Kev Ua Si Physiotherapy los Kho Mob Vertigo
Kab mob kiv taub hau uas feem ntau hu ua Benign Paroxysmal Positional Vertigo (BPPV) yog ib qho ntawm cov ua rau kiv taub hau uas tshwm sim thaum lub taub hau hloov chaw. Muaj ntau tus neeg ntsib qhov no thaum sawv ntxov, tig lawv lub taub hau sai sai, khoov, lossis pw rau ntawm lawv ib sab. Qhov xov xwm zoo yog tias kab mob kiv taub hau uas feem ntau tuaj yeem kho tau nrog kev tawm dag zog lub cev, vim tias qhov teeb meem tseem ceeb feem ntau yog cuam tshuam nrog kev cuam tshuam ntawm lub cev hauv pob ntseg, tsis yog kev puas tsuaj rau lub hlwb mus tas li.
Tsab xov xwm no tham txog cov kev tawm dag zog physiotherapy uas feem ntau siv los pab kho qhov mob vertigo, yuav ua li cas ua, thiab cov ntsiab lus tseem ceeb uas yuav tsum nco ntsoov kom ntseeg tau tias cov kev tawm dag zog no muaj kev nyab xeeb thiab ua tau zoo.
To taub qhov kev mob Vertigo (BPPV) luv luv
Lub pob ntseg sab hauv muaj lub cev sib npaug, uas muaj cov kwj deg semicircular thiab cov kab mob otolith. Hauv BPPV, cov calcium carbonate me me (otoconia) uas xav tias nyob rau hauv qhov chaw tshwj xeeb yuav tawm thiab nkag mus rau hauv ib qho ntawm cov kwj deg sib npaug. Thaum lub taub hau txav mus, cov khoom no txav mus nrog nws thiab ua rau cov sensors sib npaug ua haujlwm tsis tseeb, ua rau lub hlwb tau txais lub cim cuav tias lub cev tig.
Cov yam ntxwv ntawm BPPV yog:
- Kab mob kiv taub hau uas tshwm sim los ntawm kev hloov pauv ntawm qhov chaw ntawm lub taub hau.
- Kev tawm tsam luv luv (feem ntau yog ob peb vib nas this mus rau tsawg dua 1 feeb).
- Tej zaum yuav muaj xeev siab, qee zaum ntuav.
– Feem ntau tsis muaj teeb meem pob ntseg nrog (yog tias muaj, yuav tsum tau soj ntsuam lwm yam ua rau).
Vim li cas kev tawm dag zog physiotherapy thiaj li ua tau zoo?
Kev kho mob lub cev rau BPPV feem ntau tsom mus rau kev hloov chaw thiab kev tawm dag zog uas ua rau yus muaj tus cwj pwm zoo. Kev hloov chaw lub cev lub hom phiaj yog kom rov qab mus rau qhov chaw qub kom tsis txhob ua rau cov hlab ntsha semicircular khaus. Kev tawm dag zog uas ua rau yus muaj tus cwj pwm zoo, xws li kev tawm dag zog Brandt-Daroff, lub hom phiaj yog hloov kho lub paj hlwb kom haum rau cov kev xav uas ua rau kiv taub hau thiab txo qhov rhiab heev.
Muaj ntau tus neeg mob uas zoo dua tsuas yog ua ob peb zaug xwb. Txawm li cas los xij, nws yog ib qho tseem ceeb kom paub meej tias tus kab mob no puas yog (BPPV), vim tias kiv taub hau tuaj yeem tshwm sim los ntawm ntau yam mob.
Cov Kev Tawm Dag Zog thiab Kev Ua Haujlwm Feem Ntau Siv
1) Epley Maneuver (Canalith Repositioning Maneuver)
Qhov kev kho mob Epley maneuver yog qhov kev kho mob uas siv ntau tshaj plaws rau cov kab mob posterior canal BPPV (hom uas siv ntau tshaj plaws). Qhov zoo tshaj plaws, yuav tsum tau ua los ntawm tus kws kho mob lub cev lossis tus kws kho mob uas tau kawm tiav, tshwj xeeb tshaj yog thawj zaug sim, vim nws yuav tsum tau muab qhov chaw thiab kev txav mus los kom raug.
Kev piav qhia txog cov kauj ruam (rau sab uas raug kev txom nyem):
1. Zaum ntawm ntug txaj, tig lub taub hau 45° mus rau sab uas ua rau kiv taub hau.
2. Pw sai sai rau ntawm koj nraub qaum nrog koj lub taub hau tig 45° thiab ncab me ntsis (saib saum ntuj). Tuav li 30-60 vib nas this lossis kom txog thaum qhov kiv taub hau ploj mus.
