Ingabe uthatha imithi yokugula okungathi sína? Ingabe uke waqala ukuzwa ukukhala ezindlebeni zakho ngesikhathi uthatha imithi enjalo, noma uke waqala ukuzizwa unesizungu futhi ungalingani kahle lapho uhamba? Sivame ukucabanga ukuthi lokhu kubangelwa ukugula. Kodwa ngezinye izikhathi, imithi oyithathayo ingaba yimbangela. Yilokho esikubiza ngokuthi i-Ototoxicity kwezokwelapha. Ungakhathazeki, ake sixoxe ngalokhu kalula.
Kalula nje, iyini i-Ototoxicity?
Uma uzwa igama elithi ototoxicity, kungase kubonakale njengento enkulu. Kodwa incazelo yalo ilula kakhulu.
I-Oto isho indlebe, kanti ubuthi busho ubuthi. Ngamanye amazwi, sikubiza ngokuthi i-ototoxicity
lapho imithi ethile ilimaza izindlebe zakho . Kufana "nokufaka ubuthi endlebeni." Indlebe yethu yangaphakathi inamaseli ezinzwa abucayi kakhulu asisiza ukuzwa nokulawula ibhalansi yethu. Eminye imithi, ikakhulukazi uma ithathwa ngemithamo ephezulu, ingalimaza la maseli ezinzwa. Yilapho uqala ukulahlekelwa ukuzwa kwakho, uzwe imisindo ehlukene ezindlebeni zakho (i-tinnitus), futhi uzizwe ungalingani.
Into engcono kakhulu ukuthi uma lesi simo sitholakala kusenesikhathi , singaphinde siguqulwe uma umuthi osibangelayo umisiwe noma ushintshiwe. Kodwa-ke, uma sitholakale sekwephuzile, kungase kube nomonakalo ohlala njalo endlebeni.
Yimiphi imithi namakhemikhali angabangela ubuthi obungabangelwa yi-ototoxicity?
Njengamanje, sekutholakale izidakamizwa ezingaphezu kuka-200 ezibulala amagciwane. Iningi lazo lisetshenziselwa ukwelapha izimo ezibucayi njengomdlavuza, izifo ezithathelwanayo ezinzima, nesifo senhliziyo. Nakuba le mithi ibalulekile ekusindiseni izimpilo, kubalulekile ukuqaphela imiphumela emibi engaba khona. Ithebula elingezansi libonisa imithi eyinhloko namakhemikhali abangela le ngozi.
| Uhlobo Lwemithi/Amakhemikhali | Izibonelo namanothi |
|---|
| I-aspirini | Ukuthatha imithamo ephezulu isikhathi eside kungabangela ukulahlekelwa ukuzwa kanye nokukhala ezindlebeni (i-tinnitus). |
| Imithi equkethe i-quinine | Imithamo ephezulu yemithi kamalaleveva efana ne-Chloroquine ne-Quinidine ingathinta okwesikhashana ukuzwa kanye nokulinganisela. |
| I-Loop Diuretics | Imithi efana neFurosemide neTorsemide, esetshenziselwa ukukhipha amanzi emzimbeni, ivame ukuba nemiphumela yesikhashana. |
| Ama-Aminoglycoside Antibiotics | Lawa ama-antibiotic anamandla njenge-Gentamicin, i-Amikacin, i-Kanamycin, anikezwa izifo ezibangelwa amagciwane ezinzima. Imbangela enkulu yokushisa kwamagciwane. |
| Imithi Yokulwa Nomdlavuza | Imithi yokwelapha ngamakhemikhali njengeCisplatin neCarboplatin ingalimaza namaseli azwelayo endlebeni ngenkathi ibulala amaseli omdlavuza. |
| Amakhemikhali Emvelo | Ukuchayeka ezintweni ezifana ne-mercury, i-lead, kanye ne-carbon monoxide nakho kungabangela umonakalo wokuzwa unomphela. |
Ubani osengozini enkulu?
Akuwona wonke umuntu othatha lo muthi ozoba nobuthi obungangenisi amanzi emzimbeni, kodwa abanye abantu basengozini enkulu.
- Ukuthatha imithi engaphezu kweyodwa ebangela ubuthi ngesikhathi esisodwa: Isibonelo, ingozi iphezulu kakhulu uma uthatha i-loop diuretic kanye ne-aminoglycoside antibiotic ndawonye.
- Abantu abanezinkinga zezinso : Le mithi isuswa emzimbeni yizinso. Uma izinso zingasebenzi kahle, umuthi uhlala emzimbeni isikhathi eside, okwandisa ingozi yokulimala kwendlebe .
- Isilinganiso kanye nobude besikhathi somuthi : Ingozi iyanda njengoba umthamo wemithi ukhula kanye nobude besikhathi sokwelashwa bukhula.
Uma kufanele ngempela uphuze umuthi osindisa impilo onjengalona,
khuluma nodokotela wakho ngengozi yokuba nesifo sofuba ngaphambi kokuqala ukwelashwa.Ziyini izimpawu ze-ototoxicity?
Lezi zimpawu zingase ziqale ngokuzumayo, noma zingase zande kancane kancane ngokuhamba kwesikhathi.
Izimpawu zokuqala
- I-Tinnitus: Lesi yisibonakaliso sokuqala abantu abaningi abasiqaphelayo. Umsindo oqhubekayo ezindlebeni, njengokuthi "ukukhala..." noma "ukukhala."
