Pahu uila

ʻO ka Electronystagmography kahi hōʻike e nānā i ka neʻe ʻana o ka maka e ʻike i ke ʻano o ka hana ʻana o ʻelua ʻāʻī i ka lolo. ʻO kēia nā aʻalolo:

• ʻO ke aʻalolo Vestibular (nerve cranial ʻewalu), e holo ana mai ka lolo a i nā pepeiao
• ʻO ke aʻalolo Oculomotor, e holo ana mai ka lolo i nā maka

Kau ʻia nā pākuʻi i kapa ʻia nā electrodes ma luna, ma lalo, a ma kēlā me kēia ʻaoʻao o kou mau maka. He mau palapū paha lākou a i ʻole hoʻopili ʻia i kahi lei poʻo. Hoʻopili kekahi pale i ka lae.

E pīpī ka mea mālama ola i ka wai anuanu a i ʻole ka ea i loko o kēlā me kēia aʻa pepeiao i nā manawa kaʻawale. Hoʻopaʻa nā pākuʻi i nā neʻe ʻana o ka maka i kū i ka wā e hoʻoulu ai ka pepeiao o loko a me nā ʻalolo kokoke e ka wai a me ka ea. Ke komo ka wai anuanu i loko o ka pepeiao, pono ʻoe e neʻe wikiwiki a ʻaoʻao hoʻi i ka ʻaoʻao i kapa ʻia ʻo nystagmus.

A laila, hoʻokomo ʻia ka wai mehana a i ʻole ka ea i loko o ka pepeiao. E neʻe wikiwiki nā maka i ka wai mehana a laila hele mālie.

E noi ʻia paha ʻoe e hoʻohana i kou mau maka e nānā i nā mea, e like me nā kukui uila a i ʻole nā ​​laina neʻe.

Ma kahi o 90 mau minuke ka hoʻāʻo.

ʻO ka hapa nui o ka manawa, ʻaʻole pono ʻoe e hana i nā hana kūikawā ma mua o kēia hōʻike.

• E haʻi aku kāu mea lawelawe iā ʻoe inā pono ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mua o kou loaʻa ʻana o kēia hōʻike.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

Hiki paha iā ʻoe ke hōʻoluʻolu ma muli o ka wai anuanu i ka pepeiao. I ka wā o ka hoʻāʻo, loaʻa paha iā ʻoe:

• Nausea a i ʻole ka luaʻi
• Pōkole pōkole (vertigo)

Hoʻohana ʻia ka hōʻoia e hoʻoholo ai inā he kaulike a i ʻole nā ​​maʻi nerve ke kumu o ka puʻupuʻu a me ka vertigo.

Loaʻa paha iā ʻoe kēia hōʻike inā loaʻa iā ʻoe:

• Ka pākī a i ʻole vertigo
• Lohe hoʻolohe
• Hiki ke hōʻino i ka pepeiao o loko mai kekahi mau lāʻau

Pono e hana i kekahi neʻe ʻana o ka maka ma hope o ke kau ʻana o ka wai mehana a anuanu a i ʻole ka ea i loko o kou mau pepeiao.

Kaha: hiki ke loli iki i nā pae waiwai maʻamau ma waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO nā hopena maʻamau he hōʻailona paha ia o ka hōʻino ʻana i ke aʻalolo o ka pepeiao o loko a i ʻole nā ​​ʻāpana ʻē aʻe o ka lolo e kaohi ana i ka neʻe o ka maka.

ʻO kēlā me kēia maʻi a hōʻeha paha e hōʻino ai i ke aʻalolo acoustic hiki ke kumu i ka vertigo. Hoʻopili paha kēia:

• Nā maʻi o ke kīʻaha koko me ke kahe ʻana o ke koko (hemorrhage), nā huʻa, a i ʻole atherosclerosis o ka hāʻawi koko o ka pepeiao
• ʻO Cholesteatoma a me nā tumors pepeiao ʻē aʻe
• Nā maʻi kūlohelohe
• ʻEhaʻeha
• ʻO nā lāʻau lapaʻau e ʻawaʻawa i nā aʻa pepeiao, me nā antibiotic aminoglycoside, kekahi lāʻau antimalarial, loop diuretics, a me salicylates
• Sclerosis lehulehu
• ʻO nā maʻi neʻe e like me ka supranuclear palsy holomua
• ʻO Rubella
• Kekahi mea ʻawahia

Nā kūlana hou aʻe e hana ʻia ai ka hōʻike:

• ʻO neuroma ākea
• ʻO ka vertigo kūlana kiʻekiʻe
• Labyrinthitis
• Maʻi Meniere

Kākaʻikahi ka nui o ka kaomi wai i loko o ka pepeiao e hiki ai ke hōʻeha i kāu pahu pepeiao inā aia kekahi ʻino ma mua. ʻAʻole pono e hana i ka ʻāpana wai o kēia hoʻokolohua inā i perforated kou eardrum i kēia manawa.

Pono pono ka Electronystagmography no ka mea hiki iā ia ke hoʻopaʻa i nā neʻe ma hope o nā maka maka paʻa a i ʻole ke poʻo i nā kūlana he nui.

ʻO ENG

ʻO Deluca GC, ʻo Griggs RC. Hele i ka mea maʻi me ka maʻi neurologic. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 368.

ʻO Wackym PA. Neurotology. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 9.