Ngaba nawe ukhe ube nesiyezi rhoqo? Ngaba ukhe uve iingxolo ezingaqhelekanga ezindlebeni zakho? Isenokuba yiSuperior Canal Dehiscence Syndrome (SCDS)!

Ngaba ngamanye amaxesha uyasiva isandi sokuphefumla kwakho, isandi samehlo akho eqhwanyaza, okanye isandi selizwi lakho sivakala kakhulu ezindlebeni zakho xa uthetha? Okanye ngaba ngequbuliso uziva unesiyezi ngaphandle kwesizathu, okanye izinto ezikungqongileyo zijikeleza njengengubo ejikelezayo? Musa ukuyithatha nje le nto njengokudinwa komzimba. Kuba ezi zinokuba ziimpawu zesifo esingaqhelekanga kodwa esinokunyangwa ukuba sichongiwe ngokuchanekileyo. Namhlanje, siza kuthetha ngesi sifo sibizwa ngokuba yi-'Superior Canal Dehiscence Syndrome', okanye `(SCDS)` ngamafutshane.

Yintoni i-'Superior Canal Dehiscence Syndrome (SCDS)'? Masiyiqonde ngokulula.

Ngamafutshane, i-SCDS yimeko engaqhelekanga echaphazela indlebe yakho yangaphakathi . Ingachaphazela ibhalansi yakho kunye nokuva kwakho. Khawuthelekelele ukuba ngaphakathi kwendlebe yakho, njenge-maze encinci, kukho iityhubhu ezintathu ezintle kakhulu ezizaliswe lulwelo. Ezi zibizwa ngokuba zii-semicircular canal. Phakathi kwezi tyhubhu, phezulu, ezikufutshane kancinci nengqondo, kukho umjelo ophezulu we-semicircular canal. Xa sishukumisa iintloko zethu okanye sishukumisa imizimba yethu, ulwelo olungaphakathi kwezi tyhubhu luhamba nazo. Intshukumo yolo lwelo ithumela imiqondiso engqondweni yethu yokuba "indawo yomzimba wethu iyatshintsha." Ingqondo isebenzisa olu lwazi ukulawula ibhalansi yethu. Ngoku, kwimeko ye-'SCDS', umngxuma omncinci okanye i-dehiscence encinci kakhulu ikhula kwithambo elikhuselayo eligubungela umjelo ophezulu ('umjelo ophezulu we-semicircular canal'), oko kukuthi, kolo donga luqinileyo. Ifana nomngxuma omncinci kumbhobho wamanzi. Lo mngxuma unokubangela iingxaki ezithile kuloo nkqubo yokubonisa. Kwakhona, izandi eziqhelekileyo ezenzeka ngaphakathi endlebeni (umzekelo, isandi sokuphefumla, isandi sokuqhwanyaza) zinokudlula kulo mngxuma ziye engqondweni, zizenze zibonakale ziphezulu, kwaye ezinye iingxaki zokuva zinokwenzeka. Le meko ebizwa ngokuba yi-'SCDS' ibizwa ngamanye amagama aliqela, kodwa igama elisetyenziswa kakhulu yi-'SCDS'.

Ixhaphake kangakanani le meko ye-'SCDS'?

Le yimeko engaqhelekanga kakhulu . Kuqikelelwa ukuba phakathi kwe-1% kunye ne-2% yoluntu ngokubanzi banokuba nale meko. Abanye abantu banokuba nale meko kuzo zombini iindlebe (`bilateral superior semicircular canal dehiscence`). Nangona kunjalo, nangona kunjalo, iimpawu zihlala zivezwa ngakumbi kwindlebe enye.

Zeziphi iimpawu umntu one-'SCDS' anokuzibona?

Le yeyona nto ibalulekileyo. Asinguye wonke umntu onazo zonke iimpawu. Ngoko ke ngamanye amaxesha kunokuba nzima ukuyiqonda ngqo. Enye into kukuba abanye abantu basenokungabonakalisi zimpawu nokuba ithambo lincinci okanye linomngxuma omncinci. Kwakhona, abantu abangenawo umngxuma wokwenyani ethanjeni, kodwa ababhityileyo nje, banokuba neempawu ezifanayo nezo zinemngxuma. Nangona kunjalo, ukuba iimpawu ziyavela, zinokuchaphazela ubomi bakho bemihla ngemihla. Iziphumo eziphambili kukuva nokulinganisela . Oku kunokubangela uxinzelelo lwengqondo.

