Ðe wòdze abe nane gblẽ le wò to ŋu enea? Ate ŋu anye kuxi na wò Eustachian Tube! (Eustachian Tube ƒe Dɔmawɔmawɔ nyuie) .

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be nane tsi wò to me, alo wò towo le kpekpem, alo nèsea gbeɖiɖi aɖe si le ɖiɖim le to mea? Ðewohĩ ne èyi togbɛ dzi, alo ne èle yameʋu me la, wò towo sena le wo ɖokui me abe ɖe "woɖe wo le dɔ me ene." Menye nusiwo dzɔna le vome koe esiawo nye o. Ðewohĩ nusitae wòle alea ɖoe nye nane si gblẽ le wò Eustachian tube ŋu. Ðe míaƒo nu tso esia ŋu tsitotsito vie egbea, abe ɖe míele nu ƒom na mía xɔlɔ̃ aɖe enea?

Nukae nye Eustachian ƒe mɔ̃a? Aleke wòwɔna be megawɔa dɔ nyuie o?

Enyo, gbã la, mina míalé ŋku ɖe nusi Eustachian tube la nye ŋu. Kpuie ko la, ele abe mɔ̃ sue aɖe ene. Mí katã míetsɔ mɔ̃ sia le to eveawo me. Mɔ̃ sia doa ka kple míaƒe titinato (afã si le tomeka me) kple ŋɔti ƒe megbe. Bu eŋu kpɔ, ne èlia to alo le yameʋu me la, èsena le ɖokuiwò me be nyaƒoɖeamenu si le wò towo me le tɔtrɔm. Ɣemaɣi la, Eustachian-mɔ̃ sia kpena ɖe mía ŋu be nyaƒoɖeamenu si le míaƒe to me kple ya si le to godo la nasɔ. Menye ema ɖeɖeko o, ke boŋ mɔ̃ sue sia hã kpena ɖe ame ŋu be tsi kple ʋuʋudedi siwo míedi o siwo ƒoa ƒu ɖe to titina ɣeaɖewoɣi la dona.

Fifia, Eustachian tube ƒe dɔmawɔmawɔ nyuie, alo abe alesi míeyɔnae le atikewɔwɔ me ene , Eustachian Tube Dysfunction (ETD) , nye ne tube siawo meʋu alo tu nyuie o. Nukae dzɔna ɣemaɣi? Tube siawo ate ŋu axe, abe tsi ƒe pɔmpi si xe ene. Ɣemaɣie tomekuxi mawo siwo míeyɔ va yi la dzea dzɔdzɔ gɔme. Togbɔ be nɔnɔme sia ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ɖevi suewo me wu . Esia le alea elabena woƒe Eustachian-tuwo le kpuie wu eye woƒe dzogoe to vovo. Le ame tsitsiwo gome la, wogblɔna be ETD le ame siwo ade 1% ŋu.

Nukawoe nye Eustachian tube dysfunction (ETD) ƒomevi veviwo?

ETD ƒomevi vevi etɔ̃e li, eye vovototo sue aɖe le wo dometɔ ɖesiaɖe me.

• Patulous Eustachian Tube Dysfunction: Esiae nye ɣeyiɣi si me wò Eustachian tube le ʋuʋu ɣesiaɣi . Ele abe ʋɔtru si le ʋuʋu ɖi ɣesiaɣi ene. Esia nana gbeɖiɖi zɔna tso wò ŋɔti me yia to me, eye wò gbe ate ŋu ato vovo. Ate ŋu ase le ɖokuiwò me abe ɖe nèle wò ŋutɔ wò gbe sem le wò to me ne èle nu ƒom (autophony), alo àte ŋu ase wò gbɔgbɔ ƒe ɖiɖi le wò to me.
• Obstructive Eustachian Tube Dysfunction: Esia nye ne Eustachian tube la meʋu nyuie o. Eyae nye be meʋuna le ɣeyiɣi si me wòle be wòaʋu o. Esia ate ŋu ana tsi naƒo ƒu ɖe to titina, si ana to nase veve, aƒoe ɖe enu, alo wòase le eɖokui me be yeƒe kpekpeme le kpekpem. ETD sia ƒomevi le ame akpa gãtɔ ŋu.
• Eustachian Tube ƒe Dɔmawɔmawɔ nyuie si Baro-kuxi hena vɛ:Le go sia me la, Eustachian tube la meʋuna nyuie o. Gake ne èyi teƒe kɔkɔ aɖe (abe to lialia ene), dzo le yameʋu me, alo nèkpɔ tɔtrɔ le kɔkɔme alo ya ƒe nyaƒoɖeamenu me , abe ne èle tsi me ƒum ene ko hafi to ƒe vevesese kple nyaƒoɖeamenua dzɔna . Ɣebubuɣiwo la, àte ŋu anɔ nyuie.

