Koj puas noj tshuaj rau ib qho mob hnyav? Koj puas tau hnov lub suab nrov hauv koj pob ntseg thaum noj cov tshuaj no, lossis koj puas tau pib kiv taub hau thiab tsis sib npaug thaum taug kev? Peb feem ntau xav tias cov no yog los ntawm tus kab mob. Tab sis qee zaum, cov tshuaj uas koj noj tuaj yeem yog qhov ua rau. Ntawd yog qhov peb hu ua Ototoxicity hauv kev kho mob. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.
Hauv lwm lo lus, Ototoxicity yog dab tsi?
Thaum koj hnov lo lus ototoxicity, nws yuav zoo li yog ib qho teeb meem loj. Tab sis nws lub ntsiab lus yooj yim heev.
Oto txhais tau tias pob ntseg, thiab kev lom txhais tau tias lom. Hauv lwm lo lus, peb hu nws ototoxicity
thaum qee cov tshuaj ua rau koj pob ntseg puas tsuaj . Nws zoo li "ua rau pob ntseg lom." Peb pob ntseg sab hauv muaj cov hlwb sensory uas pab peb hnov thiab tswj peb qhov sib npaug. Qee cov tshuaj, tshwj xeeb tshaj yog thaum noj ntau dhau, tuaj yeem ua rau cov hlwb sensory no puas tsuaj. Qhov no yog thaum koj pib poob koj lub pob ntseg, hnov cov suab sib txawv hauv koj pob ntseg (tinnitus), thiab xav tias tsis sib npaug.
Qhov zoo tshaj plaws yog tias yog tias qhov mob no raug kuaj pom thaum ntxov , nws feem ntau tuaj yeem rov qab tau thaum cov tshuaj ua rau nws raug tso tseg lossis hloov pauv. Txawm li cas los xij, yog tias nws raug kuaj pom lig dhau lawm, kev puas tsuaj rau pob ntseg mus tas li yuav tshwm sim.
Cov tshuaj thiab tshuaj twg ua rau ototoxicity?
Tam sim no, muaj ntau tshaj 200 hom tshuaj ototoxic tau raug txheeb xyuas. Feem ntau ntawm cov no yog siv los kho cov mob hnyav xws li mob qog noj ntshav, kev kis kab mob hnyav, thiab kab mob plawv. Txawm hais tias cov tshuaj no tseem ceeb rau kev cawm neeg txoj sia, nws yog ib qho tseem ceeb kom paub txog lawv cov kev phiv. Lub rooj hauv qab no qhia txog cov tshuaj tseem ceeb thiab cov tshuaj lom neeg uas ua rau muaj kev pheej hmoo no.
| Hom Tshuaj/Tshuaj Lom | Piv txwv thiab cov lus sau tseg |
|---|
| Tshuaj aspirin | Kev noj tshuaj ntau dhau rau lub sijhawm ntev tuaj yeem ua rau hnov lus tsis zoo thiab nrov hauv pob ntseg (tinnitus). |
| Cov tshuaj uas muaj quinine | Kev noj tshuaj malaria ntau xws li Chloroquine thiab Quinidine tuaj yeem cuam tshuam rau kev hnov lus thiab kev sib npaug ib ntus. |
| Cov tshuaj diuretics voj voog | Cov tshuaj xws li Furosemide thiab Torsemide, uas yog siv los tshem cov dej tawm ntawm lub cev, feem ntau muaj cov teebmeem ib ntus xwb. |
| Cov Tshuaj Tua Kab Mob Aminoglycoside | Cov no yog cov tshuaj tua kab mob muaj zog xws li Gentamicin, Amikacin, Kanamycin, uas yog muab rau cov kab mob loj heev. Lawv yog cov ua rau muaj kev lom rau qhov ntswg thiab qhov muag. |
| Cov Tshuaj Tiv Thaiv Kab Mob Cancer | Cov tshuaj kho mob qog noj ntshav xws li Cisplatin thiab Carboplatin kuj tseem tuaj yeem ua rau cov hlwb rhiab heev hauv pob ntseg puas tsuaj thaum tua cov hlwb qog noj ntshav. |
| Cov Tshuaj Ib puag ncig | Kev raug cov tshuaj xws li mercury, lead, thiab carbon monoxide kuj tuaj yeem ua rau puas pob ntseg mus tas li. |
Leej twg muaj kev pheej hmoo ntau dua?