Iingxaki zokuva:

• ` Autophony` : Oku kuxa usiva ilizwi lakho, isandi sokuphefumla kwakho, isandi sokuhlafuna ukutya, kwaye ngamanye amaxesha nesandi samehlo akho eqhwanyaza, ngokuvakalayo nangokucacileyo ngaphakathi ezindlebeni zakho. Kungavakala ngathi unemakrofoni ephakanyisiweyo entlokweni yakho.
• `Hyperacusis` (hyperacusis): Imeko apho uva izandi esiqhele ukuziva ziphezulu kakhulu, zicaphukisa, kwaye ngamanye amaxesha zibuhlungu . Kwanesandi esincinci sinokunganyamezeleki.
• I-pulsatile tinnitus : Isandi esivakala ngaphakathi entlokweni okanye ezindlebeni zakho esihambelana nokubetha kwentliziyo yakho (i-pulse) .
• Ukulahlekelwa kukuva: Ukulahlekelwa kukuva kunokwenzeka, ingakumbi xa uziva uphantsi .

Iingxaki ezinxulumene nokulinganisela komzimba:

• I- Vertigo : Ukuziva ngathi izinto ezikungqongileyo ziyajikeleza, okanye ukuba uyajikeleza, nokuba umi bhuxe. Oku kunokuba ngamava angathandekiyo nanoyikisayo.
• `Oscillopsia` (ukushukuma okubonakalayo): Imvakalelo yokuba into oyijongileyo iyashukuma, iya phezulu nasezantsi, okanye iyashukuma ukusuka kwelinye icala ukuya kwelinye, nokuba imile. Kufana nekhamera eshukunyiswayo ngelixa urekhoda ividiyo.

Ngokukodwa, ezi meko ze-'Vertigo' (isiyezi) kunye ne-'Oscillopsia' (ukushukuma kokubona) zinokunyuka xa kusenziwa izinto ezitshintsha uxinzelelo entloko okanye ngaphakathi endlebeni (umzekelo, ukukhohlela kakhulu, ukuthimla, ukuphakamisa izinto ezinzima, ukuhlamba indlu yangasese, njl.njl.) kwaye xa ujongene nengxolo enkulu . Khawuthelekelele, sele uza kuphakamisa ubunzima obuncinci kwaye ngequbuliso intloko yakho iqala ukujikeleza!

Iziphumo kwimpilo yengqondo:

Xa iimpawu ezinzima ezifana nezi ziqhubeka, zinokuchaphazela kakubi impilo yakho yengqondo.

• Intloko ebuhlungu .
• `Inkungu yobuchopho`:Kunzima ukucinga kakuhle, kwaye uzive ngathi awuqondanga kakuhle.
• Iingxaki zememori.

Xa uzama ukuhlala kude noluntu kwaye uhlale ekhaya ukuze ubalekele ezi zandi zingathandekiyo kunye nesiyezi, iimeko ezinje ngokuba wedwa, ixhala, kwanokudakumba zinokuvela.

Kutheni le nto i-'SCDS' isenzeka? Zithini izizathu?

Enyanisweni, unobangela ochanekileyo we-SCDS awukaziwa. Isenokuba yinto yokuzalwa. Oko kukuthi, ngexesha lobomi bomntwana ongekazalwa, ithambo elijikeleze umjelo ophezulu alinabukhulu ngokwaneleyo. Abanye abaphandi bacebisa ukuba le meko inokubangelwa zizifo ezithile okanye ukwenzakala entloko . Kusenokwenzeka ukuba kukho izizathu ezingaphezu kwesinye. Umzekelo, xa uzalwa, kukho indawo encinci ethanjeni, kwaye kamva, enye ingozi okanye usulelo lunokubangela ukuba libe lincinci kwaye umngxuma unokwenzeka. Okanye, ithambo linokuncipha kancinci kancinci njengoko ukhula kwaye le meko ikhula.

