Benign positional vertigo (DPPG)

Mumwe nomumwe wedu muupenyu hwake kanenge kamwe, asi akanga nzwa dzungu. Zvinogona kuitika nezvikonzero zvakasiyana-siyana, zvinogona kubva zvatinosiita kuneta kana panguva pamuviri, somuenzaniso.

Mhando dzakasiyana-siyana chirwere ichi chinogona kuva zvakawanda, uyewo zvinokonzera ichi. Mumwe wavo - a benign positional vertigo. Vanhu vazhinji havasati vanzwa chirwere chakadai, asi haina kuvadzivirira nechitarisiko zvokurwara ichi. Ngationei kuti chirwere rudzii, zviri rinotyisa uye zvinoita kubata nayo.

Nature of chirwere

Benign paroxysmal positional vertigo (DPPG) - mumwe zvirwere ichi, izvo zvinogona muonekwe kuchinja nzvimbo mutumbi kana musoro ari muchadenga. Zvinofungidzirwa kuti chikonzero chiri otolith nzeve kutsamwa dzinongoda ari mukati ayo pachine zviri auditory mugero. Pane zvimwe zvimwewo zvinhu kuti pave nekukurukurirana kuramba otoliths kubva masvingo, vanotanga kufamba zvakasununguka, kubata receptors uye kukonzera chakakomba dzungu. Izvi zvinotungamirira nekuvhiri- ngika, chirwere chinoda kurapwa.

Shoko "benign" muzita hosha kunoratidza kuti zvokurwara ichi hairevi zvakakomba kusagadzikana tsinga.

Ndezvipi zvikonzero hosha hwapedyo?

Maererano vanachiremba, kukura chirwere ichi chinogona kukonzera kuunganidza calcium munzeve. Statolith kuvhuna kure otolith Kamudzira uye kufamba takasununguka panguva kwebasa muviri kana musoro, nokudaro vachikonzera dzungu.

Kazhinji pane zviitiko apo zvokurwara anotanga kuoneka kana remuromo osteochondrosis. Asi kakawanda, kana uine mupfungwa benign positional vertigo, zvikonzero zviri nyore kuona. Nyanzvi mune muchikwata ichi vanosanganisira zvinhu zvinotevera:

1. kukuvara Head.
2. Nzira akavhiyiwa anoitwa kunyatsonaka.
3. chirwere Meniere vake.
4. Dai vanotsamwisa dzungu vamwe nemishonga, akadai "gentamicin."
5. Kuvapo kuzvimba pahura migero.
6. Kakawanda kutemwa nemusoro kunokonzerwa vascular spasm, achipfuura inovhiringidza.
7. Vamwe kunyange refu-refu ngadzirambe chinzvimbo musoro kungaita dzungu.
8. kuchinja Age-chokuita rinogona kunzi kune zvikonzero.

Kakawanda akanyorwa benign positional vertigo vakadzi vakura kupfuura makore 50. Vana vaduku uye zvokurwara chaizvo rikasaitika.

symptomatology chirwere

Zvokurwara kungazviratidza nenzira dzakasiyana, asi kazhinji benign positional vertigo zviratidzo ndeinotevera:

1. Kurwisa kazhinji anotanga kukura kwayo pane imwe nzvimbo mumuviri kana musoro.
2. Izvi zvinoitika kana mutsipa ndeyokubvisa kana akatendeuka musoro.
3. mamiriro nguva hazvirevi kupfuudza mumasekonzi 30.
4. Varwere kazhinji dzakakwirira zvakarurama angamuudza idivi vaichengeta kurwisa.
5. Kazhinji achiperekedzwa kuda kurutsa, dzungu.
6. Kurwisa inogona Single uye kudzokororwa kakawanda pazuva.
7. dzungu asimo pasina afunge kufamba.

