Kodi inunso muli ndi mavuto akumva? Zingakhale (Conductive Hearing Loss)!

Kodi nthawi zina mumavutika kumva zomwe zikunenedwa momveka bwino? Kapena mumamva mawu ang'onoang'ono nthawi zonse? Mwina mumamva ngati mawu anu akumveka bwino? Ngati zinthuzi ndi zomwe zimachitika kawirikawiri kwa inu, ndikofunikira kwambiri kudziwa za vutoli lomwe tikukamba lero, lotchedwa `(Conductive Hearing Loss)`. Musadandaule, ichi ndi chinthu chomwe chingachiritsidwe ndikuchiritsidwa nthawi zambiri.

Kodi ``(Conductive Hearing Loss)`` ndi chiyani? Tiyeni timvetse mosavuta, sichoncho?

Mwachidule, Kutaya Kumva Koyendetsa Magalimoto Kumachitika pamene pali choletsa panjira imene mafunde amamvekera kuchokera kunja kwa khutu lanu kupita mkati mwa khutu. Taganizirani ngati chitoliro cha madzi chomwe chimatsekeka penapake pakati ndipo chimasiya kuyenda. Chomwe chimachitika apa n'chakuti mawu sangadutse bwino.

Khutu lathu limagawidwa m'magawo atatu: khutu lakunja, khutu lapakati, ndi khutu lamkati. Kuti timve phokoso, mafunde a phokoso ayenera kudutsa m'khutu lakunja, kugwedezeka kudzera m'mafupa atatu ang'onoang'ono (omwe amatchedwanso ossicles) m'khutu lapakati, kenako n'kufika ku gawo lomvera la khutu lamkati lotchedwa cochlea. Kutaya Kumva Koyendetsa Magalimoto kumachitika pamene pali cholepheretsa kwinakwake panjira iyi ya phokoso, kaya m'khutu lakunja kapena lapakati. Izi zingapangitse kuti mawu amphamvu azimveka momasuka kapena momasuka. Nthawi zina, mawu chete kwambiri sangadziwike. Izi zimatchedwanso Kulephera Kumva Koyendetsa Magalimoto.

Vutoli ndi lofala kwambiri pakati pa ana aang'ono . Kafukufuku wina adapeza kuti pafupifupi 19% ya ana azaka zopita kusukulu ali ndi vuto la kumva, ndipo 93% mwa iwo amachokera ku "Conductive Hearing Loss." Koma sizikutanthauza kuti sizichitika kwa akuluakulu. Akuluakulu nawonso amatha kukhala ndi vutoli. Nthawi zina limakhala lakanthawi, nthawi zina limakhala lokhazikika. Ndipo limatha kuyambira lofatsa mpaka lovuta kwambiri. Gawo labwino kwambiri ndilakuti nthawi zambiri limatha kuchiritsidwa ndi chithandizo.

Pali mitundu iwiri ikuluikulu ya `(Conductive Hearing Loss)`

Njira ziwiri zazikulu zitha kuwoneka mu izi:

1. `Kutaya kumva kwa unilateral conductive`: Izi zimakhudza khutu limodzi lokha.

2. `Kutaya kumva kochokera mbali zonse ziwiri`: Izi zimakhudza makutu onse awiri.

Kodi zizindikiro za `(Conductive Hearing Loss)` ndi ziti? Kodi inunso muli nazo izi?

Onani ngati muli ndi zizindikiro izi:

• Kumva kusakhazikika bwino pamene tikuyenda (izi zimachitika chifukwa cha mavuto a ``Vestibular system'' mkati mwa khutu lathu).
• Kumva kupweteka m'khutu .
• Kumva kupanikizika kapena kulemera mkati mwa khutu.
• Phokoso la "kudina" m'khutu, kapena kulira .
• Kumva mawu m'khutu limodzi kapena onse awiri omwe amaoneka ngati osamveka bwino komanso osamveka bwino .
• Zikumveka ngati mukumva mawu anu mokweza mukamalankhula.

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kupita kwa dokotala.

N’chifukwa chiyani timapeza `(Conductive Hearing Loss)`? Kodi zimayambitsa chiyani?

Monga tanenera kale, vutoli limachitika pamene mafunde a mawu sangathe kufika pa `(Cochlea)` mkati mwa khutu lathu. `(Cochlea)` ndiye gawo lalikulu lomwe limatithandiza kumva. Chifukwa chake, pali zifukwa zosavuta komanso zifukwa zovuta pang'ono zomwe zingasokoneze kufalikira kwa mawu kumeneku.

