Ingaba le yintlungu engaqhelekanga entanyeni nasebusweni bakho (Eagle Syndrome)? Masithethe ngayo!

Ngaba ngamanye amaxesha uziva intlungu engaqhelekanga, ecaphukisayo entanyeni, ebusweni, okanye emqaleni wakho? Awukwazi ukuqonda ukuba kwenzeka ntoni kanye kanye, kwaye wakha waziva njani ukuba le ntlungu iba mandundu xa uginya, uthetha, okanye ushukumisa intloko yakho ukusuka kwelinye icala ukuya kwelinye? Le yinto enokuba yinto ebaluleke kakhulu kuwe. Le meko siyibiza ngokuba yiEagle Syndrome . Nangona igama lisenokuvakala lingaqhelekanga, eneneni yimeko yezonyango.

Ngoko ke, yintoni i-Eagle Syndrome?

Ngamafutshane, iEagle Syndrome yimeko ebuhlungu ebangelwa kukwandiswa kwenkqubo yakho ye-styloid okanye ukuqina kwe -stylohyoid ligament , okwenza iqine kwaye ifane namathambo.

Khawuthelekelele, phantsi kwendlebe yakho nganye, kukho iqhekeza elincinci lethambo elibizwa ngokuba yinkqubo ye-styloid. Yiyo loo nto inkqubo ye-styloid iyiyo. Kukho iqhekeza lethishu elihamba ukusuka kweli thambo ukuya kwithambo le-hyoid elingaphambili entanyeni yakho elibizwa ngokuba yi-stylohyoid ligament . Le ligament idla ngokuba ne-elastic njenge-rubber band. Kodwa kubantu abane-Eagle syndrome, le ligament ngamanye amaxesha inokuba nkulu kakhulu kwaye iqine , njengethambo.

Uyaqonda ngoku? Kuxa eli thambo loluliweyo okanye i-ligament eqinisiweyo iqala ukucinezela imithambo-luvo okanye imithambo yegazi ehamba kuloo ndawo apho uqala ukuziva iimpawu.

Ixhaphake kangakanani le Eagle Syndrome?

Esi sisifo seentlungu esingaqhelekanga . Sichaphazela abantu abangaphantsi kwe -0.16% kuluntu ngokubanzi. Oko kungaphantsi komntu omnye kwiwaka.

Nangona kunjalo, malunga ne -4% yabemi, eli thambo libizwa ngokuba yinkqubo ye-styloid linokuba lide kunesiqhelo. Ngokomyinge, eli thambo limalunga ne-2.5 centimeters (ngaphantsi kancinci kune-intshi enye). Inkqubo ye-styloid ende yileyo ingaphezulu kune-3 centimeters (ngaphezulu kancinci kune-intshi enye). Nangona kunjalo, ayinguye wonke umntu onale thambo lide oza kuba neempawu ze-Eagle syndrome. Lincinci kakhulu ipesenti yabo eya kuva le ntlungu.

Ngaphezu koko, abafazi banamathuba aphindwe kathathu okufumana esi sifo kunamadoda. Sidla ngokuchongwa kubantu abakwiminyaka yabo yama-30 okanye engama-40.

Zithini iimpawu zeEagle Syndrome?

Iimpawu zixhomekeke ekubeni zeziphi imithambo-luvo kunye nemithambo yegazi ecinezelwa yinkqubo yakho ye-styloid okanye i-stylohyoid ligament.

Ezi ziimpawu ezinokubonwa ngokubanzi:

• Intlungu ebusweni, entanyeni, okanye emqaleni . Le ntlungu inokuba mandundu xa usitya, ukhamisa, uthetha, okanye ujika intloko.
• Imvakalelo yokuba kukho into ebambeke emqaleni . Isenokuvakala ngathi kukho inaliti okanye ibhola encinci ebambeke kuyo.
• Ubunzima bokuginya ukutya (dysphagia) .
• Ukuva isandi esivakala ezindlebeni (i-tinnitus) . Kuvakala ngathi sisandi "esivakalayo".
• Intloko ebuhlungu .
• Isiyezi .

