Ingabe uzwa imisindo engavamile ezindlebeni zakho, isiyezi, njll.? Lokhu kungaba (Perilymphatic Fistula)!

Ingabe ngezinye izikhathi uzizwa sengathi kukhona okugcwele noma okuvalekile endlebeni yakho? Ingabe ulwa nezimpawu ezifana nokulahlekelwa ukuzwa ngokuzumayo, ukuzwa emuva kwesikhathi esithile, isiyezi, noma isicanucanu? Uma uzizwa sengathi lokhu kungakhululeki kuyanda ikakhulukazi uma uhleka, uthimula, ukhwehlela, noma uphakamisa into esindayo, kubaluleke kakhulu ukuthi uqaphele lesi simo esikhuluma ngaso namuhla esibizwa ngokuthi `(Perilymphatic Fistula)`. Ungesabi, ake sixoxe ngalokhu kalula.

Kuyini lokhu `(i-Perilymphatic Fistula)`? Masikuqonde kalula!

Kalula nje, i-Perilymphatic Fistula iyimbobo noma ukudabuka kwe-membrane encane, ngezinye izikhathi ebizwa ngokuthi "i-membrane," phakathi kwendlebe yakho ephakathi nendlebe yangaphakathi.

Cabanga nje, indlebe ephakathi igcwele umoya. Kodwa ingxenye engaphakathi igcwele uketshezi olukhethekile olubizwa ngokuthi `(perilymph).` Lezi zingxenye ezimbili zihlukaniswe ulwelwesi oluncane olusebenza njengodonga. Manje, kwenzekani uma lolo lwelwesi lonakele ngandlela thile bese kwakheka imbobo kulo? Uketshezi `(perilymph)` olusendlebeni engaphakathi luqala ukuvuza ngembobo lungene endlebeni ephakathi. Lokhu kuvuza koketshezi kubangela izinguquko ekucindezelweni ngaphakathi endlebeni. Lezo zinguquko zokucindezela yizo ezibangela izinkinga zokulinganisela nezinkinga zokuzwa. Uyaqonda?

Ngubani okungenzeka kakhulu ukuthi athinteke yilesi simo (i-Perilymphatic Fistula)?

Empeleni, lesi simo esibizwa ngokuthi `(Perilymphatic Fistula)` singakhula nganoma yisiphi isikhathi sobudala. Ngezinye izikhathi, lesi simo singaba khona ngisho nasezinganeni ezincane lapho zizalwa. Ngakho-ke, kuhle ukuqaphela lokhu kungakhathaliseki ubudala.

Ziyini izimpawu ze-`(Perilymphatic Fistula)`? Bheka ukuthi unazo yini lezi...

Umuntu one-`(Perilymphatic Fistula)` angase abe nezimpawu ezahlukahlukene. Abanye abantu bangase babe nazo zonke lezi zimpawu, kanti abanye bangase babe neyodwa noma ezimbili kuphela. Bona ukuthi lezi zimpawu zizwakala zijwayelekile yini kuwe:

• Ukulahlekelwa ukuzwa ngokuzumayo .
• Ukulahlekelwa ukuzwa okufikayo nokuhamba – okungukuthi, ngezinye izikhathi uzwa kahle, kanti ngezinye izikhathi uzizwa sengathi awukwazi ukuzwa okuningi.
• Umuzwa wokugcwala endlebeni .
• Isiyezi .
• Ukuzizwa sengathi izinto ziyajikeleza nxazonke zakho (`Isizungu`) – Lokhu akuyona nje into ejikelezayo, kungazwakala sengathi igumbi ngokwalo liyajikeleza.
• Ukugula ngokunyakaza .
• Isicanucanu .
• Ukulahlekelwa yinkumbulo - Lokhu kungase kuzwakale kungavamile, kodwa abanye abantu bangaba nalesi sibonakaliso.
• Ukulahlekelwa yibhalansi, ukungakwazi ukuma kahle (izinkinga zebhalansi).
• Ikhanda elibuhlungu(Ikhanda elibuhlungu).
• I-Tinnitus - ukukhala ezindlebeni zakho - Lokhu kungezwakali ngendlela ehlukile, njengomsindo "wokukhala" noma umsindo "wokubhonga".

Esikhathini esiningi, lesi simo (i-Perilymphatic Fistula) sithinta indlebe eyodwa kuphela. Kodwa-ke, akuvamile kakhulu, ukuthi singathinta zombili izindlebe ngesikhathi esisodwa.

Into ebaluleke kakhulu ukuthi umuntu one-"Perilymphatic Fistula" angase abe nomuzwa wokuthi lezi zimpawu ziyanda lapho ehleka, ethimula, ekhwehlela, eshaya ikhala lakhe, noma ephakamisa into esindayo noma ekhuphuka intaba (isibonelo, lapho ekhuphuka intaba noma egibele indiza) .

