Whakaarohia kei te rongo koe i te tangi o ō kanohi e kimo ana, o tō manawa, o tō ngākau rānei e pāorooro ana i roto i ō taringa. I taua wā anō, ina maremare ohorere koe, ina tihe koe, ina kōrero nui rānei tētahi, ka huri tō mahunga, ā, ka rite ngā mea katoa e karapoti ana i a koe ki te huri. Ehara ianei tēnei i te wheako tino rerekē, whakamataku hoki? He tokomaha te hunga, ina pāngia rātou e ngā mea pēnei, e whakaaro ana ko au anake tēnei, kāore rātou e mōhio ki tētahi raruraru nui. Engari he tino onge tēnei mate, engari ka taea te rongoā. I tēnei rā kei te kōrero tātou mō tēnei mate e kiia nei ko te Superior Canal Dehiscence Syndrome (SCDS).
He aha te SCDS?
Ahakoa te ahua uaua o tēnei ingoa, me ngāwari noa iho. I roto i ō tātou taringa, he wāhanga tino ātaahua, he wāhanga nui hoki e whakahaere ana i te taurite o tō tātou tinana. Ka karangatia ēnei ko te pūnaha vestibular. Whakaarohia pēnei: e toru ngā ngongo iti kī tonu i te wai i roto i tēnei pūnaha. Koinei ngā mea e karangatia ana ko ngā awa haurua porowhita. Ina nekehia e tātou tō tātou mahunga ki runga, ki raro, ki tētahi taha rānei, ka neke te wai i roto i ēnei ngongo ki taua ahunga. Ka tae taua karere ki tō tātou roro, ā, ka taea e tātou te mahi i ēnei mea katoa me te kore e hinga, e tū ake, e hikoi, e oma rānei.
Nā, ko tētahi o ēnei ngongo e toru e kiia ana ko te awa haurua porowhita o runga . I te nuinga o te wā, me tino matotoru te wheua e karapoti ana i tēnei ngongo, ā, me tiakina hoki e te angaanga.
Heoi, mō te tangata e pāngia ana e te Superior Canal Dehiscence Syndrome (SCDS) , ka puta pea he kōhao iti (dehiscence) i roto i tēnei wheua, ka angiangi rawa rānei te wheua mai i te whānautanga. Koinei te wā ka tīmata ai ngā raruraru katoa kua whakahuatia i runga ake nei. Ina kore e mahi tika te awaawa, ka whakararuraruhia ngā karere taurite e haere ana ki te roro. Waihoki, ka tīmata te rongo tika i ngā oro noa i roto i te tinana (pēnei i te manawa me te pao o te ngakau) ki roto i te taringa.
He aha ngā tohu ka kitea i roto i tēnei āhuatanga?
Ka rerekē ngā tohu o te SCDS i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi e tētahi, e rua rānei o ēnei tohu, ko ētahi ia ka pāngia e te katoa. Me titiro tātou ki ngā tohu matua ka kitea.
| Tohu | He whakamārama māmā |
|---|---|
| Te rongo i ngā oro o roto o te tinana | Te tangi o ō kanohi e kimo ana, te tangi o tō manawa, te tangi o tō ngaungau kai, me tō reo ake e haruru ana i roto i ō taringa ina kōrero koe. Ka rongo ētahi i tētahi tangi ina nekehia ō rātou kanohi ki mua, ki muri. |
| Pōuriuri | Te āhua nei kei te hurihuri te ao i a koe, ahakoa kei te tū tonu koe. Ka puta ohorere mai tēnei, inā koa ka mahi koe i ngā mea pēnei i te maremare, te tihe, te hiki i tētahi mea taumaha, te kōkō rānei i tō ihu. |
| Te aro nui ki ngā oro (Hyperacusis) | Ahakoa ngā oro iti e kore e rangona e te tangata, ka rangona pea he tino nui, he whakarihariha hoki. Ahakoa te tangi o te horoi rihi, o te pepa rānei e kuruhia ana, ka tino uaua ki te whakamanawanui. |
| Ngā panonitanga o te tirohanga (Oscillopsia) | Ko ngā mea e tirohia ana e koe (hei tauira, he pikitia i runga i te pakitara) te āhua nei ka neke, ka peke rānei. Ka puta anō hoki tēnei i te nuinga o te wā ina rongo koe i tētahi haruru nui. |
| Te rongonga i te tangi i roto i ngā taringa (Pulsatile Tinnitus) | Te rongo i tētahi oro rangitahi i roto i tō taringa. He rite tonu tēnei oro ki te rangitahi o tō ngākau e pā ana. |
| Te ngaronga o te rongo | Tērā pea ka ngoikore te whakarongo, inā koa ngā oro auau iti. |
Ngā mea e whakaoho ana i ngā tohu
Tērā pea kei te whakaaro koe, "Ka puta tonu tēnei whanoke?" I te nuinga o te wā, kāore. Ka puta ohorere mai ngā tohu pēnei i te pōturi me ngā panoni tirohanga (oscillopsia) ina mahi koe i ētahi mea e whakarerekē ana i te pēhanga i roto i tō roro, i tō taringa rānei. Hei tauira:
- Ina maremare
- Ina tihe koe
- I te wā e hiki ana i te taumaha
- I te wā e whakakorikori tinana ana
- Ina whakarongo ana ki tētahi waiata nui, ina rongo rānei i tētahi haruru nui
- Ina waruhia e koe tō ihu me te reo nui
He aha tēnei e tupu nei? He aha ngā take?
