Kodi ululu wachilendo uwu uli pakhosi ndi pankhope panu (Eagle Syndrome)? Tiyeni tikambirane za izi!

Kodi nthawi zina mumamva ululu wachilendo, wokhumudwitsa pakhosi panu, pankhope, kapena pakhosi? Simungathe kudziwa bwino zomwe zikuchitika, ndipo kodi mudamvapo kuti ululuwu ukukulirakulira mukameza, kulankhula, kapena kusuntha mutu wanu kuchokera mbali imodzi kupita mbali ina? Ndiye ichi ndi chinthu chomwe chingakhale chofunikira kwambiri kwa inu. Matendawa timawatcha kuti Eagle Syndrome . Ngakhale kuti dzinali lingamveke lachilendo pang'ono, kwenikweni ndi matenda.

Ndiye kodi Eagle Syndrome ndi chiyani?

Mwachidule, Eagle Syndrome ndi vuto lopweteka lomwe limayamba chifukwa cha kutalika kwa njira yanu yogwirira ntchito kapena kukhuthala kwa ligament ya stylohyoid , zomwe zimapangitsa kuti ikhale yolimba komanso yofanana ndi mafupa.

Tangoganizirani, pansi pa khutu lanu lililonse, pali kachidutswa kakang'ono, kopyapyala ka fupa kotchedwa styloid process. Ndicho chimene styloid process imakhala. Pali kachidutswa ka minofu komwe kamayenda kuchokera ku fupa ili kupita ku fupa la hyoid kutsogolo kwa khosi lanu kotchedwa stylohyoid ligament . Kachidutswa kameneka kayenera kukhala kolimba ngati lamba wa rabara. Koma mwa anthu omwe ali ndi Eagle syndrome, kachidutswa kameneka nthawi zina kamakhala kokhuthala kwambiri komanso kolimba , ngati fupa.

Kodi mukumvetsa tsopano? Ndi pamene fupa lotambasuka kapena ligament yolimba imayamba kukanikiza mitsempha kapena mitsempha yamagazi yomwe imadutsa m'derali pomwe mumayamba kumva zizindikiro.

Kodi matenda a chiwombankhanga amenewa ndi ofala bwanji?

Uwu ndi ululu wosowa kwambiri . Umakhudza anthu ochepera 0.16% mwa anthu onse. Anthu ocheperapo mmodzi pa anthu chikwi.

Komabe, pafupifupi 4% ya anthu, fupa ili lotchedwa styloid process lingakhale lalitali kuposa masiku onse. Pa avareji, fupa ili limakhala lalitali pafupifupi masentimita 2.5 (lochepera pang'ono inchi imodzi). Njira yayitali ya styloid ndi yomwe imatalika kuposa masentimita atatu (loposa inchi imodzi). Komabe, si aliyense amene ali ndi fupa lalitali limeneli amene adzakhala ndi zizindikiro za Eagle syndrome. Ndi ochepa chabe mwa iwo omwe amamva ululu uwu.

Komanso, akazi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna. Nthawi zambiri amapezeka mwa anthu azaka za m'ma 30 kapena 40.

Kodi zizindikiro za Eagle Syndrome ndi ziti?

Zizindikiro zimadalira mitsempha ndi mitsempha yamagazi yomwe ikukakamizidwa ndi njira yanu ya styloid kapena ligament ya stylohyoid.

Zizindikiro zomwe zingawonekere nthawi zambiri ndi izi:

• Ululu pankhope, pakhosi, kapena pakhosi . Ululuwu ukhoza kukulirakulira mukamadya, mukuyasamula, mukamalankhula, kapena mukamatembenuza mutu wanu.
• Kumva ngati chinthu chakodwa pakhosi . Kungamveke ngati singano kapena mpira waung'ono wakodwa.
• Kuvuta kumeza chakudya (dysphagia) .
• Kumva kulira m'makutu (tinnitus) . Kumamveka ngati phokoso lolira.
• Mutu .
• Chizungulire .

Anthu ambiri omwe ali ndi Eagle syndrome amatha kukhala ndi styloid process yayitali mbali zonse ziwiri za mutu. Komabe, modabwitsa, ambiri amamva kupweteka mbali imodzi yokha .