Nazi zina mwa zifukwa zazikulu zomwe zimayambitsa kutayika kwa kumva:

• Kutsekeka kwa sera ya m'makutu: Ichi ndi chifukwa chofala kwambiri. Sera ya m'makutu ikasonkhana m'khutu ndipo imakhala yolimba, imatseka njira ya mawu.
• Zinthu zakunja (fremdkörper) zimamatirira m'khutu: Vutoli limathanso kuchitika ana aang'ono, makamaka akamasewera, akaika zinthu monga mikanda kapena nandolo m'makutu mwawo.
• Matenda a m'makutu: Matenda a m'makutu , makamaka omwe amapezeka pafupipafupi ndipo sachira (osatha), angayambitse madzimadzi kusonkhana pakati pa khutu, zomwe zimalepheretsa kutulutsa mawu.
• Zotupa m'makutu, ma cysts, kapena zotupa zina monga ``Cholesteatoma``: Zinthu zimenezi zimathanso kusokoneza phokoso likapangidwa mkati mwa khutu.
• Kusagwira bwino ntchito kwa chubu cha Eustachian: Chubuchi chimagwirizanitsa khutu lathu lapakati ndi pakhosi pathu. Ngati sichigwira ntchito bwino, kuthamanga kwa magazi m'khutu lapakati kungasinthe ndipo madzi amatha kusonkhana.
• Kuchulukana kwa madzi m'khutu lapakati chifukwa cha zinthu monga chimfine: Madzi akamachulukana, amatha kusonkhana m'khutu lapakati ndikusokoneza kumva.
• Otosclerosis: Imeneyi ndi matenda omwe mafupa amakula mozungulira mafupa ang'onoang'ono pakati pa khutu. Izi zimasokoneza kugwedezeka kwa mafupawo ndipo zimasokoneza kutumiza mawu.
• Drum ya khutu yosweka: Drum ya khutu imatha kusweka ngati khutu lagunda mwamphamvu kapena ngati matenda a khutu akukula kwambiri.

Zomwe zimayambitsa kwambiri ana aang'ono ndi matenda a m'makutu pafupipafupi komanso kuyika zinthu m'khutu . Kwa akuluakulu , vutoli nthawi zambiri limayamba chifukwa cha kuvulala kwa khutu kapena matenda ena .

Zinthu Zoopsa Zomwe Zimawonjezera Chiwopsezo cha Kutaya Kumva Koyendetsedwa ndi Magalimoto

Pali zinthu zina zomwe zingawonjezere chiopsezo chokhala ndi "Conductive Hearing Loss". Ngati sizikuthandizidwa bwino, matendawa angayambitse kutayika kwa kumva kosatha.

• Matenda obadwa nawo m'khutu: Matendawa amatha kuchitika chifukwa cha mavuto obadwa nawo monga `(Microtia)` (kukula kolakwika kwa khutu) ndi `(Atresia)` (kusowa kapena kukula kolakwika kwa ngalande ya khutu).
• Matenda a m'khutu osatha: Ngati madzi akuchulukirachulukira m'khutu lapakati ndipo akupitirirabe osachira, chiopsezo cha kutaya kumva bwino chimawonjezeka.
• Kuwonongeka kwa kapangidwe ka khutu: Mafupa atatu ang'onoang'ono (ma ossicles) m'makutu mwathu omwe amachititsa kuti phokoso lizimveka akhoza kuwonongeka, mwina chifukwa cha kuvulala kwa khutu kapena matenda monga otosclerosis.

Kodi madokotala amazindikira bwanji vuto la kumva lotchedwa conductive heart losauka?

Ngati muli ndi vuto la kumva, choyamba muyenera kupita kwa dokotala wa khutu, mphuno, ndi pakhosi (katswiri wa otolaryngologist) . Iye adzakuyesani. Iye adzakufunsani za zizindikiro zanu komanso ngati pali aliyense m'banja mwanu amene wakhala ndi vuto lofanana ndi lanu. Mwachitsanzo, mungafunsidwe mafunso monga:

• "Ndi liti pamene munazindikira koyamba kuti mukulephera kumva?"
• "Kodi izi zinachitika mwadzidzidzi, kapena zinawonjezeka pang'onopang'ono?"
• "Kodi mbali imodzi ili ndi mphamvu zambiri kuposa inayo?"
• "Kodi munakhalapo ndi matenda a m'khutu kale?"
• "Kodi mukumva kupweteka kulikonse, kupanikizika, kapena kulira m'khutu mwanu?"
• "Kodi pali aliyense m'banja mwanu amene ali ndi vuto la kumva?"

