So ɛyaw a ɛyɛ nwonwa yi wɔ wo kɔn ne w’anim (Eagle Syndrome)? Momma yɛnka ho asɛm!

Ɛtɔ mmere bi a, wote ɛyaw bi a ɛyɛ nwonwa a ɛyɛ yaw wɔ wo kɔn, w’anim, anaa wo menewam? Wuntumi nhu nea ɛrekɔ so ankasa, na so woate nka pɛn sɛ ɛyaw yi mu yɛ den bere a womene, wokasa, anaa wotu wo ti fi ɔfã biako kɔ ɔfã foforo no? Afei eyi yɛ biribi a ebetumi ayɛ nea ɛho hia wo kɛse. Yɛfrɛ tebea yi Eagle Syndrome . Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra de, nanso nokwarem no, ɛyɛ aduruyɛ mu tebea.

Enti, dɛn ne Eagle Syndrome?

Sɛ yɛbɛka no tiawa a, Eagle Syndrome yɛ tebea a ɛyɛ yaw a efi wo styloid kwan no a ɛtrɛw anaasɛ stylohyoid ligament no a ɛyɛ den , na ɛma ɛyɛ den na ɛte sɛ dompe.

Fa no sɛ, w’aso biara ase no, dompe ketewaa bi a ɛyɛ tratraa a wɔfrɛ no styloid process wɔ hɔ. Ɛno ne nea styloid nhyehyɛe no te. Ntini bi wɔ hɔ a efi dompe yi mu kɔ hyoid dompe a ɛwɔ wo kɔn anim a wɔfrɛ no stylohyoid ligament . Mpɛn pii no, ɛsɛ sɛ saa ntini yi yɛ nea ɛyɛ den te sɛ rɔba. Nanso wɔ nnipa a wɔwɔ Eagle syndrome mu no, ɛtɔ mmere bi a saa ntini yi betumi ayɛ den yiye na ayɛ den , te sɛ dompe.

So wote ase mprempren? Ɛyɛ bere a dompe a atrɛw anaa ntini a ayɛ den yi fi ase mia ntini anaa mogya ntini a ɛfa saa beae no so no na wufi ase te sɛnkyerɛnne ahorow nka.

Ɔkɔre Yare yi abu so dɛn?

Eyi yɛ ɛyaw a ɛntaa nsi koraa ankasa . Ɛka nnipa dodow a ennu 0.16% . Ɛno nnu nnipa apem biara mu biako.

Nanso, wɔ nnipa dodow no mu bɛyɛ 4% mu no, saa dompe a wɔfrɛ no styloid nhyehyɛe yi betumi akyɛ asen sɛnea ɛte daa. Sɛ wɔkyekyem pɛpɛɛpɛ a, saa dompe yi tenten bɛyɛ sɛntimita 2.5 (ennu nsateakwaa biako kakra). Styloid kwan tenten yɛ nea ne tenten boro sɛntimita 3 (boro nsateakwaa biako kakra). Nanso, ɛnyɛ obiara a ɔwɔ dompe atenten yi na obenya Eagle syndrome ho sɛnkyerɛnne. Wɔn mu kakraa bi pɛ na wobehu ɛyaw yi.

Nea ɛsen saa no, mmea taa nya tebea no mmɔho abiɛsa sen mmarima. Wɔtaa hu wɔ nnipa a wɔadi mfe 30 anaa 40 mu.

Dɛn ne Eagle Syndrome ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne no gyina ntini ne mogya ntini a wo styloid kwan anaa stylohyoid ligament no repiapia so.