Tsis yog txhua tus neeg uas noj cov tshuaj no yuav muaj teeb meem ototoxicity, tab sis qee tus neeg muaj feem yuav mob hnyav dua.
- Noj ntau tshaj ib yam tshuaj ototoxic tib lub sijhawm: Piv txwv li, qhov kev pheej hmoo siab dua thaum noj cov tshuaj diuretic voj thiab cov tshuaj tua kab mob aminoglycoside ua ke.
- Cov neeg uas muaj teeb meem raum : Cov tshuaj no raug tshem tawm ntawm lub cev los ntawm lub raum. Yog tias lub raum tsis ua haujlwm zoo, cov tshuaj yuav nyob hauv lub cev ntev dua, ua rau muaj kev pheej hmoo ntawm kev puas tsuaj rau pob ntseg .
- Kev Siv Tshuaj thiab Lub Sijhawm Siv Tshuaj : Qhov kev pheej hmoo yuav nce ntxiv thaum qhov kev siv tshuaj ntau ntxiv thiab lub sijhawm kho mob ntev zuj zus.
Yog tias koj yuav tsum noj tshuaj cawm txoj sia zoo li no,
nrog koj tus kws kho mob tham txog qhov kev pheej hmoo ntawm ototoxicity ua ntej pib kho mob.Cov tsos mob ntawm ototoxicity yog dab tsi?
Cov tsos mob no yuav pib sai sai, lossis lawv yuav maj mam nce ntxiv mus.
Cov cim qhia thawj zaug
- Tinnitus: Qhov no yog thawj lub cim uas feem ntau cov neeg pom. Lub suab tsis tu ncua hauv pob ntseg, xws li "ringing ..." lossis "ringing."
- Kev hnov lus me ntsis: Xav tias cov lus tsis hnov lus meej thaum lub sijhawm sib tham ib txwm.
Cov tsos mob uas tshwm sim thaum tus mob hnyav heev
- Kev Tsis Sib Npaug : Xav tias tsis ruaj khov thaum taug kev, zoo li koj tsis sib npaug.
- Vertigo : Ib qho kev xav tias koj lossis koj ib puag ncig tig.
- Oscillopsia: Pom kev tsis meej lossis xav tias pom kev dhia thaum co taub hau.
- Pob ntseg puv nkaus: Ib qho kev xav zoo li pob ntseg puv nkaus cua.
- Kev nyuaj siab taug kev: Kev nyuaj siab taug kev hauv qhov tsaus ntuj, taug kev nrog koj ob txhais taw sib nrug kom tswj tau qhov sib npaug.
- Mob taub hau thiab qaug zog heev.
Qhov xwm txheej ntawm cov tsos mob no sib txawv nyob ntawm seb qhov kev puas tsuaj yog rau ib lub pob ntseg lossis ob lub pob ntseg, thiab qhov kev puas tsuaj tshwm sim sai npaum li cas.
Yuav paub qhov mob no li cas?
Yog koj muaj ib qho ntawm cov tsos mob teev saum toj no, nrog koj tus kws kho mob tham txog cov tshuaj uas koj noj. Nws yuav xa koj mus rau tus kws kho mob pob ntseg thiab lub cev sib npaug, lossis
tus kws kho mob pob ntseg . Lawv yuav ua cov kev kuaj mob kom paub meej tias koj mob.
- Kev ntsuam xyuas kev hnov lus: Ntsuas cov theem ntawm cov suab nrov uas koj hnov tau thiab tsis hnov tau.
- Kev kuaj xyuas lub hlwb ntawm lub pob ntseg (Auditory Brainstem Response - ABR): Xyuas seb cov teeb liab los ntawm pob ntseg sab hauv mus rau lub hlwb puas ua haujlwm zoo.
