Ingabe nawe uzizwa unesizungu njalo? Ingabe uzwa imisindo engavamile ezindlebeni zakho? Kungaba yi-Superior Canal Dehiscence Syndrome (SCDS)!

Ingabe ngezinye izikhathi uzwa umsindo wokuphefumula kwakho, umsindo wamehlo akho ecwayiza, noma umsindo wezwi lakho uzwakala kakhulu ezindlebeni zakho lapho ukhuluma? Noma ingabe uzizwa unesizungu ngokuzumayo ngaphandle kwesizathu, noma izinto ezikuzungezile zijikeleza njengengubo ejikelezayo? Ungamane nje ulahle lokhu njengokukhathala ngokomzimba. Ngoba lokhu kungaba izimpawu zesimo esingavamile kodwa esingelapheki uma sitholakale kahle. Namuhla, sizokhuluma ngalesi simo esibizwa ngokuthi 'i-Superior Canal Dehiscence Syndrome', noma '(SCDS)' ngamafuphi.

Iyini i-'Superior Canal Dehiscence Syndrome (SCDS)'? Masiyiqonde kalula.

Kalula nje, i-SCDS yisimo esingavamile esithinta indlebe yakho yangaphakathi . Singathinta ibhalansi yakho nokuzwa kwakho. Cabanga ukuthi ngaphakathi kwendlebe yakho, njenge-maze encane, kunezimbobo ezintathu ezinhle kakhulu ezigcwele uketshezi. Lawa abizwa ngokuthi imisele emincane. Phakathi kwalezi zimbobo, phezulu, okuseduze kancane nobuchopho, kukhona umsele ophakeme we-semicircular. Uma sishukumisa amakhanda ethu noma sishukumisa imizimba yethu, uketshezi olungaphakathi kwalezi zimbobo luhamba nazo. Ukunyakaza kwalolo ketshezi kuthumela izimpawu ebuchosheni bethu ukuthi "isikhundla somzimba wethu siyashintsha." Ubuchopho busebenzisa lolu lwazi ukulawula ibhalansi yethu. Manje, esimweni se-'SCDS', kuvela umgodi omncane noma ukufiphala okuncane kakhulu (ukungafinyeleli) emathanjeni avikelayo azungeze umsele ongaphezulu ('umsele ophakeme we-semicircular'), okungukuthi, kulolo donga oluqinile. Kufana nomgodi omncane epayipini lamanzi. Lo mgodi ungabangela izinkinga ezithile kulolo hlelo lokubonisa izimpawu. Futhi, imisindo evamile eyenzeka ngaphakathi kwendlebe (isibonelo, umsindo wokuphefumula, umsindo wokucwayiza) ingadlula kule mbobo iye ebuchosheni, ibenze babonakale bephezulu kakhulu, futhi kungavela nezinye izinkinga zokuzwa. Lesi simo esibizwa ngokuthi `SCDS` sibizwa ngamanye amagama amaningana, kodwa igama elivame ukusetshenziswa kakhulu yi-`SCDS`.

Sivame kangakanani lesi simo se-'SCDS'?

Lesi yisimo esingavamile kakhulu . Kulinganiselwa ukuthi phakathi kuka-1% no-2% wabantu abaningi bangase babe nalesi simo. Abanye abantu bangase babe nalesi simo ezindlebeni zombili (`bilateral superior semicircular canal dehiscence`). Kodwa-ke, noma kunjalo, izimpawu zivame ukuzwakala kakhulu endlebeni eyodwa.

Yiziphi izimpawu umuntu one-'SCDS' angase azibone?

Lokhu kuyinto ebaluleke kakhulu. Akuwona wonke umuntu onazo zonke izimpawu. Ngakho-ke ngezinye izikhathi kungaba nzima kancane ukukubona ngqo. Enye into ukuthi abanye abantu bangase bangakhombisi zimpawu noma ngabe ithambo lincane noma linomgodi omncane. Futhi, abantu abangenawo umgodi wangempela ethanjeni, kodwa abancane nje, bangaba nezimpawu ezifanayo nezalabo abanembobo. Kodwa-ke, uma izimpawu zivela, zingathinta impilo yakho yansuku zonke. Imiphumela eyinhloko ukuzwa nokulinganisela . Lokhu kungabangela nokucindezeleka kwengqondo.

