Ese wari uzi ko amagufwa atatu mato mu mubiri wawe yose ari mu gutwi kwawe? Yego, biratangaje cyane. Ni mato cyane, ntabwo ari manini cyane kurusha uduce duke tw'umuceri. Ariko aya magufwa mato akora akazi kenshi. Mu by'ukuri, aya magufwa atatu mato adufasha kumva amajwi y'isi ituzengurutse, kwishimira umuziki, no kumenya amajwi y'abo dukunda. None rero uyu munsi, reka tuvuge kuri aya magufwa mato atangaje (ossicles).
Izi osicles ni izihe?
Mu magambo make, amagufwa atatu mato ari mu gutwi kwawe ko hagati ni yo twita ossicles . Aya ni:
1. Malleus - Iyi nanone yitwa 'inyundo'.
2. Incus - Iyi nanone yitwa 'impongo'.
3. Stapes - Ibi byitwa gutyo kuko bifite ishusho nk' 'umurongo'.
Ibi bitatu bikorana nk'umunyururu. Niyo mpamvu ubu buryo bwitwa kandi Umunyururu wa Ossicular . Akazi kabo ka mbere ni ugufata imivuduko y'amajwi iza mu gutwi kwawe, ikayongera, hanyuma ikayohereza muri cochlea iri mu gutwi kwawe kw'imbere, ari naho hagaragara amajwi. Aho ngaho, iyo mivuduko ihinduka ibimenyetso by'amashanyarazi ubwonko bushobora gusobanukirwa.
Tekereza gato, iyo tudafite aya magufwa atatu mato mu gutwi kwawe, kumva kwacu kwagabanuka cyane, ndetse dushobora no kuyatakaza burundu. Ni yo mpamvu izi nshuti eshatu mato ari ingenzi mu kumva kwacu.
Ni gute neza neza uru ruhererekane rw'amagufwa rukora?
Ibi bimeze nk'isiganwa ryo gusiganwa ku maguru. Nk'uko umukinnyi umwe aha undi inkoni, aya magufwa atatu aha undi ijwi rihindagurika. Reka turebe uko iki gikorwa gikora.
1. Intambwe ya 1: Imiraba y'amajwi yinjira mu gutwi kwawe igakora ku ruhu rw'amatwi (tympanic membrane). Hanyuma uruhu rw'amatwi rutangira kunyeganyega, nk'uko uruhu rw'ingoma runyeganyega iyo uyikubise.
2. Intambwe ya 2: Igufwa rya malleus , cyangwa igufwa rya 'nyundo', rifitanye isano itaziguye n'igufwa ry'amatwi, rikira ukuzunguruka. Iyo igufwa ry'amatwi rizunguruka, igufwa rya malleus na ryo rizunguruka muri ubwo buryo.
3. Intambwe ya Gatatu: Inyamaswa yohereza ihungabana ihabwa n'inshuti yayo ikurikira, igufwa rya incus, cyangwa 'anvil'.
4. Intambwe ya Kane: Incus ifata iyo shock ikayishyira ku igufwa rya stapes, cyangwa 'umurongo', ari na ryo pfundo rya nyuma mu munyururu.
5. Intambwe ya nyuma: Igufwa rya stapes, rifata shock rihura naryo, rikanda ku idirishya ry’urukiramende, ahantu nk’aho umwobo w’inyuma ujya mu gutwi.
Iyo uku kunyeganyega kinjiye muri cochlea, uturemangingo tw’umusatsi duto n’utw’amazi bihagera birashishikarizwa kandi bigatanga ibimenyetso by’amashanyarazi. Ibi bimenyetso ni byo tuzi nk’ “amajwi” mu bwonko. Muri iki gikorwa, urusaku rw’amajwi rwongerwa uko runyura muri aya magufwa atatu. Niyo mpamvu dushobora kumva amajwi meza cyane.
Reka twige byinshi kuri aya magufwa atatu mato.
Reka dufate aya magufwa atatu tuyarebe ukwayo.
