Iko Kunzwa Kwako Here Kana Kuti Kuenzanisa Matambudziko Kukonzera Vanachiremba?
Iyo miviri yemarara inowanikwa munzeve yomukati. Aya maatatu madukuduku (ayo akareba, akakwirira, uye apasi masikirini emvura), anorongedzerwa pamakona akanaka kune mumwe. Izvo zvine mvura inonzi endolymph uye masero mashoma emvere, anonzi cilia, anonzwisisa kufamba kwedu. Izvozvo zvinokonzerwa nemigero ndeye chikamu chekuvhara muviri uye basa kunotipa pfungwa yekuenzanisa .
Semicircular Canal Dehiscence (SSCD), inonziwo Superior Canal Dehiscence Syndrome (SCDS), iyo inokonzerwa nehomwe kana kuti kuvhura mufupa rinosangana nepamusoro pemarara. Pfupa rakagadziriswa rinobvumira chipolymym in the best semicircular channel to move in response to sound or pressure stimulates.
Kuita uye Zvikonzero
Mukurumbira weiyo canal dehiscence chirwere chisingawanzwisisi uye chikonzero chaicho chisingazivikanwi. Imwe nyanzvi ndeyekuti imwe chete kusvika zviviri kubva muzana yevanhu vanoberekwa vane bone risinganzwisisiki pfupa rinosangana nechepamusoro-soro remugero rinowanzoita kuti ive SSCD. Dzidziso ndeyokuti kushungurudzika kana kushungurudzika zvino kunokonzera gomba kana kuvhura mu bone iri takatyoka. Izvi zvinotsanangura nei chiyero chezera rekuongororwa chiri makore anenge makumi maviri nemashanu.
Zvisinei, SSCD yave ichionekwa kune vamwe vanhu vaduku zvikuru kupfuura iyi. Imwe nyanzvi ndeyekuti pfupa rinokundikana kukura zvakanaka mu utero uye kuti SSCD iripo panguva yekuzvarwa.
Izvo zvinogonawo kuitika kuti pfupa pamusoro pepamusoro-soro yemagetsi inotanga kudonha nemakore uye zvino kushungurudzika kuduku kana kuwedzerwa kudzvinyirira kunogona kukonzera kudhecence. Iri pfupa rinogonawo kukuvadzwa panguva yokuvhiya nzeve.
Superior Semicircular Canal Dehiscence inokanganisa varume, vakadzi, uye vanhu vemarudzi ose zvakaenzana.
Kunyanya kufanana kweSSCD hakuzivikanwi.
Zviratidzo nezviratidzo
Zviratidzo zveSSCD zvakasiyana pakati pevanhu. Iwe unogona kuva nezviratidzo zve vestibular, zviratidzo zvekuongorora, kana kusanganiswa kwezvose. Zvimwe zviratidzo zveSSSCD zvinogona kuonekwa sezvisinganzwisisiki. Zviratidzo zveSSCD zvinogona kusanganisira:
- Chizutu kana vertigo (kazhinji inzwika kana kuti inodzvinyirirwa)
- Kusagadzikana kusingaperi
- Tinnitus - iyo dzimwe nguva inopindirana nemafambiro eziso kana kurira kwemoyo wako kurova
- Hyperacusis (chisingawanzwisisiki rwekunzwika kumanzwi ezuva nezuva)
- Oscillopsia - manzwi makuru anogona kuita kuti zvinhu zvioneke sezviri kufamba
- Nystigmus (kusazviona kwekufamba kwameso - inogona kuomeswa mukati)
- Zviratidzo zvinogona kuwedzera kana iwe uchizununguka, kukohwa, kana kurova mhino yako
- Autophony - iwe unogona kunzwa manzwiro ako eziso kana kunyange kupisa kwako. Inzwi rako ringaita sezwi risingadikanwi munzeve yakakanganiswa.
- Kurasikirwa kwekunzwa kutinhira kazhinji kunowanzoita mitambo inowanikwa
- Inzwi ringaita sokuti rakakanganiswa munzeve dzakagadzikana (s)
- Kuzadzwa kwepfungwa (manzwiro ekuzara kana kukamanikidzwa munzeve yakakanganiswa)
Ifupa rakatsetseka risina kukwana rinosangana nepamusoro-soro remugero, kunyange musingabviri dehiscence, inogonawo kukonzera zviratidzo zvishoma zveSCDCD. Inofanirawo kuonekwa kuti vamwe vanhu vane SSCD havazivi zviratidzo zvachose.
Kuziva
Kana chiremba wako achifungidzira kuti iwe unogona kuva neSCDCD, vanogona kushandisa zviratidzo zvakasiyana-siyana kuti vabatsire kusimbisa izvi kuongororwa. Chiremba wako wenguva dzose angafungidzira SSCD, asi kuongororwa kunoitwa zvakanakisisa nachiremba anonyanya kugadzirisa dambudziko remakumbo nemhino ( an ENT kana otolaryngologist ).
