Khawuthelekelele ukuba ungasiva isandi samehlo akho eqhwanyaza, ukuphefumla kwakho, okanye nentliziyo yakho ibetha kakhulu ezindlebeni zakho. Kwangaxeshanye, xa ukhohlela ngequbuliso, uthimla, okanye umntu ethetha kakhulu, intloko yakho iyajikeleza kwaye yonke into ekungqongileyo ivakala ngathi iyajikeleza. Ayisiyonto ingaqhelekanga kwaye yoyikisayo le? Abantu abaninzi, xa befumana izinto ezinje, bacinga ukuba ndim lo, abaziyo ngeengxaki ezinzulu. Kodwa le yimeko engaqhelekanga kakhulu, kodwa inokunyangeka. Namhlanje sithetha ngale meko ebizwa ngokuba yiSuperior Canal Dehiscence Syndrome (SCDS).
Ngamafutshane, yintoni i-SCDS?
Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula. Ngaphakathi ezindlebeni zethu, kukho iindawo ezibuthathaka nezibalulekileyo ezilawula ibhalansi yomzimba wethu. Ezi sizibiza ngokuba yinkqubo ye-vestibular. Cinga ngale ndlela: kukho iityhubhu ezintathu ezincinci ezizaliswe lulwelo kule nkqubo. Ezi zizinto esizibiza ngokuba zii-semicircular canal. Xa sishukumisa intloko yethu phezulu, ezantsi, okanye ukusuka kwelinye icala ukuya kwelinye, ulwelo olungaphakathi kwezi tyhubhu luhamba kuloo ndlela. Loo myalezo uya engqondweni yethu, kwaye singakwenza konke oku ngaphandle kokuwa, ukuma, ukuhamba, okanye ukubaleka.
Ngoku, enye yezi tyhubhu zintathu ibizwa ngokuba yi-superior semicircular canal . Ngokwesiqhelo, ithambo elijikeleze le tyhubhu kufuneka libe likhulu kwaye likhuselwe lukhakhayi.
Nangona kunjalo, kumntu one- Superior Canal Dehiscence Syndrome (SCDS) , umngxuma omncinci (dehiscence) unokuvela kweli thambo, okanye ithambo lisenokuba lincinci kakhulu ukususela ekuzalweni. Kulapho zonke iingxaki ezikhankanyiweyo apha ngasentla ziqala khona. Xa umjelo ungasebenzi kakuhle, imiyalezo yokulinganisela eya engqondweni iyaphazamiseka. Kwakhona, izandi eziqhelekileyo ezenziwa ngaphakathi emzimbeni (ezifana nokuphefumla kunye nokubetha kwentliziyo) ziqala ukuvakala ngqo endlebeni.
Ziziphi iimpawu ezinokubonakala kule meko?
Iimpawu ze-SCDS zinokwahluka kumntu nomntu. Abanye abantu banokuba nenye okanye ezimbini kwezi, ngelixa abanye banokuba nazo zonke. Makhe sijonge iimpawu eziphambili ezinokubonwa.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuva izandi zomzimba zangaphakathi | Isandi samehlo akho eqhwanyaza, isandi sokuphefumla kwakho, isandi sokuhlafuna ukutya kwakho, nelizwi lakho livakala ezindlebeni zakho xa uthetha. Abanye abantu bade beve isandi xa beshukumisa amehlo abo ngasemva nangaphambili. |
| I-Vertigo | Ukuziva ngathi ihlabathi liyakujikeleza, nangona umile ungashukumi. Oku kungenzeka ngequbuliso, ingakumbi xa wenza izinto ezinje ngokukhohlela, ukuthimla, ukuphakamisa into enzima, okanye ukuchukumisa impumlo yakho. |
| Uvakalelo oluphezulu kwizandi (Hyperacusis) | Kwanezandi ezincinci eziqhele ukungavakali kwabanye zinokuvakala kakhulu kwaye zicaphukisa. Kwanesandi sezitya ezihlanjwayo okanye iphepha elityumkileyo asinakunyamezeleka. |
| Utshintsho lombono (i-Oscillopsia) | Izinto ozijongileyo (umzekelo, umfanekiso oseludongeni) zibonakala ngathi ziyashukuma okanye ziyatsiba. Oku kunokwenzeka rhoqo xa usiva ingxolo enkulu. |
| Ukuva isandi endlebeni (i-Pulsatile Tinnitus) | Ukuva isandi esinesingqi ngaphakathi endlebeni yakho. Esi sandi sisingqi esifanayo neso sentliziyo yakho. |
| Ukulahlekelwa kukuva | Ukuva, ingakumbi izandi ezivakala kancinci, kunokuncipha. |
Izinto ezibangela iimpawu
Ngoku usenokuba uzibuza, "Ngaba esi sizunguzungu sihlala sisenzeka?" Uninzi lwexesha, asisoloko sisenzeka. Iimpawu ezifana nevertigo kunye notshintsho lombono (oscillopsia) zinokuvela ngequbuliso xa usenza izinto ezithile ezitshintsha uxinzelelo engqondweni okanye ezindlebeni zakho. Umzekelo:
- Xa ukhohlela
- Xa uthimla
- Xa uphakamisa ubunzima
- Xa uzilolonga
- Xa umamele ingoma enkulu okanye usiva ingxolo enkulu
- Xa ukrwela impumlo yakho kakhulu
Kutheni oku kusenzeka? Zithini izizathu?