Kungani le `(Perilymphatic Fistula)` yakheka? Ziyini izimbangela?

Kunezici eziningana ezingase zibangele lesi simo. Ake sibheke ukuthi ziyini:

• Ukulimala ekhanda - Uma ikhanda lishaya okuthile, njengokushaywa kanzima.
• Ukulimala kwendlebe – Uma kukhona okubhajwe endlebeni noma ingaphakathi lendlebe lonakele.
• I-Barotrauma – Lolu ushintsho olukhulu nolusheshayo ekucindezelweni komoya. Isibonelo:
• Ngesikhathi ngihamba ngendiza.
• Ngesikhathi ngibhukuda nge-scuba.
• Uma ukhathele kakhulu bese uphakamisa umthwalo osindayo.
• Ukucindezeleka kokubeletha umntwana.
• I-eardrum ebhobokile .
• Ukuzwa umsindo omkhulu ngokuzumayo eduze kwendlebe - isibonelo, ukuqhuma kwesibhamu noma umsindo weziqhumane eziqhumayo.
• Ukutheleleka kwendlebe okuvamile .
• Ukushaya ikhala lakho kanzima kakhulu.

Ngezinye izikhathi, i-"Perilymphatic Fistula" ingase ivele ngaphandle kwesizathu esicacile. Kodwa-ke, isikhathi esiningi, ibangelwa ukulimala okuncane okwenzeke esikhathini esidlule futhi okungabanga zimpawu ezinkulu ngaleso sikhathi, kodwa kamuva kuvela ngale ndlela.

Uyithola kanjani le nkinga ebizwa ngokuthi "i-Perilymphatic Fistula"? (Ukuxilongwa)

Izimpawu ze-`(Perilymphatic Fistula)` zifana kakhulu nezimpawu zezinye izifo ezenzeka ngaphakathi kwendlebe. Isibonelo, izimpawu zezifo ezifana ne-`(Meniere's disease)`, `(vestibular neuritis)` kanye ne-`(labyrinthitis)` nazo zingafana.

Ngakho-ke, udokotela wakho kuzodingeka aqale aqinisekise ukuthi awunazo ezinye zalezi zimo. Angase enze uchungechunge lwezivivinyo ukuze athole lokhu. Ezinye zazo zifaka:

• Ukuhlolwa kokuzwa .
• Ukuhlolwa kwebhalansi .
• I-Electrocochleography - Lokhu kulinganisa ingcindezi yoketshezi olungaphakathi kwendlebe yakho.
• Ukuhlolwa kwe-Perilymphatic fistula(`Ukuhlolwa kwe-Perilymphatic fistula`) – Lokhu kuhilela ukufaka ingcindezi ethile emgudwini wendlebe yakho nokubheka indlela amehlo akho ahamba ngayo ngaleso sikhathi.

Ngaphezu kwalezi zivivinyo, udokotela wakho angase asebenzise nezivivinyo ezikhethekile zesithombe ukuqinisekisa ukuxilongwa. Izinhlobo zeziskeni ezisetshenziswa ukuthola i-perilymphatic fistula yilezi:

• I-CT scan – Lokhu kungathatha isithombe se-X-ray esinezinhlangothi ezintathu (3D) sezakhiwo ezingaphakathi komzimba wakho.
• I-MRI scan (`MRI`) – Lokhu kusebenzisa omaginethi abanamandla namagagasi omsakazo ukuthatha izithombe zengaphakathi lomzimba.

Kwezinye izimo, kokubili i-MRI kanye ne-CT scan zingasetshenziswa ndawonye ukuthola i-perilymphatic fistula.

Iphathwa kanjani i-`(Perilymphatic Fistula)`?

Kunezindlela eziningana zokwelapha lesi simo. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe ebunzimeni besimo sakho.

1. Ukuphumula embhedeni

Ukwelashwa kokuqala kwe-perilymphatic fistula kuvame ukukhawulela umsebenzi nokuphumula ngokwanele. Udokotela wakho angakutshela ukuthi ulale embhedeni isonto elilodwa noma amabili. Uma izimpawu zakho ziba ngcono, angase akuncomele ukuphumula okwengeziwe kuze kube yilapho inkinga isixazululekile ngokuphelele.

Phakathi nalesi sikhathi, udokotela ululeka ngezinto ezifana nokulala ikhanda lakho liphakeme kancane, ukuphakamisa izinsimbi, kanye nokuthimula umlomo wakho uvulekile.

2. Imijovo yegazi

Lokhu kuyindlela entsha yokwelapha. Kuhilela ukufaka igazi lakho elincane endlebeni yakho ephakathi. Lokhu kusiza ulwelwesi olulimele ukuthi luphinde luvuke. Ochwepheshe basacwaninga ngale ndlela yokujova i-blood patch. Kodwa imiphumela kuze kube manje ibithembisa kakhulu!

