Ingabe lobu ubuhlungu obungavamile entanyeni nasebusweni bakho (Eagle Syndrome)? Ake sixoxe ngakho!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile, obucasulayo entanyeni yakho, ebusweni, noma emphinjeni? Awukwazi ukuthola ukuthi kwenzekani ngempela, futhi wake wazizwa sengathi lobu buhlungu buba bubi nakakhulu uma ugwinya, ukhuluma, noma ushukumisa ikhanda lakho kusukela kolunye uhlangothi kuya kolunye? Lokhu kungaba yinto ebaluleke kakhulu kuwe. Lesi simo sibizwa ngokuthi i-Eagle Syndrome . Nakuba igama lingase lizwakale lingavamile kancane, empeleni liyisimo sezokwelapha.

Ngakho-ke, iyini i-Eagle Syndrome?

Kalula nje, i-Eagle Syndrome yisimo esibuhlungu esibangelwa ukwanda kwenqubo yakho ye-styloid noma ukuqina kwe -stylohyoid ligament , okwenza iqine futhi ifane nethambo.

Cabanga nje, ngaphansi kwendlebe yakho ngayinye, kukhona ingxenye encane yethambo ebizwa ngokuthi inqubo ye-styloid. Yilokho inqubo ye-styloid eyikho. Kukhona ingxenye yezicubu egijima kusukela kuleli thambo iye ethanjeni le-hyoid ngaphambili kwentamo yakho ebizwa ngokuthi i-stylohyoid ligament . Le ligament ngokuvamile kufanele ibe nokunwebeka njengebhande lerabha. Kodwa kubantu abane-Eagle syndrome, le ligament ngezinye izikhathi ingaba nkulu kakhulu futhi iqine , njengethambo.

Uyaqonda manje? Kulapho leli thambo elinwetshiwe noma i-ligament eqinisiwe iqala ukucindezela imizwa noma imithambo yegazi edlula kuleyo ndawo lapho uqala khona ukuzwa izimpawu.

Ivame kangakanani le Eagle Syndrome?

Empeleni lesi yisifo sobuhlungu esingavamile kakhulu . Sithinta abantu abangaphansi kuka -0.16% . Lokho kungaphansi komuntu oyedwa kwabayinkulungwane.

Kodwa-ke, cishe ku -4% wabantu, leli thambo elibizwa ngokuthi inqubo ye-styloid lingase libe lide kunokujwayelekile. Ngokwesilinganiso, leli thambo lingaba amasentimitha angu-2.5 ubude (ngaphansi kancane kwe-intshi). Inqubo ye-styloid ende yileyo ende ngaphezu kwamasentimitha amathathu (ngaphezu kancane kwe-intshi). Kodwa-ke, akubona bonke abanaleli thambo elide abazoba nezimpawu ze-Eagle syndrome. Bambalwa kakhulu amaphesenti abo abazozwa lobu buhlungu.

Ngaphezu kwalokho, abesifazane banamathuba aphindwe kathathu okuthola lesi simo kunabesilisa. Sivame ukutholakala kubantu abaneminyaka engu-30 noma engu-40.

Ziyini izimpawu ze-Eagle Syndrome?

Izimpawu zincike ekutheni yimiphi imizwa nemithambo yegazi ecindezelwa yinqubo yakho ye-styloid noma i-stylohyoid ligament.

Lezi yizimpawu ezingabonakala ngokujwayelekile:

• Ubuhlungu ebusweni, entanyeni, noma emphinjeni . Lobuhlungu bungaba bubi nakakhulu lapho udla, ukhamuluka, ukhuluma, noma uphendula ikhanda lakho.
• Umuzwa wokuthile okubambeke emphinjeni . Kungase kuzwakale sengathi inaliti noma ibhola elincane libambekile.
• Ubunzima bokugwinya ukudla (i-dysphagia) .
• Ukuzwa ukukhala ezindlebeni (i-tinnitus) . Kuzwakala njengomsindo "wokukhala".
• Ikhanda elibuhlungu .
• Isiyezi .

Abantu abaningi abane-Eagle syndrome bangase babe nenqubo ende ye-styloid ezinhlangothini zombili zekhanda. Kodwa-ke, ngokumangazayo, iningi labo lizwa ubuhlungu ohlangothini olulodwa kuphela .

Ubuhlungu be-Eagle syndrome buzwakala kanjani?

Kwabanye abantu, lobu buhlungu bungafana nobuhlungu besimo sezinzwa esibizwa ngokuthi i-glossopharyngeal neuralgia . Uma i-glossopharyngeal nerve , i-nerve enkulu ejulile entanyeni yakho, icindezelwa yinqubo ye-styloid, ungase uzwe ubuhlungu obubukhali, obufana nogesi emathonyeni akho noma ngemuva kolimi lwakho. Lobuhlungu ngezinye izikhathi bungasakazeka endlebeni yakho.

Abanye bachaza ubuhlungu bemizwa obuhambisana ne-Eagle syndrome njengobuhlungu obuphindaphindayo, obubukhali, obungacacile, nobushaya kancane kancane .

Yini ebangela i-Eagle Syndrome?

Njengoba sesixoxile ngaphambili, izimpawu zenzeka lapho inqubo ende ye-styloid noma ithambo elijiyile elibizwa ngokuthi i-stylohyoid ligament licindezela imizwa ebucayi noma imithambo yegazi ekhanda nasentanyeni yakho. Kodwa-ke, kusenemibono ehlukene phakathi kochwepheshe mayelana nokuthi kungani leli thambo likhula noma i-ligament ikhula.

Ngo-1937, uDkt. Watt Eagle, owaqamba lesi sifo, wasikisela ukuthi ngezinye izikhathi ngemva kokuhlinzwa kwe-tonsillectomy, i-stylohyoid ligament iyaqhekeka , okungukuthi, iqina njengethambo.

Ezinye izimbangela ezingaba khona zifaka:

• Izifo ezithile.
• Ukulimala entanyeni.
• Ama-Ligaments alahlekelwa ukunwebeka njengoba sikhula.

Yiziphi izinkinga ezingaba khona ze-Eagle Syndrome?

Nakuba lokhu kungavamile kakhulu, ngezinye izikhathi le nqubo ende ye-styloid ingacindezela imithambo yegazi emikhulu, njengemithambo yakho ye-carotid . Imithambo ye-carotid iyimithambo yegazi eyinhloko ehlinzeka ngegazi ebuchosheni bakho.

Uma lokhu kwenzeka, ungase uzwe ubuhlungu ngaphansi kwamehlo akho. Noma, ungase ube nezimpawu ezifana nokuhlasela kwe-ischemic okuhamba kancane (i-TIA) , i-mini-stroke, noma ngisho ne -full-blown stroke . Lokhu kufaka phakathi:

• Ukuba ndikindiki kolunye uhlangothi lobuso (hemiparesis) .
• Isiyezi .
• Umbono ofiphele .
• Ukulahlekelwa ukwazi noma ukuquleka (i-syncope).
• Izinguquko enkulumweni (njengokungathi amagama ayaxaka) .

Okubalulekile: Ku-Eagle syndrome, lezi zimpawu zivame ukuba khona ngezikhathi ezithile. Okusho ukuthi, ziyanyamalala ngemva kwesikhashana. Kodwa-ke, ngezinye izikhathi zingabonisa isimo sezokwelapha esibucayi kakhulu (isibonelo, ukusikeka noma ukulimala emthanjeni).

Uma unezimpawu zesifo sohlangothi, iya esibhedlela esiseduze noma ushayele i-ambulensi ephuthumayo ngokushesha. Lokhu akuyona into yokulibazisa!

I-Eagle Syndrome itholakala kanjani?

Udokotela wakho uzoqala ngokuthatha umlando wezokwelapha ophelele (njenganoma yikuphi ukuhlinzwa kwekhanda noma kwentamo noma izingozi zangaphambilini) bese ekwenza ukuhlolwa ngokomzimba .

Ngezinye izikhathi, udokotela angase azizwe le nqubo ende ngokungavamile ye-styloid lapho ezwa intamo yakho. Noma, angase azizwe ngaphakathi emlonyeni wakho, lapho kukhona khona ama-tonsils akho, bese ebuza ukuthi uzizwa ubuhlungu lapho.

Kodwa-ke, ukuze kutholakale ngokunembile le nqubo engavamile ye-styloid noma i-stylohyoid ligament , kufanele kwenziwe ukuhlolwa okukhethekile kwesithombe . Lokhu kufaka phakathi:

• I-CT scan (i-Computed Tomography - i-CT scan) : Lokhu kusebenzisa uchungechunge lwe-X-rays ukuthatha izithombe zenqubo yakho ye-styloid kanye ne-stylohyoid ligament. Lezi zithombe zihlanganiswa ukuze kudalwe isithombe esinezinhlangothi ezintathu (3D), ukuze udokotela wakho abone ngokucacile ukuthi inqubo yakho ye-styloid inwetshiwe.
• I-CT Angiogram (I-Computed Tomography Angiogram - I-CT angiogram) : Lesi isithombe se-X-ray semithambo yegazi. Udokotela wakho angayala lokhu kuhlolwa uma esola ukuthi inqubo yakho ye-styloid noma i-ligament icindezela imithambo yegazi, njenge-carotid artery yakho.

Yiziphi ezinye izimo ezingaphambaniswa ne-Eagle Syndrome?

Kubaluleke kakhulu ukugwema ezinye izimo ezibangela izimpawu ezifana neze-Eagle syndrome. Udokotela wakho angase acele ukuhlolwa ukuze kunqunywe lezi zimo:

• Izimo zokuvuvukala kwekhanda nentamo : isibonelo , i-sinusitis , i-tonsillitis , i-insertion tendinitis .
• Izinkinga zejoyinti le-temporomandibular (TMJ) : Lezi yizinkinga zejoyinti lomhlathi.
• I-glossopharyngeal neuralgia .
• I-Myofascial pain syndrome .
• Umdlavuza wekhanda nentamo .
• Ikhanda elibuhlungu le-migraine .
• Izinkinga zamazinyo .

Iphathwa kanjani i-Eagle Syndrome?

Udokotela wakho angase akunike imithi yokulawula ubuhlungu. Noma, angase akuncome ukuhlinzwa ukuze kufinyezwe inqubo yakho ye-styloid (i-styloidectomy) . Ukwelashwa kuncike ekutheni izimpawu zakho zimbi kangakanani nokuthi ungumuntu ofanele yini ukuhlinzwa.

Imithi esetshenziswa ekwelapheni yile:

• Iziqeda-zinhlungu (iziqeda-zinhlungu) .
• Ama-antidepressant : Lawa asetshenziselwa nobuhlungu bemizwa.
• Imijovo ye-steroid : Yehlisa ukuvuvukala nokuvuvukala.
• Imijovo ye-Lidocaine : qeda ubuhlungu okwesikhashana.
• Imithi Engavimbi Ukuvuvukala (ama-NSAID) ingathathwa ngomuthi kadokotela noma ngaphandle kwawo .

Ukuhlinzwa (i-Styloidectomy):

I-Eagle syndrome ingelapheka ngokuphelele ngokuhlinzwa ukuze kulungiswe inqubo yakho ye-styloid. Udokotela ohlinzayo angenza lokhu kuhlinzwa ngenye yezindlela ezimbili:

1. Indlela Yokuhlinzwa Kwangaphakathi Komlomo/Eye-Transoral : Kule ndlela, udokotela ohlinzayo uthola inqubo ye-styloid ngaphakathi emlonyeni wakho. Inzuzo yale ndlela ukuthi akukho sibazi sangaphandle . Kodwa-ke, kunzima kancane ukuthi udokotela ohlinzayo asifinyelele kahle kunangezinye izindlela.

2. Indlela Yokuhlinzwa Ngaphandle Komlomo/Eye-Transcervical : Kule ndlela, udokotela ohlinzayo wenza i-incision encane entanyeni yakho ukuze afinyelele inqubo ye-styloid. Nakuba le ndlela ivumela udokotela ohlinzayo ukuthi afinyelele ngqo ezicutshini, ukuhlinzwa kuthatha isikhathi eside futhi kushiya isilonda ngemva kwalokho .

Udokotela wakho uzochaza ukuthi iyiphi indlela engcono kakhulu kuwe ngokusekelwe ekuxilongweni kwakho.

Yiziphi izinkinga zokuhlinzwa kwe-styloidectomy?

