Ese nawe uhora uhura n'isereri? Ese wumva urusaku rudasanzwe mu matwi yawe? Bishobora kuba ari indwara ya Superior Canal Dehiscence Syndrome (SCDS)!

Ese hari igihe wumva urusaku rw'ubuhumekero bwawe, urusaku rw'amaso yawe ruhuha, cyangwa urusaku rw'ijwi ryawe bwite rusakuza cyane mu matwi yawe iyo uvuga? Cyangwa uhita wumva uzungera nta mpamvu, cyangwa ibintu bikukikije bizunguruka nk'igitambaro cyo kuzunguruka? Ntugafate ibi nk'umunaniro w'umubiri gusa. Kuko ibi bishobora kuba ibimenyetso by'indwara idasanzwe ariko ishobora kuvurwa iyo ivuwe neza. Uyu munsi, turaganira kuri iyi ndwara yitwa `Superior Canal Dehiscence Syndrome`, cyangwa `(SCDS)` mu magambo ahinnye.

`Superior Canal Dehiscence Syndrome (SCDS)` ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, SCDS ni indwara idakunze kugaragara ifata ugutwi kwawe imbere . Ishobora kugira ingaruka ku kuringaniza no kumva kwawe. Tekereza ko mu gutwi kwawe, nk'akazu gato k'amatwi, hari imiyoboro itatu myiza cyane yuzuyemo amazi. Iyi yitwa imiyoboro y'amazi. Hagati y'iyi miyoboro, hejuru, iri hafi gato y'ubwonko, hari umuyoboro w'amazi uruta iyindi. Iyo twimuye imitwe yacu cyangwa twimuye imibiri yacu, amazi ari muri iyi miyoboro agendana nayo. Ingendo y'ayo mazi yohereza ibimenyetso ku bwonko bwacu ko "aho umubiri wacu uhagaze hahinduka." Ubwonko bukoresha aya makuru kugira ngo bugenzure kuringaniza kwacu. Noneho, ku bijyanye na `SCDS`, umwobo muto cyangwa agace gato cyane (gucikamo ibice) kagaragara mu igufwa ririnda rikikije umuyoboro hejuru (`umuyoboro w'amazi uruta iyindi`), ni ukuvuga muri urwo rukuta rukomeye. Ni nk'umwobo muto mu muyoboro w'amazi. Uyu mwobo ushobora guteza ibibazo bimwe na bimwe muri iyo sisitemu yo gutanga ibimenyetso. Nanone, amajwi asanzwe agaragara mu gutwi (urugero, urusaku rwo guhumeka, urusaku rwo guhumeka) ashobora kunyura muri uyu mwobo akagera mu bwonko, bigatuma asa n'aho ari menshi cyane, ndetse n'ibindi bibazo byo kumva bishobora kubaho. Iyi ndwara yitwa `SCDS` yitwa andi mazina menshi, ariko izina rikunze gukoreshwa cyane ni `SCDS`.

Iyi ndwara ya `SCDS` ikunze kugaragara gute?

Iyi ni indwara idasanzwe cyane . Bivugwa ko hagati ya 1% na 2% by'abaturage muri rusange bashobora kugira iyi ndwara. Hari abantu bashobora kugira iyi ndwara mu matwi yombi (`bilateral superior semicircular canal dehiscence`). Nyamara, nubwo bimeze bityo, ibimenyetso bikunze kugaragara cyane mu gutwi kumwe.

Ni ibihe bimenyetso umuntu ufite `SCDS` ashobora kugira?

Iki ni cyo kintu cy'ingenzi cyane. Si buri wese ufite ibimenyetso byose. Hari ubwo bishobora kugorana kubimenya neza. Ikindi kintu ni uko hari abantu bashobora kutagira ibimenyetso nubwo igufwa ryaba rito cyangwa rifite umwobo muto. Nanone, abantu badafite umwobo mu igufwa, ariko bafite umwobo muto, bashobora kugira ibimenyetso bimwe n'abafite umwobo. Ariko, iyo ibimenyetso bigaragaye, bishobora kugira ingaruka ku buzima bwawe bwa buri munsi. Ingaruka nyamukuru ni ukumva no kuringaniza . Ibi bishobora no gutera ihungabana ryo mu mutwe.

