I beng bulah thil dik lo a awm niin a lang em? I Eustachian Tube-ah harsatna a awm thei! (Eustachian Tube hnathawh that lohna) .

A châng chuan i beng bulah thil eng emaw a tawlh ang maiin i inhria em, a nih loh leh i beng a rit ang maiin i hria em, a nih loh leh i beng bulah thawm ri ri i hria em? Tlâng i chhoh lai emaw, thlawhna i thlawh lai emaw pawhin i beng chu "dismissed" ang maiin a lang mai thei. Hengte hi random thil mai a ni lo. Hei hi a chhan chu i Eustachian tube-a thil dik lo vang pawh a ni mai thei. Hemi chungchang hi vawiinah hian chipchiar deuhin kan sawi dawn em ni, kan thianpa nen kan inbia ang maiin?

Eustachian tube chu eng nge ni? Engtin nge a hnathawh that loh theih?

Okay, a hmasain Eustachian tube hi eng nge a nih kan en ang. A awlsam zawngin, tube te tak te ang mai a ni. Kan beng pahnihah hian he tube hi kan nei vek a. He tube hian kan beng lai (eardrum chhunga awm) chu kan rilru hnunglam nen a thlunzawm a ni. Ngaihtuah teh, tlang i lawn emaw, thlawhtheihnaa i thlawh emaw hian i beng a pressure chu a danglam tih i hre thin. Chutih lai chuan he Eustachian tube hian kan beng chhunga pressure leh beng pawn lama boruak pressure inang tlanga awm tir turin a pui thin. Chu mai pawh ni lovin, he tube te tak te hian beng lai takah tui leh mucus duh loh, a chang chuan beng lai takah a awm khawm thin te chu a paih chhuak thei bawk.

Tunah chuan, Eustachian tube dysfunction, emaw, damdawi lama kan tih angin , Eustachian Tube Dysfunction (ETD) , chu heng tube te hi a inhawng tha lo emaw, a khar tha lo emaw a ni. Chuti a nih chuan eng nge thleng? Heng tube te hi a block thei a, tui pipe khar ang maiin a block thei bawk. Chutah chuan chutiang beng lama harsatna kan sawi tawhte chu a lo awm tan ta a ni. Hetiang dinhmun hi kum eng pawhah awm thei mah se, naupang tê têah a tam zawk . A chhan chu an Eustachian tube te hi a tawi zawk a, angle danglam tak an nei bawk. Puitlingah chuan mi 1% velin ETD an nei tih an sawi.

Eustachian tube dysfunction (ETD) chi hrang hrangte chu engte nge ni?

ETD hi chi thum a awm a, a danglamna tlem a awm.

• Patulous Eustachian Tube Dysfunction: Hei hi i Eustachian tube a inhawng reng lai a ni . Kawngkhar inhawng reng ang mai a ni. Hei hian i hnar kawng atanga i beng thlengin aw a kal tir a, i aw pawh a ri danglam thei bawk. I thusawi laiin i beng chhunga i aw ngei ri i hre mai thei (autophony), i beng chhunga i thawk ri i hre mai thei bawk.
• Obstructive Eustachian Tube Dysfunction: Hei hi Eustachian tube a inhawng tha loh vang a ni. Chu chu a hawn tur hunah a inhawng lo tihna a ni. Hei hian beng lai takah tui a tipung thei a, beng a ti na thei a, pressure a siam thei a, a rit thei bawk. Mi tam zawk chuan hetiang ETD hi an nei thin.
• Baro-challenge avanga Eustachian Tube hnathawh that lohna:Hetiang a nih chuan Eustachian tube hi a inhawng tha lo. Mahse, beng natna leh pressure chu hmun sang takah (tlâng lawn ang chi), thlawhnaah i thlawh lai emaw, altitude emaw air pressure emaw inthlak danglamna i tawn hian a thleng chauh a , chu chu diving lai ang chi a ni. A châng dangah chuan i ṭha mai thei.

Nang pawhin heng symptoms te hi i nei ve em? (ETD Symptoms) 1.1.

ETD chhinchhiahna langsar ber chu hriatna hloh tlem te, tui hnuaia awm anga hriatna emaw, beng khar emaw a ni . Hei bakah hian symptom dang engemaw zat a awm thei bawk. Chûngte chu i hriat lar angin a ri em tih en rawh:

• Beng chhungah a khat leh a rit tih hriatna.
• Beng chhunga ‘click’ emaw ‘popping’ emaw ri hriat (a bik takin thil ei emaw, hmui hawn emaw).
• Luak chhuak emaw, off balance emaw tih hriat (Dizziness, Vertigo).
• Beng na – A chang chuan a na hi a na thei hle.
• Tinnitus hi beng chhunga ri chhuak ang maia ri chhunzawm zel a ni.
• A châng chuan hriatna hloh hi a langsar hle.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihtuah a tha.

