Uri kutora mushonga wechirwere chakakomba here? Wakangoerekana watanga kunzwa kurira munzeve dzako paunenge uchitora mushonga wakadaro, kana kuti wakatanga kunzwa dzungu uye kusagadzikana paunenge uchifamba? Tinowanzo funga kuti izvi zvinokonzerwa nechirwere. Asi dzimwe nguva, mushonga wauri kutora unogona kunge uri iwo unokonzera. Ndizvo zvatinodaidza kuti Ototoxicity mukurapa. Usazvidya mwoyo, ngatitaurei nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Ototoxicity?
Kana ukanzwa izwi rekuti ototoxicity, rinogona kuita sedambudziko guru. Asi zvarinoreva zviri nyore.
Oto zvinoreva nzeve, uye chepfu zvinoreva chepfu. Nemamwe mashoko, tinozviti ototoxicity
kana mimwe mishonga ikakuvadza nzeve dzako . Zvakafanana "nekuchetura nzeve." Nzeve yedu yemukati ine masero ekunzwa akapfava anotibatsira kunzwa nekudzora kuenzana kwedu. Mimwe mishonga, kunyanya kana ikatorwa muhuwandu hwakawanda, inogona kukuvadza masero aya ekunzwa. Apa ndipo paunotanga kurasikirwa nekunzwa kwako, kunzwa manzwi akasiyana munzeve dzako (tinnitus), uye kunzwa kusagadzikana.
Chinhu chakanaka ndechekuti kana chirwere ichi chikaonekwa nekukurumidza , chinogona kugadziriswa kana mushonga unochikonzera wamiswa kana kuchinjwa. Zvisinei, kana chikaonekwa chave kunonoka, nzeve inogona kukuvara zvachose.
Ndeapi mishonga nemakemikari zvinogona kukonzera ototoxicity?
Parizvino, mishonga inopfuura mazana maviri ine chepfu yakawanikwa. Mizhinji yacho inoshandiswa kurapa zvirwere zvakakomba zvakaita sekenza, hutachiona hwakakomba, uye chirwere chemwoyo. Kunyange zvazvo mishonga iyi ichikosha pakuponesa hupenyu, zvakakosha kuziva migumisiro yayo inogona kuitika. Tafura iri pazasi inoratidza mishonga mikuru nemakemikari zvinokonzera njodzi iyi.
| Rudzi rweMushonga/Makemikari | Mienzaniso nezvinyorwa |
|---|
| Asipirini | Kunwa mishonga yakawanda kwenguva yakareba kunogona kukonzera kurasikirwa nekunzwa uye kurira munzeve (tinnitus). |
| Mishonga ine quinine | Mishonga yakawanda yemalaria yakaita seChloroquine neQuinidine inogona kukanganisa kunzwa uye kugadzikana kwenguva pfupi. |
| Kuderedza Mushonga weLoop Diuretics | Mishonga yakaita seFurosemide neTorsemide, inoshandiswa kubvisa mvura mumuviri, inowanzova nemigumisiro yenguva pfupi. |
| Mishonga Inorwisa Mabhakitiriya yeAminoglycoside | Aya maantibiotic ane simba akaita seGentamicin, Amikacin, Kanamycin, ayo anopiwa pazvirwere zvakakomba zvebhakitiriya. Ndicho chikonzero chikuru chekukuvadza ganda. |
| Mishonga yekurwisa kenza | Mishonga yekurapa nemakemikari yakaita seCisplatin neCarboplatin inogonawo kukuvadza masero anonzwa munzeve uku ichiuraya masero ekenza. |
| Makemikoro Ezvakatipoteredza | Kusangana nezvinhu zvakaita semercury, lead, uye carbon monoxide kunogonawo kukonzera kukuvara kwekunzwa zvachose. |
Ndiani ari panjodzi huru?
Haasi munhu wese anotora mushonga uyu achava nechirwere che ototoxicity, asi vamwe vanhu vari panjodzi huru.
- Kutora mishonga inopfuura imwe chete inokuvadza muviri panguva imwe chete: Semuenzaniso, njodzi yacho yakakura zvikuru kana uchitora mushonga we "loop diuretic" pamwe chete nemushonga we "aminoglycoside antibiotic" .
- Vanhu vane matambudziko eitsvo : Mishonga iyi inobviswa mumuviri neitsvo. Kana itsvo dzisiri kushanda zvakanaka, mushonga unogara mumuviri kwenguva yakareba, zvichiwedzera njodzi yekukuvara kwenzeve .
- Chipimo chemushonga uye nguva yemushonga : Njodzi inowedzera sezvo chiyero chemushonga chichiwedzera uye nguva yekurapwa ichiwedzera.
Kana uchifanira kutora mushonga unoponesa hupenyu wakadai,
taura nachiremba wako nezvengozi yekukuvadza muviri usati watanga kurapwa.Ndezvipi zviratidzo zve ototoxicity?
Zviratidzo izvi zvinogona kutanga kamwe kamwe, kana kuti zvinogona kuwedzera zvishoma nezvishoma nekufamba kwenguva.
Zviratidzo zvekutanga
- Kurira kwezwi: Ichi ndicho chiratidzo chekutanga chinoonekwa nevanhu vazhinji. Ruzha rwusingaperi munzeve, rwakadai sekuti "kurira..." kana "kurira."
