Kufambisa Eppley sezvo LFK mu benign paroxysmal positional vertigo

Benign paroxysmal positional vertigo (DPPG) - vanowanzochema zvokurwara. Imwe nzira inoshanda kurapa kuderedza zvirwere zviratidzo ndiye Eppley rinoshamisa.

zviratidzo

DPPG kazhinji ikabuda vakadzi. The ungangotarisa mhaka maperembudzi kuonekwa deposition calcium munyu (otolith) munzeve Canal. Movement musoro (kurereka, swivel, tilting) kutsamwisa pfupi tichibatwa dzungu. Pakati Zvikamu murwere tinganetseka kuda kurutsa, nokufamba BP, kurasikirwa nepakati, havachanyatsogoni thermoregulation. Kugara kurwisa zvikuru anogona kununura kuzvuzvungudza zvokuti mubvunzo kuti chii chokuita vertigo, zvinofanira murwere kutanga kuuya. Apo nguva atanga kurapwa DPPG haana kukonzera kuramba kukuvara utano, benign chirwere kunosanganisira vasanyanye kwokuomerwa Zvikamu.

Diagnostics

Chirwere "DPPG" anogona kuisa chiremba pahwaro anamnesis murwere kuzvipfuuridza. Zvimwe neurologic chirwere dzinoshandiswa mharidzo-Dix Hallpike uye rotational bvunzo.

mabatiro

The tasarudza kurapwa mune chirwere ichi runotsamira zvaimirirwa kushatiswa chiteshi. In mushonga ano, rinoshandiswa kubvisa zviratidzo vestibular muviri uye repositioning otoliths. Aivabatsira hurumende pana DPPG kubatsira zvakananga kuchirapa nzira. Recommended muviri jekiseni chiremba mune benign paroxysmal positional vertigo akazoita kwokuomerwa kurwiswa. Treatment vanofanira kufungawo nzvimbo otolith zviri sekristaro iri semicircular migero womukati nzeve. Nzvimbo Epley rinoshamisa ndiyo nzira inonyanya kudzidzwa uye anodzora kurwisa pakupedzisira uye lateral zvokurwara. Musimboti mushonga nokuchinja nzvimbo otoliths. Yakamisirwa mechanical urwa, zvobatsira kuti kunyangarika zviratidzo.

achifambisa Technique

Kare muna 1992 iye akapiwa Epley rinoshamisa. In kwayo Chikumbiro karusiyamu carbonate crystals nokuda giravhiti vanobviswa kubva semicircular migero. The nzira kunowanzoguma yakawedzera autonomic zviratidzo, nokuda kumanikidzwa misha yacho otoliths zvimedu. Zvakakosha kutevera chaiyo unyanzvi kuita kuti Epley zvemumusangano.

• Murwere anogara pamubhedha kurudyi, akatendeuka musoro wake nenzira murwere nzeve pa 45˚.
• Uyezve, kana kuchengetwa nokungwarira kutendeuka musoro murwere anoiswa zvokuti musoro zvishoma akakandwa shure. Panzvimbo ino, anoramba kuti imwe nguva - 20-60 seconds.
• Ipapo musoro iri zvayaitenderera paguyo 90˚ uri utano divi.
• Panoperera nenguva murwere muviri uye musoro nenzira chaiyo chinzvimbo, tenderera imwe nhungamiro kunyange 90˚. Chiso chake rinotungamirirwa pasi. Panzvimbo ino akaramba vamwe masekonzi.
• Murwere anogara pasi zvishoma nezvishoma kusvikira pokutangira chinzvimbo.

Mukuita kuita positional rinoshamisa inofanira dzungu. kuva yaida muchiitwa nokuti zvizere mugumisiro kuti anoitwa panguva nzira kakawanda. Kuwanda repetitions hunodzorwa zvaimunetsa: panongovira vanorega dzungu, yechirongwa iri wakagumiswa. Kana nzira iri pamusoro, unofanira kuzorora anenge 10 maminitsi Zvakakosha kuita pakarepo fambisa musoro, saka kuti zviri munzeve haisi haachatauri. Kugara waivako jimunasitikisi zvishoma nezvishoma kubatsira kukurumidza karusiyamu munyu. Kuderedza chimiro zviratidzo mune chirwere ichi zvinokwanisika pasina kushandisa zvinodhaka.

Kufambisa Eppley ainziwo nzira yokuderedza mumwe mugero. Shanda nemazvo pakutanga, kuti raitarisirwa chiremba. Anofanira kuongorora kana murwere anogona kuita jimunasitikisi pachavo. utano pangozi, maererano nyanzvi, zvinzvimbo unyanzvi ndiko usingashandi, asi zvimwe kudukupiswa akatarisirwa efficacy kuti mishonga DPPG.

Kana usingazivi chii chokuita dzungu kuti kunoitika nguva dzose unofanira kubvunza chiremba. Kana nechirwere kuti "benign paroxysmal positional vertigo" kwaizoratidzwa yasimbiswa, zvakakodzera kuomerera waakaudzwa kurapwa. chirwere ichi iwayo akakurumbira uye vanokweretesa pachavo zvakanaka kurapa.