Inyaniso kukuba, oogqirha abazi unobangela ochanekileyo woku, kodwa kukho izinto ezimbalwa abazikholelwayo.
1. Imeko yokuzalwa: Kwabanye abantu, eli thambo aliqini kakuhle ngexesha lokukhula komntwana ongekazalwa. Oku kuthetha ukuba xa bezalwa, eli thambo libhityile kakhulu.
2. Ukulimala entloko: Ukubetheka kakhulu entloko kungonakalisa eli thambo lincinci kwaye kubangele umngxuma.
3. Ukwaluphala: Ithambo elibhityileyo ukususela ekuzalweni liya lincipha ngakumbi njengoko ukhula, kwaye ngokuhamba kwexesha, kukho umngcipheko wokuba kubekho umngxuma.
4. Iintsholongwane: Kukho inkolelo yokuba ezinye izifo zendlebe zingonakalisa eli thambo.
Into ebalulekileyo kukuba, oku akulona ityala lakho. Olu lutshintsho oluncinci kwindlela umzimba osebenza ngayo.
Ezinye iingxaki ezinokuvela ngenxa yesi simo
Njengoko uqhubeka uphila nezi mpawu, ngamanye amaxesha kunokuvela ezinye iingxaki. Kubaluleke kakhulu ukuba uzazi ezi mpawu.
- Inkungu yobuchopho: Ukuziva udidekile, ukulahlekelwa yinkumbulo, kunye nobunzima bokugxila.
- Intloko ebuhlungu: Intloko ebuhlungu inokwenzeka rhoqo.
- Iingxaki zengqondo: Khawucinge nje, uyoyika ukuphuma nabahlobo okanye ukuya kwitheko kuba uziva unesizungu xa usiva ingxolo. Xa uzimele ngolu hlobo, kukho ithuba elikhulu lokukhula kwiimeko zengqondo ezifana noxinzelelo kunye nokudakumba .
Yingakho kubaluleke kakhulu ukubona ugqirha ukuba unale mpawu kwaye ungazityesheli. Akunyanzelekanga ukuba uyeke ukonwabela ubomi kuba nje une-SCDS.
Ugqirha uyibona njani le nto?
Xa uxelela ugqirha wakho ngezi mpawu, uza kukuthumela kwingcali yezifo zengqondo, ugqirha ogxile kwiindlebe, kwiimithambo-luvo, nakwingqondo. Emva kokuba ekuphulaphule ngononophelo malunga neempawu zakho, unokwenza uvavanyo oluthile ukuqinisekisa imeko.
| Uvavanyo | Yintoni le iyenzayo? |
|---|---|
| Iskena se-CT | Olu lolona vavanyo lubalulekileyo. Luthatha umfanekiso we-3D (3D) wamathambo angaphakathi endlebeni yakho. Lunokubona ngokucacileyo ukuba kukho umngxuma okanye ukuncitshiswa kwethambo kumjelo ongaphezulu we-semicircular. |
| Uvavanyo lokuva | Ingcali ye-audiologist iza kuvavanya ukuva kwakho. Abantu abane-SCDS banokuba nokukwazi okuncinci ukuva izandi ezivakala kancinci. |
| Uvavanyo lwe-VEMP | Olu luvavanyo olukhethekileyo kancinci. Apha, balinganisa indlela iindawo ezinxulumene nokulinganisela kwendlebe yakho yangaphakathi ezisabela ngayo kwizandi. Oku kunceda kakhulu ekuqinisekiseni ukuba kukho i-SCDS. |
Iphathwa njani?
Iindaba ezimnandi zezokuba kukho unyango loku. Unyango luxhomekeke kubukhali beempawu zakho. Ukuba iimpawu zakho azikho nzima kakhulu, zinokulawulwa ngokutshintsha indlela ophila ngayo kunye nokuzilolonga ngokulinganisela. Nangona kunjalo, ukuba iimpawu zakho zinzima kakhulu, utyando lunokufuneka.
