Kei te pāngia hoki koe e te whanoke pinepine? Kei te rongo koe i ngā haruru rerekē i roto i ō taringa? Tērā pea ko te Superior Canal Dehiscence Syndrome (SCDS)!

Ka rongo koe i ētahi wā i te haruru o tō manawa ake, i te haruru o ō kanohi e kimo ana, i te haruru rānei o tō reo e tangi nui ana i roto i ō taringa ina kōrero koe? Ka pōuri rānei koe i te kore take, i ngā mea rānei e huri haere ana i tō taha, pērā i te pōro hurihuri? Kaua e whakakorea noa ēnei hei ngenge tinana. Nā te mea he tohu ēnei o tētahi mate onge engari ka taea te rongoā mēnā ka tika te tātaritanga. I tēnei rā, ka kōrero tātou mō tēnei mate e kiia nei ko te 'Superior Canal Dehiscence Syndrome', ko te '(SCDS)' rānei te whakarapopototanga.

He aha te 'Superior Canal Dehiscence Syndrome (SCDS)'? Kia mārama tātou ki tēnei mea.

He māmā noa iho, he mate onge te SCDS e pā ana ki tō taringa o roto . Ka pā pea ki tō taurite me tō whakarongo. Whakaarohia kei roto i tō taringa, pērā i tētahi ara iti, e toru ngā ngongo tino angiangi kī tonu i te wai. Ka kiia ēnei ko ngā awa haurua porowhita. I waenganui i ēnei ngongo, kei te tihi, e tata ana ki te roro, ko te awa haurua porowhita o runga. Ina nekehia ō tātou mahunga, ina nekehia rānei ō tātou tinana, ka neke tahi te wai i roto i ēnei ngongo. Mā te nekehanga o taua wai ka tukuna he tohu ki tō tātou roro "kei te huri te tūranga o tō tātou tinana." Ka whakamahia e te roro ēnei mōhiohio hei whakahaere i tō tātou taurite . Ināianei, mō te `SCDS`, ka puta he kōhao iti, he kōhao angiangi rawa rānei (dehiscence) i roto i te hipoki wheua tiaki huri noa i te awa i te tihi (`awa haurua porowhita o runga`), arā, i roto i taua pakitara kaha. He rite ki tētahi kōhao iti i roto i te paipa wai. Ka taea e tēnei kōhao te whakararu i taua pūnaha tohu. Waihoki, ko ngā oro noa e puta ana i roto i te taringa (hei tauira, te oro manawa, te oro kimo) ka taea te haere mā roto i tēnei kōhao ki te roro, ka puta ai he reo nui ake, ā, ka puta pea ētahi atu raruraru whakarongo. Ko tēnei āhuatanga e kiia nei ko te `SCDS` he maha atu ngā ingoa e karangatia ana, engari ko te ingoa e whakamahia whānuitia ana ko te `SCDS`.

He pēhea te noa o tēnei āhuatanga 'SCDS'?

He tino onge tēnei mate . E kiia ana kei waenganui i te 1% me te 2% o te taupori whānui tēnei mate. Tērā pea ētahi tāngata e pāngia ana e tēnei mate i ngā taringa e rua ('bilateral superior semicircular canal dehiscence'). Heoi anō, ahakoa tērā, ka kitea tonutia ngā tohu i te taringa kotahi.

He aha ngā tohu ka pā ki te tangata whai `SCDS`?

Koinei te mea tino nui. Kāore e pāngia te katoa e ngā tohu katoa. Nō reira, i ētahi wā he uaua ki te kite tika. Ko tētahi atu mea, kāore pea ētahi tāngata e whakaatu i ngā tohu ahakoa he angiangi te wheua, he kōhao iti rānei. Waihoki, ko te hunga kāore he kōhao tūturu i roto i te wheua, engari he angiangi noa iho, ka pāngia pea e ngā tohu ōrite ki te hunga he kōhao. Heoi, ki te puta mai ngā tohu, ka pā ki tō oranga o ia rā. Ko ngā pānga matua ko te whakarongo me te taurite . Ka pāngia hoki te hinengaro e te mamae.

