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Ngamafutshane, yintoni i-Ototoxicity?
Xa usiva igama elithi ototoxicity, lisenokubonakala ngathi yinto enkulu. Kodwa intsingiselo yalo ilula kakhulu. I-Oto ithetha indlebe, kwaye ubuthi buthetha ityhefu. Ngamanye amazwi, siyibiza ngokuba yi-ototoxicity xa amayeza athile onakalisa iindlebe zakho . Kufana "nokutyhefa indlebe." Indlebe yethu yangaphakathi ineeseli zeemvakalelo ezibuthathaka kakhulu ezisinceda sive kwaye silawule ibhalansi yethu. Amanye amayeza, ingakumbi xa ethathwa ngeedosi eziphezulu, anokonakalisa ezi seli zeemvakalelo. Kulapho uqala ukulahlekelwa kukuva kwakho, uve izandi ezahlukeneyo ezindlebeni zakho (tinnitus), kwaye uzive ungalingani.Eyona nto ingcono kukuba ukuba le meko ifunyenwe kwangethuba , inokuhlala ibuyiselwa kwimeko yayo emva kokuba iyekile okanye itshintshiwe iyekile iyeka. Nangona kunjalo, ukuba ifunyenwe sele kudlule ixesha, umonakalo ongapheliyo endlebeni unokwenzeka.
Ngawaphi amayeza kunye neekhemikhali ezinokubangela i-ototoxicity?
Okwangoku, amayeza angaphezu kwama-200 anobuthi afunyenweyo afunyenwe. Uninzi lwala mayeza asetyenziselwa ukunyanga izifo ezinzulu ezifana nomhlaza, usulelo oluqatha, kunye nesifo sentliziyo. Nangona la mayeza ebaluleke kakhulu ekusindiseni ubomi, kubalulekile ukuqaphela iziphumo ebezingalindelekanga ezinokubakho. Itheyibhile engezantsi ibonisa amayeza aphambili kunye neekhemikhali ezibangela le ngozi.| Uhlobo lweyeza/lweKhemikhali | Imizekelo kunye namanqaku |
|---|---|
| I-aspirin | Iidosi eziphezulu ezithathwa ixesha elide zinokubangela ukulahlekelwa kukuva kunye nokuvakala kwengxolo ezindlebeni (i-tinnitus). |
| Amayeza aqulethe i-quinine | Iidosi eziphezulu zamayeza emalariya afana neChloroquine kunye neQuinidine zinokuchaphazela okwethutyana ukuva kunye nokulinganisela. |
| I-Loop Diuretics | Amayeza afana neFurosemide kunye neTorsemide, asetyenziselwa ukususa amanzi emzimbeni, adla ngokuba nemiphumo yexeshana. |
| Ii-Aminoglycoside Antibiotics | Ezi zii-antibiotics ezinamandla ezifana neGentamicin, iAmikacin, iKanamycin, ezinikwa izifo ezinzulu zebhaktiriya. Yimbangela enkulu yokutshiswa yiototoxic. |
| Amayeza Okulwa Nomhlaza | Amayeza e-chemotherapy afana neCisplatin kunye neCarboplatin angonakalisa neeseli ezibuthathaka endlebeni ngelixa ebulala iiseli zomhlaza. |
| Iikhemikhali zeNdalo | Ukuchanabeka kwizinto ezifana ne-mercury, i-lead, kunye ne-carbon monoxide nako kunokubangela umonakalo ongapheliyo wokuva. |
Ngubani osengozini enkulu?
Akuyena wonke umntu othatha eli yeza oza kuba ne-ototoxicity, kodwa abanye abantu basengozini enkulu.- Ukuthatha amayeza angaphezu kwelinye anobuthi ngaxeshanye: Umzekelo, umngcipheko uphezulu kakhulu xa usebenzisa i-loop diuretic kunye ne-aminoglycoside antibiotic kunye.
- Abantu abaneengxaki zezintso : La mayeza asuswa emzimbeni zizintso. Ukuba izintso azisebenzi kakuhle, amayeza ahlala emzimbeni ixesha elide, nto leyo eyonyusa umngcipheko wokonakala kwendlebe .
- Umlinganiselo kunye nobude bexesha lonyango : Umngcipheko uyanda njengoko umthamo weyeza usanda kwaye nobude bexesha lonyango busanda.
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Check Availability →Zithini iimpawu ze-ototoxicity?
Ezi mpawu zisenokuqala ngequbuliso, okanye zinokwanda kancinci kancinci ngokuhamba kwexesha.Iimpawu zokuqala
- I-Tinnitus: Olu luphawu lokuqala olubonwa ngabantu abaninzi. Isandi esiqhubekayo ezindlebeni, esifana "nokukhala..." okanye "ukukhala."
