I tan lɛk se sɔntin nɔ fayn na yu yes? I kin bi prɔblɛm wit yu Eustachian Tube! (Disfunkshɔn na di Yustachian Tiub) .

Sɔntɛnde yu kin fil lɛk se sɔntin dɔn stɔp na yu yes, ɔ yu yes kin ebi, ɔ yu kin yɛri sawnd we de ring na yu yes? Sɔntɛm we yu go ɔp di mawnten, ɔ we yu de flay na plen, yu yes kin fil lɛk se dɛn "dismiss." Dis nɔto jɔs random tin dɛn. Sɔntɛm di rizin fɔ dis na sɔntin we nɔ rayt wit yu Yustachian tyub. Wi go tɔk bɔt dis smɔl smɔl tide, lɛk se wi de tɔk to wi padi?

Wetin na di Yustachian tiub? Aw i kin bi dysfunctional?

Okay, fos mek wi luk wetin na di Eustachian tube. Fɔ tɔk am simpul wan, i tan lɛk smɔl tiub. Wi ɔl gɛt dis tiub na wi tu yes. dis tכb de kכnekt wi midul yes (di pat we de insay di ia dכm) to di bak pat na di trot. Tink bɔt am, we yu klaym mawnten ɔ flay insay plen, yu kin fil di prɛshɔn na yu yes de chenj. Da tɛm de, dis Yustachian tiub de ɛp fɔ mek di prɛshɔn we de insay wi yes ɛn di prɛshɔn we di briz we de na do na di yes ikwal. nכto dat nכmכ, bכt dis sכmכl tiub de εp bak fכ drεn di wata we yu nכ want εn mכkus we kin kכmכt sכmtεm na di midul yes.

naw, Eustachian tube dysfunction, ɔ as wi kin kɔl am na mɛrɛsin , Eustachian Tube Dysfunction (ETD) , na we dɛn tiub ya nɔ de opin ɔ lɔk fayn fayn wan. Wetin kin apin da tɛm de? Dɛn tiub dɛn ya kin blok, lɛk wata paip we dɔn lɔk. Na da tɛm de dɛn prɔblɛm dɛn de we wi bin dɔn tɔk bɔt na di yes kin bigin fɔ apin. Pan ɔl we dis sik kin apin ɛni ej, i kin apin mɔ pan yɔŋ pikin dɛn . Dis na bikɔs dɛn Yustachian tyub dɛn shɔt ɛn gɛt difrɛn angul. Na big pipul, dɛn kin ripɔt se lɛk 1% pan pipul dɛn gɛt ETD.

Wetin na di men kayn yustachian tube dysfunction (ETD)?

Tri men kayn ETD de, ɛn ɛni wan pan dɛn gɛt smɔl difrɛns.

• Patulous Eustachian Tube Dysfunction: Dis na we yu Yustachian tiub de opin ɔltɛm . I tan lɛk domɔt we de opin ɔltɛm. Dis kin mek sawnd kɔmɔt na yu nos to yu yes, ɛn yu vɔys kin saund difrɛn. I kin tan lɛk se yu de yɛri yu yon vɔys de ɛko na yu yes we yu de tɔk (ɔtofoni), ɔ yu kin yɛri di sawnd we yu de blo na yu yes.
• Obstructive Eustachian Tube Dysfunction: Dis na we di Yustachian tyub nɔ de opin fayn fayn wan. Dat min se, i nɔ de opin we i fɔ opin. Dis kin mek wata bɔku na di midul yes, we kin mek yu yes fil pen, prɛs, ɔ fil se yu gɛt ebi. Bɔrku pipul kin gɛt dis kayn ETD.
• Baro-chalenj-indyuz Yustachian Tiub Disfכnkshכn:insay dis kes, di Yustachian tiub nכ de opin fayn fayn wan. Bɔt di yes pen ɛn prɛshɔn kin apin nɔmɔ we yu go na ay ples (lɛk fɔ klaym mawnten), flay insay plen, ɔ ɛkspiriɛns chenj na di ayt ɔ di prɛshɔn na di briz , lɛk we yu de dayv. Ɔda tɛm dɛn, yu kin fayn.

Yu gɛt dɛn sik ya bak? (ETD Simptom dɛn) .