Abantu abaninzi abane-Eagle syndrome banokuba nenkqubo ende ye-styloid kumacala omabini entloko. Nangona kunjalo, ngokumangalisayo, uninzi luva iintlungu kwicala elinye kuphela .

Injani intlungu ye-Eagle syndrome?

Kwabanye abantu, le ntlungu inokufana nentlungu yesifo semithambo-luvo esibizwa ngokuba yi -glossopharyngeal neuralgia . Ukuba i-glossopharyngeal nerve , umthambo omkhulu osentanyeni yakho, ucinezelwe yinkqubo ye-styloid, unokufumana intlungu ebukhali, efana neyombane kwiitoni zakho okanye ngasemva kolwimi lwakho. Le ntlungu ngamanye amaxesha inokuphumela endlebeni yakho.

Abanye bachaza intlungu yemithambo-luvo ehambisana ne-Eagle syndrome njengentlungu ephindaphindayo, ebukhali, engathandekiyo, nebetha kancinci kancinci .

Yintoni ebangela i-Eagle Syndrome?

Njengoko besikhe sathetha ngaphambili, iimpawu zenzeka xa inkqubo ye-styloid ende okanye ithambo eliqinileyo elibizwa ngokuba yi-stylohyoid ligament licinezela imithambo-luvo ebuthathaka okanye imithambo yegazi entlokweni nasentanyeni yakho. Nangona kunjalo, kusekho izimvo ezahlukeneyo phakathi kweengcali malunga nokuba kutheni eli thambo likhula okanye i-ligament ikhula.

Ngo-1937, uGqr. Watt Eagle, owathiya esi sifo, wacebisa ukuba ngamanye amaxesha emva kokususwa kwethonsi, i-stylohyoid ligament iyaqina , oko kukuthi, iyaqina njengethambo.

Ezinye izizathu ezinokubakho ziquka:

• Iintsholongwane ezithile.
• Ukulimala entanyeni.
• Iiligamenti zilahlekelwa bubuthambile njengoko sikhula.

Ziziphi iingxaki ezinokubakho ze-Eagle Syndrome?

Nangona oku kunqabile kakhulu, ngamanye amaxesha le nkqubo inde ye-styloid inokucinezela imithambo yegazi emikhulu, njengemithambo yakho ye-carotid . Imithambo ye-carotid yimithambo yegazi ephambili ehambisa igazi engqondweni yakho.

Ukuba oku kuyenzeka, ungaziva iintlungu phantsi kwamehlo akho. Okanye, ungafumana iimpawu ezifana nohlaselo lwe-ischemic oludlulayo (TIA) , i-mini-stroke, okanye i -full-blown stroke . Ezi ziquka:

• Ukuba ndindisholo kwelinye icala lobuso (hemiparesis) .
• Isiyezi .
• Umbono ofipheleyo .
• Ukulahlekelwa yingqondo okanye ukuquleka (i-syncope).
• Utshintsho kwintetho (njengamagama adibanayo) .

Kubalulekile: Kwi-Eagle syndrome, ezi mpawu zihlala zisenzeka ngamaxesha athile. Oko kukuthi, ziyanyamalala emva kwexesha elithile. Nangona kunjalo, ngamanye amaxesha zinokubonisa imeko yempilo embi kakhulu (umzekelo, ukunqunyulwa okanye ukwenzakala kumthambo).

Ukuba uneempawu zestroke, yiya esibhedlele esikufutshane okanye utsalele umnxeba i-ambulensi yongxamiseko ngokukhawuleza. Asinto yokulibazisa le!

Ifunyanwa njani iEagle Syndrome?

Ugqirha wakho uza kuqala athathe imbali epheleleyo yezonyango (njengotyando lwentloko okanye intamo okanye iingozi zangaphambili) aze emva koko enze uvavanyo lomzimba .

Ngamanye amaxesha, ugqirha unokuziva le nkqubo inde ngokungaqhelekanga ye-styloid xa eva intamo yakho. Okanye, banokuziva ngaphakathi emlonyeni wakho, apho kukho iitoni zakho, baze babuze ukuba uziva na iintlungu apho.