Zvinofanira kucherechedzwa kuti ichi hapana nemusoro, marwadzo munzeve kana kunzwa kurasikirwa.

chirwere marudzi

Kwakapiwa kuti hosha kwacho kunogona kuitika munguva kana nzeve, rworudyi-ruoko uye kuruboshwe-ruoko kusiyanisa dzungu. mashandiro chirwere kunogonawo zvakasiyana, saka pane zvinotevera mhando nayo:

• Kupulolitiaz. In chimiro ichi otolith receptors kutsvinyira nzeve ndiyo nguva mukuru uye wakaiswa mumwe parusvingo chiteshi.
• Kanalolitiaz - otoliths kufamba zvakasununguka uye mune kundikana kwebasa musoro kumutsa kurwiswa.

Kana chirwere benign positional vertigo, mishonga kuvimba chimiro uye kukura chirwere kuratidzwa.

zvokurwara Diagnostics

Kana uri kuramba kunetseka pamusoro chinoshamisa vertigo kuti haugoni kutsanangura chero zvikonzero, unofanira kuona nyanzvi. Chiremba muchakumbira pamusoro zvose zviratidzo, kana kuratidzwa akatanga.

On chikamu murwere anotarisirwa kujekesa kuti chinokurwadzai kurwisa uye sei nguva refu. Chiremba achaita aongorore, uye izvo zvinosanganisira siyana chirwere nzira:

• Muenzaniso Dix-Hallpike. Varwere vari akakumbira kushandura nzvimbo musoro uye hunde, uye chiremba ari kuona kwake kuita.
• Mune dzimwe chokwadi zvidzidzo MRI.
• Computed tomography of remuromo nomuzongoza.

chiremba wako anogona kureva kuti kubvunzana kuti otolaryngologist, wetsinga uye vestibulologu.

kurapa misimboti

Kana paine benign paroxysmal positional vertigo, kurapwa kungadiwa ose nyaya. Kazhinji kurwisa pachavo uye kusiya munhu nani kwete achamunetsa. Asi kuri kusafunga tariro, nokuti vanogona kudzoka atowedzera simba uye kudzokorora maitikiro.

Zvakadaro ezvinhu yokurapa hazvingadziviswi, zvinokosha kushanyira chiremba. Nyanzvi inoshandiswa pakurapa nzvimbo dzinoverengeka, akadai:

1. Zvinodhaka kurapwa.
2. Drug mushonga.
3. Surgery.

mubvunzo uyu neimwe nyaya iri akasarudza nomumwe.

Nzira kurapwa pasina mishonga

Unogona kuedza kubata chirwere uye pasina zvinodhaka. Pane zvakanaka kugamuchirwa Epley, riri chii akaita kuchinja nzvimbo musoro mune imwe kutevedzana. Otolith mbudo ari semicircular Canal wayo pachikumbaridzo. Kana pasina kuvandudzika, kuderera uyewo anotarisana pashure muviri zvakadaro.

Migumisiro yakanaka vari vakawana kana pane benign paroxysmal positional vertigo, vestibular muviri. Akanakisisa kuvazivisa ndiyo nzira Brandt-Daroffa, ndizvo zvaari:

1. Mangwanani chete pashure uchimuka kugara pamubhedha pamwe musana erect.
2. Zvadaro kuenda chero divi, uye kukanda musana musoro wake kumusoro zvishoma.
3. Panzvimbo ino, kuti agare masekondi 45 kana kusvikira kusvikira pashure dzungu, kana akasimuka.
4. Dzokororai mhiri.
5. Rovedza zvakakwana kuita 5 nguva imwe neimwe divi.
6. Kana munguva dzungu kunoitika, ipapo zvose zviitwa zvinofanira kuitwa manheru.

Achaitei vanachiremba uye nzira Semont Lempert rinoshamisa, asi vari kushandiswa pasi chiremba kutarisirwa. Exercises anoteererwa panguva kumbonyanya kumhanya. Naizvozvo, kazhinji achiperekedzwa dzungu uye kunyange svoto. Nyanzvi monitors mamiriro murwere uye kuchinja mutoro.