Engvangin nge Eustachian tube problems (ETD) hi a lo awm? (A chhan) .

A tam zawkah chuan Eustachian tube-a harsatna awm chhan chu tube chhunga inflammation (swelling) vang a ni. He inflammation hi a chhan awm thei engemaw zat a awm a:

• Allergy: Mi thenkhat chuan leivut, pollen, leh ei tur thenkhat te hi an allergy thin. Hei hian hnar a ti na thei a, Eustachian tubes a ti na thei bawk.
• Chronic gastritis avanga chronic acid reflux (GERD): Hetiang dinhmunah hian stomach acid hi rilru chhungah a back up thei a, Eustachian tube hawnna vel ah a hring leh a na a awm thei.
• Viral infection, khawsik leh flu ang chi te.
• Flu leh thawkna lama natna dangte.
• Sinus natna (Sinusitis) a awm thei.

Chu bakah, Eustachian tube symptoms hi boruak pressure inthlak danglam nghal i tawn hian a pung thei bawk a, chu chu thlawhna i kal lai te, tlang hmuna i kal lai te, tuiah i kal lai te pawh a ni thei bawk. Hei hi barotrauma an ti a . Ngaihtuah teh, rang taka i chhoh chuan hei vang hian i beng chu ‘bo’ ang maiin a lang. Tin, septum deviated, nasal polyps, leh cleft palate ang chi condition nei te pawhin Eustachian tube problem an vei theihna a sang zawk bawk. Meizial zutute pawh an hlauhawmna a sang zawk.

Hei hi ngaihthah a nih chuan eng nge thleng ang? (ETD avanga harsatna awm thei) .

A tam zawkah chuan hei hi a hlauhawm lo. Mahse, a tlem berah chuan enkawl loh chuan Eustachian tube-a harsatna a awm chuan natna khirh tak a thlen thei a ni. Entirnan, beng lai takah tui a pung reng a , chu chuan beng lai takah natna (otitis media) a thlen thin.Tin, hriatna lama harsatna awm reng, beng zung (eardrum perforation or retraction) a thlen thei bawk a, beng lai tak ruhte pawh a tichhia thei bawk. A châng chuan, beng chhûnga vun cell ṭhang dân pangngai lo, cholesteatoma , tih natna a awm thei bawk. Chuvangin i symptoms hi kar hnih aia rei a daih chuan doctor pan a pawimawh hle.

Hriat reng tur: Thil tenawm tak angin lang mah se, beng lama harsatna awmte ngaihthah hi thil tha a ni lo. A hun taka enkawlna dawn hian harsatna lian tham a veng thei a ni.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Eng chen nge heng harsatnate hi i neih tawh a, engtikah nge a lo zual zel a, damdawi lam harsatna dang i nei em tih te. Tichuan physical exam a ti leh ang. I beng kawng, beng kawng, hnar kawng leh i beng hnunglam chu hmanraw bik otoscope an tih hmangin a enfiah ang.

A châng chuan, hetiang test dang hi tih theih a ni a, hei hi finfiah theih a ni:

• Tympanometry: Hei hi natna nei lo test a ni a, i beng lai tak hnathawh that dan te, i beng zungpui a che dan te, i beng lai takah tui a awm leh awm loh tehna a ni. Hei hi i beng chungah pressure tlem te hmangin tih a ni.
• Hearing tests / Audiometry: Heng test te hian hriatna hloh i neih leh neih loh, i neih chuan eng chi nge a nih, eng chen nge a nih tih chiang takin a hriat theih a ni.
• I hnar leh i hnar enfiah nan nasal endoscopy i nei thei bawk. Hei hian i hnar atanga camera te tak te hmanga tube pass a, a chhung lam en turin a huam a ni.

Hei hi eng enkawlna nge ni? (ETD Enkawlna) .

Thu lawmawm tak chu ETD vei tam zawk hi enkawlna bik nei lovin, ni engemaw zat emaw kar khat emaw kar hnih emaw chhungin an reh thin . Chuvangin damdawi hi a ngai reng reng lo. Mahse, i natna lan chhuah dan chu kar hnih aia rei a nih chuan, emaw, i natna lan chhuah dan a nasat chuan enkawl a ngai mai thei.

I enkawlna chi chu i natna chhan (e.g., allergy emaw infection emaw), i natna nasat dan leh i hriselna zawng zawngah a innghat ang.