Di sayn we kin sho se yu gɛt ETD na we yu nɔ de yɛri smɔl, yu kin fil se yu de ɔnda wata, ɔ yu kin fil se yu yes dɔn stɔp . Apat frɔm dis, sɔm ɔda sayn dɛn kin de. Si if dɛn tin ya tan lɛk se yu sabi:

• Filin fɔ ful-ɔp ɛn ebi na yu yes.
• Fɔ yɛri ‘klik’ ɔ ‘pop’ sawnd na di yes (espɛshali we yu de swɛla sɔntin ɔ opin yu mɔt).
• Fɔ fil se yu gɛt diziz ɔ yu nɔ de balans (Diziz, Vɛrtigo).
• Iya pen – Sɔntɛnde di pen kin rili bad.
• Tinnitus na sawnd we de kɔntinyu fɔ sawnd lɛk tɛnda insay di yes.
• Sɔntɛnde, di we aw pɔsin nɔ de yɛri fayn kin rili impɔtant.

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i go fayn fɔ mek yu wɔri.

Wetin mek yustachian tyub prɔblɛm (ETD) kin apin? (Di tin dɛn we kin mek i apin)

כltu, di kכz fכ prכblεm wit di Eustachian tכb na inflameshn (swelling) na di tכb. Bɔku tin dɛn de we kin mek pɔsin gɛt dis inflamɛns:

• Alɛji: Sɔm pipul dɛn kin gɛt alɛji fɔ tin dɛn lɛk dɔst, pɔlin, ɛn sɔm it dɛn. dis kin mek di nos kכnεkshכn εn di Yustachian tyub dεm swel.
• di krכnik asid rεfluks (GERD) bikoz fכ di krεse gεstritis: insay dis kכndishכn, di bεlε asid kin bak כp insay di trot, we kin mek i swel εn i kin at arawnd di opin dεm na di Yustachian tכb.
• Vayral infεkshכn lεk kol εn flu.
• Flu ɛn ɔda infɛkshɔn dɛn we kin apin we pɔsin de blo.
• Sayn infεkshכn (Sinusitis).

Apat frɔm dat, di Yustachian tyub simptom kin bɔku bak we yu de na plen, na say we gɛt mawnten, ɔ we yu de dayv. Dɛn kɔl dis barotrauma . Imajin, we yu go ɔp wantɛm wantɛm, yu yes kin fil lɛk se dɛn de ‘disappear’ bikɔs ɔf dis. כlso, pipul dεm we gεt deviated septum, nasal polyps, εn kכndyushכn dεm we dεn bכn wit lεk cleft palate kin gεt hכy risk fכ gεt Eustachian tube prכblεm. Di wan dɛn we de smok kin gɛt mɔ prɔblɛm bak.

Wetin go apin if dɛn nɔ pe atɛnshɔn to dis? (Kɔmplikeshɔn dɛn we ETD kin gɛt)

Bɔku tɛm, dis nɔ kin denja. Bɔt sɔm tɛm dɛn we nɔ kin apin so ɔltɛm, if dɛn nɔ trit am, prɔblɛm wit di Yustachian tyub kin mek pɔsin gɛt siriɔs sik. fכ egzampl, we wata de kכntinyu fכ bכku na di midul ia , we kin mek i gεt infεkshכn na di midul ia (otitis media).I kin mek bak yu nɔ de yɛri fɔ ɔltɛm, i kin mek di ia drɔm pɔt ɔ i kin kɔmɔt bak, ɛn i kin mek di bon dɛn na di midul yes pwɛl. Sɔntɛnde, wan sik we dɛn kɔl cholesteatoma , we na we di skin sɛl dɛn we de insay di yes nɔ de gro fayn, kin apin. Na dat mek i impɔtant fɔ go to dɔktɔ if yu sik dɔn pas tu wiks.

