Zobuqili Eppley njengoko LFK in ebubonisayo vertigo paroxysmal ngokokuma

Ebubonisayo vertigo ngokokuma paroxysmal (DPPG) - yinto ngezifo eqhelekileyo. Enye indlela unyango olusebenzayo ukunciphisa iimpawu sifo Eppley kushenxa.

iimpawu

DPPG ngokufuthi ikhula kwabasetyhini. Eyona kubangelwa kwesi sifo ithathwa ukuba yokulahlwa kwe iityuwa calcium (otolith) kwi embilwini indlebe lomsele. Movement intloko (ukuthambeka, ukujikajika, tilting) ukubacaphukisa badla elifutshane elide nesiyezi. Phakathi neziqephu isigulane bangafumana isicaphucaphu, ukuhla e uxinzelelo lwegazi, ilahleko yemali eseleyo, thermoregulation kakuhle. yokuhlaselwa olukhulu rhoqo unokuhlangula ukuphazamiseka kangangokuba umbuzo nto yakwenza vertigo, ukuba isigulane eze kuqala. Xa ixesha uqalile DPPG unyango hayi umonakalo ezingisayo kwimpilo, isifo elihle lubandakanya ukuhla ubukhali izigigaba.

ekuxilongweni

Uxilongo "DPPG" uyakwazi ukubeka ugqirha ngokusekelwe anamnesis isigulane isikhalo. iindlela ezongezelelweyo neurologic diagnostic na isampuli-Dix Hallpike kunye novavanyo ejikelezayo.

unyango

Ukhetho unyango kule sifo kuxhomekeke kuhlobo ijelo ingamoshakala. Xa amayeza mihla, ukuze kupheliswe iimpawu exercises vestibular kunye otoliths Ukumiswa. Ukuququzelela urhulumente kwi DPPG ukunceda iindlela ezithile zonyango. Kunconywa Ugqirha umzimba in ebubonisayo vertigo paroxysmal ngokokuma kunciphisa ubukhali bahlaselwe. Unyango kufuneka uthathe indawo otolith yikristale ingqalelo xa misele omise sendlebe engaphakathi. Beka endaweni kushenxa Epley yindlela abaninzi bafunda kwaye ulawula ukuhlaselwa kule ngezifo ngasemva and lateral. Kakuhle eli kunyango ukutshintsha ukuma otoliths. crystal Fixed iyachithakala, ukuze sixhase yokuduka iimpawu.

eqondisa Technique

Emva ngo 1992 wathenjiswa Epley kushenxa. Xa ziikristale yayo carbonate isicelo calcium ngenxa womxhuzulane asuswe evela emiseleni omise. Le nkqubo Idla ngokwanda mpawu yawo, ngenxa ukubana ngenkani le otoliths elinazibini. Kubalulekile ukulandela ubuchule ngqo ukwenza imithambo Epley.

• Isigulane uhlala phezu ekunene esofeni, lijike intloko yakhe kwicala indlebe yomguli kwi 45˚.
• Ngokubhekele phaya, xa igcinwe ngenyameko vula intloko yomguli ibekwa ukwenzela ukuba intloko iphoselwe umva kancinci. Kule sikhundla, uhlala kangangexesha elithile - imizuzwana 20-60.
• Ke intloko esijikeleziswa 90˚ kwicala okunempilo.
• Ekupheleni kwexesha yomguli umzimba intloko kwindawo esisigxina, ukujikeleza kwicala efanayo kwi 90˚. ubuso bakhe sibhekiswe ezantsi. Kule sikhundla wahlala ezithile imizuzwana.
• Isigulane uhlala phantsi kancinci ukuya kwindawo yokuqala.

Kwinkqubo ukwenza izinto zenzeke ngokokuma kufuneka ukuba nesiyezi. Imisebenzi ecetywayo isiphumo ngokupheleleyo ukuba wenziwe ngethuba le nkqubo ngokuphindaphindiweyo. Inani kophindo ilawulwa iimvakalelo zakho: kamsinya nje nesiyezi stop, intlanganiso kupheliswa. Xa inkqubo iphela, kufuneka uphumle malunga 10 imizuzu kubalulekile ukuba ukwenza iintshukumo ngesiquphe entloko, ukuze ukuba okubhalwe kwindlebe engaphakathi akukho ngomdla. imithambo yokusebenza rhoqo ngcembe kunceda ukunyibilika iityuwa calcium. Nciphisa ukubonakala iimpawu kwesi sifo kunokwenzeka ngaphandle ukusetyenziswa kweziyobisi.

Zobuqili Eppley kwakhona ngokuba inkqubo ukunciphisa ijelo. Isebenze ngokuchanekileyo ekuqaleni, ukuba kwenziwe phantsi kweliso gqirha. Umele ukuvavanya ukuba ngaba isigulane uyakwazi ukwenza imithambo ngokunokwabo. ingozi yempilo, ngokutsho iingcali, kunye ubuchule kubi ezincinane, kodwa mhlawumbi ukunciphisa ukusebenza ezilindelekileyo unyango DPPG.

Ukuba awazi ukuba yintoni na enawe nesiyezi ukuba kwenzeka rhoqo kufuneka udibane nogqirha. Ukuba une "vertigo ngokokuma paroxysmal ebubonisayo," iya kuqinisekiswa, kuyimfuneko ukuba babambelele kunyango emiselweyo. Esi sifo yinto exhaphakileyo kwaye Azifumaneki kakuhle kunyango.