Nangona kunjalo, ukuze kufunyaniswe ngokuchanekileyo le nkqubo ingaqhelekanga ye-styloid okanye i-stylohyoid ligament , kufuneka kwenziwe uvavanyo olukhethekileyo lwemifanekiso . Olu luquka:

• I-CT scan (i-Computed Tomography - i-CT scan) : Oku kusebenzisa uthotho lwee-X-rays ukuthatha imifanekiso yenkqubo yakho ye-styloid kunye ne-stylohyoid ligament. Le mifanekiso idityaniswe ukwenza umfanekiso onemilinganiselo emithathu (3D), ukuze ugqirha wakho abone ngokucacileyo ukuba inkqubo yakho ye-styloid yoluliwe.
• I-CT Angiogram (i-Computed Tomography Angiogram - i-CT angiogram) : Lo ngumfanekiso we-X-ray wemithambo yegazi. Ugqirha wakho unokuyalela olu vavanyo ukuba ukrokrela ukuba inkqubo yakho ye-styloid okanye i-ligament icinezela imithambo yegazi, njenge-carotid artery yakho.

Ziziphi ezinye iimeko ezinokuphambaniswa ne-Eagle Syndrome?

Kubaluleke kakhulu ukuthintela ezinye iimeko ezibangela iimpawu ezifana nezo ze-Eagle syndrome. Ugqirha wakho unokuyalela uvavanyo ukuze athintele ezi meko:

• Iimeko zokudumba kwentloko nentamo : umzekelo , i-sinusitis , i-tonsillitis , i-insertion tendinitis .
• Iingxaki ze-Temporomandibular joint (TMJ) : Ezi ziingxaki zejoint yomhlathi.
• I-glossopharyngeal neuralgia .
• Isifo seentlungu ze-Myofascial .
• Umhlaza wentloko nentamo .
• Intloko ebuhlungu ye-Migraine .
• Iingxaki zamazinyo .

Iphathwa njani iEagle Syndrome?

Ugqirha wakho unokukunika amayeza okulawula iintlungu. Okanye, banokucebisa utyando lokunciphisa inkqubo yakho ye-styloid (i-styloidectomy) . Unyango luxhomekeke ekubeni iimpawu zakho zinzima kangakanani na nokuba ungumntu ofanelekileyo na otyando.

Amayeza asetyenziswa kunyango ngala:

• Iipilisi zokunciphisa iintlungu (i-analgesics) .
• Amayeza okudakumba : La asetyenziselwa iintlungu zemithambo-luvo.
• Iinaliti ze-steroid : Nciphisa ukudumba kunye nokudumba.
• Iinaliti zeLidocaine : ukunciphisa iintlungu okwethutyana.
• Amayeza Angalwiyo Nee-steroidal Alwa Nokuvuvukala (ii-NSAID) angasetyenziswa ngomyalelo kagqirha okanye ngaphandle kwawo .

Utyando (i-Styloidectomy):

I-Eagle syndrome inokunyangeka ngokupheleleyo ngotyando lokulungisa inkqubo yakho ye-styloid. Ugqirha angenza olu tyando ngenye yeendlela ezimbini:

1. Indlela yokuvula umlomo/i-Transoral : Kule ndlela, ugqirha ufikelela kwinkqubo ye-styloid ngaphakathi emlonyeni wakho. Inzuzo yale ndlela kukuba akukho silonda sangaphandle . Nangona kunjalo, kunzima kancinci ukuba ugqirha afikelele kuyo ngokufanelekileyo kunangezinye iindlela.

2. Indlela yokuhlinzwa ngaphandle komlomo/ekutshintsheni kwesibeleko : Kule ndlela, ugqirha wenza umngxuma omncinci entanyeni yakho ukuze afikelele kwinkqubo ye-styloid. Nangona le ndlela ivumela ugqirha ukuba afikelele ngqo kwizicubu, utyando luthatha ixesha elide kwaye lushiye isilonda emva koko .

Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe ngokusekelwe kwisifo sakho.

Zithini iingxaki zotyando lwe-styloidectomy?

Naluphi na utyando lunomngcipheko othile. Ukonakala kwezicwili ngexesha lotyando kunokukhokelela kwiingozi kunye nosulelo lomphimbo onzulu. Oku kunokuba yingozi kakhulu ukuba akunyangwa.