Mɛmba se: Ilɛksɛf i tan lɛk se na smɔl tin, i nɔ fayn fɔ lɛ yu nɔ pe atɛnshɔn to di prɔblɛm dɛn we gɛt fɔ du wit yu yes. If yu gɛt tritmɛnt di rayt tɛm, dat kin mek yu nɔ gɛt big big prɔblɛm.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. Aw lɔng yu dɔn gɛt dɛn prɔblɛm ya, ustɛm dɛn kin wɔs, ɛn if yu gɛt ɛni ɔda mɛrɛsin. Dɔn i go du wan ɛgzam pan in bɔdi. I go chɛk yu yes kanal, yu yes drɔm, yu nos, ɛn di bak pat na yu trot wit wan spɛshal tin we dɛn kɔl ɔtoskɔp.

Sɔntɛnde, dɛn kin du ɔda tɛst dɛn lɛk dis fɔ kɔnfirm:

• Tympanometry: Dis na tɛst we nɔ de mek yu fil pen we de sho aw yu midul yes de wok fayn, aw yu ia drɔm de muv, ɛn if wata de na yu midul yes. Dɛn kin du dis bay we yu prɛs yu yes smɔl.
• Test fɔ yɛri / Odiomɛtri: Dɛn tɛst ya kin no kɔrɛkt wan if yu gɛt prɔblɛm wit yu yɛri, if na so, us kayn i bi, ɛn to us mak.
• Yu kin gɛt ɛndoskopi na yu nos bak fɔ chɛk yu nos ɛn yu trot. Dis min se yu fɔ pas wan tiub wit smɔl kamɛra tru yu nos fɔ luk insay.

Wetin na di tritmɛnt dɛm fɔ dis? (ETD Tritmɛnt) .

Di gud nyus na dat bɔku pan di wan dɛn we gɛt ETD kin dɔn we dɛn nɔ gɛt ɛni patikyula tritmɛnt, insay sɔm dez ɔ wan ɔ tu wik . So nɔto ɔltɛm dɛn nid mɛrɛsin. Bɔt if yu sik kin te pas tu wiks, ɔr if yu sik tranga, den kin nid fɔ gɛt tritmɛnt.

De kayn tritmɛnt wae yu go gɛt go dip pan de kɔz fɔ de sik (e.g., alɛji ɔr infɛkshɔn), aw de sik tranga, ɛn yu ɔl wɛl bɔdi.

Di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn na os

Sɔntɛnde, if na smɔl prɔblɛm, yu kin gɛt fridɔm wit simpul tin dɛn we yu kin du na os, lɛk:

• Chewing gum we yu de it.
• Yawning.
• Fɔ swɛla bɔku tɛm.
• Tray di Valsalva manejmɛnt . Dis min se yu fɔ lɔk yu mɔt, pinch yu nos wit yu an, ɛn tray fɔ blo yu briz. I tan lɛk se yu de tray fɔ klin yu nos we dɔn stɔp. Bɔt nɔ du dis if yu gɛt bad kol ɔ yu nos de rɔn, bikɔs dis kin mek di infekshɔn go na yu midul yes. I bɛtɛ fɔ go to dɔktɔ bifo yu du dis.
• Saline nasal spray, we de na di famasi, yu kin yuz fɔ klia di nos pasej dɛn.Yuz wan. Dis go mek di nos nɔ dray ɛn ɛp fɔ pul di mכkus ɛn ɔda tin dɛn.
• Yuz spɛshal divays (lɛk Otovent®) fɔ ɛp fɔ "pop" di yes. Yu kin yuz dis afta yu dɔn go to dɔktɔ.

If yu tink se yu smɔl pikin gɛt dis prɔblɛm, gi am pacifier ɔ bɔtul. Di we aw yu de sok kin ɛp fɔ mek yu nɔ chok.

Di mɛrɛsin dɛn we dɛn kin yuz

If yu Yustachian tyub prɔblɛm na bikɔs yu gɛt alɛji, sɔm mɛrɛsin dɛn we yu kin bay na kɔt (OTC) kin ɛp. Fɔ ɛgzampul:

• Di kayn antihistamin dεm (e.g. `sεtirizin`, `loratadin`, `difεnhaydramin`).
• Nasal stεroyd spεray (e.g., fluticasone (Flonase®), mometasone (Nasonex®) dεn kin yus dεm ya bεst כnda di gayd we dכkta gεt.
• If pen de, tek mɛrɛsin fɔ mek yu fil pen (e.g. asetaminofen ɔ ibuprofen).