In lama damdawi hman dan

A châng chuan, harsatna tê tê a nih chuan, in lama i tih theih thil awlsam tak takte hmangin hahdamna i hmu thei a, chu chu:

• Chewing gum a ni.
• Yawning zet mai.
• Swallowing fo thin.
• Valsalva maneuver hi han ti ve teh . Hei hian i hmui khar a, i kut hmanga i hnar i hrual a, i thawk chhuah tir tum a huam a ni. I hnar khar chu tihfai tum ang mai a ni. Mahse, khawsik na tak emaw, hnar luang emaw i neih chuan hetiang hian ti suh, hei hian i beng lai takah natna a thlen thei a ni. Hetiang tih hma hian doctor rawn hmasa phawt a tha.
• Saline nasal spray, damdawi dawr-a hmuh theih chu hnar kawngte tihfai nan hman theih a ni.Pakhat hmangin. Hei hian hnar chhunga vawt a ti tlem ang a, mucus leh thil dang a paih chhuak thei bawk.
• Beng "pop" theihna tura hmanraw bik (Otovent® ang chi) hman. Hei hi Doctor inrawn hnuah hman theih a ni.

I fate hian he harsatna hi a nei nia i hriat chuan pacifier emaw bottle emaw pe rawh. Sucking motion hian choking chu a tiziaawm thei ang.

Damdawi chi hrang hrang

I Eustachian tube harsatna hi allergy vang a nih chuan over-the-counter (OTC) damdawi thenkhat hian a pui thei ang. Entir nan:

• Antihistamine chi hrang hrang (e.g. `cetirizine`, `loratadine`, `diphenhydramine`).
• Hnar steroid spray (e.g., fluticasone (Flonase®), mometasone (Nasonex®) te hi doctor kaihhruaina hnuaia hman a tha ber.
• Natna a awm chuan natna tidamtu (e.g. acetaminophen emaw ibuprofen emaw) ei tur a ni.

Mahse, ETD hi bacteria infection (middle ear infection ang chi) avanga lo awm a nih chuan i doctor chuan antibiotics a pe thei ang . Tin , corticosteroids chu pill emaw spray emaw angin an pe thei bawk a, hei hian a hring chhuak tihziaawmna a tidam thei bawk.

Decongestants (e.g. pseudoephedrine (Sudafed®) emaw phenylephrine emaw hman hmain doctor rawn hmasa phawt a pawimawh . Heng damdawi te hian hun eng emaw chen chu hnar natna a tiziaawm thei a, mahse a chang chuan ETD a ti na thei a, hun rei tak hman a nih chuan side effect a nei thei bawk.

Surgery a ngai mai thei em? (Inzai)

ETD case thla tam tak chhung a awm a, damdawi leh in lama damdawi hmanga tihdam loh chuan operation a ngai thei. He enkawlna hian a tum ber chu Eustachian tube chhunga boruak lut tur venna, middle ear ventilation chungchanga harsatna awmte chinfel a, tui paih chhuah a ni. Hei hian hriatna lama harsatna leh symptom dangte a tiziaawm thei a ni. ETD tan hian surgery option hrang hrang a awm a, chungte chu:

• Myringotomy: Hei hi surgeon-in i beng kawngkhar (eardrum)-ah incision te tak te a siam a, i beng lai tak atanga tui a lakchhuah (suction) a ni. Puitlingah chuan he incision hi Eustachian tubes-a swelling a tlahniam hma loh chuan hawn vek a ni tlangpui.
• Ear tubes / Grommets / Ventilation tubes: A chang chuan, surgeon-te chuan heng incision-ah hian myringotomy an tih rual rualin tube te te (ear tube) an dah lut thin. Heng tube te hian beng lai takah boruak a pe a, thla 6 atanga kum khat chhung, a aia rei pawh tui a awm khawm loh nan a veng bawk. A tlangpuiin heng tube te hi hun kal zelah anmahni chauhin an tla chhuak a, beng chu a dam leh thin.
• Eustachian tuboplasty (or Eustachian tube balloon dilation): Hei hi thil thar tak a ni. Balloon hmanga i Eustachian tube block tawh chu dilate nan a hmang a ni. Surgeon chuan i hnar chhungah endoscope ( camera te tak te nei tube) a dah lut a, hmanraw bik hmangin i hnar kawng atanga balloon pakhat chu i Eustachian tube chhungah a pass lut a. Chumi hnuah balloon chu minute hnih vel an inflated a, chutah chuan an deflate leh a, an la chhuak leh a ni. Hei hian tube chu a chhung atangin a hawng a, boruak a kal tha zawk thei a ni.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I enkawlna chi hrang hrangah a innghat. Myringotomy atanga a dam kim theih nan kar thum atanga kar li vel a ngai tlangpui. Eustachian tuboplasty nei tawhte chuan hun rei lote chhungin an natna lanchhuahna atang hian nasa takin an hahdam tlangpui a, a tlangpuiin darkar 24 vel a ni.

