Dhaqdhaqaaq Eppley sida LFK in benign vertigo mawqifyada paroxysmal

Caanood vertigo paroxysmal mawqifyada (DPPG) - waa cudurada caadi ah. Mid ka mid ah habka daaweynta ku ool ah si loo yareeyo calaamadaha cudurka waa dhaqdhaqaaq Eppley.

calaamadaha

DPPG inta badan horumarisa ee haweenka. Sababta ay u badan tahay cudurka waxaa loo arkaa inay dhigaalka ee cusbada calcium (otolith) ee kanaalka dhegta gudaha. Dhaqdhaqaaqa madaxa (laabto, ay ishu, garkooda) cadhaysiinina roonaadaan muddada gaaban ee wareer. Inta u dhaxaysa dhacdooyin bukaanka waxaa laga yaabaa in ay la kulmaan lalabo, degidda cadaadiska dhiigga, oo luma dheelitirka, thermoregulation oo yaraada. weerarro xooggan oo joogto ah samatabbixin karaa dhib badan in su'aasha ah ee waxa la sameeyo leh vertigo, waa in bukaan-socodka inuu horta yimaado. Marka waqti bilaabay DPPG daaweynta ma keeni dhaawac joogto ah caafimaadka, cudurka benign ku lug leedahay hoos u dhac in marxalado adag ee.

Baadhista xanuunada

Cilad-"DPPG" qori kartaa dhakhtarka ku saleysan bukaanka anamnesis codsaday. habab dheeraad ah oo lagu ogaanayo dareemayaasha waa muunad-Dix Hallpike iyo imtixaanka wareeg ah.

daaweynta

Doorashada therapy in cudurkan uu ku xiran yahay nooca channel ku hallaysay. In daawada casriga ah, loo isticmaalaa in lagu baabi'iyo calaamadaha layliyada vestibular iyo otoliths rogista. Fududeynta gobolka at DPPG caawin farsamooyinka ku daweyn gaar ah. takhtarka daaweynta jimicsi talinayo in benign vertigo mawqifyada paroxysmal yareysaa darnaanta weeraro. Daaweynta waa in ay tixgeliyaan meesha uu otolith ee crystal ee kanaalada semicircular ee dhegta gudaha. Meelee dhaqdhaqaaq Epley waa habka ugu bartay oo gacanta ku weeraro at cudurada danbe iyo lateral. Nuxurka daawaynta waa in la beddelo booska uu ka otoliths ah. crystal go'an kala diray, oon qayb ka lumay calaamadaha.

Technique Marba

Back in 1992 uu bixiyey dhaqdhaqaaq Epley ah. In kiristaalo ay carbonate codsiga calcium sabab u ah khatarta la saaraa ka kanaalada semicircular. Nidaamka waxaa inta badan la socda astaamo autonomic kordhay, ay sabab u tahay barakaca xooga ah oo ka mid ah jajabkii otoliths. Waxaa muhiim ah in la raaco farsamada saxda ah ee fulinta jimicsiga Epley.

• bukaanka ku fadhiya midigta sariirtiisii, oo madaxiisay jeestay jihada of dhegta bukaanka ee 45˚.
• Dheeraad ah, marka lagu kaydiyaa si taxadar leh jeedin madaxa bukaan-socodka waxaa la dhigayaa si ay madaxa la yar dib u tuuray. In meel this, uu muddo waqti go'an - 20-60 ilbiriqsi.
• Markaasuu madaxa la isku beddeli 90˚ dhinaca caafimaad.
• Marka ay dhamaato muddo waqti ah bukaanka ee jidhka iyo madaxa in meel go'an, shaandheyn isku jiho ah xataa 90˚. Wejigiisuna wuu faray, midhona kor. In meel this uu ku hadhay, waayo, seconds qaar ka mid ah.
• Bukaanka ayaa hoos u fadhiya si tartiib ah in ay soo billowday ugu.

In geeddi-socodka fulinta dhaqdhaqaaq booska waa in wareer. The layliyada soo jeediyey ee saamaynta buuxa in lagu sameeyo inta lagu guda jiro nidaamka si joogta ah. Tirada aaminin waxaa maamula dareenka qof ahaaneed, sida ugu dhakhsaha badan wareer joogsiga, fadhiga la joojiyo. Marka nidaamka ay ka badan tahay, waa in aad nasato ilaa 10 daqiiqo waa muhiim in aan si ay u sameeyaan dhaqdhaqaaqyo kadis ah madaxa, sidaa darteed wuxuu ka kooban yahay dhegta gudaha aan la wareejiyay. jimicsi waxqabadka joogtada ah si tartiib tartiib ah ku caawiyaan si ay u milmaan calcium cusbada. Iska yaree muuqaalka kore ee calaamadaha cudurkaan waxaa suurtagal ah iyada oo aan isticmaalka daroogada.

Dhaqdhaqaaq Eppley sidoo kale loo yaqaan habka si loo yareeyo channel ah. si sax ah u shaqeeyaan marka hore, in la kormeero by dhakhtar. Waa in uu qiimeeyo in bukaan-socodka waa inay awoodaan inay sameeyaan jimicsi on iyaga u gaar ah. khatarta caafimaadka, sida ay khubarada, iyadoo farsamo khaldan waa ay yar tahay, laakiin malaha hoos u oggolyahay la filayo lagu daaweyn jiray DPPG.

Haddii aanad garanayn waxa la sameeyo leh wareer in dhacdaa si joogto ah waa in aad la tashato dhakhtar. Haddii cudurka of "vertigo paroxysmal mawqifyada benign" la xaqiijin doono, waxaa lagama maarmaan ah in ay u hoggaansamaan daawaynta laguu qoray. Cudurka Tani waa wax caadi ah oo ay naftooda si fiican wax amaahisaan therapy.