Bɔt if na baktri infekshɔn (lɛk midul ia infɛkshɔn), yu dɔktɔ kin gi yu antibayɔtik . Dɛn kin gi yu kɔtikosterɔyd bak we tan lɛk pils ɔ sprɛy fɔ mek yu nɔ swel.

I impɔtant fɔ go to dɔktɔ bifo yu yuz dikonjɛstant (e.g. pseudoephedrine (Sudafed®) ɔ phenylephrine). Pan ɔl we dɛn mɛrɛsin ya kin mek pɔsin nɔ gɛt bɔku bɔku nos fɔ sɔm tɛm, sɔntɛnde dɛn kin mek ETD wɔs, ɔ mek i gɛt sayd ɛfɛkt if dɛn yuz am fɔ lɔng tɛm.

Sɔntɛm dɛn nid fɔ du ɔpreshɔn? (Ɔpreshɔn)

ETD kes dɛm wae kin las fɔ mɔnt ɛn nɔr kin bɛtɛ wit mɛrɛsin ɛn mɛrɛsin na os kin nid fɔ gɛt ɔpreshɔn. Di gol fɔ dis tritmɛnt na fɔ mek di briz nɔ go insay di Yustachian tyub, sɔlv di prɔblɛm dɛn we de wit di midul ia ventileshɔn, ɛn pul wata. Dis kin ɛp fɔ lɛf fɔ yɛri prɔblɛm ɛn ɔda sayn dɛm. Di opshɔn dɛn fɔ ɔpreshɔn fɔ ETD na:

• Myringotomy: Dis kin min se dɔktɔ we de du ɔpreshɔn kin kɔt smɔl na yu yes ɛn pul wata na yu midul yes (sɔkshɔn). pan big pipul dεm, dεn kin lεf dis say we dεn kכl opin te di swεla we de na di Yustachian tכb dεm go dכn.
• Iya tyub / Grommets / Ventilation tubes: Sɔntɛnde, di ɔspitul dɛn go put smɔl smɔl tiub dɛn (ear tubes) insay dɛn say dɛn ya di sem tɛm we di myringotomy de. dis tכb dεm de gi vεntεlashכn to di midul ia εn de mek wata nכ de kכmכt fכ 6 mכnt to wan ia, כ ivin lכng pas dat. Bɔku tɛm, dɛn tiub ya kin fɔdɔm fɔ dɛnsɛf as tɛm de go, ɛn di ia drɔm kin wɛl.
• Eustachian tuboplasty (ɔ Eustachian tube balloon dilation): Dis na nyu tin we dɛn kin du. I involv fɔ yuz balyɔn fɔ mek yu Yustachian tiub we dɔn blok big. Di dɔktɔ we de du di ɔpreshɔn kin put ɛndoskɔp ( wan tiub we gɛt smɔl kamɛra) tru yu nos ɛn yuz spɛshal inschrumɛnt dɛn, i kin pas wan balyɔn dɔŋ yu nos pasej dɛn insay yu Yustachian tiub. Dɔn dɛn kin blo di balyɔn fɔ lɛk tu minit so, dɔn dɛn kin pul di briz bak ɛn pul am. Dis kin opin di tiub frɔm insay, we kin mek di briz kɔmɔt fayn fayn wan.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

I dipen pan di kayn tritmɛnt we yu de gɛt. Bɔku tɛm, i kin tek lɛk tri to 4 wiks fɔ mek i wɛl ɔl we dɛn dɔn pul di mayringotomy. Pipul wae dɔn gɛt yustachian tuboplasty kin gɛt bɔrku rilif frɔm dɛn sik insay shɔt tɛm, bɔrku tɛm arawnd 24 awa.

If yu gɛt ia tyub dɛn we dɛn put insay fɔ ETD, dɛn kin de insay fɔ bitwin 6 ɛn 18 mɔnt. Afta dat, dɛn go fɔdɔm fɔ dɛnsɛf.

No we nɔ de fɔ avɔyd dis kayn tin kpatakpata? (Prɛvenshɔn) .

