Ngaba uziva iingxolo ezingaqhelekanga ezindlebeni zakho, isiyezi, njl.njl.? Oku kusenokuba yi-(Perilymphatic Fistula)!

Ngaba ngamanye amaxesha ukhe uzive ngathi kukho into egcweleyo okanye evalekileyo endlebeni yakho? Ngaba unengxaki yeempawu ezifana nokulahlekelwa kukuva ngequbuliso, ukuva emva kwexesha elithile, isiyezi, okanye isicaphucaphu? Ukuba uvakalelwa kukuba ezi ntlungu ziyanda ngakumbi xa uhleka, uthimla, ukhohlela, okanye uphakamisa into enzima, kubaluleke kakhulu ukuba uqaphele le meko sithetha ngayo namhlanje ebizwa ngokuba yi-`(Perilymphatic Fistula)`. Musa ukoyika, masithethe ngale nto ngokulula.

Yintoni le `(Perilymphatic Fistula)`? Masiyiqonde ngokulula!

Ngamafutshane, iPerilymphatic Fistula ngumngxuma okanye ukukrazuka kwi-membrane encinci, ngamanye amaxesha ebizwa ngokuba yi-"membrane," phakathi kwendlebe ephakathi nendlebe yangaphakathi.

Khawuthelekelele, indlebe ephakathi izaliswe ngumoya. Kodwa inxalenye engaphakathi izaliswe lulwelo olukhethekileyo olubizwa ngokuba yi-'(perilymph).' La macandelo mabini ahlulwe lulwelo oluncinci olusebenza njengodonga. Ngoku, kwenzeka ntoni ukuba loo lwelo lonakele ngandlela ithile kwaye kwabakho umngxuma kulo? Ulwelo lwe-'(perilymph)' olukwindlebe engaphakathi luqala ukuvuza ngomngxuma luye kwindlebe ephakathi. Oku kuvuza kolwelo kubangela utshintsho kuxinzelelo ngaphakathi kwendlebe. Ezo nguqu zoxinzelelo zezona zibangela ukuba ulinganisele iingxaki kunye neengxaki zokuva. Uyaqonda?

Ngubani onokuthi achaphazeleke kakhulu yile meko (i-Perilymphatic Fistula)?

Enyanisweni, le meko ibizwa ngokuba yi-`(Perilymphatic Fistula)` inokukhula nangaliphi na ixesha. Ngamanye amaxesha, le meko inokubakho nakwiintsana ezincinci xa zizalwa. Ngoko ke, kulungile ukuqaphela oku nokuba mdala kangakanani na.

Zithini iimpawu ze-`(Perilymphatic Fistula)`? Jonga ukuba nawe unazo ezi...

Umntu one-`(Perilymphatic Fistula)` unokufumana iimpawu ezahlukeneyo. Abanye abantu banokuba nazo zonke ezi mpawu, ngelixa abanye banokuba nenye okanye ezimbini kuphela. Jonga ukuba ezi mpawu zivakala ziqhelekile na kuwe:

• Ukulahlekelwa kukuva ngequbuliso .
• Ukulahlekelwa kukuva okufikayo nokudlulayo – oko kukuthi, ngamanye amaxesha uva kakuhle, kwaye ngamanye amaxesha uzive ngathi awukwazi kuva kakhulu.
• Ukuziva ugcwele endlebeni .
• Isiyezi .
• Ukuziva ngathi izinto ziyajikeleza (`Vertigo`) – Oku akusiyonto nje ejikelezayo, kunokuvakala ngathi igumbi ngokwalo liyajikeleza.
• Ukugula ngentshukumo .
• Isicaphucaphu .
• Ukulahlekelwa yinkumbulo – Oku kunokuvakala kungaqhelekanga, kodwa abanye abantu banokuhlangabezana nale mpawu.
• Ukulahlekelwa yibhalansi, ukungakwazi ukuma kakuhle (iingxaki zebhalansi).
• Intloko ebuhlungu(Intloko ebuhlungu).
• I-Tinnitus - isandi esivakala ezindlebeni zakho - Oku kunokuvakala ngokwahlukileyo, njengesandi "esikhalayo" okanye isandi "esikhalayo".

Ixesha elininzi, le meko (i-Perilymphatic Fistula) ichaphazela indlebe enye kuphela. Nangona kunjalo, kunqabile kakhulu, ukuba ichaphazele zombini iindlebe ngaxeshanye.

Eyona nto ibalulekileyo kukuba umntu one-"Perilymphatic Fistula" angaziva ukuba ezi mpawu ziyanda xa ehleka, ethimla, ekhohlela, evuthela impumlo yakhe, okanye ephakamisa into enzima okanye enyuka intaba (umzekelo, xa enyuka intaba okanye ekhwele inqwelo moya) .