Kodi ululu wa Eagle syndrome umamveka bwanji?

Kwa anthu ena, ululu uwu ukhoza kufanana ndi ululu wa matenda a mitsempha otchedwa glossopharyngeal neuralgia . Ngati mitsempha ya glossopharyngeal , yomwe ndi mitsempha yaikulu m'khosi mwanu, yapanikizidwa ndi njira ya styloid, mutha kumva ululu wakuthwa, wofanana ndi wamagetsi m'matako anu kapena kumbuyo kwa lilime lanu. Ululu uwu nthawi zina ukhoza kufalikira ku khutu lanu.

Ena amanena kuti ululu wa mitsempha womwe umabwera ndi Eagle syndrome ndi ululu wobwerezabwereza, wakuthwa, wosasangalatsa, komanso wogunda pang'onopang'ono .

Kodi n’chiyani chimayambitsa matenda a chiwombankhanga?

Monga tafotokozera kale, zizindikiro zimachitika pamene njira yayitali ya styloid kapena fupa lokhuthala lotchedwa stylohyoid ligament likukankhira mitsempha yofewa kapena mitsempha yamagazi m'mutu ndi m'khosi mwanu. Komabe, pali malingaliro osiyanasiyana pakati pa akatswiri pankhani yeniyeni yomwe fupa ili limatalika kapena ligament imakulika.

Mu 1937, Dr. Watt Eagle, yemwe adapatsa dzina la matendawa, adanenanso kuti nthawi zina pambuyo pochotsa tonsillectomy, ligament ya stylohyoid imapindika , kutanthauza kuti, imauma ngati fupa.

Zina zomwe zingayambitse vutoli ndi izi:

• Matenda ena.
• Kuvulala pakhosi.
• Mitsempha ya m'mitsempha imataya kulimba pamene tikukalamba.

Kodi mavuto omwe angakhalepo chifukwa cha Eagle Syndrome ndi ati?

Ngakhale izi sizichitika kawirikawiri, nthawi zina njira yayitali iyi ya styloid imatha kukanikiza mitsempha ikuluikulu yamagazi, monga mitsempha yanu ya carotid . Mitsempha ya carotid ndiyo mitsempha yayikulu yamagazi yomwe imapereka magazi ku ubongo wanu.

Ngati izi zitachitika, mungamve kupweteka pansi pa maso anu. Kapena, mungakumane ndi zizindikiro zofanana ndi kuukira kwa transient ischemic (TIA) , sitiroko yaying'ono, kapena sitiroko yodzaza ndi mpweya . Izi zikuphatikizapo:

• Kusanza mbali imodzi ya nkhope (hemiparesis) .
• Chizungulire .
• Maso osawoneka bwino .
• Kutaya chidziwitso kapena kukomoka (syncope).
• Kusintha kwa kalankhulidwe (monga mawu akusokonezeka) .

Chofunika: Mu Eagle syndrome, zizindikirozi nthawi zambiri zimakhala za kanthawi kochepa. Izi zikutanthauza kuti zimazimiririka pakapita nthawi. Komabe, nthawi zina zimatha kusonyeza vuto lalikulu la matenda (monga kudula kapena kuvulala kwa mtsempha wamagazi).

Ngati muli ndi zizindikiro za sitiroko, pitani kuchipatala chapafupi kapena imbani ambulansi yadzidzidzi nthawi yomweyo. Ichi si chinthu chochedwetsa!

Kodi matenda a Eagle Syndrome amawapeza bwanji?

Dokotala wanu adzayamba kaye walemba mbiri yonse ya matenda (monga opaleshoni ya mutu kapena khosi kapena ngozi zina) kenako adzakuyezani thupi .

Nthawi zina, dokotala angamve kupweteka kwa khosi lanu kwa nthawi yayitali kwambiri. Kapena angamve mkamwa mwanu, komwe kuli ma tonsils anu, ndikukufunsani ngati mukumva kupweteka kulikonse pamenepo.

