Zochita za Physiotherapy Zochizira Vertigo Yomwe Ili Pamalo
Chizungulire cha malo—chomwe nthawi zambiri chimatchedwa Benign Paroxysmal Positional Vertigo (BPPV)—ndi chimodzi mwa zifukwa zomwe zimayambitsa chizungulire chomwe chimachitika mutu ukasintha malo. Anthu ambiri amakumana nacho akadzuka, kutembenuza mutu wawo mwachangu, kuwerama, kapena kugona chagada. Nkhani yabwino ndi yakuti chizungulire cha malo nthawi zambiri chimatha kuchiritsidwa ndi masewera olimbitsa thupi oyenera, chifukwa vuto lalikulu nthawi zambiri limakhudzana ndi kusokonezeka kwa makina mkati mwa khutu, osati kuwonongeka kwa ubongo kosatha.
Nkhaniyi ikufotokoza za masewera olimbitsa thupi omwe amagwiritsidwa ntchito pochiza chizungulire, momwe angachitire, ndi mfundo zofunika kukumbukira kuti masewera olimbitsa thupiwo akhale otetezeka komanso ogwira mtima.
Kumvetsetsa Chizungulire Chaching'ono (BPPV) Mwachidule
Khutu lamkati lili ndi dongosolo lolinganiza bwino, lopangidwa ndi ngalande zozungulira ndi ziwalo za otolith. Mu BPPV, tinthu tating'onoting'ono ta calcium carbonate (otoconia) tomwe tikuyenera kukhala m'malo enaake timatuluka ndikulowa m'modzi mwa ngalande zolinganiza bwino. Mutu ukasuntha, tinthuti timayenda nawo molakwika ndipo timasonkhezera masensa olinganiza bwino, zomwe zimapangitsa ubongo kulandira chizindikiro chabodza choti thupi likuzungulira.
Makhalidwe a BPPV ndi awa:
- Chizungulire chozungulira chomwe chimayamba chifukwa cha kusintha kwa malo a mutu.
- Kuukira kwakanthawi (nthawi zambiri kumatenga masekondi angapo mpaka mphindi imodzi).
- Zingaphatikizepo nseru, nthawi zina kusanza.
– Nthawi zambiri sizimayenderana ndi kutaya kumva (ngati zilipo, zifukwa zina ziyenera kufufuzidwa).
Chifukwa chiyani kuchita masewera olimbitsa thupi a physiotherapy kuli kothandiza?
Kuchiza thupi kwa BPPV nthawi zambiri kumayang'ana kwambiri pa kusintha machitidwe ndi machitidwe ochitira zinthu. Kusintha machitidwe kumafuna kubwezeretsa otoconium pamalo ake oyambirira kuti apewe kukwiyitsa ngalande zozungulira. Kuchita masewera olimbitsa thupi, monga kuchita masewera olimbitsa thupi a Brandt-Daroff, cholinga chake ndi kusintha dongosolo la mitsempha kuti ligwirizane ndi zinthu zomwe zimayambitsa chizungulire ndikuchepetsa kukhudzidwa.
Odwala ambiri amachira akangochita masewera olimbitsa thupi ochepa okha. Komabe, ndikofunikira kutsimikizira matenda oyenera (BPPV), chifukwa chizungulire chingayambitsidwe ndi matenda osiyanasiyana.
Zochita Zolimbitsa Thupi ndi Maneuvers Omwe Amagwiritsidwa Ntchito Kawirikawiri
1) Epley Maneuver (Canalith Repositioning Maneuver)
Njira ya Epley ndiyo njira yomwe imagwiritsidwa ntchito kwambiri pa BPPV ya posterior canal (mtundu wofala kwambiri). Mwachiyembekezo, iyenera kuchitidwa ndi katswiri wa physiotherapist kapena katswiri wodziwa bwino ntchito zachipatala, makamaka poyamba, chifukwa imafuna malo oyenera komanso kutsatizana kwa mayendedwe.
Chidule cha masitepe (kwa mbali yokhudzidwa):
1. Mutakhala m'mphepete mwa bedi, mutu wanu unatembenuzidwa 45° kumbali yomwe imayambitsa chizungulire.
2. Gonani mofulumira chagada mutu wanu utatembenuzidwa 45° ndi kutambasula pang'ono (kuyang'ana mmwamba). Gwirani kwa masekondi 30-60 kapena mpaka chizungulire chitachepa.