Ngā raruraru whakarongo:

• ` Autōpōni` : Koinei te wā ka rongo koe i tōu ake reo, i te haruru o tō manawa, i te haruru o tō kai e ngaungau ana, ā, i ētahi wā ko te haruru o ō kanohi e kimo ana, he tino nui, he mārama hoki i roto i ō taringa. Tērā pea ka rite ki te mea kei roto i tōu mahunga he hopuoro.
• `Hyperacusis` (hyperacusis): He āhuatanga e rangona ai ngā oro e rangona whānuitia ana e tātou he tino nui, he whakarihariha, ā, i ētahi wā he mamae . Ahakoa he oro iti noa iho, kāore e taea te manawanui.
• Tinnitus pāorooro: He tangi e tangi ana i roto i tōu mahunga, i ōu taringa rānei, e hangai ana ki te pā o tō manawa .
• Te Ngaronga o te Whakarongo: Ka pā mai pea te ngaronga o te whakarongo, inā koa i ngā auau iti .

Ngā raruraru e pā ana ki te taurite o te tinana:

• ` Pouriuri` : He kare ā-roto kei te hurihuri ngā mea e karapoti ana i a koe, kei te hurihuri rānei koe, ahakoa kei te tū tonu koe. He wheako tino whakamā, whakamataku hoki tēnei.
• `Oscillopsia` (te wiri tirohanga): Ko te kare ā-roto e neke ana tetahi mea e titirohia ana e koe, e piki ana, e heke ana rānei, e nekeneke ana rānei mai i tetahi taha ki tetahi taha, ahakoa kei te noho puku. He rite ki te kāmera e rūrūtia ana i te wā e hopu ana i te ataata.

Ina koa, ka piki ake ēnei āhuatanga 'Vertigo' (pōuriuri) me te 'Oscillopsia' (ngā wiri tirohanga) ina mahi koe i ngā mea e whakarerekē ana i te pēhanga i roto i te mahunga, i roto rānei i te taringa (hei tauira, te maremare nui, te tihe, te hiki i ngā mea taumaha, te horoi i te wharepaku, me ētahi atu) me te wā e rongohia ana ngā haruru nui . Whakaarohia, kei te tata koe ki te hiki i tētahi taumaha iti, kātahi ka tīmata te hurihuri o tō mahunga!

Ngā pānga ki te hauora hinengaro:

Ina mau tonu ēnei tohu kino, ka pā kino hoki ki tō hauora hinengaro.

• Te mamae o te upoko .
• 'Kohu roro':He uaua ki te whakaaro tika, ā, e ahua ana koe kāore i te mārama tō hinengaro.
• Ngā raruraru mahara.

Ina ngana koe ki te noho tawhiti atu i te hapori, me te noho ki te kāinga hei mawhiti atu i ēnei oro whakararuraru me te whanoke, ka ara ake pea ngā āhuatanga pēnei i te mokemoke, te manukanuka, tae noa ki te pouri .

He aha i puta ai tēnei `SCDS`? He aha ngā take?

Ina hoki, kāore anō kia mōhiotia te tino take o te SCDS. Tērā pea he whānautanga mai. Arā, i te wā e ora ana te kōpū, kāore i te matotoru te wheua huri noa i te awaawa o runga. E kī ana ētahi atu kairangahau ka puta pea tēnei āhuatanga i ētahi mate, i te whara rānei o te upoko . Ko te nuinga o te wā, he maha atu i te kotahi te take. Hei tauira, i te wā e whānau ana koe, he kikokore te wheua, ā, i muri mai, ka taea e tētahi atu aituā, mate rānei te mea ka angiangi haere, ka puta he kōhao. Kāore rānei, ka angiangi haere te wheua i a koe e pakeke haere ana, ā, ka puta tēnei āhuatanga.

Me pēhea te tātaritanga tika o te SCDS?