- Ukulahlekelwa kancinci kukuva: Ukuziva ngathi amazwi awaviwa ngokucacileyo ngexesha lencoko eqhelekileyo.
Iimpawu ezenzeka xa imeko inzima
- Ukungalingani : Ukuziva ungaqinisekanga xa uhamba, ngokungathi awulungelelananga.
- I-Vertigo : Imvakalelo yokuba wena okanye indawo ekungqongileyo iyajikeleza.
- I-Oscillopsia: Umbono ofipheleyo okanye imvakalelo yokutsiba xa ushukumisa intloko.
- Ukugcwala endlebeni: Ukuziva ngathi indlebe igcwele umoya.
- Ubunzima bokuhamba: Ubunzima bokuhamba ebumnyameni, ukuhamba iinyawo zakho zihlukene ukuze uhlale ulungelelene.
- Intloko ebuhlungu kunye nokudinwa kakhulu.
Ungayibona njani le meko?
Ukuba unayo nayiphi na kwezi mpawu zidweliswe apha ngasentla, thetha nogqirha wakho malunga namayeza owasebenzisayo. Usenokukuthumela kwingcali yokuva nokulinganisela, okanye kwingcali ye-audiologist . Baza kwenza uvavanyo ukuqinisekisa ukuba uxilongiwe.- Uvavanyo lwe-Audiometric: Ukuvavanya amanqanaba amaza esandi onokuwava nongawavayo.
- Uvavanyo lwe-Auditory Brainstem Response (ABR): Lujonga ukuba imiqondiso esuka endlebeni engaphakathi ukuya engqondweni isebenza kakuhle na.
- Uvavanyo lwe-Otoacoustic Emissions (OAE): Luvavanya ukusebenza kweeseli zeemvakalelo ezikwindlebe yangaphakathi. (Olu vavanyo lwe-ABR kunye ne-OAE lusetyenziswa ngokukodwa ekuxilongeni iingxaki zokuva kubantwana abancinci.)
- Uvavanyo lokulinganisela: Olu vavanyo lulinganisa ukulinganisela komzimba wakho ngokulinganisa izinto ezifana nokuhamba kwamehlo (i-Electronystagmogram) kunye nokukwazi kwakho ukuma kwiindawo ezahlukeneyo (i-Posturography).
Iphathwa njani?
Unyango olungcono kukuyeka amayeza angalunganga okanye ukutshintshela kwelinye iyeza, njengoko ugqirha wakho eyalele . Kwiimeko ezininzi, iimpawu ziya kubuya.Eyona nto ibalulekileyo: Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kokubonisana nogqirha wakho kuqala, kuba amayeza anokuba luncedo ebomini bakho.Nangona kunjalo, ukuba iyeza alinakunqandwa okanye ukuba kwenzeke umonakalo osisigxina endlebeni, kukho unyango olunokukunceda ulawule kwaye uphile neengxaki. 1. Izixhobo Zokuncedisa Ukuva: Ezi zixhobo, ezinokunxitywa ngaphakathi okanye ngaphandle kwendlebe, zikunceda uve izandi ezikungqongileyo ngcono. 2. IiCochlear Implants: Ezi zixhobo zifakelwa ngotyando kubantu abalahlekelwe kakhulu kukuva okubuhlungu kakhulu ukuba bangancedwa zizixhobo zokuncedisa ukuva. 3. Unyango Lokulinganisela / Ukuvuselelwa Kwemithambo: Oku kufana ne-physiotherapy yokulinganisela. Ingcali ye-physiotherapist ikufundisa iindlela ezahlukeneyo zokuzivocavoca ukuphucula ukuma kwakho, ukuhamba, kunye nokulungelelanisa.
Umyalezo Wokuya Ekhaya
- I-Ototoxicity ngumonakalo obangelwa ngamayeza athile kwiiseli ezibuthathaka ngaphakathi kwendlebe.
- Ukuba ufumana isandi ezindlebeni (i-tinnitus) okanye isiyezi ngelixa usela amayeza anamandla ezifo ezinje ngomhlaza okanye usulelo oluqatha, yazisa ugqirha wakho ngoko nangoko.
- Kuphephe ukuyeka amayeza akho okanye ukutshintsha idosi ngaphandle kwengcebiso kagqirha nangasiphi na isizathu.
- Ukubonwa kwangethuba kwesi sifo kunokuthintela umonakalo osisigxina wokuva okanye iingxaki zokulinganisela.
- Ukuba ukrokrela ukuba kukho ityhefu ebangelwa kukudibana nekhemikhali ekwindalo esingqongileyo, funa ingcebiso yezonyango ngoko nangoko. Ukuba kuyimfuneko, ulwazi oluthe kratya lunokufumaneka kwiZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
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