Hezvino chii magadzirirwo Semont:

1. Murwere anofanira kugara pasi uye kudzikisa makumbo pasi.
2. Musoro washanduka ne madhigirii 45 nenzira utano.
3. Kirasipi maoko uye akarara pasi panzvimbo iyoyo.
4. Ramba chinzvimbo kusvikira kwakakwana kumira yokurwiswa dzungu.
5. Zvakafanana zvinoitwa mhiri.
6. Kana zvakakodzera, zvose zvinoitwa inodzokororwa.

Lempert rinoshamisa:

• Murwere anogara pamwe pamubhedha uye anotendeuka ake madhigirii musoro 45 kusvika njodzi divi.
• Chiremba akabata musoro yevanhu panyika chiitwa.

• Murwere riri kumusana kwake uye musoro wake Muruoko rwake anobata chirukiso negwara risiri.
• Zvadaro mugwara utano.
• Tenderera uye vanofanira kuva muviri kubva asingatani chinzvimbo.
• Kutadzisa pasi mhino.
• kuchinja zvose mumuviri nzvimbo iri pamwe vachishandisa kutenderera musoro.

Kazhinji, zviitwa izvi kupa migumisiro yakanaka, uye varwere vakawanda havana zvinoda mimwe kurapwa kana benign paroxysmal positional vertigo ndiyo munyoro dhigirii.

chirwere zvinodhaka kurapa

Vanachiremba vakawanda vanodavira kuti kushandisa zvinodhaka zvokurwara ichi haapi nemigumisiro yakanaka uye asingauyi kubvisa zvachose vertigo. Asi dzimwe nguva, nokuti kuvandudzika murwere nyanzvi vachiri varayire mishonga.

Kana nechirwere kuti "benign paroxysmal positional vertigo," Drug kunokwanisa kupa zvinotevera kushanda:

• Kunoderedza svoto.
• Kuvandudzwa kunetsa.
• Kufamba kweropa muuropi akavandudzika.

Kana kurwisa inodzokororwa kakawanda uye nesimba guru, murwere inokurudzirwa mubhedha zororo kwekanguva.

kuvhiya kupindira

In wakakura zvikuru kacho, kana wezvokurapa kurapa rapera uye vestibular muviri, kuti benign positional vertigo zvakakodzera kubvisa zvomusejari nzira. Kune nzira mbiri kushanda:

1. Blockage kuti wakisi kudzivisa mvura mvura kufamba.
2. Kubviswa munzeve etsinga.

Kuvhiya kupindira, kunyange asina kukuvadza yawakanzwa, asi kazhinji anopa kuomesa. Zvinonzi pari kuitwa dzakabudirira uye oprobyvat kwomuchipatara ine Laser.

Ndiani benign paroxysmal positional vertigo, zvinokonzera rinogona kuva chero, hazvigoni kurapwa nezvinodhaka chaizvo. Zvipatara basa nomumwe neimwe nyaya.

zvokurwara Prevention

Kune zvirwere shoma kuti vaizova chokudzivirira hapana zvakananga matanho. Asi benign positional vertigo chete kwakadaro, uye zvinovanetsa. Sei uzvidzivirire chirwere ichi hazvizivikanwi, asi zvinokwanisika kupa varwere mamwe mazano:

• Dzivisa musoro kukuvara kuchangotanga nokufungirana pamusoro kuriparidza anofanira kushanyira chiremba.
• Chengeta nzeve dzenyu uye kudzivisa kukuvara.
• Training vestibular midziyo vane batsira.

• Kubatwa nenguva nenzira zvose chirwere pathologies. Izvi zvichakubatsira yekuzvidzivirira nzwa dzungu kana ayo dzokororo.

Chero yakatsauka kubva zvinonyatsorehwa utano arege kunooneka. Panguva Chaiyo kuwana chiremba kubatsira kudzivisa matambudziko. Somugumisiro, kunyange zvatinosiita dzungu vangava nechokuita nezvinetso zvakakomba.