Kuthamanga M'kamwa Chamkati
Matenda a perilymph amapezeka pamene misozi imakhala yochepa kwambiri yomwe imatchedwa zowona kapena zowonongeka zomwe zimasiyanitsa khutu la mkati ndi khutu la pakati. Khutu lamkati limadzazidwa ndi madzi otchedwa perilymph, kotero pamene misozi imatha kutuluka kwa madzi kumalowa.
Kodi Chimachititsa Bwanji Perrymph Fistula?
Chifukwa chofala cha perilymph fistula ndi vuto lalikulu.
Ikhoza kuyambanso chifukwa cha barotrauma , chikhalidwe chimene chimapezeka nthawi zambiri pa ndege kapena pamene zimasambira pamadzi (pamene pali kusintha kofulumira kuthamanga kwa mlengalenga). Nthawi zambiri fistula imatha kuchitika pakubereka, kubereka (asanabadwe), kapena zina zomwe sizikudziwika.
Zizindikiro za Perilymph Fistula
- kumva kutaya
- tinnitis
- vertigo (chizungulire, kunyoza, kusanza)
- kukakamizika mu khutu
Kuzindikira Perrymph Fistula
Kuzindikira kwa perilymph fistula kungakhale kovuta chifukwa zizindikiro zimakhala ndi mavuto ena amkati a khutu monga Meneire's disease . Palibenso mayeso a "golide" omwe amapezeka kuti apeze matenda a perilymph fistula, komabe nthawi zina mukhoza kupatsirana ndi MRI kapena CT scan . American Hearing and Research Foundation ili ndi malingaliro apadera okhudza matenda a perilymph fistula makamaka pamene barotrauma sakuphatikizidwa. Popeza kuti matendawa amatha kukhala ovuta komanso odwala angaphatikizepo opaleshoni, amalimbikitsa kulandira chidziwitso chachiwiri komanso mayesero otsatirawa kuti athe kuwona bwino:
- mayeso a fistula
- Mayeso a Fraser
- valsalva test
- audiometry
- Electrocochleography (ECOG) (mayesero omwe amalemba zochitika za khutu lamkati)
- Electronystagmography (ENG)
- Nthenda yapang'onopang'ono ya CT scan, kuthamanga kwakukulu
- MRI
Mbiri yakale ingakhale yofunika kwambiri pothandizira dokotala wanu kudziwa ngati ayi kapena perilymph fistula ndi vuto lomwe limayambitsa zizindikiro zanu.
N'chizoloŵezi kuti zizindikiro zanu zikuipiraipira mukamazembera, kumenyetsa, kapena kukokera, ndipo muyenera kugawana nawo ndi dokotala wanu. Chizindikiro china chodziwika ndi chochitika cha Tullio , chomwe chimakupangitsani kuti muzitha kuona ngati mukulira.
Pa mayesero omwe ali pamwambawa, pali kafukufuku amene akusonyeza kuti njira yabwino yodziwira kuti perilymph fistula ndi mbiri yachipatala komanso fistula yabwino kapena mayeso a Fraser .
Kuchiza Perilymph Fistula
Kawirikawiri kupuma kolimba kumalimbikitsa kuti thupi lanu likhale lokonzekera fistula palokha. Malingana ngati zizindikiro zikukulirakulira dokotala angapitirize kupuma kwa mphindi kapena kugwira ntchito yolimba kwa miyezi isanu ndi umodzi asanayambe kukonza opaleshoni ya perilymph fistula.
Mankhwala ena angathandize kuthana ndi zizindikiro koma sangakhale ndi zotsatirapo pa fistula. Mwachitsanzo, mankhwala monga Zofran ndi Phenergen angagwiritsidwe ntchito poletsa kusuta. Kuponderezedwa ndi mankhwala omwe amachiza mitundu yosiyanasiyana ya mankhwalawa ndipo zingakhale zothandiza kuchiza zizindikiro. Valium ndi mankhwala ena omwe nthawi zina amagwiritsidwa ntchito.
Kukonza opaleshoni kumaphatikizapo mzere wothandizira kukonzanso misozi. Mwamwayi njirayi siyothandiza nthawi zonse pochiza fungo la perilymph.
Malingana ndi American Hearing Research Foundation mu kafukufuku wa anthu 160 pafupifupi 90 peresenti ya odwala anali ndi zizindikiro zowakhazikika pambuyo pa opaleshoni. Palibe mmodzi mwa odwalawo amene adanena kuti zizindikiro zawo zikuwonjezereka.
Zotsatira:
Kukumva kwa American Research Research Foundation. Perilymph Fistula. Idapezeka: June 4, 2011 kuchokera ku http://www.american-hearing.org/disorders/perilymph-fistula/
Meldrum, JA & Prinsley, PR. (2016). Perilymph fistula: zomwe odwala adakumana nazo. Magazini ya Laryngology & Otology. 130, 526-531. lembani: 10.1017 / S002221511600030X
Association of Disesters Association. Perilymph Fistula. Zapezeka: August 1, 2009 kuchokera ku http://vestibular.org/perilymph-fistula