- Kev kuaj Otoacoustic Emissions (OAE): Kuaj seb cov hlwb hnov lus hauv pob ntseg sab hauv ua haujlwm li cas. (Cov kev kuaj ABR thiab OAE no yog siv tshwj xeeb los kuaj mob teeb meem hnov lus hauv cov menyuam yaus.)
- Kev ntsuam xyuas qhov sib npaug: Cov kev ntsuam xyuas no ntsuas koj lub cev qhov sib npaug los ntawm kev ntsuas tej yam xws li kev txav ntawm lub qhov muag (Electronystagmogram) thiab koj lub peev xwm sawv ntawm ntau qhov chaw sib txawv (Posturography).
Yuav kho li cas?
Txoj kev kho mob zoo tshaj plaws yog tsum tsis txhob noj cov tshuaj uas ua rau mob lossis hloov mus siv lwm yam tshuaj,
raws li koj tus kws kho mob hais . Feem ntau, cov tsos mob yuav rov qab los.
Qhov tseem ceeb tshaj plaws: Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau sab laj nrog koj tus kws kho mob ua ntej, vim tias cov tshuaj yuav tseem ceeb rau koj lub neej.
Txawm li cas los xij, yog tias cov tshuaj tsis tuaj yeem tsum lossis yog tias muaj kev puas tsuaj rau pob ntseg mus tas li, muaj kev kho mob uas tuaj yeem pab koj tswj hwm thiab nyob nrog cov teeb meem. 1.
Cov Khoom Pab Hnov Lus: Cov khoom siv no, uas tuaj yeem hnav sab hauv lossis sab nraud pob ntseg, pab koj hnov cov suab nyob ib puag ncig koj zoo dua. 2.
Cochlear Implants: Cov khoom siv no raug phais cog rau hauv cov neeg uas muaj kev poob pob ntseg hnyav uas hnyav dhau los pab los ntawm cov khoom pab hnov lus. 3.
Kev Kho Mob Sib Npaug / Kev Kho Mob Vestibular: Qhov no zoo ib yam li kev kho lub cev rau kev sib npaug. Tus kws kho lub cev qhia koj ntau yam kev tawm dag zog los txhim kho koj txoj kev sawv ntsug, kev taug kev, thiab kev sib koom tes.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev lom ntawm pob ntseg yog qhov kev puas tsuaj los ntawm qee cov tshuaj rau cov hlwb mos mos hauv pob ntseg.
- Yog tias koj hnov lub suab nrov hauv pob ntseg (tinnitus) lossis kiv taub hau thaum noj cov tshuaj muaj zog rau cov kab mob xws li mob qog noj ntshav lossis cov kab mob hnyav, qhia rau koj tus kws kho mob tam sim ntawd.
- Tsis txhob tsum lossis hloov koj cov tshuaj ntau npaum li cas yam tsis tau kev qhia los ntawm kws kho mob rau txhua qhov laj thawj.
- Kev kuaj pom tus mob no thaum ntxov tuaj yeem tiv thaiv kev puas tsuaj rau pob ntseg lossis teeb meem kev sib npaug mus tas li.
- Yog tias koj xav tias koj raug lom los ntawm kev raug tshuaj lom neeg hauv ib puag ncig, nrhiav kev pab kho mob tam sim ntawd. Yog tias tsim nyog, koj tuaj yeem nrhiav tau cov ntaub ntawv ntxiv los ntawm Lub Chaw Qhia Txog Tshuaj Lom Neeg Hauv Tebchaws ntawm Tsev Kho Mob Colombo National .
Kev lom ntawm pob ntseg, kev hnov tsis tau lus, cov kev mob tshwm sim los ntawm tshuaj, tinnitus, kiv taub hau, kev hnov tsis tau lus, cov kev mob tshwm sim los ntawm tshuaj, cisplatin, aminoglycoside, suab nrov hauv pob ntseg
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus