Shin sauraran ku ne ko magance matsalolin rikice masu likita?
Ana iya samun canals na kwayoyin halitta a cikin kunnen ciki. Wadannan ƙananan tubes guda uku (na kwance, mai mahimmanci, da kuma na bayanan semicircular), an shirya su a kusurwa na dama ga juna. Sun ƙunshi ruwa wanda ake kira endolymph da ƙananan gashin kwayoyin halitta, wanda ake kira cilia, wanda ke san yadda muke motsa jiki. Hanyoyi na kwayoyin halitta suna cikin ɓangaren kayan aiki kuma suna aiki don bamu fahimtar daidaito .
Ƙwararren Canal Dehiscence (SSCD), wanda ake kira Ƙarƙashin Canal Dehiscence (SCDS), wani yanayin ne ya sa wani rami ko buɗewa a cikin kashi wanda ya fi dacewa da canal mai zurfi. Ƙaƙƙarwar sulhu na ƙyale endolymph a cikin canal mai zurfi mai tsayi don motsawa a mayar da martani ga sauti ko matsa lamba.
Abubuwan da ke faruwa da dalilai
Ƙwararren ƙwararren ƙwararrakin kwayar halitta na da wuya kuma ainihin dalilin ya kasance ba a sani ba. Wata ka'ida ita ce kashi biyu zuwa kashi biyu cikin dari na yawan mutane ana haife shi tare da ƙananan ƙananan ƙananan kashi wanda ke da alamar ƙwaƙwalwar ƙwararren kwayar halitta wadda ke ɗaukar su zuwa SSCD. Ka'idar ita ce matsa lamba ko damuwa sai ya sa rami ko buɗewa a cikin wannan kashi marar lahani. Wannan ya bayyana dalilin da yasa yawan shekarun da aka gano shine kimanin shekaru 45.
Duk da haka, an gano SSCD a cikin mutane da yawa fiye da haka. Wani ka'ida shi ne cewa kasusuwan ya kasa cin nasara sosai a cikin utero kuma cewa SSCD yana nan a lokacin haihuwa.
Zai yiwu kuma kasusuwan sama da magungunan kwakwalwa mai mahimmanci ya fara farawa tare da shekaru da kuma ƙananan rauni ko ƙara matsa lamba intracranial zai iya haifar da dehiscence. Wannan kashi kuma za'a iya lalace a lokacin kunna kunne.
Ƙwararren Canal Dehiscence mafi rinjaye yana shafi maza, mata, da kuma mutane daga kowane jinsi daidai.
Ba a sani ba a daidai lokacin da SSCD yake.
Alamai da cututtuka
Kwayoyin cututtuka na SSCD sun bambanta tsakanin mutane. Kuna iya samun alamun bayyanar cututtuka, bayyanar cututtuka, ko haɗuwa biyu. Wasu bayyanar cututtuka na SSCD na iya zama mai ban mamaki. Kwayoyin cututtuka na SSCD sun haɗa da:
- Dizziness ko vertigo (sau da yawa sauti ko matsa lamba jawo)
- Balance marar lokaci
- Tinnitus - wanda wani lokaci ya danganta da ido ko ido ko muryar zuciyarka
- Hyperacusis (sabon abu ji da hankali ga yau da kullum sauti)
- Oscillopsia - murya mai ƙarfi yana iya sa abubuwa su bayyana kamar suna motsi
- Nystigmus (motsin ido na ido - yana iya zama daɗaɗɗa)
- Kwayar cututtuka na iya ciwo muni idan ka yi haushi, tari, ko kuma buge hanci
- Ƙungiya - zaku iya jin motsinku na ido ko ma bugunku. Muryarka tana iya zama babbar murya a kunne mai kunni.
- Rushewar haɗari mai haɗaka don yawan sauti
- Sauti na iya zama abin ƙyama a kunnen kunne (s)
- Cikakken cikakken abu (jin dadin cikar ko matsa lamba a kunnen kunne)
Wani mummunan ƙananan ƙananan da ke da rinjaye akan magungunan kwakwalwa mai zurfi, ko da ba tare da dehiscence ba, zai iya haifar da alamun bayyanar SSCD. Ya kamata a lura cewa wasu mutanen da ke tare da SSCD basu ji dadin bayyanar cututtuka ba.
Sanin asali
Idan likitanku suna jin cewa kana iya samun SSCD, zasu iya amfani da gwaje-gwajen da dama don taimakawa wajen tabbatar da wannan ganewar. Kwararren likitanku na iya ɗaukakar SSCD, amma likita mafi kyau ya yi ta likita wanda ke ƙwarewa cikin ɓarna na hanci da kunne da ƙuƙwarar ( ENT ko kuma mai kula da magunguna ).