Dokotala adzayang'ana kunja kwa khutu lanu poyang'ana mkati mwake ndikuligwira mwamphamvu. Adzagwiritsa ntchito chida chaching'ono chowunikira chotchedwa otoscope kuti ayang'ane mkati mwa khutu kuti aone ngati pali zotsekeka kapena zolakwika zilizonse mu kapangidwe ka khutu.

Ndi mayeso ati omwe amachitidwa kuti adziwe bwino vutoli?

Pambuyo poyezetsa thupi, katswiri wa otolaryngologist kapena katswiri wa makutu adzakufunsani kuti muyese mayeso angapo a kumva . Ena mwa iwo ndi awa:

• Mayeso a acoustic reflex: Izi zimayesa momwe minofu yaying'ono yapakati pa khutu lanu imayankhira phokoso lalikulu.
• Kuyesa kwa fupa: Izi zimatumiza mawu mwachindunji mkati mwa khutu lanu ndipo zimathandiza kudziwa mtundu wa vuto la kumva lomwe muli nalo.
• Utsi wa Otoacoustic (OAEs): Izi zimayesa kugwedezeka komwe kumakhudzana ndi mawu ochokera mkati mwa khutu lanu kuti muwone ngati pali zopinga zilizonse.
• `(Pure-tone audiometry)`: Izi zingakuthandizeni kudziwa phokoso lochepa kwambiri lomwe mungamve pa ma voti osiyanasiyana.
• `(Speech audiometry)`: Izi zimayesa momwe mungadziwire bwino mawu ndi mawu opanda phokoso omwe mungawabwereze.
• Mayeso a Tuning fork: Mayeso monga mayeso a Rinne ndi mayeso a Weber angathandize kudziwa ngati muli ndi vuto la kumva kapena mtundu wina wa vuto la kumva, lotchedwa sensorineural hearing loss.
• Tympanometry: Izi zimayesa momwe ng'oma yanu ya khutu imayendera komanso momwe imayankhira phokoso.

Kuwonjezera pa mayeso awa a kumva, dokotala angafunikenso kuchita izi:

• Kuyezetsa mitsempha ya m'khosi
• Kuyezetsa mutu ndi khosi
• Ma scan monga `(MRI (magnetic resonance imaging))` kapena `(CT scan (computed tomography scan))`.

Kodi mankhwala a `(Conductive Hearing Loss)` ndi ati?

Chithandizo choyenera kwa inu chidzadalira chomwe chachititsa kuti muvutike kumva. Kutengera ndi vuto lanu, vuto la kumva lomwe limayambitsa vuto la conductive lingathe kuthandizidwa m'njira zotsatirazi:

• Kuyang'anira odwala: Nthawi zina dokotala wanu angakulimbikitseni kuti mudikire mosamala. Izi zikutanthauza kuti adzayang'anira kumva kwanu kwa kanthawi. Ngati kumva kwanu kukulirakulira, adzapanga dongosolo la chithandizo.
• Zipangizo zothandizira kumva: Zipangizo zothandizira kumva ndi zina zotero zingakuthandizeni kumva bwino mwa kukweza ndi kusintha mawu.
• Mankhwala: Ngati vuto lanu la kumva layamba chifukwa cha matenda, mungafunike kumwa mankhwala. Dokotala wanu angakupatseni mankhwala ngati madontho a m'khutu kapena mapiritsi.
• Opaleshoni: Ngati chotupa, chotupa, kapena chotupa china chikuletsa mawu kufika mkati mwa khutu, opaleshoni ingafunike kuti ichotsedwe. Opaleshoni ingafunikenso kuti ikonze mafupa ang'onoang'ono owonongeka (ossicles) m'khutu.

Chofunika kwambiri ndichakuti pali chithandizo cha vutoli. Chifukwa chake, ndikofunikira kwambiri kufunafuna upangiri wa dokotala popanda mantha.