Kutheni le nto `(Perilymphatic Fistula)` isenzeka? Zithini izizathu?

Kukho izinto ezininzi ezinokubangela le meko. Makhe sijonge ukuba zeziphi:

• Ukulimala entloko – Ukuba intloko ibetha into ethile, njengokubetha kakhulu.
• Ukulimala kwendlebe – Ukuba kukho into ebambekayo endlebeni okanye ngaphakathi kwendlebe yonakele.
• I-Barotrauma – Olu lutshintsho olukhulu ngequbuliso kuxinzelelo lomoya. Umzekelo:
• Ngethuba ndihamba ngenqwelomoya.
• Ngethuba ndintywila emanzini.
• Xa udiniwe kakhulu uze uphakamise umthwalo onzima.
• Uxinzelelo lokuzala umntwana.
• I-eardrum ebhobokileyo .
• Ukuva isandi esikhulu ngequbuliso kufutshane nendlebe – umzekelo, ukudubula kwesibhamu okanye isandi see-firecrackers eziqhumayo.
• Usulelo lwendlebe oluhlala lukho .
• Ukufutha impumlo yakho ngamandla amakhulu.

Ngamanye amaxesha, i-"Perilymphatic Fistula" inokuvela ngaphandle kwesizathu esicacileyo. Nangona kunjalo, uninzi lwexesha, ibangelwa kukwenzakala okuncinci okwenzeke kwixesha elidlulileyo kwaye kungakhange kubangele naziphi na iimpawu ezinkulu ngelo xesha, kodwa kamva kuvela ngale ndlela.

Uyixilonga njani le meko ibizwa ngokuba yi-"Perilymphatic Fistula"? (Ukuxilongwa)

Iimpawu ze-`(Perilymphatic Fistula)` zifana kakhulu neempawu zezinye izifo ezenzeka ngaphakathi kwendlebe. Umzekelo, iimpawu zezifo ezifana ne-`(Meniere's disease)`, `(vestibular neuritis)` kunye ne-`(labyrinthitis)` nazo zinokufana.

Kungoko ke, ugqirha wakho kuya kufuneka aqale aqinisekise ukuba awunazo ezinye zezi meko. Usenokwenza uthotho lovavanyo ukuze afumanise oku. Ezinye zazo ziquka:

• Uvavanyo lokuva .
• Uvavanyo lwebhalansi .
• I-Electrocochleography – Le ilinganisa uxinzelelo lolwelo olukwindlebe yakho yangaphakathi.
• Uvavanyo lwe-Perilymphatic fistula(`Uvavanyo lwe-Perilymphatic fistula`) – Oku kuquka ukufaka uxinzelelo oluthile kumjelo wendlebe yakho nokujonga indlela amehlo akho ahamba ngayo ngelo xesha.

Ukongeza kwezi mvavanyo, ugqirha wakho angasebenzisa iimvavanyo ezizodwa zokubona imifanekiso ukuqinisekisa ukuxilongwa. Iindidi zeskeni ezisetyenziselwa ukubona i-perilymphatic fistula zezi:

• I-CT scan – Oku kungathatha umfanekiso we-X-ray onemilinganiselo emithathu (3D) yezakhiwo ezingaphakathi emzimbeni wakho.
• I-MRI scan (`MRI`) – Oku kusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukuthatha imifanekiso yangaphakathi lomzimba.

Kwezinye iimeko, zombini ii-MRI kunye ne-CT scans zingasetyenziswa kunye ukuxilonga i-perilymphatic fistula.

Inyangwa njani i-`(Perilymphatic Fistula)`?

Kukho iindlela ezahlukeneyo zokunyanga le meko. Ugqirha wakho uya kumisela unyango olufanelekileyo ngokusekwe kubukhali bemeko yakho.

1. Ukuphumla ebhedini

Unyango lokuqala lwe-perilymphatic fistula ludla ngokunciphisa umsebenzi kwaye ufumane ukuphumla okwaneleyo. Ugqirha wakho angakuxelela ukuba ulale ebhedini iveki okanye ezimbini. Ukuba iimpawu zakho ziyaphucuka, angacebisa ukuba uphumle ngakumbi ide ingxaki isonjululwe ngokupheleleyo.

Ngeli xesha, ugqirha ukwacebisa ngezinto ezifana nokulala intloko yakho iphakanyisiwe kancinci, ukuphakamisa iintsimbi, kunye nokuthimla umlomo wakho uvulekile.

2. Iinaliti zegazi

Olu lunyango olutsha. Lubandakanya ukufaka igazi lakho elincinci endlebeni yakho ephakathi. Oku kunceda i-membrane eyonakeleyo ukuba iphinde ivele. Iingcali zisaphanda ngale ndlela yokufaka i-blood patch. Kodwa iziphumo ukuza kuthi ga ngoku zithembisa kakhulu!

