Eustachian Tubes Iyo Yakanyura Yakazarurwa
Eustachian tubes yako inomhanya kubva munzeve yako yomukati kusvika kumashure kwehuro pako. Kazhinji, yako eustachian tube iri munzvimbo yakavharwa, iyo inodzivirira nzeve yako yomukati kubva kubhakitiriya, mavairusi, uye mvura. Kuti uenzanise kudzvinyirira uye kubvisa chero kusvibiswa mukati mezeve yomukati, yako eustachian tube inotanga kamwe kana kaviri paawa imwe neimwe. Ichasvinurawo kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wanyura
Nhamba yakawanda eustachian tube (PET) inoitika apo iwe eustachian tube inoramba yakazaruka kana yakawanda. Izvo zvisinganzwisisiki zvinongobatsira vanenge vanenge 3 kubva kuvanhu 1000.
Zvinokonzera Kuwanda Kwemafuta Eustachian
Kunyange zvazvo usingazivi chinokonzera chirwere chinogona kuodza mwoyo, iwe unogona kusakwanisa kuziva chikonzero chehutakura yako eustachian, sezvo chikonzero chacho chisingazivikanwi. Zvisinei pane zviverengeka izvo zvinogona kukugadzirisa iwe kukudziridza chronically open eustachian tubes, kusanganisira:
- radiation therapy (zvinokonzera kuitika)
- yakakura maitiro e estrogen (Kubata pamuviri, kurera mazera ekuberekwa, kana kuti hormonal therapy yekenza yeprostate)
- vacongestants emucheka
- kuneta, kushushikana kana kufunganya
- temporomandibular joint syndrome
- kurema kuora kurasikirwa
- neurological disorders (stroke, multiple sclerosis, kushungurudzika kumeso emisungo)
- kunyanya gum chewing kana kugara kakawanda kumanikidzwa kuputika
Zviratidzo Zvinowanikwa nePatulous Eustachian Tube
Kazhinji eustachian tubes inoramba yakapfigwa kunze kwekuenzanisa kushamwaridzana mukati mekunze.
Paunenge uine purogiramu yakawanda ye eustachian, iyo eustachian tube inozaruka panzvimbo iyo inogona kuguma kune zviratidzo zvinotevera:
- kuzvipira - ichi ndicho chiratidzo chinowanzoonekwa uye chiratidzo chechidiki chepurasitiki yakawanda eustachian
- tinnitis (kurira munzeve)
- kunzwa kuti nzeve yacho yakafukidzwa kana yakavharwa
Autophony
Iyo inozivikanwawo se: autophonia, tympanophony, tympanophonia
Autophony ndeyemamiriro ezvinhu inokupfekedza iwe unonzwa zvakajeka mhinduro dzezwi rako pachako, kufema, uye mwoyo inorova. Ichi ndicho chiratidzo chinoshamisa chechiratidzo chetatu eustachian tube uye inogona kuonekwa mune zvimwe zvinetso zvinosanganisira yako eustachian tube sepamusoro-soro kanal dehiscence . Kuti ugadzirise zviratidzo zvekutsvaga, iwe uchafanirwa kukurukura maitiro ekurapa kwehutafura eustachian tube nechiremba wako.
Kwete-Isingaiti Inoshandiswa Kuchengetedzwa Kwepurogiramu Yakakura yeEustachian Tube
Usati wagamuchira kurapwa, unogona kuwana kuti kunyorera kana kuderedza musoro wako kunogona kukonzera kumwe kubatsirwa kwenguva pfupi kwe autophony. Zviratidzo zvishoma zvinogona kusada chero kurapwa. Zvisinei kana zviratidzo zvakanyanya zvakakwana uye zvakaramba zvichiwedzera kwemasvondo matanhatu, ipapo iwe unoda kutanga kurapwa kwakanyanya kugadziriswa kugadzirisa purogiramu eustachian yakawanda. Zvokurapa kwokutanga zvinosanganisira hydration yakanaka; kunwa mvura yakakwana kunokosha uye kunogona kubhadharwa nemasidha emasine emvura kana kunwisa kwemhino kuti ubatsire kuchengeta maruva ako.
Chirwere chakajairika chepurasitiki yakawanda eustachian inomarara mapiritsi. Saline ndiyo yakasarudzwa, asi iwe unogonawo kuona: 1 chikamu salicylic uye 4 zvikamu boric acid powder, diluted hydrochloric acid, chlorobutanol, kana benzyl alcohol nedorosi iodide ye potassium yakazara.
Idzi dzimwe nzira dzakasiyana dzehupfumi hauna kuwana FDA kutsigirwa zvakare muUnited States.
Kunyange zvazvo mamiriro mazhinji emunze emukati anogona kugamuchira zviratidzo zvekusununguka kubva kumashonga ekudzikisa mapfumo pasi kana steroids , tsika iyi inogona kuwedzera zviratidzo zvako uye haifaniri kuenderera mberi. Zvisinei musarega mishonga pasina kubvunza chiremba wenyu. Kana chiremba wako achida iwe kuti urege kutora steroidhi, ivo vachakupa taper purogiramu. Kuisa steroid nokukurumidza kunogona kukuvadza. Nasal isrogen creams ine ruzhinji rwekusimbiswa kwechirongwa, asi zvisinei nesayenzi yakaitwa kuitira kutsigira kana kuodza mwoyo tsika iyi.