3. Maj mam tig koj lub taub hau 90° mus rau sab tod (tam sim no 45° mus rau sab tsis raug mob). Tuav rau 30–60 vib nas this.
4. Tig koj lub cev raws li koj lub taub hau qhia kom txog thaum koj pw rau koj ib sab, thiab koj lub ntsej muag tig rau hauv av (kwv yees li 45°). Tuav li 30–60 vib nas this.
5. Zaum rov qab maj mam.
Cov Ntaub Ntawv Tseem Ceeb:
– Yuav ua rau kiv taub hau ib pliag—qhov no yog ib txwm muaj.
– Tom qab ua qhov kev txav mus los no, qee tus neeg raug qhia kom tsis txhob txav taub hau ntau dhau rau 24 teev, txawm hais tias cov lus qhia no txawv ntawm tus kws kho mob.
2) Semont Maneuver (Kev Tawm Tsam Kom Dim)
Qhov kev tawm dag zog Semont kuj tseem yog rau cov posterior canal BPPV. Cov kev txav mus los sai dua thiab "rock" los ntawm ib sab mus rau ib sab, yog li nws feem ntau ua nyob rau hauv kev saib xyuas ntawm tus kws kho mob lub cev, tshwj xeeb tshaj yog rau cov neeg mob laus lossis cov neeg uas muaj teeb meem ntawm tus txha caj qaum.
Lub hauv paus ntsiab lus:
– Tus neeg mob zaum, tig lub taub hau 45° ntawm sab uas raug mob, ces maj mam pw rau sab uas raug mob.
– Tom qab raug tuav, tus neeg mob raug tsiv mus rau sab tod sai sai yam tsis hloov qhov chaw ntawm lub taub hau, tom qab ntawd tuav dua ua ntej rov qab zaum.
Qhov kev txav no lub hom phiaj yog "tso tawm" cov khoom uas daig thiab txav lawv tawm ntawm cov channel uas thaiv.
3) Lempert Maneuver (Barbecue Roll) rau Kab Rov Tav BPPV
Yog tias BPPV tshwm sim hauv cov kwj dej kab rov tav, txoj hauv kev yuav txawv. Ib txoj hauv kev yog barbecue dov lossis Lempert maneuver, uas cuam tshuam maj mam dov zoo li "lub cev ntswj" kom tshem cov khoom me me.
Kev piav qhia dav dav:
- Pib los ntawm ib qho chaw pw.
– Lub taub hau maj mam tig 90° mus rau ib qho kev taw qhia, tom qab ntawd lub cev dov nrog lub taub hau, kom txog thaum nws tig 360° ua tiav hauv ntau theem, nrog rau kev ncua ntawm 15-30 vib nas this rau txhua qhov chaw.
Vim tias kev txiav txim siab qhov kwj dej uas cuam tshuam yuav tsum tau kuaj xyuas (piv txwv li, Dix-Hallpike test lossis supine roll test), qhov kev txav no yuav tsum tau ua tom qab kev ntsuam xyuas kom zoo.
4) Kev Ua Si Brandt-Daroff (Kev Ua Si Hauv Tsev)
Feem ntau Brandt-Daroff raug pom zoo kom ua kev tawm dag zog hauv tsev, tshwj xeeb tshaj yog thaum tsis tuaj yeem hloov chaw, cov tsos mob rov tshwm sim ntau zaus, lossis tus neeg mob xav tau kev tawm dag zog ntxiv.
Yuav ua li cas:
1. Zaum ncaj nraim rau ntawm ntug txaj.
2. Pw sai sai rau ib sab, thiab tsa koj lub taub hau me ntsis rau saum (kwv yees li 45°). Ua li no li 20-30 vib nas this lossis kom txog thaum koj tus mob kiv taub hau ploj mus.
3. Rov qab mus zaum, tuav li 20–30 vib nas this.
4. Rov ua dua rau sab tod.
Cov koob tshuaj ntawm kev tawm dag zog feem ntau:
- 5 rov ua dua sab xis-sab laug (1 teeb).
– 2–3 pawg ib hnub rau 1–2 lub lis piam, lossis raws li tus kws kho mob lub cev qhia.
Qhov zoo ntawm qhov kev tawm dag zog no yog tias nws yooj yim ua yam tsis muaj khoom siv, tab sis kev txhim kho feem ntau maj mam dua li kev hloov chaw xws li Epley.
