Yu kin gɛt diziz bak ɔltɛm? Yu de yɛri strenj nɔys dɛn na yu yes? I kin bi wan sik we dɛn kɔl Superior Canal Dehiscence Syndrome (SCDS)!

Sɔntɛnde, yu kin yɛri di sawnd we yu de blo, di sawnd we yu yay de blink, ɔ di sawnd we yu yon vɔys de mek lawd wan na yu yes we yu de tɔk? Ɔ yu kin fil diziz wantɛm wantɛm fɔ natin, ɔ tin dɛn we de rawnd yu kin spin lɛk tɔp we de spin? Nɔ jɔs dismis dɛn tin ya as jɔs fɔ taya na yu bɔdi. Bikɔs dɛn tin ya kin bi sayn fɔ wan sik we nɔ kin apin so ɔltɛm bɔt we dɛn kin trit if dɛn no di sik kɔrɛkt wan. Tide, wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `Superior Canal Dehiscence Syndrome`, ɔ `(SCDS)` fɔ shɔt tɛm.

Wetin na `Superior Canal Dehiscence Syndrome (SCDS)`? Lɛ wi ɔndastand am rili simpul wan.

Fɔ tɔk am simpul wan, SCDS na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt yu insay yes . I kin afɛkt di we aw yu de balans ɛn aw yu de yɛri. Imajin se insay yu yes, lɛk smɔl mazi, tri fayn fayn tiub dɛn de we ful-ɔp wit wata. Dɛn kɔl dɛn tin ya di sɛmisɛkular kanal dɛn. bitwin dεn tכb dεm ya, na di tכp we de nia di bren sכmtεm, na di supεriכr sεmisεkyul kanal de. We wi de muv wi ed ɔ muv wi bɔdi, di wata we de insay dɛn tiub ya de muv wit dɛn. di muvmεnt we da wata de muv de sεnd signal to wi bren se "di posishכn fכ wi bכdi de chenj." Di bren de yuz dis infɔmeshɔn fɔ kɔntrol wi balans . naw, insay di kes fכ `SCDS`, wan sכmכl ol כ wan rili tכn (dehiscence) de divεlכp insay di prכtektiv bכni we de kכba rawnd di kanal na di tכp (`superior semicircular canal`), dat na, insay da strכng wכl de. I tan lɛk smɔl ol we de na wata paip. Dis ol kin mek sɔm prɔblɛm dɛn de na da signal sistɛm de. Dɔn bak, nɔmal sawnd dɛn we kin apin insay di yes (fɔ ɛgzampul, di sawnd we pɔsin de blo, di sawnd we i de blink) kin pas dis ol to di bren, we kin mek i tan lɛk se dɛn lawd, ɛn ɔda prɔblɛm dɛn we kin apin we pɔsin de yɛri. Dis kɔndishɔn we dɛn kɔl `SCDS` na sɔm ɔda nem dɛn kɔl am, bɔt di nem we dɛn kin yuz mɔ na `SCDS`.

Aw kɔmɔn dis `SCDS` kɔndishɔn?

Dis na tin we nɔ kin apin so ɔltɛm . Dɛn se bitwin 1% ɛn 2% pan di jenɛral pipul dɛn kin gɛt dis sik. sכm pipul dεn kin gεt dis kכndyushכn na dεn tu yes dεm (`baylatarכl supεriכr sεmisεkyul kanal dεhisεns`). Bɔt ivin da tɛm de, dɛn kin fil di sayn dɛn mɔ na wan yes.

Us sayn dɛm wae pɔrsin wae gɛt `SCDS` kin gɛt?

Dis na di tin we impɔtant pas ɔl. Nɔto ɔlman gɛt ɔl di sayn dɛm. So sɔntɛnde, i kin at smɔl fɔ no am gud gud wan. Di ɔda tin na dat sɔm pipul dɛn nɔ kin sho ɛni sayn ivin if di bon tan ɔ i gɛt smɔl ol. Dɔn bak, pipul dɛn we nɔ gɛt rial ol na dɛn bon, bɔt we jɔs tan, kin gɛt di sem sayn dɛn lɛk di wan dɛn we gɛt ol. Bɔt if yu gɛt sɔm sayn dɛn, dɛn kin afɛkt yu ɛvride layf. Di men tin dɛn we kin apin to pɔsin na fɔ yɛri ɛn balans . Dis kin mek bak sɔm kayn pwɛl hat na yu maynd.