Izinkinga zokuzwa:

• ` I-Autophony` : Lokhu kwenzeka lapho uzwa izwi lakho, umsindo wokuphefumula kwakho, umsindo wokuhlafuna kwakho ukudla, futhi ngezinye izikhathi ngisho nomsindo wamehlo akho ecwayiza, kakhulu nangokucacile ngaphakathi ezindlebeni zakho. Kungazwakala sengathi unemakrofoni ephakanyisiwe ekhanda lakho.
• `I-Hyperacusis` (i-hyperacusis): Isimo lapho uzwa khona imisindo esivame ukuyizwa inomsindo omkhulu, icasula, futhi ngezinye izikhathi ibuhlungu . Ngisho nomsindo omncane ungabekezeleleka.
• I-pulsatile tinnitus : Umsindo wokukhala ngaphakathi kwekhanda noma ezindlebeni zakho ohambisana nokushaya kwenhliziyo yakho (ukushaya kwenhliziyo) .
• Ukulahlekelwa Yizwa: Ukulahlekelwa Yizwa Kungase Kuvele, ikakhulukazi ngezikhathi eziphansi .

Izinkinga ezihlobene nokulinganisela komzimba:

• I- Vertigo : Umuzwa wokuthi izinto ezikuzungezile ziyajikeleza, noma ukuthi uyajikeleza, noma ngabe umile. Lokhu kungaba yinto engakhululekile futhi eyesabekayo.
• `I-Oscillopsia` (ukunyakaza okubonakalayo): Umuzwa wokuthi into oyibukayo iyanyakaza, iya phezulu naphansi, noma iyanyakaza isuka kolunye uhlangothi iye kolunye, noma ngabe ithule. Kufana nekhamera enyakaziswayo ngenkathi iqopha ividiyo.

Ikakhulukazi, lezi zimo ze-'Vertigo' (isiyezi) kanye ne-'Oscillopsia' (ukunyakaza kokubona) zinganda lapho wenza izinto ezishintsha ingcindezi ekhanda noma ngaphakathi kwendlebe (isibonelo, ukukhwehlela kanzima, ukuthimula, ukuphakamisa izinto ezisindayo, ukuhlanza indlu yangasese, njll.) kanye nalapho uzwa umsindo omkhulu . Cabanga nje, usuzophakamisa isisindo esincane bese ngokuzumayo ikhanda lakho liqala ukujikeleza!

Imiphumela empilweni yengqondo:

Uma izimpawu ezinzima ezifana nalezi ziqhubeka, zingathinta kabi impilo yakho yengqondo.

• Ikhanda elibuhlungu .
• `Inkungu yobuchopho`:Kunzima ukucabanga kahle, futhi uzizwa sengathi awuqondi kahle.
• Izinkinga zememori.

Uma uzama ukuhlala kude nomphakathi futhi uhlale ekhaya ukuze ubalekele le misindo engakhululekile kanye nesiyezi, izimo ezifana nesizungu, ukukhathazeka, ngisho nokucindezeleka kungavela.

Kungani lokhu 'SCDS' kwenzeka? Ziyini izimbangela?

Eqinisweni, imbangela eqondile ye-SCDS ayaziwa. Kungase kube yinto yokuzalwa. Okusho ukuthi, ngesikhathi sokuphila kombungu, ithambo elizungeze umsele omkhulu alijiyile ngokwanele. Abanye abacwaningi basikisela ukuthi lesi simo singabangelwa nayizifo ezithile noma ukulimala kwekhanda . Cishe, kunezimbangela ezingaphezu kweyodwa. Isibonelo, uma uzalwa, kukhona indawo encane ethanjeni, futhi kamuva, enye ingozi noma ukutheleleka kungabangela ukuthi libe lincane futhi kwakheka imbobo. Noma, ithambo lingancipha kancane kancane njengoba ukhula futhi lesi simo sikhula.