Komabe, kuti mudziwe molondola njira yosazolowereka iyi ya styloid kapena stylohyoid ligament , mayeso apadera ojambulira zithunzi ayenera kuchitidwa. Izi zikuphatikizapo:

• Kujambula kwa CT (Computed Tomography - CT scan) : Izi zimagwiritsa ntchito ma X-ray angapo kuti zijambule zithunzi za njira yanu yopangira styloid ndi ligament ya stylohyoid. Zithunzizi zimayikidwa pamodzi kuti zipange chithunzi cha magawo atatu (3D), kuti dokotala wanu athe kuwona bwino ngati njira yanu yopangira styloid yatambasuka.
• CT Angiogram (Computed Tomography Angiogram - CT angiogram) : Ichi ndi chithunzi cha X-ray cha mitsempha yamagazi. Dokotala wanu angakupatseni mayesowa ngati akukayikira kuti njira yanu ya styloid kapena ligament ikukanikiza mitsempha yamagazi, monga mtsempha wanu wa carotid.

Ndi matenda ena ati omwe angaganizidwe kuti ndi Eagle Syndrome?

Ndikofunikira kwambiri kuchotsa matenda ena omwe amayambitsa zizindikiro zofanana ndi za Eagle syndrome. Dokotala wanu akhoza kuyitanitsa mayeso kuti athetse matenda awa:

• Matenda otupa a mutu ndi khosi : mwachitsanzo , sinusitis , tonsillitis , insertion tendinitis .
• Matenda a temporomandibular joint (TMJ) : Awa ndi matenda a nsagwada.
• Neuralgia ya glossopharyngeal .
• Matenda a ululu wa myofascial .
• Khansa ya mutu ndi khosi .
• Mutu wa mutu wa migraine .
• Mavuto a mano .

Kodi matenda a Eagle Syndrome amachiritsidwa bwanji?

Dokotala wanu angakupatseni mankhwala oletsa ululu. Kapena, angakulimbikitseni opaleshoni yofupikitsa njira yanu yochotsera ululu (styloidectomy) . Chithandizocho chimadalira momwe zizindikiro zanu zilili zoopsa komanso ngati ndinu woyenera opaleshoni.

Mankhwala omwe amagwiritsidwa ntchito pochiza ndi awa:

• Mankhwala ochepetsa ululu (mankhwala ochepetsa ululu) .
• Mankhwala oletsa kuvutika maganizo : Izi zimagwiritsidwanso ntchito pa ululu wa mitsempha.
• Jakisoni wa steroid : Amachepetsa kutupa ndi kutupa.
• Jakisoni wa Lidocaine : kuchepetsa ululu kwakanthawi.
• Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Ma steroid (NSAIDs) angatengedwe ndi dokotala kapena popanda mankhwala .

Opaleshoni (Kuchotsa Mimba):

Matenda a chiwombankhanga amatha kuchiritsidwa kwathunthu ndi opaleshoni kuti akonze njira yanu yogwirira ntchito. Dokotala wa opaleshoni akhoza kuchita opaleshoniyi m'njira ziwiri:

1. Njira Yogwiritsira Ntchito Pakamwa/Kusintha Pakamwa : Mu njira iyi, dokotala wa opaleshoni amalowa mu njira ya styloid kuchokera mkati mwa pakamwa panu. Ubwino wa njira iyi ndikuti palibe chilonda chakunja . Komabe, zimakhala zovuta pang'ono kuti dokotala wa opaleshoni achifikire bwino kuposa njira zina.

2. Njira Yochitira Kutsegula Pakamwa/Kutsegula Pakhosi : Mu njira iyi, dokotala wa opaleshoni amadula pang'ono khosi lanu kuti alowe mu njira ya styloid. Ngakhale njira iyi imalola dokotala wa opaleshoni kufika pa minofu mwachindunji, opaleshoniyo imatenga nthawi yayitali ndipo imasiya chilonda pambuyo pake .

Dokotala wanu adzakufotokozerani njira yoyenera kwa inu kutengera matenda anu.

Kodi mavuto a opaleshoni ya styloidectomy ndi otani?

Opaleshoni iliyonse ili ndi chiopsezo. Kuwonongeka kwa minofu panthawi ya opaleshoni kungayambitse zipsera ndi matenda a pakhosi. Izi zitha kukhala zoopsa kwambiri ngati sizikuchiritsidwa.

Kuonana ndi dokotala wodziwa bwino ntchito yochita opaleshoni ya mutu ndi khosi kungachepetse chiopsezo cha mavuto amenewa.