Noma yikuphi ukuhlinzwa kunengozi ethile. Ukulimala kwezicubu ngesikhathi sokuhlinzwa kungaholela ezibazini kanye nokutheleleka komphimbo ojulile. Lokhu kungaba kubi kakhulu uma kungelashwa.

Ukubona udokotela ohlinzayo onolwazi ngokuhlinzwa kwekhanda nentamo kunganciphisa ingozi yalezi zinkinga.

Lingakanani izinga lokululama kwe-Eagle Syndrome?

Izinga lokululama lihle kakhulu . Cishe abantu abangu-80% abahlinzwe nge-styloidectomy babhekana nokuxazululeka okuphelele kwezimpawu . Kwabaningi, ubuhlungu nokungakhululeki kungalawulwa ngemithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela.

Kwenzekani uma i-Eagle Syndrome ingelashwa?

Uma ungelashwa, ungase uqhubeke nokuba nezimpawu. Lesi akusona isimo esizolulama ngokwaso.

Nokho, kubalulekile ukukhumbula lokhu. Ukuthi nje inqubo yakho ye-styloid iqiniswe yi-calcium deposits, noma ide, akusho ukuthi une-Eagle syndrome. Futhi, abanye abantu abanezinqubo ze-styloid ezide kanye nezimpawu ze-Eagle syndrome bangase bahlinzwe, kodwa izimpawu zabo zingase zingathuthuki.

Yingakho kubaluleke kakhulu ukubona udokotela onolwazi ekuxilongeni nasekuphatheni lesi simo . Ngoba ngezinye izikhathi kungaba nzima ukunquma ukuthi ubani ozozuza ngokuhlinzwa. Udokotela wakho uzokweluleka ngezinketho zokwelapha ezifanele wena.

Ingabe i-Eagle Syndrome ingavinjelwa?

Akukho lutho ongakwenza ukuvimbela i-Eagle syndrome ukuthi ingenzeki. Kodwa-ke, ukuhlinzwa ukuze kususwe inqubo ye-styloid kungaqeda ngokuphelele izimpawu zakho .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale:

• Yini okungenzeka ukuthi iyimbangela enkulu yokuthi inqubo yami ye-styloid inwetshwe?
• Ingabe inqubo yami ye-styloid icindezela imizwa emikhulu noma imithambo yegazi?
• Yiziphi izimpawu engingalindela emsipheni ocindezelwe?
• Ingabe ngizodinga ukuhlinzwa, noma ngingayelapha ngemithi?
• Uma uhlinzwa, kwenziwa kanjani?

Ku-Eagle syndrome, ngisho namasentimitha ambalwa engeziwe ezicubu ezijiyile angabangela ubuhlungu obukhulu kangangokuthi kunzima ukujika ikhanda lakho noma ukushintsha ubuso bakho. Kodwa izindaba ezinhle ukuthi ukuphila nezimpawu ze-Eagle syndrome akudingeki kube yinto evamile kuwe entsha. I-Eagle syndrome yisimo esingelapheka. Udokotela wakho uzokweluleka ngokuthi udinga imithi noma ukuhlinzwa.

Umlayezo Wokuya Nawe Ekhaya

Ngakho-ke, uma unobuhlungu obungapheli, obungachazeki entanyeni yakho, ebusweni, noma emphinjeni, ubunzima bokugwinya, noma uzizwa sengathi kukhona okubhajwe emphinjeni wakho, ungamane nje ungakunaki. Kungaba yi-Eagle Syndrome.

Nakuba lesi kuyisimo esingavamile, singelapheka ngokuphelele uma sitholakale futhi selashwa ngendlela efanele . Ungesabi, kodwa uma unezimpawu, kufanele nakanjani ubone udokotela ukuze akunike iseluleko. Ngezinye izikhathi imithi elula ingasiza ekunciphiseni ubuhlungu, noma ukuhlinzwa okuncane kungakusiza ukuthi ululame ngokugcwele. Into ebaluleke kakhulu ukwazi imbangela eqondile yobuhlungu bakho bese uthola ukwelashwa okufanele.

I- Eagle Syndrome, ubuhlungu bentamo, ubuhlungu bobuso, ubuhlungu bomphimbo, inqubo ye-styloid, i-stylohyoid ligament, ubunzima bokugwinya