Eyinom ne sɛnkyerɛnne ahorow a wobetumi ahu wɔ ɔkwan a ɛkɔ akyiri so:

• Ɛyaw a ɛba anim, kɔn, anaa menewam . Ebia ɛyaw yi bɛyɛ kɛse bere a woredidi, worebɔ wo yaw, worekasa, anaa wodan wo ti no.
• Nkate a ɛne sɛ biribi akɔhyɛ menewam . Ebia ɛbɛyɛ te sɛ nea wɔde ade anaa bɔɔl ketewaa bi abɔ mu.
• Aduan a ɛyɛ den sɛ wobɛmene (dysphagia) .
• Sɛ wote aso a ɛrebɔ (tinnitus) . Ɛte sɛ "ringing" nnyigyei.
• Tipaeɛ .
• Adwene a ɛyɛ basaa .

Ebia nnipa pii a wɔwɔ Eagle syndrome no wɔ styloid kwan tenten bi wɔ wɔn ti afã abien no nyinaa. Nanso, nea ɛyɛ nwonwa no, dodow no ara te ɛyaw wɔ ɔfã biako pɛ .

Ɛyaw a ɛwɔ Eagle syndrome mu no te dɛn?

Wɔ nnipa binom fam no, ɛyaw yi betumi ayɛ te sɛ ɛyaw a ɛwɔ ntini mu yare bi a wɔfrɛ no glossopharyngeal neuralgia . Sɛ styloid kwan no hyɛ glossopharyngeal nerve , ntini titiriw bi a ɛwɔ wo kɔn mu tɔnn no mu a, ebia wobɛte ɛyaw a ano yɛ den a ɛte sɛ anyinam ahoɔden wɔ wo tonsils anaa wo tɛkrɛma akyi. Ɛtɔ mmere bi a, ɛyaw yi tumi hyerɛn kɔ w’aso mu.

Afoforo ka ntini mu yaw a ɛde Eagle syndrome ba no ho asɛm sɛ ɛyaw a ɛsan ba bio, ɛyɛ nnam, ɛyɛ kusuu, na ɛbɔ nkakrankakra .

Dɛn na ɛde Eagle Syndrome ba?

Sɛnea yɛadi kan aka ho asɛm no, sɛnkyerɛnne ahorow ba bere a styloid kwan tenten bi anaa dompe a ɛyɛ den a wɔfrɛ no stylohyoid ligament mia ntini a ɛyɛ mmerɛw anaa mogya ntini a ɛwɔ wo ti ne wo kɔn mu no. Nanso, adwene a ɛsonosonoe da so ara wɔ abenfo mu wɔ nea enti pɔtee a dompe yi yɛ tenten anaasɛ ntini no yɛ den no ho.

Wɔ 1937 mu no, Oduruyɛfo Watt Eagle a ɔtoo ɔyare no din no kyerɛe sɛ ɛtɔ mmere bi a wɔtwa tonsillectomy akyi no, stylohyoid ligament no yɛ ossifies , kyerɛ sɛ, ɛyɛ den te sɛ dompe.

Nneɛma afoforo a ebetumi de aba no bi ne:

• Nyarewa bi a wɔde nyarewa ba.
• Kɔn mu apirakuru.
• Nhama a ɛwɔ nipadua no mu no hwere ahoɔden a ɛyɛ den bere a yɛrenyin no.

Dɛn ne nsɛnnennen a ebetumi afi Eagle Syndrome mu aba?

Ɛwom sɛ eyi ntaa nsi koraa de, nanso ɛtɔ mmere bi a saa styloid kwan tenten yi tumi mia mogya ntini akɛse te sɛ wo carotid ntini ahorow . Carotid ntini ahorow no ne mogya ntini atitiriw a ɛde mogya kɔ w’amemene mu.

Sɛ eyi ba a, ebia wobɛte ɛyaw wɔ w’ani ase. Anaasɛ, wubetumi anya sɛnkyerɛnne ahorow a ɛte sɛ bere tiaa mu ischemic attack (TIA) , mini-stroke, anaa mpo akisikuru a ɛyɛ hu koraa . Eyinom bi ne:

• Anim no fã biako a ɛyɛ mmerɛw (hemiparesis) .
• Adwene a ɛyɛ basaa .
• Anisoadehu a ɛyɛ kusuu .
• Nhumu a ɛyera anaasɛ ɔtotɔ piti (syncope) ..
• Nsakrae a ɛba ɔkasa mu (te sɛ nsɛmfua a ɛyɛ tan) .

