Akamagwiritsa Eppley monga LFK mu chosaopsa paroxysmal Pamalo vertigo

Chosaopsa paroxysmal Pamalo vertigo (DPPG) - ndi kudwala wamba. Njira imodzi mankhwala zothandiza kuchepetsa zizindikiro matenda Eppley kuzemba.

zizindikiro

DPPG kawirikawiri akufotokozera mu akazi. The zambiri chifukwa cha matenda imatengedwa kuti ndi mafunsidwe a salt kashiamu (otolith) mu ngalande mkati khutu. Movement wa mutu (wakupendama swivel, tilting) zoyambitsa akulimbana ndi chizungulire yochepa. Pakati zochititsa kuleza mtima nacho nseru, kusinthasintha magazi, imfa ya malire mkhutu thermoregulation. Zonse kuukira chenicheni angatiombole anachitazi moti funso chochita ndi vertigo, ayenera wodwala oyamba. Nthawi wayamba mankhwala DPPG si kuwononga kulimbikira thanzi, chosaopsa matenda kumaphatikizapo kuchepa kukula kwa nkhani.

diagnostics

Matendawa "DPPG" mukhoza kuika dokotala pa maziko a anamnesis mtima anapempha. Zina neurologic njira yodziwira ndi chitsanzo-Dix Hallpike kuyesedwa rotational.

chithandizo

Kusankha mankhwala mu matenda amadalira mtundu wa njira udaipitsidwa. Mu mankhwala amakono, ntchito kuthetsa zizindikiro za Zochita vestibular ndi repositioning otoliths. Atsogolere boma pa DPPG kuthandiza njira yeniyeni achire. Analimbikitsa zolimbitsa mankhwala dokotala mu chosaopsa paroxysmal Pamalo vertigo amachepetsa kusalekerera kuukira. Chithandizo ayenera kuganizira malo a otolith cha galasi mu ngalande semicircular wa khutu lamkati. Malo Epley kuzemba ndi njira kwambiri kuphunzira, asaaonerera kuukira pa kumbuyo ndi lateral kudwala. Akamanena za mankhwala ndi kusintha udindo wa otoliths lapansi. Amodzi galasi amasungunula Zimenezi zidzathandiza kuti mofulumira zizindikiro.

amayendetsera Kadyedwe Kake

Back mu 1992 iye anapatsidwa Epley kuzemba. Mu ntchito kashiamu timibulu ake carbonate chifukwa yokoka achotsedwa kuchokera m'ngalande semicircular. Ndondomeko zambiri limodzi ndi zizindikiro kuchuluka autonomic, chifukwa amakakamizidwa kusamutsidwa kwa otoliths zidutswa. Ndikofunika kutsatira njira yeniyeni akuchita Epley Zochita.

• Wodwala akukhala pampando lamanja, kutembenuzira mutu wake mbali ya khutu wodwala pa 45˚.
• Komanso, pamene kusungidwa mosamala mutu wodwalayo aikidwa kuti anali mutu pang'ono n'kuponyedwanso. Mmalo awa, iye kwa nyengo zina za nthawi - masekondi 20-60.
• Ndiye mutu ndi zimayenda 90˚ kumbali wathanzi.
• Pa mapeto a nthawi wodwalayo thupi ndi mutu mu malo amodzi atembenuza mbali imodzi ngakhale pa 90˚. nkhope yake imatsogoleredwa kunsi. Mmalo awa adakhalabe ena masekondi.
• Wodwalayo pansi pang'onopang'ono udindo poyambira.

Mu ndondomeko ya kuchita Pamalo mchitidwe ayenera chizungulire. Zochita, akufuna kuti zotsatira zonse kuchitika pa ndondomeko mobwerezabwereza. chiwerengero cha kubwereza kumalamuliridwa ndi maganizo munthu: atangomva siteji chizungulire, gawoli ndi kutsazikana. Kamodzi ndondomeko chatha, muyenera kupuma kwa pafupifupi mphindi 10 Nkofunika kuti kayendedwe mwadzidzidzi mutu, moti nkhani za khutu mkati osati ankatembenukira. Zonse ntchito olimbitsa pang'onopang'ono kuthandiza kupasuka kashiamu salt. Kuchepetsa maonekedwe zizindikiro matenda zimenezi popanda mankhwala.

Akamagwiritsa Eppley amatchedwanso ndondomeko kuchepetsa njira. Ntchito moyenera poyamba, kuti loyang'aniridwa ndi dokotala. Iye ayenera kuona ngati wodwala angathe kuchita olimbitsa paokha. chiopsezo thanzi, malinga ndi akatswiri, ndi njira yolakwika ndi kochepa, koma mwina kuchepa efficacy ankayembekezera zochizira DPPG.

Ngati simukudziwa chochita ndi chizungulire kuti kumachitika nthawi zonse muyenera kukaonana ndi dokotala. Ngati matenda a "chosaopsa paroxysmal Pamalo vertigo" kodi litatsimikizika, m'pofunika kutsatira mankhwala amene wapatsidwa. matenda ndi zachilendo ndipo zingawathandize bwino mankhwala.