Ibibazo byo kumva:

• ` Autophony` : Ibi ni igihe wumva ijwi ryawe bwite, urusaku rwo guhumeka kwawe, urusaku rwo guhekenya ibiryo, ndetse rimwe na rimwe n'urusaku rw'amaso yawe ahumbya, cyane cyane mu matwi yawe. Bishobora kumvikana nk'aho ufite mikoro mu mutwe wawe.
• `Hyperacusis` (hyperacusis): Indwara aho wumva amajwi dusanzwe twumva asa n'ayakomeye cyane, ateye ishozi, ndetse rimwe na rimwe akababara . Ndetse n'ijwi rito rishobora kuba ritameze neza.
• Gutera hejuru kw'ijwi: Ijwi rivugira mu mutwe wawe cyangwa mu matwi rijyanye n'umutima wawe (pulse) .
• Gutakaza amatwi: Gutakaza amatwi bishobora kubaho, cyane cyane iyo umuntu atangiye kumva ibintu bike .

Ibibazo bifitanye isano n'uburinganire bw'umubiri:

• " Vertigo ": Kumva ko ibintu bikukikije birimo kuzunguruka, cyangwa ko uri kuzunguruka, ndetse n'igihe uhagaze. Ibi bishobora kuba ibintu bitoroshye kandi biteye ubwoba.
• `Oscillopsia` (guhindagurika kw'amashusho): Kumva ko ikintu ureba kirimo kugenda, kizamuka kandi kimanuka, cyangwa kizunguruka kuva ku ruhande rumwe kugera ku rundi, kabone n'iyo cyaba kidahagaze. Ni nk'aho kamera irimo kunyeganyezwa mu gihe cyo gufata videwo.

By’umwihariko, iyi ndwara ya 'Vertigo' (kuzungera) na 'Oscillopsia' (kuzunguruka kw'amaso) ishobora kwiyongera iyo ukora ibintu bihindura umuvuduko mu mutwe cyangwa mu gutwi (urugero, gukorora cyane, kwitsamura, guterura ibintu biremereye, koza amazi mu musarani, nibindi) ndetse no iyo uhuye n'urusaku rwinshi . Tekereza, ugiye guterura ikintu gito maze mu buryo butunguranye umutwe wawe ugatangira kuzunguruka!

Ingaruka ku buzima bwo mu mutwe:

Iyo ibimenyetso bikomeye nk'ibi bikomeje, bishobora no kugira ingaruka mbi ku buzima bwawe bwo mu mutwe.

• Umutwe .
• `Igihu cy'ubwonko`:Biragoye gutekereza neza, kandi wumva udafite ubwenge.
• Ibibazo byo kwibuka.

Iyo ugerageje kwirinda kuba mu muryango wawe no kuguma mu rugo kugira ngo wihunge ayo majwi ateye isoni n'izunguzungu, ibintu nk'irungu, imihangayiko, ndetse n'ihungabana bishobora kuvuka.

Kuki iyi 'SCDS' iba? Ni izihe mpamvu?

Mu by’ukuri, impamvu nyayo ya SCDS ntabwo iramenyekana. Ishobora kuba ari iyo kuvukana. Ni ukuvuga ko mu gihe cy’ubuzima bw’umwana uri mu nda, igufwa rikikije umuyoboro munini riba ridafite ubunini buhagije. Abandi bashakashatsi bavuga ko iyi ndwara ishobora guterwa n’indwara zimwe na zimwe cyangwa ibikomere byo mu mutwe . Birashoboka cyane ko hari impamvu nyinshi. Urugero, iyo uvutse, hari ahantu hato mu igufwa, hanyuma, indi mpanuka cyangwa ubwandu bishobora gutuma rirushaho kuba rito kandi umwobo ukaba wavuka. Cyangwa, igufwa rishobora kugenda rigabanuka buhoro buhoro uko ugenda usaza kandi iyi ndwara ikagenda ikura.