I-SCDS ichongwa njani ngokuchanekileyo?

Ukuba unale mpawu, into yokuqala ekufuneka uyenze kukubona ugqirha ofanelekileyo. Kukho iingcali zezi meko. Ngokwesiqhelo , kufuneka ubonane nogqirha wezifo zengqondo. Uza kukubuza ngeempawu zakho, ukuba ziqale njani, kwaye ziye zaba mandundu kangakanani na. Emva koko uza kuyalela iimvavanyo ezininzi ukuze ahlule ezinye iimeko eziqhelekileyo ezineempawu ezifanayo neze-SCDS kwaye aqinisekise ukufunyaniswa kwe-SCDS. Uvavanyo oluphambili oluqhutywayo zezi:

• I-CT scan (i-Computed Tomography scan) yamathambo ajikeleze indlebe: Le yi-CT scan enesisombululo esiphezulu. Ingabona ngokucacileyo ukuba kukho umngxuma okanye ukuncitshiswa kwithambo elijikeleze umjelo ongaphezulu we-semicircular.
• Uvavanyo lokuva: Oku kwenziwa yingcali ye-audiologist. Oku kuvavanya ukuva kwakho, ingakumbi izandi ezivakala kancinci.
• Uvavanyo lwe-`VEMP` (Vestibular-Evoked Myogenic Potential): Olu vavanyo lunokubonelela ngolwazi malunga nendlela esebenza ngayo iindawo ezahlukeneyo zendlebe yakho yangaphakathi ezibandakanyeka ekulinganiseni. Olu vavanyo alunabuhlungu. Okufuneka ukwenze kukujonga ekhohlo, ekunene, okanye phezulu ngelixa ujonge ithagethi okanye umamele izandi ezithile. Abantu abane-`SCDS` banokubona iphethini ethile yokuphendula ngexesha lovavanyo lwe-`VEMP`.

Ziziphi iindlela zonyango ze-'SCDS'?

Kwabaninzi, ukwenza utshintsho oluncinci kwindlela yabo yokuphilaUngaphila nale meko ngokuphepha izinto ezikwenza uzive unesizungu kwaye unesizungu (oscillopsia), umzekelo, ngokuphepha imisebenzi ebangela isizungu kunye nokuziva izinto zihamba (ezifana nokuphakamisa izinto ezinzima, ukuthimla okanye ukukhohlela), nangokuhlala kude neendawo ezinengxolo. Abanye abantu basebenzisa ii-earplugs okanye ii-earmuffs ukunciphisa ubungakanani bengxolo abayivayo. Kwakhona, ukubona i-physical therapist eqeqeshwe kwi-balance (i-vestibular physical therapist) kunokukunceda ukulawula iimpawu zakho. Banokukufundisa imithambo yokuphucula i-balance yakho kunye nokunciphisa umngcipheko wokuwa. Nangona kunjalo, ukuba ezi zinto azilawuli iimpawu, okanye ukuba iimpawu zichaphazela kakhulu umgangatho wobomi bakho, ke utyando lunokufuneka ukuze kuvalwe okanye kuphinde kuvele umngxuma .

Utyando lwe-`SCDS` (`utyando lwe-SCDS`)

Kukho iintlobo ezininzi eziphambili zotyando olwenziwayo kwi-SCDS:

• Ukuvala indlela yokukhupha i-hiscence - Indlela ye-Middle Cranial Fossa: Oku kubandakanya ukuvala ngokupheleleyo umngxuma ethanjeni. Oku kuquka ukwenza umngxuma omncinci ecaleni lekhakayi ukuze kufikelelwe kwindlebe yangaphakathi. Olu tyando ludla ngokwenziwa yingcali yendlebe , impumlo, nomqala (ingcali ye-ENT ) kunye nogqirha wemithambo-luvo.
• Ukuvala indlela yokususa i-hiscence - i-Transmastoid: Kule ndlela, indlebe yangaphakathi ifikelelwa ngokwenza umngxuma omncinci emva kwendlebe.
• Ukuphinda ufake umphezulu: Oku kuquka ukugquma umngxuma ngaphandle kokuwuvala ngokupheleleyo. Oku akuvamile njengokufaka iplagi.