Ðe dzesi siawo hã le ŋuwòa? (ETD ƒe Dzesiwo) .

ETD ƒe dzesi si bɔ wue nye to ƒe toɖoɖo vie, sese le eɖokui me be yele tsi te, alo to ƒe ʋuʋu . Tsɔ kpe ɖe esia ŋu la, dzesi bubu geɖewo ate ŋu anɔ eŋu. Kpɔe ɖa be esiawo ɖi nusiwo nènya nyuie hã:

• Seselelãme be towo me yɔ fũ eye wole kpekpem.
• Gbeɖiɖi si nye ‘clicking’ alo ‘popping’ sese le to me (vevietɔ ne èle nane mimi alo ʋu nu).
• Sese le eɖokui me be taɖuame alo dadasɔ mele ye ŋu o (Dizziness, Vertigo).
• To ƒe vevesese – Ɣeaɖewoɣi la, vevesesea ate ŋu asẽ ŋutɔ.
• Tomeʋuʋu nye gbeɖiɖi si yia edzi le to me, si ɖi gbeɖiɖi si le ɖiɖim.
• Ɣeaɖewoɣi la, tosese ƒe dɔmawɔmawɔ nyuie ɖe dzesi ŋutɔ.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo be nàtsi dzi.

Nukatae Eustachian tube kuxiwo (ETD) dzɔna? (Nu siwo gbɔ wòtso) .

Zi geɖe la, nusi hea kuxiwo vɛ le Eustachian-mɔ̃a ŋue nye dɔdzẽ (vuvu) si le mɔ̃a me. Nu geɖe li siwo ate ŋu ahe abi sia vɛ:

• Nulɔdɔ: Ame aɖewo ƒe nulɔdɔwo abe ke, aŋɔ, kple nuɖuɖu aɖewo ene. Esia ate ŋu ana no naxe eye Eustachian-ʋukawo navuvu.
• Chronic acid reflux (GERD) si tsoa dɔgbo ƒe dɔléle si nɔa anyi didi gbɔ: Le nɔnɔme sia me la, dɔgbo me acid ate ŋu atrɔ ayi ŋɔti me, si ana wòavuvu eye wòavee le Eustachian tube ƒe ʋɔtruwo ŋu.
• Dɔlékuiwo ƒe dɔlélewo abe dzamezã kple dzamezã ene.
• Dzamezã kple gbɔgbɔtsixe ƒe dɔléle bubuwo.
• Sinus dɔlékuiwo (Sinusitis).

Tsɔ kpe ɖe eŋu la, Eustachian tube ƒe dzesiwo ate ŋu adzi ɖe edzi ne èle yameʋu me, le towo dzi, alo ne èle tsi me ƒum hã. Woyɔa esia be barotrauma . Bu eŋu kpɔ, ne èyi dzi zi ɖeka la, wò towo sena le wo ɖokui me abe ɖe ‘wole bubum’ le esia ta. Azɔ hã, amesiwo ƒe septum tra mɔ, no me polyps, kple nɔnɔme siwo wodzina abe aɖu si me ʋuʋu ene le la le afɔku gã aɖe me be Eustachian tube ƒe kuxiwo nadze wo dzi. Atamanolawo hã le afɔku gã aɖe me.