3. Utyando

Ukuba unyango oluqhelekileyo, olufana nokuphumla, aluncedi, ugqirha wakho unokucebisa utyando. Oku kubandakanya ukuphakamisa i-eardrum yakho ngononophelo kunye nokutshintsha i-membrane eyonakeleyo ngee-grafts zezicubu ezivela kwenye indawo emzimbeni wakho.

Nangona kunjalo, olu tyando alufanelekanga kuye wonke umntu. Ngoko ke, kufuneka uxoxe ngeengozi kunye nemida yolu nyango nogqirha wakho ngaphambi kokuba wenze isigqibo.

Kuthatha ixesha elingakanani ukuphiliswa emva kotyando lwePerilymphatic Fistula?

Nangona uninzi lwabantu lubuyele esiqhelweni kwiintsuku ezimbalwa emva kotyando, kungathatha iiveki ezininzi ukuba baphile ngokupheleleyo. Ngeli xesha, kubaluleke kakhulu ukulandela yonke imiyalelo kagqirha wakho ngononophelo.

Ngokwesiqhelo, kuya kufuneka ulale intloko yakho iphakanyisiwe kancinci.Kwakhona, unokufuna ukuphepha imisebenzi enokubangela uxinzelelo ezindlebeni zakho, njengokuntywila elwandle okanye ukuphakamisa iintsimbi, okwethutyana.

Ngaba singayithintela le meko ukuba ingenzeki?

Nangona kungenakwenzeka ukuyithintela ngokupheleleyo le meko, kukho izinto esinokuzenza ukunciphisa umngcipheko wokuba yenzeke. Umzekelo:

• Xa usiya kwiindawo ezinengxolo enkulu, ungasebenzisa into efana ne-'earplugs' ukukhusela iindlebe zakho .
• Nxiba ii-earplugs ezihluziweyo xa uhamba ngenqwelomoya. Oku kunokunceda ukulinganisela uxinzelelo ezindlebeni zakho.
• Ukuba uneengxaki zendlebe ezihlala zikho, buza ugqirha wakho ukuba ungenza ntoni ukuze uzithintele.

Yintoni onokuyilindela ukuba une-`(Perilymphatic Fistula)`?

Ukuba uneempawu ezifana neengxaki zokulinganisela okanye isiyezi, kunokufuneka wenze utshintsho oluncinci kwindlela yakho yemihla ngemihla. Umzekelo, ukuba iimpawu zakho ziya zisiba mandundu xa uhamba, cela omnye umntu ukuba akuncede ngemisebenzi efana nokuya evenkileni. Kufuneka uqaphele ukuba ungazivumeli iimeko apho unokulahlekelwa yibhalansi yakho uze uwe. Ungakhathazeki, ezi zinto zezokwexeshana.

Ngaba i-Perilymphatic Fistula inganyangeka ngokupheleleyo?

Ewe, kunokwenzeka! Amanye amatyala e-`(Perilymphatic Fistula)` aya kuphola ngokwawo ngokuphumla ngokufanelekileyo. Nangona kunjalo, kwezinye iimeko, unokufuna ukwenza inaliti okanye utyando lwe-`(blood patch)`. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naluphi na utshintsho kwindlela ova ngayo okanye ubonakalisa iimpawu ezintsha (umz., isiyezi, ukukhala ezindlebeni), bona ugqirha ngokukhawuleza. Kwakhona, ukuba unezifo ezixhaphakileyo zendlebe, buza ugqirha wakho ukuba ungenza ntoni ukunciphisa umngcipheko wokuba ne-perilymphatic fistula.

Umyalezo Wokugqibela Wokuya Ekhaya

Le meko, ebizwa ngokuba yi-"Perilymphatic Fistula", inokubangela iimpawu ezininzi eziphazamisayo ezinokuchaphazela ubomi bakho bemihla ngemihla. Kodwa ungakhathazeki, kukho unyango loku.

Ukuba ugqirha wakho uyaqinisekisa ukuba unale meko, uya kukuxelela rhoqo ukuba uqale ulale ngokwaneleyo ebhedini. Ukwenza njalo kunokunceda i-fistula iphilise yodwa. Ukuba ulale yodwa akwanelanga, unokufuna inaliti "yegazi" okanye utyando.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Emva koko ungaphila ngokukhawuleza. Ukumamela umzimba wakho nokufuna iingcebiso zonyango ngokukhawuleza ukuba ubona nantoni na engaqhelekanga yeyona ndlela ilungileyo yokuphila ubomi obusempilweni.

i- perilymphatic fistula, isifo sendlebe, ukulahlekelwa kukuva, isiyezi, i-vertigo, i-tinnitus, indlebe ephakathi, indlebe yangaphakathi