Prɔblɛm dɛn we pɔsin kin gɛt we i de yɛri:

• ` Autophony` : Dis na we yu de yɛri yu yon vɔys, di sawnd we yu de blo, di sawnd we yu de it we yu de it, ɛn sɔntɛnde ivin di sawnd we yu yay de blink, rili lawd ɛn klia insay yu yes. I kin fil lɛk se yu gɛt maykrofon we dɛn dɔn tɔn ɔp insay yu ed.
• `Hyperacusis` (hyperacusis): Na kכndyushכn wae yu de yεri sawnd dεm we wi nכmal fכ yεri lεk we rili lawd, we de ansa, εn sכmtεm i de mek yu fil pen . Ivin smɔl sawnd kin mek pɔsin nɔ ebul fɔ bia.
• Pulsatile tinnitus : Na sawnd we de ring insay yu ed ɔ yu yes we de in sink wit yu at bit (pulse) .
• Yu nɔ de yɛri : I kin apin we yu nɔ de yɛri, mɔ we yu nɔ yɛri .

Prɔblɛm dɛn we gɛt fɔ du wit bɔdi balans:

• ` Vertigo `: Na filin se tin dɛm we de rawnd yu de spin, ɔ se yu de spin, ivin we yu tinap wansay. Dis kin bi tin we nɔ kin rili fayn ɛn we kin mek pɔsin fred.
• `Oscillopsia` (visual oscillation): Na di sens we yu de fil se sɔntin we yu de luk de muv, go ɔp ɛn dɔŋ, ɔ de swɛla frɔm wan say to di ɔda say, ivin we i stil de. I tan lɛk se dɛn de shek kamɛra we dɛn de rɛkɔd fim.

patikyular, dεn `Vertigo` (diziz) εn `Oscillopsia` (visual oscillations) kכndyushכn dεm kin inkrεs we yu de du tin dεm we de chenj di prεshכn na di ed כ insay di yes (fכ egzampl, fכ kכf tranga wan, sniz, es hεvi tin, fכ flush di tכylεt, εn כda tin dεm) εn we yu de pan lawd nכys . Imajin, yu de kam es smɔl wet ɛn wantɛm wantɛm yu ed bigin fɔ spin!

Di tin dɛn we kin apin to pɔsin in maynd:

We bad bad sik lɛk dis kin kɔntinyu, i kin afɛkt yu maynd wɛl bɔdi bak bad bad wan.

• Ed de at .
• `Bren fɔg`: .I at fɔ tink stret, ɛn yu kin fil lɛk se yu nɔ gɛt klia ed.
• Prɔblɛm fɔ mɛmba tin dɛn.

Wae yu tray fɔ de fa frɔm sosayti ɛn de na os fɔ rɔnawe pan dɛn sawnd ya wae nɔr kin fayn ɛn yu kin gɛt diziz, tin kin kam lɛk wae yu de yu wan, wae yu de wɔri, ɛn ivin pwɛl hat .

Wetin mek dis `SCDS` kin apin? Wetin na di tin dɛn we kin mek i apin?

Infakt, dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt SCDS. I kin bi se na pɔsin we dɛn bɔn wit. dat min se we di pikin de liv, di bon we de rawnd di supεriכr kanal nכ de tik inof. Ɔda pipul dɛn we de stɔdi bɔt dis kin tɔk se dis sik kin kam bak bikɔs ɔf sɔm infɛkshɔn ɔ ed trauma . I go mɔs bi se i pas wan tin we kin mek i apin. Fɔ ɛgzampul, we dɛn bɔn yu, wan tin kin de na di bon, ɛn leta, ɔda aksidɛnt ɔ infɛkshɔn kin mek i tan ɛn ol kin fɔm. Ɔ, di bon kin tan smɔl smɔl as yu de ol ɛn dis sik de kam.

Aw dɛn kin no di SCDS kɔrɛkt wan?