Nukae adzɔ ne woŋe aɖaba ƒu esia dzi? (ETD ƒe kuxiwo)

Zi geɖe la, afɔku mele esia me o. Gake le go siwo mebɔ o me la, ne womekpɔ egbɔ o la, kuxi siwo le Eustachian tube la ŋu ate ŋu ahe nɔnɔme sesẽwo vɛ. Le kpɔɖeŋu me, tsi ƒe ƒoƒo ɖe to titina atraɖii , si hea titinato ƒe dɔléle (otitis media) vɛ.Ate ŋu ana ame ƒe to nagate ŋu ase nu tegbee hã, tome nado alo agbugbɔ, eye wòagblẽ nu le titinato ƒe ƒuwo ŋu. Ɣeaɖewoɣi la, nɔnɔme aɖe si woyɔna be cholesteatoma , si nye ŋutigbalẽmenugbagbevi siwo le to me ƒe tsitsi le mɔ si mesɔ o nu, ate ŋu ado mo ɖa. Esia tae wòle vevie be nàkpɔ ɖɔkta ne wò dzesiwo xɔ wu kwasiɖa eve.

Ðo ŋku edzi be: Ne edze abe nu sue aɖee wònye ene hã la, manyo be nàŋe aɖaba aƒu tomekuxiwo dzi o. Atikewɔwɔ ɖe game dzi ate ŋu axe mɔ na kuxi gãwo.

Aleke ɖɔkta awɔ anya esia? (Dɔléle ƒe dzesi) .

Ne èyi ɖɔkta gbɔ la, abia wò dzesiwo gbã. Ɣeyiɣi didi kae kuxi siawo le ŋuwò, ɣekaɣie wova nu sẽna ɖe edzi, kple nenye be atikewɔwɔ me dɔléle bubu aɖewo le ŋuwò. Emegbe awɔ ŋutilãmedɔdada. Atsɔ dɔwɔnu tɔxɛ aɖe si woyɔna be otoscope alé ŋku ɖe wò tomekawo, tomekawo, ŋɔti me mɔwo, kple wò ŋɔti ƒe megbe ŋu.

Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ bubuwo abe esiawo ene atsɔ aɖo kpe edzi be:

• Tympanometry: Esia nye dodokpɔ si me vevesese mele o si dzidzea alesi wò titinato le dɔ wɔm nyuie, alesi wò tomeka le ʋuʋum, kple ne tsi le wò titinato me hã. Wowɔa esia to nyaƒoɖeamenu vi aɖe ɖe wò to ŋu me.
• Tosese dodokpɔ / Odiometry: Dodokpɔ siawo ate ŋu anya nyuie nenye be tosese ƒe kuxi aɖe le ŋuwò, ne ele nenema la, ƒomevi si wònye, kple afisi wòsesẽ ɖo.
• Àte ŋu awɔ nasal endoscopy hã atsɔ ado wò ŋɔti kple ŋɔti kpɔ. Esia bia be nàto mɔ̃ aɖe si me fotoɖemɔ̃ sue aɖe le to wò ŋɔti me be nàkpɔ eme.

Nukawoe nye atike siwo wozãna na esia? (ETD ƒe Dɔdamɔnu) .

Nya nyuiae nye be ETD ƒe dɔléle akpa gãtɔ nu tsona ne womewɔ atike aɖeke koŋ na wo o, le ŋkeke ʋɛ aɖewo alo kwasiɖa ɖeka alo eve me . Eyata menye ɣesiaɣie atikewo hiã o. Gake ne wò dzesiwo nɔa anyi didi wu kwasiɖa eve, alo ne wò dzesiawo nu sẽ la, ekema ate ŋu ahiã be woawɔ atike na wò.

Atikewɔwɔ si ƒomevi nàxɔ anɔ te ɖe nusi gbɔ dɔlélea tso (e.g., nulɔdɔ alo dɔlékui aɖe), dɔlélea ƒe sesẽme, kple wò lãmesẽ bliboa dzi.

