I luak chhuak fo bawk em? I beng bulah thawm mak tak tak i hre em? Superior Canal Dehiscence Syndrome (SCDS) a ni thei bawk!

A chang chuan nangmah ngeiin i thaw ri te, i mitmeng ri te, i thusawi laia i beng chhunga i aw ri nasa tak ri te hi i hre thin em? A nih loh leh chhan awm lovin i lu a buai nghal mai em, a nih loh leh i chhehvela thil awmte chu spinning top ang maia inher chhuakin i awm em? Hengte hi taksa hahna mai mai anga ngaih suh. A chhan chu hengte hi a dik taka hmuhchhuah a nih chuan natna hlauhawm tak, mahse enkawl theih chhinchhiahna a ni thei a ni. Vawiin hian he natna hi `Superior Canal Dehiscence Syndrome`, a tawi zawngin `(SCDS)` tih kan sawi dawn a ni.

`Superior Canal Dehiscence Syndrome (SCDS)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, SCDS hi i beng chhung lam tichhe thei thil awm lo tak a ni . I balance leh hriatna a nghawng thei a ni. I beng chhungah chuan, maze te tak te ang maiin, tuiin a khat tube tha tak tak pathum a awm tih han ngaihtuah teh. Chungte chu semicircular canals an ti a. Heng tube inkarah hian a chung lam, thluak hnaih deuh deuhah chuan superior semicircular canal a awm a. Kan lu kan sawn emaw, kan taksa kan sawn emaw hian heng tube chhunga tui awmte hi a kal rualin a kal ve bawk. Chu tui kal dan chuan kan thluak hnenah "kan taksa dinhmun a danglam mek" tih signal a thawn a ni. Thluak hian he information hi kan balance control nan a hmang thin . Tunah chuan `SCDS`-ah chuan a chung lam (`superior semicircular canal`)-ah chuan, chu bang nghet takah chuan, chu chu a ni. Tui pipe-a khur te tak te ang mai a ni. He hole hian chu signaling system ah chuan harsatna engemaw zat a siam thei a ni. Tin, beng chhunga ri pangngai (entir nan, thawk ri, mitmeng ri) te chu he khur atang hian thluak lamah a kal thei a, a ring zawkin a lang thei a, hriatna lama harsatna dang a awm thei bawk. He condition `SCDS` tia koh hi hming dang engemaw zatin koh a ni a, mahse a hming hman tam ber chu `SCDS` a ni.

He `SCDS` dinhmun hi engtiang chiahin nge a awm?

Hei hi a awm lo hle a ni . Mipui zahawm zinga 1% leh 2% inkar chuan he natna hi an nei thei niin an chhut. Mi thenkhat chuan beng pahnih ah hian he natna hi an nei thei (`bilateral superior semicircular canal dehiscence`). Mahse, chuti chung pawh chuan beng pakhatah hian symptoms hi a lang tam zawk tlangpui.

`SCDS` vei mi pakhatin eng symptom nge a neih theih ang?

Hei hi a pawimawh ber a ni. Mi zawng zawng hian symptom zawng zawng kan nei vek lo. Chuvangin a chang chuan hriat chian a harsa deuh thei. A dang leh chu mi thenkhat chuan ruh te tak te emaw, khur te tak te nei emaw pawh nise symptom an nei lo mai thei. Tin, ruh chhunga khur tak tak nei lo, mahse a hring mai mai te pawhin khur nei te nen an symptom inang an nei thei bawk. Mahse, symptoms a lo lang a nih chuan i nitin nun a nghawng thei a ni. A nghawng ber chu hriatna leh balance a ni . Hei hian rilru hahna engemaw zat a thlen thei bawk.

Hriatna lama harsatna nei:

• ` Autophony` : Hei hi mahni aw, i thaw ri te, i chaw ei ri te, a chang chuan i mit meng ri te pawh, ring tak tak leh chiang taka i beng chhungah i hriat hian a ni. I lu chhungah microphone i dah ang maiin a lang thei.
• `Hyperacusis` (hyperacusis): A tlangpuiin kan hriat thin thawm ri nasa tak, thinrim tak, leh a chang chuan hrehawm tak tak i hriat thinna dinhmun a ni . Aw tê tê pawh hi tuar theih loh a ni thei.
• Pulsatile tinnitus : I lu emaw beng chhunga ri ring tak, i thinlung thawk (pulse) nena inmil .
• Hriatna hloh : Hriatna hloh hi a awm thei a, a bik takin frequency hniam takah chuan .