I nɔ kin pɔsibul fɔ mek wi nɔ gɛt ETD ɔltogɛda, bikɔs sɔm tin dɛn we kin mek wi gɛt kol at (e.g., di kɔmɔn kol) nɔ kin izi fɔ wi fɔ kɔntrol. Bɔt sɔm tin dɛn de we yu kin du fɔ mek yu nɔ gɛt bɔku prɔblɛm. Fɔ ɛgzampul:

• Wear filta ia plɔg fɔ ridyus di prɛshɔn na yu yes (airplane ear) we yu de na plen. Dɔn bak, chew gam, drink wata, ɛn strɛch yu leg dɛn we yu de go insay di plen ɛn kɔmɔt na di plen.
• Nɔ de fa frɔm say dɛn we kol ɔ wam pasmak, bikɔs dɛn tin ya kin mek yu gɛt prɔblɛm wit yu it mɔ ɛn mɔ.
• Drink bɔku wata ɔl di de fɔ mek di mucus na yu nos ɛn trot tan.
• If yu gɛt alɛji, go to dɔktɔ fɔ mɛn am. Stay away frɔm tin dɛm wae de mek yu gɛt alɛji as yu ebul.
• If yu de smok, nɔ smok ɛn nɔ blo ɔda pipul dɛn sigrɛt smok.

Yu tink se dis denja? Wetin kin apin afta dat? (Autluk) .

Di gud nyus na dat ETD nɔ kin denja ɛn i kin sɔlv fɔ insɛf . Bɔt di sayn dɛm wae gɛt fɔ du wit am kin rili mɔna yu ɛn kin ambɔg di tin dɛm wae yu kin du ɛvride. So, e fayn fɔ tɔk to yu dɔktɔ bɔt aw fɔ mɛn dis sik.

Yustachian tyub prɔblɛm kin bɛtɛ insay wan ɔ tu wik. Bɔt pipul dɛm wae gɛt ETD wae nɔr de dɔn kin gɛt sɔm kayn sik fɔ sɔm wik, mɔnt, ɔr ivin sɔm ia. Na dɛn pipul ya nid spɛshal tritmɛnt.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt siriɔs pen bikɔs ɔf prɔblɛm wit di Yustachian tyub, if yu gɛt wata ɔ pus we de kɔmɔt na yu yes, if yu gɛt fiva, ɔ if yu gɛt sɔm sayn dɛnIf i dɔn pas tu wiks ɛn tritmɛnt na os nɔ de ɛp, yu fɔ rili go to dɔktɔ fɔ advays. I bɛtɛ fɔ go to dɔktɔ kwik kwik wan, mɔ if yɔŋ pikin gɛt dɛn sik ya.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

If yu tink se yu gɛt Eustachian tube defect (ETD), i go fayn fɔ aks yu dɔktɔ sɔm kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin na di men rizin we mek a gɛt dis ETD kɔndishɔn?
• Ɛni ɔda tin dɛn de we a kin du na os fɔ dis?
• Wetin a kin du fɔ ridyus di risk fɔ gɛt ETD?
• A go nid antibayɔtik ɔ ɔda mɛrɛsin dɛn we dɛn kin gi mi? If na so, aw lɔng a go nid fɔ tek dɛn?
• Wetin a go du fɔ ridyus dis diskɔmfɔt ɛn fil smɔl mɔ rilaks?
• Yu tink se dis tin kin apin bak? Wetin dɛn fɔ du fɔ mek i nɔ apin?
• A go nid sɔntin lɛk ɔpreshɔn?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Bɔku tɛm, di Yustachian Tube Dysfunction (ETD) nɔ kin denja . Bɔku tɛm, i kin sɔlv fɔ insɛf . Bɔt if dɛn nɔ trit am, sɔntɛnde i kin mek yu gɛt siriɔs prɔblɛm lɛk fɔ yɛri, fɔ ring na yu yes (tinnitus), infɛkshɔn na di midul ia, ɔ fɔ pwɛl di yes ɛn midul yes fɔ ɔltɛm. So, if yu sik nɔ de bɛtɛ afta wan ɔ tu wiks, ɔ if i tranga, yu fɔ rili go to dɔktɔ . I kin no wetin mek yu gɛt di sik ɛn tɛl yu bɔt di tritmɛnt we fit yu pas ɔl. Na yu wok fɔ kia fɔ yu yes!

` Yustachian tiub, ETD, ia pen, yu nɔ de yɛri fayn, tinnitus, midul ia, ia drɔm