If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ we sabi du di wok. Spɛshal pipul dɛn de fɔ dɛn kayn tin ya. Bɔku tɛm , yu fɔ go to dɔktɔ we de mɛn yu nyuro. I go aks yu bɔt yu sik, aw dɛn bigin, ɛn aw ɔltɛm dɛn dɔn wɔs. Dɔn i go ɔda fɔ du sɔm tɛst fɔ pul ɔda kɔmɔn tin dɛn we gɛt di sem sayn dɛn we gɛt di sem kayn SCDS ɛn fɔ kɔnfirm se dɛn dɔn no se i gɛt SCDS. Di men tɛst dɛn we dɛn kin du na:

• CT skan (Computed Tomography scan) fɔ di bon dɛn we de rawnd di yes: Dis na CT skan we gɛt ay rizɔlt. i kin si klia wan if ol כ tin de na di bon we de rawnd di supεriכr sεmisεkyul kanal.
• Tɛst fɔ yɛri: Na pɔsin we sabi bɔt aw fɔ yɛri kin du dis. Dis kin tɛst yu fɔ yɛri, mɔ di sawnd dɛn we nɔ kin bɔku.
• `VEMP` (Vestibular-Evoked Myogenic Potential) test: Dis kin gi infכmeshכn bכt aw di difrεn pat dεm na yu insay yes we de involv fכ bεlε de wok. Dis na tɛst we nɔ de mek pɔsin fil pen. Na wetin yu fɔ du na fɔ luk lɛft, rayt, ɔ ɔp we yu de luk wan target ɔ lisin to sɔm sawnd dɛn. Pipul dεm we gεt `SCDS` kin si wan spεsifi k rεspכns patεn di tεm we dεn de du dis `VEMP` tεst.

Wetin na di tritmɛnt dɛm fɔ `SCDS`?

Fɔ bɔku pipul dɛn, fɔ mek smɔl chenj dɛn na dɛn layfYu kin liv wit de sik bay wae yu de avɔyd tin dɛm wae de mek yu fil diziz ɛn diziz (oscillopsia), fɔ ɛgzampul, bay wae yu nɔr de du tin dɛm wae de mek yu diziz ɛn de fil se tin de muv (lɛk fɔ es ebi ebi tin, fɔ sniz ɔr fɔ kɔf), ɛn fɔ de fa frɔm say dɛm wae gɛt nɔys. Sɔm pipul dɛn kin yuz iaplɔg ɔ iamuf fɔ ridyus di nɔys we dɛn kin yɛri. Dɔn bak, fɔ go to dɔktɔ we de mɛn yu bɔdi we dɛn dɔn tren fɔ balans (wan dɔktɔ we de mɛn yu bɔdi we de na yu bɔdi we de mek yu bɔdi wam yu bɔdi) kin ɛp yu fɔ kɔntrol di sik dɛn we yu gɛt. Dɛn kin tich yu ɛksesaiz fɔ mek yu balans fayn ɛn fɔ mek yu nɔ fɔdɔm. Bɔt if dɛn tin ya nɔ de kɔntrol di sayn dɛn, ɔ if di sayn dɛn de afɛkt yu kwaliti fɔ liv bad bad wan, dat min se dɛn go nid fɔ du ɔpreshɔn fɔ plɔg ɔ fɔ mek di ol bak .

Ɔpreshɔn fɔ `SCDS` (`SCDS ɔpreshɔn`)

Bɔku men kayn ɔpreshɔn dɛn de we dɛn kin du fɔ SCDS:

• Plug di dehiscence - Middle Cranial Fossa Approach: dis involv fכ klos di ol na di bon kכmplit wan. Dis min se yu fɔ kɔt smɔl say na di sayd we di skel de fɔ mek yu go ebul fɔ go insay di yes we de insay. Bɔku tɛm, na pɔsin we sabi bɔt yes , nos, ɛn trot ( ENT spɛshal) ɛn dɔktɔ we de mɛn pipul dɛn we gɛt nyuro ɔspitul kin du dis ɔpreshɔn.
• Plugging the dehiscence - Transmastoid approach: insay dis mεtכd, dεn kin akses di insay yes bay we dεn mek sכmכl opin bihayn di yes.
• Risurfacing: Dis min fɔ kɔba di ol ɛn nɔ lɔk am ɔl. Dis nɔto kɔmɔn tin lɛk fɔ plɔg.