- Kurasikirwa nekunzwa zvishoma: Kunzwa sekunge mashoko haasi kunzwika zvakajeka panguva yekukurukurirana kwakajairika.
Zviratidzo zvinoitika kana chirwere chacho chakanyanya kuipa
- Kusagadzikana : Kunzwa kusagadzikana paunenge uchifamba, sekunge hauna kugadzikana.
- Vertigo : Kunzwa kuti iwe kana nzvimbo yako iri kutenderera.
- Oscillopsia: Kuona kusina kujeka kana kunzwa sekusvetuka-svetuka paunenge uchizunza musoro.
- Kuzara munzeve: Kunzwa sekunge nzeve izere nemhepo.
- Kuoma kwekufamba: Kuoma kwekufamba murima, kufamba wakapatsanurana makumbo kuti urambe wakadzikama.
- Musoro uye kuneta zvakanyanya.
Hunhu hwezviratidzo izvi hunosiyana zvichienderana nekuti kukuvara kuri panzeve imwe chete here kana kuti dzese dziri mbiri, uye kuti kukuvara kwacho kwakakurumidza sei.
Ungaziva sei chirwere ichi?
Kana uine chimwe chezviratidzo zvataurwa pamusoro apa, taura nachiremba wako nezvemishonga yauri kutora. Angangokutumira kuna chiremba wezvekunzwa nekudzikamisa muviri, kana
chiremba wezvekunzwa . Vachakuitira bvunzo kuti vasimbise chirwere chacho.
- Kuyedzwa kweAudiometric: Kuedza mazinga emafungu eruzha aunonzwa neausinganzwe.
- Bvunzo reAuditory Brainstem Response (ABR): Rinotarisa kana zviratidzo zvinobva munzeve yemukati zvichienda kuuropi zviri kushanda nemazvo.
- Kuongororwa kweOtoacoustic Emissions (OAE): Kunoongorora mashandiro emasero epfungwa ari munzeve yemukati. (Iyi bvunzo yeABR neOAE inonyanya kushandiswa kuongorora matambudziko ekunzwa muvana vadiki.)
- Kuyedzwa kwekuenzanisa: Kuyedzwa uku kunoyera kuenzana kwemuviri wako nekuyera zvinhu zvakaita sekufamba kwemaziso (Electronystagmogram) uye kugona kwako kumira panzvimbo dzakasiyana (Posturography).
Inorapwa sei?
Kurapa kwakanakisa ndekumisa mushonga unokuvadza kana kushandisa mumwe mushonga,
sezvakarairwa nachiremba wako . Kazhinji, zviratidzo zvinodzoka.
Chinonyanya kukosha: Usamborega kutora mushonga wako kana kuchinja mushonga usati watanga wabvunza chiremba wako, sezvo mushonga wacho ungave wakakosha muhupenyu hwako.
Zvisinei, kana mushonga wacho usingakwanise kumiswa kana kuti kana nzeve yako yakuvara zvachose, kune mishonga inogona kukubatsira kugadzirisa matambudziko acho. 1.
Zvishandiso Zvinobatsira Kunzwa: Zvishandiso izvi, zvinogona kupfekwa mukati kana kunze kwenzeve, zvinokubatsira kunzwa ruzha rwakakupoteredza zviri nani. 2.
Cochlear Implants: Zvishandiso izvi zvinoiswa muvanhu vane kurasikirwa kukuru kwekunzwa kwakanyanya zvekuti havakwanise kubatsirwa nezvishandiso zvinobatsira kunzwa. 3.
Balance Therapy / Vestibular Rehabilitation: Izvi zvakafanana ne physiotherapy yekuenzanisa. Nyanzvi ye physiotherapist inokudzidzisa maekisesaizi akasiyana-siyana kuti uvandudze chimiro chako, kufamba, uye kubatana.
Mharidzo Yekuenda Nayo Kumba
- Kukuvadza kwemasero munzeve kunokonzerwa nemishonga yakasiyana-siyana inokuvadza masero akapfava ari mukati menzeve.
- Kana ukanzwa kurira munzeve (tinnitus) kana dzungu paunenge uchitora mishonga yakasimba yezvirwere zvakaita sekenza kana hutachiona hwakakomba, zivisa chiremba wako nekukasika.
- Dzivisa kurega kushandisa mushonga wako kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba chero chikonzero chipi zvacho.
- Kuonekwa kwechirwere ichi nekukurumidza kunogona kudzivirira kukuvara kwekunzwa zvachose kana matambudziko ekuenzanisa.
- Kana uchifungidzira kuti chepfu yakakonzerwa nekusangana nekemikari iri munharaunda, tsvaga rubatsiro rwechiremba nekukasika. Kana zvichidikanwa, rumwe ruzivo runogona kuwanikwa kubva kuNational Poisons Information Centre kuColombo National Hospital .
Kukuvara kwemuviri, kurasikirwa nekunzwa, migumisiro yemishonga, tinnitus, dzungu, kurasikirwa nekunzwa, migumisiro yemishonga, cisplatin, aminoglycoside, kurira munzeve
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga