Benign positional vertigo

Benign positional vertigo ke mofuta o tloaelehileng ka ho fetisisa oa vertigo. Vertigo ke maikutlo a hore o oa ohla kapa hore ntho e ngoe le e ngoe e ntse e o potoloha. E kanna ea etsahala ha o tsamaisa hlooho sebakeng se itseng.

Benign positional vertigo e boetse e bitsoa benign paroxysmal positional vertigo (BPPV). E bakoa ke bothata bo ka tsebeng e ka hare.

Tsebe e ka hare e na le methapo e tletseng mokelikeli e bitsoang likanale tse chitja. Ha u tsamaea, mokelikeli ona o kenella ka har'a methapo ena. Likanale li ela hloko motsamao ofe kapa ofe oa mokelikeli. Maikutlo a mokelikeli o tsamaeang ka har'a tube o bolella boko ba hau boemo ba 'mele oa hau. Sena se u thusa ho boloka botsitso.

BPPV e etsahala ha likotoana tse nyane tsa khalsiamo e kang lesapo (e bitsoang li-canaliths) e khaoha ebe e phaphamala kahare ho tube. Sena se romela melaetsa e ferekanyang bokong ba hao ka boemo ba 'mele oa hao.

BPPV ha e na lisosa tse kholo tsa kotsi. Empa, kotsi ea hau ea ho nts'etsapele BPPV e kanna ea eketseha haeba o na le:

• Litho tsa lelapa tse nang le BPPV
• O bile le kotsi ea pele ea hlooho (leha e le bump e nyane hloohong)
• O ne a e-na le tšoaetso ea tsebe e ka hare e bitsoang labyrinthitis

Matšoao a BPPV a kenyelletsa tse latelang:

• Ho ikutloa eka u oa ohla kapa oa sisinyeha
• U ikutloa eka lefatše lea u potoloha
• Ho lahleheloa ke botsitso
• Ho nyekeloa le ho hlatsa
• Ho lahleheloa ke kutlo
• Mathata a pono, joalo ka maikutlo a hore lintho lia tlola kapa lia sisinyeha

Boikutlo ba ho ohla:

• Hangata e bakoa ke ho tsamaisa hlooho
• Hangata e qala ka tšohanyetso
• E nka metsotsoana e seng mekae ho isa ho metsotso

Maemo a mang a ka baka maikutlo a ho ohla:

• Ho ipitika betheng
• Ho koba hlooho ea hau ho sheba ho hong

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele' me a botse nalane ea hau ea bongaka.

Ho fumana BPPV, mofani oa hau a ka etsa tlhahlobo e bitsoang mochini oa Dix-Hallpike.

• Mofani oa hau o tšoara hlooho ea hau sebakeng se itseng. Ebe o kopuoa ho robala kapele morao holima tafole.
• Ha o ntse o etsa sena, mofani oa hau o tla sheba metsamao e sa tloaelehang ea mahlo (e bitsoang nystagmus) mme a botse hore na o ikutloa eka o ntse o potoloha.

Haeba tlhahlobo ena e sa bontše sephetho se hlakileng, o kanna oa kopuoa ho etsa liteko tse ling.

U kanna oa ba le liteko tsa boko le methapo ea kutlo ho felisa lisosa tse ling. Tsena li ka kenyelletsa:

• Electroencephalogram (EEG)
• Electronystagmography (ENG)
• Hlooho ea CT scan
• Hlooho ea MRI ea hlooho
• Teko ea kutlo
• Magnetic resonance angiography ea hlooho
• Ho futhumatsa le ho futhumatsa tsebe e kahare ka metsi kapa moea ho leka metsamao ea mahlo (khothatso ea kalori)

Mofani oa hau a ka etsa ts'ebetso e bitsoang (Epley maneuver). Ke letoto la ho sisinyeha ha hlooho ho beha li-canaliths tsebeng ea hau e ka hare. Tsamaiso e kanna ea hloka ho phetoa haeba matšoao a khutla, empa kalafo ena e sebetsa hantle ho folisa BPPV.

Mofani oa hau a ka u ruta mekhoa e meng eo u ka e etsang lapeng, empa e ka nka nako e teletsana ho feta tsela eo Epley a sebetsang ka eona. Boikoetliso bo bong, joalo ka kalafo ea tekano, bo ka thusa batho ba bang.

Meriana e meng e ka thusa ho imolla maikutlo a ho ohla:

• Li-antihistamine
• Li-anticholinergics
• Litšisinyeho tsa maikutlo

Empa, hangata meriana ena ha e sebetse hantle bakeng sa ho phekola vertigo.

Latela litaelo tsa hore na u ka itlhokomela joang lapeng. Ho boloka matšoao a hau a ntse a mpefala, qoba maemo a a bakang.

BPPV ha e phutholohe, empa hangata e ka phekoloa ka motsamao oa Epley. E kanna ea khutla hape ntle le tlhokomeliso.

Batho ba nang le vertigo e matla ba ka felloa ke metsi ka lebaka la ho hlatsa khafetsa.

Bitsa mofani oa hau haeba:

• U hlahisa vertigo.
• Kalafo ea vertigo ha e sebetse.

Fumana thuso ea bongaka hang-hang haeba u na le matšoao a kang:

• Bofokoli
• Puo e sa hlakang
• Mathata a pono

Tsena e kanna ea ba matšoao a boemo bo tebileng le ho feta.

Qoba maemo a hlooho a hlahisang vertigo ea maemo.

Vertigo - boemo; Benign paroxysmal positional vertigo; BPPV; Botsoa - boemo

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Bhattacharyya N, Gubbels SP, Schwartz SR, le al; American Academy of Otolaryngology-Hlooho le Neck Surgery Foundation. Tataiso ea boits'oaro ba bongaka: ntlafatso ea paroxysmal positional vertigo (ntlafatso). Otolaryngol Head Neck Surg. 2017; 156 (3_Suppl): S1-S47. PMID: 28248609 www.ncbi.nlm.nih.gov/pubmed/28248609.

Crane BT, LB e Nyane. Mathata a pherekano a vestibular. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Phekolo ea Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 165.