Aƒeme Atikewɔwɔwo

Ɣeaɖewoɣi la, ne kuxi sue aɖee wònye la, àte ŋu akpɔ gbɔdzɔe to nu bɔbɔe siwo nàte ŋu awɔ le aƒeme, abe:

• Aŋe si wotsɔna ɖua nu.
• Aɖuɖɔtoe.
• Nu mimi enuenu.
• Te Valsalva ƒe afɔɖeɖea kpɔ . Esia bia be nàtu nu, atsɔ asi aƒo wò ŋɔti, eye nàdze agbagba be yeagbɔ ya. Ðeko wòle abe ɖe nèle agbagba dzem be yeakɔ wò ŋɔti si xe la ŋu ene. Gake mègawɔ esia ne dzamezã sesẽ alo ŋɔti me tsi le dodom le ŋuwò o, elabena esia ate ŋu ana dɔlékuia nakaka ɖe wò titinato me. Anyo wu be nàbia ɖɔkta hafi awɔ esia.
• Woate ŋu azã saline nasal spray, si woate ŋu akpɔ le atikedzraƒea, atsɔ akɔ no me mɔwo ŋu.Ðeka zazã. Esia aɖe ŋɔti me ƒe ƒuƒu dzi akpɔtɔ eye wòakpe ɖe ŋuwò nàɖe ʋuʋudedi kple nu bubuwo ɖa.
• Mɔ̃ tɔxɛ aɖe zazã (abe Otovent® ene) be wòakpe ɖe toawo ŋu "woado" wo. Woate ŋu azã esia ne wobia ɖɔkta vɔ.

Ne èsusu be kuxi sia le viwò suea ŋu la, na notsi alo aŋetue. Nu mimi ƒe ʋuʋu ate ŋu akpe ɖe ame ŋu wòaɖe ʋuʋudedia dzi akpɔtɔ.

Atikewo

Ne nulɔdɔ gbɔe wò Eustachian tube kuxiwo tso la, atike aɖewo siwo womeƒlena le atikedzraƒe o (OTC) ate ŋu akpe ɖe ŋuwò. Le kpɔɖeŋu me:

• Atike siwo wua ʋumenugbagbeviɣidɔ ƒomeviwo (e.g. `cetirizine`, `loratadine`, `diphenhydramine`).
• Steroid atike siwo wotsɔna ƒua gbe ɖe no me (e.g., fluticasone (Flonase®), mometasone (Nasonex®).Anyo wu be woazã esiawo le ɖɔkta ƒe mɔfiafia te.
• Ne vevesese le ame ŋu la, no vevesesenutsitikewo (e.g. acetaminophen alo ibuprofen).

Gake ne dɔlékui aɖe gbɔe ETD tso (abe to titina ƒe dɔléle ene) la, wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutikewo na wò . Woate ŋu aŋlɔ corticosteroids hã na amewo le atikekui alo atike siwo wotsɔna ƒua gbe ƒe nɔnɔme me be woaɖe abi dzi akpɔtɔ.

Ele vevie be nàkpɔ ɖɔkta hafi azã atike siwo ɖea ʋu ƒe sisi ɖa (e.g. pseudoephedrine (Sudafed®) alo phenylephrine). Togbɔ be atike siawo ate ŋu aɖe no me ʋuʋu dzi akpɔtɔ hena ɣeyiɣi aɖe hã la, woate ŋu ana ETD nagado gã ɖe edzi ɣeaɖewoɣi, alo ahe nugbegblẽ le ame ŋu vɛ ne wozãe ɣeyiɣi didi.

Ðewohĩ ehiã be woawɔ dɔ na amea? (Amekoko)

ETD dɔléle siwo nɔa anyi ɣleti geɖe eye womeganyona ɖe edzi to atikewo kple aƒeme atikewo zazã me o ate ŋu ahiã be woawɔ dɔ na wo. Taɖodzinu si le atikewɔwɔ sia ŋue nye be wòaxe mɔ na ya be wòagage ɖe Eustachian-mɔ̃a me o, akpɔ titinato ƒe yaƒoƒo ƒe kuxiwo gbɔ, eye wòaɖe tsi ɖa. Esia ate ŋu akpe ɖe ame ŋu wòaɖe tosese ƒe kuxiwo kple dzesi bubuwo dzi akpɔtɔ. Amekoko ƒe tiatia siwo woate ŋu awɔ na ETD dometɔ aɖewoe nye:

