Tizilombo Tomwe Timagwedeza Tseguka
Miphika yanu ya eustachian imachokera ku khutu lanu lamkati mpaka kumbuyo kwa mmero. Kawirikawiri, tsamba lanu la eustachian latsekedwa, lomwe limateteza khutu lanu mkati mwa mabakiteriya, mavairasi, ndi madzi. Pofuna kulinganitsa kupanikizika ndi kukhetsa madzi aliwonse mkati mwa khutu lamkati, tsamba lanu la eustachian limatsegula kamodzi kapena kawiri pa ola lililonse. Idzatsegulidwanso pamene mumeza, yawn, kapena kupepera ndipo kawirikawiri idzakhala yotseguka kwa masekondi 0.3 mpaka 0,5.
Thupi lalikulu la eustachian (PET) limachitika pamene tsamba la eustachian likutseguka kwambiri. Si zachilendo kumakhudza anthu pafupifupi 3 pa 1000 okha.
Zimayambitsa Mitundu Yambiri Yopangira Tizilombo
Ngakhale osadziwa chomwe chimayambitsa vutoli kungakhumudwitse, simungathe kudziwa chifukwa cha chubu lanu lalikulu la eustachian, chifukwa chifukwa chake nthawi zambiri sichidziwika. Komabe pali zinthu zingapo zimene zingakuchititseni kuti mukhale ndi miyendo yotseguka yotchedwa eustachian, kuphatikizapo:
- chithandizo cha ma radiation (chimayambitsa zovuta kuchitika)
- Matenda apamwamba a estrogen (Kutenga mimba, kuteteza kwa amayi ambiri, kapenanso khansa ya prostate)
- mafinya amphongo
- kutopa, nkhawa kapena nkhawa
- matenda osokoneza bongo
- kuperewera kwakukulu
- Matenda a ubongo (kupweteka, multiple sclerosis, kupweteka kwa mitsempha ya nkhope)
- kutaya kwambiri chingamu kapena kupuma kwa mphuno kawirikawiri
Zizindikiro Zokhudzana ndi Mitundu Yambiri ya Ku Japan
Kawirikawiri matope a eustachian amakhala otsekedwa pokhapokha poyerekezera kupanikizika pakati pa khutu la pakati.
Mukakhala ndi chubu chachikulu cha eustachian, chubu la eustachian limatseguka mmalo mwake lomwe lingadzetse zizindikiro zotsatirazi:
- Kujambula - ichi ndi chizindikiro chodziwika bwino komanso chizindikiro chachizindikiro cha chubu chachikulu cha eustachian
- tinnitis (kumveka m'makutu)
- kumverera kuti khutu laphimbidwa kapena lakhala
Autophony
Amatchedwanso: autophonia, tympanophony, tympanophonia
Autophony ndizovala zomwe mumamva mutamva mawu osaneneka a mawu anu, kupuma, ndi mtima. Ichi ndi chizindikiro chodziwika bwino cha kapangidwe kakang'ono ka eustachian ndipo zingatheke kuzindikiranso zovuta zina za eustachian tube ngati njira yapamwamba ya chingwe . Pofuna kuthana ndi zizindikiro za autophony, mumayenera kukambirana njira zamankhwala zamagulu akuluakulu a eustachian ndi dokotala wanu.
Kuchiza Kwachilendo Kosafunika Kwambiri
Musanayambe kulandira chithandizo, mukhoza kupeza kuti kupopera kapena kupukusa mutu wanu kungachititse kuti pakhale nthawi yambiri yopuma. Zizindikiro zochepa sizingapangitse chithandizo chilichonse. Komabe ngati zizindikirozo ndizokwanira ndipo zakhala zikupitirira kwa milungu isanu ndi umodzi, ndiye kuti mukufuna kuyamba mankhwala omwe akugwiritsidwa ntchito pothetsa kanthana kakang'ono ka eustachian. Mankhwala oyambirira akuphatikizapo hydration yoyenera; kumwa madzi okwanira n'kofunika ndipo kungaperekedwenso ndi madontho amchere amchere kapena ulimi wothirira mphuno kuti muteteze mitsempha yanu.
Chithandizo chofala kwambiri pa chubu chachikulu cha eustachian ndi mankhwala opweteka. Saline ndiyo njira yodziwika kwambiri, komabe mungathe kuona: gawo limodzi la salicylic ndi magawo 4 a boric acid ufa, diluted hydrochloric acid, chlorobutanol, kapena benzyl mowa ndi iodide saturated iodide.
Mitundu yina ya mafinya amphongo sanalandire thandizo la FDA komabe ku United States.
Ngakhale zinthu zambiri zamkati zamkati zimatha kupatsidwa mpumulo wa zizindikiro pogwiritsa ntchito mankhwala opweteka kwambiri m'mimba kapena steroids , chizoloŵezi ichi chidzaipitsa zizindikiro zanu ndipo siziyenera kupitilizidwa. Komabe musayime mankhwala alionse popanda kuwafunsa dokotala wanu. Ngati dokotala wanu akufuna kuti musiye kutenga steroids, iwo adzakupatsani ndandanda ya taper. Kutseka steroids mofulumira kungakhale kovulaza. Maselo otchedwa estrogen creams amakhala ndi chithandizo chochuluka, koma palibe sayansi yomwe yachitidwa kuthandizira kapena kulepheretsa chizoloŵezi ichi.
Kuchiza Kwachidwi kwa Kutentha Kwambiri Kwambiri ku Japan
Pamene njira zochepa zosawonongeka zimatsimikizira kuti sizingakwanitse kuthetsa zizindikiro za chubu chachikulu cha eustachian, Ngati mankhwala opaleshoni angakhale othandiza. Kuchita opaleshoni kawirikawiri ndiko kukhazikitsidwa kwa tympanostomy tube , kapena machubu a khutu. Mankhwalawa ndi oposa 50% othandiza kwa odwala ndipo mwina amathandiza kuthetsa zizindikiro kapena kuwonjezereka bwino. Mwamwayi palibe umboni wokwanira kuti udziwe ngati udzayankha bwino kumatope. Komabe, makutu opangira makutu ndiwomveka kuti njira yosavuta yochitira ndikutha kuchotsedwa ngati sakupatsani mpumulo.
Njira ina yochepetsetsa yochizira tizilombo tambirimbiri tomwe timatulutsa zimatchulidwa poyikira. Potsatira njirayi, dokotala wanu adzakumba Blu Tack (kumangiriza mosavuta) ku ndodo yanu ya khutu. Simudzafuna anesthesia pa njirayi ndipo kawirikawiri kwambiri imalekerera. Izi zikuganiziridwa kukhala zothandiza pochepetsa kuchepetsa kutsekemera kwa mkati mwa khutu lanu mwa kukulitsa ndodo yanu ya khutu, zomwe zimachepetsa zomwe zimamveka kumveka kotsika.
Zina zowonjezereka zowonjezereka zomwe zikuphunziridwa mosalekeza, ndipo sizipezeka m'madera onse zikuphatikizapo:
- Kujambulira chubu la eustachian Teflon, silicon, cartilage, kapena mawotchi ena odzaza - tcheru tiyenera kuigwiritsa ntchito, monga jekeseni mwangozi mumtambo wa carotid ingayambitse mavuto aakulu
- Kuika opaleshoni ya cartilage mkati mwa eustachian chubu
- kuchotsa chubu la eustachian
- kusokoneza minofu kuzungulira chubu la eustachian
Njira zomwe tazitchula pamwambazi ndi zovuta kwambiri kusiyana ndi kukhala ndi makutu opangidwa ndi makutu, komabe malingana ndi kukula kwa zizindikiro zanu ndi kupambana kwa njira zina zingakhale zina zomwe mungasankhe. Kuika kathete mkati mwa chubu la eustachian, kulowa mu chubu la eustachian, kapena kugwiritsidwa ntchito kwa minofu, kumapangitsa kuti tizilombo toyambitsa matenda tizilumikizidwe. Ngakhale izi sizibwezeretsa ntchito ya chubu, imachepetsa kuchuluka kwa mpweya pakati pa khutu la pakati, zomwe zimathandiza kuchepetsa zizindikiro za autophony.
Kuyika kalisera mkati mwa chubu la eustachian kuli ndi cholinga chomwecho ndi catheter yopangidwira ndipo chimagwiritsidwa ntchito kokha ngati catheter yalephera. Monga njira yomaliza, mungathe kuchitidwa opaleshoni kumene otolaryngologist yanu imatsekera kwathunthu phukusi la eustachian. Ndondomeko yokhayo siyikwanira kuti yithandizire kuthetsa zizindikiro, pamene iwe sungathe kuthetsa mavuto pakati pa khutu la pakati. Pachifukwa ichi, dokotala wanu adzamvekanso makutu a khutu . Mudzafunika nthawi zonse kuti mumve makutu ngati mutachita izi, choncho zimagwiritsidwa ntchito ngati njira yomaliza.
> Zotsatira:
> Bartlett, C1, Pennings, R, Ho, A, Kirkpatrick, D, van Wijhe, R, & Bance M. (2010). Misa yosavuta yothandizira tymanic nembanemba kuti athe kuchepetsa zizindikiro za chubu lalikulu la eustachian. J Otolaryngol Mutu Wopambana. 39 (3): 259-68.
> Luu, K, Remillard, A, Fandino, M, Saxby, A & Westerberg BD. (2015). Kuchiza Kuchiritsa kwa Zizindikiro za Kukula Kwambiri Kwambiri kwa Tizilombo: Kusanthula Kwambiri. Otol Neurotol. 36 (10): 1593-600. lembani: 10.1097 / MAO.0000000000000900.
> Mitundu Yambiri ya Eustachian. Chitukuko cha National Chothandizira Webusaiti Yothandizira Mapepala. https://rarediseases.info.nih.gov/gard/10812/patulous-eustachian-tube/resources/1. Idasinthidwa pa February 17, 2017. Inapezeka pa July 5, 2017.
> Nthiti. D & Hanna, B.MN. (2015). Kutayira chubu la Eustachian. http://www.uptodate.com (Kulembetsa Kumayenera). Idasinthidwa pa 21 Septemba, 2016. Inapezeka pa July 5, 2017.