Ni gute SCDS ipimwa neza?

Niba ufite ibi bimenyetso, ikintu cya mbere ugomba gukora ni ukubonana na muganga wujuje ibisabwa. Hariho inzobere muri ibi bibazo. Ubusanzwe , ugomba kubonana na muganga w’indwara z’imitsi. Azakubaza ibimenyetso byawe, uko byatangiye, n’inshuro byarushijeho kuba bibi. Hanyuma azagutegeka ibizamini byinshi kugira ngo amenye izindi ndwara zisanzwe zifite ibimenyetso bisa na SCDS no kwemeza ko SCDS yanduye. Ibizamini by’ingenzi bikorwa ni ibi bikurikira:

• Gupima amagufwa akikije ugutwi hakoreshejwe CT scan (Computed Tomography scan): Iyi ni CT scan ifite ubushobozi bwo hejuru. Ishobora kwerekana neza niba hari umwobo cyangwa ubugari bw'igufwa rikikije umuyoboro w'amaraso ugororotse.
• Ikizamini cyo kumva: Ibi bikorwa n'umuhanga mu by'amatwi. Ibi bipima kumva kwawe, cyane cyane amajwi adakoresha imbaraga nyinshi.
• Ikizamini cya `VEMP` (Vestibular-Evoked Myogenic Potential): Iki kizamini gishobora gutanga amakuru ajyanye n'uburyo ibice bitandukanye by'imbere mu gutwi kwawe bigira uruhare mu kuringaniza imikorere. Iki ni ikizamini kidababaza. Icyo ugomba gukora ni ukureba ibumoso, iburyo, cyangwa hejuru mu gihe ureba ikintu runaka cyangwa wumva amajwi amwe n'amwe. Abantu bafite `SCDS` bashobora kubona uburyo runaka bwo gusubiza muri iki kizamini cya `VEMP`.

Ni ubuhe buryo bwo kuvura `SCDS`?

Ku bantu benshi, guhindura gato imibereho yaboUshobora kubaho n'iyi ndwara wirinda ibintu bigutera kuzungera no kuzungera (oscillopsia), urugero, wirinda ibikorwa bitera kuzungera no kumva ibintu bigenda (nk'ibiterura biremereye, kwitsamura cyangwa gukorora), no kwirinda ahantu harangwa urusaku. Hari abantu bakoresha utumashini two gupfuka amatwi cyangwa utumashini two gupfuka amatwi kugira ngo bagabanye urusaku bumva. Nanone, kubonana n'umuganga w'umubiri watojwe kuringaniza (umuganga w'umubiri w'ijisho) bishobora kugufasha gucunga ibimenyetso byawe. Bashobora kukwigisha imyitozo ngororamubiri kugira ngo wongere kuringaniza no kugabanya ibyago byo kugwa. Ariko, niba ibi bintu bidagenzura ibimenyetso, cyangwa niba ibimenyetso bigira ingaruka ku buzima bwawe, kubagwa bishobora kuba ngombwa kugira ngo upfuke cyangwa wongere ushyireho umwobo .

Kubaga `SCDS` (`kubaga SCDS`)

Hari ubwoko bwinshi bw'ingenzi bwo kubaga bukorerwa SCDS:

• Gufunga uburyo bwo gukuraho ububabare bw'igufwa - Uburyo bwo hagati bwo gufunga: Ibi bisaba gufunga burundu umwobo uri mu igufwa. Ibi bisaba gukata gato ku ruhande rw'agahanga kugira ngo ugere ku gutwi kw'imbere. Ubu buryo bwo kubaga busanzwe bukorwa n'inzobere mu gutwi , izuru, no mu muhogo (inzobere mu by'indwara zo mu bwonko ) hamwe n'inzobere mu kubaga ubwonko.
• Gufunga uburyo bwo gukuraho ubushyuhe bwa Transmastoid: Muri ubu buryo, ugutwi kw'imbere kugerwaho hakoreshejwe akantu gato inyuma y'ugutwi.
• Guhindura ubuso: Ibi bikubiyemo gupfuka umwobo nta kuwufunga burundu. Ibi ntabwo bikunze kubaho nko gufunga.