Kodi chiŵerengero cha kuchira kwa Eagle Syndrome ndi chotani?

Chiŵerengero cha kuchira n'chabwino kwambiri . Pafupifupi 80% ya anthu omwe achitidwa opaleshoni ya styloidectomy amachira kwathunthu . Kwa anthu ambiri, ululu ndi kusapeza bwino zimatha kuthetsedwa ndi mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala komanso mankhwala olembedwa ndi dokotala.

Kodi chimachitika ndi chiyani ngati Eagle Syndrome sichitha kuchiritsidwa?

Ngati simulandira chithandizo, mungapitirize kukhala ndi zizindikiro. Izi sizingathetse vutoli lokha.

Komabe, ndikofunikira kukumbukira izi. Kungoti njira yanu ya styloid imakhuthala ndi calcium deposits, kapena ndi yayitali, sizikutanthauza kuti muli ndi Eagle syndrome. Komanso, anthu ena omwe ali ndi njira yayitali ya styloid komanso zizindikiro za Eagle syndrome akhoza kuchitidwa opaleshoni, koma zizindikiro zawo sizingasinthe.

Ichi ndichifukwa chake ndikofunikira kwambiri kuonana ndi dokotala wodziwa bwino matenda ndi kuthana ndi vutoli . Chifukwa nthawi zina zimakhala zovuta kudziwa yemwe angapindule ndi opaleshoni. Dokotala wanu adzakupatsani malangizo pa njira zochiritsira zomwe zili zoyenera kwa inu.

Kodi Eagle Syndrome ingapewedwe?

Palibe chomwe mungachite kuti mupewe Eagle syndrome. Komabe, opaleshoni yochotsa njira ya styloid ingathetseretu zizindikiro zanu .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa dokotala wanu mafunso monga:

• Kodi ndi chifukwa chiyani chomwe chimapangitsa kuti njira yanga yopangira ma styloid ichepe kwambiri?
• Kodi njira yanga yogwiritsira ntchito styloid imakanikiza mitsempha yayikulu kapena mitsempha yamagazi?
• Ndi zizindikiro ziti zomwe ndingayembekezere kuchokera ku mitsempha yotsekeka?
• Kodi ndikufunika opaleshoni, kapena ndingathe kuichiza ndi mankhwala?
• Ngati mukuchitidwa opaleshoni, kodi imachitidwa bwanji?

Mu Eagle syndrome, ngakhale masentimita ochepa owonjezera a minofu yokhuthala amatha kukupangitsani kumva kupweteka kwambiri kotero kuti zimakhala zovuta kutembenuza mutu wanu kapena kusintha mawonekedwe a nkhope yanu. Koma nkhani yabwino ndi yakuti kukhala ndi zizindikiro za Eagle syndrome sikuyenera kukhala kwabwinobwino kwa inu. Eagle syndrome ndi matenda ochiritsika. Dokotala wanu adzakulangizani ngati mukufuna mankhwala kapena opaleshoni.

Uthenga Wopita Nawo Kunyumba

Choncho, ngati muli ndi ululu wosatha komanso wosamvetsetseka pakhosi panu, pankhope panu, kapena pakhosi panu, mukuvutika kumeza, kapena mukumva ngati chinachake chatsekedwa pakhosi panu, musangonyalanyaza. Ikhoza kukhala Eagle Syndrome.

Ngakhale kuti vutoli ndi losowa, limatha kuchiritsidwa kwathunthu ngati litapezeka ndi kuchiritsidwa bwino . Musachite mantha, koma ngati muli ndi zizindikiro, muyenera kuonana ndi dokotala kuti akupatseni upangiri. Nthawi zina mankhwala osavuta angathandize kuchepetsa ululu, kapena opaleshoni yaying'ono ingakuthandizeni kuchira mokwanira. Chofunika kwambiri ndikudziwa chomwe chimayambitsa ululu wanu ndikupeza chithandizo choyenera.

Matenda a Chiwombankhanga , kupweteka kwa khosi, kupweteka kwa nkhope, kupweteka kwa pakhosi, njira yogwirira ntchito, ligament ya stylohyoid, kuvutika kumeza