Mukurumbira semagetsi kanal dehiscence inogona kukanganisa nedambudziko rakadai se perilymph fistula, BPPV, uye otosclerosis.
History & Physical
Chiremba wako anogona kuita zviratidzo zvakasiyana-siyana muhofisi iyo inogona kusanganisira:
- Chiyero Chekugovera - Chiremba wako achakucherechedza kufamba, izvi zvinobatsira kuti uongorore zvinetso zvemari.
- Oculomotor kuongorora - chiremba wako achaona nzira iyo maziso ako anotamira kuti aone nystigmus.
- Chirwere cheFukuda - chiremba wako achakukumbira kuti uende munzvimbo panzvimbo yemaminitsi 20-30 uchichengetedza maziso ako akavharwa. Uyu muedzo unoshandiswa kuona hutachiona husina kunaka.
- Dix-Hallpike inofamba - chiremba wako achaita chiyero ichi nekukuisa iwe pakarepo uye musoro wako wakatendeukira kumativi. Paunenge uchiita izvi chiremba wako achaona maziso ako nokuda kwechistigmus. Iyo Dix-Hallpike inoshandiswa inoshandiswa kutonga kunze kwechiremera paroxysmal positional vertigo .
- Musoro-Shake Test - Chiremba wako achazunungusa musoro wako paunenge uine lenzi dzakakosha.
- Musoro-Chiremera Muedzo
- Kutarisa Dynamic Acuity Test
- Fistula Test
- Bharani rwiyo bhokisi - rinoshandiswa kuedza ruzha rwenheti inokonzerwa
CT Scan
High resolution CT scan inogona kubatsira pakutsvaga SSCD kana ichiitwa nomunhu ane unyanzvi. Iwe unoda kuenda kune imwe nzvimbo ye radiology iyo inyanzvi pakutsanangura SSCD, sezvo inogona kunge iri nyore kukanganwa dehiscence. Kunyange kana iwe uine chiitiko chakanaka paC CT, iwe uchave uchida kuva nematambudziko ekunzwa kuti uone kushanda, sechando (chinozivikanwa sehusimba ) chinogona kuvhara nzvimbo iyo inoita kuti gomba risina basa.
Kunzwa Miedzo
Kuongorora kweandiometry kunowanzoratidza kukanganiswa kwekunzwa kutakurwa kwekunzwa kwepamusoro kunyange mamwe marudzi ekurasikirwa kwekunzwa angawanikwa. Kunzwa miedzo inogona kushandiswa inosanganisira: inzwi rakachena remaketometry, kuongorora mairi ( tympanometry ) kuti vabatsire kutonga kunze kwezvinetso zvemakumbo, nguva pfupi yakabvisa otoacoustic emissions uye electrocochleography.
Kurapa
Kupa mazano kazhinji kacho chiito chakanaka chekutanga paunofunga kuti kana kusakirwa kurapwa kweSSCD kunokosha. Kana zviratidzo zvisiri zvakanyanya, mamwe mamiriro ezvinhu angave ari nani kusara nemararamiro ekugadzirisa. Kana zviratidzo zvekusaenzana zvishomanana, kugadziriswa kwemaziso kunogona kupa chimwe chekubatsira.
Zvisinei, kana hutano hwehupenyu hwakakanganiswa zvikuru, ipapo kugadzirwa kwepurogiramu yemuvhuro kunogona kubvumirwa. Nzira mbiri idzi dzinowanzobatanidza kuvhara gomba (iro rinovhara girasi yemagetsi), kana kuvhara chibato (icho chinosiya mhepo inogona kumira yakasimba). Zvose zviri zviviri kana chirongwa chokugadzira chinoda kudzvora mucheka kuburikidza nezvinozonzi sepakati pepanial fossa nzira (kana pakati pefossa craniotomy).
Kunyange zvazvo kuvhiyiwa uku kwave nemigumisiro yakaisvonaka, zvinetso kumusana wepiso uye kudzoka kwezviratidzo zvinogona kuitika. Pamberi pekuvhiyiwa chero ipi zvayo kunobatsira kukurukura njodzi dzinobatanidza nehutano pamwe nachiremba uye kubvunza zvakanyanyisa nezvehuwandu hwehutano hwevarwere varo vane matambudziko ane chokuita nehutano.
> Sources:
> American Speech-Mutauro-Kunzwa Sangano. Superior Canal Dehiscence. http://www.asha.org/Practice-Portal/Clinical-Topics/Superior-Canal-Dehiscence/.
> Dizziness uye Balance.com. Superior Canal Dehiscence. http://www.dizziness-and-balance.com/disorders/unilat/scd.htm.
> Medscape. Superior Canal Dehiscence. http://emedicine.medscape.com/article/857914-clinical.
> Minor, LB. (2000). Superior Canal Dehiscence Syndrome. The American Journal of Otology. 21 (1), mapeji 9-19.
> UCLA Musoro uye Neck Surgery. Superior Semicircular Canal Dehiscence. http://headandnecksurgery.ucla.edu/body.cfm?id=154.