- Ukulahlekelwa ukuzwa okuncane: Ukuzizwa sengathi amazwi awazwakali kahle ngesikhathi sengxoxo evamile.
Izimpawu ezenzeka lapho isimo sibi kakhulu
- Ukungalingani : Ukuzizwa ungazinzile ngenkathi uhamba, njengokungathi awulingani.
- I-Vertigo : Umuzwa wokuthi wena noma indawo okuzungezile iyajikeleza.
- I-Oscillopsia: Umbono ofiphele noma umuzwa wombono ogxumayo lapho unikina ikhanda.
- Ukugcwala endlebeni: Umuzwa sengathi indlebe igcwele umoya.
- Ubunzima bokuhamba: Ubunzima bokuhamba ebumnyameni, ukuhamba ngezinyawo zakho zihlukene ukuze ulondoloze ibhalansi.
- Ikhanda elibuhlungu kanye nokukhathala ngokweqile.
Uhlobo lwalezi zimpawu luyahlukahluka kuye ngokuthi umonakalo ungowendlebe eyodwa noma zombili, nokuthi umonakalo wenzeke ngokushesha kangakanani.
Ungasibona kanjani lesi simo?
Uma unezinye zezimpawu ezibalwe ngenhla, khuluma nodokotela wakho nganoma yimiphi imithi oyiphuzayo. Cishe uzokudlulisela kuchwepheshe wezokuzwa nokulinganisela, noma
kuchwepheshe wezokuzwa . Bazokwenza izivivinyo zokuqinisekisa ukuxilongwa.
- Ukuhlolwa kwe-Audiometric: Ukuhlola amazinga amaza omsindo ongawezwa nongawezwa.
- Ukuhlolwa kwe-Auditory Brainstem Response (ABR): Kuhlola ukuthi izimpawu ezivela endlebeni yangaphakathi ziya ebuchosheni zisebenza kahle yini.
- Ukuhlolwa kwe-Otoacoustic Emissions (OAE): Kuhlola ukusebenza kwamaseli ezinzwa endlebeni yangaphakathi. (Lokhu kuhlolwa kwe-ABR kanye ne-OAE kusetshenziselwa ikakhulukazi ukuxilonga izinkinga zokuzwa ezinganeni ezincane.)
- Ukuhlolwa kwebhalansi: Lokhu kuhlolwa kulinganisa ibhalansi yomzimba wakho ngokulinganisa izinto ezifana nokunyakaza kwamehlo (i-Electronystagmogram) kanye nekhono lakho lokuma ezindaweni ezahlukene (i-Posturography).
Iphathwa kanjani?
Ukwelashwa okungcono kakhulu ukuyeka umuthi ocasulayo noma ukushintshela komunye umuthi,
njengoba kuyalelwe udokotela wakho . Ezimweni eziningi, izimpawu zizobuya.
Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho kuqala, ngoba imithi ingaba yinto ebalulekile empilweni yakho.
Kodwa-ke, uma umuthi ungenakuvinjelwa noma uma kwenzeke umonakalo ongapheli endlebeni, kunezindlela zokwelapha ezingakusiza ukuthi uphathe futhi uphile nezinkinga. 1.
Izinsiza Zokuzwa: Lawa madivayisi, angagqokwa ngaphakathi noma ngaphandle kwendlebe, akusiza ukuthi uzwe imisindo ekuzungezile kangcono. 2.
Izimila Ze-Cochlear: Lawa madivayisi afakwa ngokuhlinzwa kubantu abanokulahlekelwa okukhulu kokuzwa okunzima kakhulu ukuba bangasizwa yizinsiza zokuzwa. 3.
Ukwelashwa Ngebhalansi / Ukuvuselelwa Kwe-Vestibular: Lokhu kufana ne-physiotherapy yokulinganisela. Udokotela we-physiotherapist ukufundisa izivivinyo ezahlukahlukene ukuze uthuthukise ukuma kwakho, ukuhamba, kanye nokuxhumana.
Umlayezo Wokuya Nawe Ekhaya
- Ubuthi obuvela endlebeni buwumonakalo obangelwa imithi ethile emangqamuzaneni athambile ngaphakathi kwendlebe.
- Uma uzwa ukukhala ezindlebeni (i-tinnitus) noma isiyezi ngenkathi uthatha imithi enamandla yezifo ezifana nomdlavuza noma izifo ezinzima, yazisa udokotela wakho ngokushesha.
- Gwema ukuyeka imithi yakho noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela nganoma yisiphi isizathu.
- Ukutholakala kwalesi simo kusenesikhathi kungavimbela ukulimala okungapheli kokuzwa noma izinkinga zokulinganisela.
- Uma usola ukuthi ubuthi bubangelwa ukuchayeka kumakhemikhali asendaweni ezungezile, funa iseluleko sezokwelapha ngokushesha. Uma kudingeka, ulwazi olwengeziwe lungatholakala e-National Poisons Information Centre e-Colombo National Hospital .
Ubuthi obuvela endlebeni, ukulahlekelwa ukuzwa, imiphumela emibi yemithi, i-tinnitus, isiyezi, ukulahlekelwa ukuzwa, imiphumela emibi, i-cisplatin, i-aminoglycoside, ukukhala ezindlebeni
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