Important: In Eagle syndrome, these symptoms are often episodic. Ɛne sɛ, wɔyera wɔ bere bi akyi. Nanso, ɛtɔ mmere bi a wobetumi akyerɛ sɛ obi anya aduruyɛ mu tebea a emu yɛ den yiye (sɛ nhwɛso no, ntini bi a wɔatwa anaasɛ wapira).

Sɛ wowɔ akisikuru ho sɛnkyerɛnne a, kɔ ayaresabea a ɛbɛn wo anaa frɛ ambulance a egye ntɛmpɛ ntɛm ara. Eyi nyɛ biribi a ɛsɛ sɛ wɔtwentwɛn so!

Ɔkwan bɛn so na wohu sɛ ɔwɔ Eagle Syndrome?

Wo duruyɛfo no bedi kan ayɛ aduruyɛ ho abakɔsɛm a edi mũ (te sɛ ti anaa kɔn oprehyɛn anaa akwanhyia biara a wadi kan ayɛ) na afei wayɛ nipadua mu nhwehwɛmu .

Ɛtɔ mmere bi a, oduruyɛfo no betumi ate styloid kwan tenten a ɛnyɛ ne kwan so yi nka bere a ɔte wo kɔn nka no. Anaasɛ, ebia wɔbɛte nka wɔ w’anom, baabi a wo tonsils wɔ, na wɔabisa sɛ wote ɛyaw bi wɔ hɔ anaa.

Nanso, sɛ wobetumi ahu saa styloid kwan a ɛnteɛ yi anaa stylohyoid ligament , no pɛpɛɛpɛ a, ɛsɛ sɛ wɔyɛ mfoninitwa nhwehwɛmu titiriw . Eyinom bi ne:

• CT scan (Computed Tomography - CT scan) : Eyi de X-ray ahorow di dwuma de twa wo styloid nhyehyɛe ne stylohyoid ligament no mfonini. Wɔde mfonini ahorow yi bom ma ɛyɛ mfonini a ɛwɔ afã abiɛsa (3D), sɛnea ɛbɛyɛ a wo duruyɛfo betumi ahu pefee sɛ ebia wo styloid nhyehyɛe no atrɛw anaa.
• CT Angiogram (Computed Tomography Angiogram - CT angiogram) : Eyi yɛ mogya ntini no ho mfonini a wɔde X-ray ayɛ. Wo duruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wosusuw sɛ wo styloid process anaa ligament no remia mogya ntini te sɛ wo carotid artery a.

Tebea afoforo bɛn na wobetumi adi mfomso aka sɛ ɛyɛ Eagle Syndrome?

Ɛho hia yiye sɛ woyi tebea afoforo a ɛde sɛnkyerɛnne ahorow a ɛte sɛ Eagle syndrome de ba no fi hɔ. Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu na wɔayi tebea horow yi afi hɔ:

• Ti ne kɔn mu ɔhyew tebea horow : sɛ nhwɛso no , sinusitis , tonsillitis , insertion tendinitis .
• Temporomandibular joint (TMJ) disorders : Eyinom yɛ yare a ɛwɔ anom nkwaa mu.
• Glossopharyngeal ntini mu yare .
• Myofascial ɛyaw a ɛba nipadua no mu .
• Ti ne kɔn mu kokoram .
• Ti a ɛyɛ yaw a ɛyɛ migraine .
• Nsõ ho haw ahorow .

Ɔkwan bɛn so na wɔsa Eagle Syndrome?