I-SCDS ihlolwa kanjani ngokunembile?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela ofanelekayo. Kukhona ochwepheshe balezi zimo. Ngokuvamile , kufanele ubonane nodokotela wezinzwa. Uzokubuza ngezimpawu zakho, ukuthi ziqale kanjani, nokuthi ziye zaba zimbi kangaki. Uzobe eseyala ukuhlolwa okuningana ukuze anqume ezinye izimo ezivamile ezinezimpawu ezifanayo neze-SCDS nokuqinisekisa ukutholakala kwe-SCDS. Ukuhlolwa okuyinhloko okwenziwayo yile:

• I-CT scan (i-Computed Tomography scan) yamathambo azungeze indlebe: Lokhu yi-CT scan enekhwalithi ephezulu. Ingabona ngokucacile ukuthi kukhona yini imbobo noma ukuncipha ethanjeni elizungeze umsele ongaphezulu we-semicircular.
• Ukuhlolwa kokuzwa: Lokhu kwenziwa ngudokotela we-audiologist. Lokhu kuhlola ukuzwa kwakho, ikakhulukazi imisindo ephansi.
• Ukuhlolwa kwe-`VEMP` (Vestibular-Evoked Myogenic Potential): Lokhu kungakunikeza ulwazi mayelana nokuthi izingxenye ezahlukene zendlebe yakho yangaphakathi ezihilelekile ekulinganiseni zisebenza kanjani. Lokhu ukuhlolwa okungenabuhlungu. Okudingeka ukwenze nje ukubheka kwesobunxele, kwesokudla, noma phezulu ngenkathi ubheka okuqondiwe noma ulalele imisindo ethile. Abantu abane-`SCDS` bangase babone iphethini ethile yokuphendula phakathi nalolu vivinyo lwe-`VEMP`.

Yiziphi izindlela zokwelapha i-'SCDS'?

Kwabaningi, ukwenza izinguquko ezincane endleleni yabo yokuphilaUngaphila nalesi simo ngokugwema izinto ezikwenza uzizwe unesizungu futhi unesizungu (oscillopsia), isibonelo, ngokugwema imisebenzi ebangela isizungu kanye nomuzwa wezinto ezihambayo (njengokuphakamisa okunzima, ukuthimula noma ukukhwehlela), nangokuhlala kude nezindawo ezinomsindo. Abanye abantu basebenzisa ama-earplug noma ama-earmuff ukunciphisa inani lomsindo abawuzwayo. Futhi, ukubona umelaphi womzimba oqeqeshwe ngokulinganisela (umelaphi womzimba we-vestibular) kungakusiza ukuphatha izimpawu zakho. Bangakufundisa ukuzivocavoca ukuze uthuthukise ibhalansi yakho futhi banciphise ingozi yokuwa. Kodwa-ke, uma lezi zinto zingalawuli izimpawu, noma uma izimpawu zithinta kakhulu ikhwalithi yokuphila kwakho, khona-ke ukuhlinzwa kungadingeka ukuze kuvalwe noma kuvulwe kabusha imbobo .

Ukuhlinzwa kwe-'SCDS' ('ukuhlinzwa kwe-SCDS')

Kunezinhlobo eziningana eziyinhloko zokuhlinzwa okwenziwa nge-SCDS:

• Ukuvala indlela yokususa ukungcola - Indlela Yokuhlinzwa Kwe-Middle Cranial Fossa: Lokhu kuhilela ukuvala ngokuphelele imbobo ethanjeni. Lokhu kuhilela ukwenza ukusika okuncane ohlangothini lwekhanda ukuze kufinyelelwe endlebeni yangaphakathi. Lokhu kuhlinzwa kuvame ukwenziwa uchwepheshe wendlebe , impumulo, nomphimbo (uchwepheshe we-ENT ) kanye nodokotela ohlinza izinzwa.
• Ukuvala indlela yokususa i-hiscence - i-Transmastoid: Kule ndlela, indlebe yangaphakathi ifinyelelwa ngokwenza isikhala esincane ngemuva kwendlebe.
• Ukuphinda ufake imbobo: Lokhu kuhilela ukumboza imbobo ngaphandle kokuyivala ngokuphelele. Lokhu akuvamile njengokufaka i-plug.