Kodi tsogolo la anthu omwe ali ndi vuto la kumva mopitirira muyeso ndi lotani? (Outlook)

Vutoli nthawi zambiri limakhala bwino ndi chithandizo. Kutaya Kumva Koyendetsedwa ndi Conductive Hearing Loss nthawi zambiri kumatha kuchiritsidwa, kapena kuchira kwambiri, ndi mankhwala, zothandizira kumva, kapena opaleshoni.

Kodi Kutaya Kumva Koyendetsedwa ndi Conductive Kungathe Kupewedwa?

Kutaya Kumva Koyendetsedwa ndi Magalimoto Sikungatheke Kupewedwa Nthawi Zonse, Makamaka Ngati Kumachitika Chifukwa cha Kukula Kosazolowereka kwa Mafupa a Makutu Kapena Vuto Lobadwa Nalo ndi Kapangidwe ka Khutu. Komabe, mutha kuchita izi kuti muchepetse chiopsezo chanu:

• Musaike chilichonse m'khutu. Ngakhale thonje lopaka silili bwino.
• Ngati mwayamba matenda a khutu, funani chithandizo nthawi yomweyo.
• Pitani kwa dokotala nthawi zonse ndipo akakupimitseni makutu anu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi chilichonse mwa izi, uzani dokotala nthawi yomweyo :

• Ngati kumva kwanu kukuipiraipira pang'onopang'ono .
• Ngati mwadzidzidzi mwataya kumva (makamaka khutu limodzi).
• Kuwonjezera pa mavuto a kumva, ngati pali zizindikiro zina monga kupweteka m'khutu, mutu, dzanzi, ndi kufooka .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi vuto la kumva lotchedwa (Conductive Hearing Loss)`, ndi bwino kufunsa dokotala mafunso monga awa:

• "Ndi chithandizo chamtundu wanji chomwe ndikufuna?"
• "Kodi ndingayembekezere zotsatira zotani kuchokera ku chithandizochi?"
• "Ndidzabweranso kangati kudzandionanso?"
• "Kodi kumva kwanga kungayambe kuipiraipira pakapita nthawi?"
• "Ndi zinthu zina ziti zomwe mumalimbikitsa?"

Kutaya Makutu Mothandizidwa ndi Conductive Hearing kungapangitse moyo kukhala wovuta pang'ono. Zingamveke ngati nyimbo yomwe mumakonda kapena phokoso la mbalame zikulira panja likutha pang'onopang'ono. Ndizachibadwa kumva chisoni, mantha, kukwiya, komanso kukhumudwa ndi izi. Koma pali nkhani yabwino: Kutaya Makutu Mothandizidwa ndi Conductive Hearing nthawi zambiri kumatha kuchiritsidwa ndi chithandizo. Mukadziwa msanga chomwe chikuyambitsa, mwayi wanu woti mubwererenso kumva umakula. Ngati mukuganiza kuti inu kapena mwana wanu angakhale ndi Conductive Hearing Loss, pitani kwa dokotala nthawi yomweyo.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino za `(Conductive Hearing Loss)` yomwe tidakambirana lero. Nazi zinthu zazikulu zomwe muyenera kukumbukira:

• Kutaya Kumva Koyendetsa Magalimoto (Conductive Hearing Loss) kumachitika pamene mawu amatsekedwa kuti asafike mkati mwa khutu lanu.
• Zifukwa zambiri zingakhudze izi, monga sera ya m'khutu, matenda, chinthu cholowa m'khutu, komanso mavuto ndi kapangidwe ka khutu.
• Izi zimachitika kawirikawiri pakati pa ana aang'ono, koma zimathanso kuchitika mwa akuluakulu.
• Ngati mukumva kuchepa kwa kumva, kupweteka, kapena kupanikizika m'khutu mwanu, musanyalanyaze zimenezo.
• Chofunika ndichakuti pakhale mankhwala othandiza pa vutoli. Ngati mupita kuchipatala mwachangu, nthawi zambiri mutha kuchira kwathunthu.
• Musaike chilichonse m'khutu mwanu mukalitsuka. Ngati mwayamba matenda a khutu, funani chithandizo mwamsanga.

Makutu anu ndi amtengo wapatali kwambiri, choncho asamaleni. Ngati muli ndi kukayikira kulikonse pa nkhani inayake, musazengereze kupita kwa dokotala.

Kutaya kumva koyendetsa , kutayika kwa kumva, matenda a khutu, zothandizira kumva, ntchafu ya khutu, khutu lapakati, matenda a khutu, zothandizira kumva