3. Pang'onopang'ono tembenuzani mutu wanu 90° mbali inayo (tsopano 45° mbali yosakhudzidwa). Gwirani kwa masekondi 30–60.
4. Pendeketsani thupi lanu motsatira njira ya mutu wanu mpaka mutagona chammbali, nkhope yanu ikuyang'ana pansi (pafupifupi madigiri 45). Gwirani kwa masekondi 30–60.
5. Khalani pansi pang'onopang'ono.
Zolemba Zofunika:
- Zingayambitse chizungulire cha kanthawi—izi ndi zachilendo.
– Pambuyo pa njirayi, anthu ena amalangizidwa kupewa kusuntha mitu kwambiri kwa maola 24, ngakhale kuti malangizowa amasiyana malinga ndi dokotala.
2) Semont Maneuver (Maneuver Yomasuka)
Njira ya Semont imapangidwiranso makamaka pa BPPV ya posterior canal. Kusunthaku kumakhala kofulumira komanso "kogwedezeka" kuchokera mbali imodzi kupita mbali ina, kotero nthawi zambiri kumachitika moyang'aniridwa ndi katswiri wa physiotherapist, makamaka kwa odwala okalamba kapena omwe ali ndi vuto la msana.
Mfundo yaikulu:
– Wodwalayo amakhala pansi, mutu wake umatembenuzidwa 45° kutali ndi mbali yokhudzidwayo, kenako n’kugona pansi mofulumira kumbali yokhudzidwayo.
– Wodwalayo akagwidwa, amasunthidwa mwachangu mbali ina popanda kusintha mutu wake, kenako amamugwiranso asanayambe kukhala pansi.
Njira imeneyi cholinga chake ndi "kutulutsa" tinthu tomwe tamatirira ndikuwatulutsa mu ngalande yotchinga.
3) Lempert Maneuver (Barbecue Roll) ya Horizontal Canal BPPV
Ngati BPPV ichitika mu ngalande yopingasa, njira yake ndi yosiyana. Njira imodzi ndi barbecue roll kapena Lempert maneuver, yomwe imaphatikizapo kugwedezeka pang'onopang'ono ngati "kupotoza thupi" kuti tichotse tinthu tating'onoting'ono.
Kufotokozera konse:
- Yambani muli chafufumimba.
– Mutu umazunguliridwa pang'onopang'ono 90° mbali imodzi, kenako thupi limazungulira limodzi ndi mutu, mpaka utamaliza kuzungulira 360° m'magawo angapo, ndi kuyimitsa kwa masekondi 15-30 pa malo aliwonse.
Popeza kudziwa ngalande yomwe yakhudzidwa kumafuna kuyesedwa (monga mayeso a Dix-Hallpike kapena mayeso a supine roll), njira imeneyi iyenera kuchitidwa pambuyo poyesedwa bwino.
4) Zochita Zolimbitsa Thupi za Brandt-Daroff (Zochita Zolimbitsa Thupi Kunyumba)
Brandt-Daroff nthawi zambiri amalimbikitsidwa ngati masewera olimbitsa thupi kunyumba, makamaka ngati kusintha malo sikungatheke, zizindikiro zimabwereranso pafupipafupi, kapena wodwalayo akufunika kuchita masewera olimbitsa thupi owonjezera.
Momwe mungachitire:
1. Khalani molunjika m'mphepete mwa bedi.
2. Gonani pansi mwachangu mbali imodzi, mutu wanu utapendekeka pang'ono mmwamba (pafupifupi 45°). Gwirani kwa masekondi 20-30 kapena mpaka chizungulire chitachepa.
3. Bwererani pamalo okhala, gwirani kwa masekondi 20-30.
4. Bwerezani mbali inayo.
Mlingo wodziwika bwino wa masewera olimbitsa thupi:
– Kubwereza 5 kumanja kumanzere (seti imodzi).
- seti 2-3 patsiku kwa milungu 1-2, kapena monga momwe dokotala wa physiotherapist akulangizira.
Ubwino wa masewerowa ndikuti ndi osavuta kuchita popanda zida, koma kusintha nthawi zambiri kumachitika pang'onopang'ono kuposa kusintha njira monga Epley.
