Pane chiri kuita sechisina kunaka here munzeve yako? Chinogona kunge chiri dambudziko neEustachian Tube yako! (Kusashanda zvakanaka kweEustachian Tube)

Dzimwe nguva unonzwa sekuti chimwe chinhu chakanamira munzeve dzako, kana kuti nzeve dzako dzinonzwa kurema, kana kuti unonzwa ruzha rwekurira munzeve dzako here? Pamwe paunokwira gomo, kana paunobhururuka nendege, nzeve dzako dzinonzwa sekuti "dzadzingwa." Izvi hazvisi zvinhu zvisina kurongeka chete. Pamwe chikonzero cheizvi chimwe chinhu chisina kunaka nechubhu yako yeEustachian. Tinofanira kutaura nezvazvo zvakadzama nhasi, sekunge tiri kutaura neshamwari?

Chii chinonzi Eustachian tube? Inoshanda sei?

Zvakanaka, ngatitangei tatarisa kuti chii chinonzi chubhu yeEustachian. Zvichitaurwa zviri nyore, yakaita sechubhu diki. Tose tine chubhu iyi munzeve dzese. Chubhu iyi inobatanidza nzeve yedu yepakati (chikamu chiri mukati meyevu) nekumashure kwehuro. Funga nezvazvo, paunokwira gomo kana kubhururuka mundege, unonzwa kumanikidzwa munzeve dzako kuchichinja. Panguva iyoyo, chubhu iyi yeEustachian inobatsira kuchengetedza kumanikidzwa mukati mezeve dzedu nekumanikidzwa kwemhepo kunze kwenzeve zvakaenzana. Kwete izvozvo chete, asi chubhu iyi diki inobatsirawo kubvisa mvura isingadiwe uye madzihwa dzimwe nguva anoungana munzeve yepakati.

Zvino, kusashanda zvakanaka kwechubhu yeEustachian, kana sezvatinodaidza nenyanzvi dzezvekurapa , Eustachian Tube Dysfunction (ETD) , ndipo apo machubhu aya asingavhurike kana kuvhara zvakanaka. Chii chinoitika ipapo? Machubhu aya anogona kuvharika, sepombi yemvura yakavharika. Ndipo panotanga matambudziko enzeve ataurwa pamusoro apa. Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, chinowanzoitika kuvana vadiki . Nekuti machubhu avo eEustachian mapfupi uye ane angle yakasiyana. Muvanhu vakuru, vanhu vanosvika 1% vanonzi vane ETD.

Ndeapi marudzi makuru ekusashanda zvakanaka kwechubhu yeEustachian (ETD)?

Kune mhando nhatu huru dzeETD, imwe neimwe ine musiyano mudiki.

• Kusashanda zvakanaka kweEustachian Tube: Apa ndipo panogara chubhu yako yeEustachian yakavhurika . Zvakaita semusuwo wakavhurika nguva dzose. Izvi zvinoita kuti ruzha rufambe kubva mumhino dzako kuenda munzeve dzako, uye inzwi rako rinogona kunzwika zvakasiyana. Zvingaita sekunge uri kunzwa izwi rako richirira munzeve dzako paunotaura (autophony), kana kuti unganzwa ruzha rwekufema kwako munzeve dzako.
• Kusashanda zvakanaka kweEustachian Tube: Apa ndipo apo chubhu yeEustachian isingavhurike zvakanaka. Kureva kuti, haivhurike panguva yainofanira kuvhurika. Izvi zvinogona kukonzera kuti mvura iungane munzeve yepakati, zvichikonzera kurwadziwa kwenzeve, kumanikidzwa, kana kunzwa kuremerwa. Vanhu vazhinji vane rudzi urwu rweETD.
• Kusashanda zvakanaka kweEustachian Tube kunokonzerwa neBaro-challenge:Muchiitiko ichi, chubhu yeEustachian haivhurike zvakanaka. Zvisinei, kurwadziwa kwenzeve nekumanikidzwa kunoitika chete kana ukaenda kunzvimbo yakakwirira (sekukwira gomo), kubhururuka mundege, kana kuona shanduko mukukwirira kana kumanikidzwa kwemhepo , sepakunyura mumvura. Dzimwe nguva, ungave usina dambudziko.