Sɔntɛnde dɔktɔ dɛn kin yuz ɔl tu di `plugging` ɛn `resurfacing` tɛknik dɛn we dɛn de du ɔpreshɔn.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?

Di risk fɔ big big kɔmplikeshɔn afta dɛn dɔn du SCDS ɔpreshɔn rili smɔl. Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek pɔsin gɛt di sik. Sɔm smɔl prɔblɛm kin de wit balans fɔ di fɔs wik ɔ so afta di ɔpreshɔn, as di bɔdi de ajɔst to di nyu pozishɔn. Bɔt bɔku tɛm, dis kin bɛtɛ insay sɔm dez.

Yu tink se di `SCDS` sityueshɔn go impruv ɔtomɛtik wan?

Nɔ, SCDS nɔ de wɛl fɔ insɛf if dɛn nɔ du am ɔpreshɔn. difrεnt lεk כda bon dεm na wi bכdi, di bon we de rawnd di supεriכr sεmisεkyul kanal nכ de hεl fכ insεf. As yu de lan aw fɔ kɔntrol yu sik, yu kin gɛt sɔm kayn fridɔm. Bɔt, SCDS nɔ go go ɔlsay if dɛn nɔ gɛt tritmɛnt.

Aw di `SCDS` ɔpreshɔn kin wok fayn?

Bɔrku pipul dɛn kin ridyus ɔr kin dɔn kpatakpata wit di `SCDS` ɔpreshɔn.Sɔm stɔdi dɔn sho se sɔm sayn dɛn kin bɛtɛ kwik kwik wan afta dɛn dɔn ɔpreshɔn pas ɔda wan dɛn. Fɔ ɛgzampul, we pɔsin nɔ de yɛri igen, we i de tɔk to insɛf, we i kin gɛt pulsatile tinnitus, ɛn we i kin gɛt vertigo kin bɛtɛ kwik kwik wan. Bɔt, ed pen ɛn bren fɔg kin tek lɔng tɛm fɔ mek i bɛtɛ. Tɔk to yu dɔktɔ bɔt di tin dɛn we go kɔmɔt frɔm di ɔpreshɔn, i go dipen pan di sayn dɛn we yu gɛt ɛn di sayz we di ol gɛt.

Aw a kin tek kia ɔf misɛf wit dis sik?

If dɛn no se yu gɛt SCDS, i impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. Bɔrku tɛm, dɛn kin ebul fɔ kɔntrol di sayn dɛm wae yu de fil bay wae yu de chenj yu layf. Na sɔm tin dɛn we yu kin du:

• Yuz di tin dɛn we dɛn kin yuz fɔ mek yu yes .
• Nɔ mek nɔys ɛnitɛm we i pɔsibul.
• If yu vɔys de mek yu fil pen, tɔk saful saful (`whispering`).
• Nɔ du tin dɛn we de afɛkt di balans, lɛk fɔ es di wet.
• Fɔ avɔyd di tin dɛn we kin chenj di prɛshɔn na di yes (e.g., travul wit ɛya) as yu ebul.
• Na wokples, if i pɔsibul, aks fɔ wan kwayɛt, prayvet ples instead fɔ wan ples fɔ sheb .

Mɛmba se nɔto yu wangren de. E nɔrmal fɔ gɛt sɔm kayn pwɛl hat sik wae yu de liv wit dis kayn sik. If nid de, tɔk to yu dɔktɔ bɔt am.

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

If dɛn dɔn no se yu gɛt wan sik we dɛn kɔl Superior Canal Dehiscence Syndrome (SCDS), nɔ panik. Bɔrku pipul kin kɔntrol dɛn sik bay wae dɛn kin chenj dɛn layf. Yu dɔktɔ go tɛl yu aw fɔ ɛp yu fɔ mek yu nɔ gɛt di sik dɛn we de afɛkt yu balans ɛn/ɔ fɔ yɛri fɔ mek yu nɔ wɔs. Sɔntɛnde, if yu sik bad bad wan, ɔpreshɔn kin lɔk di ol na di bon ɛn ridyus ɔ pul di sik dɛn. Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu. Mɛmba se if yu gɛt di rayt diagnosis ɛn tritmɛnt, dat kin ɛp yu fɔ gɛt fridɔm.