Ngamanye amaxesha oogqirha banokusebenzisa zombini iindlela ze-'plugging' kunye ne-'resurfacing' ngexesha lotyando.

Ziziphi iingxaki ezinokubakho xa utyando?

Umngcipheko weengxaki ezinkulu emva kotyando lwe-SCDS uphantsi kakhulu. Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci wokosuleleka. Kunokubakho iingxaki ezincinci ngokulinganisela kwiveki yokuqala okanye emva kotyando, njengoko umzimba uqhelana nesimo esitsha. Nangona kunjalo, oku kudla ngokuphucuka kwiintsuku ezimbalwa.

Ngaba imeko ye-'SCDS' iza kuphucuka ngokuzenzekelayo?

Hayi. I-SCDS ayiziphili yodwa ngaphandle kotyando. Ngokungafaniyo namanye amathambo emzimbeni wethu, ithambo elijikeleze umjelo ongaphezulu we-semicircular aliziphili lodwa. Njengoko ufunda iindlela zokulawula iimpawu zakho, unokufumana isiqabu. Nangona kunjalo, i-SCDS ayizukuphela ngokupheleleyo ngaphandle konyango.

Luphumelele kangakanani utyando lwe-'SCDS'?

Iimpawu zabantu abaninzi ziyancitshiswa okanye ziphele ngokupheleleyo ngotyando lwe-'SCDS'.Ezinye izifundo zibonise ukuba ezinye iimpawu ziphucuka ngokukhawuleza emva kotyando kunezinye. Umzekelo, ukulahlekelwa kukuva, ukuva ngemoto, i-pulsatile tinnitus, kunye ne-vertigo zinokuphucuka ngokukhawuleza. Nangona kunjalo, iintloko ezibuhlungu kunye nenkungu yobuchopho zingathatha ixesha elide ukuba ziphucuke. Thetha nogqirha wakho malunga neziphumo zotyando, kuxhomekeke kwiimpawu zakho kunye nobukhulu bomngxuma.

Ndingazinyamekela njani mna ngale meko?

Ukuba ufunyaniswe une-SCDS, kubalulekile ukulandela imiyalelo kagqirha wakho. Kwiimeko ezininzi, iimpawu zinokulawulwa ngokwenza utshintsho kwindlela ophila ngayo. Nazi ezinye zezinto onokuzenza:

• Ukusebenzisa ii-earplugs .
• Ziphephe iindawo ezinengxolo nanini na xa kunokwenzeka.
• Ukuba ilizwi lakho livakala libuhlungu kuwe, thetha kancinci ('uhlebela').
• Ukuphepha imisebenzi echaphazela ulungelelwano, njengokuphakamisa iintsimbi.
• Ukuphepha imisebenzi enokutshintsha uxinzelelo lwendlebe (umz., ukuhamba ngenqwelo moya) kangangoko kunokwenzeka.
• Emsebenzini, ukuba kunokwenzeka, cela indawo ethuleyo neyimfihlo endaweni yendawo eninokwabelana ngayo .

Khumbula, awuwedwa. Kuqhelekile ukuba ube noxinzelelo lweemvakalelo xa uphila nemeko efana nale. Ukuba kuyimfuneko, thetha nogqirha wakho ngayo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba ufunyaniswe uneSuperior Canal Dehiscence Syndrome (SCDS), ungoyiki. Abantu abaninzi balawula iimpawu zabo ngokwenza utshintsho kwindlela abaphila ngayo. Ugqirha wakho uza kucebisa iindlela zokukunceda uthintele iimpawu ezichaphazela ibhalansi yakho kunye/okanye ukuva ukuba zingabi mandundu. Kwezinye iimeko, ukuba iimpawu zakho zinzima, utyando lunokuvala umngxuma ethanjeni kwaye lunciphise okanye luphelise iimpawu. Thetha nogqirha wakho malunga nonyango olungcono kuwe. Khumbula, ukufumana uxilongo olufanelekileyo kunye nonyango kunokukunceda ufumane isiqabu.