Unewo zviratidzo izvi here? (Zviratidzo zveETD)

Chiratidzo chinowanzoitika cheETD kurasikirwa nekunzwa zvishoma, kunzwa sekunge uri pasi pemvura, kana kunzwa kuzara munzeve . Pamusoro peizvi, panogona kunge paine zvimwe zviratidzo zvakawanda. Ona kana izvi zvichinzwika sekunge zvakajairika kwauri:

• Kunzwa kuzara uye kurema munzeve.
• Kunzwa ruzha rwekuti 'kudzvanya' kana 'kubuda' munzeve (kunyanya kana uchimedza chimwe chinhu kana kuvhura muromo).
• Kunzwa dzungu kana kusagadzikana (Dzungu, Vertigo).
• Kurwadziwa kwenzeve - Dzimwe nguva kurwadziwa kunogona kuva kwakanyanya.
• Tinnitus ruzha runogara ruchinzwika munzeve, rwakafanana nekurira kwekurira.
• Dzimwe nguva kurasikirwa nekunzwa kwakakosha.

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kuti uzvidye mwoyo.

Sei matambudziko eEustachian tube (ETD) achiitika? (Zvikonzero)

Kazhinji, chikonzero chematambudziko nechubhu yeEustachian kuzvimba (kuzvimba) muchubhu. Pane zvikonzero zvakawanda zvinogona kukonzera kuzvimba uku:

• Kurwara: Vamwe vanhu vane allergy nezvinhu zvakaita seguruva, mukume, nezvimwe zvekudya. Izvi zvinogona kukonzera mhino dzakavharika uye kuzvimba kwemachubhu eEustachian.
• Kurwara kweacid reflux (GERD) kunokonzerwa nechirwere chegastritis chisingaperi: Muchirwere ichi, acid yemudumbu inogona kudzokera muhuro, zvichikonzera kuzvimba uye kurwadziwa kwakakomberedza maburi echubhu yeEustachian.
• Zvirwere zvemavhairasi zvakaita sedzihwa nefuruu.
• Furuwenza nezvimwe zvirwere zvekufema.
• Utachiona hweSinus (Sinusitis).

Pamusoro pezvo, zviratidzo zveEustachian tube zvinogonawo kuwedzera kana uri mundege, munzvimbo ine makomo, kana paunenge uchinyura mumvura. Izvi zvinonzi barotrauma . Fungidzira, paunongoerekana wakwira, nzeve dzako dzinonzwa sekunge dziri 'kunyangarika' nekuda kweizvi. Zvakare, vanhu vane deviated septum, nasal polyps, uye zvirwere zvekuzvarwa nazvo zvakaita secleft palate vari panjodzi huru yekuwana matambudziko eEustachian tube. Vanosvuta vari panjodzi huruwo.

Chii chichaitika kana izvi zvikasateererwa? (Matambudziko eETD)

Kazhinji, izvi hazvina njodzi. Zvisinei, mune dzimwe nguva, kana zvikasarapwa, matambudziko eEustachian tube anogona kukonzera zvirwere zvakakomba. Semuenzaniso, kuungana kwemvura munzeve yepakati , zvichikonzera hutachiona hwepakati kwenzeve (otitis media).Zvinogonawo kukonzera kurasikirwa nekunzwa zvachose, kubhoboka kwenzeve kana kudhonzwa, uye kukuvara kwemapfupa eardrum yepakati kwenzeve. Dzimwe nguva, chirwere chinonzi cholesteatoma , chiri kukura kusingawanzoitiki kwemasero eganda mukati mezeve, chinogona kuitika. Ndosaka zvichikosha kuona chiremba kana zviratidzo zvako zvikatora mavhiki anopfuura maviri.

Yeuka: Kunyangwe zvichiita sezvidiki, hazvina kunaka kuregeredza matambudziko enzeve. Kurapwa nenguva kunogona kudzivirira matambudziko makuru.