Ukulawula iimpawu
Ngokwenza utshintsho oluncinci kubomi bakho bemihla ngemihla, unokunciphisa kakhulu ukuvela kweempawu.
- Ziphephe iindawo ezinengxolo: Nanini na xa kunokwenzeka, kuphephe ukuya kwiindawo ezinengxolo enkulu (iikonsathi zomculo, iindawo zokwakha). Ukuba kufuneka uye, sebenzisa ii-earplugs .
- Lawula ilizwi lakho: Ukuba uva ilizwi lakho liphezulu kakhulu, zama ukuthetha kancinci kancinci, phantse ngokuhlebeza.
- Yeka izinto ezonyusa uxinzelelo: Ziphephe izinto ezinjengokuphakamisa iintsimbi kunye nokuphakamisa impumlo yakho ngokuvakalayo.
- Ukuhamba ngenqwelo moya: Ukuhamba ngenqwelo moya kunokubangela iimpawu ngenxa yotshintsho kuxinzelelo lwendlebe. Ngoko ke thetha nogqirha wakho ngaphambi kokuba uhambe.
- Unyango Lomzimba Lwe-Vestibular: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba eqeqeshwe ngokukodwa iya kukufundisa imithambo ethile yokuphucula ibhalansi yakho, ukunciphisa isiyezi, kunye nokunciphisa ukuwa.
Utyando
Ukuba iimpawu zinzima kakhulu, ukuba awukwazi ukwenza imisebenzi yemihla ngemihla, kwaye ukuba umgangatho wobomi bakho uye waba mandundu kakhulu, ugqirha wakho unokucebisa utyando. Kukho iintlobo ezimbini eziphambili zotyando.
1. Ukuvala umngxuma:Olu lolona tyando luqhelekileyo. Apha, ugqirha udlula entlokweni okanye ngasemva kwendlebe aze avale ngokupheleleyo umngxuma osembhobhoni esebenzisa iqhekeza elincinci lethambo okanye izicubu zomzimba wakho.
2. Ukuphinda ufake umphezulu: Le ndlela ibandakanya ukuqinisa umngxuma ngokuwugquma ngomaleko endaweni yokuwugquma ngokupheleleyo. Le ndlela ayisetyenziswa rhoqo.
Ngamanye amaxesha oogqirha botyando bangazisebenzisa zombini ezi ndlela kunye. Emva kotyando, iimpawu zabantu abaninzi ziyanyamalala ngokupheleleyo okanye zinciphe kakhulu.
Yintoni onokuyilindela kwixesha elizayo ngale meko?
Abantu abaninzi banokuphila ubomi obuqhelekileyo emva kokufunda indlela yokulawula iimpawu zabo. Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba umngxuma osethanjeni awuyi kuphola ngokwawo. Ngokungafaniyo namanye amathambo emzimbeni wethu, ithambo lesikhumba alikwazi ukuzilungisa.
Kwanasemva kotyando, ezinye iimpawu zinokuphucuka ngokukhawuleza, ngelixa ezinye (ezifana neentloko ezibuhlungu kunye nenkungu yobuchopho) zingathatha ixesha ukuba ziphucuke. Ngoko ke, vula kugqirha wakho malunga neendlela onokukhetha kuzo kunye noko unokukulindela kutyando.
I-SCDS inokuba yimeko enzima ukuyifumanisa, njengoko iimpawu zifana nezezinye izifo eziqhelekileyo. Kodwa ungalahli ithemba. Wakuba ufunyaniswe ukuba unayo, uya kukhululeka kukwazi ukuba kukho iindlela ezininzi zonyango ezikhoyo.
Umyalezo Wokuya Ekhaya
- I-Superior Canal Dehiscence Syndrome (SCDS) yimeko engaqhelekanga ebangelwa ngumngxuma kwithambo elijikeleze ityhubhu yokulinganisela endlebeni engaphakathi.
- Iimpawu eziphambili kukuva ukuphefumla kwakho, ukuva ukubetha kwentliziyo yakho ngamandla, kunye nokuziva unesiyezi, ngokungathi uyakhohlela.
- Asikuko oku okubangela ingxaki yakho. Oku kunokubangelwa kukubhitya kwamathambo okuzalwa okanye ukwenzakala entloko.
- Le meko ingachongwa ngokuchanekileyo nge-CT scan.
- Abantu abaninzi banokuzilawula iimpawu zabo ngokutshintsha indlela abaphila ngayo kunye nonyango lomzimba. Ukuba iimpawu zinzima, utyando lunokuba yimpumelelo enkulu.
- Ukuba uneempawu ezinje, musa ukuzityeshela uze ubandezeleke wedwa, kodwa qiniseka ukuba ubonana nogqirha ukuze akunike icebiso.
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