Kodi Kumva Kwanu Kapena Kulimbana Ndi Mavuto Madokotala Otsutsana?
Mitsempha yamagulu ili mkati mwa khutu lamkati. Mitengo itatu yaying'ono (mizere yowongoka, yopambana, ndi yotsatizana), imakonzedwa kumbali yolumikizana. Iwo ali ndi madzi otchedwa endolymph ndi maselo ang'onoang'ono a tsitsi, otchedwa cilia, omwe amadziwa kusuntha kwathu. Mitsempha yamagulu ndi gawo la mawonekedwe ovala ndipo zimatithandiza kuti tidziwe bwino .
Dongosolo lachidule la Canal Dehiscence (SSCD), lomwe limatchedwanso Superior Canal Dehiscence Syndrome (SCDS), ndilo vuto limene linayambidwa ndi dzenje kapena kutsegula m'mphuno lozungulira mlengalenga. Pfupa losakanikirana limathandiza kuti phokoso likhale lopanda mphamvu pamtengowu.
Zotsatira ndi Zomwe Zimayambitsa
Njira yodalirika yamagetsi yothandizira ndi matenda osadziwika ndipo chifukwa chenichenicho sichikudziwika. Nthano imodzi ndi yakuti munthu mmodzi kapena awiri peresenti ya anthu amabadwa ndi fupa lochepa kwambiri lomwe limadutsa pamtsinje waukulu womwe umapangitsa iwo kukhala SSCD. Nthanoyi ndikuti kupsinjika kapena kupsinjika kumayambitsa dzenje kapena kutsegula mu fupa ili lofooka kale. Izi zikufotokozera chifukwa chake zaka zambiri za matendawa ndi pafupifupi zaka 45.
Komabe, SSCD yapezeka mwa anthu omwe ali aang'ono kwambiri kuposa awa. Nthano ina ndi yakuti fupa sililephera kukula bwino mu utero ndipo SSCD ilipo panthawi yobadwa.
Zitha kukhala zotheka kuti mafupa omwe ali pamwamba pa mlengalenga akhoza kuyamba kupatulira ndi msinkhu ndipo kenaka kupweteka kwazing'ono kapena kuwonjezeka kwapopeni kungayambitse kusokonezeka. Thupa ili likhoza kuonongeka panthawi ya opaleshoni ya makutu.
Mkulu Wopangidwira Mng'oma wa Dealcence Canal umakhudza amuna, akazi, ndi anthu amitundu yonse mofanana.
Kuwonekera kwenikweni kwa SSCD sikudziwika.
Zizindikiro ndi Zizindikiro
Zizindikiro za SSCD zimasiyana pakati pa anthu. Mutha kukhala ndi zizindikiro zowoneka bwino, zizindikilo zozizwitsa, kapena kuphatikiza zonse ziwiri. Zizindikiro zina za SSCD zingaoneke ngati zodabwitsa. Zizindikiro za SSCD zingaphatikizepo:
- Chizungulire kapena vertigo (nthawi zambiri kumveka kapena kupanikizidwa)
- Kusalinganika Kwambiri
- Tinnitus - zomwe nthawi zina zimagwirizana ndi kuyenda kwa diso kapena kumveka kwa mtima wanu
- Hyperacusis (zosazolowereka zachilendo kumveka kwa tsiku ndi tsiku)
- Oscillopsia - phokoso lalikulu lingayambitse zinthu kuoneka ngati zikuyenda
- Nystigmus (kayendetsedwe ka diso kosasamala - ikhoza kupanikizika)
- Zizindikiro zingayambe kuwonjezereka mukamachepetseratu, kutsokomola, kapena kuphulika mphuno
- Autophony - mumatha kumangoyendetsa maso kapena maso anu. Liwu lanu likhoza kuwoneka mopanda malire mu khutu lakukhudzidwa.
- Kupweteka kwakumvetsera kumakhala kawirikawiri kumveka kwafupipafupi
- Kumveka kungaoneke ngati kopotoka m'makutu kapena makutu okhudzidwa.
- Chidzalo chokwanira (kumverera kwa chidzalo kapena kukakamizidwa mu khutu lakukhudzidwa)
Matenda osadziwika kwambiri omwe amayang'anizana ndi mitsempha yapamwamba kwambiri, ngakhale ngati palibe chosowa, amachititsanso zizindikiro zochepa za SSCD. Tiyeneranso kukumbukira kuti anthu ena omwe ali ndi SSCD sakuwona zizindikiro.
Kudziwa
Ngati dokotala akudandaula kuti mutha kukhala ndi SSCD, akhoza kugwiritsa ntchito mayesero osiyanasiyana kuti atsimikizire izi. Dokotala wanu wokhazikika angakayikire SSCD, koma matendawa ndi opangidwa ndi dokotala yemwe amadziwika bwino m'mphuno ndi mmphuno ( ENT kapena otolaryngologist ).
Dongosolo lapamwamba la njira yamtundu wotha kuwonongeka lingathe kulakwitsa chifukwa cha mavuto omwewo monga perilymph fistula, BPPV, ndi matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda odwala matenda a mitsempha.