Chiremba anoona sei izvi? (Kuongororwa)

Paunoenda kunoona chiremba, anotanga akubvunza nezvezviratidzo zvako. Mave nenguva yakareba sei muine matambudziko aya, anowedzera riini, uye kana muine zvimwe zvirwere. Zvadaro achaita bvunzo yemuviri. Achaongorora nzeve dzenyu, dumbu renzeve, mhino, uye kumashure kwehuro yenyu achishandisa chinhu chakakosha chinonzi otoscope.

Dzimwe nguva, mimwe miedzo yakaita seiyi inogona kuitwa kusimbisa:

• Tympanometry: Iyi bvunzo isingarwadzi inoyera kuti nzeve yako yepakati iri kushanda zvakanaka sei, kuti dhumhu rako renzeve riri kufamba sei, uye kana paine mvura munzeve yako yepakati. Izvi zvinoitwa nekuisa kudzvanya kudiki munzeve yako.
• Kuyedzwa kwekunzwa / Audiometry: Kuyedzwa uku kunogona kuona nemazvo kana uine kurasikirwa nekunzwa, kana zvakadaro, rudzii rwekunzwa, uye kusvika papi.
• Unogonawo kuitiswa endoscopy yemhino kuti uongorore mhino yako nehuro. Izvi zvinosanganisira kupinza chubhu ine kamera diki mumhino yako kuti utarise mukati.

Ndeapi marapirwo eizvi? (ETD Treatment)

Mashoko akanaka ndeekuti nyaya zhinji dzeETD dzinopera pasina kurapwa kwakananga, mukati memazuva mashoma kana vhiki imwe kana maviri . Saka mishonga haidiwi nguva dzose. Zvisinei, kana zviratidzo zvako zvikagara kwenguva inopfuura mavhiki maviri, kana kana zviratidzo zvako zvakanyanya, kurapwa kunogona kudiwa.

Rudzi rwekurapwa kwaunowana runoenderana nechikonzero chechirwere (semuenzaniso, allergy kana hutachiona), kuoma kwechirwere, uye hutano hwako hwese.

Mishonga Yepamba

Dzimwe nguva, kana riri dambudziko diki, unogona kuwana zororo nezvinhu zviri nyore zvaunogona kuita kumba, zvakaita se:

• Kutsenga chingamu.
• Kushama.
• Kumedza kakawanda.
• Edza kushandisa nzira yeValsalva . Izvi zvinosanganisira kuvhara muromo wako, kudzvanya mhino yako neruoko rwako, uye kuedza kuburitsa mweya wako. Zvakafanana nekuedza kubvisa mhino yako yakavharika. Asi usaite izvi kana uine dzihwa rakaipa kana mhino yako ichiyerera, sezvo izvi zvinogona kukonzera kuti utachiona hupararire kusvika pakati penzeve yako. Zvakanaka kubvunza chiremba usati waita izvi.
• Mushonga wesaline nasal spray, unowanikwa ku pharmacy, unogona kushandiswa kubvisa tsinga dzemhino.Kushandisa imwe. Izvi zvinoderedza kuoma kwemhino uye zvinobatsira kubvisa madzihwa nezvimwe zvinhu.
• Kushandisa mudziyo wakakosha (wakaita seOtovent®) kubatsira "kuvhura" nzeve. Izvi zvinogona kushandiswa mushure mekubvunza chiremba.

Kana uchifunga kuti mwana wako ane dambudziko iri, mupe mushonga wekunyaradza kana bhodhoro. Kusvuta kunogona kubatsira kuderedza kudzipwa.

Mishonga

Kana matambudziko ako eEustachian tube achikonzerwa neallergies, mimwe mishonga inotengeswa kunze kwechitoro chemishonga (OTC) inogona kubatsira. Semuenzaniso:

• Mhando dzemishonga inorwisa mabhakitiriya (semuenzaniso `cetirizine`, `loratadine`, `diphenhydramine`).
• Mapiritsi emumhino (semuenzaniso, fluticasone (Flonase®), mometasone (Nasonex®). Aya anonyanya kushandiswa achitungamirirwa nachiremba.
• Kana paine kurwadziwa, tora mishonga inoderedza marwadzo (semuenzaniso acetaminophen kana ibuprofen).