Hari igihe abaganga bashobora gukoresha uburyo bwa `plugging` na `resurfacing` mu gihe cyo kubaga.

Ni izihe ngorane zishobora guterwa no kubagwa?

Ingaruka zikomeye zo kugira ibibazo bikomeye nyuma yo kubagwa kwa SCDS ni nke cyane. Kimwe no kubagwa kose, hari ibyago bike byo kwandura. Hashobora kubaho ibibazo bike mu kuringaniza imiterere mu cyumweru cya mbere cyangwa nyuma yo kubagwa, uko umubiri umenyera imiterere mishya. Ariko, ibi bikunze kumera neza mu minsi mike.

Ese imiterere ya `SCDS` izagenda irushaho kuba myiza?

Oya. SCDS ntikira ubwayo idakorewe kubagwa. Bitandukanye n'andi magufwa yo mu mubiri wacu, igufwa rikikije umuyoboro w'amazi ugororotse ntirikira ryonyine. Uko wiga uburyo bwo kwifata mu gihe cy'ibimenyetso byawe, ushobora kubona uruhuko. Ariko, SCDS ntizashira burundu idahawe umuti.

Uburyo bwo kubaga bwa `SCDS` bwagenze neza bute?

Ibimenyetso by'abantu benshi biragabanuka cyangwa bigashira burundu iyo bakorewe `SCDS`.Ubushakashatsi bumwe bwagaragaje ko ibimenyetso bimwe na bimwe bigenda neza vuba nyuma yo kubagwa kurusha ibindi. Urugero, gutakaza ubushobozi bwo kumva, imodoka, ibyuma bicuramye, no kubabara mu mutwe bishobora kugenda neza vuba. Ariko, kuribwa umutwe no gushonga k'ubwonko bishobora gufata igihe kirekire kugira ngo bikorwe neza. Vugana na muganga wawe ku bisubizo byo kubagwa, bitewe n'ibimenyetso byawe n'ingano y'umwobo.

Ni gute nakwiyitaho mfite iyi ndwara?

Niba usanzwe urwaye SCDS, ni ngombwa gukurikiza amabwiriza ya muganga wawe. Kenshi na kenshi, ibimenyetso bishobora gukemurwa no guhindura imibereho yawe. Dore bimwe mu bintu ushobora gukora:

• Gukoresha utumashini two guterura amatwi .
• Irinde ahantu harangwa urusaku igihe cyose bishoboka.
• Niba ijwi ryawe rikubabaza, vuga witonze (`uvuga mu ijwi rituje`).
• Kwirinda ibikorwa bigira ingaruka ku buringanire, nko guterura ibiremereye.
• Kwirinda ibikorwa bishobora guhindura umuvuduko w'amatwi (urugero, ingendo zo mu kirere) uko bishoboka kose.
• Ku kazi, niba bishoboka, saba ahantu hatuje kandi hiherereye aho kuba ahantu hamwe .

Wibuke ko utari wenyine. Ni ibisanzwe kugira ibibazo by'amarangamutima iyo urwaye indwara nk'iyi. Niba bibaye ngombwa, ganira na muganga wawe kuri iyo ngingo.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Niba warafashwe na Superior Canal Dehiscence Syndrome (SCDS), ntugatinye. Abantu benshi bakemura ibimenyetso byabo bahindura imibereho yabo. Muganga wawe azakugira inama yo kugufasha kwirinda ko ibimenyetso bigira ingaruka ku buringanire bwawe cyangwa kumva birushaho kwiyongera. Mu bihe bimwe na bimwe, iyo ibimenyetso byawe bikomeye, kubagwa bishobora kuziba umwobo mu igufwa no kugabanya cyangwa gukuraho ibimenyetso. Vugana na muganga wawe uburyo bwiza bwo kuvura. Wibuke ko gusuzuma no kuvura neza bishobora kugufasha koroherwa.