Ƙararrakin canjin deal na jiki na iya zama kuskure ga irin wannan cuta kamar perilymph fistula, BPPV, da otosclerosis.
Tarihi & Jiki
Kwararka zai iya yin gwaje-gwaje masu sauƙi a ofishin wanda zai iya hada da:
- Gwajin Gait - likitanku zai kalli kuyi tafiya, wannan yana taimakawa wajen tantance matsalar matsaloli.
- Binciken gwadawa - likitanku zai duba hanyar da idanuwanku suke motsawa don gano nystigmus.
- Fukuda Test - likitanku zai bukaci ku shiga wuri don 20-30 seconds yayin da idanu idanu ku rufe. Ana amfani da wannan gwaji don gano abubuwan rashin hauka na gida.
- Magani Dix-Hallpike - likitanku zai yi wannan gwajin ta hanyar mayar da ku ba zato ba tsammani tare da kai ya juya zuwa gefe. Yayinda kake yin wannan likitan naka zai kiyaye idanu don nystigmus. An yi amfani da gyaran Dix-Hallpike don yin sarauta a cikin matsakaicin matsakaicin matsakaicin matsakaici .
- Tsara-Shake Test - likita zai girgiza kanka yayin da kake saka ruwan tabarau na musamman.
- Gwajin gwaji
- Gwajin Kwalejin Kayayyakin Gano Hanya
- Fistula Test
- Barany ƙarar akwatin - amfani da shi don jarrabawar motsin motsi vertigo
CT Scan
Tsarin CT mai girma zai iya zama da amfani a binciko gwaji na SSCD lokacin da wani mai gwani yake aiki. Kuna so ku je cibiyar cibiyar rediyo wadda ke da masaniya wajen gano SSCD, saboda yana iya sauƙi bazawar dehiscence ba. Ko da idan kana da kyakkyawan binciken a kan CT, har yanzu kuna buƙatar samun gwaje-gwaje don sanin sakamakon, a matsayin membrane (wanda aka sani da dura ) zai iya hatimin yankin da yake raunana rami.
Jiran gwaji
Gwajin ƙararrawa na yawanci yana nuna raunin sauraron mita mai tsayi sau da yawa kuma duk da haka akwai wasu nau'o'in sauraron ji. Sauran gwaje-gwaje da za a iya amfani dashi sun haɗa da: sautin murya mai kyau, jarrabawar immitance ( tympanometry ) don taimakawa wajen fitar da matsalolin tsakiyar kunnen, matsalolin haɓakaccen tsirrai da kuma electrocochleography.
Jiyya
Yin shawarwari yawanci abu ne na farko idan an la'akari da ko mahimmin magani na SSCD. Idan bayyanar cututtuka ba mai tsanani ba, wasu lokuta na iya zama mafi kyawun haɓaka tare da tsarin haɗi. Idan bayyanar cututtuka na rashin daidaituwa ba ƙananan ba ne, gyaran gyare-gyare na iya samar da wasu amfana.
Duk da haka, idan an tasiri tasirin rayuwa sosai, to, gyaran gyare-gyaren gyare-gyare na iya zama garanti. Hanya biyu mafi yawan sun hada da haɗuwa da rami (wanda ya rufe kankarar mai kwakwalwa), ko resurfacing da riƙe (wanda ya fita daga canal semicircular cikakke). Duk nau'i biyu ko gyare-gyaren gyare-gyare yana buƙatar sare a cikin kwanyar ta hanyar abin da ake kira a tsakiyar kusurwa na fossa na tsakiya (ko kuma cranomomy na tsakiya).
Yayinda wannan tiyata yana da kyakkyawan sakamako, rikitarwa ga jijiyar fuskar mutum da sake dawowa da alamun bayyanar zai iya faruwa. Kafin kowane aikin tiyata zai fi dacewa don tattauna hadarin da ke tattare da hanya tare da likita kuma ya yi karin bayani game da abin da marasa lafiyarsa ke da matsaloli dangane da hanya.
> Sources:
> Ƙungiyar Harshe-Harshen Harshen Amirka. Ƙwararren Canal Dehiscence. http://www.asha.org/Practice-Portal/Clinical-Topics/Superior-Canal-Dehiscence/.
> Dizziness da Balance.com. Ƙwararren Canal Dehiscence. http://www.dizziness-and-balance.com/disorders/unilat/scd.htm.
> Medscape. Ƙwararren Canal Dehiscence. http://emedicine.medscape.com/article/857914-clinical.
> Ƙananan, LB. (2000). Ƙananan Canal Dehiscence Ciwo. Aikin Jarida ta Amirka. 21 (1), shafi na 9-19.
> UCLA Head da Neck Abun kama. Ƙwararren Canal Dehiscence Mafi Girma. http://headandnecksurgery.ucla.edu/body.cfm?id=154.