Zvisinei, kana ETD ichikonzerwa nehutachiona hwebhakitiriya (senge hutachiona hwenzeve yepakati), chiremba wako anogona kukupa mishonga inorwisa mabhakitiriya . Vanogonawo kukupa mishonga yecorticosteroid muchimiro chemapiritsi kana maspray ekuderedza kuzvimba.

Zvakakosha kubvunza chiremba usati washandisa mishonga inobvisa kudzimbira (semuenzaniso pseudoephedrine (Sudafed®) kana phenylephrine). Kunyange zvazvo mishonga iyi inogona kuderedza kuvharika kwemhino kwenguva pfupi, dzimwe nguva inogona kuwedzera ETD, kana kukonzera migumisiro yakaipa kana ikashandiswa kwenguva refu.

Pamwe kuvhiyiwa kunodiwa? (Kuvhiyiwa)

ETD inogara kwemwedzi yakati wandei uye isingavandudzike nemishonga uye mishonga yekumba inogona kuda kuvhiyiwa. Chinangwa chekurapa uku ndechekudzivirira mhepo kuti isapinde munzeve yepakati nepachubhu yeEustachian, kugadzirisa matambudziko ekufema, uye kubvisa mvura. Izvi zvinogona kubatsira kuderedza matambudziko ekunzwa nezvimwe zviratidzo. Sarudzo dzekuvhiya dzeETD dzinosanganisira:

• Kuvhiyiwa kweMyringotomy: Izvi zvinosanganisira chiremba anovhiya achicheka dumbu diki diki kwenzeve yako uye achibvisa mvura kubva munzeve yako yepakati (kusvuta). Muvanhu vakuru, kucheka uku kunowanzosiyiwa kwakavhurika kusvika kuzvimba kuri mumachubhu eEustachian kwadzikira.
• Machubhu enzeve / Magrommets / Machubhu ekufema: Dzimwe nguva, vanachiremba vanoisa machubhu madiki (machubhu enzeve) mumachekwa aya panguva imwe chete nemyringotomy. Machubhu aya anopa mhepo munzeve yepakati uye anodzivirira mvura kuti isaungane kwemwedzi mitanhatu kusvika pagore, kana kutopfuura. Kazhinji, machubhu aya anodonha ega nekufamba kwenguva, uye dhumhu renzeve rinopora.
• Eustachian tuboplasty (kana kuti Eustachian tube balloon dilation): Iyi inzira itsva. Inosanganisira kushandisa bharumu kuwedzera chubhu yako yeEustachian yakavharika. Chiremba anoisa endoscope ( chubhu ine kamera diki) nemhino yako uye, achishandisa zvishandiso zvakakosha, anopinza bharumu nepaburi remhino yako muchubhu yako yeEustachian. Bharumu rinozofefeterwa kwemaminetsi angangoita maviri, rozobudazve mvura yobviswa. Izvi zvinovhura chubhu kubva mukati, zvichiita kuti mweya ufambe zvakanaka.

Ndichakurumidza sei kupora mushure mekurapwa?

Zvinoenderana nerudzi rwekurapwa kwaunowana. Zvinowanzo tora mavhiki matatu kusvika mana kuti unyatsopora kubva pakuvhiyiwa kwemyringotomy. Vanhu vakambovhiyiwa eustachian tuboplasty vanowanzo nzwa zororo guru kubva kuzviratidzo zvavo mukati menguva pfupi, kazhinji maawa makumi maviri nemana.

Kana wakaisirwa machubhu ear tubes eETD, anowanzogara mukati kwemwedzi iri pakati pe6 ne18. Mushure meizvozvo, anodonha ega.