Malleus (Malleus - inyundo)
Iyi ni yo ossicle ya mbere kandi nini cyane. Yitwa kuko ifite ishusho nk'inyundo. Impera imwe yayo ifatanye n'umukufi w'amatwi. Kubwibyo, iyo umukufi w'amatwi ugenda, igufwa ryose rya malleus riragenda. Impera yindi yayo ifatanye n'igufwa rya incus.
Incus (Incus - Anvil)
Iyi ni yo ihuriro ryo hagati ry'umunyururu. Imeze nk'icyuma gikoreshwa n'umucuzi w'ibyuma. Ingufu zituruka kuri malleus zikubita kuri iyi. Ni nko gukubita icyuma gikoresheje inyundo. Uruhande rumwe rwa incus rufatanye na malleus, urundi ruhande rufatanye na stapes.
Stapes (Stapes - umurongo)
Uyu ni we ntwari ntoya cyane muri iyi nkuru. Igufwa rito cyane mu mubiri w'umuntu ni ryo rito cyane. Rifite uburebure n'ubugari bwa milimetero nke gusa. Rimeze nk'umurongo w'amaguru y'ifarashi iyo igenderaho. Uyu ni wo murimo w'ingenzi cyane wo gufata imitingito mu gice cy'imbere cy'ifarashi no kuyishyira mu gutwi imbere.
Ni izihe ndwara zikunze kwibasira aya magufwa?
Iyo hari ikibazo mu mikorere y'aya magufwa mato, imitingito y'amajwi ntigera mu gutwi neza. Kubura amatwi bikomoka kuri ibi byitwa gutakaza amatwi mu buryo butuma umuntu yumva neza . Reka turebe bimwe mu bibazo bigira ingaruka kuri aya magufwa hano hepfo.
| Ikibazo / imimerere | Mu magambo make, ni iki kibaho? |
|---|---|
| Ibitagenda neza mu gihe cy'amavuko | Ni gake cyane, hari abana bavuka rimwe muri aya magufwa ribuze, ritakura neza, cyangwa rigahuzwa hamwe. |
| Otosclerosis | Akenshi, igufwa rya stapes rihuzwa n'ingingo zikikije kandi ntirishobora kugenda neza, bigatuma gutigita kwandura. |
| Kolesteatoma | Muri iki kibazo, uturemangingo tw’uruhu twirundanya mu gutwi ko hagati nk’ikibyimba. Iki kibyimba gishobora kwangiza amagufwa no kubangamira ingendo zayo. |
| Indwara zo mu gutwi hagati zidashira | Kwandura indwara zo mu matwi kenshi bishobora gutera amazi kwirundanya no kubyimba mu gutwi ko hagati, bikabuza amagufwa kugenda. Iyo bitavuwe, bishobora kwangirika burundu. |
| Gucika k'umunyururu wa Ossicular | Gukomereka mu mutwe no gukubitwa bishobora gutuma imigozi iri muri uyu mugozi ivamo ikagenda. Hanyuma imitingito ntigenda. |
Ni gute wamenya ikibazo cy'amagufwa? (Ibimenyetso)
Niba amagufwa y'ugutwi yawe yafashwe n'indwara, ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso.
- Kubura amatwi cyangwa kubura amatwi mu buryo butunguranye: Amajwi asa n'aho ari kure, cyangwa ugutwi kumva nk'aho kwafunzwe.
- Gucuranga mu matwi: Urusaku rudashira mu gutwi.
- Kubabara mu matwi: Kumva ububabare mu gutwi.
- Amazi ameze nk'ibibyimba ava mu gutwi: Ibi bishobora kugaragara cyane cyane mu gihe cy'ubwandu.
- Kuzura ugutwi cyangwa igitutu: Kumva nk'aho ugutwi kwuzuye umwuka.
- Ibibazo byo kuringaniza: Hari igihe ibi bibazo bishobora no kugira ingaruka kuri sisitemu ya vestibular, ari nayo sisitemu igenzura kuringaniza mu gutwi, bigatera isereri.