Kuvhiringidzika Kurapa KwePurogiramu Yakakura yeEustachian Tube
Apo nzira shoma dzisina kuvhiringidza dzichiratidza kuti hazvikwanisi kugadzirisa zviratidzo zvehutu hukuru hwe eustachian, Kana kurapwa kunogona kuve kwakanyatsobudirira. Kupindira kwakanyanya kunowanzoitwa nekuiswa kwe tympanostomy tube , kana nzeve dzinotinhira. Iyi kurapa inenge 50% inoshanda kuvarwere uye zvimwe inobatsira kugadzirisa zviratidzo kana kuwedzera kusagadzikana. Zvinosuruvarisa kuti hakuna humwe huchapupu hunokwana hwekufanotaura kana iwe uchataura zvakanaka kune nzeve dzehutu. Zvisinei, nzeve yekuisa mutezo inofadza ndeye nzira iri nyore yekuita uye inogona kubviswa kana iyo isingakupei zororo kwauri.
Imwe nzira isingasviki inopinza yekurapa mafura eustachian tubes inoshandiswa sekutakura mashoma. Mune nzira iyi, chiremba wako achaumba Blu Tack (inonamatira-inonamatira yakaoma) munzeve yako. Iwe haungatengi aneshesia nokuda kweiyo nzira uye inowanzo-yakanaka-inoregererwa. Izvi zvinofungidzirwa kuti zvinobatsira kuburikidza nekuderedza kushungurudzika kwemazwi mukati memunzeve yako yomukati nekuderedza nzeve yako yenzeve, iyo inoderedza mararamiro ayo kune yakaderera-kutinhira inzwi.
Zvimwe zvirwere zvisingaoneki zvinoramba zvichiri kuongororwa, uye zvisingawaniki munzvimbo dzose dzinosanganisira:
- kuvhara jira re eustachian Teflon, silicon, cartilage, kana mamwe mazai ekuzadza - chenjeri inofanira kuiswa, sezvo kuvhara kwepachivande mujeri carotid kunogona kukonzera zvinetso zvakakomba
- kuvhiyiwa kuiswa kwetikitikiti mukati mehutu eustachian
- cauterizing kubva puropu eustachian
- kushandura mutsvina kumativi ose eustachian tube
Izvo zvinorongwa pamusoro apa zvinowedzera kusapfuura pane kuva nenzeve dzakateyiwa, zvisinei zvichienderana nekuoma kwezviratidzo zvako nekubudirira kwevamwe kupindira kunogona kuva zvimwe zvingasarudzwa iwe. Kuisa catheter mukati mehubhu ye eustachian, kuvhara eustachian tube, kana kushandiswa kwemasimusi, kunobvumira kutsvaga kwehutu hwe eustachian. Nepo izvi zvisingadzokeri zvakajairika zvehuputi, zvinoderedza kuwanda kwemhepo inoyerera mukati mezeve, iyo inobatsira kuderedza zviratidzo zvekudzivirira.
Kuisa karotira mukati mehutu eustachian kune chinangwa chakafanana kune catheter nekuiswa uye inoshandiswa chete kana catheter yakakundikana. Sekushandiswa kwekupedzisira, unogona kuvhiyiwa apo otolaryngologist yako inogumisa zvachose pombi ye eustachian. Iyi nzira chete haina kukwana kubatsira kubata zviratidzo, apo iwe unorasikirwa nekwanisi yekugadzirisa zvinetso mukati mezeve. Nokuda kwechikonzero ichi, chiremba wako achaisawo nzeve dzekunzwa . Iwe uchagara uchitsvaga nzeve dzematope kana iwe uine nzira iyi, saka inoshandiswa chete sechisarudzo chokupedzisira.
> Sources:
> Bartlett, C1, Pennings, R, Ho, A, Kirkpatrick, D, van Wijhe, R, & Bance M. (2010). Izvo zvakanyanya mashoma kutakura kwe tympanic membrane kuti kuderedze zviratidzo zvepurasitiki eustachian. J Otolaryngol Head Neck Surg. 39 (3): 259-68.
> Luu, K, Remillard, A, Fandino, M, Saxby, A & Westerberg BD. (2015). Kurapa Kubudirira Kwezviratidzo ZvePurogiramu Yakakura yeEustachian: Ongororo Yakarongeka. Otol Neurotol. 36 (10): 1593-600. doi: 10.1097 / MAO.0000000000000900.
> Purogiramu Eustachian Tube. National Centre Yokufambisa Mitauro yeDhidhiro yeDudziro. https://rarediseases.info.nih.gov/gard/10812/patulous-eustachian-tube/resources/1. Yakavandudzwa February 17, 2017. Yakasvika muna July 5, 2017.
> Poe. D & Hanna, B.MN. (2015). Eustachian tube inoshaya. http://www.uptodate.com (Kubhadhara Kunodikanwa). Yakaperedzwa musi waSeptember 21, 2016. Yakasvika munaJuly 5, 2017.