseleni yezindlebe ehlukene.

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola impendulo yakho ngemva kokwelashwa ngakunye futhi anqume ukuthi ngabe kudingeka yini ezinye izikhathi. Le nqubo ingaphindwa ngokuphepha izikhathi eziningi uma kudingeka, futhi ukwelashwa ngakunye okulandelayo kuvame ukusebenza kahle njengoba indlebe yakho yangaphakathi ijwayela.