Mena kei a koe ēnei tohu, ko te mea tuatahi me mahi e koe ko te toro atu ki tētahi tākuta whai tohu. He tohunga anō mō ​​ēnei āhuatanga. I te nuinga o te wā , me toro atu koe ki tētahi tākuta roro. Ka pātai atu ia ki a koe mō ō tohu, me pēhea te tīmatanga, me te auau o te kino haere. Kātahi ka whakahau ia i ētahi whakamātautau hei whakakore i ētahi atu āhuatanga noa e rite ana ngā tohu ki te SCDS, hei whakaū hoki i te tautuhi i te SCDS. Ko ngā whakamātautau matua e mahia ana ko:

• Matawai CT (matawai Tomography Rorohiko) o ngā wheua e karapoti ana i te taringa: He matawai CT tino taumira tēnei. Ka taea te kite mārama mēnā he kōhao, he angiangi rānei kei roto i te wheua e karapoti ana i te awaawa haurua porowhita o runga.
• Whakamātautau whakarongo: Ka mahia tēnei e te tohunga whakarongo. Ka whakamātauhia tō whakarongo, inā koa ngā oro auau iti.
• Whakamātautau `VEMP` (Vestibular-Evoked Myogenic Potential): Ka taea e tēnei te whakarato mōhiohio mō te mahi a ngā wāhanga rerekē o tō taringa o roto e whai wāhi ana ki te taurite. He whakamātautau kore mamae tēnei. Ko tāu noa he titiro ki maui, ki matau, ki runga rānei i a koe e titiro ana ki tētahi ūnga, e whakarongo ana rānei ki ētahi oro. Tērā pea ka kite te hunga whai `SCDS` i tētahi tauira urupare motuhake i roto i tēnei whakamātautau `VEMP`.

He aha ngā maimoatanga mō te `SCDS`?

Mō te tini o te tangata, ko te hanga i ngā huringa iti ki ō rātou momo nohoKa taea e koe te noho tahi me te mate mā te karo i ngā mea e pōuri ai koe, e pōuri ai hoki (oscillopsia), hei tauira, mā te karo i ngā mahi e pōuri ai koe, e rongo ai koe i te neke o ngā mea (pēnei i te hiki taumaha, te tihe, te maremare rānei), me te noho tawhiti atu i ngā taiao haruru. Ka whakamahi ētahi tāngata i ngā mono taringa, i ngā taupoki taringa rānei hei whakaiti i te nui o te haruru e rangona ana e rātou. Waihoki, mā te kite i tētahi kaiwhakaora tinana kua whakangungua ki te taurite (he kaiwhakaora tinana vestibular) ka āwhina i a koe ki te whakahaere i ō tohu. Ka taea e rātou te whakaako i a koe ki ngā mahi whakakori tinana hei whakapai ake i tō taurite me te whakaiti i tō tūponotanga ki te hinga. Heoi, ki te kore ēnei mea e whakahaere i ngā tohu, ki te pā kino rānei ngā tohu ki tō kounga o te oranga, me mahi pea he pokanga hei puru, hei whakahou rānei i te kōhao .

Ngā pokanga mō te `SCDS` (`pokanga SCDS`)

He maha ngā momo pokanga matua e mahia ana mō te SCDS:

• Te puru i te wehenga - Te Huarahi Waenga Cranial Fossa: Ko te tikanga o tēnei ko te kati katoa i te kōhao o te wheua. Ko te tikanga o tēnei ko te tapahi i tētahi kōhao iti ki te taha o te angaanga hei uru atu ki te taringa o roto. Ko te tikanga, ka mahia tēnei pokanga e te tohunga taringa , ihu, me te korokoro (tohunga ENT ) me te taote roro.
• Te puru i te wehenga - Huarahi Transmastoid: I tēnei tikanga, ka uru atu ki te taringa o roto mā te hanga i tētahi kōhao iti i muri o te taringa.
• Te whakahou i te mata: Ko te mahi ko te hipoki i te kōhao me te kore e kati rawa. Kāore tēnei i te tino noa pērā i te purunga.

