Kuvhara muNzeve Yomukati
A perilymph fistula inowanikwa apo kune misodzi muchembera yakateteka inonzi "oval or round window" iyo inoparadzanisa nzeve yomukati kubva pakati pekunze. Inzeve yomukati yakazadzwa nemvura inonzi "perilymph", saka kana misodzi ichiitika izvi zvinodonha mumvura mukati memutsetse nzvimbo.
Chii Chinokonzera Perilymph Fistula?
Chikonzero chinowanzovhiringidza cheperiym fistula inoshungurudza musoro.
Inogonawo kukonzerwa ne barotrauma , mamiriro ezvinhu anowanzoitika pane imwe ndege kana kuti scuba diving (kana paine kuchinja kwakakurumidza kushandiswa kwemhepo). Kazhinji kazhinji pismmm fistulas inogona kuitika panguva yekuberekwa, kuberekwa (asati aberekwa), kana zvimwe zvikonzero zvisingazivikanwi.
Zviratidzo zvePerilymph Fistula
- kurasikirwa kunzwa
- tinnitis
- vertigo (chizunguzi, nenyuchi, kurutsa)
- kunetseka munzeve
Kunyatsoongorora Perilymph Fistula
Kuongororwa kweperiyumu fistula kunogona kuva kwakaoma nokuti zviratidzo zvinowanikwa nedzimwe nharo dzemukati dzemukati dzakadai seMeneire's disease . Ikoko hausiwo "yegoridhe standard" muedzo wekuongorora chirwere cheperiym fistula, zvisinei iwe unogona dzimwe nguva kuita chirwere ichi kubva kune MRI kana CT scan . Izwi reAmerica Hearing and Research Foundation rine mazano chaiwo pakutsvaga chirwere cheperiyumu fistula kunyanya kana barotrauma isingabatanidzwi. Sezvo kuongororwa kunogona kunge kwakaoma uye kurapa kunogona kusanganisira kupindira kwekuvhiya, vanokurudzira kugamuchira pfungwa yechipiri pamwe chete nemayera anotevera kuwedzera mikana yekuziva zvakajeka:
- fistula test
- Fraser muedzo
- valsalva test
- audiometry
- Electrocochleography (ECOG) (muedzo unonyora basa rekunze kwenzeve)
- Electronystagmography (ENG)
- Temporal bone CT scan, high resolution
- MRI
Nhoroondo yakazara inogona kuva yakakosha mukubatsira chiremba wako kuti aone kana kuti kwete kushaya mhirizhonga fistula ingangodaro dambudziko rinokonzera zviratidzo zvako.
Zvinowanzoita kuti zviratidzo zvako zviwedzere kuipa kana iwe uchichera, kushungurudza, kana kukwezva, uye iwe unofanira kugovera izvi nachiremba wako. Chimwe chiratidzo chinozivikanwa ndiTullio phenomenon , inokuita kuti uwane vertigo kana uchitaura nemanzwi makuru.
Kubva kuongororwa zvakanyorwa pamusoro apa, pane kumwe kutsvakurudza kunoratidza kuti nzira yakanakisisa yekuita kuti uongororwe we perilymph fistula ndiyo nhoroondo yezvokurapa uye fistula yakanaka kana kuongorora kweFraser .
Kurapa Perilymph Fistula
Kazhinji kanozorora pamubhedha kunorasikirwa kunobvumira muviri wako kugadzirisa fistula pachako. Chero bedzi zviratidzo zviri kuvandudza chiremba wako anogona kuramba achizorora pamubhedha kana kushanda zvakasimba kwebasa kusvika kumwedzi mitanhatu asati apedza kugadzira chirwere che perilymph fistula.
Mamwe mishonga inogona kubatsira mukurapa zviratidzo asi haizombove nemigumisiro pane fistula pachayo. Somuenzaniso, mishonga saZofran uye Phenergen inogona kushandiswa kudzora kuora mwoyo. Kushandura mushonga unoshandiswa kurapa marudzi akasiyana-siyana emutiroti uye unogona kubatsira mukurapa zviratidzo. Valium imwe mishonga inoshandiswa dzimwe nguva.
Kugadziriswa kunosanganisa kunosanganisira mavara ekugadzirisa kusvimha misodzi muhwindo rakapoteredza. Zvinosuruvarisa kuti nzira iyi haisi kubudirira nguva dzose pakurapa chirwere chepisimusi fistula.
Maererano neAmerica Hearing Research Foundation mune tsvakurudzo yevanhu 160 vanenge 90 muzana yevarwere vakanga vane hukama hwakasimba kana huri nani pashure pokuvhiyiwa. Hapana wevamwe varwere vakarondedzera kuwedzera kwezviratidzo zvavo.
Sources:
American Hearing Research Foundation. Perilymph Fistula. Inosvika: June 4, 2011 kubva ku http://www.american-hearing.org/disorders/perilymph-fistula/
Meldrum, JA & Prinsley, PR. (2016). Perilymph fistula: chiitiko chevarwere. Journal of Laryngology & Otology. 130, 526-531. doi: 10.1017 / S002221511600030X
Vestibular Disorders Association. Perilymph Fistula. Yakasvika: August 1, 2009 kubva http://vestibular.org/perilymph-fistula