5) Zochita Zolimbitsa Maso ndi Kulinganiza
Kwa anthu ena, chizungulire chikatha, munthu amakhala ndi kusakhazikika, “kuyandama,” kapena mantha oyenda. Zochita zolimbitsa thupi monga kukhazikika kwa maso zingathandize kubwezeretsa magwiridwe antchito.
Chitsanzo chosavuta chochitira masewera olimbitsa thupi:
– Yang'anani kwambiri zilembo zomwe zili papepalalo kutalika kwa mkono.
- Yendetsani mutu wanu pang'onopang'ono kuchokera mbali imodzi kupita ina pamene mukulemba bwino (maso anu akhalebe olunjika).
Chitani izi kwa masekondi 30-60, kawiri-katatu patsiku, ndipo mphamvu yake isinthidwe kuti zizindikiro zake zikhale zochepa komanso kuti achire mkati mwa mphindi zochepa.
Masewero olimbitsa thupi angathenso kuwonjezeredwa, mwachitsanzo kuyimirira ndi mapazi anu pamodzi, kuyimirira limodzi (phazi limodzi kutsogolo), kapena kuyenda uku mukutembenuza mutu wanu pang'onopang'ono—ndithudi ndi njira zodzitetezera kuti musagwe.
Malangizo Oteteza Mukamachita Zochita
Kuti muwonetsetse kuti masewera olimbitsa thupi ndi otetezeka:
– Chitani izi pamalo otetezeka (pafupi ndi khoma/chogwirira, kutali ndi ngodya zakuthwa).
– Ngati mugwa mosavuta, pemphani mnzanu.
- Pewani kuchita zinthu mwachangu ngati muli ndi vuto lalikulu la khosi (monga spondylosis yoopsa), mbiri ya sitiroko zina, kapena matenda a mitsempha yamagazi ya khosi, pokhapokha ngati dokotala wakuyezetsa.
- Siyani kuchita masewera olimbitsa thupi ngati mukukumana ndi zizindikiro zachilendo monga kukomoka, kufooka kwa miyendo, kuvutika kulankhula, kuwona zinthu ziwiri nthawi zonse, kapena mutu waukulu.
Kodi Muyenera Kuwona Dokotala Kapena Physiotherapist Liti?
Ngakhale kuti BPPV nthawi zambiri imakula, kuwunika kwa akatswiri ndikofunikira ngati:
– Iyi ndi nthawi yanu yoyamba ndipo simunapezepo matenda.
- Vertigo imatenga nthawi yayitali (kupitirira mphindi imodzi pa kuukira kulikonse) kapena imachitika popanda kusintha malo.
- Pali kutaya kumva, kulira kwambiri m'makutu, kutuluka magazi m'khutu, kapena kupweteka m'khutu.
- Muli ndi matenda amitsempha, mbiri ya kugwa, kapena madandaulo okhudza kusakhazikika kwakukulu poyenda.
- Zizindikiro sizimachepa pakatha masiku angapo ochita masewera olimbitsa thupi kapena zimabwereranso pafupipafupi.
Katswiri wa zamaganizo amatha kudziwa ngalande yomwe yakhudzidwa, kusankha njira yoyenera kwambiri, ndikuyang'anira momwe chithandizocho chikuchitikira. Nthawi zina kuphatikiza njira zoyendetsera ndi masewera olimbitsa thupi a vestibular ndikofunikira kuti munthu achire bwino.
Kutseka
Masewero olimbitsa thupi ndi njira yothandiza kwambiri pochiza vertigo (BPPV), makamaka kudzera mu kusintha machitidwe monga Epley, Semont, kapena Lempert, komanso maseŵero olimbitsa thupi monga Brandt-Daroff. Ndi matenda oyenera, njira yoyenera, komanso chisamaliro cha chitetezo, odwala ambiri amatha kusintha kwambiri, ngakhale pakapita nthawi yochepa.
Ngati mukufuna, nditha kusintha nkhaniyi kuti ikhale yeniyeni: mwachitsanzo, kuyang'ana kwambiri pa BPPV ya posterior canal, kuwonjezera chitsogozo chatsatanetsatane cha mbali yakumanja/kumanzere, kapena kupanga mtundu wa chilankhulo chodziwika bwino chophunzitsira odwala.