ETD atana ear tube i dah chuan thla 6 leh 18 inkar a awm tlangpui. Chumi hnuah chuan anmahni chauhin an tlu chhuak ang.

Hetiang dinhmun hi pumpelh vek theih dan a awm lo em ni? (Invenna) 1.1.

ETD hi pumpelh kim theih a ni lo mai thei, a chhan thenkhat (e.g., common cold) hi kan control harsat avangin. Mahse, i risk tihtlem nan thil engemaw zat i tih theih a awm. Entir nan:

• Vanlawng chhunga i awm laiin i beng (airplane ear) a pressure tihziaawmna turin filtered ear plug vuah thin ang che. Tin, thlawhna chhunga i chuan leh chhuah lai hian gum chew la, tui in la, i ke pawh han phar la.
• A theih ang anga boruak lum lutuk emaw, lum lutuk emaw atanga hlat la, hengte hian ei leh in lama harsatna a tipung thei a ni.
• Nitin tui tam tak in la, i hnar leh i kawr chhunga mucus awm chu a tithianghlim thei ang.
• Allergy i neih chuan doctor rawn la, enkawl rawh. Allergy thlentu thil lakah a theih ang angin hlat rawh.
• Meizial i zu a nih chuan meizuk lo la, midang cigarette meikhu chu thawk lo la.

Hei hi a hlauhawm em? Eng nge thleng leh ang? (Hmuh dan tur) .

Thu lawmawm tak chu ETD hi a hlauhawm lo tlangpui a , a tlangpuiin a mah chauhin a reh thin . Mahse, a kaihhnawih symptoms te hian a tibuai hle thei a, nitin hnathawhna a tibuai thei bawk. Chuvangin, he natna hi enkawl dan tur doctor nen inbiakna neihpui a tha.

Eustachian tube harsatna hi kar khat emaw kar hnih emaw chhungin a dam tlangpui. Mahse, chronic ETD vei te hian kar tam tak, thla tam tak, kum tam tak chhung pawhin symptoms an nei thei a ni. Heng mite hi a bik taka enkawl ngai an ni.

Engtikah nge doctor i hmuh ang?

Eustachian tube-a harsatna avanga natna nasa tak i neih chuan, i beng atanga tui emaw, hnim emaw a chhuak a nih chuan, khawsik i neih chuan, symptoms i neih chuanKar hnih aia rei a liam tawh a, in lama enkawlna hian a puih loh chuan doctor hnenah thurawn dil ngei ngei tur a ni. A rang thei ang bera doctor pan a tha ber a, a bik takin naupang tê têin heng symptoms te hi a neih chuan.

Doctor zawh tur zawhna pawimawh

Eustachian tube defect (ETD) i nei nia i hriat chuan i doctor hnenah hetiang zawhna thenkhat zawh hi a \angkai thei ang:

• He ETD natna ka neih chhan ber chu eng nge ni?
• Hemi atan hian in lama ka tih theih dang a awm em?
• ETD ka vei theihna tur tihtlem nan eng nge ka tih theih ang?
• Antibiotics emaw, damdawi dang emaw ka mamawh ang em? Chutiang a nih chuan eng chen nge ka lak a ngai dawn?
• He harsatna hi tihziaawmna tur leh tlem a hahdam zawk nan eng nge ka tih theih ang?
• Hetiang dinhmun hi a thleng leh thei ang em? A ven nan eng nge tih tur?
• Surgery ang chi hi ka mamawh dawn em ni?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Eustachian Tube Dysfunction (ETD) hi a hlauhawm lo tlangpui . A tlangpuiin a mah chauhin a resolve thin . Mahse, enkawl loh chuan a chang chuan harsatna lian tak tak a thlen thei a, chu chu hriatna hloh, beng ri (tinnitus), beng laihawl natna, beng kawng leh beng lai tak a tihchhiat reng theih loh te a ni. Chuvangin, kar khat emaw kar hnih emaw hnuah i natna lan chhuah dan a lo tha lo a nih chuan, a nih loh leh a nasat chuan doctor i pan ngei tur a ni . I natna chhan chu a hmuchhuak thei a, i tana enkawl dan tur dik ber a rawt thei bawk. I beng enkawl hi i mawhphurhna a ni!

` Eustachian tube, ETD, beng na, hriatna hloh, tinnitus, beng lai tak, beng zung