3. Ukuhlinzwa

Uma ukwelashwa okulondolozayo, njengokuphumula, kungasizi, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhilela ukuphakamisa ngokucophelela i-eardrum yakho bese ufaka izicubu ezifakwe kwenye indawo emzimbeni wakho esikhundleni se-membrane eyonakele.

Kodwa-ke, lokhu kuhlinzwa akufanele wonke umuntu. Ngakho-ke, kufanele uxoxe ngezingozi kanye nemikhawulo yalokhu kwelashwa nodokotela wakho ngaphambi kokwenza isinqumo.

Kuthatha isikhathi esingakanani ukuphulukiswa ngemva kokuhlinzwa kwe-Perilymphatic Fistula?

Nakuba abantu abaningi sebebuyele esimweni esijwayelekile ezinsukwini ezimbalwa zokuhlinzwa, kungathatha amasonto ambalwa ukululama ngokuphelele. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela yonke imiyalelo kadokotela wakho ohlinzayo ngokucophelela.

Ngokuvamile, kuzodingeka ulale ikhanda lakho liphakeme kancane.Futhi, kungadingeka ugweme imisebenzi engakucindezela izindlebe zakho, njengokuntywila olwandle noma ukuphakamisa izinsimbi, isikhashana.

Singakwazi yini ukuvimbela lesi simo ukuthi singenzeki?

Nakuba kungenakwenzeka ukuvimbela lesi simo ngokuphelele, kunezinto esingazenza ukuze sinciphise ingozi yokuthi senzeke. Isibonelo:

• Uma uya ezindaweni ezinomsindo omkhulu, ungasebenzisa into efana 'nezimbobo zokuvala izindlebe' ukuvikela izindlebe zakho .
• Gqoka ama-earplug ahlungiwe uma uhamba ngendiza. Lokhu kungasiza ekulinganiseni ingcindezi ezindlebeni zakho.
• Uma uvame ukuba nezifo zendlebe, buza udokotela wakho ukuthi yini ongayenza ukuze uzivimbele.

Yini ongayilindela uma une-`(Perilymphatic Fistula)`?

Uma unezimpawu ezifana nezinkinga zokulinganisela noma isiyezi, kungadingeka wenze izinguquko ezincane endleleni yakho yansuku zonke. Isibonelo, uma izimpawu zakho ziba zimbi kakhulu lapho uhamba, cela omunye umuntu ukuthi akusize ngemisebenzi efana nokuya esitolo. Kufanele futhi uqaphele ukugwema izimo lapho ungase ulahlekelwe khona ibhalansi yakho bese uwe. Ungakhathazeki, lezi zinto zingezesikhashana.

Ingabe i-Perilymphatic Fistula ingalapheka ngokuphelele?

Yebo, kungenzeka! Amanye amacala e-`(Perilymphatic Fistula)` azophola ngokwawo ngokuphumula okufanele. Kodwa-ke, kwezinye izimo, kungadingeka ukuthi ujove noma uhlinzwe nge-`(blood patch). Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko ekuzweni kwakho noma uba nanoma yiziphi izimpawu ezintsha (isib. isiyezi, ukukhala ezindlebeni), bona udokotela ngokushesha. Futhi, uma unezifo zendlebe ezivame ukwenzeka, buza udokotela wakho ukuthi yini ongayenza ukuze unciphise ingozi yakho yokuthola i-perilymphatic fistula.

Umyalezo Wokugcina Wokuya Nasekhaya

Lesi simo, esibizwa ngokuthi "i-Perilymphatic Fistula", singabangela izimpawu eziningi ezikhathazayo ezingathinta impilo yakho yansuku zonke. Kodwa ungakhathazeki, kukhona ukwelashwa kwalokhu.

Uma udokotela wakho eqinisekisa ukuthi unalesi simo, uzovame ukukutshela ukuthi uthole ukuphumula ngokwanele embhedeni kuqala. Ukwenza kanjalo kungasiza i-fistula ukuthi ilulame yodwa. Uma ukuphumula embhedeni kukodwa kunganele, kungadingeka ukuthi ujove "i-blood patch" noma uhlinzwe.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ngemuva kwalokho ungalulama ngokushesha okukhulu. Ukulalela umzimba wakho nokufuna iseluleko sezokwelapha ngokushesha uma ubona noma yini engavamile kuyindlela engcono kakhulu yokuphila impilo enempilo.

i- perilymphatic fistula, isifo sendlebe, ukulahlekelwa ukuzwa, isiyezi, i-vertigo, i-tinnitus, indlebe ephakathi, indlebe yangaphakathi