• Myringotomy: Esia bia be amekola naɖe to sue aɖe le wò to me eye wòaɖe tsi le wò titinato me (nu mimi). Le ame tsitsiwo gome la, zi geɖe la, wogblẽa lãɖeɖe sia ɖi wòʋuna vaseɖe esime vuvu si le Eustachian-ʋukawo me la naɖiɖi.
• To me mɔ̃wo / Grommets / Yaƒoƒomɔ̃wo: Ɣeaɖewoɣi la, amekolawo ade mɔ̃ suewo (to me mɔ̃wo) ɖe lãɖeɖe siawo me le ɣeyiɣi ɖeka me kple myringotomy. Tube siawo naa ya gena ɖe to titina eye woxea mɔ na tsi be wòagaƒo ƒu o ɣleti 6 va ɖo ƒe ɖeka, alo esi wu nenema gɔ̃ hã. Zi geɖe la, mɔ̃ siawo gena le wo ɖokui si le ɣeyiɣi aɖe megbe, eye tomeka la hayana.
• Eustachian tuboplasty (alo Eustachian tube balloon dilation): Esia nye dɔ yeye aɖe ŋutɔ. Ebia be nàzã balloon atsɔ akeke wò Eustachian-mɔ̃ si xe la ɖe enu. Amekolaa tsɔa endoscope ( mɔ̃ si me fotoɖemɔ̃ sue aɖe le) dea wò ŋɔti me eye wòzãa dɔwɔnu tɔxɛwo tsɔa ʋuƒo aɖe toa wò ŋɔti me yia wò Eustachian mɔ̃a me. Emegbe wodoa ya ɖe ʋuƒoa me abe miniti eve ene, emegbe wogaɖea ya le eme ake heɖenɛ ɖa. Esia ʋua mɔ̃a tso eme, si wɔnɛ be ya sina nyuie wu.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Enɔ te ɖe atikewɔwɔ si ƒomevi nèxɔ dzi. Zi geɖe la, exɔa abe kwasiɖa etɔ̃ va ɖo ene ene hafi wòhayana keŋkeŋ tso myringotomy me. Zi geɖe la, amesiwo wowɔ eustachian tuboplasty la kpɔa gbɔdzɔe gã aɖe tso woƒe dzesiwo me le ɣeyiɣi kpui aɖe me, zi geɖe la, anɔ abe gaƒoƒo 24 ene.

Ne tomekawo de wò na ETD la, zi geɖe la, wonɔa eme ɣleti 6 va ɖo 18. Le ema megbe la, woadze anyi le wo ɖokui si.

Ðe mɔ aɖeke meli si dzi woato aƒo asa na nɔnɔme sia keŋkeŋ oa? (Mɔxexe ɖe enu) .

Ðewohĩ manya wɔ be woaxe mɔ ɖe ETD nu keŋkeŋ o, elabena nusiwo gbɔ wòtsona dometɔ aɖewo (e.g., dzamezã) dzi ɖuɖu sesẽna na mí. Gake nu geɖe li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ. Le kpɔɖeŋu me:

• Do tomeka siwo me woɖe tsi le be wòaɖe nyaƒoɖeamenu si le wò towo me (yameʋu ƒe to) dzi akpɔtɔ ne èle yameʋu me. Azɔ hã, ɖu aŋe, no tsi, eye nàkeke wò afɔwo ne èle yameʋua ɖom hele ɖiɖim.
• Te ɖa le nuto siwo me vuvɔ alo dzoxɔxɔ le ŋutɔ gbɔ alesi nàte ŋui, elabena esiawo ate ŋu ana nuɖuɖukuxiwo nadzi ɖe edzi.
• No tsi geɖe le ŋkekea me katã be ʋuʋudedi si le wò ŋɔti kple ŋɔti me naɖiɖi.
• Ne nulɔdɔ le ŋuwò la, yi ɖɔkta gbɔ be wòakpɔ wo gbɔ. Te ɖa le nusiwo hea nulɔdɔ vɛ gbɔ alesi nàte ŋui.
• Ne ènoa atama la, ƒo asa na atamanono eye nàƒo asa na ame bubuwo ƒe sigaret dzudzɔ gbɔgbɔ.