5) Kev Ua Kom Lub Cev Ruaj Khoov Thiab Kev Sib Npaug
Muaj ib txhia neeg, tom qab tus mob vertigo ploj mus lawm, lawv tseem muaj kev xav tias lawv tsis ruaj khov, "ntab," lossis ntshai kev txav mus los. Kev tawm dag zog vestibular xws li kev ruaj khov ntawm kev ntsia ntsoov tuaj yeem pab rov qab ua haujlwm tau zoo.
Piv txwv kev tawm dag zog yooj yim:
– Ua tib zoo saib cov ntawv sau rau ntawm daim ntawv uas ntev li koj txhais tes ncav cuag.
– Maj mam txav koj lub taub hau los ntawm ib sab mus rau ib sab thaum sau ntawv kom meej (qhov muag tseem tsom ntsoov).
– Ua li no li 30–60 vib nas this, 2–3 zaug hauv ib hnub, nrog rau qhov hnyav kho kom tso cai rau cov tsos mob me me mus rau nruab nrab thiab rov zoo hauv ob peb feeb.
Kuj tseem tuaj yeem ntxiv cov kev tawm dag zog kom sib npaug, piv txwv li sawv nrog koj ob txhais taw ua ke, tandem stance (ib txhais taw nyob rau pem hauv ntej), lossis taug kev thaum tig koj lub taub hau qeeb qeeb - tau kawg nrog kev ntsuas kev nyab xeeb kom tiv thaiv kev poob.
Cov Lus Qhia Txog Kev Nyab Xeeb Thaum Xyaum Ua
Yuav kom ntseeg tau tias muaj kev tawm dag zog physiotherapy zoo:
- Ua qhov chaw nyab xeeb (nyob ze ntawm phab ntsa/lub tes tuav, deb ntawm cov ces kaum ntse).
- Yog koj yooj yim poob, thov kom muaj ib tug khub.
- Tsis txhob ua tej yam ceev ceev yog tias koj muaj teeb meem loj ntawm caj dab (piv txwv li, mob pob qij txha hnyav), tau muaj keeb kwm mob stroke, lossis muaj teeb meem ntawm cov hlab ntsha caj dab, tshwj tsis yog tias tus kws kho mob tau kuaj xyuas.
- Tsum tsis txhob ua si nawv yog tias koj muaj tej yam tsos mob txawv txawv xws li tsaus muag, ceg tsis muaj zog, hais lus tsis tau zoo, pom ob sab tas li, lossis mob taub hau heev.
Thaum twg koj yuav tsum mus ntsib kws kho mob lossis kws kho mob?
Txawm hais tias BPPV feem ntau zoo dua, kev ntsuam xyuas kev tshaj lij yog qhov tseem ceeb yog tias:
– Nov yog koj thawj zaug mob thiab koj yeej tsis tau raug kuaj mob.
- Vertigo kav ntev (ntau tshaj 1 feeb ib zaug tawm tsam) lossis tshwm sim yam tsis hloov pauv qhov chaw.
- Muaj teeb meem pob ntseg, pob ntseg nrov heev, kua tawm hauv pob ntseg, lossis mob pob ntseg.
- Koj muaj kab mob ntawm lub paj hlwb, keeb kwm ntawm kev ntog, lossis kev tsis ruaj khov thaum taug kev.
- Cov tsos mob tsis zoo dua tom qab ob peb hnub ua si lossis rov tshwm sim ntau zaus.
Tus kws kho lub cev tuaj yeem txiav txim siab seb lub qhov dej hauv lub cev puas raug mob, xaiv txoj kev kho mob uas tsim nyog tshaj plaws, thiab saib xyuas seb kev kho mob puas teb. Qee zaum kev kho mob ua ke thiab kev tawm dag zog vestibular yog qhov tsim nyog rau kev rov zoo.
Kev kaw
Kev tawm dag zog kho mob lub cev yog ib txoj hauv kev zoo tshaj plaws los kho tus mob vertigo (BPPV), feem ntau yog los ntawm kev hloov chaw xws li kev tawm dag zog Epley, Semont, lossis Lempert, nrog rau kev tawm dag zog kom koj lub cev zoo li kev tawm dag zog Brandt-Daroff. Yog tias kuaj mob zoo, siv txoj kev kho mob kom raug, thiab ua tib zoo saib xyuas kev nyab xeeb, feem ntau cov neeg mob yuav zoo dua, txawm tias nyob rau lub sijhawm luv luv xwb los xij.
Yog tias koj xav tau, kuv tuaj yeem kho tsab xov xwm no kom meej dua: piv txwv li, tsom mus rau qhov posterior canal BPPV, ntxiv cov lus qhia ntxaws ntxiv rau sab xis / sab laug, lossis tsim cov lus nrov dua rau kev kawm cov neeg mob.