Ukubona ugqirha onamava otyando lwentloko nentamo kunokunciphisa umngcipheko wezi ngxaki.

Lingakanani izinga lokuchacha kwe-Eagle Syndrome?

Izinga lokuchacha lihle kakhulu . Malunga nama-80% abantu abenze i-styloidectomy bafumana ukukhululeka ngokupheleleyo kweempawu . Kubantu abaninzi, iintlungu kunye nokungonwabi kunokulawulwa ngamayeza okunciphisa iintlungu athengiswa ngaphandle kwemvume kagqirha kunye namayeza kagqirha.

Kwenzeka ntoni ukuba i-Eagle Syndrome ayinyangwa?

Ukuba awunyangwa, ungaqhubeka uneempawu. Le ayisiyongxaki eza kuphola ngokwayo.

Nangona kunjalo, kubalulekile ukukhumbula oku. Ukuba nje inkqubo yakho ye-styloid ityebile ngenxa ye-calcium deposits, okanye inde, akuthethi ukuba une-Eagle syndrome. Kwakhona, abanye abantu abaneenkqubo ze-styloid ezinde kunye neempawu ze-Eagle syndrome banokwenza utyando, kodwa iimpawu zabo zisenokungaphucuki.

Yingakho kubaluleke kakhulu ukubona ugqirha onamava ekuxilongeni nasekulawuleni le meko . Kuba ngamanye amaxesha kunokuba nzima ukufumanisa ukuba ngubani oza kuzuza ngotyando. Ugqirha wakho uza kukunika iingcebiso ngeendlela zonyango ezikulungeleyo.

Ngaba i-Eagle Syndrome ingathintelwa?

Akukho nto unokuyenza ukuthintela i-Eagle syndrome ukuba ingenzeki. Nangona kunjalo, utyando lokususa inkqubo ye-styloid lunokuphelisa ngokupheleleyo iimpawu zakho .

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Yintoni enokubangela ukuba inkqubo yam ye-styloid inde?
• Ingaba inkqubo yam ye-styloid icinezela imithambo-luvo emikhulu okanye imithambo yegazi?
• Ziziphi iimpawu endinokuzilindela kwi-nerve ecinezelekileyo?
• Ngaba ndiza kufuna utyando, okanye ndingayinyanga ngamayeza?
• Ukuba utyando, lwenziwa njani?

Kwi-Eagle syndrome, nokuba ziisentimitha ezimbalwa ezongezelelweyo zezicubu ezijiyileyo zinokubangela ukuba uzive iintlungu ezininzi kangangokuba kunzima ukujika intloko okanye ukutshintsha ubuso bakho. Kodwa iindaba ezimnandi zezokuba ukuphila neempawu ze-Eagle syndrome akufuneki kube yinto eqhelekileyo kuwe. I-Eagle syndrome yimeko enokunyangeka. Ugqirha wakho uya kukunika iingcebiso malunga nokuba ufuna amayeza okanye utyando.

Umyalezo Wokuya Ekhaya

Ngoko ke, ukuba unentlungu engapheliyo, engachazekiyo entanyeni, ebusweni, okanye emqaleni, ubunzima bokuginya, okanye uvakalelwa ngathi kukho into ebambeke emqaleni, musa ukuyityeshela nje. Isenokuba yiEagle Syndrome.

Nangona esi sisifo esingaqhelekanga, sinokunyangeka ngokupheleleyo ukuba sifunyenwe kwaye sinyangwa ngokufanelekileyo . Musa ukoyika, kodwa ukuba uneempawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze akunike icebiso. Ngamanye amaxesha amayeza alula anokunceda ekunciphiseni iintlungu, okanye utyando oluncinci lunokukunceda uphile ngokupheleleyo. Eyona nto ibalulekileyo kukwazi unobangela ochanekileyo wentlungu yakho kwaye ufumane unyango olufanelekileyo.

Isifo sokhozi, iintlungu zentamo, iintlungu zobuso, iintlungu zomqala, inkqubo ye-styloid, i-stylohyoid ligament, ubunzima bokuginya