Ebia wo duruyɛfo bɛkyerɛw nnuru a wode besiw ɛyaw no so. Anaasɛ, ebia wɔbɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn na ama wo styloid nhyehyɛe no ayɛ tiaa (styloidectomy) . Ayaresa no gyina sɛnea wo yare no ho sɛnkyerɛnne no mu yɛ den ne sɛ ebia woyɛ obi a ɔfata sɛ wɔyɛ wo oprehyɛn anaa.

Nnuru a wɔde sa yare no ne:

• Nnuru a wɔde kum ɛyaw (nnuru a wɔde kum ɛyaw) .
• Nnuru a ekum adwenemhaw : Wɔde eyinom nso di dwuma ma ntini mu ɛyaw bi.
• Steroid a wɔde twitwiw nipadua no : Ɛtew ɔfe ne ɔfe so.
• Lidocaine injections : ɛma ɛyaw no so tew bere tiaa bi.
• Wobetumi anom Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) a oduruyɛfo akyerɛw ama no anaasɛ wɔamfa anom .

Oprehyɛn (Styloidectomy) a Wɔyɛ: .

Wobetumi asa Eagle syndrome no koraa denam oprehyɛn a wɔbɛyɛ de asiesie wo styloid nhyehyɛe no so. Oduruyɛfo a ɔyɛ oprehyɛn no betumi ayɛ oprehyɛn yi wɔ akwan abien no mu biako so:

1. Intraoral/Transoral approach : Wɔ saa kwan yi so no, oduruyɛfo a ɔyɛ oprehyɛn no fi w’ano mu kɔ styloid kwan no so. Mfaso a ɛwɔ saa kwan yi so ne sɛ abɔnten so akuru biara nni hɔ . Nanso, ɛyɛ den kakra ma oduruyɛfo a ɔyɛ oprehyɛn no sɛ obedu ho yiye sen akwan afoforo no.

2. Extraoral/Transcervical approach : Wɔ saa kwan yi so no, oduruyɛfo a ɔyɛ oprehyɛn no twa wo kɔn mu ketewaa bi na ama woatumi akɔ styloid kwan no so. Ɛwom sɛ saa kwan yi ma oduruyɛfo a ɔyɛ oprehyɛn no tumi du ntini no ho tẽẽ de, nanso oprehyɛn no gye bere tenten na egyaw akuru wɔ ɛno akyi .

Wo duruyɛfo no begyina nea wɔahu no so akyerɛkyerɛ ɔkwan a eye ma wo mu akyerɛ wo.

Dɛn ne nsɛnnennen a ɛwɔ styloidectomy oprehyɛn mu?

Oprehyɛn biara de asiane bi ba. Sɛ ntini ahorow no sɛe bere a wɔreyɛ oprehyɛn no a, ebetumi ama akuru ne menewa mu yare a emu dɔ aba. Sɛ wɔansa eyinom a, ebetumi ayɛ aniberesɛm.

Sɛ wokɔ oduruyɛfo a ne ho akokwaw wɔ ti ne kɔn oprehyɛn mu a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔhaw ahorow yi so.

Dɛn ne dodow a ɛma obi ho tɔ no wɔ Eagle Syndrome ho?

Sɛnea wɔn ho tɔ wɔn no ye yiye . Nnipa a wɔayɛ wɔn styloidectomy no mu bɛyɛ 80% nya yare no ho sɛnkyerɛnne no ano aduru koraa . Wɔ nnipa dodow no ara fam no, wobetumi de nnuru a wɔde sa ɛyaw a wɔtɔn a wɔtɔn ne nnuru a wɔkyerɛw ma wɔn adi ɛyaw ne wɔn a wɔn ho nyɛ wɔn dɛ ho dwuma.

Sɛ wɔannya Eagle Syndrome no yare a, dɛn na ɛba?

Sɛ wɔansa a, ebia wobɛkɔ so anya yare no ho sɛnkyerɛnne. Eyi nyɛ tebea a ɛno ankasa bɛyɛ yiye.

Nanso, ɛho hia sɛ yɛkae eyi. Esiane sɛ wo styloid nhyehyɛe no ayɛ kɛse wɔ calcium a ɛwɔ mu, anaasɛ ɛyɛ tenten nti, ɛnkyerɛ sɛ wowɔ Eagle syndrome. Afei nso, ebia wɔbɛyɛ nnipa binom a wɔwɔ styloid akwan tenten ne Eagle syndrome ho sɛnkyerɛnne ahorow no oprehyɛn, nanso ebia wɔn sɛnkyerɛnne ahorow no rentu mpɔn.

Eyi nti na ɛho hia kɛse sɛ wobɛkɔ oduruyɛfo a ne ho akokwaw wɔ tebea yi a wobehu na wɔadi ho dwuma mu . Efisɛ ɛtɔ mmere bi a ebetumi ayɛ den sɛ yebehu oprehyɛn a obenya so mfaso ankasa. Wo duruyɛfo bɛtu wo fo wɔ ayaresa a ɛfata wo ho.

So wobetumi asiw Eagle Syndrome ano?

Biribiara nni hɔ ankasa a wubetumi ayɛ de asiw Eagle syndrome ano. Nanso, oprehyɛn a wobɛyɛ de ayi styloid no betumi ayi wo sɛnkyerɛnne ahorow no afi hɔ koraa .

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• Dɛn na ɛbɛyɛ sɛ ɛde me styloid kwan no trɛw?
• So me styloid kwan no remia ntini atitiriw anaa mogya ntini ahorow?
• Nsɛnkyerɛnne bɛn na metumi ahwɛ kwan afi ntini a ayɛ mmerɛw no mu?
• So ebehia sɛ wɔyɛ me oprehyɛn, anaasɛ metumi de nnuru asa?
• Sɛ wɔreyɛ wo oprehyɛn a, ɔkwan bɛn so na wɔyɛ?

Wɔ Eagle syndrome mu no, ntini a ayɛ den sɛntimita kakraa bi mpo betumi ama woate ɛyaw kɛse araa ma ɛbɛyɛ den sɛ wobɛdan wo ti anaasɛ wobɛsesa w’anim yɛbea. Nanso asɛmpa no ne sɛ ɛho nhia sɛ wo ne Eagle syndrome sɛnkyerɛnne ahorow a wobɛtra ase no yɛ wo tebea foforo. Eagle syndrome yɛ tebea a wotumi sa. Wo duruyɛfo betu wo fo wɔ sɛ ebia wuhia nnuru anaa oprehyɛn ho.

Nkrasɛm a Wɔde Kɔ Fie

Enti, sɛ wo kɔn, w’anim, anaa wo menewam yɛ wo yaw a wuntumi nkyerɛkyerɛ mu, ɛyɛ den sɛ wobɛmene, anaa wote nka sɛ biribi akɔhyɛ wo menewam a, mmu w’ani ngu so kɛkɛ. Ebetumi ayɛ Eagle Syndrome.

Ɛwom sɛ eyi yɛ tebea a ɛntaa nsi de, nanso sɛ wohu na wɔsa no yiye a, wobetumi asa koraa . Mma wo ho nnyɛ wo hu, nanso sɛ wowɔ sɛnkyerɛnne ahorow a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu. Ɛtɔ mmere bi a nnuru a ɛnyɛ den betumi aboa ma ɛyaw no afi hɔ, anaasɛ oprehyɛn ketewaa bi betumi aboa wo ma wo ho atɔ wo koraa. Nea ɛho hia sen biara ne sɛ wubehu nea ɛde wo yaw no ba ankasa na woanya ayaresa a ɛfata.

` Eagle Syndrome, kɔn mu yaw, anim yaw, menewa mu yaw, styloid kwan, stylohyoid ligament, ɛyɛ den sɛ wobɛmene