Taksa inthlauhna nena inzawm harsatna:

• ` Vertigo `: I chhehvela thil awmte chu a inher chhuak tih hriatna, a nih loh leh i inher tih hriatna, i ding reng lai pawhin . Hei hi thil nuam lo tak leh hlauhawm tak a ni thei.
• `Oscillopsia` (visual oscillation): I thil en chu a che reng a, a chho leh a chhuk emaw, a sir lehlamah a inher emaw tih hriatna, a reh lai pawhin. Video record laiin camera a tihnghing ang mai a ni.

A bik takin, heng `Vertigo` (dizziness) leh `Oscillopsia` (visual oscillations) te hi lu emaw beng chhunga pressure tidanglam thei thil tih hian (entir nan, khuh na tak, thawk hah, thil rit phurh, toilet silfai, etc.) leh thawm ri nasa tak karah te a pung thei a ni Ngaihtuah teh, rit tlemte i chawi dawn a, rang takin i lu a rawn inher tan ta!

Rilru hriselna a nghawng dan:

Hetiang symptom na tak tak a awm reng chuan i rilru hriselna pawh a tichhe thei bawk.

• Lu na .
• `Thinlung fog`: 1.1.Ngaihtuah dik a har a, i rilru fim lo ang maiin i inhria.
• Memory lama harsatna a awm.

Khawtlang atanga hla taka awm a, heng aw nuam lo leh luak chhuakte pumpelh tumin in lama awm i tum hian mahni chauhna, lungkhamna, leh lungngaihna thlengin dinhmun a lo awm thei a ni.

Engvangin nge he `SCDS` hi a lo awm? A chhante chu engte nge ni?

Dik tak chuan SCDS awm chhan dik tak hi hriat a la ni lo. Congenital a ni thei bawk. Chu chu nausen dam chhung hian superior canal vel ruh chu a thim tawk lo tihna a ni. Researcher dangte chuan he natna hi infection thenkhat emaw lu natna emaw avanga lo awm thei a ni tih an sawi bawk . A tam zawkah chuan a chhan pakhat aia tam a awm a ni. Entirnan, i pian tirh khan ruh ah hian hmun te tak te a awm a, a hnuah accident emaw infection dang emaw a awm chuan a lo hring lehzual thei a, khur a lo awm thei bawk. A nih loh leh, i tar chhoh zel chuan ruh chu a thim zauh zauh thei a, he natna hi a lo awm zel bawk.

Engtin nge SCDS hi dik taka hriat theih?

Heng symptoms te hi i neih chuan i tih hmasak ber tur chu doctor thiam tak i pan a ni. Heng natna hrang hrangte hi specialist an awm bawk. A tlangpuiin , neurologist i hmu tur a ni. I natna lan chhuah dan te, a lo intan dan te, a zual zel dan te a zawt ang che. Chumi hnuah chuan SCDS nena inmil symptom nei, common condition dangte tihbo nan leh SCDS hmuhchhuah a nih leh nih loh finfiah nan test eng emaw zat a ti ang. Test tih ber berte chu:

• Beng vel ruhte CT scan (Computed Tomography scan): Hei hi high-resolution CT scan a ni. Superior semicircular canal vel ruh chhungah hian khur emaw, thinning emaw a awm leh awm loh chiang takin a hmu thei.
• Hearing test: Hei hi audiologist-in a ti thin. Hei hian i hriatna a test a, a bik takin low-frequency sound te chu a test thin.
• `VEMP` (Vestibular-Evoked Myogenic Potential) test: Hei hian i beng chhungril peng hrang hrang balance-a inrawlh te hnathawh dan tur a hriattir thei a ni. Hei hi test hrehawm lo tak a ni. I tih tur chu target en chungin emaw, aw thenkhat ngaihthlak laiin veilam, dinglam emaw, chunglam emaw i hawi mai tur a ni. `SCDS` vei te hian he `VEMP` test neih chhung hian chhanna dan bik an hmu thei a ni.

`SCDS` enkawlna tur engte nge ni?

Mi tam tak tan chuan an nunphungah inthlak danglamna tenau te siamI luak chhuak leh luak chhuak thei thil (oscillopsia) tih lohvin, entirnan, luak chhuak leh thil che tih hriatna thlentu thil tih (heavy lifting, sneezing or coughing ang chi) te pumpelh a, leh boruak ri nasa tak atanga inthiarfihlim hmangin he natna hi i nunpui thei a ni. Mi thenkhat chuan thawm hriat tlem nan earplug emaw earmuff emaw an hmang thin. Tin, balance lama training nei physical therapist (vestibular physical therapist) hmuh hian i symptoms te chu a enkawl thei bawk. I balance tihchangtlun nan leh i tlu theihna tur exercise an zirtir thei che a ni. Mahse, heng thilte hian natna lan chhuah dan a thunun loh chuan, emaw, a lan chhuah dan chuan i nunphung nasa takin a nghawng a nih chuan, chu khur chu khuh emaw, siam thar emaw turin operation neih a ngai mai thei

`SCDS` (`SCDS surgery`) tan surgery neih dan tur te.

SCDS tan hian surgery chi hrang hrang tih a ni a, chungte chu:

• Plugging the dehiscence - Middle Cranial Fossa Approach: Hei hian ruh chhunga khur chu khar vek a ngai a ni. Hei hian beng chhung lam luh theihna turin luruh sir lamah incision te tak te siam a huam a ni. He surgery hi beng , hnar, leh rilru lam specialist ( ENT specialist) leh neurosurgeon ten an ti tlangpui thin.
• Plugging the dehiscence - Transmastoid approach: Hetiang method ah hian beng hnung lamah hawnna te tak te siamin beng chhung lam chu kan lut thei a.
• Resurfacing: Hei hian khur chu khar vek lovin khuh a huam a ni. Hei hi plugging angin a awm lo.

A châng chuan doctor-te chuan operation neih laiin `plugging` leh `resurfacing` technique pahnih an hmang thei bawk.

Surgery avanga harsatna awm thei te chu engte nge ni?

SCDS operation hnua harsatna lian tham a thlen theihna hi a tlem hle. Surgery dang ang bawkin natna kai theihna a tlem hle. Operation hnu kar hmasa ber emaw vel chhung chu balance-ah harsatna tlem a awm thei a, chu chu taksa chu a dinhmun thara a insiamrem vang a ni. Mahse, hei hi ni rei lo te chhungin a tha tlangpui.

`SCDS` dinhmun hi automatic-in a ṭhat phah dawn em ni?

No. SCDS hi operation tel lo chuan a mah chauhin a dam lo. Kan taksa ruh dang ang lo takin superior semicircular canal vel ruh hi a mah chauhin a dam lo. I natna lan chhuah dan enkawl dan tur i zir hian, hahdamna engemaw chen i hmu mai thei. Mahse, SCDS hi enkawl loh chuan a bo vek dawn lo.

Engtiang chiahin nge `SCDS` surgery hi a hlawhtlin?

Mi tam tak natna lan chhuah dan chu `SCDS` surgery hmang hian a tlahniam emaw, a bo vek emaw a ni.Zirchianna thenkhatah chuan natna lan chhuah dan thenkhat chu operation hnuah a dang aiin a tha zawk tih hmuhchhuah a ni. Entirnan, hriatna hloh, autophony, pulsatile tinnitus, leh vertigo te hi a tha thuai thei. Mahse, lu na leh thluak fog hian a dam rei zawk thei. I doctor nen operation result chungchang sawipui la, i symptoms leh hole lian leh te a zirin.

Hetiang dinhmun hi engtin nge ka in enkawl ang?

SCDS i vei tih hmuhchhuah a nih chuan doctor thupek zawm a pawimawh. Thil tam takah chuan nunphung tihdanglamna hmanga symptoms te hi enkawl theih a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Earplug hmangin .
• A theih phawt chuan boruak ri nasa tak chu pumpelh rawh.
• I aw chu a hrehawm che a nih chuan zawi zawiin thu sawi rawh (`whispering`).
• Balance tichhe thei thil tih, weight lifting ang chi tih loh.
• A theih ang anga beng pressure (e.g., air travel) tidanglam thei thil tih loh.
• Hnathawh hmunah chuan a theih chuan hmun insem ai chuan hmun reh tak, mimal tak dil rawh .

Nangmah chauh i ni lo tih hre reng ang che. Hetiang dinhmun nena kan nun hian rilru lama harsatna engemaw zat neih hi thil pangngai a ni. A tul chuan doctor nen inbia ang che.

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

Superior Canal Dehiscence Syndrome (SCDS) i vei tih hmuhchhuah i nih chuan hlauthawng suh. Mi tam tak chuan an natna lan chhuah dan chu nunphung tihdanglamna hmangin an enkawl thin. I doctor chuan i balance leh/ emaw, i hriatna tichhe thei symptoms te chu a na zual loh nan a puih theih dan tur a rawn rawt ang che. A then phei chuan i natna lan chhuah dan a nasat chuan operation hian ruh chhunga khur chu a khar thei a, natna lanchhuahna chu a tihtlem emaw, a bo emaw thei bawk. I tana enkawlna tha ber tur chu i doctor nen sawiho rawh. Diagnosis leh enkawlna dik tak neih hian hahdamna i hmu thei tih hre reng ang che.