Ðe esia nye afɔkua? Nukae dzɔna emegbe? (Nukpɔsusu) .

Nya nyuiae nye be zi geɖe la , afɔku mele ETD me o eye zi geɖe la , ekpɔa egbɔ le eɖokui si . Gake dzesi siwo do ƒome kplii ate ŋu aɖe fu na ame ŋutɔ eye woate ŋu ado kplamatse gbesiagbedɔwo. Eyata anyo be nàƒo nu kple wò ɖɔkta tso alesi nàkpɔ nɔnɔme sia gbɔe ŋu.

Zi geɖe la, eustachian tube ƒe kuxiwo va nyona ɖe edzi le kwasiɖa ɖeka alo eve me. Gake dzesiwo ate ŋu anɔ amesiwo ŋu ETD si nɔa anyi didi le ŋu kwasiɖa geɖe, ɣleti geɖe, alo ƒe geɖe gɔ̃ hã. Ame siawoe hiã be woawɔ atike na wo etɔxɛe.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne èle veve sem vevie le kuxi aɖe si le Eustachian tube ŋu ta, ne tsi alo ʋuʋudedi le dodom le wò to me, ne asrã le ŋuwò, alo ne dzesiwo le ŋuwòNe ewu kwasiɖa eve eye aƒeme atikewɔwɔwo mele kpekpeɖeŋu nam o la, ele be nàyi ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò. Anyo wu be nàyi ɖɔkta gbɔ kaba, vevietɔ ne dzesi siawo le ɖevi sue aɖe ŋu.

Nya vevi siwo wòle be nàbia wò ɖɔkta

Ne èsusu be Eustachian tube defect (ETD) le ye ŋu la, anyo be nàbia nya aɖewo abe esiawo ene wò ɖɔkta:

• Nuka koŋ tae ETD dɔléle sia va dze dzinye ɖo?
• Ðe nu bubu aɖewo li mate ŋu awɔ le aƒeme na esia?
• Nukae mate ŋu awɔ be ETD xɔxɔ ƒe afɔkua dzi naɖe akpɔtɔ?
• Ðe mahiã dɔlékuiwutikewo alo atike bubu siwo woŋlɔ na ma? Ne nenemae la, ɣeyiɣi didi kae wòahiã be matsɔ wo?
• Nukae mate ŋu awɔ be maɖe vevesese sia dzi akpɔtɔ eye maɖe dzi ɖi vie?
• Ðe nɔnɔme sia ate ŋu agadzɔ akea? Nukae wòle be woawɔ atsɔ axe mɔ ɖe enu?
• Ðe mahiã nane abe amekoko enea?

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Zi geɖe la, afɔku mele Eustachian Tube Dysfunction (ETD) me o . Zi geɖe la, ekpɔa egbɔ le eɖokui si . Gake ne womewɔ atike nɛ o la, ate ŋu ahe kuxi sesẽwo abe to ƒe ɖiɖi, to ƒe ɖiɖi (tinnitus), titinato me dɔlékuiwo, alo tomeka kple titinato ƒe gbegblẽ tegbee ene vɛ ɣeaɖewoɣi. Eyata ne wò dzesiwo meva nyo ɖe edzi le kwasiɖa ɖeka alo eve megbe o, alo ne esẽ la, ele be nàyi ɖɔkta gbɔ godoo . Ate ŋu anya nusi gbɔ wò dɔlélea tso eye wòakafu atike si sɔ na wò wu. Wò agbanɔamedzie wònye be nàlé be na wò towo!

` Eustachian tube, ETD, to ƒe vevesese, tosese, to ƒe ʋuʋu, titina to, to ƒe ʋuʋudedi