Niba ufite kimwe muri ibi bimenyetso, ntukirengagize. Ni byiza kubonana na muganga wawe vuba bishoboka kandi ukabona inama.
Ni ubuhe bwoko bw'ibizamini muganga azakorera?
Iyo ugiye kwa muganga, azabaza ibimenyetso byawe kandi agusuzume ugutwi. Nibiba ngombwa, bashobora kukwohereza muri bimwe muri ibyo bipimo.
| Ikizamini | Ibi bikora iki? |
|---|---|
| Gupima amaso | Imbere mu gutwi hasuzumwa igikoresho cyihariye gikozwe mu rumuri kugira ngo harebwe niba hari ikibazo kiri ku gutwi kw'amatwi no hagati. |
| Ibizamini byo kumva | Dupima aho ushobora kumva amajwi ndetse niba ufite ikibazo cyo kutumva. |
| Ikizamini cya Tympanometry | Iki kizamini gifasha kureba niba ugutwi ko hagati kwuzuye amazi kandi niba igituza cy'amatwi kiri kugenda neza. |
| gupima CT (CT scan) | Ibi bifasha kumenya neza niba hari ibyangiritse, kuvunika, cyangwa gukura kudasanzwe ku magufwa cyangwa ku ngingo zikikije. |
Ni ubuhe buryo bwo kuvura izi ndwara?
Ubuvuzi buterwa n'ikibazo runaka ufite. Muganga wawe azagusuzuma maze aguhe uburyo bwiza bwo kuvura. Ubu ni bwo buryo busanzwe bwo kuvura bukoreshwa:
- Antibiyotike: Iyo ikibazo cyatewe n'ubwandu bwa bagiteri, izi zitangwa kugira ngo zikire.
- Ibikoresho bifasha kumva: Ibi bikoresho bigufasha kumva neza niba amatwi yawe yangiritse burundu.
- Kubagwa: Hari igihe kubagwa bishobora kuba ngombwa kugira ngo amagufwa asanwe, gukuraho imikurire idasanzwe, cyangwa gutera amagufwa y'ubukorano.
Ni gute wakomeza kugira amagara mazima aya magufwa y'agaciro?
Ikintu cyiza wakora kugira ngo urinde aya magufwa mato ni ugufata ingamba zo kwirinda indwara zo mu matwi no gushaka inama kwa muganga vuba bishoboka mu gihe ubonye impinduka mu matwi yawe.
- Amazi aramutse yinjiye mu gutwi kwawe, kuraho neza hanyuma ukomeze kume.
- Iyo urwaye ibicurane, bishobora gutera indwara zo mu matwi, bityo fata ubuvuzi bukwiye.
- Ambara ingofero zo kwirinda niba ukina siporo zishobora guteza akaga ku mutwe wawe.
- Niba ugize ikibazo cyo kutumva, ububabare, cyangwa urusaku mu matwi yawe, hita ubonana na muganga .
Indwara nyinshi zigira ingaruka kuri aya magufwa zishobora kuvurwa neza iyo zibonetse hakiri kare. Ariko, iyo kuvurwa bitinze, bishobora kwangiza igihe kirekire. Rero, ntukirengagize n'ikibazo gito.
Ubutumwa bwo kujyana mu rugo
- Amagufwa atatu mato cyane (ossicles) mu mubiri wawe aherereye mu gutwi ko hagati. Ayo ni Malleus, Incus, na Stapes.
- Uru ruhererekane rw'amagufwa ni ingenzi kugira ngo twumve amajwi. Atwara imivuduko y'amajwi mu gutwi.
- Indwara zo mu matwi, ibikomere byo mu mutwe, hamwe n’indwara zimwe na zimwe (nk’indwara zo mu mutwe) bishobora kwangiza aya magufwa.
- Niba ugize ibimenyetso nko kumva nabi, kubabara mu matwi, cyangwa gucurama mu matwi, ntubyirengagize kandi uhite ubonana na muganga wawe.
- Guhabwa ubuvuzi bukwiye hakiri kare bishobora gukiza ibibazo byinshi no gukumira kwangirika k'amatwi burundu.

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