Hapana nzira yekudzivirira mamiriro ezvinhu aya zvachose here? (Kudzivirira)

Zvingasakwanisika kudzivirira ETD zvachose, sezvo zvimwe zvikonzero (semuenzaniso, dzihwa) zvichitiomera kudzora. Zvisinei, pane zvinhu zvakati wandei zvaunogona kuita kuderedza njodzi yako. Semuenzaniso:

• Pfeka ma "filter" ear plugs kuti uderedze kumanikidzwa kwemunzeve dzako (nzeve dzendege) paunenge uri mundege. Uyewo, chega chingamu, inwa mvura, uye tambanudza makumbo ako paunenge uchikwira nekuburuka mundege.
• Dzivisa nzvimbo dzinotonhora zvakanyanya kana dzinopisa zvakanyanya sezvinobvira, sezvo izvi zvinogona kuwedzera matambudziko ekudya.
• Inwa mvura yakawanda zuva rese kuti utetepese hurwa hwemhino nepahuro.
• Kana uine allergies, bvunza chiremba kuti akubatsire kuidzora. Dzivisa zvinhu zvinokonzera allergies zvakanyanya sezvinobvira.
• Kana uchisvuta, dzivisa kusvuta uye dzivisa kufema utsi hwefodya hwevamwe vanhu.

Izvi zvine njodzi here? Chii chinozoitika? (Outlook)

Mashoko akanaka ndeekuti ETD kazhinji haina njodzi uye inowanzopera yega . Zvisinei, zviratidzo zvine chekuita nayo zvinogona kunetsa zvikuru uye zvinogona kukanganisa mabasa ezuva nezuva. Saka, zvakanaka kutaura nachiremba wako nezvekuti ungagadzirisa sei dambudziko iri.

Matambudziko eEustachian tube anowanzova nani mukati mevhiki imwe kana maviri. Zvisinei, vanhu vane ETD isingaperi vanogona kuva nezviratidzo kwemavhiki, mwedzi, kana kunyange makore. Ava ndivo vanhu vanoda kurapwa kwakakosha.

Unofanira kuona chiremba rini?

Kana uine kurwadziwa kwakanyanya nekuda kwedambudziko reEustachian tube, kana uine mvura kana kuti urwadziwa zvichibuda munzeve yako, kana uine fivha, kana uine zviratidzoKana zvapfuura mavhiki maviri uye kurapwa kumba kusiri kubatsira, unofanira kuona chiremba kuti akupe mazano. Zvakanaka kuona chiremba nekukurumidza, kunyanya kana mwana mudiki aine zviratidzo izvi.

Mibvunzo inokosha yekubvunza chiremba wako

Kana uchifunga kuti une dambudziko reEustachian tube defect (ETD), zvingabatsira kubvunza chiremba wako mimwe mibvunzo yakaita seiyi:

• Chii chakanyanya kukonzera kuti ndive nechirwere ichi cheETD?
• Pane zvimwe zvandinogona kuita kumba here nekuda kweizvi?
• Ndingaitei kuti ndideredze njodzi yangu yekubatwa nechirwere cheETD?
• Ndichada mishonga inorwisa mabhakitiriya here kana mimwe mishonga yakanyorerwa nachiremba? Kana zvakadaro, ndichatora mishonga iyi kwenguva yakareba sei?
• Ndingaitei kuti ndideredze kusagadzikana uku uye ndinzwe ndakasununguka zvishoma?
• Mamiriro ezvinhu aya angaitika zvakare here? Chii chinofanira kuitwa kudzivirira izvi?
• Ndichada chimwe chinhu chakaita sekuvhiyiwa here?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Eustachian Tube Dysfunction (ETD) kazhinji haisi njodzi . Inowanzo pera yoga . Zvisinei, kana ikasarapwa, dzimwe nguva inogona kutungamira kumatambudziko akakomba akadai sekurasikirwa nekunzwa, kurira munzeve (tinnitus), hutachiona hwenzeve dzepakati, kana kukuvara zvachose kwerumu rwenzeve nedzepakati. Saka, kana zviratidzo zvako zvikasavandudzika mushure mevhiki imwe kana mbiri, kana kana zvakanyanya, unofanira kuona chiremba . Iye anogona kuona chikonzero chechirwere chako uye kukurudzira kurapwa kwakakodzera kwauri. Ibasa rako kutarisira nzeve dzako!

` Eustachian tube, ETD, kurwadziwa kwenzeve, kurasikirwa nekunzwa, tinnitus, nzeve yepakati, dumbu renzeve