Ngezinye izikhathi odokotela bangase basebenzise kokubili amasu `okuxhuma` kanye `nokuvuselela ubuso' ngesikhathi sokuhlinzwa.

Yiziphi izinkinga ezingaba khona ngenxa yokuhlinzwa?

Ingozi yezinkinga ezinkulu ngemva kokuhlinzwa kwe-SCDS iphansi kakhulu. Njenganoma yikuphi ukuhlinzwa, kunengozi encane yokutheleleka. Kungase kube nezinkinga ezincane ngokulinganisela kwesonto lokuqala noma ngaphezulu ngemva kokuhlinzwa, njengoba umzimba ujwayela isimo esisha. Kodwa-ke, lokhu kuvame ukuthuthuka phakathi nezinsuku ezimbalwa.

Ingabe isimo se-'SCDS' sizothuthuka ngokuzenzakalelayo?

Cha. I-SCDS ayizipholi ngokwayo ngaphandle kokuhlinzwa. Ngokungafani namanye amathambo emzimbeni wethu, ithambo elizungeze umsele oyisiyingi ophakeme alizipholi ngokwalo. Njengoba ufunda izindlela zokuphatha izimpawu zakho, ungathola impumuzo ethile. Kodwa-ke, i-SCDS ngeke iphele ngokuphelele ngaphandle kokwelashwa.

Iphumelela kangakanani indlela yokuhlinzwa ethi 'SCDS'?

Izimpawu zabantu abaningi ziyancishiswa noma ziqedwe ngokuphelele ngokuhlinzwa kwe-'SCDS'.Ezinye izifundo zibonise ukuthi ezinye izimpawu zithuthuka ngokushesha ngemva kokuhlinzwa kunezinye. Isibonelo, ukulahlekelwa ukuzwa, i-autophony, i-pulsatile tinnitus, kanye ne-vertigo kungathuthuka ngokushesha. Kodwa-ke, ikhanda elibuhlungu kanye nenkungu yobuchopho kungathatha isikhathi eside ukuthuthuka. Khuluma nodokotela wakho ngemiphumela yokuhlinzwa, kuye ngezimpawu zakho kanye nosayizi womgodi.

Ngingazinakekela kanjani ngalesi simo?

Uma kutholakale ukuthi une-SCDS, kubalulekile ukulandela imiyalelo kadokotela wakho. Ezimweni eziningi, izimpawu zingalawulwa ngokwenza izinguquko endleleni yokuphila. Nazi ezinye izinto ongayenza:

• Ukusebenzisa ama-earplugs .
• Gwema izindawo ezinomsindo noma nini lapho kungenzeka.
• Uma izwi lakho lizwakala libuhlungu kuwe, khuluma kancane ('uhlebela').
• Ukugwema imisebenzi ethinta ibhalansi, njengokuphakamisa izinsimbi.
• Ukugwema imisebenzi engashintsha umfutho wendlebe (isib. ukuhamba ngendiza) ngangokunokwenzeka.
• Emsebenzini, uma kungenzeka, cela indawo ethule neyimfihlo esikhundleni sendawo ehlanganyelwe .

Khumbula, awuwedwa. Kuvamile ukuzwa ukucindezeleka ngokomzwelo uma uphila nesimo esinjengalesi. Uma kudingeka, khuluma nodokotela wakho ngakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma utholakale une-Superior Canal Dehiscence Syndrome (SCDS), ungesabi. Abantu abaningi baphatha izimpawu zabo ngokwenza izinguquko endleleni yokuphila. Udokotela wakho uzoncoma izindlela zokukusiza ukuvimbela izimpawu ezithinta ibhalansi yakho kanye/noma ukuzwa ukuthi zingabi zimbi kakhulu. Kwezinye izimo, uma izimpawu zakho zinzima, ukuhlinzwa kungavala imbobo ethanjeni futhi kunciphise noma kuqede izimpawu. Khuluma nodokotela wakho mayelana nenketho yokwelashwa engcono kakhulu kuwe. Khumbula, ukuthola ukuxilongwa okufanele kanye nokwelashwa kungakusiza uthole impumuzo.