Ki te pono, kāore ngā tākuta i te mōhio ki te tino take o tēnei, engari he ētahi mea anō ā rātou e whakapono ana.
1. Āhua whānau: Mō ētahi tāngata, kāore tēnei wheua e matotoru tika i te wā e whanake ana te kukune. Ko te tikanga o tēnei, ina whānau mai rātou, he tino angiangi tēnei wheua.
2. Te Whara o te Upoko: Ka taea e te whiunga kaha ki te upoko te pakaru i tēnei wheua angiangi, ā, ka puta he kōhao.
3. Te koroheketanga: Ka angiangi haere te wheua angiangi mai i te whānautanga i a koe e pakeke haere ana, ā, i te roanga o te wā, ka tūpono pea ka puta he kōhao.
4. Ngā Mate Pukupuku: E whakaponohia ana ka taea hoki e ētahi mate taringa te kino i tēnei wheua.
Ko te mea nui, ehara i te mea nāu tēnei he. He panonitanga iti noa iho tēnei o te hanganga o te tinana.
Ētahi atu raruraru ka puta mai i tēnei āhuatanga
I a koe e noho tonu ana me ēnei tohu, ka ara ake pea ētahi atu raruraru i ētahi wā. He mea tino nui kia mōhio koe ki ēnei hoki.
- Kohu Roro: He āhua pōhēhē, he ngaro te mahara, me te uaua ki te arotahi.
- Mamae upoko: Ka puta pinepine pea te mamae upoko.
- Ngā raruraru hinengaro: Whakaarohia, kei te wehi koe ki te haere tahi me ō hoa, ki te haere rānei ki tētahi pāti nā te mea ka pōuri koe ina rongo koe i tētahi haruru. Ina noho mokemoke koe pēnei, he nui te tūponotanga ka pāngia koe e ngā āhuatanga hinengaro pēnei i te manukanuka me te pouri .
Koia te mea nui kia toro atu ki te tākuta mēnā kei a koe ēnei tohu, kaua hoki e warewaretia. Kāore koe e hiahia kia mutu te pārekareka ki te ora nā te mea kei a koe te SCDS.
Me pēhea te kite a te tākuta i tēnei?
Ina kōrero koe ki tō tākuta mō ēnei tohu, ka tukuna koe e ia ki tētahi tākuta roro, he tākuta e tohunga ana ki ngā taringa, ki ngā io, me te roro. I muri i tana whakarongo pai ki a koe mō ō tohu, ka whakahaerehia pea e ia ētahi whakamātautau hei whakaū i te mate.
| Whakamātautau | He aha te mahi a tēnei? |
|---|---|
| Matawai CT | Koinei te whakamātautau tino nui. Ka tangohia he pikitia toru-ahu (3D) o ngā wheua i roto i tō taringa. Ka taea te kite mārama mēnā he kōhao, he angiangi rānei o te wheua i roto i te awaawa haurua porowhita o runga. |
| Whakamātautau Whakarongo | Ka whakamātauhia tō whakarongo e te tohunga whakarongo. Tērā pea ka iti ake te kaha o te hunga whai SCDS ki te whakarongo ki ngā oro auau iti. |
| Whakamātautau VEMP | He whakamātautau motuhake ake tēnei. I konei, ka inehia e rātou te urupare a ngā wāhanga taurite o roto o tō taringa ki ngā oro. He tino āwhina tēnei hei whakaū i te aroaro o te SCDS. |
Me pēhea te rongoā?
Ko te rongo pai, he rongoā kei reira mō tēnei. Ko te rongoā e whakawhirinaki ana ki te kaha o ō tohumate. Mena kāore i te tino kino ō tohumate, ka taea te whakahaere mā te whakarerekē i te āhua noho me te whakakorikori taurite. Heoi, ki te tino kino ō tohumate, me mahi pokanga pea.