Mbiri & Makhalidwe
Dokotala wanu akhoza kupanga mayesero osiyanasiyana ovuta ku ofesi yomwe ingakhalepo:
- Kuyezetsa Phunziro - Dokotala wanu adzakuyang'anani mukuyenda, izi zimathandiza kuti muzindikire mavuto oyenera.
- Kuyeza kwa oculomotor - dokotala wanu adzayang'ana momwe maso anu amasunthira kuti aone nystigmus.
- Mayeso a Fukuda - dokotala wanu adzakufunsani kuti mupite nawo kwa masekondi 20-30 pamene mutseka maso anu. Mayesowa amagwiritsidwa ntchito kuti azindikire zosaoneka bwino.
- Maulendo a-Hallpike akuyenda - dokotala wanu adzachita mayeserowa pokubwezerani mwadzidzidzi mutu wanu utatembenuzidwa. Pamene mukuchita izi dokotala wanu adzaona maso anu a nystigmus. Maulendo a Dix-Hallpike amagwiritsidwa ntchito poyerekeza ndi mankhwala oopsa omwe amachititsa kuti thupi liziyenda bwino .
- Test-Shake Shake - Dokotala wanu adzagwedeza mutu wanu pamene mukuvala lenses yapadera.
- Chiyeso Chakumutu
- Mayeso Owonetsa Magetsi
- Mayeso a Fistula
- Bwalo lamakono la Barany - amagwiritsidwa ntchito kuyesa phokoso lopwetekedwa
CT Scan
Kusintha kwapamwamba CT scan kungakhale kothandiza pozindikira SSCD pamene imachitidwa ndi munthu waluso. Mudzafuna kupita kuchipatala chomwe chili ndi luso lozindikiritsa SSCD, chifukwa zingakhale zosavuta kuphonya kusokonezeka. Ngakhale mutakhala ndi chithandizo chabwino pa CT, mudzafunikiranso kukhala ndi mayesero kuti mumvetsetse zotsatira zake, ngati nembanemba (yotchedwa dura ) ikhoza kusindikiza m'deralo ndikupanga dzenje losafunika.
Mayesero akumva
Kuyeza kwa adiometry kumasonyeza kuti pang'onopang'ono kutaya makutu kumvetsera ngakhale kuti mitundu ina yothandizira kumva imapezeka. Mayesero omva omwe angagwiritsidwe ntchito ndi awa: audiometry yoyera, kuyesa ma immitiance ( tympanometry ) pofuna kuthandizira kuthetsa vuto la khutu la pakati, nthawi yayitali imachotsa mpweya wamtundu wa otoacoustic ndi electrocochleography.
Chithandizo
Kupereka uphungu nthawi zambiri ndibwino kuti muyambe kuganizira ngati chithandizo cha opaleshoni cha SSCD chiri chofunikira kapena ayi. Ngati zizindikiro siziri zovuta, zifukwa zina zingasiyane ndi njira zothetsera vutoli. Ngati zizindikiro za kusamvetseka ndizing'ono, kukonzanso zovala kumapindulitsa.
Komabe, ngati ubwino wa moyo umakhudzidwa kwambiri, ndiye kuti kukonza opaleshoni yotsegula kungakhale kotheka. Njira ziwiri zowonjezereka zimaphatikizapo kudula dzenje (lomwe limatseka ngalande yamagetsi), kapena kuimitsa mpweya (womwe umachoka mumtsinje wambiri). Mitundu iwiriyo kapena kukonza opaleshoni imafuna kudula m'dagala ndi zomwe zimatchedwa kuti pakatikati ya craneal fossa njira (kapena pakati fossa craniotomy).
Ngakhale kuti opaleshoniyi imakhala ndi zotsatira zabwino, zovuta kwa mitsempha ya nkhope ndi kubwerera kwa zizindikiro zingayambe kuchitika. Musanachite opaleshoni iliyonse ndibwino kuti mukambirane za zoopsa zomwe mukugwirizana ndi dokotala ndikufunseni momveka bwino momwe mlingo wake wakhala ndi mavuto okhudzana ndi ndondomekoyi.
> Zotsatira:
> Chilankhulo cha American-Language-Hearing Association. Dehiscence Yamtundu Waukulu. http://www.asha.org/Practice-Portal/Clinical-Topics/Superior-Canal-Dehiscence/.
> Chizungulire ndi Balance.com. Dehiscence Yamtundu Waukulu. http://www.dizziness-and-balance.com/disorders/unilat/scd.htm.
> Kupititsa patsogolo. Dehiscence Yamtundu Waukulu. http://emedicine.medscape.com/article/857914-clinical.
> Wamng'ono, LB. (2000). Matenda Opambana Osawononga Chithandizo cha Kanal. The American Journal of Otology. 21 (1), mapepala 9-19.
> UCLA Mutu ndi Opaleshoni Yamakono. Mkulu Wopangidwira Mng'oma wa Dealcence Canal. http://headandnksksurgery.ucla.edu/body.cfm?id=154.