I ētahi wā ka whakamahia e ngā tākuta ngā tikanga 'plugging' me te 'resurfacing' i te wā e pokanga ana.

He aha ngā raruraru ka pā mai i te pokanga?

He tino iti te mōrearea o ngā raruraru nui i muri i te pokanga SCDS. Pērā i ngā pokanga katoa, he iti noa te mōrearea o te mate. Tērā pea he raruraru iti ki te taurite mō te wiki tuatahi, neke atu rānei i muri i te pokanga, i te mea ka urutau te tinana ki te tūranga hou. Heoi, ka pai ake tēnei i roto i ētahi rā.

Ka pai ake aunoa te āhua o te `SCDS`?

Kāo. Kāore te SCDS e ora noa iho me te kore he pokanga. Kāore i rite ki ētahi atu wheua o roto i tō tātou tinana, kāore te wheua e karapoti ana i te awa haurua porowhita o runga e ora noa iho. I a koe e ako ana i ngā huarahi hei whakahaere i ō tohumate, tera pea ka kitea he oranga ngākau. Heoi, kāore te SCDS e ngaro katoa me te kore he maimoatanga.

He pēhea te angitu o te pokanga `SCDS`?

He maha ngā tohumate o te tangata ka whakaitihia, ka whakakorea katoatia rānei mā te pokanga `SCDS`.Kua whakaatuhia e ētahi rangahau he tere ake te whakapai ake o ētahi tohu i muri i te pokanga i ētahi atu. Hei tauira, ko te ngaronga o te rongo, te orooro, te tinnitus pulsatile, me te vertigo ka tere ake te whakapai ake. Heoi, ko te mamae o te upoko me te kohu roro ka roa ake pea te whakapai ake. Kōrero ki tō tākuta mō ngā hua o te pokanga, i runga i ō tohu me te rahi o te kōhao.

Me pēhea taku tiaki i ahau anō me tēnei mate?

Mena kua tāpaetia koe kei te pāngia e te SCDS, he mea nui kia whai i ngā tohutohu a tō tākuta. I roto i te nuinga o ngā wā, ka taea te whakahaere i ngā tohu mā te whakarerekē i te āhua o tō noho. Anei ētahi mea ka taea e koe te mahi:

• Te whakamahi i ngā puru taringa .
• Āta karohia ngā taiao haruru i ngā wā katoa e taea ai.
• Ki te mea he mamae tō reo ki a koe, kōrero mārire ('e ngunguru ana').
• Te karo i ngā mahi e pā kino ana ki te taurite, pērā i te hiki taumaha.
• Kia karohia ngā mahi ka taea te whakarerekē i te pēhanga taringa (hei tauira, te haere i te rangi) i ngā wā katoa e taea ana.
• I te mahi, ki te taea, tonoa he wāhi marino, tūmataiti, kaua ki te wāhi e whakamahia whānuitia ana .

Kia maumahara, ehara i te mea ko koe anake. He mea noa te pāngia e te mamae o te ngākau i a koe e noho ana me tēnei āhua. Ki te tika, kōrero ki tō tākuta mō tēnei mea.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Mena kua tāpaetia koe ki te Superior Canal Dehiscence Syndrome (SCDS), kaua e mataku. He maha ngā tāngata e whakahaere ana i ō rātou tohu mā te whakarerekē i te āhua o te noho. Ka tūtohu tō tākuta i ngā huarahi hei āwhina i a koe ki te ārai i ngā tohu e pā ana ki tō taurite me/ranei tō whakarongo kei kino haere. I ētahi wā, ki te kino ō tohu, ka taea e te pokanga te kati i te kōhao i roto i te wheua me te whakaiti, te whakakore rānei i ngā tohu. Kōrero ki tō tākuta mō te kōwhiringa maimoatanga pai rawa atu māu. Kia maumahara, mā te whiwhi tātaritanga me te maimoatanga tika ka āwhina i a koe ki te whiwhi whakaoranga.