Te whakahaere i ngā tohu
Mā te hanga i ngā huringa iti i roto i tō oranga o ia rā, ka taea e koe te whakaiti i te putanga mai o ngā tohu.
- Āta karohia ngā wāhi haruru: Mēnā ka taea, kaua e haere ki ngā wāhi haruru nui (ngā kōnohete waiata, ngā papa hangahanga). Mēnā me haere koe, whakamahia he puru taringa .
- Whakahaerehia tō reo: Ki te nui rawa te reo e rangona ana e koe, ngana kia pōturi ake te kōrero, me te mea he hāhā.
- Kati ngā mea e whakanui ana i te pēhanga: Āta karohia ngā mea pēnei i te hiki i ngā taumaha me te kokiri i tō ihu me te reo nui.
- Haerenga ā-rangi: Ka puta pea ngā tohumate i te haerenga ā-rangi nā te panoni o te pēhanga taringa. Nō reira, kōrero ki tō tākuta i mua i te haere.
- Te Whakaora Tinana Vestibular: He mea tino nui tēnei. Mā te kaiwhakaora tinana motuhake koe e ako ki ngā mahi motuhake hei whakapai ake i tō taurite, hei whakaiti i te whanoke, hei whakaiti hoki i te hinganga.
Pokanga
Mena he tino kino ngā tohu, mena kāore e taea e koe te mahi i ngā mahi o ia rā, ā, mena kua tino heke te kounga o tō oranga, ka tūtohu pea tō tākuta kia pokangahia. E rua ngā momo pokanga matua.
1. Te puru i te kōhao:Koinei te pokanga tino noa. I konei, ka pokaia e te taote mā te tumuaki, mā muri rānei i te taringa, ka kati katoa i te kōhao o te ngongo mā te whakamahi i tētahi wahi iti o te wheua, o te kiko honohono rānei nō tō tinana ake.
2. Te whakahou i te mata: Ko tēnei tikanga he whakapakari i te kōhao mā te hipoki ki tētahi paparanga kaua e hipoki katoatia. Kāore i te maha te whakamahinga o tēnei tikanga.
I ētahi wā ka whakamahia ngātahitia e ngā taote pokanga ngā tikanga e rua. I muri i te pokanga, ka ngaro katoa ngā tohumate o te nuinga o te tangata, ka tino heke rānei.
He aha ngā mea hei tumanako atu māu ā muri ake nei me tēnei āhuatanga?
He tokomaha te hunga ka taea te noho noa i muri i te ako ki te whakahaere i ō rātou tohumate. Engari ko te mea nui kia maumahara ko te kore e ora te kōhao o te wheua i a ia anō. Kāore e rite ki ētahi atu wheua o te tinana, kāore e taea e te wheua angaanga te whakatika i a ia anō.
Ahakoa i muri i te pokanga, ka tere tonu te pai ake o ētahi tohu, ko ētahi atu (pērā i te ānini me te kohu roro) ka roa pea te wā e pai ake ai. Nō reira, kia tuwhera ki tō tākuta mō ō whiringa me ngā mea ka taea e koe te tumanako mai i te pokanga.
He uaua te tautuhi i te mate SCDS, nā te mea he rite ngā tohu ki ērā o ētahi atu mate noa. Engari kaua e mutu te tumanako. Kia tautuhia tō mate, ka harikoa koe ki te mōhio he maha ngā huarahi maimoatanga e wātea ana.
Karere Tangohia ki te Kāinga
- Ko te Superior Canal Dehiscence Syndrome (SCDS) he mate onge e puta mai ana i tētahi kōhao i roto i te wheua e karapoti ana i te ngongo taurite i te taringa o roto.
- Ko ngā tohu matua ko te rongonga i tō ake manawa, te rangona o te haruru o te ngakau kia nui ake, me te pōuriuri, me te mea kei te maremare koe.
- Ehara tēnei i tōu he. He maha ngā wā ka puta mai i te angiangi o te wheua whānau, i ngā whara rānei o te mahunga.
- Ka taea te tautuhi tika i tēnei āhuatanga mā te matawai CT.
- He tokomaha te hunga ka taea te whakahaere i ō rātou tohu mā te whakarerekē i te āhua o te noho me te whakaora tinana. Mēnā he kino rawa ngā tohu, ka tino angitu te pokanga.
- Ki te pā mai ēnei tohu, kaua e warewaretia, engari me noho ko koe anake, engari me toro atu ki te tākuta hei tohutohu.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero