Wake walahlekelwa ukuzwa kwakho lapho othile ekhuluma kancane noma ehlebela? Ingabe ngezinye izikhathi ukhuphula ivolumu ku-TV kakhulu? Nakuba kuvamile ukuthi ukuzwa kwehle kancane njengoba ukhula, ngezinye izikhathi lokhu kungenzeka usemncane, okungukuthi, phakathi kweminyaka engama-20 nengama-45. Nakuba abantu abaningi bengakunaki kakhulu lokhu, esinye sezizathu eziyinhloko zalokhu yisifo esibizwa ngokuthi i-Otosclerosis. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Otosclerosis?
Leli gama lingase lizwakale liyinkimbinkimbi kancane. Ake silichaze. Igama elithi "Oto" lisho "okuphathelene nendlebe." Igama elithi "Sclerosis" lisho "ukuqina okungajwayelekile noma ukuqina kwezicubu emzimbeni." Ngakho-ke, ngamazwi alula, i-Otosclerosis yisimo lapho amathambo endlebeni eba makhulu ngendlela engavamile, okubangela ukulahlekelwa ukuzwa.
Imizimba yethu ivuselela amathambo ayo njalo. Lokhu kubizwa ngokuthi ukuvuselelwa kwamathambo. Lokhu kwenzeka impilo yonke. Kodwa-ke, kubantu abane-otosclerosis, amathambo asendlebeni ephakathi, noma angavamile ukuba yindlebe yangaphakathi, aqala ukukhula ngendlela engavamile, okungukuthi, amaningi kakhulu, lapho le nqubo isenzeka. Lokhu kuvimbela amaza omsindo ukuthi angahambi kahle endlebeni. Yingakho ukuzwa kuncipha kancane kancane.
Abantu abanalesi simo bangase babe nokulahlekelwa ukuzwa okuncane kuya kokukhulu. Kodwa-ke, akuvamile ukuthi kubangele ukungezwa ngokuphelele. Ngokuvamile kuthinta zombili izindlebe, kodwa enye indlebe ithinteka kakhulu kunenye.
Sivame kangakanani lesi simo?
I-Otosclerosis ithinta izigidi zabantu emhlabeni jikelele. Iyimbangela ehamba phambili yokulahlekelwa ukuzwa ngenxa yomonakalo wemishini endlebeni ephakathi, ikakhulukazi phakathi kwabantu abasha. Nakuba ingathinta noma ubani, ivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-45. Ingadluliselwa futhi esizukulwaneni ngesizukulwane.
Ziyini izimpawu ze-otosclerosis?
Uphawu oluyinhloko noluvame kakhulu lwalesi sifo ukulahlekelwa ukuzwa kancane kancane. Akwenzeki konke ngesikhathi esisodwa, kwenzeka kancane kancane. Ungase ungaqapheli ekuqaleni.
Ezinye izimpawu yilezi:
- Ukungakwazi ukuzwa izinto ezikhulunywa kancane noma ezihlebezayo.
- Ubunzima bokuzwa imisindo ephansi.
- Abanye abantu bangase babe nezinkinga zokulinganisela .
- Ukuzizwa unesizungu (vertigo).
- Ukuzwa umsindo wokukhala noma 'wokukhala' ezindlebeni (i-tinnitus).
- Isiyezi .
Wake waphawula ukuthi abanye abantu abane-otosclerosis bakhuluma kancane kakhulu? Isizathu ukuthi amazwi abo azwakala kakhulu kubo. Ngakho-ke bacabanga ukuthi bakhuluma kakhulu.
Kungani lokhu kwenzeka? Iyini imbangela?
Ukuze uqonde lokhu, udinga ukuba nombono omncane wokuthi izindlebe zethu zisebenza kanjani. Ngaphakathi kwezindlebe zethu, endlebeni ephakathi, kunamathambo amathathu amancane kakhulu. Lawa abizwa ngokuthi "ama-ossicles." Uma amaza omsindo engena endlebeni, lawa mathambo amathathu ayavevezela, akhulise umsindo, bese ewuthumela ku-cochlea, ingxenye yendlebe engaphakathi. Yilapho la maza omsindo eguqulwa khona abe izimpawu zikagesi eziya ebuchosheni.
Ku-otosclerosis, izicubu ezintsha zamathambo zakha nxazonke kwethambo le-stapes, elinye lala mathambo amathathu, ithambo elincane, elingunxantathu, bese libanjwa amathambo azungezile. Ngamanye amazwi, livalelwa endaweni yalo. Alikwazi ukudlidliza ngokukhululeka.
Cabanga ngensimbi yomculo, unxantathu. Uma uyishaya ngentambo elenga ngokukhululeka phezulu, iyavevezela futhi yenze umsindo omuhle. Kodwa kwenzekani uma ucindezela unxantathu ngokuqinile? Umsindo awuzwakali, akunjalo? Yilokho okwenzekayo lapho ithambo elengeziwe likhula eduze kwethambo le-stapes. Amaza omsindo awakwazi ukuhamba kahle.
Ubani osengozini enkulu yokuthola lesi simo?
Ake sibheke izinto ezisengozini enkulu yalokhu. Ukuba nento efana nale akusho ukuthi lesi sifo sizokhula, kodwa kusho ukuthi ingozi inkulu.
| Isici sengozi | Incazelo |
|---|---|
| Umlando womndeni | Uma umama wakho, ubaba, umfowenu noma ugogo wakho babenalesi simo, kungenzeka kakhulu ukuthi nawe ube naso. |
| Ubulili | Abesifazane banamathuba amaningi okuthola i-otosclerosis. |
| Isizwe | Lesi sifo sivame kakhulu kubantu abamhlophe. |
| Ukukhulelwa | Kwabesifazane abanesifo sofuzo esibangelwa yilesi simo, lesi sifo singase sibonakale noma sibe sibi kakhulu ngenxa yezinguquko zamahomoni ngesikhathi sokukhulelwa. |
| Ezinye izimo zezokwelapha | Abantu abane-osteogenesis imperfecta (OI), isimo esibangela ukuba amathambo aphuke kalula, basengozini enkulu yokuthola i-otosclerosis. |
Udokotela ukuthola kanjani lokhu?
Uma ubona ushintsho ekuzweni kwakho, qala ubonane nodokotela womndeni wakho. Uma esola lokhu, uzokudlulisela kudokotela wezindlebe, ikhala, nomphimbo (uchwepheshe we-ENT).
Uchwepheshe uzoqala aqinisekise ukuthi awunazo ezinye izimo ezinezimpawu ezifana nezakho. Ngemuva kwalokho, bazokwenza izivivinyo ezithile ukuze babone ukuthi ukuzwa kwakho kwehle kangakanani.
Lezi zivivinyo zingafaka:
- I-Audiogram: Lokhu kulinganisa ukuthi ungayizwa yini imisindo kumaza ahlukene.
- I-Tympanogram: Lokhu kuhlola kuhlola ukuthi i-eardrum yakho isebenza kahle kangakanani.
- I-CT scan: Ngezinye izikhathi, udokotela angase acele i-CT scan uma efuna ukubheka amathambo nezicubu ngaphakathi kwendlebe.
Kulungile, yiziphi izindlela zokwelapha manje?
Ukwelashwa kwe-otosclerosis kuncike ekutheni ukukhula kwamathambo okungavamile kukuphi kanye nobunzima besimo sakho. Iningi labantu lingakwazi ukubhekana naleso simo ngempumelelo.
Izinsiza zokuzwa
Lena yindlela evame kakhulu. Izinsiza zokuzwa zandisa imisindo endaweni okuyo, zikuvumele ukuthi uzwe kangcono. Udokotela wezindlebe uzolungisa izilungiselelo zalawa madivayisi ukuze zivumelane nezidingo zakho. Kodwa khumbula, izinsiza zokuzwa zingathuthukisa ukuzwa kwakho, kodwa azikwazi ukuvimba ukuqhubeka kwe-otosclerosis.
Ukuhlinzwa kwe-Stapedectomy
Lokhu kuyindlela yokuhlinzwa kwe-Otosclerosis. Kulokhu, udokotela ohlinzayo we-ENT ususa ithambo le-stapes elibambekile endlebeni yakho ephakathi bese elifaka esikhundleni salo ngedivayisi encane yokwenziwa (prosthesis). Leli thambo lokwenziwa lidlula ithambo le-stapes elibambekile futhi livumela amaza omsindo ukuthi adlule ngqo endlebeni engaphakathi. Lokhu kuthuthukisa ukuzwa futhi.
Uma izindlebe zakho zombili zithintekile, udokotela uzohlinza indlebe eyodwa ngesikhathi. Ngemva kokuhlinzwa kokuqala, yinike isikhathi sokuphulukiswa, bese kuthi ngemva kwezinyanga eziyisithupha, enye indlebe izohlinzwa.
Izimila ze-Cochlear
Lokhu kwelashwa kunconywa kubantu abane-cochlea, ingxenye yendlebe ethintwe yilesi sifo, engasakwazi ukudlula ngokuphelele nge-cochlear implant, okudala indlela entsha yomsindo ukufinyelela ebuchosheni.
Lesi simo sizothuthuka ngokushesha kangakanani? Kuzokwenzekani uma singelashwa?
I-Otosclerosis ivame ukuqhubeka kancane kakhulu, phakathi neminyaka. Kodwa-ke, isikhathi esithathwayo singahluka kumuntu nomuntu. Ivame ukuqala endlebeni eyodwa bese isakazekela kwenye indlebe ngokuhamba kwesikhathi.
Uma uqaphela ngokuzumayo ushintsho olukhulu ekuzweni kwakho, ungalushayi indiva. Bonana nodokotela ngokushesha.
Uma ingelashwa, i-otosclerosis ingaba yimbi kancane kancane ngokuhamba kwesikhathi. Ngezinye izikhathi, ingasakazekela endlebeni yangaphakathi futhi ibangele izinkinga ezengeziwe. Ngakho-ke kungcono ukukhuluma nodokotela wakho ukuze unqume ukuthi yikuphi ukwelashwa okungcono kuwe, noma ukuqapha izimpawu zakho isikhashana.
Ingabe i-Otosclerosis ingavinjelwa?
Ngeshwa, ayikho indlela yokuvimbela lesi sifo. Ngenxa yokuthi sivame ukubangelwa izici zofuzo, asinakuvinjelwa ngezinto ezifana nokugwema ukuchayeka emisindweni emikhulu.
Kufanele ubonane nini nodokotela?
Impendulo elula iwukuthi, kufanele ubonane nodokotela noma nini lapho ubona noma yiluphi ushintsho noma ukwehla kokuzwa kwakho . Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekulawuleni izimpawu futhi kuthuthukise ikhwalithi yempilo yakho.
Uma udokotela wakho ekutshela ukuthi une-otosclerosis, ungambuza le mibuzo:
- Isimo sami sibi kangakanani?
- Ingabe ngizozuza ezinsizeni zokuzwa, noma ngizodinga ukuhlinzwa?
- Uma uhlinzwa, ungalinda isikhathi esingakanani?
- Uma ingelashwa, kuzothatha isikhathi esingakanani ukuthi ukuzwa kwami kube kubi nakakhulu?
Izimpendulo zale mibuzo zizokusiza ukuthi uqonde kangcono isimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Otosclerosis yisimo lapho ukulahlekelwa ukuzwa kuncipha kancane kancane ngenxa yokukhula okungavamile kwamathambo endlebeni ephakathi.
- Lokhu kuvame kakhulu phakathi kwabantu abasha, ikakhulukazi abesifazane.
- Uphawu oluyinhloko ukulahlekelwa ukuzwa kancane kancane. Ngaphezu kwalokho, i-tinnitus kanye nesiyezi kungase kube khona.
- Nakuba ingelapheki ngokuphelele, ingaphathwa ngempumelelo enkulu ngokwelashwa okufana nezinsiza zokuzwa noma ukuhlinzwa kwe-stapedectomy.
- Ungashalazeli noma yiziphi izinguquko ezincane ezindlebeni zakho. Bonana nodokotela wakho ngokushesha. Ukuxilongwa kusenesikhathi kubaluleke kakhulu.
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