Auditory Tube
Bhuku reEustachian, kana kuti tube tube, rinobatanidza nzeve yepakati kusvika kumasopharynx iyo iri pamucheto wehuro nechepamusoro pemhino. Iyo tube iri kumusoro kwepamusoro pepakati chenzeve uye ine chitatu chechivhura chakasvibirira pamativi ose maviri. Pfupa, cartilage, uye michina ye fibrous inogadzira eustachian tube. Mukati pehubhuyo pachayo, panewo nzvimbo dzakasiyana, chikamu chepamusoro che tube chinotsvedza, asi chikamu chepakati chebhuku rine cilia, kana vhudzi-sezvivako.
Kusiyana kweTukisi yeEustachian muvana nevakuru
Kukura kweTiyi mucheche inenge 17,5 mm, iyo inoramba ichingokura kusvika urefu hwema 37,5 mm kana uchisvika pakukura.
Nyeredzi ye tube mucheche nevana inongova madhigirii gumi chete kubva panzeve (Frankfurt) yakananga ndege. Izvi zvinopesana nevanhu vakuru, uko kona yacho inowedzera kuma 45 degrees. Iyi misiyano yemadrigiri makumi matatu inofungidzirwa kuti ndeimwe yezvikonzero zvinowedzera dambudziko revana vari kuwedzera hutano hwekunze hutano.
Kubudirira kwemisumbu kunopesana nevana nevakuru. Kune mishonga 4 inobatsira pakuvhara nekuvhara bhuti re eustachian: tensor veli palatine, levator veli palatine, salpingopharyngeus, uye tensor tympani. Mu chidlren, mishonga iyi yakanyanyisa, pasinei nevakuru, inobatanidzwa zvikuru. Iyi misiyano inofungidzirwa kuti inobatsira kuwedzera mungozi yevana vanovandudza hutano hwekunze hutano.
Eustachian Tube Basa
Iyo eustachian tube inonyanya kuzivikanwa nokuda kwebasa rayo mukuenzanisa kushivirira mukati mekunze kwenzeve. Iri ichokwadi basa rinokosha, kunyange zvakadaro tube eustachian inoshanda mabasa matatu anotevera:
- Kushushikana kuenzana kwepakati nenzeve
- Kuisa mukati mekunze nzeve nzvimbo
- Kuchengetedza nzeve yepakati kune mabhakitiriya kana mavairasi
Paavhareji eustachian tube inotanga 1 kusvika 2 kaawa imwe neimwe. Kana yakazarurwa, inowanzogara yakasununguka kwemaawa anenge matatu kusvika ku3,5. Edu tube eustachian inovhura kakawanda uye kwenguva yakareba kana ichingwa.
Kushingaira Kuenzanisa
Dambudziko rekumhepo rinoshanduka paunoshanduka kure uye sechando chinoshanduka. Apo dambudziko rekudenga rinoshanduka, nzeve ye nzeve inoshandura chimiro nekuda kwekusawirirana kwepakati mukati mezeve. Pasina kuenzana nekudzvinyirira, nzeve inonzwa haigoni kupindura kunzwika nenzira imwe chete uye kunzwa kwako kunobatwa. Kana kudzvinyirirwa mukati-kati nzeve kusinganzwisisiki uye kukurudzirwa kwakanyanya kushandiswa, unogona kunzwa kurwadziwa uye mumamiriro ezvinhu akaipisisa dutu rinoputika rinogona kuitika. Kana nzeve yako ichienzanisa iwe unogona kuve ne "kubuda" kwekunzwa.
Kucheneswa kweMiddle Ear
Kuti urambe uine hutano hwakanaka hwepakati chenzeve, nzvimbo yacho inoda kuva isina rusununguko uye zvimwe zvakasvibiswa. Mvere dzembudzi-dzakafanana nedzimba, dzinonzi cilia, dzinoshingaira kuenderera mberi kumusana webhu re eustachian. Izvi hazvisi kushaya simba kunotarisirwa uye zvichaitika zvakasikwa kunze kwekunge kune dambudziko nemagetsi; kufanana nepamusoro ciliary dyskinesia.
Rimwe chete riri pakati, nzeve ye tube inobhururuka uye cilia iyo inorova (kana kutama mberi uye mberi mumhepo yakafanana semafambiro); achifambisa mashoko pasi pehutu eustachian kusvika kumashure kwehuro.
Zvinhu zvakawanda zvinogona kukanganisa kushanda kwechiitiko ichi kuburikidza nekushandura mavhisikiti, kana kuwanda kwemucheka mubhuku re eustachian. Mienzaniso yekushungurudzika kunogona kuchinja kuwanda kwemukoko kunosanganisira: cystic fibrosis, otitis media , uye sinusitis . Mabhakitiriya uye hutachiona hwehutachiona hunogonawo kuchinja basa rinowanzoshandiswa kweizvi uye rinogona kutora kusvika mwedzi mumwe mushure mokunge uchinge wapora zvemaitiro evamwe cilia kudzoka.
Zvimwe zvipingamupinyi zvinogonawo kuvhara kana kuvhara chikamu che eustachian chinotanga kumashure kwehuro. Kuwedzerwa adenoids uye adenoids muvana vaduku kunogona kuva chikonzero chekuvhara uku.
Kana zvichidikanwa adenoidectomy inogona kuitwa kuti isunungure nzvimbo yakakomberedza eustachian tube.
Kudzivirirwa
Pasi pemamiriro ehutano, kuvhurwa kwehuyo eustachian mushure mehuro kunovharwa. Izvi zvinoshanda mabasa matatu ekudzivirira:
- Chidziro kuva mabhakitiriya uye mavairasi kubva pakukwira eustachian tube
- Inorambidza inzwi kubva pakuzivikanwa kubva pakufamba kusvika pakati pekunzwa nzeve
- Batsira kubvisa kurira kwepakati mukati mezeve pamusana pemutsindo chaiwo
Iyi kudzivirirwa inoparadzaniswa nematambudziko anoita kuti eustachian tube izarure kumashure kwehuro kunoramba yakasununguka. Nhamba yakakura eustachian tube muenzaniso weizvi uye unozivikanwa zvikuru neinoti chiratidzo chekuti autophony, kana kunzwa kusinganzwisisiki kunzwika kwezwi rako pachako kana kufema.
Nzira Dzokuzarura Tira Eustachian
Paunenge uri kuchinja kureba, zvinowanzoitika kuti uone hura dzakagadzirwa . Apo pakutanga pakutanga kunzwa uku kunongova kugumbuka, pasina kukodzera kuenzanisa, kurwadziwa kunogona kukura sezvaunoramba uchinja kure. Kuti usunungure manzwiro kana kurwadziwa, iwe unofanirwa kukurudzira kuvhura kwehuyo eustachian. Heano dzimwe nzira yekuedza:
- yawning
- sneezing
- bhabhurigamu
- Toynbee kufamba - kumedza paunenge uchivhara mhino yako yakavharwa
Sources:
O'Reilly, RC & Levi, J. (2015). Cummings Otolaryngology. 6th ed. Anatomy uye Physiology yeTira Eustachian. Yakasvika 2/21/2016 kubva pawww.www.linterkey.com (Kubhadharwa Kunodiwa)
Siebert, JW & Danner, CJ (2006). Eustachian Tube Basa uye Middle Ear. Otolaryngologic Makliniki eNorth America. 39 (6), 1221-1235.